Lab & pathology prices at Palacios Community Medical Center
Palacios, TX · every code in this section with a posted price and a Medicare benchmark.
564 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $108 | $108 | 9.7× |
| Acth (82024) | $147 | $147 | 3.8× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$73–$330 | $73–$330 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $246 | $246 | 3.8× |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$32–$88 | $32–$88 | varies |
| Albumin serum (82040) | $20 | $20 | 4.0× |
| Aldolase (82085) | $37 | $37 | 3.8× |
| Aldosterone urine (82088) | $248 | $248 | 6.1× |
| Alkaline phosphatase isoenzymes (84080) | $70 | $70 | 4.7× |
| Allergen spec ige qual multiallergen screen (86005) | $290 | $290 | 36.4× |
| Allergen specific ige (86003) range across 17 matching MRF lines |
$10–$652 | $10–$652 | varies |
| Allergen specific igg (86001) | $42 | $42 | 5.4× |
| Alpha-1-antitrypsin phenotype (82104) | $66 | $66 | 4.6× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$52–$61 | $52–$61 | varies |
| Alpha-Fetoprotein Serum (82105) | $173 | $173 | 10.3× |
| Alt (sgpt) (84460) | $89 | $89 | 16.8× |
| Amikacin trough (80150) | $92 | $92 | 6.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $70 | $70 | 3.0× |
| Aminolevulinic acid (ala) (82135) | $41 | $41 | 2.5× |
| Ammonia (82140) | $129 | $129 | 8.9× |
| Amylase urine (82150) range across 4 matching MRF lines |
$25–$139 | $25–$139 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$50–$51 | $50–$51 | varies |
| Androstenedione (82157) | $216 | $216 | 7.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$34–$89 | $34–$89 | varies |
| Anti-Phospholipid Antibody (86148) | $36 | $36 | 2.2× |
| Antibody aspergillus (86606) | $37 | $37 | 2.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $70 | $70 | 4.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $37 | $37 | 2.2× |
| Antibody Encephalitis California La Crosse (86651) | $26 | $26 | 2.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $108 | $108 | 7.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$58–$365 | $58–$365 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$174–$177 | $174–$177 | varies |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$37–$134 | $37–$134 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$59–$132 | $59–$132 | varies |
| Antibody HIV-2 (86702) | $17 | $17 | 1.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 5 matching MRF lines |
$200–$351 | $200–$351 | varies |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$58–$180 | $58–$180 | varies |
| Antibody Protozoa Nes (86753) | $134 | $134 | 10.8× |
| Antibody Titer (86886) | $550 | $550 | 106.2× |
| Antibody Treponema Pallidum (86780) | $66 | $66 | 5.0× |
| Antibody; campylobacter (86625) | $188 | $188 | 14.3× |
| Antibody; encephalitis, st. louis (86653) | $26 | $26 | 2.0× |
| Antibody; influenza virus (86710) | $118 | $118 | 8.7× |
| Antigen typing (86905) range across 2 matching MRF lines |
$91–$296 | $91–$296 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$309–$314 | $309–$314 | varies |
| Antinuclear antibodies (86038) | $118 | $118 | 9.8× |
| Antistreptolysin o titer (86060) | $33 | $33 | 4.5× |
| Antithrombin iii activity (85300) | $45 | $45 | 3.8× |
| Antithrombin iii antigen (85301) | $50 | $50 | 4.6× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$51–$216 | $51–$216 | varies |
| Arsenic (82175) | $201 | $201 | 10.6× |
| Assay activated protein c (85307) | $233 | $233 | 15.2× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$39–$45 | $39–$45 | varies |
| Assay Blood Catecholamines (82383) | $113 | $113 | 3.9× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$162–$446 | $162–$446 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$19–$22 | $19–$22 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$21–$88 | $21–$88 | varies |
| Assay of calcium in urine (82340) | $62 | $62 | 10.3× |
| Assay of cpk in blood (82552) | $61 | $61 | 4.6× |
| Assay of estrone (82679) | $235 | $235 | 9.4× |
| Assay of g6pd enzyme (82955) | $88 | $88 | 9.1× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$58–$118 | $58–$118 | varies |
| Assay of lactic acid (83605) | $118 | $118 | 10.2× |
| Assay of manganese (83785) | $95 | $95 | 3.6× |
| Assay of metanephrines (83835) | $50 | $50 | 3.0× |
| Assay of phosphatase acid total (84060) | $78 | $78 | 10.2× |
| Assay of procainamide (80190) | $112 | $112 | 1.9× |
| Assay of proinsulin (84206) | $129 | $129 | 4.8× |
| Assay of serotonin (84260) | $219 | $219 | 7.1× |
| Assay of serum potassium (84132) | $21 | $21 | 4.4× |
| Assay of sweat sodium (84302) | $80 | $80 | 16.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$41–$55 | $41–$55 | varies |
| Assay of urine vma (84585) | $59 | $59 | 3.8× |
| Assay of vasoactive intestinal peptide (84586) | $352 | $352 | 10.0× |
| Assay of vitamin b-1 (84425) | $122 | $122 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $29 | $29 | 8.1× |
| Automated Leukocyte Count (85048) | $52 | $52 | 20.5× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$32–$406 | $32–$406 | varies |
| Bcr/abl1 gene major bp (81206) | $488 | $488 | 3.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$136–$281 | $136–$281 | varies |
| Beta Lactamase (87185) | $45 | $45 | 9.5× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$63–$135 | $63–$135 | varies |
| Bilirubin direct (82248) | $100 | $100 | 19.9× |
| Bilirubin total (82247) | $84 | $84 | 16.7× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$20–$32 | $20–$32 | varies |
| Blastomyces antibody (86612) | $44 | $44 | 3.4× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $56 | $56 | 1.9× |
| Bld Typing Serologic Rh Phnt (86906) | $190 | $190 | 24.5× |
| Bleeding time test (85002) | $59 | $59 | 12.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13 | $13 | 3.4× |
| Blood count spun microhematocrit (85013) | $56 | $56 | 8.0× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$109–$129 | $109–$129 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $112 | $112 | 17.6× |
| Blood typing serologic abo (86900) | $72 | $72 | 24.1× |
| Body fluid cell count (89050) | $19 | $19 | 4.0× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$44–$171 | $44–$171 | varies |
| Brucella antibody (86622) | $239 | $239 | 26.8× |
| C diff amplified probe (87493) | $125 | $125 | 3.4× |
| C-Peptide (84681) | $79 | $79 | 3.8× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$35–$47 | $35–$47 | varies |
| Ca 19-9 (86301) | $67 | $67 | 3.2× |
| Cadmium (82300) | $349 | $349 | 14.8× |
| Calcitonin (82308) | $210 | $210 | 7.8× |
| Calcium ionized (82330) | $106 | $106 | 7.7× |
| Calcium total (82310) | $73 | $73 | 14.1× |
| Calculus assay quant (82360) | $81 | $81 | 6.3× |
| Calprotectin Fecal (83993) | $473 | $473 | 24.1× |
| Cancer Antigen 125 (86304) | $80 | $80 | 3.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$39–$79 | $39–$79 | varies |
| Candida antibody (86628) | $44 | $44 | 3.7× |
| Carbamazepine total (80156) | $143 | $143 | 9.8× |
| Carbohydrate Deficient Transferrin (82373) | $323 | $323 | 17.9× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$40–$47 | $40–$47 | varies |
| Carcinoembryonic antigen (82378) | $73 | $73 | 3.9× |
| Cardiolipin ab iga (86147) | $150 | $150 | 5.9× |
| Carnitine Quantitative Each Specimen (82379) | $272 | $272 | 16.1× |
| Carotene (82380) | $62 | $62 | 6.7× |
| Catecholamines fractionated (82384) | $154 | $154 | 6.1× |
| Catecholamines total urine (82382) | $134 | $134 | 4.9× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$58–$129 | $58–$129 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$37–$85 | $37–$85 | varies |
| Cell marker study (88182) range across 5 matching MRF lines |
$120–$859 | $120–$859 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$48–$57 | $48–$57 | varies |
| Cftr gene com variants (81220) | $952 | $952 | 1.7× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$39–$367 | $39–$367 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$37–$184 | $37–$184 | varies |
| Chlamydia Igm Antibody (86632) | $65 | $65 | 5.1× |
| Chloride other source (82438) | $53 | $53 | 10.6× |
| Chloride Serum (82435) | $39 | $39 | 8.5× |
| Chloride urine (82436) | $20 | $20 | 3.5× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$6–$70 | $6–$70 | varies |
| Cholinesterase rbc (82482) | $77 | $77 | 7.8× |
| Cholinesterase Serum (82480) | $84 | $84 | 10.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$139–$187 | $139–$187 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$91–$263 | $91–$263 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$79–$337 | $79–$337 | varies |
| Chromosome Analysis 15-20 (88262) | $547 | $547 | 4.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$119–$193 | $119–$193 | varies |
| Citric acid urine (82507) | $303 | $303 | 10.9× |
| Ckmb (82553) | $113 | $113 | 9.8× |
| Clostridium Difficile (87324) | $46 | $46 | 3.8× |
| Clot Factor VIII Multimetric (85247) | $728 | $728 | 31.7× |
| Clot retraction (85170) | $45 | $45 | 2.8× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $233 | $233 | 12.3× |
| Coagulation time; Lee and White Facility (85345) | $55 | $55 | 11.7× |
| Coccidioides antibody (86635) | $57 | $57 | 5.0× |
| Cold agglutinin screen (86156) | $50 | $50 | 6.2× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$86–$273 | $86–$273 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$125–$153 | $125–$153 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$55–$309 | $55–$309 | varies |
| Compatibility Each Unit Incubation (86921) | $189 | $189 | 1.1× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$54–$314 | $54–$314 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$90–$203 | $90–$203 | varies |
| Complement Total (Ch50) (86162) | $219 | $219 | 10.8× |
| Complement/Function Activity (86161) | $55 | $55 | 4.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$74–$87 | $74–$87 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$91–$108 | $91–$108 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$76–$194 | $76–$194 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$110–$141 | $110–$141 | varies |
| Creatine (82540) | $165 | $165 | 35.6× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$83–$111 | $83–$111 | varies |
| Creatinine blood (82565) | $20 | $20 | 3.9× |
| Creatinine clearance (82575) | $136 | $136 | 14.4× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$66–$89 | $66–$89 | varies |
| Crossmatch immediate spin (86920) | $314 | $314 | 1.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$81–$109 | $81–$109 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$34–$134 | $34–$134 | varies |
| Cryptosporidium (87272) | $30 | $30 | 2.5× |
| Cryptosporidium ag eia (87328) | $161 | $161 | 11.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$37–$158 | $37–$158 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $224 | $224 | 27.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $30 | $30 | 3.9× |
| Culture afb (87116) | $113 | $113 | 10.5× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$43–$112 | $43–$112 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$47–$110 | $47–$110 | varies |
| Culture chlamydia (87110) | $193 | $193 | 9.8× |
| Culture csf (87070) range across 3 matching MRF lines |
$40–$101 | $40–$101 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$28–$101 | $28–$101 | varies |
| Culture stool (87045) | $110 | $110 | 11.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$40–$97 | $40–$97 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$32–$40 | $32–$40 | varies |
| Cyanide (82600) | $43 | $43 | 2.2× |
| Cyclic amp (82030) | $250 | $250 | 9.7× |
| Cyclosporine (80158) | $110 | $110 | 6.1× |
| Cyp2c19 gene analysis common variants (81225) | $361 | $361 | 1.2× |
| Cyp2d6 gene com variants (81226) | $1,498 | $1,498 | 3.3× |
| Cystatin C (82610) | $436 | $436 | 23.5× |
| Cytomegalovirus igg (86644) | $65 | $65 | 4.5× |
| Cytopath C/V Index Add-On (88155) | $129 | $129 | 8.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $97 | $97 | 4.8× |
| Cytp Concentration Smears & Interpretation (88108) | $75 | $75 | 2.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $548 | $548 | 3.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $75 | $75 | 4.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $75 | $75 | 2.6× |
| Deoxyribonuclease antibody (86215) | $215 | $215 | 16.2× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$158–$373 | $158–$373 | varies |
| Detect Agent Nos Dna Quant (87799) | $317 | $317 | 7.4× |
| Dhea (82626) | $114 | $114 | 4.5× |
| Dhea-S (82627) | $85 | $85 | 3.8× |
| Digoxin (80162) | $135 | $135 | 10.2× |
| Dihydrotestosterone (82642) | $356 | $356 | 12.2× |
| Diphtheria antitoxoid (86648) | $81 | $81 | 5.3× |
| Dna Antibody Native/Double Stranded (86225) | $52 | $52 | 3.8× |
| Drug Assay Everolimus (80169) | $63 | $63 | 4.6× |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$52–$151 | $52–$151 | varies |
| Drug Screen Quantitative Gabapentin (80171) | $107 | $107 | 4.9× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$24–$171 | $24–$171 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $178 | $178 | 13.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $119 | $119 | 9.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$37–$248 | $37–$248 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 8 matching MRF lines |
$67–$327 | $67–$327 | varies |
| Drug Test Prsmv Instrmnt (80306) | $251 | $251 | 14.6× |
| Ehrlichia antibody (86666) | $231 | $231 | 22.7× |
| Electrolyte panel (80051) | $29 | $29 | 4.1× |
| Electron Microscopy (88348) | $1,300 | $1,300 | 1.6× |
| Encephaltis East Eqne Anbdy (86652) | $132 | $132 | 10.0× |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$17–$245 | $17–$245 | varies |
| Enterovirus Antibody (86658) | $20 | $20 | 1.5× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$46–$51 | $46–$51 | varies |
| Erythropoietin (82668) range across 3 matching MRF lines |
$127–$184 | $127–$184 | varies |
| Estradiol serum (82670) | $211 | $211 | 7.6× |
| Estriol (82677) | $109 | $109 | 4.5× |
| Estrogen total (82672) | $18 | $18 | 0.8× |
| Estrogens fractionated (82671) | $124 | $124 | 3.8× |
| Ethosuximide (80168) | $113 | $113 | 6.9× |
| Ethylene Glycol (82693) | $33 | $33 | 2.2× |
| Exam Synovial Fluid Crystals (89060) | $29 | $29 | 4.0× |
| F2 Gene (81240) | $229 | $229 | 3.5× |
| Factor ii activity (85210) | $289 | $289 | 22.3× |
| Factor Inhibitor Test (85335) | $494 | $494 | 38.4× |
| Factor v activity (85220) | $277 | $277 | 15.7× |
| Factor v leiden mutation (81241) | $275 | $275 | 3.7× |
| Factor vii assay (85230) | $288 | $288 | 16.1× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$241–$266 | $241–$266 | varies |
| Factor X (85260) | $285 | $285 | 15.9× |
| Factor xi activity (85270) | $312 | $312 | 17.4× |
| Fat stain feces urine/respir secretions (89125) | $20 | $20 | 3.4× |
| Fat/Lipids Feces Quantitative (82710) | $242 | $242 | 14.4× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$20–$79 | $20–$79 | varies |
| Ferritin (82728) | $53 | $53 | 3.9× |
| Fetal hemoglobin assay qual (83033) | $135 | $135 | 16.9× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$28–$88 | $28–$88 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$43–$155 | $43–$155 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$37–$548 | $37–$548 | varies |
| Fluorescent antibody screen (86255) range across 12 matching MRF lines |
$55–$224 | $55–$224 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$55–$239 | $55–$239 | varies |
| Folic acid rbc (82747) | $112 | $112 | 6.3× |
| Folic Acid Serum (82746) | $135 | $135 | 9.2× |
| Follicle Stimulating Hormone (83001) | $111 | $111 | 6.0× |
| Francisella tularensis (86668) | $47 | $47 | 3.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $548 | $548 | 3.2× |
| Fungi Identification Yeast (87106) | $31 | $31 | 3.0× |
| Gammaglobulin ige (82785) | $64 | $64 | 3.9× |
| Gases blood ph only (82800) | $92 | $92 | 8.4× |
| Gastrin (82941) | $116 | $116 | 6.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,138 | $2,138 | 0.7× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$94–$153 | $94–$153 | varies |
| Gentamicin (80170) | $74 | $74 | 4.5× |
| Ggt (82977) | $88 | $88 | 12.2× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$99–$167 | $99–$167 | varies |
| Giardia lamblia antibody (86674) | $68 | $68 | 4.6× |
| Glucagon (82943) | $197 | $197 | 13.8× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$22–$30 | $22–$30 | varies |
| Glucose Blood Test (82962) | $43 | $43 | 13.1× |
| Glucose body fluid (82945) | $40 | $40 | 10.2× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$6–$19 | $6–$19 | varies |
| Glucose tolerance test (gtt) (82951) | $171 | $171 | 13.3× |
| Glycated Protein (82985) | $58 | $58 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $55 | $55 | 7.3× |
| Growth hormone (83003) | $165 | $165 | 9.9× |
| Gtt-added samples (82952) | $22 | $22 | 5.6× |
| H Pylori (C-13) Breath (83013) | $322 | $322 | 4.8× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$102–$139 | $102–$139 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$6–$87 | $6–$87 | varies |
| Heavy metal qualitative any analytes (83015) | $235 | $235 | 11.2× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $142 | $142 | 2.1× |
| Helminth Antibody (86682) | $312 | $312 | 24.0× |
| Hematocrit (85014) range across 2 matching MRF lines |
$11–$42 | $11–$42 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$6–$10 | $6–$10 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$40–$61 | $40–$61 | varies |
| Hemoglobin electrophoresis (83020) | $69 | $69 | 5.4× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$19–$30 | $19–$30 | varies |
| Hemoglobin plasma (83051) | $66 | $66 | 9.0× |
| Hemolysin Acid (85475) | $101 | $101 | 11.4× |
| Hemolysins&Agglutinins Incubated (86941) range across 3 matching MRF lines |
$58–$1,674 | $58–$1,674 | varies |
| Hemosiderin urine (83070) | $34 | $34 | 7.2× |
| Hep a ab igm (86709) | $54 | $54 | 4.8× |
| Heparin assay (85520) range across 2 matching MRF lines |
$180–$193 | $180–$193 | varies |
| Hepatitis a antibody total (86708) | $74 | $74 | 6.0× |
| Hepatitis b core ab igm (86705) | $141 | $141 | 12.0× |
| Hepatitis b core ab total (86704) | $47 | $47 | 3.9× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$52–$67 | $52–$67 | varies |
| Hepatitis B Surface Antigen (87340) | $41 | $41 | 4.0× |
| Hepatitis Be Antibody (86707) | $72 | $72 | 6.2× |
| Hepatitis Be Antigen (87350) | $53 | $53 | 4.6× |
| Hepatitis C Antibody (86803) | $156 | $156 | 10.9× |
| Hepatitis C Genotype (87902) | $816 | $816 | 3.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $433 | $433 | 12.3× |
| Hepatitis C Revrs Trnscrpj (87522) range across 6 matching MRF lines |
$43–$563 | $43–$563 | varies |
| Hepatitis Delta Agent Antibody (86692) | $158 | $158 | 9.2× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$88–$442.75 | $88–$442.75 | varies |
| Heterophile Antibody Screen (86308) | $110 | $110 | 21.2× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$224–$305 | $224–$305 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $155 | $155 | 20.1× |
| Histamine urine (83088) | $411 | $411 | 13.9× |
| Histoplasma antibody (86698) | $37 | $37 | 2.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 4 matching MRF lines |
$36–$125 | $36–$125 | varies |
| Hiv-1 Antibody (86701) | $13 | $13 | 1.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $411 | $411 | 4.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $327 | $327 | 5.6× |
| Hla-b27 (86812) | $99 | $99 | 3.8× |
| Homocysteine (83090) range across 2 matching MRF lines |
$244–$330 | $244–$330 | varies |
| Hpv High-Risk Types (87624) | $193 | $193 | 5.5× |
| Hydroxycorticosteroids 17 (83491) | $119 | $119 | 6.6× |
| Hydroxyprogesterone 17-d (83498) | $105 | $105 | 3.9× |
| Hydroxyproline total (83505) | $264 | $264 | 10.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $17 | $17 | 1.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $97 | $97 | 7.0× |
| Iaad ia shiga-like toxin (87427) | $87 | $87 | 7.3× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$57–$77 | $57–$77 | varies |
| Iaadi not otherwise specified each organism (87299) | $142 | $142 | 8.8× |
| Iaadi respiratory synctial virus (87280) | $55 | $55 | 4.1× |
| Iaadi Varicella Zoster Virus (87290) | $83 | $83 | 6.2× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $78 | $78 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) | $174 | $174 | 4.1× |
| Iadna hepatitis b virus amplified probe tq (87516) | $341 | $341 | 9.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $109 | $109 | 2.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$398–$483 | $398–$483 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$119–$154 | $119–$154 | varies |
| Igg subclasses (82787) | $26 | $26 | 3.2× |
| Immune Complex Assay (86332) | $385 | $385 | 15.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$128–$160 | $128–$160 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$39–$166 | $39–$166 | varies |
| Immunoassay infectious agent (86318) | $74 | $74 | 4.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$30–$211 | $30–$211 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$53–$574 | $53–$574 | varies |
| Immunodiffusion not elsewhere specified (86329) | $128 | $128 | 9.1× |
| Immunodiffusion Ouchterlony (86331) | $18 | $18 | 1.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $103 | $103 | 4.5× |
| Immunofixation electrophoresis (86334) | $86 | $86 | 3.8× |
| Immunohistochemistry (88342) | $468 | $468 | 2.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $46 | $46 | 2.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$57–$77 | $57–$77 | varies |
| Influenza a/b ag eia (87400) | $114 | $114 | 8.1× |
| Influenza assay w/optic (87804) | $50 | $50 | 3.0× |
| Inhibin A (86336) | $110 | $110 | 7.1× |
| Inhibin b (83520) range across 15 matching MRF lines |
$30–$265 | $30–$265 | varies |
| Insulin total (83525) | $113 | $113 | 9.9× |
| Intrinsic factor antibody (86340) range across 3 matching MRF lines |
$23–$130 | $23–$130 | varies |
| Iron (83540) | $80 | $80 | 12.4× |
| Iron Binding Capacity (83550) | $48 | $48 | 5.5× |
| Islet cell antibody (86341) | $75 | $75 | 3.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,141 | $1,141 | 12.4× |
| Ketosteroids 17 total (83586) | $88 | $88 | 6.9× |
| Koh Prep (87220) | $17 | $17 | 4.0× |
| L/s ratio (83661) | $223 | $223 | 10.1× |
| Lactate (ld) (ldh) enzyme (83615) | $105 | $105 | 17.4× |
| Lactoferrin fecal qualitative (83630) | $196 | $196 | 9.9× |
| Ldh Isoenzymes (83625) | $50 | $50 | 3.9× |
| LDL direct (83721) range across 3 matching MRF lines |
$37–$53 | $37–$53 | varies |
| Lead (83655) | $47 | $47 | 3.9× |
| Legionella antibody (86713) range across 3 matching MRF lines |
$75–$112 | $75–$112 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$47–$436 | $47–$436 | varies |
| Legionella pneumophila dfa (87278) | $149 | $149 | 9.6× |
| Leukocyte Assessment Fecal (89055) | $17 | $17 | 4.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $54 | $54 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $149 | $149 | 4.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $274 | $274 | 0.8× |
| Lidocaine (80176) | $63 | $63 | 4.3× |
| Lipase (83690) | $68 | $68 | 9.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $32 | $32 | 2.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $156 | $156 | 4.6× |
| Lithium (80178) | $53 | $53 | 8.0× |
| Luteinizing Hormone (Lh) (83002) | $118 | $118 | 6.4× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$77–$249 | $77–$249 | varies |
| Lysozyme serum (85549) | $35 | $35 | 1.9× |
| Magnesium Urine (83735) | $135 | $135 | 20.1× |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
$69–$429 | $69–$429 | varies |
| Meat fibers, feces (89160) | $32 | $32 | 6.6× |
| Mercury urine (83825) | $173 | $173 | 10.6× |
| Methylmalonic acid serum (83921) | $235 | $235 | 11.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$22–$173 | $22–$173 | varies |
| Microsomal Antibodies Each (86376) | $134 | $134 | 9.2× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$554–$1,415 | $554–$1,415 | varies |
| Mopath procedure level 5 (81404) | $1,812 | $1,812 | 6.6× |
| Morphometric Analysis Tumor (88358) | $465 | $465 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $197 | $197 | 3.0× |
| Mucin Clot Body Fluid (83872) | $30 | $30 | 5.1× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$124–$301 | $124–$301 | varies |
| Mycobacteric Identification (87118) | $31 | $31 | 2.1× |
| Mycophenolic Acid (80180) | $83 | $83 | 4.6× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$73–$92 | $73–$92 | varies |
| Myelin basic protein csf (83873) | $78 | $78 | 4.5× |
| Myoglobin urine (83874) | $58 | $58 | 4.5× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$153–$284 | $153–$284 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,120 | $1,120 | 4.4× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$79–$264 | $79–$264 | varies |
| Occult blood feces (82272) | $13 | $13 | 3.1× |
| Occult Blood Other Sources (82271) | $13 | $13 | 2.4× |
| Oligoclonal bands (83916) | $91 | $91 | 3.3× |
| Oncoprotein dcp (83951) | $290 | $290 | 4.5× |
| Organic acids urine (83918) | $50 | $50 | 2.1× |
| Osmolality serum (83930) | $20 | $20 | 3.0× |
| Osmolality Urine (83935) | $20 | $20 | 2.9× |
| Ova and parasites smears (87177) | $110 | $110 | 12.4× |
| Oxalate urine (83945) | $58 | $58 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$40–$186 | $40–$186 | varies |
| Parvovirus antibody (86747) | $68 | $68 | 4.5× |
| Ph urine (81003) | $10 | $10 | 4.4× |
| Phenobarbital Level (80184) | $91 | $91 | 5.9× |
| Phenylalanine (84030) | $34 | $34 | 6.2× |
| Phenytoin (Dilantin) (80185) | $139 | $139 | 10.5× |
| Phenytoin free (80186) | $53 | $53 | 3.9× |
| Phosphatase acid prostatic (84066) | $96 | $96 | 9.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$24–$84 | $24–$84 | varies |
| Phosphorus Serum (84100) | $65 | $65 | 13.7× |
| Phosphorus urine (84105) | $72 | $72 | 12.5× |
| Pinworm exam (87172) | $52 | $52 | 12.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$156–$392 | $156–$392 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$18–$134 | $18–$134 | varies |
| Platelet neutralization (85597) | $59 | $59 | 3.3× |
| Pooling blood platelets (86965) | $309 | $309 | 1.8× |
| Porphobilinogen, urine; quantitative (84110) | $32 | $32 | 3.8× |
| Porphyrins, urine; qualitative (84119) | $43 | $43 | 3.2× |
| Potassium Urine (84133) | $17 | $17 | 3.6× |
| Prealbumin (84134) | $39 | $39 | 2.7× |
| Pregnenolone (84140) | $215 | $215 | 10.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $220 | $220 | 1.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $75 | $75 | 1.3× |
| Primidone (80188) | $147 | $147 | 8.9× |
| Procalcitonin (Pct) (84145) | $396 | $396 | 14.5× |
| Progesterone (84144) | $80 | $80 | 3.8× |
| Prolactin (84146) | $253 | $253 | 13.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$70–$73 | $70–$73 | varies |
| Protein C Activity (85303) | $53 | $53 | 3.8× |
| Protein c antigen (85302) | $233 | $233 | 19.4× |
| Protein Electrophoresis Urine (84166) | $165 | $165 | 9.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$41–$147 | $41–$147 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$187–$219 | $187–$219 | varies |
| Protein s total (85305) | $233 | $233 | 20.1× |
| Protein total serum (84155) | $14 | $14 | 3.8× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$17–$127 | $17–$127 | varies |
| Protein Western Blot Test (84182) | $354 | $354 | 12.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $7 | $7 | 1.8× |
| PSA free (84154) | $35 | $35 | 1.9× |
| Pth Intact (83970) range across 2 matching MRF lines |
$39–$187 | $39–$187 | varies |
| Quantiferon tb gold plus (86480) | $276 | $276 | 4.5× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$59–$265 | $59–$265 | varies |
| Quantitative Screen Metals (83018) | $99 | $99 | 4.5× |
| Quinidine (80194) | $96 | $96 | 6.6× |
| Rbc antibody elution (86860) | $202 | $202 | 1.2× |
| Rbc antibody identification (86870) | $239 | $239 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$92–$106 | $92–$106 | varies |
| Rbc pretreatment serum (86978) | $107 | $107 | 1.8× |
| Rbc pretx incubatj w/enzymes (86971) | $223 | $223 | 1.3× |
| Renin activity plasma (84244) | $86 | $86 | 3.9× |
| Resp virus 12-25 targets (87633) | $264 | $264 | 0.6× |
| Reticulocyte Count Manual (85044) | $53 | $53 | 12.3× |
| Reticulocyte separation (86972) | $189 | $189 | 1.1× |
| Rh (86901) range across 2 matching MRF lines |
$107–$222 | $107–$222 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$42–$56 | $42–$56 | varies |
| Rheumatoid factor quant (86431) | $56 | $56 | 9.9× |
| Rickettsia antibody (86757) | $122 | $122 | 6.3× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$169–$252 | $169–$252 | varies |
| Rotavirus ag eia (87425) | $47 | $47 | 3.9× |
| Rpr qualitative (86592) | $97 | $97 | 22.7× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$65–$66 | $65–$66 | varies |
| Rubeola antibody (86765) range across 5 matching MRF lines |
$97–$268 | $97–$268 | varies |
| Russell Viper Venom Time Diluted (85613) | $45 | $45 | 4.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $46 | $46 | 1.1× |
| Sedimentation rate (85651) | $22 | $22 | 5.2× |
| Sedimentation Rate, Automated (85652) | $35 | $35 | 13.0× |
| Selenium (84255) | $116 | $116 | 4.5× |
| Semen analysis motility and count (89310) | $46 | $46 | 5.3× |
| Sensitivity mic (87186) | $80 | $80 | 9.2× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$46–$264 | $46–$264 | varies |
| Sickling of rbc reduction (85660) | $83 | $83 | 15.1× |
| Skin test tuberculosis intradermal (86580) | $275 | $275 | 9.5× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$25–$97 | $25–$97 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$53–$76 | $53–$76 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$68–$69 | $68–$69 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$74–$79 | $74–$79 | varies |
| Sodium Serum (84295) | $19 | $19 | 4.0× |
| Sodium Urine (84300) | $19 | $19 | 3.8× |
| Soluble Transferrin Receptor (84238) | $165 | $165 | 4.5× |
| Somatomedin (84305) range across 3 matching MRF lines |
$99–$353 | $99–$353 | varies |
| Special Stains Group 2 (88313) | $98 | $98 | 0.7× |
| Specific gravity body fluid (84315) | $30 | $30 | 9.1× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$45–$132 | $45–$132 | varies |
| Stool cultr aerobic bact ea (87046) | $43 | $43 | 4.6× |
| Strep a assay w/optic (87880) | $117 | $117 | 7.1× |
| Sugars Single Qual (84376) | $121 | $121 | 22.0× |
| Sulfate urine (84392) | $45 | $45 | 8.2× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$45–$218 | $45–$218 | varies |
| Surgical pathology level vi (88309) range across 6 matching MRF lines |
$487–$1,352 | $487–$1,352 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $84 | $84 | 11.2× |
| Syphilis Test Non-Trep Quant (86593) | $26 | $26 | 5.9× |
| T cells absolute cd4 count (86361) | $103 | $103 | 3.8× |
| T cells total count (86359) | $355 | $355 | 9.4× |
| T3 Free (84481) range across 2 matching MRF lines |
$77–$152 | $77–$152 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$140–$227 | $140–$227 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$56–$66 | $56–$66 | varies |
| T3 Uptake (84479) | $47 | $47 | 7.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$66–$89 | $66–$89 | varies |
| T4 total (84436) | $88 | $88 | 12.8× |
| Tacrolimus (80197) | $190 | $190 | 13.8× |
| Tb ag response t-cell susp (86481) | $326 | $326 | 3.3× |
| Test for acetone/ketones (82009) | $17 | $17 | 3.8× |
| Testosterone total (84403) range across 6 matching MRF lines |
$116–$221 | $116–$221 | varies |
| Testosterone, Free (84402) | $106 | $106 | 4.2× |
| Theophylline (80198) | $64 | $64 | 4.5× |
| Thrombin Time (85670) | $99 | $99 | 17.2× |
| Thyroglobulin Antibody (86800) | $62 | $62 | 3.9× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$97–$230 | $97–$230 | varies |
| Thyroxine binding globulin (84442) | $77 | $77 | 5.2× |
| Tissue culture bone marrow (88237) | $547 | $547 | 3.8× |
| Tobramycin peak (80200) | $102 | $102 | 6.3× |
| Topiramate (80201) | $98 | $98 | 8.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$136–$243 | $136–$243 | varies |
| Toxoplasma ab igm (86778) | $86 | $86 | 6.0× |
| Toxoplasma antibody (86777) | $99 | $99 | 6.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48 | $48 | 9.3× |
| Transferrin (84466) | $108 | $108 | 8.5× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$123–$308 | $123–$308 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$6–$35 | $6–$35 | varies |
| Troponin Quant (84484) | $161 | $161 | 12.9× |
| Trypsin feces qual (84488) | $132 | $132 | 18.1× |
| Tumor Immunohistochem/Manual (88360) | $712 | $712 | 4.2× |
| Ugt1a1 gene analysis common variants (81350) | $502 | $502 | 2.1× |
| Unlisted Transfusion Medicine Procedure (86999) range across 3 matching MRF lines |
$21–$298 | $21–$298 | varies |
| Urea nitrogen urine (84540) | $22 | $22 | 4.0× |
| Uric acid other source (84560) | $22 | $22 | 4.3× |
| Urinalysis Microscopic Only (81015) | $43 | $43 | 14.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $88 | $88 | 40.6× |
| Urinalysis Volume Measure (81050) | $22 | $22 | 6.0× |
| Urine Bacteria Culture (87088) | $32 | $32 | 4.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$45–$61 | $45–$61 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $65 | $65 | 20.5× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $26 | $26 | 2.7× |
| Valproic acid (80164) | $53 | $53 | 3.9× |
| Vancomycin (80202) range across 3 matching MRF lines |
$53–$62 | $53–$62 | varies |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$100–$120 | $100–$120 | varies |
| Vasopressin (84588) | $321 | $321 | 9.5× |
| Viral Culture (87252) | $277 | $277 | 10.6× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$139–$349 | $139–$349 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $233 | $233 | 11.9× |
| Viscosity serum (85810) | $87 | $87 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$119–$147 | $119–$147 | varies |
| Vitamin A (84590) | $125 | $125 | 10.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$96–$129 | $96–$129 | varies |
| Vitamin B2 (Riboflavin) (84252) | $253 | $253 | 12.5× |
| Vitamin B6 (84207) | $89 | $89 | 3.2× |
| Vitamin c (82180) | $215 | $215 | 21.7× |
| Vitamin D 25-Hydroxy (82306) | $314 | $314 | 10.6× |
| Vitamin E (84446) | $89 | $89 | 6.3× |
| Vitamin K (84597) | $63 | $63 | 4.6× |
| Von willebrand factor ag (85246) | $240 | $240 | 10.5× |
| Wbc Alkaline Phosphatase Count (85540) | $147 | $147 | 17.1× |
| West nile virus ab igm (86788) | $332 | $332 | 19.7× |
| Western Blot Test (84181) range across 3 matching MRF lines |
$31–$134 | $31–$134 | varies |
| Xylose Absorption Test (84620) | $99 | $99 | 7.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $209 | $209 | 4.1× |
| Zika Virus Igm Antibody (86794) | $69 | $69 | 4.1× |
| Zinc (84630) | $44 | $44 | 3.9× |
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.