Lab & pathology prices at Roger Mills Memorial Hospital
Cheyenne, OK · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $207.75 | $277 | 5.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $253.50 | $338 | 3.9× |
| Albumin serum (82040) | $37.50 | $50 | 7.6× |
| Aldosterone urine (82088) | $192.75 | $257 | 4.7× |
| Allergen specific ige (86003) range across 19 matching MRF lines |
$21–$77.25 | $28–$103 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$33.75–$109.50 | $45–$146 | varies |
| Alt (sgpt) (84460) | $47.25 | $63 | 8.9× |
| Amikacin trough (80150) | $42.75 | $57 | 2.8× |
| Ammonia (82140) | $135 | $180 | 9.3× |
| Amylase urine (82150) | $80.25 | $107 | 12.4× |
| Ana Titer (86039) | $74.25 | $99 | 6.7× |
| Angiotensin converting enzyme csf (82164) | $162.75 | $217 | 11.1× |
| Anti-Phospholipid Antibody (86148) | $95.25 | $127 | 5.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113.25 | $151 | 7.4× |
| Antibody helicobacter pylori (86677) | $303 | $404 | 18.0× |
| Antibody Protozoa Nes (86753) | $181.50 | $242 | 14.6× |
| Antibody Treponema Pallidum (86780) | $89.25 | $119 | 6.7× |
| Antibody; campylobacter (86625) | $398.25 | $531 | 30.4× |
| Antinuclear antibodies (86038) | $80.25 | $107 | 6.6× |
| Antistreptolysin o titer (86060) | $123.75 | $165 | 17.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$24.75–$107.25 | $33–$143 | varies |
| Assay Blood Carbon Dioxide (82374) | $30 | $40 | 6.1× |
| Assay Nephelometry Not Spec (83883) | $220.50 | $294 | 16.2× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$30.75–$42.75 | $41–$57 | varies |
| Assay of calcium in urine (82340) | $113.25 | $151 | 18.8× |
| Assay of estrone (82679) | $66.75 | $89 | 2.7× |
| Assay of gammaglobulin igm (82784) | $104.25 | $139 | 11.2× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$39.75–$141.75 | $53–$189 | varies |
| Assay of serum potassium (84132) | $37.50 | $50 | 7.9× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$66.75–$153 | $89–$204 | varies |
| Assay of urea nitrogen (84520) | $42.75 | $57 | 10.8× |
| Assay of vitamin b-1 (84425) | $211.50 | $282 | 10.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$82.50–$121.50 | $110–$162 | varies |
| Automated Leukocyte Count (85048) | $42.75 | $57 | 16.8× |
| Beta 2 glycoprotein i antibody each (86146) | $95.25 | $127 | 3.7× |
| Beta-2 Microglobulin (82232) | $51.75 | $69 | 3.2× |
| Bilirubin total (82247) | $84 | $112 | 16.7× |
| Blood Count Automated Differential Wbc Count (85004) | $88.50 | $118 | 13.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $21.75 | $29 | 5.7× |
| Blood gas (82803) | $151.50 | $202 | 5.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38.25 | $51 | 8.7× |
| Blood typing serologic abo (86900) | $51 | $68 | 17.1× |
| Brucella antibody (86622) | $203.25 | $271 | 22.8× |
| C-Peptide (84681) | $174 | $232 | 8.4× |
| Ca 19-9 (86301) | $97.50 | $130 | 4.7× |
| Calcitonin (82308) | $291.75 | $389 | 10.9× |
| Calcium ionized (82330) | $137.25 | $183 | 10.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$42.75–$187.50 | $57–$250 | varies |
| Calculus Spectroscopy (82365) | $170.25 | $227 | 13.2× |
| Calprotectin Fecal (83993) | $222.75 | $297 | 11.3× |
| Calr gene com variants (81219) | $548.25 | $731 | 4.5× |
| Cancer Antigen 125 (86304) | $90 | $120 | 4.3× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$117.75–$121.50 | $157–$162 | varies |
| Carbamazepine total (80156) | $69.75 | $93 | 4.8× |
| Carcinoembryonic antigen (82378) | $154.50 | $206 | 8.1× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$60.75–$95.25 | $81–$127 | varies |
| Catecholamines fractionated (82384) | $151.50 | $202 | 6.0× |
| Ccp antibody (86200) | $88.50 | $118 | 6.8× |
| Cell count csf (89051) | $134.25 | $179 | 24.0× |
| Chloride other source (82438) | $66.75 | $89 | 13.4× |
| Chloride Serum (82435) | $17.25 | $23 | 3.8× |
| Cholesterol total (82465) | $33.75 | $45 | 7.8× |
| Chromium serum (82495) | $204.75 | $273 | 10.1× |
| Chromogranin a (86316) | $240.75 | $321 | 11.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $264 | $352 | 7.5× |
| Ckmb (82553) | $105.75 | $141 | 9.2× |
| Clostridium Difficile (87324) | $135 | $180 | 11.3× |
| Column Chromotography Quant (82542) | $145.50 | $194 | 6.0× |
| Compatibility Each Unit Incubation (86921) | $76.50 | $102 | 0.5× |
| Compatibility test antiglob (86922) | $135 | $180 | 0.8× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$45–$135 | $60–$180 | varies |
| Complement Total (Ch50) (86162) | $92.25 | $123 | 4.5× |
| Coombs direct (86880) | $31.50 | $42 | 5.8× |
| Copper urine (82525) | $31.50 | $42 | 2.5× |
| Cortisol free (82530) | $199.50 | $266 | 11.9× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$42.75–$129 | $57–$172 | varies |
| Creatine (82540) | $119.25 | $159 | 25.7× |
| Creatine kinase total (82550) | $66.75 | $89 | 10.3× |
| Creatinine blood (82565) | $42.75 | $57 | 8.3× |
| Creatinine clearance (82575) | $144.75 | $193 | 15.3× |
| Creatinine Urine (82570) | $81.75 | $109 | 15.8× |
| Crossmatch immediate spin (86920) | $114 | $152 | 0.7× |
| Crp High Sensitivity (86141) | $105.75 | $141 | 8.2× |
| Cryptosporidium ag eia (87328) | $111.75 | $149 | 8.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $32.25 | $43 | 4.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $159.75 | $213 | 20.7× |
| Culture Anaerobic (87075) | $71.25 | $95 | 7.5× |
| Culture blood (87040) | $121.50 | $162 | 11.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$27.75–$143.25 | $37–$191 | varies |
| Culture stool (87045) | $96.75 | $129 | 10.2× |
| Culture urine (87086) | $80.25 | $107 | 9.9× |
| Cyclosporine (80158) | $115.50 | $154 | 6.4× |
| Cystatin C (82610) | $213 | $284 | 11.5× |
| Cytomegalovirus igg (86644) | $254.25 | $339 | 17.7× |
| Deoxyribonuclease antibody (86215) | $176.25 | $235 | 13.3× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$529.50–$648.75 | $706–$865 | varies |
| Detect Agent Nos Dna Quant (87799) | $703.50 | $938 | 16.4× |
| Detect agnt mult DNA ampli (87801) | $467.25 | $623 | 6.7× |
| Dhea (82626) | $186 | $248 | 7.4× |
| Digoxin (80162) | $131.25 | $175 | 9.9× |
| Dna Antibody Native/Double Stranded (86225) | $186.75 | $249 | 13.6× |
| Drug Assay Lacosamide (80235) | $169.50 | $226 | 6.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $137.25 | $183 | 10.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $180 | $240 | 13.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $130.50 | $174 | 9.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$88.50–$756.75 | $118–$1,009 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$21.75–$42.75 | $29–$57 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$300–$312.75 | $400–$417 | varies |
| El-1 Fecal Quantitative (82653) | $356.25 | $475 | 15.5× |
| Electrolyte panel (80051) | $72 | $96 | 10.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$131.25–$135 | $175–$180 | varies |
| Enzyme cell activity (82657) | $567 | $756 | 25.6× |
| Erythropoietin (82668) | $79.50 | $106 | 4.2× |
| Estradiol serum (82670) | $308.25 | $411 | 11.0× |
| Estrogen total (82672) | $266.25 | $355 | 12.3× |
| Estrogens fractionated (82671) | $573.75 | $765 | 17.8× |
| Exam Synovial Fluid Crystals (89060) | $171.75 | $229 | 23.4× |
| Factor v leiden mutation (81241) | $476.25 | $635 | 6.5× |
| Fecal Fat Qualitative (82705) | $87.75 | $117 | 17.2× |
| Ferritin (82728) | $80.25 | $107 | 5.9× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $79.50 | $106 | 8.2× |
| Fibrinogen activity (85384) | $127.50 | $170 | 13.1× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$102–$119.25 | $136–$159 | varies |
| Folic acid rbc (82747) | $90 | $120 | 5.1× |
| Folic Acid Serum (82746) | $80.25 | $107 | 5.5× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$24.75–$261.75 | $33–$349 | varies |
| Fungi Identification Yeast (87106) | $159.75 | $213 | 15.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$40.50–$169.50 | $54–$226 | varies |
| Gastrin (82941) | $41.25 | $55 | 2.3× |
| Genet Virus Isolate Hsv (87255) | $184.50 | $246 | 5.4× |
| Gentamicin (80170) | $176.25 | $235 | 10.8× |
| Ggt (82977) | $84.75 | $113 | 11.8× |
| Giardia antigen (87329) | $166.50 | $222 | 13.9× |
| Glucagon (82943) | $235.50 | $314 | 16.5× |
| Glucose 2 hr pp (82950) | $17.25 | $23 | 3.6× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$8.25–$17.25 | $11–$23 | varies |
| Glucose Serum (82947) | $42.75 | $57 | 10.9× |
| Glucose tolerance test (gtt) (82951) | $47.25 | $63 | 3.7× |
| Glycated Protein (82985) | $105 | $140 | 6.3× |
| Gonadotropin Chorionic Qualitative (84703) | $151.50 | $202 | 20.1× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$188.25–$293.25 | $251–$391 | varies |
| Haptoglobin (83010) | $43.50 | $58 | 3.5× |
| Hdl Cholesterol (83718) | $29.25 | $39 | 3.6× |
| Helicobacter Pylori Stool (87338) | $266.25 | $355 | 18.5× |
| Hematocrit (85014) | $29.25 | $39 | 12.3× |
| Hemoglobin (85018) | $29.25 | $39 | 12.3× |
| Hemoglobin a1c (83036) | $51 | $68 | 5.3× |
| Hep a ab igm (86709) | $72 | $96 | 6.4× |
| Heparin assay (85520) | $225.75 | $301 | 17.2× |
| Hepatitis a antibody total (86708) | $144.75 | $193 | 11.7× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$57–$87 | $76–$116 | varies |
| Hepatitis B Surface Antibody (86706) | $175.50 | $234 | 16.3× |
| Hepatitis B Surface Antigen (87340) | $66.75 | $89 | 6.5× |
| Hepatitis C Antibody (86803) | $51 | $68 | 3.6× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$318–$561 | $424–$748 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $793.50 | $1,058 | 18.5× |
| Herpes simplex type 2 (86696) | $105.75 | $141 | 5.5× |
| Heterophile Antibody Screen (86308) | $33.75 | $45 | 6.5× |
| Hfe Gene (81256) | $598.50 | $798 | 9.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $171 | $228 | 2.3× |
| Hla-b27 (86812) | $63 | $84 | 2.4× |
| Homocysteine (83090) | $293.25 | $391 | 16.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $79.50 | $106 | 5.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $39.75 | $53 | 1.1× |
| Iadna Cytomegalovirus Quantification (87497) | $643.50 | $858 | 15.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $516 | $688 | 12.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $211.50 | $282 | 6.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $264 | $352 | 7.5× |
| Ig Light Chains Free Each (83521) | $190.50 | $254 | 11.0× |
| Immunfix e-phorsis/urine/csf (86335) | $229.50 | $306 | 7.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$185.25–$723.75 | $247–$965 | varies |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$151.50–$228 | $202–$304 | varies |
| Immunodiffusion Ouchterlony (86331) | $318 | $424 | 26.5× |
| Immunofixation electrophoresis (86334) | $291.75 | $389 | 13.1× |
| Influenza assay w/optic (87804) | $66.75 | $89 | 4.0× |
| Inhibin b (83520) range across 3 matching MRF lines |
$24.75–$316.50 | $33–$422 | varies |
| Insulin total (83525) | $92.25 | $123 | 8.1× |
| Iron (83540) range across 2 matching MRF lines |
$36.75–$51 | $49–$68 | varies |
| Iron Binding Capacity (83550) | $54.75 | $73 | 6.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $516.75 | $689 | 2.8× |
| Koh Prep (87220) | $9 | $12 | 2.1× |
| Lactate (ld) (ldh) enzyme (83615) | $82.50 | $110 | 13.7× |
| Lead (83655) | $183.75 | $245 | 15.2× |
| Legionella antigen urine (87449) | $267.75 | $357 | 22.3× |
| Leukocyte Assessment Fecal (89055) | $66.75 | $89 | 15.6× |
| Lipase (83690) | $84 | $112 | 12.2× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$50.25–$81 | $67–$108 | varies |
| Lipoprotein Bld Quan Part (83704) | $197.25 | $263 | 5.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $234.75 | $313 | 5.1× |
| Lithium (80178) | $114 | $152 | 17.2× |
| Luteinizing Hormone (Lh) (83002) | $29.25 | $39 | 1.6× |
| Lyme disease antibody (86618) | $234 | $312 | 13.7× |
| Magnesium Urine (83735) | $51 | $68 | 7.6× |
| Mercury urine (83825) range across 2 matching MRF lines |
$207–$522.75 | $276–$697 | varies |
| Methylmalonic acid serum (83921) | $273.75 | $365 | 12.9× |
| Microalbumin, quantitative (82043) | $66.75 | $89 | 11.5× |
| Microsomal Antibodies Each (86376) | $166.50 | $222 | 11.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $389.25 | $519 | 2.1× |
| Mrsa Pcr (87641) | $278.25 | $371 | 7.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$123.75–$136.50 | $165–$182 | varies |
| Myoglobin urine (83874) | $224.25 | $299 | 17.4× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$147–$228 | $196–$304 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $459.75 | $613 | 6.4× |
| Niacin (84591) | $309 | $412 | 18.1× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$95.25–$308.25 | $127–$411 | varies |
| Occult blood feces (82272) range across 3 matching MRF lines |
$12–$36.75 | $16–$49 | varies |
| Osmolality serum (83930) | $142.50 | $190 | 21.6× |
| Osmolality Urine (83935) | $135 | $180 | 19.8× |
| Ova and parasites smears (87177) | $88.50 | $118 | 9.9× |
| Pancreatic Elastase Fecal (82656) | $316.50 | $422 | 27.5× |
| Particle Agglutination Screen Each Antibody (86403) | $24 | $32 | 2.1× |
| Ph urine (81003) | $42.75 | $57 | 19.0× |
| Phenobarbital Level (80184) | $102.75 | $137 | 6.7× |
| Phenytoin (Dilantin) (80185) | $96.75 | $129 | 7.3× |
| Phosphatase acid prostatic (84066) | $47.25 | $63 | 4.9× |
| Phosphatase alkaline (84075) | $37.50 | $50 | 7.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$58.50–$357 | $78–$476 | varies |
| Platelet count automated (85049) | $72 | $96 | 16.1× |
| Potassium Urine (84133) | $113.25 | $151 | 23.9× |
| Prealbumin (84134) range across 2 matching MRF lines |
$120.75–$124.50 | $161–$166 | varies |
| Progesterone (84144) | $33.75 | $45 | 1.6× |
| Prolactin (84146) | $228.75 | $305 | 11.8× |
| Protein body fluid (84157) | $84.75 | $113 | 21.2× |
| Protein Electrophoresis Urine (84166) | $132 | $176 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $160.50 | $214 | 14.9× |
| Protein total serum (84155) | $30 | $40 | 8.2× |
| Protein Total Urine (84156) | $110.25 | $147 | 30.0× |
| Pth Intact (83970) | $145.50 | $194 | 3.5× |
| Quantiferon tb gold plus (86480) | $338.25 | $451 | 5.5× |
| Quantitative Screen Metals (83018) | $184.50 | $246 | 8.4× |
| Rbc antibody screen (86850) | $84 | $112 | 8.6× |
| Resp virus 12-25 targets (87633) | $1,113 | $1,484 | 2.7× |
| Reticulocyte Count Manual (85044) | $33.75 | $45 | 7.8× |
| Rh (86901) | $47.25 | $63 | 15.8× |
| Rheumatoid Factor Qualitative (86430) | $58.50 | $78 | 9.5× |
| Rheumatoid factor quant (86431) | $27.75 | $37 | 4.9× |
| Rickettsia antibody (86757) | $198 | $264 | 10.2× |
| Rpr qualitative (86592) | $54.75 | $73 | 12.8× |
| Rsv Assay W/Optic (87807) | $42.75 | $57 | 3.3× |
| Rubella Antibody (86762) | $54 | $72 | 3.8× |
| Rubeola antibody (86765) | $174 | $232 | 13.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $159 | $212 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$103.50–$155.25 | $138–$207 | varies |
| Sedimentation rate (85651) | $58.50 | $78 | 13.7× |
| Sensitivity mic (87186) | $39 | $52 | 4.5× |
| Sex Hormone Binding Globulin (84270) | $181.50 | $242 | 8.4× |
| Skin Test Candida (86485) | $71.25 | $95 | 2.6× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$18.75–$67.50 | $25–$90 | varies |
| Smear acid fast (87206) | $87.75 | $117 | 16.3× |
| Smear gram stain (87205) | $15 | $20 | 3.5× |
| Smear Special Stain (87207) | $56.25 | $75 | 9.4× |
| Sodium Serum (84295) | $42.75 | $57 | 8.9× |
| Sodium Urine (84300) | $17.25 | $23 | 3.4× |
| Soluble Transferrin Receptor (84238) | $229.50 | $306 | 6.3× |
| Somatomedin (84305) | $252.75 | $337 | 11.9× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$56.25–$79.50 | $75–$106 | varies |
| Spectrophotometry (84311) | $66.75 | $89 | 8.2× |
| Stool cultr aerobic bact ea (87046) | $145.50 | $194 | 15.4× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$84–$84.75 | $112–$113 | varies |
| Sugars Single Qual (84376) | $133.50 | $178 | 24.3× |
| T3 Free (84481) | $102 | $136 | 6.0× |
| T3 reverse (84482) | $388.50 | $518 | 24.7× |
| T3 Total (84480) | $39.75 | $53 | 2.8× |
| T3 Uptake (84479) | $51 | $68 | 7.9× |
| T4 Free (84439) | $72 | $96 | 8.0× |
| T4 total (84436) | $82.50 | $110 | 12.0× |
| Tacrolimus (80197) | $283.50 | $378 | 20.6× |
| Testosterone total (84403) | $131.25 | $175 | 5.1× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$256.50–$385.50 | $342–$514 | varies |
| Theophylline (80198) | $92.25 | $123 | 6.5× |
| Thyroglobulin Antibody (86800) | $36 | $48 | 2.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $468 | $624 | 9.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $96.75 | $129 | 4.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $42.75 | $57 | 8.3× |
| Transferrin (84466) | $160.50 | $214 | 12.6× |
| Triglycerides (84478) | $47.25 | $63 | 8.2× |
| Troponin Quant (84484) | $114 | $152 | 9.1× |
| Urine Bacteria Culture (87088) | $32.25 | $43 | 4.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$33.75–$58.50 | $45–$78 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $42.75 | $57 | 13.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$36–$64.50 | $48–$86 | varies |
| Vancomycin (80202) | $289.50 | $386 | 21.4× |
| Varicella-zoster antibody (86787) | $325.50 | $434 | 25.3× |
| Viral Culture (87252) | $357.75 | $477 | 13.7× |
| Virus antibody nos (86790) | $49.50 | $66 | 3.8× |
| Virus inoculation, shell via (87254) | $148.50 | $198 | 7.6× |
| Vitamin A (84590) | $195 | $260 | 16.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$24.75–$80.25 | $33–$107 | varies |
| Vitamin B2 (Riboflavin) (84252) | $257.25 | $343 | 12.7× |
| Vitamin B6 (84207) | $321 | $428 | 11.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$57–$268.50 | $76–$358 | varies |
| Vitamin E (84446) | $85.50 | $114 | 6.0× |
| Vitamin K (84597) | $425.25 | $567 | 31.0× |
| West nile virus ab igm (86788) | $206.25 | $275 | 12.2× |
| West Nile Virus Antibody (86789) | $206.25 | $275 | 14.3× |
| Zika Virus Igm Antibody (86794) | $450.75 | $601 | 26.8× |
| Zinc (84630) | $237 | $316 | 20.8× |
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.