Lab & pathology prices at Ruby Valley Medical Center
Sheridan, MT · every code in this section with a posted price and a Medicare benchmark.
541 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$144–$765 | $160–$850 | varies |
| Acth (82024) | $75.60 | $84 | 2.0× |
| Actin smooth muscle antibody each (86015) | $74.70 | $83 | 6.2× |
| Acute hepatitis panel (80074) | $107.10 | $119 | 2.2× |
| Acylcarnitines Quant (82017) | $98.10 | $109 | 5.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $140.40 | $156 | 2.2× |
| Albumin serum (82040) | $51.30 | $57 | 10.4× |
| Aldolase (82085) | $12.60 | $14 | 1.3× |
| Aldosterone urine (82088) | $49.50 | $55 | 1.2× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$53.10–$112.50 | $59–$125 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $68.40 | $76 | 8.6× |
| Allergen specific ige (86003) range across 26 matching MRF lines |
$32.40–$169.20 | $36–$188 | varies |
| Allergen specific igg (86001) | $290.86 | $323.18 | 37.2× |
| Alpha-1-antitrypsin phenotype (82104) | $72.90 | $81 | 5.0× |
| Alpha-1-antitrypsin total (82103) | $72.90 | $81 | 5.4× |
| Alpha-Fetoprotein Serum (82105) | $66.60 | $74 | 4.0× |
| Alt (sgpt) (84460) | $56.70 | $63 | 10.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$65.70–$85.50 | $73–$95 | varies |
| Amino Acids Quant 2-5 (82136) | $117 | $130 | 6.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$62.10–$121.50 | $69–$135 | varies |
| Amylase urine (82150) | $99.90 | $111 | 15.4× |
| Ana Titer (86039) range across 2 matching MRF lines |
$61.20–$73.80 | $68–$82 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$148.50–$196.20 | $165–$218 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$108–$351 | $120–$390 | varies |
| Angiotensin converting enzyme csf (82164) | $18 | $20 | 1.2× |
| Antibody aspergillus (86606) | $121.50 | $135 | 8.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $83.92 | $93.25 | 6.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $108.90 | $121 | 7.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $67.50 | $75 | 4.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$37.80–$111.60 | $42–$124 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $36.90 | $41 | 2.0× |
| Antibody helicobacter pylori (86677) | $82.80 | $92 | 4.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $59.40 | $66 | 4.1× |
| Antibody Herpes Smplx Type 1 (86695) | $42.30 | $47 | 3.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $70.20 | $78 | 5.1× |
| Antibody HIV-2 (86702) | $168.30 | $187 | 12.4× |
| Antibody identification leukocyte antibodies (86021) | $130.50 | $145 | 8.7× |
| Antibody john cunningham virus (86711) | $187.20 | $208 | 11.1× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$62.10–$85.50 | $69–$95 | varies |
| Antibody; influenza virus (86710) | $74.70 | $83 | 5.5× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$61.20–$234 | $68–$260 | varies |
| Antistreptolysin o titer (86060) | $54.90 | $61 | 7.5× |
| Antithrombin iii activity (85300) | $63.90 | $71 | 5.4× |
| Antithrombin iii antigen (85301) | $82.80 | $92 | 7.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$72.90–$78.30 | $81–$87 | varies |
| Arsenic (82175) | $70.20 | $78 | 3.7× |
| Aspergillus ag eia (87305) | $148.50 | $165 | 12.4× |
| Assay Blood Carbon Dioxide (82374) | $45 | $50 | 9.2× |
| Assay Dir Meas Fr Estradiol (82681) | $50.40 | $56 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $34.20 | $38 | 2.5× |
| Assay of 5-hiaa (83497) | $26.10 | $29 | 2.0× |
| Assay of blood/uric acid (84550) | $61.20 | $68 | 13.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$53.10–$243 | $59–$270 | varies |
| Assay of cpk in blood (82552) | $112.50 | $125 | 8.4× |
| Assay of estrone (82679) | $91.80 | $102 | 3.7× |
| Assay of g6pd enzyme (82955) | $73.80 | $82 | 7.6× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$61.20–$72 | $68–$80 | varies |
| Assay of lactic acid (83605) | $128.70 | $143 | 11.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$67.50–$354.60 | $75–$394 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$103.50–$170.10 | $115–$189 | varies |
| Assay of prostate specific antigen complexed (84152) | $80.10 | $89 | 4.4× |
| Assay of serotonin (84260) | $267.30 | $297 | 8.6× |
| Assay of serum potassium (84132) | $56.70 | $63 | 11.9× |
| Assay of urea nitrogen (84520) | $52.20 | $58 | 13.2× |
| Assay of urine vma (84585) | $121.50 | $135 | 7.8× |
| Assay of vitamin b-1 (84425) | $40.50 | $45 | 1.9× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$45–$49.50 | $50–$55 | varies |
| Assay spec xcp ur&breath ia (82077) | $116.10 | $129 | 6.7× |
| Automated Leukocyte Count (85048) | $37.80 | $42 | 14.9× |
| B cells total count (86355) | $119.70 | $133 | 3.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$36.90–$85.50 | $41–$95 | varies |
| Beta hydroxybutyrate (82010) | $193.50 | $215 | 23.7× |
| Beta Lactamase (87185) | $46.80 | $52 | 9.9× |
| Beta-2 Microglobulin (82232) | $40.50 | $45 | 2.5× |
| Bile acids total (82239) | $135 | $150 | 7.9× |
| Bilirubin total (82247) | $54.90 | $61 | 10.9× |
| Biotinidase (82261) | $70.20 | $78 | 4.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $37.80 | $42 | 11.0× |
| Blastomyces antibody (86612) | $68.40 | $76 | 5.3× |
| Blood Count Manual Cell Count Each (85032) | $58.50 | $65 | 13.6× |
| Blood Count Red Blood Cell Automated (85041) | $48.60 | $54 | 16.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$11.70–$42.30 | $13–$47 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $45 | $50 | 11.8× |
| Blood gas (82803) | $263.70 | $293 | 10.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$65.70–$135 | $73–$150 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$29.70–$39.60 | $33–$44 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $77.40 | $86 | 12.2× |
| Blood typing serologic abo (86900) | $98.10 | $109 | 32.8× |
| Borrelia Antibody (86619) | $101.70 | $113 | 7.6× |
| Brucella antibody (86622) | $189.90 | $211 | 21.3× |
| C diff amplified probe (87493) | $181.80 | $202 | 4.9× |
| C-Peptide (84681) | $33.30 | $37 | 1.6× |
| C-reactive protein (86140) | $81.90 | $91 | 15.8× |
| Ca 19-9 (86301) | $35.10 | $39 | 1.7× |
| Cadmium (82300) | $75.60 | $84 | 3.2× |
| Calcitonin (82308) | $101.70 | $113 | 3.8× |
| Calcium ionized (82330) | $117.90 | $131 | 8.6× |
| Calcium total (82310) | $55.80 | $62 | 10.8× |
| Calculus Spectroscopy (82365) | $62.10 | $69 | 4.8× |
| Calprotectin Fecal (83993) | $354.60 | $394 | 18.1× |
| Calr gene com variants (81219) | $873 | $970 | 7.2× |
| Cancer Antigen 125 (86304) | $72 | $80 | 3.5× |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
$28.80–$84.60 | $32–$94 | varies |
| Candida Dna Dir Probe (87480) | $112.50 | $125 | 5.6× |
| Carbamazepine total (80156) | $63.90 | $71 | 4.4× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$72.90–$144 | $81–$160 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$70.20–$121.50 | $78–$135 | varies |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$37.80–$189 | $42–$210 | varies |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$68.40–$133.20 | $76–$148 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$62.10–$91.80 | $69–$102 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$74.70–$85.50 | $83–$95 | varies |
| Ceruloplasmin (82390) | $22.50 | $25 | 2.1× |
| Cftr gene com variants (81220) | $584.10 | $649 | 1.0× |
| Chemiluminescent assay (82397) | $181.80 | $202 | 12.9× |
| Chloride Serum (82435) | $49.50 | $55 | 10.8× |
| Chloride urine (82436) | $35.10 | $39 | 6.1× |
| Cholesterol total (82465) | $51.30 | $57 | 11.8× |
| Cholinesterase Serum (82480) | $112.50 | $125 | 14.3× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$64.80–$147.60 | $72–$164 | varies |
| Chromium serum (82495) | $94.50 | $105 | 4.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$84.60–$100.80 | $94–$112 | varies |
| Chromosome Analysis 15-20 (88262) | $618.30 | $687 | 4.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$90.90–$225 | $101–$250 | varies |
| Citric acid urine (82507) | $121.50 | $135 | 4.4× |
| Ckmb (82553) | $180 | $200 | 15.6× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$36.90–$108 | $41–$120 | varies |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$108.38–$335.70 | $120.42–$373 | varies |
| Coccidioides antibody (86635) | $72.90 | $81 | 6.4× |
| Cold agglutinin titer (86157) | $55.80 | $62 | 6.9× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$98.10–$144 | $109–$160 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$135–$149.40 | $150–$166 | varies |
| Compatibility Each Unit Incubation (86921) | $92.70 | $103 | 0.5× |
| Compatibility test antiglob (86922) | $170.10 | $189 | 1.0× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$61.20–$81 | $68–$90 | varies |
| Complement Total (Ch50) (86162) | $70.20 | $78 | 3.5× |
| Complement/Function Activity (86161) | $61.20 | $68 | 5.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $164.70 | $183 | 3.1× |
| Coombs direct (86880) | $144 | $160 | 26.7× |
| Copper urine (82525) range across 2 matching MRF lines |
$47.70–$72 | $53–$80 | varies |
| Cortisol free (82530) | $76.50 | $85 | 4.6× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$66.60–$189 | $74–$210 | varies |
| Creatine (82540) | $138.60 | $154 | 29.9× |
| Creatine kinase total (82550) | $86.40 | $96 | 13.3× |
| Creatinine blood (82565) | $58.50 | $65 | 11.4× |
| Creatinine clearance (82575) | $57.60 | $64 | 6.1× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$52.20–$63.90 | $58–$71 | varies |
| Crossmatch immediate spin (86920) | $150.30 | $167 | 0.9× |
| Crp High Sensitivity (86141) | $62.10 | $69 | 4.8× |
| Cryofibrinogen (82585) | $29.70 | $33 | 2.1× |
| Cryoglobulin (82595) | $63.90 | $71 | 9.9× |
| Cryptococcus ag titer (87899) | $78.30 | $87 | 4.9× |
| Cryptosporidium ag eia (87328) | $185.40 | $206 | 13.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $74.70 | $83 | 9.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $60.30 | $67 | 7.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $89.10 | $99 | 11.6× |
| Culture aerobic quant other (87071) | $127.80 | $142 | 12.9× |
| Culture afb (87116) | $88.20 | $98 | 8.2× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$57.60–$117 | $64–$130 | varies |
| Culture blood (87040) range across 4 matching MRF lines |
$58.50–$108 | $65–$120 | varies |
| Culture chlamydia (87110) | $72.90 | $81 | 3.7× |
| Culture csf (87070) range across 10 matching MRF lines |
$57.60–$162 | $64–$180 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$79.20–$99 | $88–$110 | varies |
| Culture fungus blood (87103) | $120.60 | $134 | 5.9× |
| Culture screen only (87081) range across 2 matching MRF lines |
$52.20–$75.60 | $58–$84 | varies |
| Culture stool (87045) | $63.90 | $71 | 6.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $61.20 | $68 | 11.8× |
| Culture urine (87086) | $52.20 | $58 | 6.5× |
| Cyclosporine (80158) | $151.20 | $168 | 8.4× |
| Cystatin C (82610) | $319.50 | $355 | 17.3× |
| Cytomegalovirus igg (86644) | $59.40 | $66 | 4.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$73.41–$155.70 | $81.57–$173 | varies |
| Cytopath Cell Enhance Tech (88112) | $139.50 | $155 | 2.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$82.14–$89.10 | $91.27–$99 | varies |
| Deoxyribonuclease antibody (86215) | $73.80 | $82 | 5.6× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$93.60–$593.10 | $104–$659 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$198–$567 | $220–$630 | varies |
| Detect agnt mult DNA ampli (87801) | $280.80 | $312 | 4.0× |
| Dgp Antibody Each Ig Class (86258) range across 5 matching MRF lines |
$63–$165.60 | $70–$184 | varies |
| Dhea (82626) | $81 | $90 | 3.2× |
| Dhea-S (82627) | $59.40 | $66 | 2.7× |
| Digoxin (80162) | $129.60 | $144 | 9.8× |
| Dihydrotestosterone (82642) | $212.40 | $236 | 7.3× |
| Dna Antibody Native/Double Stranded (86225) | $63 | $70 | 4.6× |
| Dna/Rna Amplified Probe (87150) | $1,010.70 | $1,123 | 28.8× |
| Dna/Rna Sequencing (87153) | $282.60 | $314 | 2.4× |
| Drug assay acetaminophen (80143) | $156.60 | $174 | 8.4× |
| Drug Assay Everolimus (80169) | $313.20 | $348 | 22.8× |
| Drug Assay Infliximab (80230) | $334.80 | $372 | 8.7× |
| Drug Assay Lacosamide (80235) | $250.20 | $278 | 9.2× |
| Drug Screen Quant Clozapine (80159) | $82.80 | $92 | 4.1× |
| Drug Screen Quantitative Gabapentin (80171) | $98.10 | $109 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $82.80 | $92 | 6.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $82.80 | $92 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $47.70 | $53 | 3.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $59.40 | $66 | 4.7× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$178.20–$189 | $198–$210 | varies |
| El-1 Fecal Quantitative (82653) | $217.80 | $242 | 9.5× |
| Electrolyte panel (80051) | $94.50 | $105 | 13.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $71.10 | $79 | 5.9× |
| Enterovirus Antibody (86658) | $6.38 | $7.09 | 0.5× |
| Enzyme cell activity (82657) | $231.30 | $257 | 10.4× |
| Erythropoietin (82668) | $28.80 | $32 | 1.5× |
| Estradiol serum (82670) | $81.90 | $91 | 2.9× |
| Estriol (82677) | $66.60 | $74 | 2.8× |
| Estrogen total (82672) | $89.10 | $99 | 4.1× |
| Estrogens fractionated (82671) range across 3 matching MRF lines |
$65.70–$108 | $73–$120 | varies |
| Ethosuximide (80168) | $117 | $130 | 7.2× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$54–$85.50 | $60–$95 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$136.80–$243 | $152–$270 | varies |
| Factor ix activity (85250) | $177.30 | $197 | 9.3× |
| Factor v activity (85220) | $177.30 | $197 | 10.0× |
| Factor v leiden mutation (81241) | $233.10 | $259 | 3.2× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$85.50–$177.30 | $95–$197 | varies |
| Fat/Lipids Feces Quantitative (82710) | $65.70 | $73 | 3.9× |
| Fecal Fat Qualitative (82705) | $44.10 | $49 | 8.6× |
| Ferritin (82728) | $52.20 | $58 | 3.8× |
| Fibrin Degradation Quant (85379) | $156.60 | $174 | 15.4× |
| Fibrinogen activity (85384) | $62.10 | $69 | 6.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$64.80–$225 | $72–$250 | varies |
| Flow cytometry first marker (88184) | $307.80 | $342 | 0.8× |
| Fluorescent antibody screen (86255) | $121.50 | $135 | 10.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $134.10 | $149 | 11.1× |
| Folic Acid Serum (82746) | $18.90 | $21 | 1.3× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$69.30–$117 | $77–$130 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$93.60–$108 | $104–$120 | varies |
| Fungi Identification Yeast (87106) | $61.20 | $68 | 5.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $28.80 | $32 | 1.4× |
| Gammaglobulin ige (82785) | $48.60 | $54 | 3.0× |
| Gardner vag DNA dir probe (87510) | $112.50 | $125 | 5.6× |
| Gastrin (82941) | $127.80 | $142 | 7.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$712.80–$926.10 | $792–$1,029 | varies |
| Gentamicin (80170) | $177.30 | $197 | 10.8× |
| Ggt (82977) | $49.50 | $55 | 6.9× |
| Giardia antigen (87329) | $68.40 | $76 | 5.7× |
| Giardia lamblia antibody (86674) | $92.70 | $103 | 6.3× |
| Glucagon (82943) | $82.80 | $92 | 5.8× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$49.50–$51.30 | $55–$57 | varies |
| Glucose body fluid (82945) | $50.40 | $56 | 12.8× |
| Glucose Serum (82947) | $49.50 | $55 | 12.6× |
| Glucose tolerance test (gtt) (82951) | $121.50 | $135 | 9.4× |
| Glutathione (82978) | $129.60 | $144 | 8.4× |
| Gonadotropin Chorionic Qualitative (84703) | $81.90 | $91 | 10.9× |
| Growth hormone (83003) range across 3 matching MRF lines |
$72–$225 | $80–$250 | varies |
| Gtt-added samples (82952) | $35.10 | $39 | 9.0× |
| H Pylori (C-13) Breath (83013) | $212.40 | $236 | 3.2× |
| H Pylori Drug Admin (83014) | $39.60 | $44 | 5.0× |
| Haptoglobin (83010) | $61.20 | $68 | 4.9× |
| Hdl Cholesterol (83718) | $69.30 | $77 | 8.5× |
| Helicobacter Pylori Stool (87338) | $153.90 | $171 | 10.7× |
| Hemagglutination Inhibition (86280) | $46.80 | $52 | 5.7× |
| Hematocrit (85014) | $39.60 | $44 | 16.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$38.70–$39.60 | $43–$44 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$54–$94.50 | $60–$105 | varies |
| Hemoglobin Chromotography (83021) | $187.20 | $208 | 10.4× |
| Hemoglobin electrophoresis (83020) | $62.10 | $69 | 4.8× |
| Hep a ab igm (86709) | $59.40 | $66 | 5.3× |
| Hepatitis a antibody total (86708) | $61.20 | $68 | 4.9× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$60.30–$76.50 | $67–$85 | varies |
| Hepatitis b core ab total (86704) | $61.20 | $68 | 5.1× |
| Hepatitis B Surface Antibody (86706) | $56.70 | $63 | 5.3× |
| Hepatitis B Surface Antigen (87340) | $57.60 | $64 | 5.6× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$63.90–$269.10 | $71–$299 | varies |
| Hepatitis C Genotype (87902) | $495.90 | $551 | 1.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $305.10 | $339 | 7.1× |
| Herpes simplex type 2 (86696) | $60.30 | $67 | 3.1× |
| Heterophile Antibody Screen (86308) | $81 | $90 | 15.6× |
| Hfe Gene (81256) | $202.50 | $225 | 3.1× |
| Histamine urine (83088) | $272.70 | $303 | 9.2× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$68.40–$104.40 | $76–$116 | varies |
| Hiv Genotype (87901) | $693 | $770 | 2.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $75.60 | $84 | 3.1× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$85.50–$87.30 | $95–$97 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,038.60 | $1,154 | 12.2× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $346.50 | $385 | 2.0× |
| Hla class ii typing high resolution one locus ea (81382) | $373.50 | $415 | 3.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $71.10 | $79 | 1.0× |
| Hla ii type 1 ag equiv lr (81377) | $422.10 | $469 | 4.5× |
| Hla ii typing 1 allele hr (81383) | $422.10 | $469 | 3.9× |
| Hla ii typing 1 locus lr (81376) | $236.70 | $263 | 1.9× |
| Homocysteine (83090) | $82.80 | $92 | 4.6× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$111.60–$122.40 | $124–$136 | varies |
| Hpv Types 16 & 18 Only (87625) | $122.40 | $136 | 3.0× |
| Hsv Dna Amp Probe (87529) | $389.70 | $433 | 11.1× |
| Human Epididymis Protein 4 (86305) | $189 | $210 | 9.1× |
| Hydroxyprogesterone 17-d (83498) | $117.90 | $131 | 4.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $139.50 | $155 | 3.9× |
| Iaad ia shiga-like toxin (87427) | $22.50 | $25 | 1.9× |
| Iaad Ia Streptococcus Group A (87430) range across 3 matching MRF lines |
$44.10–$108.90 | $49–$121 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $63 | $70 | 5.3× |
| Iaadi herpes smplx virus type 1 (87274) | $72 | $80 | 6.0× |
| Iaadi herpes smplx virus type 2 (87273) | $72 | $80 | 6.0× |
| Iaadi respiratory synctial virus (87280) | $83.70 | $93 | 6.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $104.40 | $116 | 3.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $78.30 | $87 | 2.2× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$82.80–$183.60 | $92–$204 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $108 | $120 | 2.5× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $72 | $80 | 2.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $242.10 | $269 | 5.8× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $74.70 | $83 | 2.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $86.40 | $96 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$90.90–$270 | $101–$300 | varies |
| Ig Light Chains Free Each (83521) | $97.20 | $108 | 5.6× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$34.20–$55.80 | $38–$62 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $522 | $580 | 1.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$170.10–$324.90 | $189–$361 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$182.70–$207 | $203–$230 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $72.90 | $81 | 4.9× |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$70.20–$121.50 | $78–$135 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $185.40 | $206 | 8.0× |
| Immunofixation electrophoresis (86334) | $74.70 | $83 | 3.3× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$94.50–$187.20 | $105–$208 | varies |
| Influenza a/b ag eia (87400) | $93.60 | $104 | 6.6× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$108–$143.10 | $120–$159 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$225–$229.50 | $250–$255 | varies |
| Inhibin A (86336) | $261.90 | $291 | 16.8× |
| Inhibin b (83520) range across 8 matching MRF lines |
$86.26–$236.70 | $95.85–$263 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$87.08–$126 | $96.75–$140 | varies |
| Insulin free (83527) | $37.80 | $42 | 2.9× |
| Insulin total (83525) | $15.30 | $17 | 1.3× |
| Intrinsic factor antibody (86340) | $86.40 | $96 | 5.7× |
| Iron (83540) | $50.40 | $56 | 7.8× |
| Iron Binding Capacity (83550) | $52.20 | $58 | 6.0× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$108–$630 | $120–$700 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$472.50–$630 | $525–$700 | varies |
| Koh Prep (87220) | $52.20 | $58 | 12.2× |
| Lactate (ld) (ldh) enzyme (83615) | $53.10 | $59 | 8.8× |
| Lactoferrin fecal qualitative (83630) | $102.60 | $114 | 5.2× |
| Lactoferrin Fecal Quantitative (83631) | $236.70 | $263 | 12.1× |
| Ldh Isoenzymes (83625) | $48.60 | $54 | 3.8× |
| LDL direct (83721) | $57.60 | $64 | 5.5× |
| Lead (83655) | $59.40 | $66 | 4.9× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$63–$189 | $70–$210 | varies |
| Leptospira antibody (86720) | $176.49 | $196.10 | 10.9× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$55.80–$58.50 | $62–$65 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $68.62 | $76.25 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $93.90 | $104.33 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $199.04 | $221.15 | 0.5× |
| Lipase (83690) | $111.60 | $124 | 16.2× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$62.10–$144 | $69–$160 | varies |
| Lipoprotein Bld Quan Part (83704) | $106.20 | $118 | 3.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $55.80 | $62 | 1.6× |
| Lithium (80178) | $54 | $60 | 8.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $354.60 | $394 | 2.0× |
| Luteinizing Hormone (Lh) (83002) | $69.30 | $77 | 3.7× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$68.40–$154.80 | $76–$172 | varies |
| Lysozyme serum (85549) | $81.90 | $91 | 4.4× |
| Macroscopic exam arthropod (87168) | $50.40 | $56 | 11.8× |
| Macroscopic Exam Parasite (87169) | $50.40 | $56 | 11.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$85.50–$106.20 | $95–$118 | varies |
| Mass Spectrometry Quant (83789) | $121.50 | $135 | 5.0× |
| Mercury urine (83825) range across 2 matching MRF lines |
$70.20–$88.20 | $78–$98 | varies |
| Metabolic panel ionized ca (80047) | $192.60 | $214 | 14.0× |
| Methylmalonic acid serum (83921) | $117.90 | $131 | 5.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$69.30–$78.30 | $77–$87 | varies |
| Microbe Suscept Macrobroth (87188) | $68.40 | $76 | 10.3× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$38.70–$63.90 | $43–$71 | varies |
| Mitochondrial Antibody Each (86381) | $23.40 | $26 | 0.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $720 | $800 | 33.6× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$773.17–$1,350 | $859.08–$1,500 | varies |
| Mononuclear cell antigen (86356) | $272.70 | $303 | 10.2× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$252–$316.80 | $280–$352 | varies |
| Mopath procedure level 7 (81406) | $1,367.09 | $1,518.99 | 4.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $855 | $950 | 4.6× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$165.60–$175.50 | $184–$195 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $197.10 | $219 | 3.0× |
| Mucin Clot Body Fluid (83872) | $36 | $40 | 6.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$62.10–$75.60 | $69–$84 | varies |
| Muscle-Specific Kinase Antb (86366) | $121.50 | $135 | 6.6× |
| Mycophenolic Acid (80180) | $232.20 | $258 | 12.9× |
| Myoglobin urine (83874) | $71.10 | $79 | 5.5× |
| Natriuretic peptide (83880) | $306.90 | $341 | 7.8× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$157.50–$187.20 | $175–$208 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $414 | $460 | 1.6× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $414 | $460 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$354.60–$382.50 | $394–$425 | varies |
| Niacin (84591) | $165.60 | $184 | 9.7× |
| Nickel level (83885) | $74.70 | $83 | 3.0× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$144–$272.70 | $160–$303 | varies |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$73.80–$351 | $82–$390 | varies |
| Occult blood feces (82272) | $42.30 | $47 | 10.0× |
| Occult Blood Other Sources (82271) | $48.60 | $54 | 9.1× |
| Osmolality serum (83930) | $54 | $60 | 8.2× |
| Osmolality Urine (83935) | $54 | $60 | 7.9× |
| Ova and parasites smears (87177) | $62.10 | $69 | 7.0× |
| Oxalate urine (83945) | $63.90 | $71 | 4.4× |
| Particle Agglutination Screen Each Antibody (86403) | $61.20 | $68 | 5.3× |
| Parvovirus antibody (86747) | $82.80 | $92 | 5.5× |
| Ph urine (81003) range across 4 matching MRF lines |
$14.40–$34.20 | $16–$38 | varies |
| Phenobarbital Level (80184) | $60.30 | $67 | 3.9× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$45.90–$142.20 | $51–$158 | varies |
| Phenytoin (Dilantin) (80185) | $62.10 | $69 | 4.7× |
| Phenytoin free (80186) | $90.70 | $100.78 | 6.6× |
| Phosphatase acid prostatic (84066) | $42.30 | $47 | 4.4× |
| Phosphatase alkaline (84075) | $52.20 | $58 | 10.1× |
| Phosphorus Serum (84100) | $59.40 | $66 | 12.5× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$52.20–$63 | $58–$70 | varies |
| Pinworm exam (87172) | $42.30 | $47 | 9.9× |
| Platelet Aggregation (85576) | $117 | $130 | 4.7× |
| Platelet count automated (85049) | $61.20 | $68 | 13.7× |
| Porphobilinogen, urine; quantitative (84110) | $87.08 | $96.75 | 10.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $117 | $130 | 8.0× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$50.40–$59.40 | $56–$66 | varies |
| Prealbumin (84134) | $63.90 | $71 | 4.4× |
| Pregnenolone (84140) | $161.10 | $179 | 7.8× |
| Primidone (80188) | $150.30 | $167 | 9.1× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$230.40–$504.90 | $256–$561 | varies |
| Progesterone (84144) | $81 | $90 | 3.9× |
| Prolactin (84146) | $70.20 | $78 | 3.6× |
| Prostaglandin (84150) range across 2 matching MRF lines |
$127.80–$271.80 | $142–$302 | varies |
| Protein body fluid (84157) | $49.50 | $55 | 12.4× |
| Protein C Activity (85303) | $71.10 | $79 | 5.1× |
| Protein Electrophoresis Urine (84166) | $121.50 | $135 | 6.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$59.40–$94.50 | $66–$105 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$86.40–$112.50 | $96–$125 | varies |
| Protein s total (85305) | $86.40 | $96 | 7.4× |
| Protein total serum (84155) | $45 | $50 | 12.3× |
| Protein Total Urine (84156) | $49.50 | $55 | 13.5× |
| Protoporphyrin rbc quantitative (84202) | $88.20 | $98 | 6.1× |
| PSA free (84154) | $28.80 | $32 | 1.6× |
| Pth Intact (83970) | $99 | $110 | 2.4× |
| Q Fever Antibody (86638) | $89.10 | $99 | 7.4× |
| Quantiferon tb gold plus (86480) | $126 | $140 | 2.0× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$146.70–$359.10 | $163–$399 | varies |
| Quantitative Screen Metals (83018) | $201.60 | $224 | 9.2× |
| Rbc antibody elution (86860) | $144 | $160 | 0.8× |
| Rbc antibody identification (86870) | $168.30 | $187 | 0.5× |
| Rbc antibody screen (86850) | $132.30 | $147 | 13.5× |
| Reagent Strip/Blood Glucose (82948) range across 4 matching MRF lines |
$23.40–$26.10 | $26–$29 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $163.80 | $182 | 2.3× |
| Renin activity plasma (84244) | $61.20 | $68 | 2.8× |
| Resp virus 12-25 targets (87633) | $665.10 | $739 | 1.6× |
| Reticulocyte Count Manual (85044) | $42.30 | $47 | 9.8× |
| Rh (86901) | $76.50 | $85 | 25.6× |
| Rheumatoid factor quant (86431) | $54 | $60 | 9.5× |
| Rickettsia antibody (86757) | $107.10 | $119 | 5.5× |
| Ristocetin cofactor (85245) | $142.20 | $158 | 6.2× |
| Rotavirus ag eia (87425) | $119.70 | $133 | 10.0× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$99–$99.90 | $110–$111 | varies |
| Rsv Assay W/Optic (87807) | $112.50 | $125 | 8.6× |
| Rubella Antibody (86762) | $59.40 | $66 | 4.1× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$62.10–$85.50 | $69–$95 | varies |
| Russell Viper Venom Time Diluted (85613) | $71.10 | $79 | 7.4× |
| Russell Viper Venon Time Undiluted (85612) | $57.60 | $64 | 3.3× |
| Salicylate Level (80179) | $156.60 | $174 | 8.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$99.90–$193.50 | $111–$215 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $99.90 | $111 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $238.50 | $265 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $496.80 | $552 | 3.5× |
| Sedimentation Rate, Automated (85652) | $52.20 | $58 | 19.3× |
| Selenium (84255) | $162 | $180 | 6.3× |
| Semen Anal Sperm Detection (89321) | $76.50 | $85 | 6.3× |
| Sensitivity mic (87186) | $56.70 | $63 | 6.6× |
| Sex Hormone Binding Globulin (84270) | $71.10 | $79 | 3.3× |
| Sickling of rbc reduction (85660) | $64.80 | $72 | 11.8× |
| Sirolimus (80195) | $142.20 | $158 | 10.4× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$34.20–$50.40 | $38–$56 | varies |
| Smear acid fast (87206) | $52.20 | $58 | 9.7× |
| Smear complex stain (87209) | $84.60 | $94 | 4.7× |
| Smear gram stain (87205) | $50.40 | $56 | 11.8× |
| Smear Special Stain (87207) | $71.10 | $79 | 11.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $70.20 | $78 | 12.1× |
| Sodium Serum (84295) | $47.70 | $53 | 9.9× |
| Sodium Urine (84300) | $51.30 | $57 | 10.1× |
| Soluble Transferrin Receptor (84238) | $157.50 | $175 | 4.3× |
| Somatomedin (84305) | $106.20 | $118 | 5.0× |
| Somatostatin (84307) | $237.60 | $264 | 13.0× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$108–$269.10 | $120–$299 | varies |
| Specimen infect agnt concntj (87015) | $82.80 | $92 | 12.4× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$63.90–$135 | $71–$150 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$81–$99.90 | $90–$111 | varies |
| Strep a DNA amp probe (87651) | $117 | $130 | 3.3× |
| Sulfate urine (84392) | $121.50 | $135 | 22.1× |
| Surg path level iii (88304) | $95.58 | $106.20 | 1.8× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$114.11–$182.70 | $126.79–$203 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $51.30 | $57 | 6.9× |
| Syphilis Test Non-Trep Quant (86593) | $51.30 | $57 | 11.7× |
| T cells absolute cd4 count (86361) | $95.40 | $106 | 3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $117.90 | $131 | 2.5× |
| T cells total count (86359) range across 2 matching MRF lines |
$111.60–$112.50 | $124–$125 | varies |
| T3 Free (84481) | $28.80 | $32 | 1.7× |
| T3 reverse (84482) | $464.40 | $516 | 29.5× |
| T3 Total (84480) range across 2 matching MRF lines |
$63.90–$117 | $71–$130 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$53.10–$73.80 | $59–$82 | varies |
| T4 Free (84439) | $112.50 | $125 | 12.5× |
| T4 total (84436) | $54 | $60 | 7.9× |
| T4-neonatal (84437) | $27.90 | $31 | 4.3× |
| Tacrolimus (80197) | $142.20 | $158 | 10.4× |
| Test for acetone/ketones (82009) | $82.80 | $92 | 18.3× |
| Testosterone Bioavailable (84410) | $108 | $120 | 2.1× |
| Testosterone total (84403) | $79.20 | $88 | 3.1× |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$14.40–$108 | $16–$120 | varies |
| Theophylline (80198) | $93.60 | $104 | 6.6× |
| Thrombin Time (85670) | $52.20 | $58 | 9.0× |
| Thromboplastin Inhibition Tissue (85705) | $90 | $100 | 9.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $93.60 | $104 | 14.5× |
| Thyroglobulin (84432) | $64.80 | $72 | 4.0× |
| Thyroglobulin Antibody (86800) | $65.70 | $73 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$111.60–$309.60 | $124–$344 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$71.10–$154.80 | $79–$172 | varies |
| Tissue culture bone marrow (88237) | $495 | $550 | 3.4× |
| Tissue Culture Lymphocyte (88230) | $495.90 | $551 | 4.3× |
| Tobramycin peak (80200) | $100.80 | $112 | 6.2× |
| Topiramate (80201) | $117.90 | $131 | 9.9× |
| Toxoplasma ab igm (86778) | $91.80 | $102 | 6.4× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$90–$93.60 | $100–$104 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $58.50 | $65 | 11.3× |
| Transferrin (84466) | $81.90 | $91 | 6.4× |
| Trichomonas vagin dir probe (87660) | $112.50 | $125 | 5.6× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$125.10–$282.60 | $139–$314 | varies |
| Triglycerides (84478) | $68.40 | $76 | 11.9× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$108–$174.60 | $120–$194 | varies |
| Urea nitrogen urine (84540) | $51.30 | $57 | 9.2× |
| Uric acid other source (84560) | $51.30 | $57 | 10.1× |
| Urinalysis Microscopic Only (81015) | $32.40 | $36 | 10.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $19.80 | $22 | 9.1× |
| Urinalysis Volume Measure (81050) | $27 | $30 | 7.4× |
| Urine Bacteria Culture (87088) | $45 | $50 | 5.6× |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$77.40–$92.70 | $86–$103 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $62.10 | $69 | 19.6× |
| Valproic acid (80164) | $63 | $70 | 4.7× |
| Vancomycin (80202) range across 3 matching MRF lines |
$131.40–$163.80 | $146–$182 | varies |
| Varicella-zoster antibody (86787) | $62.10 | $69 | 4.8× |
| Viral Culture (87252) | $140.40 | $156 | 5.4× |
| Virus antibody nos (86790) | $190.80 | $212 | 14.8× |
| Virus inoculation, shell via (87254) | $456.30 | $507 | 23.3× |
| Viscosity serum (85810) | $60.30 | $67 | 5.2× |
| Vit D 1 25-Dihydroxy (82652) | $80.10 | $89 | 2.1× |
| Vitamin A (84590) | $60.30 | $67 | 5.2× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$53.10–$135 | $59–$150 | varies |
| Vitamin B2 (Riboflavin) (84252) | $144 | $160 | 7.1× |
| Vitamin B6 (84207) | $100.80 | $112 | 3.6× |
| Vitamin c (82180) range across 2 matching MRF lines |
$47.70–$94.50 | $53–$105 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$54–$166.50 | $60–$185 | varies |
| Vitamin E (84446) | $63.90 | $71 | 4.5× |
| Vitamin K (84597) | $260.10 | $289 | 19.0× |
| Von willebrand factor ag (85246) | $177.30 | $197 | 7.7× |
| Wbc Alkaline Phosphatase Count (85540) | $54.90 | $61 | 6.4× |
| West nile virus ab igm (86788) | $61.20 | $68 | 3.6× |
| West Nile Virus Antibody (86789) | $63 | $70 | 4.4× |
| Western Blot Test (84181) | $234 | $260 | 13.7× |
| Zinc (84630) range across 2 matching MRF lines |
$40.50–$218.70 | $45–$243 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.