Lab & pathology prices at Sabine Medical Center
Many, LA · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $11.10 | $37 | 1.0× |
| Acth (82024) | $122.40 | $408 | 3.2× |
| Acylcarnitines Quant (82017) | $16.80 | $56 | 1.0× |
| Albumin serum (82040) | $13.80 | $46 | 2.8× |
| Aldolase (82085) | $23.10 | $77 | 2.4× |
| Aldosterone urine (82088) | $57 | $190 | 1.4× |
| Allergen specific ige (86003) | $16.50 | $55 | 3.2× |
| Alpha-1-antitrypsin total (82103) | $21 | $70 | 1.6× |
| Alpha-Fetoprotein Serum (82105) | $80.40 | $268 | 4.8× |
| Alt (sgpt) (84460) | $16.80 | $56 | 3.2× |
| Ammonia (82140) | $50.10 | $167 | 3.4× |
| Amylase urine (82150) | $30.60 | $102 | 4.7× |
| Angiotensin converting enzyme csf (82164) | $46.80 | $156 | 3.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114.30 | $381 | 7.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $66 | $220 | 4.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $26.40 | $88 | 2.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72.30 | $241 | 5.0× |
| Antibody identification leukocyte antibodies (86021) | $60 | $200 | 4.0× |
| Antibody Treponema Pallidum (86780) | $24.90 | $83 | 1.9× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$66.60–$99 | $222–$330 | varies |
| Antistreptolysin O Screen (86063) | $16.80 | $56 | 2.9× |
| Arsenic (82175) | $46.80 | $156 | 2.5× |
| Assay Nephelometry Not Spec (83883) | $71.10 | $237 | 5.2× |
| Assay of 5-hiaa (83497) | $131.10 | $437 | 10.2× |
| Assay of blood/uric acid (84550) | $9 | $30 | 2.0× |
| Assay of calcium in urine (82340) | $25.80 | $86 | 4.3× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$41.70–$42.60 | $139–$142 | varies |
| Assay of lactic acid (83605) | $18.30 | $61 | 1.6× |
| Assay of metanephrines (83835) | $39.60 | $132 | 2.3× |
| Assay of proinsulin (84206) | $33.30 | $111 | 1.2× |
| Assay of serotonin (84260) | $36 | $120 | 1.2× |
| Assay of serum potassium (84132) | $14.10 | $47 | 3.0× |
| Assay of urea nitrogen (84520) | $13.80 | $46 | 3.5× |
| Assay of urine vma (84585) | $24.90 | $83 | 1.6× |
| Assay of vitamin b-1 (84425) | $33.60 | $112 | 1.6× |
| Assay Ph Body Fluid Nos (83986) | $6.60 | $22 | 1.8× |
| B cells total count (86355) | $37.50 | $125 | 1.0× |
| Bartonella antibody (86611) | $50.70 | $169 | 5.0× |
| Beta-2 Microglobulin (82232) | $27 | $90 | 1.7× |
| Bilirubin direct (82248) | $20.40 | $68 | 4.1× |
| Bilirubin total (82247) | $13.80 | $46 | 2.7× |
| Bleeding time test (85002) | $21.90 | $73 | 4.5× |
| Blood count reticulocyte automated (85045) | $21.60 | $72 | 5.4× |
| Blood gas (82803) | $33 | $110 | 1.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $33 | $110 | 5.2× |
| Blood typing serologic abo (86900) | $22.20 | $74 | 7.4× |
| Bordetella antibody (86615) | $13.20 | $44 | 1.0× |
| Brca1&2 gen full seq dup/del (81162) | $990 | $3,300 | 0.5× |
| C-Peptide (84681) | $23.40 | $78 | 1.1× |
| C-reactive protein (86140) | $41.70 | $139 | 8.1× |
| Calcitonin (82308) | $95.40 | $318 | 3.6× |
| Calcium ionized (82330) | $25.80 | $86 | 1.9× |
| Calcium total (82310) | $15 | $50 | 2.9× |
| Calprotectin Fecal (83993) | $171.60 | $572 | 8.7× |
| Cancer Antigen 125 (86304) | $72.30 | $241 | 3.5× |
| Carbamazepine total (80156) | $31.50 | $105 | 2.2× |
| Carboxyhemoglobin (82375) | $142.50 | $475 | 11.6× |
| Carcinoembryonic antigen (82378) | $97.80 | $326 | 5.2× |
| Cardiolipin ab iga (86147) | $213.90 | $713 | 8.4× |
| Carnitine Quantitative Each Specimen (82379) | $18.30 | $61 | 1.1× |
| Catecholamines fractionated (82384) | $33 | $110 | 1.3× |
| Ccp antibody (86200) | $33.90 | $113 | 2.6× |
| Ceruloplasmin (82390) | $33.90 | $113 | 3.2× |
| Cftr gene com variants (81220) | $551.10 | $1,837 | 1.0× |
| Chemiluminescent assay (82397) | $114.90 | $383 | 8.1× |
| Cholesterol total (82465) | $18.90 | $63 | 4.3× |
| Chorionic gonadotropin test (84702) | $69.30 | $231 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $44.10 | $147 | 1.3× |
| Citric acid urine (82507) | $16.80 | $56 | 0.6× |
| Ckmb (82553) | $26.40 | $88 | 2.3× |
| Clostridium Difficile (87324) | $24.90 | $83 | 2.1× |
| Compatibility test antiglob (86922) | $89.40 | $298 | 0.6× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$33–$62.10 | $110–$207 | varies |
| Complement Total (Ch50) (86162) | $41.40 | $138 | 2.0× |
| Coombs direct (86880) | $22.20 | $74 | 4.1× |
| Copper urine (82525) | $27.60 | $92 | 2.2× |
| Cortisol free (82530) | $69.30 | $231 | 4.1× |
| Cortisol saliva (82533) | $29.10 | $97 | 1.8× |
| Creatine (82540) | $25.80 | $86 | 5.6× |
| Creatine kinase total (82550) | $25.80 | $86 | 4.0× |
| Creatinine blood (82565) | $26.10 | $87 | 5.1× |
| Creatinine clearance (82575) | $26.70 | $89 | 2.8× |
| Creatinine Urine (82570) | $42.60 | $142 | 8.2× |
| Crossmatch immediate spin (86920) | $21.90 | $73 | 0.1× |
| Crp High Sensitivity (86141) | $41.70 | $139 | 3.2× |
| Cryptosporidium ag eia (87328) | $25.80 | $86 | 1.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$9.90–$33 | $33–$110 | varies |
| Culture Anaerobic (87075) | $59.10 | $197 | 6.2× |
| Culture blood (87040) | $29.10 | $97 | 2.8× |
| Culture csf (87070) range across 7 matching MRF lines |
$15.90–$29.10 | $53–$97 | varies |
| Culture screen only (87081) | $48 | $160 | 7.2× |
| Culture urine (87086) | $19.80 | $66 | 2.5× |
| Cyp2c19 gene analysis common variants (81225) | $297 | $990 | 1.0× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$49.50–$66 | $165–$220 | varies |
| Detect agnt mult DNA ampli (87801) | $50.40 | $168 | 0.7× |
| Dgp Antibody Each Ig Class (86258) | $11.40 | $38 | 0.9× |
| Dhea-S (82627) | $24.90 | $83 | 1.1× |
| Digoxin (80162) | $57.90 | $193 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) | $19.80 | $66 | 1.4× |
| Drug assay adalimumab (80145) | $39.60 | $132 | 1.0× |
| Drug Assay Infliximab (80230) | $39.60 | $132 | 1.0× |
| Drug Assay Lacosamide (80235) | $26.70 | $89 | 1.0× |
| Drug Screen Quantitative Gabapentin (80171) | $21.60 | $72 | 1.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $20.40 | $68 | 1.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $46.80 | $156 | 3.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $45.30 | $151 | 3.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$24.90–$91.80 | $83–$306 | varies |
| Electrolyte panel (80051) | $60 | $200 | 8.6× |
| Erythropoietin (82668) | $33.60 | $112 | 1.8× |
| Estradiol serum (82670) | $67.80 | $226 | 2.4× |
| Estrogen total (82672) | $29.70 | $99 | 1.4× |
| Exam Synovial Fluid Crystals (89060) | $43.50 | $145 | 5.9× |
| Factor ii activity (85210) | $12.90 | $43 | 1.0× |
| Factor ix activity (85250) | $19.80 | $66 | 1.0× |
| Factor v activity (85220) | $76.50 | $255 | 4.3× |
| Factor v leiden mutation (81241) | $34.20 | $114 | 0.5× |
| Factor vii assay (85230) | $41.40 | $138 | 2.3× |
| Factor viii assay (85240) | $41.40 | $138 | 2.3× |
| Factor X (85260) | $17.70 | $59 | 1.0× |
| Factor xi activity (85270) | $41.40 | $138 | 2.3× |
| Ferritin (82728) | $26.40 | $88 | 1.9× |
| Fibrin Degradation Quant (85379) | $21 | $70 | 2.1× |
| Flow cytometry first marker (88184) | $99 | $330 | 0.3× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$36–$59.10 | $120–$197 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$42.90–$50.70 | $143–$169 | varies |
| Folic Acid Serum (82746) | $26.40 | $88 | 1.8× |
| Follicle Stimulating Hormone (83001) | $31.50 | $105 | 1.7× |
| Gammaglobulin ige (82785) | $29.10 | $97 | 1.8× |
| Gardner Vag Dna Quant (87512) | $66 | $220 | 1.6× |
| Gastrin (82941) | $24 | $80 | 1.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $500.25 | $1,667.50 | 1.2× |
| Gentamicin (80170) | $52.20 | $174 | 3.2× |
| Ggt (82977) | $6.90 | $23 | 1.0× |
| Giardia antigen (87329) | $16.50 | $55 | 1.4× |
| Glucose Blood Test (82962) | $8.40 | $28 | 2.6× |
| Glucose Serum (82947) | $19.80 | $66 | 5.0× |
| Glucose tolerance test (gtt) (82951) | $31.50 | $105 | 2.4× |
| Glycated Protein (82985) | $15.90 | $53 | 0.9× |
| Gonadotropin Chorionic Qualitative (84703) | $16.50 | $55 | 2.2× |
| Growth hormone (83003) | $33 | $110 | 2.0× |
| Gtt-added samples (82952) | $19.80 | $66 | 5.1× |
| Hdl Cholesterol (83718) | $14.40 | $48 | 1.8× |
| Heavy metal qualitative any analytes (83015) | $143.43 | $478.10 | 6.8× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $88.80 | $296 | 1.3× |
| Hematocrit (85014) | $9.90 | $33 | 4.2× |
| Hemoglobin (85018) | $9.90 | $33 | 4.2× |
| Hemoglobin a1c (83036) | $28.50 | $95 | 2.9× |
| Hemoglobin electrophoresis (83020) | $81.30 | $271 | 6.3× |
| Hep a ab igm (86709) | $11.10 | $37 | 1.0× |
| Hepatitis a antibody total (86708) | $45.90 | $153 | 3.7× |
| Hepatitis b core ab total (86704) | $45.90 | $153 | 3.8× |
| Hepatitis B Surface Antibody (86706) | $45.90 | $153 | 4.3× |
| Hepatitis B Surface Antigen (87340) | $45.90 | $153 | 4.4× |
| Hepatitis Be Antibody (86707) | $11.40 | $38 | 1.0× |
| Hepatitis C Antibody (86803) | $99.90 | $333 | 7.0× |
| Hepatitis C Genotype (87902) | $193.50 | $645 | 0.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $97.80 | $326 | 2.3× |
| Herpes simplex type 2 (86696) | $72.30 | $241 | 3.7× |
| Heterophile Antibody Screen (86308) | $18.60 | $62 | 3.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $49.50 | $165 | 2.1× |
| Hla-b27 (86812) | $61.80 | $206 | 2.4× |
| Homocysteine (83090) | $102 | $340 | 5.7× |
| Human Epididymis Protein 4 (86305) | $20.70 | $69 | 1.0× |
| Hydroxyprogesterone 17-d (83498) | $21.90 | $73 | 0.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $33 | $110 | 0.9× |
| Iaad ia shiga-like toxin (87427) | $24.90 | $83 | 2.1× |
| Iadna Candida Species Amplified Probe Tq (87481) | $44.10 | $147 | 1.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $66 | $220 | 1.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $182.40 | $608 | 4.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$45–$66.90 | $150–$223 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $165 | $550 | 1.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$18.30–$47.40 | $61–$158 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $59.40 | $198 | 4.0× |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$42.60–$66 | $142–$220 | varies |
| Immunofixation electrophoresis (86334) | $49.50 | $165 | 2.2× |
| Influenza assay w/optic (87804) | $81.90 | $273 | 4.9× |
| Influenza DNA amp probe (87502) | $37.20 | $124 | 0.4× |
| Inhibin b (83520) range across 4 matching MRF lines |
$21.60–$26.40 | $72–$88 | varies |
| Insulin antibodies (86337) | $21.30 | $71 | 1.0× |
| Insulin free (83527) | $26.40 | $88 | 2.0× |
| Insulin total (83525) | $23.40 | $78 | 2.0× |
| Iron (83540) | $39 | $130 | 6.0× |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$19.80–$48 | $66–$160 | varies |
| Islet cell antibody (86341) | $38.10 | $127 | 1.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $90.90 | $303 | 1.0× |
| Lactate (ld) (ldh) enzyme (83615) | $15.90 | $53 | 2.6× |
| Lactoferrin fecal qualitative (83630) | $13.50 | $45 | 0.7× |
| LDL direct (83721) | $28.50 | $95 | 2.7× |
| Lead (83655) | $21.60 | $72 | 1.8× |
| Legionella antigen urine (87449) | $57.90 | $193 | 4.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $49.50 | $165 | 1.9× |
| Lipase (83690) | $43.50 | $145 | 6.3× |
| Lithium (80178) | $34.20 | $114 | 5.2× |
| Luteinizing Hormone (Lh) (83002) | $31.50 | $105 | 1.7× |
| Lyme disease antibody (86618) | $16.50 | $55 | 1.0× |
| Magnesium Urine (83735) | $15.90 | $53 | 2.4× |
| Mercury urine (83825) | $27.60 | $92 | 1.7× |
| Microalbumin, quantitative (82043) | $23.10 | $77 | 4.0× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$36–$46.80 | $120–$156 | varies |
| Mitochondrial Antibody Each (86381) | $25.20 | $84 | 1.0× |
| Mononuclear cell antigen (86356) | $37.50 | $125 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $99 | $330 | 1.5× |
| Mumps antibody (86735) | $45.30 | $151 | 3.5× |
| Mycophenolic Acid (80180) | $19.20 | $64 | 1.1× |
| Mycoplasma antibody (86738) | $75.30 | $251 | 5.7× |
| Myoglobin urine (83874) | $26.10 | $87 | 2.0× |
| Natriuretic peptide (83880) | $33 | $110 | 0.8× |
| Nk cells total count (86357) | $37.50 | $125 | 1.0× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$17.10–$45 | $57–$150 | varies |
| Occult blood feces (82272) | $16.50 | $55 | 3.9× |
| Occult Blood Other Sources (82271) | $16.20 | $54 | 3.0× |
| Osmolality serum (83930) | $22.50 | $75 | 3.4× |
| Osmolality Urine (83935) | $22.50 | $75 | 3.3× |
| Pancreatic Elastase Fecal (82656) | $41.40 | $138 | 3.6× |
| Parvovirus antibody (86747) | $33 | $110 | 2.2× |
| Ph urine (81003) | $9.90 | $33 | 4.4× |
| Phenobarbital Level (80184) | $24.90 | $83 | 1.6× |
| Phenytoin (Dilantin) (80185) | $77.10 | $257 | 5.8× |
| Phosphatase alkaline (84075) | $45 | $150 | 8.7× |
| Phosphorus Serum (84100) | $9 | $30 | 1.9× |
| Potassium Urine (84133) | $16.80 | $56 | 3.6× |
| Prealbumin (84134) | $57.90 | $193 | 4.0× |
| Procalcitonin (Pct) (84145) | $38.10 | $127 | 1.4× |
| Progesterone (84144) | $66.30 | $221 | 3.2× |
| Prolactin (84146) | $89.40 | $298 | 4.6× |
| Protein C Activity (85303) | $172.50 | $575 | 12.5× |
| Protein Electrophoresis Urine (84166) | $19.80 | $66 | 1.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $21.60 | $72 | 2.0× |
| Protein S Free (85306) | $180.60 | $602 | 11.8× |
| Protein total serum (84155) | $6.90 | $23 | 1.9× |
| Protein Total Urine (84156) | $16.50 | $55 | 4.5× |
| PSA free (84154) | $71.10 | $237 | 3.9× |
| Pth Intact (83970) | $33 | $110 | 0.8× |
| Quantiferon tb gold plus (86480) | $33 | $110 | 0.5× |
| Quantitative assay drug (80299) | $46.80 | $156 | 2.5× |
| Rbc antibody elution (86860) | $53.10 | $177 | 0.3× |
| Rbc antibody identification (86870) | $42.30 | $141 | 0.1× |
| Rbc antibody screen (86850) | $42.30 | $141 | 4.3× |
| Rbc pretreatment serum (86978) | $27 | $90 | 0.5× |
| Reagent Strip/Blood Glucose (82948) | $6.90 | $23 | 1.4× |
| Renin activity plasma (84244) | $23.70 | $79 | 1.1× |
| Rheumatoid factor quant (86431) | $22.80 | $76 | 4.0× |
| Ristocetin cofactor (85245) | $297.30 | $991 | 13.0× |
| Rotavirus ag eia (87425) | — | $1.50 | — |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$19.80–$33 | $66–$110 | varies |
| Rsv Assay W/Optic (87807) | $50.40 | $168 | 3.8× |
| Rubella Antibody (86762) | $43.20 | $144 | 3.0× |
| Rubeola antibody (86765) | $43.20 | $144 | 3.4× |
| Rufinamide (80210) | $29.70 | $99 | 1.1× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$9.60–$155.70 | $32–$519 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $33 | $110 | 0.8× |
| Sedimentation rate (85651) | $16.80 | $56 | 3.9× |
| Sensitivity mic (87186) | $33 | $110 | 3.8× |
| Sex Hormone Binding Globulin (84270) | $33 | $110 | 1.5× |
| Sickling of rbc reduction (85660) | $33.60 | $112 | 6.1× |
| Sirolimus (80195) | $13.50 | $45 | 1.0× |
| Skin test tuberculosis intradermal (86580) | $29.85 | $99.50 | 1.1× |
| Smear gram stain (87205) | $19.80 | $66 | 4.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $28.50 | $95 | 4.9× |
| Sodium Serum (84295) | $16.80 | $56 | 3.5× |
| Sodium Urine (84300) | $16.80 | $56 | 3.3× |
| Somatomedin (84305) range across 4 matching MRF lines |
$21.90–$27.60 | $73–$92 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $33 | $110 | 0.2× |
| Stone Analysis (82355) | $69.30 | $231 | 6.0× |
| Stool cultr aerobic bact ea (87046) | $16.50 | $55 | 1.7× |
| Strep a assay w/optic (87880) | $21.60 | $72 | 1.3× |
| T cells absolute cd4 count (86361) | $54.60 | $182 | 2.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46.50 | $155 | 1.0× |
| T cells total count (86359) | $37.50 | $125 | 1.0× |
| T3 Free (84481) | $29.40 | $98 | 1.7× |
| T3 Total (84480) | $44.70 | $149 | 3.2× |
| T3 Uptake (84479) | $23.40 | $78 | 3.6× |
| T4 Free (84439) | $36.60 | $122 | 4.1× |
| T4 total (84436) | $36.60 | $122 | 5.3× |
| Tacrolimus (80197) | $35.70 | $119 | 2.6× |
| Test for acetone/ketones (82009) | $21 | $70 | 4.6× |
| Testosterone Bioavailable (84410) | $24.90 | $83 | 0.5× |
| Testosterone total (84403) | $33 | $110 | 1.3× |
| Testosterone, Free (84402) | $31.50 | $105 | 1.2× |
| Theophylline (80198) | $91.50 | $305 | 6.5× |
| Thyroglobulin Antibody (86800) | $66 | $220 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $55.50 | $185 | 1.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $11.40 | $38 | 1.0× |
| Topiramate (80201) | $3.30 | $11 | 0.3× |
| Toxoplasma ab igm (86778) | $20.10 | $67 | 1.4× |
| Toxoplasma antibody (86777) | $19.80 | $66 | 1.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $33.30 | $111 | 6.4× |
| Transferrin (84466) | $19.80 | $66 | 1.6× |
| Trichomonas Vaginalis Amplif (87661) range across 5 matching MRF lines |
$16.50–$44.10 | $55–$147 | varies |
| Triglycerides (84478) | $9 | $30 | 1.6× |
| Troponin Quant (84484) | $24.90 | $83 | 2.0× |
| Unlisted miscellaneous pathology test (89240) | $16.50 | $55 | 0.3× |
| Uric acid other source (84560) | $6.60 | $22 | 1.3× |
| Urine Pregnancy Test (81025) | $16.50 | $55 | 1.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $9.90 | $33 | 3.1× |
| Valproic acid (80164) | $26.40 | $88 | 1.9× |
| Vancomycin (80202) | $59.10 | $197 | 4.4× |
| Varicella-zoster antibody (86787) | $21 | $70 | 1.6× |
| Vasopressin (84588) | $33.60 | $112 | 1.0× |
| Very Long Chain Fatty Acids (82726) | $19.50 | $65 | 1.0× |
| Viral Culture (87252) | $29.10 | $97 | 1.1× |
| Vit D 1 25-Dihydroxy (82652) | $49.50 | $165 | 1.3× |
| Vitamin A (84590) | $36 | $120 | 3.1× |
| Vitamin b-12 (82607) | $33.60 | $112 | 2.2× |
| Vitamin B2 (Riboflavin) (84252) | $33.60 | $112 | 1.7× |
| Vitamin B6 (84207) | $79.80 | $266 | 2.8× |
| Vitamin c (82180) | $33.60 | $112 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $32.70 | $109 | 1.1× |
| Vitamin E (84446) | $36 | $120 | 2.5× |
| Vitamin K (84597) | $30.60 | $102 | 2.2× |
| Von willebrand factor ag (85246) | $95.10 | $317 | 4.1× |
| West nile virus ab igm (86788) | $36.30 | $121 | 2.2× |
| West Nile Virus Antibody (86789) | $33 | $110 | 2.3× |
| Zinc (84630) | $51.60 | $172 | 4.5× |
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.