Lab & pathology prices at Portneuf Medical Center
Pocatello, ID · every code in this section with a posted price and a Medicare benchmark.
850 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $82.20 | $137 | 3.6× |
| 5 Nucleotidase (83915) | $54 | $90 | 4.8× |
| Abl1 gene analysis kinase domain variants (81170) | $806.40 | $1,344 | 2.7× |
| Acetylcholine receptor binding antibody (86041) | $39.60 | $66 | 2.2× |
| Acetylcholine receptor blocking antibody (86042) | $54 | $90 | 2.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $54 | $90 | 4.5× |
| Acth (82024) | $266.28 | $443.80 | 6.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $124.20 | $207 | 3.8× |
| Actin smooth muscle antibody each (86015) | $29.40 | $49 | 2.4× |
| Acute hepatitis panel (80074) | $451.80 | $753 | 9.5× |
| Acylcarnitines Quant (82017) | $343.80 | $573 | 20.4× |
| Adenovirus antibody (86603) | $30 | $50 | 2.3× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $269.40 | $449 | 4.2× |
| Agglutinins Febrile Each Antigen (86000) | $81 | $135 | 11.6× |
| Albumin Fluid (82042) | $75 | $125 | 9.6× |
| Albumin serum (82040) | $75 | $125 | 15.2× |
| Aldolase (82085) | $124.80 | $208 | 12.9× |
| Aldosterone urine (82088) | $314.40 | $524 | 7.7× |
| Alkaline phosphatase isoenzymes (84080) | $181.20 | $302 | 12.3× |
| Allergen spec ige qual multiallergen screen (86005) | $22.20 | $37 | 2.8× |
| Allergen specific ige (86003) | $48 | $80 | 9.2× |
| Allergen specific igg (86001) | $32.40 | $54 | 4.1× |
| Allg Spec Ige Recomb Ea (86008) | $61.80 | $103 | 3.4× |
| Alpha-1-antitrypsin phenotype (82104) | $201.60 | $336 | 13.9× |
| Alpha-1-antitrypsin total (82103) | $201.60 | $336 | 15.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $241.20 | $402 | 14.2× |
| Alpha-Fetoprotein Serum (82105) | $369.60 | $616 | 22.0× |
| Alt (sgpt) (84460) | $64.80 | $108 | 12.2× |
| Amikacin trough (80150) | $123.60 | $206 | 8.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $543.60 | $906 | 23.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $507 | $845 | 30.1× |
| Aminolevulinic acid (ala) (82135) | $142.80 | $238 | 8.7× |
| Ammonia (82140) | $140.28 | $233.80 | 9.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $176.40 | $294 | 1.8× |
| Amylase urine (82150) | $18.90 | $31.50 | 2.9× |
| Ana Titer (86039) | $261.60 | $436 | 23.4× |
| Anca screen each antibody (86036) | $31.20 | $52 | 2.6× |
| Anca Titer Each Antibody (86037) | $30.60 | $51 | 2.5× |
| Androstenedione (82157) | $176.40 | $294 | 6.0× |
| Angiotensin converting enzyme csf (82164) | $181.20 | $302 | 12.4× |
| Anti-Phospholipid Antibody (86148) | $105 | $175 | 6.5× |
| Antibody aspergillus (86606) | $68.40 | $114 | 4.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $367.20 | $612 | 28.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $139.20 | $232 | 9.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $131.40 | $219 | 7.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $79.20 | $132 | 6.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $180 | $300 | 11.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $180 | $300 | 9.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $97.20 | $162 | 7.9× |
| Antibody helicobacter pylori (86677) | $59.40 | $99 | 3.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $218.40 | $364 | 15.2× |
| Antibody Herpes Smplx Type 1 (86695) | $135 | $225 | 10.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $150.60 | $251 | 11.0× |
| Antibody HIV-2 (86702) | $120 | $200 | 8.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $129 | $215 | 6.7× |
| Antibody identification leukocyte antibodies (86021) | $186 | $310 | 12.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $507 | $845 | 40.7× |
| Antibody john cunningham virus (86711) | $46.20 | $77 | 2.7× |
| Antibody neisseria meningitidis (86741) | $129.60 | $216 | 9.8× |
| Antibody Protozoa Nes (86753) | $144 | $240 | 11.6× |
| Antibody Titer (86886) | $358.80 | $598 | 69.3× |
| Antibody Treponema Pallidum (86780) | $96 | $160 | 7.3× |
| Antibody yersinia (86793) | $98.40 | $164 | 7.5× |
| Antibody; influenza virus (86710) | $165.60 | $276 | 12.2× |
| Antigen typing (86905) | $748.20 | $1,247 | 195.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $358.80 | $598 | 62.7× |
| Antinomyces antibody (86602) | $26.40 | $44 | 2.6× |
| Antinuclear antibodies (86038) | $149.40 | $249 | 12.4× |
| Antistreptolysin o titer (86060) | $111 | $185 | 15.2× |
| Antithrombin iii activity (85300) | $142.80 | $238 | 12.1× |
| Antithrombin iii antigen (85301) | $64.80 | $108 | 6.0× |
| Aortic dysfunction/dilation dup/del analysis (81411) | $4,998.60 | $8,331 | 3.7× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $1,866.60 | $3,111 | 3.7× |
| Apolipoprotein a1 (82172) | $44.40 | $74 | 2.1× |
| Aquaporin-4 Antb Cba Each (86052) | $466.80 | $778 | 38.7× |
| Aquaporin-4 Antb Elisa (86051) | $367.80 | $613 | 31.9× |
| Arsenic (82175) | $193.20 | $322 | 10.2× |
| Aspergillus ag eia (87305) | $219.60 | $366 | 18.3× |
| Assay activated protein c (85307) | $157.20 | $262 | 10.3× |
| Assay Blood Carbon Dioxide (82374) | $80.40 | $134 | 16.5× |
| Assay Dir Meas Fr Estradiol (82681) | $409.80 | $683 | 14.7× |
| Assay myeloperoxidase (83876) | $80.40 | $134 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $75.60 | $126 | 5.6× |
| Assay of 5-hiaa (83497) | $183.60 | $306 | 14.2× |
| Assay of anti-mullerian hormone (82166) | $88.80 | $148 | 2.3× |
| Assay of blood/uric acid (84550) | $101.40 | $169 | 22.4× |
| Assay of calcium in urine (82340) | $174 | $290 | 28.9× |
| Assay of cpk in blood (82552) | $83.40 | $139 | 6.2× |
| Assay of estrone (82679) | $143.40 | $239 | 5.7× |
| Assay of g6pd enzyme (82955) | $54 | $90 | 5.6× |
| Assay of gammaglobulin igm (82784) | $18.60 | $31 | 2.0× |
| Assay of lactic acid (83605) | $149.40 | $249 | 12.9× |
| Assay of manganese (83785) | $72 | $120 | 2.7× |
| Assay of metanephrines (83835) | $45 | $75 | 2.7× |
| Assay of phosphatase acid total (84060) | $143.40 | $239 | 18.8× |
| Assay of proinsulin (84206) | $87 | $145 | 3.3× |
| Assay of pyruvate (84210) | $88.80 | $148 | 6.1× |
| Assay of serotonin (84260) | $246 | $410 | 7.9× |
| Assay of serum potassium (84132) | $64.80 | $108 | 13.6× |
| Assay of sweat sodium (84302) | $15.60 | $26 | 3.2× |
| Assay of transcortin (84449) | $45 | $75 | 2.5× |
| Assay of urea nitrogen (84520) | $64.80 | $108 | 16.4× |
| Assay of urine vma (84585) | $103.80 | $173 | 6.7× |
| Assay of vasoactive intestinal peptide (84586) | $98.40 | $164 | 2.8× |
| Assay of vitamin b-1 (84425) | $105 | $175 | 4.9× |
| Assay Ph Body Fluid Nos (83986) | $26.46 | $44.10 | 7.4× |
| Assay spec xcp ur&breath ia (82077) | $31.20 | $52 | 1.8× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,906.80 | $3,178 | 2.3× |
| Autol bld/component collj storage salvage (86891) | $1,686 | $2,810 | 2.1× |
| Automated Leukocyte Count (85048) | $58.20 | $97 | 22.9× |
| B cells total count (86355) | $94.50 | $157.50 | 2.5× |
| Bartonella antibody (86611) | $178.20 | $297 | 17.5× |
| Bcr/abl1 gene major bp (81206) | $393.54 | $655.90 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $444 | $740 | 3.1× |
| Beta 2 glycoprotein i antibody each (86146) | $192.60 | $321 | 7.6× |
| Beta hydroxybutyrate (82010) | $91.80 | $153 | 11.2× |
| Beta Lactamase (87185) | $15.96 | $26.60 | 3.4× |
| Beta-2 Microglobulin (82232) | $84 | $140 | 5.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $323.40 | $539 | 2.5× |
| Bile acids total (82239) | $135 | $225 | 7.9× |
| Bilirubin direct (82248) | $45.36 | $75.60 | 9.0× |
| Bilirubin total (82247) | $88.92 | $148.20 | 17.7× |
| Bilirubin total transcutaneous (88720) | $13.80 | $23 | 2.7× |
| Biotinidase (82261) | $57.60 | $96 | 3.4× |
| Blastomyces antibody (86612) | $39.60 | $66 | 3.1× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $782.40 | $1,304 | 4.6× |
| Bld Typing Serologic Rh Phnt (86906) | $178.20 | $297 | 23.0× |
| Blood Count Red Blood Cell Automated (85041) | $36.60 | $61 | 12.1× |
| Blood count reticulocyte automated (85045) | $82.20 | $137 | 20.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $48 | $80 | 12.6× |
| Blood gas (82803) | $164.40 | $274 | 6.3× |
| Blood gases w/02 saturation (82805) | $215.40 | $359 | 2.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81 | $135 | 5.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $26.46 | $44.10 | 6.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $748.20 | $1,247 | 117.8× |
| Blood typing serologic abo (86900) | $112.20 | $187 | 37.5× |
| Body fluid cell count (89050) | $15 | $25 | 3.2× |
| Bone marrow smear interpretation (85097) | $1,686 | $2,810 | 2.1× |
| Bordetella antibody (86615) | $85.80 | $143 | 6.5× |
| Braf gene analysis (81210) | $472.80 | $788 | 2.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $4,164.60 | $6,941 | 8.9× |
| Brca1&2 gen full seq dup/del (81162) | $4,903.20 | $8,172 | 2.7× |
| Breath Alcohol Test (82075) | $126.60 | $211 | 4.2× |
| Brucella antibody (86622) | $27 | $45 | 3.0× |
| C diff amplified probe (87493) | $201.60 | $336 | 5.4× |
| C-Peptide (84681) | $220.80 | $368 | 10.6× |
| C-reactive protein (86140) | $132.60 | $221 | 25.6× |
| Ca 19-9 (86301) | $82.32 | $137.20 | 4.0× |
| Cadmium (82300) | $138.60 | $231 | 5.9× |
| Caffeine (80155) | $104.40 | $174 | 2.7× |
| Calcitonin (82308) | $289.80 | $483 | 10.8× |
| Calcium ionized (82330) | $82.20 | $137 | 6.0× |
| Calcium total (82310) | $57.54 | $95.90 | 11.2× |
| Calculus Spectroscopy (82365) | $101.40 | $169 | 7.9× |
| Calprotectin Fecal (83993) | $556.92 | $928.20 | 28.4× |
| Calr gene com variants (81219) | $1,516.20 | $2,527 | 12.5× |
| Cancer Antigen 125 (86304) | $171 | $285 | 8.2× |
| Cancer Antigen 27.29 (86300) | $82.32 | $137.20 | 4.0× |
| Candida Dna Dir Probe (87480) | $58.80 | $98 | 2.9× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $7,523.40 | $12,539 | 12.9× |
| Carbamazepine free (80157) | $36.60 | $61 | 2.8× |
| Carbamazepine total (80156) | $144 | $240 | 9.9× |
| Carboxyhemoglobin (82375) | $183.60 | $306 | 14.9× |
| Carcinoembryonic antigen (82378) | $26.04 | $43.40 | 1.4× |
| Cardiolipin ab iga (86147) | $51 | $85 | 2.0× |
| Carnitine Quantitative Each Specimen (82379) | $87 | $145 | 5.2× |
| Carotene (82380) | $208.20 | $347 | 22.6× |
| Catecholamines fractionated (82384) | $175.56 | $292.60 | 7.0× |
| Ccp antibody (86200) | $43.26 | $72.10 | 3.3× |
| Cell count csf (89051) | $126.60 | $211 | 22.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $578.40 | $964 | 4.3× |
| Ceruloplasmin (82390) | $159 | $265 | 14.8× |
| Cftr gene com variants (81220) | $1,495.80 | $2,493 | 2.7× |
| Cftr gene dup/delet variants (81222) | $846.60 | $1,411 | 1.9× |
| Cftr gene full sequence (81223) | $970.20 | $1,617 | 1.9× |
| Chemiluminescent assay (82397) | $108.36 | $180.60 | 7.7× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $702 | $1,170 | 2.7× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $558 | $930 | 2.7× |
| Chlamydia antibody (86631) | $108.60 | $181 | 9.2× |
| Chlamydia Igm Antibody (86632) | $108.60 | $181 | 8.6× |
| Chloride other source (82438) | $184.80 | $308 | 37.0× |
| Chloride Serum (82435) | $118.80 | $198 | 25.8× |
| Chloride urine (82436) | $70.98 | $118.30 | 12.3× |
| Cholesterol total (82465) | $73.80 | $123 | 17.0× |
| Cholinesterase rbc (82482) | $46.20 | $77 | 4.7× |
| Cholinesterase Serum (82480) | $87 | $145 | 11.1× |
| Chorionic gonadotropin test (84702) | $326.04 | $543.40 | 21.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $108 | $180 | 4.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $184.80 | $308 | 5.5× |
| Chromium serum (82495) | $55.20 | $92 | 2.7× |
| Chromogenic Substrate Assay (85130) | $578.40 | $964 | 48.6× |
| Chromogranin a (86316) | $131.40 | $219 | 6.3× |
| Chromosome Analysis 15-20 (88262) | $1,397.40 | $2,329 | 11.1× |
| Chromosome Analysis 20-25 (88264) | $668.40 | $1,114 | 4.6× |
| Chromosome analysis 45 cells (88263) | $817.80 | $1,363 | 5.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $69 | $115 | 2.0× |
| Citric acid urine (82507) | $313.20 | $522 | 11.3× |
| Ckmb (82553) | $110.46 | $184.10 | 9.6× |
| Clostridium Difficile (87324) | $135.60 | $226 | 11.3× |
| Clot Factor VIII Multimetric (85247) | $182.40 | $304 | 8.0× |
| Clotting factor xii hageman (85280) | $720.60 | $1,201 | 37.2× |
| Clotting Funct Activity (85397) | $573.30 | $955.50 | 18.6× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $867.60 | $1,446 | 6.3× |
| Cns DNA amp probe type 12-25 (87483) | $868.20 | $1,447 | 2.1× |
| Coagulation time activated (85347) | $31.92 | $53.20 | 7.5× |
| Coccidioides antibody (86635) | $39.48 | $65.80 | 3.4× |
| Cold agglutinin screen (86156) | $140.40 | $234 | 17.4× |
| Cold agglutinin titer (86157) | $87 | $145 | 10.8× |
| Collagen crosslinks (82523) | $261 | $435 | 14.0× |
| Column Chromotography Quant (82542) | $310.80 | $518 | 12.9× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $627.60 | $1,046 | 2.7× |
| Compatibility Each Unit Incubation (86921) | $384 | $640 | 2.3× |
| Compatibility test antiglob (86922) | $469.56 | $782.60 | 2.8× |
| Complement Antigen Each Component (86160) | $241.20 | $402 | 20.1× |
| Complement Fixation Tests Each Antigen (86171) | $156.60 | $261 | 15.6× |
| Complement Total (Ch50) (86162) | $337.20 | $562 | 16.6× |
| Complement/Function Activity (86161) | $161.40 | $269 | 13.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $96.18 | $160.30 | 1.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $925.80 | $1,543 | 25.1× |
| Coombs direct (86880) | $555.36 | $925.60 | 103.0× |
| Copper urine (82525) | $142.20 | $237 | 11.5× |
| Cortisol free (82530) | $77.40 | $129 | 4.6× |
| Cortisol saliva (82533) | $367.20 | $612 | 22.5× |
| Creatine (82540) | $168 | $280 | 36.2× |
| Creatine kinase total (82550) | $83.40 | $139 | 12.8× |
| Creatinine blood (82565) | $75 | $125 | 14.6× |
| Creatinine clearance (82575) | $142.20 | $237 | 15.0× |
| Creatinine Urine (82570) | $68.40 | $114 | 13.2× |
| Crossmatch electronic (86923) | $240 | $400 | 1.4× |
| Crossmatch immediate spin (86920) | $240.60 | $401 | 1.4× |
| Crp High Sensitivity (86141) | $92.82 | $154.70 | 7.2× |
| Cryofibrinogen (82585) | $39 | $65 | 2.8× |
| Cryoglobulin (82595) | $157.80 | $263 | 24.4× |
| Cryptococcal Antigen (87327) | $55.80 | $93 | 4.2× |
| Cryptococcus ab (86641) | $365.40 | $609 | 25.4× |
| Cryptococcus ag titer (87899) | $223.80 | $373 | 13.9× |
| Cryptosporidium (87272) | $79.20 | $132 | 6.6× |
| Cryptosporidium ag eia (87328) | $75 | $125 | 5.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $85.80 | $143 | 10.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $26.46 | $44.10 | 3.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $106.26 | $177.10 | 13.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $495.60 | $826 | 2.3× |
| Culture aerobic quant other (87071) | $95.40 | $159 | 9.6× |
| Culture afb (87116) | $159 | $265 | 14.7× |
| Culture Anaerobic (87075) | $319.80 | $533 | 33.8× |
| Culture blood (87040) | $259.20 | $432 | 25.1× |
| Culture chlamydia (87110) | $138.60 | $231 | 7.1× |
| Culture csf (87070) | $201.60 | $336 | 23.4× |
| Culture fungus (87102) | $294 | $490 | 35.0× |
| Culture fungus blood (87103) | $55.80 | $93 | 2.7× |
| Culture screen only (87081) | $157.80 | $263 | 23.8× |
| Culture stool (87045) | $128.52 | $214.20 | 13.6× |
| Culture typing if ea antiserum (87140) | $78.60 | $131 | 14.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $26.40 | $44 | 5.1× |
| Culture typing other methods (87158) | $363 | $605 | 46.9× |
| Culture urine (87086) | $110.40 | $184 | 13.7× |
| Cyanide (82600) | $88.80 | $148 | 4.6× |
| Cyclosporine (80158) | $130.80 | $218 | 7.2× |
| Cyp2c19 gene analysis common variants (81225) | $661.20 | $1,102 | 2.3× |
| Cyp2d6 gene com variants (81226) | $1,212 | $2,020 | 2.7× |
| Cystatin C (82610) | $248.40 | $414 | 13.4× |
| Cytogenetics 10-30 (88273) | $273 | $455 | 7.8× |
| Cytogenetics 100-300 (88275) | $138.60 | $231 | 2.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $4,285.80 | $7,143 | 3.7× |
| Cytomegalovirus igg (86644) | $160.20 | $267 | 11.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $168.60 | $281 | 8.3× |
| Cytopath Cell Enhance Tech (88112) | $234.60 | $391 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $50.40 | $84 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $134.40 | $224 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $301.20 | $502 | 5.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $201.60 | $336 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $134.40 | $224 | 3.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $108 | $180 | 3.8× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $684 | $1,140 | 4.1× |
| Deoxycortisol (82634) | $82.20 | $137 | 2.8× |
| Deoxyribonuclease antibody (86215) | $56.40 | $94 | 4.3× |
| Desoxycorticosterone (82633) | $84.60 | $141 | 2.7× |
| Detect Agent Nos Dna Amp (87798) | $69 | $115 | 2.0× |
| Detect Agent Nos Dna Quant (87799) | $442.80 | $738 | 10.3× |
| Detect agnt mult DNA ampli (87801) | $136.80 | $228 | 1.9× |
| Dgp Antibody Each Ig Class (86258) | $29.40 | $49 | 2.4× |
| Dhea (82626) | $82.32 | $137.20 | 3.3× |
| Dhea-S (82627) | $219.60 | $366 | 9.9× |
| Digoxin (80162) | $62.40 | $104 | 4.7× |
| Dihydrotestosterone (82642) | $72 | $120 | 2.5× |
| Dipropylacetic Acid Free (80165) | $43.80 | $73 | 3.2× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $820.20 | $1,367 | 6.0× |
| Dna Antibody Native/Double Stranded (86225) | $173.40 | $289 | 12.6× |
| Dna Antibody Single Stranded (86226) | $216 | $360 | 17.8× |
| Dna/Rna Amplified Probe (87150) | $106.80 | $178 | 3.0× |
| Dna/Rna Sequencing (87153) | $614.40 | $1,024 | 5.3× |
| Dpyd gene common variants (81232) | $833.40 | $1,389 | 4.8× |
| Drug assay acetaminophen (80143) | $51 | $85 | 2.7× |
| Drug assay adalimumab (80145) | $403.20 | $672 | 10.5× |
| Drug Assay Amiodarone (80151) | $36.60 | $61 | 2.0× |
| Drug Assay Everolimus (80169) | $240 | $400 | 17.5× |
| Drug assay felbamate (80167) | $256.80 | $428 | 13.8× |
| Drug Assay Infliximab (80230) | $403.20 | $672 | 10.5× |
| Drug Assay Lacosamide (80235) | $336.60 | $561 | 12.4× |
| Drug Assay Leflunomide (80193) | $201.60 | $336 | 5.2× |
| Drug Assay Posaconazole (80187) | $124.80 | $208 | 4.6× |
| Drug Assay Vedolizumab (80280) | $243 | $405 | 6.3× |
| Drug assay voriconazole (80285) | $174.60 | $291 | 6.4× |
| Drug Screen Quant Clozapine (80159) | $105 | $175 | 5.2× |
| Drug Screen Quant Zonisamide (80203) | $112.20 | $187 | 8.5× |
| Drug Screen Quantitative Gabapentin (80171) | $269.40 | $449 | 12.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $54 | $90 | 4.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $103.80 | $173 | 7.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $247.20 | $412 | 18.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $139.80 | $233 | 8.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $242.40 | $404 | 3.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $285.60 | $476 | 22.7× |
| Drug Test Prsmv Instrmnt (80306) | $71.40 | $119 | 4.2× |
| Egfr Gene Analysis Common Variants (81235) | $1,190.40 | $1,984 | 3.7× |
| Ehrlichia antibody (86666) | $51 | $85 | 5.0× |
| El-1 Fecal Quantitative (82653) | $283.08 | $471.80 | 12.3× |
| Electrolyte panel (80051) | $80.40 | $134 | 11.5× |
| Electron Microscopy (88348) | $1,500.60 | $2,501 | 1.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $208.80 | $348 | 3.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $28.80 | $48 | 2.4× |
| Enterovirus Antibody (86658) | $33.60 | $56 | 2.6× |
| Enterovirus PCR (87498) | $349.20 | $582 | 10.0× |
| Enzyme cell activity (82657) | $597 | $995 | 26.9× |
| Enzyme histochemistry (88319) | $1,050.42 | $1,750.70 | 1.3× |
| Eosinophil Smear (89190) | $70.20 | $117 | 12.1× |
| Erythropoietin (82668) | $149.40 | $249 | 8.0× |
| Estradiol serum (82670) | $54.60 | $91 | 2.0× |
| Estriol (82677) | $60 | $100 | 2.5× |
| Estrogen total (82672) | $54.60 | $91 | 2.5× |
| Estrogens fractionated (82671) | $220.80 | $368 | 6.8× |
| Ethosuximide (80168) | $81 | $135 | 5.0× |
| Ethylene Glycol (82693) | $75 | $125 | 5.0× |
| Exam Synovial Fluid Crystals (89060) | $71.40 | $119 | 9.7× |
| Exome Sequence Analysis (81415) | $12,841.80 | $21,403 | 2.7× |
| Exome sequence analysis each comparator exome (81416) | $32,237.40 | $53,729 | 2.7× |
| F2 Gene (81240) | $145.20 | $242 | 2.2× |
| Factor ii activity (85210) | $208.80 | $348 | 16.1× |
| Factor Inhibitor Test (85335) | $39 | $65 | 3.0× |
| Factor ix activity (85250) | $503.40 | $839 | 26.4× |
| Factor v activity (85220) | $189.60 | $316 | 10.7× |
| Factor v leiden mutation (81241) | $181.20 | $302 | 2.5× |
| Factor vii assay (85230) | $189.60 | $316 | 10.6× |
| Factor viii assay (85240) | $115.20 | $192 | 6.4× |
| Factor X (85260) | $189.60 | $316 | 10.6× |
| Factor xi activity (85270) | $520.20 | $867 | 29.1× |
| Factor xiii screen (85291) | $19.80 | $33 | 2.2× |
| Fat/Lipids Feces Quantitative (82710) | $154.80 | $258 | 9.2× |
| Fatty acids free (82725) | $142.20 | $237 | 7.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $145.20 | $242 | 8.4× |
| Fecal Fat Qualitative (82705) | $124.80 | $208 | 24.5× |
| Ferritin (82728) | $200.40 | $334 | 14.7× |
| Fetal Chrmoml Aneuploidy (81420) | $2,040 | $3,400 | 2.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $412.80 | $688 | 2.7× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $215.40 | $359 | 4.0× |
| Fetal Fibronectin (82731) | $1,029.60 | $1,716 | 16.0× |
| Fetal hemoglobin assay qual (83033) | $95.40 | $159 | 11.9× |
| Fetal screen rosette (85461) | $107.40 | $179 | 11.5× |
| Fibrin degradation products (85362) | $180 | $300 | 26.1× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $196.80 | $328 | 19.3× |
| Fibrinogen activity (85384) | $123.60 | $206 | 12.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $91.80 | $153 | 5.9× |
| Flow cytometry first marker (88184) | $748.20 | $1,247 | 2.1× |
| Fluorescent antibody screen (86255) | $216 | $360 | 17.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $199.80 | $333 | 16.6× |
| Fluoride serum (82735) | $265.20 | $442 | 14.3× |
| Fmr1 gene detection (81243) | $154.80 | $258 | 2.7× |
| Folic acid rbc (82747) | $180 | $300 | 10.2× |
| Folic Acid Serum (82746) | $31.20 | $52 | 2.1× |
| Follicle Stimulating Hormone (83001) | $222.60 | $371 | 12.0× |
| Francisella tularensis (86668) | $158.40 | $264 | 11.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $495 | $825 | 2.9× |
| Frozen Section (88331) | $248.40 | $414 | 1.5× |
| Fungi Identification Mold (87107) | $282.60 | $471 | 27.4× |
| Fungi Identification Yeast (87106) | $35.70 | $59.50 | 3.5× |
| Galectin-3 (82777) | $322.20 | $537 | 7.3× |
| Gammaglobulin ige (82785) | $241.20 | $402 | 14.7× |
| Gardner vag DNA dir probe (87510) | $58.80 | $98 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $128.40 | $214 | 13.1× |
| Gases blood ph only (82800) | $88.80 | $148 | 8.1× |
| Gastrin (82941) | $240 | $400 | 13.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $868.20 | $1,447 | 2.1× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $3,423 | $5,705 | 4.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $7,843.80 | $13,073 | 2.7× |
| Genet Virus Isolate Hsv (87255) | $84 | $140 | 2.5× |
| Genetic Tstg Severe Inh Cond (81443) | $6,579 | $10,965 | 2.7× |
| Gentamicin (80170) | $118.80 | $198 | 7.3× |
| Ggt (82977) | $98.40 | $164 | 13.7× |
| Giardia antigen (87329) | $167.40 | $279 | 14.0× |
| Giardia lamblia antibody (86674) | $84 | $140 | 5.7× |
| Gjb6 Gene Analysis Common Variants (81254) | $431.40 | $719 | 12.3× |
| Glucagon (82943) | $119.40 | $199 | 8.4× |
| Glucose 2 hr pp (82950) | $209.40 | $349 | 44.1× |
| Glucose Blood Test (82962) | $63.60 | $106 | 19.4× |
| Glucose body fluid (82945) | $139.80 | $233 | 35.6× |
| Glucose Serum (82947) | $80.40 | $134 | 20.5× |
| Glucose tolerance test (gtt) (82951) | $144.90 | $241.50 | 11.3× |
| Glutathione (82978) | $76.20 | $127 | 4.9× |
| Glycated Protein (82985) | $124.80 | $208 | 7.4× |
| Gonadotropin Chorionic Qualitative (84703) | $63.18 | $105.30 | 8.4× |
| Growth hormone (83003) | $184.80 | $308 | 11.1× |
| Gtt-added samples (82952) | $31.08 | $51.80 | 7.9× |
| H Pylori (C-13) Breath (83013) | $378 | $630 | 5.6× |
| H Pylori Drug Admin (83014) | $16.20 | $27 | 2.1× |
| Haloperidol (80173) | $66 | $110 | 4.2× |
| Haptoglobin (83010) | $129.60 | $216 | 10.3× |
| Hba1/Hba2 Gene (81257) | $270 | $450 | 2.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $2,821.20 | $4,702 | 13.9× |
| Hbb Gene Com Variants (81361) | $614.40 | $1,024 | 3.5× |
| Hdl Cholesterol (83718) | $22.80 | $38 | 2.8× |
| Helicobacter Pylori Stool (87338) | $211.80 | $353 | 14.7× |
| Helminth Antibody (86682) | $75 | $125 | 5.8× |
| Hematocrit (85014) | $30 | $50 | 12.7× |
| Hemoglobin (85018) | $48.60 | $81 | 20.5× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$54–$136.80 | $90–$228 | varies |
| Hemoglobin Chromotography (83021) | $273 | $455 | 15.1× |
| Hemoglobin electrophoresis (83020) | $77.40 | $129 | 6.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $127.20 | $212 | 15.5× |
| Hemoglobin plasma (83051) | $216.60 | $361 | 29.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $205.80 | $343 | 23.5× |
| Hemolysins&Agglutinins Incubated (86941) | $205.80 | $343 | 17.0× |
| Hemosiderin urine (83070) | $25.20 | $42 | 5.3× |
| Hep a ab igm (86709) | $115.20 | $192 | 10.2× |
| Heparin assay (85520) | $151.80 | $253 | 11.6× |
| Heparin Neutralization (85525) | $48.60 | $81 | 4.1× |
| Hepatitis a antibody total (86708) | $108.60 | $181 | 8.8× |
| Hepatitis b core ab igm (86705) | $157.80 | $263 | 13.4× |
| Hepatitis b core ab total (86704) | $149.40 | $249 | 12.4× |
| Hepatitis B Surface Antibody (86706) | $149.40 | $249 | 13.9× |
| Hepatitis B Surface Antigen (87340) | $139.80 | $233 | 13.5× |
| Hepatitis Be Antibody (86707) | $44.10 | $73.50 | 3.8× |
| Hepatitis Be Antigen (87350) | $43.68 | $72.80 | 3.8× |
| Hepatitis C Antibody (86803) | $194.40 | $324 | 13.6× |
| Hepatitis c antibody confirmatory test (86804) | $624.60 | $1,041 | 40.3× |
| Hepatitis C Genotype (87902) | $270.60 | $451 | 1.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $778.80 | $1,298 | 22.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $582.60 | $971 | 13.6× |
| Hepatitis delta ag (87380) | $336.60 | $561 | 18.3× |
| Hepatitis Delta Agent Antibody (86692) | $151.20 | $252 | 8.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $6,863.40 | $11,439 | 5.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $4,400.40 | $7,334 | 7.5× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $1,584 | $2,640 | 1.2× |
| Herpes simplex type 2 (86696) | $135 | $225 | 7.0× |
| Heterophile antibodies titer (86309) | $64.80 | $108 | 10.0× |
| Heterophile Antibody Screen (86308) | $72 | $120 | 13.9× |
| Hfe Gene (81256) | $255.60 | $426 | 3.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $172.80 | $288 | 22.4× |
| Histamine urine (83088) | $88.80 | $148 | 3.0× |
| Histoplasma antibody (86698) | $57.60 | $96 | 4.2× |
| Histoplasma antigen urine (87385) | $200.40 | $334 | 15.1× |
| Hiv Genotype (87901) | $565.20 | $942 | 2.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $67.20 | $112 | 2.8× |
| Hiv-1 Antibody (86701) | $150.60 | $251 | 16.9× |
| HIV-1 p24 antigen (87390) | $367.20 | $612 | 15.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $166.20 | $277 | 2.0× |
| HIV-2 probe&revrse trnscripj (87538) | $106.20 | $177 | 3.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $873.60 | $1,456 | 4.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $248.40 | $414 | 1.9× |
| Hla class i&ii antibody qual (86828) | $887.40 | $1,479 | 13.8× |
| Hla class ii typing high resolution one locus ea (81382) | $588 | $980 | 4.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $363 | $605 | 4.9× |
| Hla I Typing 1 Allele Hr (81381) | $387.60 | $646 | 2.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $541.80 | $903 | 2.5× |
| Hla ii type 1 ag equiv lr (81377) | $233.40 | $389 | 2.5× |
| Hla ii typing 1 allele hr (81383) | $390.60 | $651 | 3.6× |
| Hla ii typing 1 locus lr (81376) | $390.60 | $651 | 3.2× |
| Hla-b27 (86812) | $280.80 | $468 | 10.9× |
| Homocysteine (83090) | $220.80 | $368 | 12.3× |
| Homogenization Tissue (87176) | $31.08 | $51.80 | 5.3× |
| Homovanillic acid urine (83150) | $103.80 | $173 | 4.6× |
| Hpv High-Risk Types (87624) | $223.80 | $373 | 6.4× |
| Hpv Types 16 & 18 Only (87625) | $164.40 | $274 | 4.1× |
| Hsv Dna Amp Probe (87529) | $234.60 | $391 | 6.7× |
| Htt Gene Detc Abnor Alleles (81271) | $723 | $1,205 | 5.3× |
| Human Epididymis Protein 4 (86305) | $441.60 | $736 | 21.2× |
| Hydroxyprogesterone 17-d (83498) | $484.20 | $807 | 17.8× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $104.40 | $174 | 8.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $99.60 | $166 | 9.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $172.80 | $288 | 12.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $56.28 | $93.80 | 1.6× |
| Iaad ia shiga-like toxin (87427) | $175.20 | $292 | 14.6× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $23.40 | $39 | 2.0× |
| Iaadi herpes smplx virus type 1 (87274) | $67.80 | $113 | 5.7× |
| Iaadi herpes smplx virus type 2 (87273) | $67.80 | $113 | 5.7× |
| Iaadi not otherwise specified each organism (87299) | $275.40 | $459 | 17.1× |
| Iaadi pneumocustis carinii (87281) | $81 | $135 | 6.8× |
| Iaadi Varicella Zoster Virus (87290) | $203.40 | $339 | 15.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $258 | $430 | 7.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $243 | $405 | 6.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $142.20 | $237 | 4.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $242.40 | $404 | 6.9× |
| Iadna Cytomegalovirus Quantification (87497) | $255.60 | $426 | 6.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $232.80 | $388 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $240 | $400 | 5.6× |
| Iadna Herpes Virus-6 Quantification (87533) | $103.20 | $172 | 2.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $655.80 | $1,093 | 18.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $524.40 | $874 | 14.9× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $411 | $685 | 5.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $287.40 | $479 | 6.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $524.40 | $874 | 12.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $142.20 | $237 | 4.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $69 | $115 | 2.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $189 | $315 | 3.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $652.80 | $1,088 | 4.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $707.40 | $1,179 | 2.7× |
| Ig Light Chains Free Each (83521) | $43.20 | $72 | 2.5× |
| Igg subclasses (82787) | $16.20 | $27 | 2.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,072.80 | $1,788 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $748.20 | $1,247 | 2.1× |
| Immune Complex Assay (86332) | $296.40 | $494 | 12.2× |
| Immunfix e-phorsis/urine/csf (86335) | $164.40 | $274 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $927.60 | $1,546 | 50.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $59.40 | $99 | 4.0× |
| Immunoassay nonantibody (83516) | $15.96 | $26.60 | 1.4× |
| Immunodiffusion not elsewhere specified (86329) | $388.80 | $648 | 27.7× |
| Immunodiffusion Ouchterlony (86331) | $58.80 | $98 | 4.9× |
| Immunoelectrophoresis Serum (86320) | $385.80 | $643 | 12.9× |
| Immunofixation electrophoresis (86334) | $76.20 | $127 | 3.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $738 | $1,230 | 4.4× |
| Immunohistochemistry (88342) | $366.60 | $611 | 2.2× |
| In situ hybridization 1st probe stain (88365) | $273.42 | $455.70 | 1.6× |
| In situ hybridization ea multiplex probe stain (88366) | $1,209.60 | $2,016 | 7.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $144.60 | $241 | 2.1× |
| Influenza a/b ag eia (87400) | $30.60 | $51 | 2.2× |
| Influenza DNA amp probe (87502) | $255.60 | $426 | 2.7× |
| Inherited Cardmypthy 5 Gns (81439) | $4,732.80 | $7,888 | 8.1× |
| Inhibin A (86336) | $88.80 | $148 | 5.7× |
| Inhibin b (83520) | $477.54 | $795.90 | 27.7× |
| Insitu hybridization manual (88368) | $400.80 | $668 | 1.1× |
| Insulin antibodies (86337) | $637.20 | $1,062 | 29.8× |
| Insulin free (83527) | $184.80 | $308 | 14.3× |
| Insulin total (83525) | $163.20 | $272 | 14.3× |
| Interleukin-6 (83529) | $133.20 | $222 | 7.7× |
| Intrinsic factor antibody (86340) | $46.20 | $77 | 3.1× |
| Iron (83540) | $102.60 | $171 | 15.9× |
| Iron Binding Capacity (83550) | $98.40 | $164 | 11.3× |
| Irradiation Blood Product Each Unit (86945) | $848.40 | $1,414 | 23.0× |
| Islet cell antibody (86341) | $484.20 | $807 | 20.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $475.80 | $793 | 5.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $792.60 | $1,321 | 4.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $607.20 | $1,012 | 4.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $886.20 | $1,477 | 2.7× |
| Koh Prep (87220) | $80.40 | $134 | 18.8× |
| L/s ratio (83661) | $186 | $310 | 8.5× |
| Lactate (ld) (ldh) enzyme (83615) | $152.88 | $254.80 | 25.3× |
| Lactoferrin fecal qualitative (83630) | $103.80 | $173 | 5.3× |
| Lactoferrin Fecal Quantitative (83631) | $103.20 | $172 | 5.3× |
| Lamellar Body Count (83664) | $124.80 | $208 | 6.5× |
| Ldh Isoenzymes (83625) | $182.40 | $304 | 14.3× |
| LDL direct (83721) | $103.80 | $173 | 9.9× |
| Lead (83655) | $184.80 | $308 | 15.3× |
| Legionella antibody (86713) | $42 | $70 | 2.7× |
| Legionella antigen urine (87449) | $302.40 | $504 | 25.2× |
| Legionella pneumophila dfa (87278) | $201.60 | $336 | 12.9× |
| Leptospira antibody (86720) | $113.40 | $189 | 7.0× |
| Leukocyte Assessment Fecal (89055) | $35.40 | $59 | 8.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $110.40 | $184 | 3.9× |
| Level ii surg pathology grossµscopic exam (88302) | $180.18 | $300.30 | 4.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $339 | $565 | 1.0× |
| Lidocaine (80176) | $137.40 | $229 | 9.4× |
| Lipase (83690) | $164.40 | $274 | 23.9× |
| Lipoprotein A (83695) | $53.40 | $89 | 3.7× |
| Lipoprotein Bld Quan Part (83704) | $72 | $120 | 2.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $103.80 | $173 | 3.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $310.80 | $518 | 6.7× |
| Lithium (80178) | $93 | $155 | 14.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $801.60 | $1,336 | 4.5× |
| Luteinizing Hormone (Lh) (83002) | $197.40 | $329 | 10.7× |
| Lyme disease antibody (86618) | $214.80 | $358 | 12.6× |
| Lymphocyte transformation (86353) | $1,209.60 | $2,016 | 24.7× |
| Lysozyme serum (85549) | $42.60 | $71 | 2.3× |
| M. Genitalium Amp Probe (87563) | $80.40 | $134 | 2.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $801 | $1,335 | 4.8× |
| M/phmtrc alys ishquant/semiq (88374) | $358.80 | $598 | 2.1× |
| Macroscopic exam arthropod (87168) | $369.60 | $616 | 86.6× |
| Macroscopic Exam Parasite (87169) | $45.60 | $76 | 10.6× |
| Magnesium Urine (83735) | $153 | $255 | 22.8× |
| Mass Spectrometry Quant (83789) | $111 | $185 | 4.6× |
| Mercury urine (83825) | $138.60 | $231 | 8.5× |
| Metabolic panel ionized ca (80047) | $116.40 | $194 | 8.5× |
| Methotrexate (80204) | $104.40 | $174 | 2.7× |
| Methylmalonic acid serum (83921) | $60.90 | $101.50 | 2.9× |
| Mgmt methylation analysis (81287) | $335.40 | $559 | 2.7× |
| Microalbumin, quantitative (82043) | $82.20 | $137 | 14.2× |
| Microbe Suscept Macrobroth (87188) | $99.60 | $166 | 15.0× |
| Microsatellite instability (81301) | $937.20 | $1,562 | 2.7× |
| Microsomal Antibodies Each (86376) | $327.60 | $546 | 22.5× |
| Mitochondrial Antibody Each (86381) | $63 | $105 | 2.5× |
| Mog-Igg1 Antb Cba Each (86362) | $1,347.60 | $2,246 | 111.8× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $453.60 | $756 | 12.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $100.20 | $167 | 4.7× |
| Molecular Pathology Procedure Level 3 (81402) | $1,062 | $1,770 | 7.1× |
| Molecular Pathology Procedure Level 6 (81405) | $811.20 | $1,352 | 2.7× |
| Mononuclear cell antigen (86356) | $134.40 | $224 | 5.0× |
| Mopath procedure level 1 (81400) | $1,089 | $1,815 | 17.0× |
| Mopath procedure level 2 (81401) | $658.98 | $1,098.30 | 4.8× |
| Mopath procedure level 4 (81403) | $586.20 | $977 | 3.2× |
| Mopath procedure level 5 (81404) | $739.80 | $1,233 | 2.7× |
| Mopath procedure level 7 (81406) | $989.04 | $1,648.40 | 3.5× |
| Mopath procedure level 8 (81407) | $2,274 | $3,790 | 2.7× |
| Mopath procedure level 9 (81408) | $5,373.60 | $8,956 | 2.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $594.60 | $991 | 3.2× |
| Mrsa Pcr (87641) | $201.60 | $336 | 5.7× |
| Mthfr Gene Analysis Common Variants (81291) | $222.60 | $371 | 3.4× |
| Mumps antibody (86735) | $135 | $225 | 10.3× |
| Mycophenolic Acid (80180) | $64.80 | $108 | 3.6× |
| Mycoplasma antibody (86738) | $247.80 | $413 | 18.7× |
| Mycoplasma culture (87109) | $322.80 | $538 | 21.0× |
| Myelin basic protein csf (83873) | $46.80 | $78 | 2.7× |
| Myoglobin urine (83874) | $141 | $235 | 10.9× |
| Natriuretic peptide (83880) | $238.80 | $398 | 6.1× |
| Neutralization Test Viral (86382) | $175.20 | $292 | 10.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $672 | $1,120 | 5.2× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $941.40 | $1,569 | 3.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $384 | $640 | 2.7× |
| Nfct ds bv&vaginitis DNA alg (81515) | $324 | $540 | 1.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $553.20 | $922 | 2.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $686.40 | $1,144 | 9.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $2,104.80 | $3,508 | 16.4× |
| Niacin (84591) | $211.80 | $353 | 12.4× |
| Nickel level (83885) | $67.80 | $113 | 2.8× |
| Nk cells total count (86357) | $343.80 | $573 | 9.1× |
| Ntrk translocation analysis (81194) | $2,149.80 | $3,583 | 4.1× |
| Nuclear antigen antibody (86235) | $35.40 | $59 | 2.0× |
| Nudt15 Gene Common Variants (81306) | $784.20 | $1,307 | 2.7× |
| Occult blood feces (82272) | $41.16 | $68.60 | 9.7× |
| Occult Blood Other Sources (82271) | $37.80 | $63 | 7.1× |
| Oligoclonal bands (83916) | $165.60 | $276 | 6.0× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $3,385.80 | $5,643 | 0.9× |
| Oncoprotein dcp (83951) | $384.60 | $641 | 6.0× |
| Organic Acids Qualitative Each Specimen (83919) | $49.80 | $83 | 3.0× |
| Organic acids urine (83918) | $299.40 | $499 | 12.7× |
| Osmolality serum (83930) | $148.20 | $247 | 22.4× |
| Osmolality Urine (83935) | $103.74 | $172.90 | 15.2× |
| Osmotic Fragility RBC Unincubated (85555) | $201.60 | $336 | 27.0× |
| Osteocalcin (83937) | $122.40 | $204 | 4.1× |
| Ova and parasites smears (87177) | $215.40 | $359 | 24.2× |
| Ova1 (81503) | $2,410.20 | $4,017 | 2.7× |
| Oxalate urine (83945) | $204.60 | $341 | 14.2× |
| Particle Agglutination Screen Each Antibody (86403) | $204 | $340 | 17.7× |
| Parvovirus antibody (86747) | $202.20 | $337 | 13.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,686 | $2,810 | 2.1× |
| Ph urine (81003) | $31.92 | $53.20 | 14.2× |
| Phenobarbital Level (80184) | $118.20 | $197 | 7.7× |
| Phenotype Infect Agent Drug (87900) | $430.80 | $718 | 3.3× |
| Phenylalanine (84030) | $111.54 | $185.90 | 20.3× |
| Phenytoin (Dilantin) (80185) | $126 | $210 | 9.5× |
| Phenytoin free (80186) | $42 | $70 | 3.1× |
| Phosphatase acid prostatic (84066) | $38.40 | $64 | 4.0× |
| Phosphatase alkaline (84075) | $75 | $125 | 14.5× |
| Phosphatidylglycerol (84081) | $303.60 | $506 | 18.4× |
| Phospholipid Neutralization Hexagonal (85598) | $186 | $310 | 10.3× |
| Phosphorus Serum (84100) | $64.80 | $108 | 13.7× |
| Phosphorus urine (84105) | $19.80 | $33 | 3.4× |
| Pinworm exam (87172) | $84.60 | $141 | 19.8× |
| Platelet Aggregation (85576) | $61.32 | $102.20 | 2.5× |
| Platelet Antibodies (86022) | $420.60 | $701 | 22.9× |
| Platelet count automated (85049) | $46.20 | $77 | 10.3× |
| Platelet neutralization (85597) | $105 | $175 | 5.8× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $2,038.80 | $3,398 | 2.7× |
| Pneumcysts jirovecii amp prb (87594) | $368.40 | $614 | 10.5× |
| Porphobilinogen, urine; quantitative (84110) | $142.20 | $237 | 16.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $61.20 | $102 | 4.2× |
| Potassium Urine (84133) | $83.16 | $138.60 | 17.6× |
| Prealbumin (84134) | $102.60 | $171 | 7.0× |
| Pregnenolone (84140) | $82.20 | $137 | 4.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $259.20 | $432 | 1.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $166.20 | $277 | 2.9× |
| Pretx serum rbc antibody identification dilution (86976) | $86.40 | $144 | 3.0× |
| Primidone (80188) | $48.60 | $81 | 2.9× |
| Procalcitonin (Pct) (84145) | $219.60 | $366 | 8.1× |
| Progesterone (84144) | $41.40 | $69 | 2.0× |
| Prolactin (84146) | $240 | $400 | 12.4× |
| Prostaglandin (84150) | $774 | $1,290 | 18.5× |
| Protein body fluid (84157) | $96.60 | $161 | 24.2× |
| Protein C Activity (85303) | $175.20 | $292 | 12.7× |
| Protein c antigen (85302) | $285 | $475 | 23.7× |
| Protein Electrophoresis Urine (84166) | $115.20 | $192 | 6.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $209.40 | $349 | 19.5× |
| Protein S Free (85306) | $175.20 | $292 | 11.4× |
| Protein s total (85305) | $41.40 | $69 | 3.6× |
| Protein Total Refractometry Any Src (84160) | $46.20 | $77 | 8.2× |
| Protein total serum (84155) | $83.40 | $139 | 22.7× |
| Protein Total Urine (84156) | $87 | $145 | 23.7× |
| Protein Western Blot Test (84182) | $79.20 | $132 | 2.7× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $46.80 | $78 | 11.9× |
| Protoporphyrin rbc quantitative (84202) | $148.20 | $247 | 10.3× |
| PSA free (84154) | $295.20 | $492 | 16.1× |
| Pth Intact (83970) | $111.60 | $186 | 2.7× |
| Pyruvate kinase (84220) | $105 | $175 | 11.1× |
| Q Fever Antibody (86638) | $66.36 | $110.60 | 5.5× |
| Quantiferon tb gold plus (86480) | $264 | $440 | 4.3× |
| Quantitative assay drug (80299) | $169.80 | $283 | 9.1× |
| Quantitative Screen Metals (83018) | $193.80 | $323 | 8.8× |
| Quinidine (80194) | $107.40 | $179 | 7.4× |
| Rbc antibody elution (86860) | $156 | $260 | 0.9× |
| Rbc antibody identification (86870) | $306.60 | $511 | 0.9× |
| Rbc antibody screen (86850) | $145.86 | $243.10 | 14.9× |
| Rbc pretreatment serum (86978) | $238.20 | $397 | 4.1× |
| Rbc pretx incubatj w/enzymes (86971) | $748.20 | $1,247 | 4.4× |
| Renin activity plasma (84244) | $175.20 | $292 | 8.0× |
| Reptilase test (85635) | $76.20 | $127 | 7.7× |
| Resp virus 12-25 targets (87633) | $1,033.20 | $1,722 | 2.5× |
| Resp Virus 6-11 Targets (87632) | $1,491.60 | $2,486 | 6.8× |
| Reticulocyte Count (85046) | $54 | $90 | 9.7× |
| Reticulocyte separation (86972) | $280.20 | $467 | 1.7× |
| Rh (86901) | $145.86 | $243.10 | 48.8× |
| Rheumatoid factor quant (86431) | $120 | $200 | 21.2× |
| Rickettsia antibody (86757) | $87 | $145 | 4.5× |
| Ristocetin cofactor (85245) | $266.40 | $444 | 11.6× |
| Rotavirus ag eia (87425) | $30 | $50 | 2.5× |
| Rpr qualitative (86592) | $111 | $185 | 26.0× |
| Rubella Antibody (86762) | $73.08 | $121.80 | 5.1× |
| Rubeola antibody (86765) | $132.60 | $221 | 10.3× |
| Russell Viper Venom Time Diluted (85613) | $93 | $155 | 9.7× |
| Salicylate Level (80179) | $51 | $85 | 2.7× |
| Salmonella antibody (86768) | $36.60 | $61 | 2.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $85.80 | $143 | 2.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $102.60 | $171 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $189 | $315 | 1.3× |
| Sedimentation rate (85651) | $55.80 | $93 | 13.1× |
| Sedimentation Rate, Automated (85652) | $75 | $125 | 27.8× |
| Selenium (84255) | $77.40 | $129 | 3.0× |
| Semen analysis complete (89322) | $249.60 | $416 | 16.1× |
| Semen analysis complete (89320) | $37.20 | $62 | 3.0× |
| Semen analysis motility and count (89310) | $76.20 | $127 | 8.9× |
| Sensitivity mic (87186) | $132.60 | $221 | 15.3× |
| Serpina 1 gene (81332) | $585.60 | $976 | 13.4× |
| Serum Bactericidal Titer (87197) | $160.20 | $267 | 10.7× |
| Sex Hormone Binding Globulin (84270) | $94.80 | $158 | 4.4× |
| Sickling of rbc reduction (85660) | $76.20 | $127 | 13.8× |
| Sirolimus (80195) | $79.80 | $133 | 5.8× |
| Skin test tuberculosis intradermal (86580) | $125.40 | $209 | 4.4× |
| Smear acid fast (87206) | $183.60 | $306 | 34.1× |
| Smear complex stain (87209) | $176.40 | $294 | 9.8× |
| Smear gram stain (87205) | $84.60 | $141 | 19.8× |
| Smear Special Stain (87207) | $198.60 | $331 | 33.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $368.40 | $614 | 2.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $87 | $145 | 14.9× |
| Snrpn/Ube3a Methylation Analysis (81331) | $653.40 | $1,089 | 12.8× |
| Sodium Serum (84295) | $64.80 | $108 | 13.5× |
| Sodium Urine (84300) | $115.20 | $192 | 22.8× |
| Soluble Transferrin Receptor (84238) | $90.60 | $151 | 2.5× |
| Somatomedin (84305) | $29.40 | $49 | 1.4× |
| Somatostatin (84307) | $475.80 | $793 | 26.0× |
| Special Stains Group 1 (88312) | $201.60 | $336 | 3.9× |
| Special Stains Group 2 (88313) | $312 | $520 | 2.4× |
| Specific gravity body fluid (84315) | $15 | $25 | 4.6× |
| Specimen infect agnt concntj (87015) | $27 | $45 | 4.0× |
| Spectrophotometry (84311) | $215.40 | $359 | 26.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $837.60 | $1,396 | 5.0× |
| Staph a DNA amp probe (87640) | $95.40 | $159 | 2.7× |
| Stool cultr aerobic bact ea (87046) | $144.06 | $240.10 | 15.3× |
| Strep a assay w/optic (87880) | $138.60 | $231 | 8.4× |
| Strep a DNA amp probe (87651) | $157.80 | $263 | 4.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $123 | $205 | 1.3× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $311.40 | $519 | 27.0× |
| Sugars Single Qual (84376) | $32.40 | $54 | 5.9× |
| Sulfate urine (84392) | $148.80 | $248 | 27.1× |
| Surg path level iii (88304) | $276.60 | $461 | 5.4× |
| Surgical pathology level IV (88305) | $280.80 | $468 | 5.5× |
| Surgical pathology level vi (88309) | $1,686 | $2,810 | 2.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $99.60 | $166 | 21.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $105 | $175 | 14.0× |
| Syphilis Test Non-Trep Quant (86593) | $132.60 | $221 | 30.1× |
| T cells absolute cd4 count (86361) | $310.80 | $518 | 11.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $112.14 | $186.90 | 2.4× |
| T cells total count (86359) | $109.62 | $182.70 | 2.9× |
| T3 Free (84481) | $258.18 | $430.30 | 15.2× |
| T3 reverse (84482) | $93 | $155 | 5.9× |
| T3 Total (84480) | $169.80 | $283 | 12.0× |
| T3 Uptake (84479) | $103.80 | $173 | 16.0× |
| T4 Free (84439) | $160.20 | $267 | 17.8× |
| T4 total (84436) | $138.60 | $231 | 20.2× |
| Tacrolimus (80197) | $144 | $240 | 10.5× |
| Tau phosphorylated each (84393) | $323.40 | $539 | 2.5× |
| Tb ag response t-cell susp (86481) | $199.80 | $333 | 2.0× |
| Test for acetone/ketones (82009) | $102.60 | $171 | 22.7× |
| Testosterone total (84403) | $27.60 | $46 | 1.1× |
| Testosterone, Free (84402) | $50.40 | $84 | 2.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,547.60 | $4,246 | 4.3× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,356.60 | $2,261 | 2.3× |
| Theophylline (80198) | $103.20 | $172 | 7.3× |
| Thrombin Time (85670) | $41.40 | $69 | 7.2× |
| Thromboplastin Inhibition Tissue (85705) | $77.40 | $129 | 8.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $234 | $390 | 36.2× |
| Thyroglobulin (84432) | $180 | $300 | 11.2× |
| Thyroglobulin Antibody (86800) | $150.60 | $251 | 9.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $167.40 | $279 | 3.3× |
| Thyroxine binding globulin (84442) | $45.60 | $76 | 3.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $29.40 | $49 | 2.5× |
| Tissue Culture (88233) | $752.40 | $1,254 | 5.3× |
| Tissue Culture Amniotic Fluid (88235) | $588.60 | $981 | 3.9× |
| Tissue culture bone marrow (88237) | $674.40 | $1,124 | 4.7× |
| Tissue Culture Lymphocyte (88230) | $562.20 | $937 | 4.8× |
| Tobramycin peak (80200) | $152.40 | $254 | 9.4× |
| Topiramate (80201) | $108 | $180 | 9.1× |
| Total Tau (84394) | $323.40 | $539 | 2.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $72.60 | $121 | 3.7× |
| Toxoplasma ab igm (86778) | $52.80 | $88 | 3.7× |
| Toxoplasma antibody (86777) | $70.20 | $117 | 4.9× |
| Tp53 gene analysis targeted sequence analysis (81352) | $807.60 | $1,346 | 2.5× |
| Tpmt gene com variants (81335) | $471 | $785 | 2.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $64.80 | $108 | 12.5× |
| Transferrin (84466) | $123.48 | $205.80 | 9.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $820.20 | $1,367 | 3.9× |
| Trg gene rearrangement anal (81342) | $1,008 | $1,680 | 5.0× |
| Trichomonas vagin dir probe (87660) | $58.80 | $98 | 2.9× |
| Trichomonas Vaginalis Amplif (87661) | $48.30 | $80.50 | 1.4× |
| Triglycerides (84478) | $55.20 | $92 | 9.6× |
| Troponin Quant (84484) | $164.40 | $274 | 13.2× |
| Tumor immunohistochem/comput (88361) | $726 | $1,210 | 2.1× |
| Tumor Immunohistochem/Manual (88360) | $248.40 | $414 | 1.5× |
| Ugt1a1 gene analysis common variants (81350) | $730.80 | $1,218 | 3.1× |
| Urea nitrogen urine (84540) | $89.04 | $148.40 | 16.0× |
| Uric acid other source (84560) | $127.20 | $212 | 25.0× |
| Urinalysis Microscopic Only (81015) | $22.20 | $37 | 7.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $7.80 | $13 | 3.6× |
| Urinalysis Volume Measure (81050) | $11.40 | $19 | 3.1× |
| Urine Bacteria Culture (87088) | $88.80 | $148 | 11.0× |
| Urine Pregnancy Test (81025) | $45.24 | $75.40 | 5.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $69 | $115 | 21.8× |
| Valproic acid (80164) | $166.20 | $277 | 12.3× |
| Vancomycin (80202) | $101.64 | $169.40 | 7.5× |
| Varicella-zoster antibody (86787) | $105.42 | $175.70 | 8.2× |
| Vasopressin (84588) | $91.80 | $153 | 2.7× |
| Very Long Chain Fatty Acids (82726) | $346.80 | $578 | 17.6× |
| Viral Culture (87252) | $145.20 | $242 | 5.6× |
| Virus antibody nos (86790) | $343.80 | $573 | 26.7× |
| Virus inoculate tissue addl (87253) | $387.60 | $646 | 19.2× |
| Virus inoculation, shell via (87254) | $72 | $120 | 3.7× |
| Viscosity serum (85810) | $38.40 | $64 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $340.20 | $567 | 8.8× |
| Vitamin A (84590) | $66.60 | $111 | 5.7× |
| Vitamin b-12 (82607) | $31.20 | $52 | 2.1× |
| Vitamin B2 (Riboflavin) (84252) | $54.60 | $91 | 2.7× |
| Vitamin B6 (84207) | $84.60 | $141 | 3.0× |
| Vitamin c (82180) | $70.20 | $117 | 7.1× |
| Vitamin D 25-Hydroxy (82306) | $193.20 | $322 | 6.5× |
| Vitamin E (84446) | $259.20 | $432 | 18.3× |
| Vitamin K (84597) | $67.80 | $113 | 4.9× |
| Volatiles (84600) | $46.80 | $78 | 2.7× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $189.60 | $316 | 15.7× |
| Von willebrand factor ag (85246) | $184.80 | $308 | 8.1× |
| Wbc Alkaline Phosphatase Count (85540) | $168.60 | $281 | 19.6× |
| West nile virus ab igm (86788) | $68.40 | $114 | 4.1× |
| West Nile Virus Antibody (86789) | $45.60 | $76 | 3.2× |
| Western Blot Test (84181) | $185.40 | $309 | 10.9× |
| Xylose Absorption Test (84620) | $157.80 | $263 | 12.2× |
| Zika Virus Dna/Rna Amp Probe (87662) | $360 | $600 | 7.0× |
| Zinc (84630) | $159 | $265 | 14.0× |
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.