Lab & pathology prices at Sanford Sheldon Medical Center
Sheldon, IA · every code in this section with a posted price and a Medicare benchmark.
556 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $69.60 | $87 | 3.1× |
| Acth (82024) | $109.60 | $137 | 2.8× |
| Acute hepatitis panel (80074) | $382.40 | $478 | 8.0× |
| Acylcarnitines Quant (82017) | $51.20 | $64 | 3.0× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$42.40 | $36–$53 | varies |
| Albumin serum (82040) | $28.80 | $36 | 5.8× |
| Aldolase (82085) | $79.20 | $99 | 8.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$101.60–$239.20 | $127–$299 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) | $36 | $45 | 6.9× |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Alpha-1-antitrypsin phenotype (82104) | $153.60 | $192 | 10.6× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$112–$125.60 | $140–$157 | varies |
| Alpha-Fetoprotein Serum (82105) | $136 | $170 | 8.1× |
| Alt (sgpt) (84460) | $39.20 | $49 | 7.4× |
| Amikacin trough (80150) | $101.60 | $127 | 6.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$340–$353.60 | $425–$442 | varies |
| Ammonia (82140) | $116.80 | $146 | 8.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $296 | $370 | 3.0× |
| Amylase urine (82150) | $79.20 | $99 | 12.2× |
| Ana Titer (86039) | $86.40 | $108 | 7.7× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$132.80–$134.40 | $166–$168 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$31.20–$69.60 | $39–$87 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $31.20 | $39 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $111.20 | $139 | 6.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $82.40 | $103 | 5.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $115.20 | $144 | 6.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $74.40 | $93 | 6.1× |
| Antibody helicobacter pylori (86677) | $108 | $135 | 6.4× |
| Antibody Herpes Smplx Type 1 (86695) | $113.60 | $142 | 8.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $116 | $145 | 8.5× |
| Antibody HIV-2 (86702) | $122.40 | $153 | 9.1× |
| Antibody identification leukocyte antibodies (86021) | $176 | $220 | 11.7× |
| Antibody Protozoa Nes (86753) | $121.60 | $152 | 9.8× |
| Antibody Titer (86886) | $56 | $70 | 10.8× |
| Antibody Treponema Pallidum (86780) | $97.60 | $122 | 7.4× |
| Antinuclear antibodies (86038) | $96.80 | $121 | 8.0× |
| Antistreptolysin o titer (86060) | $67.20 | $84 | 9.2× |
| Antithrombin iii activity (85300) | $187.20 | $234 | 15.8× |
| Antithrombin iii antigen (85301) | $117.60 | $147 | 10.9× |
| Apolipoprotein a1 (82172) | $51.20 | $64 | 2.4× |
| Arsenic (82175) range across 4 matching MRF lines |
$45.60–$146.40 | $57–$183 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $153.60 | $192 | 10.0× |
| Assay Blood Carbon Dioxide (82374) | $36.80 | $46 | 7.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$35.20–$132 | $44–$165 | varies |
| Assay of 5-hiaa (83497) | $46.40 | $58 | 3.6× |
| Assay of blood/uric acid (84550) | $34.40 | $43 | 7.6× |
| Assay of calcium in urine (82340) | $43.20 | $54 | 7.2× |
| Assay of cpk in blood (82552) | $108 | $135 | 8.1× |
| Assay of estrone (82679) | $60 | $75 | 2.4× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$28.80–$75.20 | $36–$94 | varies |
| Assay of lactic acid (83605) | $94.40 | $118 | 8.2× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of proinsulin (84206) | $64.80 | $81 | 2.4× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $34.40 | $43 | 7.2× |
| Assay of urea nitrogen (84520) | $33.60 | $42 | 8.5× |
| Assay of urine vma (84585) range across 3 matching MRF lines |
$48.80–$68.80 | $61–$86 | varies |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $20.80 | $26 | 5.8× |
| Assay spec xcp ur&breath ia (82077) | $100.80 | $126 | 5.8× |
| Automated Leukocyte Count (85048) | $19.20 | $24 | 7.6× |
| B cells total count (86355) | $205.60 | $257 | 5.4× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$81.60–$84 | $102–$105 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$134.40–$136 | $168–$170 | varies |
| Beta hydroxybutyrate (82010) | $72.80 | $91 | 8.9× |
| Beta Lactamase (87185) | $56.80 | $71 | 12.0× |
| Beta-2 Microglobulin (82232) | $138.40 | $173 | 8.6× |
| Bile acids total (82239) | $70.40 | $88 | 4.1× |
| Bilirubin direct (82248) | $24 | $30 | 4.8× |
| Bilirubin total (82247) | $37.60 | $47 | 7.5× |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$40–$41.60 | $50–$52 | varies |
| Biotinidase (82261) range across 2 matching MRF lines |
$88–$100 | $110–$125 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $31.20 | $39 | 9.1× |
| Blastomyces antibody (86612) | $97.60 | $122 | 7.6× |
| Blood Count Automated Differential Wbc Count (85004) | $37.60 | $47 | 5.8× |
| Blood Count Red Blood Cell Automated (85041) | $24 | $30 | 7.9× |
| Blood count reticulocyte automated (85045) | $39.20 | $49 | 9.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $27.20 | $34 | 7.2× |
| Blood count spun microhematocrit (85013) | $30.40 | $38 | 4.3× |
| Blood gas (82803) | $208 | $260 | 8.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.60 | $72 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $55.20 | $69 | 12.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $116 | $145 | 18.3× |
| Blood typing serologic abo (86900) | $32.80 | $41 | 11.0× |
| Body fluid cell count (89050) | $107.20 | $134 | 22.7× |
| Bordetella antibody (86615) | $114.40 | $143 | 8.7× |
| C diff amplified probe (87493) | $210.40 | $263 | 5.6× |
| C-Peptide (84681) | $101.60 | $127 | 4.9× |
| C-reactive protein (86140) | $59.20 | $74 | 11.4× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 6 matching MRF lines |
$56.80–$144 | $71–$180 | varies |
| Caffeine (80155) | $93.60 | $117 | 2.4× |
| Calcium ionized (82330) | $140.80 | $176 | 10.3× |
| Calcium total (82310) | $34.40 | $43 | 6.7× |
| Calculus Spectroscopy (82365) | $45.60 | $57 | 3.5× |
| Calprotectin Fecal (83993) | $107.20 | $134 | 5.5× |
| Calr gene com variants (81219) | $440 | $550 | 3.6× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Carbamazepine free (80157) | $71.20 | $89 | 5.4× |
| Carbamazepine total (80156) | $128.80 | $161 | 8.8× |
| Carboxyhemoglobin (82375) | $101.60 | $127 | 8.2× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$59.20–$128.80 | $74–$161 | varies |
| Carnitine Quantitative Each Specimen (82379) | $50.40 | $63 | 3.0× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$76.80–$85.60 | $96–$107 | varies |
| Ccp antibody (86200) | $120.80 | $151 | 9.3× |
| Cell count csf (89051) | $60 | $75 | 10.7× |
| Ceruloplasmin (82390) | $86.40 | $108 | 8.0× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$36–$127.20 | $45–$159 | varies |
| Chlamydia antibody (86631) | $54.40 | $68 | 4.6× |
| Chlamydia Igm Antibody (86632) | $54.40 | $68 | 4.3× |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$200.80–$366.40 | $251–$458 | varies |
| Chloride Serum (82435) | $28.80 | $36 | 6.3× |
| Chloride urine (82436) | $53.60 | $67 | 9.3× |
| Cholesterol total (82465) | $38.40 | $48 | 8.8× |
| Chorionic gonadotropin test (84702) | $108.80 | $136 | 7.2× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $186.40 | $233 | 5.4× |
| Chromium serum (82495) | $59.20 | $74 | 2.9× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| Chromosome Analysis 20-25 (88264) | $578.40 | $723 | 4.0× |
| Chromosome analysis 45 cells (88263) | $366.40 | $458 | 2.4× |
| Chromosome analysis, 5 (88261) | $644.80 | $806 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$114.40–$184 | $143–$230 | varies |
| Citric acid urine (82507) | $73.60 | $92 | 2.6× |
| Ckmb (82553) | $133.60 | $167 | 11.6× |
| Clostridium Difficile (87324) | $108 | $135 | 9.0× |
| Clot Factor VIII Multimetric (85247) | $69.60 | $87 | 3.0× |
| Clotting Funct Activity (85397) | $272 | $340 | 8.8× |
| Cns DNA amp probe type 12-25 (87483) | $1,355.20 | $1,694 | 3.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$90.40–$102.40 | $113–$128 | varies |
| Cold agglutinin titer (86157) | $62.40 | $78 | 7.7× |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Column Chromotography Quant (82542) | $154.40 | $193 | 6.4× |
| Compatibility Each Unit Incubation (86921) | $132 | $165 | 0.8× |
| Compatibility test antiglob (86922) | $195.20 | $244 | 1.2× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$100–$108.80 | $125–$136 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Complement/Function Activity (86161) | $56.80 | $71 | 4.7× |
| Coombs direct (86880) | $52.80 | $66 | 9.8× |
| Copper urine (82525) range across 3 matching MRF lines |
$44.80–$107.20 | $56–$134 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$50.40–$154.40 | $63–$193 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$46.40–$121.60 | $58–$152 | varies |
| Creatine kinase total (82550) | $48.80 | $61 | 7.5× |
| Creatinine blood (82565) | $33.60 | $42 | 6.6× |
| Creatinine clearance (82575) | $56.80 | $71 | 6.0× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$17.60–$48.80 | $22–$61 | varies |
| Crossmatch immediate spin (86920) | $159.20 | $199 | 1.0× |
| Crp High Sensitivity (86141) | $104.80 | $131 | 8.1× |
| Cryoglobulin (82595) | $52.80 | $66 | 8.2× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$74.40–$142.40 | $93–$178 | varies |
| Cryptosporidium ag eia (87328) | $94.40 | $118 | 6.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$88.80–$92.80 | $111–$116 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $72 | $90 | 8.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $112 | $140 | 14.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) range across 3 matching MRF lines |
$57.60–$101.60 | $72–$127 | varies |
| Culture Anaerobic (87075) | $125.60 | $157 | 13.3× |
| Culture blood (87040) | $119.20 | $149 | 11.6× |
| Culture chlamydia (87110) | $132 | $165 | 6.7× |
| Culture csf (87070) range across 4 matching MRF lines |
$79.20–$104.80 | $99–$131 | varies |
| Culture fungus (87102) | $111.20 | $139 | 13.2× |
| Culture fungus blood (87103) | $92 | $115 | 4.5× |
| Culture screen only (87081) range across 2 matching MRF lines |
$56.80–$57.60 | $71–$72 | varies |
| Culture stool (87045) | $50.40 | $63 | 5.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $33.60 | $42 | 6.5× |
| Culture urine (87086) | $70.40 | $88 | 8.7× |
| Cyclosporine (80158) | $211.20 | $264 | 11.7× |
| Cyp2c19 gene analysis common variants (81225) | $256 | $320 | 0.9× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) | $124.80 | $156 | 2.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$460–$3,050.40 | $575–$3,813 | varies |
| Cytomegalovirus igg (86644) | $107.20 | $134 | 7.4× |
| Cytopath Cell Enhance Tech (88112) | $267.20 | $334 | 5.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $140 | $175 | 5.3× |
| Cytp Concentration Smears & Interpretation (88108) | $304 | $380 | 8.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $664 | $830 | 13.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $319.20 | $399 | 8.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $270.40 | $338 | 9.7× |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$86.40–$177.60 | $108–$222 | varies |
| Detect Agent Nos Dna Quant (87799) | $103.20 | $129 | 2.4× |
| Detect agnt mult DNA ampli (87801) | $363.20 | $454 | 5.2× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$42.40–$54.40 | $53–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $164.80 | $206 | 7.4× |
| Digoxin (80162) | $99.20 | $124 | 7.5× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $111.20 | $139 | 8.1× |
| Dna Antibody Single Stranded (86226) | $128 | $160 | 10.6× |
| Dna/Rna Amplified Probe (87150) | $248 | $310 | 7.1× |
| DNA/RNA direct probe (87149) | $109.60 | $137 | 5.5× |
| Drug assay acetaminophen (80143) | $62.40 | $78 | 3.3× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Gabapentin (80171) | $71.20 | $89 | 3.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $107.20 | $134 | 8.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Tiagabine (80199) | $71.20 | $89 | 2.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$289.60–$304.80 | $362–$381 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$88–$103.20 | $110–$129 | varies |
| Electrolyte panel (80051) | $41.60 | $52 | 5.9× |
| Enterovirus Antibody (86658) | $100.80 | $126 | 7.7× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$200–$329.60 | $250–$412 | varies |
| Eosinophil Smear (89190) | $45.60 | $57 | 7.9× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $201.60 | $252 | 7.2× |
| Estriol (82677) | $133.60 | $167 | 5.5× |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$117.60–$120.80 | $147–$151 | varies |
| Ethylene Glycol (82693) | $200 | $250 | 13.4× |
| Exam Synovial Fluid Crystals (89060) | $57.60 | $72 | 7.9× |
| F2 Gene (81240) range across 2 matching MRF lines |
$192–$345.60 | $240–$432 | varies |
| Factor ix activity (85250) | $222.40 | $278 | 11.7× |
| Factor v activity (85220) | $235.20 | $294 | 13.3× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$331.20 | $240–$414 | varies |
| Factor vii assay (85230) | $212 | $265 | 11.8× |
| Factor viii assay (85240) | $193.60 | $242 | 10.8× |
| Factor X (85260) | $226.40 | $283 | 12.6× |
| Factor xi activity (85270) | $86.40 | $108 | 4.8× |
| Fat stain feces urine/respir secretions (89125) | $74.40 | $93 | 12.7× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fecal Fat Qualitative (82705) | $80 | $100 | 15.7× |
| Ferritin (82728) | $109.60 | $137 | 8.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$371.20–$545.60 | $464–$682 | varies |
| Fetal Fibronectin (82731) | $516.80 | $646 | 8.0× |
| Fetal screen rosette (85461) | $31.20 | $39 | 3.3× |
| Fibrin Degradation Quant (85379) | $139.20 | $174 | 13.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $160.80 | $201 | 16.5× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Flow cytometry first marker (88184) | $344 | $430 | 1.0× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$52.80–$115.20 | $66–$144 | varies |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) | $154.40 | $193 | 8.7× |
| Folic Acid Serum (82746) | $116.80 | $146 | 7.9× |
| Follicle Stimulating Hormone (83001) | $135.20 | $169 | 7.3× |
| Francisella tularensis (86668) | $106.40 | $133 | 7.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $108 | $135 | 0.7× |
| Frozen Section (88331) | $453.60 | $567 | 2.8× |
| Fungi Identification Mold (87107) | $82.40 | $103 | 8.0× |
| Fungi Identification Yeast (87106) | $137.60 | $172 | 13.3× |
| Galactose transferase test (82776) | $42.40 | $53 | 3.6× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$121.60–$123.20 | $152–$154 | varies |
| Gases blood ph only (82800) | $50.40 | $63 | 4.6× |
| Gastrin (82941) | $48.80 | $61 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gentamicin (80170) | $128 | $160 | 7.8× |
| Ggt (82977) | $52 | $65 | 7.2× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$96.80–$97.60 | $121–$122 | varies |
| Giardia lamblia antibody (86674) | $112.80 | $141 | 7.7× |
| Glucose 2 hr pp (82950) | $36 | $45 | 7.6× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $37.60 | $47 | 9.6× |
| Glucose Serum (82947) | $48.80 | $61 | 12.4× |
| Glucose tolerance test (gtt) (82951) | $99.20 | $124 | 7.7× |
| Glycated Protein (82985) | $51.20 | $64 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $61.60 | $77 | 8.2× |
| Growth hormone (83003) | $47.20 | $59 | 2.8× |
| Gtt-added samples (82952) | $31.20 | $39 | 8.0× |
| Haloperidol (80173) | $114.40 | $143 | 7.2× |
| Haptoglobin (83010) | $100.80 | $126 | 8.0× |
| Hdl Cholesterol (83718) | $66.40 | $83 | 8.1× |
| Helicobacter Pylori Stool (87338) | $170.40 | $213 | 11.8× |
| Hematocrit (85014) | $19.20 | $24 | 8.1× |
| Hemoglobin (85018) | $20.80 | $26 | 8.8× |
| Hemoglobin a1c (83036) | $68.80 | $86 | 7.1× |
| Hemoglobin Chromotography (83021) | $44 | $55 | 2.4× |
| Hemoglobin electrophoresis (83020) | $91.20 | $114 | 7.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $89.60 | $112 | 10.9× |
| Hep a ab igm (86709) | $90.40 | $113 | 8.0× |
| Heparin assay (85520) | $235.20 | $294 | 18.0× |
| Hepatitis a antibody total (86708) | $64 | $80 | 5.2× |
| Hepatitis b core ab igm (86705) | $89.60 | $112 | 7.6× |
| Hepatitis b core ab total (86704) | $90.40 | $113 | 7.5× |
| Hepatitis B Surface Antibody (86706) | $86.40 | $108 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $70.40 | $88 | 6.8× |
| Hepatitis Be Antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis C Antibody (86803) | $135.20 | $169 | 9.5× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $461.60 | $577 | 10.8× |
| Herpes simplex type 2 (86696) | $116.80 | $146 | 6.0× |
| Heterophile Antibody Screen (86308) | $49.60 | $62 | 9.6× |
| Hfe Gene (81256) | $172.80 | $216 | 2.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $121.60 | $152 | 15.7× |
| Histamine urine (83088) range across 2 matching MRF lines |
$75.20–$130.40 | $94–$163 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$90.40–$91.20 | $113–$114 | varies |
| Hiv Genotype (87901) | $859.20 | $1,074 | 3.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $101.60 | $127 | 4.2× |
| Hiv-1 Antibody (86701) | $71.20 | $89 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $443.20 | $554 | 5.2× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$207.20–$225.60 | $259–$282 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homovanillic acid urine (83150) | $68.80 | $86 | 3.1× |
| Hpv High-Risk Types (87624) | $175.20 | $219 | 5.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $175.20 | $219 | 2.5× |
| Hsv Dna Amp Probe (87529) | $263.20 | $329 | 7.5× |
| Hydroxyprogesterone 17-d (83498) | $78.40 | $98 | 2.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $204.80 | $256 | 14.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $92 | $115 | 7.7× |
| Iaadi inffluenza a virus (87276) | $74.40 | $93 | 4.6× |
| Iaadi not otherwise specified each organism (87299) | $96.80 | $121 | 6.0× |
| Iaadi parainfluenza virus each type (87279) | $74.40 | $93 | 4.5× |
| Iaadi respiratory synctial virus (87280) | $68 | $85 | 5.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $240.80 | $301 | 6.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $122.40 | $153 | 5.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $86.40 | $108 | 2.5× |
| Iadna Cytomegalovirus Quantification (87497) | $104.80 | $131 | 2.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171.20 | $214 | 2.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $100 | $125 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $265.60 | $332 | 7.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$182.40 | $108–$228 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $145.60 | $182 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $757.60 | $947 | 2.9× |
| Igg subclasses (82787) | $84 | $105 | 10.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $644.80 | $806 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $136 | $170 | 4.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$57.60–$171.20 | $72–$214 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$57.60–$98.40 | $72–$123 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$31.20–$69.60 | $39–$87 | varies |
| Immunofixation electrophoresis (86334) | $166.40 | $208 | 7.4× |
| Immunohistochemistry (88342) | $351.20 | $439 | 2.1× |
| In situ hybridization 1st probe stain (88365) | $712 | $890 | 4.3× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $68 | $85 | 4.7× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $72 | $90 | 5.9× |
| Influenza a/b ag eia (87400) | $93.60 | $117 | 6.6× |
| Influenza assay w/optic (87804) | $71.20 | $89 | 4.3× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 6 matching MRF lines |
$48.80–$140.80 | $61–$176 | varies |
| Insulin total (83525) | $90.40 | $113 | 7.9× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $55.20 | $69 | 8.5× |
| Iron Binding Capacity (83550) | $68 | $85 | 7.8× |
| Islet cell antibody (86341) | $55.20 | $69 | 2.3× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$250.40–$476 | $313–$595 | varies |
| Koh Prep (87220) | $68 | $85 | 15.9× |
| Lactate (ld) (ldh) enzyme (83615) | $44.80 | $56 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $140 | $175 | 7.1× |
| LDL direct (83721) | $66.40 | $83 | 6.3× |
| Lead (83655) range across 6 matching MRF lines |
$30.40–$100.80 | $38–$126 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$90.40–$156.80 | $113–$196 | varies |
| Legionella antigen urine (87449) | $31.20 | $39 | 2.6× |
| Leukocyte Assessment Fecal (89055) | $57.60 | $72 | 13.5× |
| Leukocyte Histamine Release (86343) | $100 | $125 | 8.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $72 | $90 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $153.60 | $192 | 4.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,271.20 | $1,589 | 3.7× |
| Lipase (83690) | $51.20 | $64 | 7.4× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lithium (80178) | $60 | $75 | 9.1× |
| Luteinizing Hormone (Lh) (83002) | $135.20 | $169 | 7.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$146.40–$166.40 | $183–$208 | varies |
| Lysozyme serum (85549) | $54.40 | $68 | 2.9× |
| Macroscopic exam arthropod (87168) | $80 | $100 | 18.7× |
| Magnesium Urine (83735) | $50.40 | $63 | 7.5× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$136.80–$140 | $171–$175 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$39.20–$127.20 | $49–$159 | varies |
| Metabolic panel ionized ca (80047) | $60 | $75 | 4.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$52–$191.20 | $65–$239 | varies |
| Microalbumin, quantitative (82043) | $67.20 | $84 | 11.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$107.20 | $66–$134 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $58.40 | $73 | 2.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mopath procedure level 2 (81401) | $649.60 | $812 | 4.7× |
| Mopath procedure level 4 (81403) | $529.60 | $662 | 2.9× |
| Mucopolysaccharides acid quantitative (83864) | $320 | $400 | 11.2× |
| Mumps antibody (86735) | $109.60 | $137 | 8.4× |
| Mycobacteric Identification (87118) | $196 | $245 | 13.4× |
| Mycoplasma antibody (86738) | $108 | $135 | 8.2× |
| Mycoplasma culture (87109) | $190.40 | $238 | 12.4× |
| Myelin basic protein csf (83873) | $140.80 | $176 | 8.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$133.60–$149.60 | $167–$187 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$251.20 | $118–$314 | varies |
| Neisseria Dir Na Probe (87590) | $119.20 | $149 | 4.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $197.60 | $247 | 5.2× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$152.80 | $71–$191 | varies |
| Occult blood feces (82272) | $25.60 | $32 | 6.1× |
| Occult Blood Other Sources (82271) | $33.60 | $42 | 6.3× |
| Oligoclonal bands (83916) | $69.60 | $87 | 2.5× |
| Organic Acids Qualitative Each Specimen (83919) | $57.60 | $72 | 3.5× |
| Osmolality serum (83930) | $67.20 | $84 | 10.2× |
| Osmolality Urine (83935) | $74.40 | $93 | 10.9× |
| Ova and parasites smears (87177) | $41.60 | $52 | 4.7× |
| Ova1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) | $89.60 | $112 | 7.8× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $220 | $275 | 0.3× |
| Ph urine (81003) | $34.40 | $43 | 15.3× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$62.40–$71.20 | $78–$89 | varies |
| Phenylalanine (84030) | $21.60 | $27 | 3.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$117.60–$133.60 | $147–$167 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$29.60 | $36–$37 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $118.40 | $148 | 6.6× |
| Phosphorus Serum (84100) | $36 | $45 | 7.6× |
| Phosphorus urine (84105) | $32.80 | $41 | 5.7× |
| Pinworm exam (87172) | $56.80 | $71 | 13.3× |
| Platelet Aggregation (85576) | $98.40 | $123 | 4.0× |
| Platelet count automated (85049) | $33.60 | $42 | 7.5× |
| Pooling blood platelets (86965) | $166.40 | $208 | 1.0× |
| Porphyrins Feces Quantitative (84126) | $122.40 | $153 | 3.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) | $36.80 | $46 | 7.8× |
| Prealbumin (84134) | $66.40 | $83 | 4.6× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $265.60 | $332 | 9.8× |
| Progesterone (84144) | $151.20 | $189 | 7.2× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$144 | $61–$180 | varies |
| Protein body fluid (84157) | $39.20 | $49 | 9.8× |
| Protein C Activity (85303) | $260.80 | $326 | 18.8× |
| Protein Electrophoresis Urine (84166) | $132 | $165 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$80–$86.40 | $100–$108 | varies |
| Protein S Free (85306) | $348.80 | $436 | 22.8× |
| Protein s total (85305) | $204 | $255 | 17.6× |
| Protein total serum (84155) | $32.80 | $41 | 8.9× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$52.80–$60.80 | $66–$76 | varies |
| Protein Western Blot Test (84182) | $114.40 | $143 | 3.9× |
| PSA free (84154) | $141.60 | $177 | 7.7× |
| Pth Intact (83970) | $306.40 | $383 | 7.4× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$31.20–$62.40 | $39–$78 | varies |
| Quantiferon tb gold plus (86480) | $273.60 | $342 | 4.4× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$74.40–$113.60 | $93–$142 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$69.60–$158.40 | $87–$198 | varies |
| Rbc antibody elution (86860) | $164.80 | $206 | 1.0× |
| Rbc antibody identification (86870) | $341.60 | $427 | 1.0× |
| Rbc antibody screen (86850) | $86.40 | $108 | 8.8× |
| Reagent Strip/Blood Glucose (82948) | $18.40 | $23 | 3.7× |
| Renin activity plasma (84244) | $51.20 | $64 | 2.3× |
| Reticulocyte Count (85046) | $49.60 | $62 | 8.9× |
| Reticulocyte Count Manual (85044) | $34.40 | $43 | 8.0× |
| Rh (86901) | $32.80 | $41 | 11.0× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$46.40–$47.20 | $58–$59 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$59.20–$60 | $74–$75 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Rotavirus ag eia (87425) | $129.60 | $162 | 10.8× |
| Rpr qualitative (86592) | $41.60 | $52 | 9.7× |
| Rsv Assay W/Optic (87807) | $136 | $170 | 10.4× |
| Rubella Antibody (86762) | $111.20 | $139 | 7.7× |
| Rubeola antibody (86765) | $108.80 | $136 | 8.4× |
| Russell Viper Venom Time Diluted (85613) | $100.80 | $126 | 10.5× |
| Salicylate Level (80179) | $100.80 | $126 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $349.60 | $437 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $460.80 | $576 | 3.2× |
| Sc std carbapenem resist gen (87183) | $152.80 | $191 | 4.4× |
| Sedimentation rate (85651) | $29.60 | $37 | 6.9× |
| Sedimentation Rate, Automated (85652) | $32.80 | $41 | 12.1× |
| Selenium (84255) | $61.60 | $77 | 2.4× |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$86.40–$88 | $108–$110 | varies |
| Semen analysis complete (89322) | $216 | $270 | 13.9× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$62.40–$157.60 | $78–$197 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$51.20–$179.20 | $64–$224 | varies |
| Sickling of rbc reduction (85660) | $56 | $70 | 10.2× |
| Sirolimus (80195) | $168.80 | $211 | 12.3× |
| Skin test tuberculosis intradermal (86580) | $39.20 | $49 | 1.4× |
| Smear acid fast (87206) | $72.80 | $91 | 13.5× |
| Smear complex stain (87209) | $90.40 | $113 | 5.0× |
| Smear gram stain (87205) | $38.40 | $48 | 9.0× |
| Smear Special Stain (87207) | $71.20 | $89 | 11.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $53.60 | $67 | 9.2× |
| Sodium Serum (84295) | $36 | $45 | 7.5× |
| Sodium Urine (84300) | $43.20 | $54 | 8.5× |
| Somatomedin (84305) range across 3 matching MRF lines |
$54.40–$182.40 | $68–$228 | varies |
| Special Stains Group 1 (88312) | $412 | $515 | 8.2× |
| Special Stains Group 2 (88313) | $288 | $360 | 2.3× |
| Specimen infect agnt concntj (87015) | $52.80 | $66 | 7.9× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$41.60–$64.80 | $52–$81 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$50.40–$51.20 | $63–$64 | varies |
| Strep a assay w/optic (87880) | $62.40 | $78 | 3.8× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strep b DNA amp probe (87653) | $232.80 | $291 | 6.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Surg path level iii (88304) | $213.60 | $267 | 4.3× |
| Surgical pathology level IV (88305) | $359.20 | $449 | 7.2× |
| Surgical pathology level vi (88309) | $1,754.40 | $2,193 | 2.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $41.60 | $52 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $67.20 | $84 | 9.0× |
| T cells absolute cd4 count (86361) | $167.20 | $209 | 6.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $324 | $405 | 6.9× |
| T cells total count (86359) | $259.20 | $324 | 6.9× |
| T3 Free (84481) | $152.80 | $191 | 9.0× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $114.40 | $143 | 8.1× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$92.80–$93.60 | $116–$117 | varies |
| T4 total (84436) | $52.80 | $66 | 7.7× |
| Tacrolimus (80197) | $180.80 | $226 | 13.2× |
| Tb ag response t-cell susp (86481) | $298.40 | $373 | 3.0× |
| Test for acetone/ketones (82009) | $39.20 | $49 | 8.7× |
| Testosterone Bioavailable (84410) | $120 | $150 | 2.3× |
| Testosterone total (84403) range across 4 matching MRF lines |
$60.80–$192 | $76–$240 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$60–$64 | $75–$80 | varies |
| Tetanus antibody (86774) | $134.40 | $168 | 9.1× |
| Theophylline (80198) | $115.20 | $144 | 8.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $80.80 | $101 | 12.5× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$207.20 | $57–$259 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$117.60 | $66–$147 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Tissue culture bone marrow (88237) | $687.20 | $859 | 4.8× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $142.40 | $178 | 8.8× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $116.80 | $146 | 8.1× |
| Toxoplasma antibody (86777) | $116.80 | $146 | 8.1× |
| Tpmt gene com variants (81335) | $256 | $320 | 1.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $33.60 | $42 | 6.5× |
| Transferrin (84466) | $103.20 | $129 | 8.1× |
| Trichomonas Vaginalis Amplif (87661) | $114.40 | $143 | 3.3× |
| Triglycerides (84478) | $42.40 | $53 | 7.4× |
| Troponin Quant (84484) | $127.20 | $159 | 10.2× |
| Tumor Immunohistochem/Manual (88360) | $390.40 | $488 | 2.4× |
| Urea nitrogen urine (84540) | $27.20 | $34 | 4.9× |
| Uric acid other source (84560) | $36.80 | $46 | 7.2× |
| Urinalysis Microscopic Only (81015) | $25.60 | $32 | 8.4× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $15.20 | $19 | 7.0× |
| Urinalysis Volume Measure (81050) | $28.80 | $36 | 7.9× |
| Urine Albumin Semiquantitative (82044) | $63.20 | $79 | 10.1× |
| Urine Bacteria Culture (87088) | $56 | $70 | 6.9× |
| Urine Pregnancy Test (81025) | $46.40 | $58 | 5.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $40 | $50 | 12.6× |
| Valproic acid (80164) range across 2 matching MRF lines |
$37.60–$128.80 | $47–$161 | varies |
| Vancomycin (80202) | $127.20 | $159 | 9.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vasopressin (84588) | $174.40 | $218 | 5.1× |
| Very Long Chain Fatty Acids (82726) | $92 | $115 | 4.7× |
| Viral Culture (87252) | $164 | $205 | 6.3× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$32.80–$102.40 | $41–$128 | varies |
| Virus inoculate tissue addl (87253) | $101.60 | $127 | 5.0× |
| Viscosity serum (85810) | $98.40 | $123 | 8.4× |
| Vit D 1 25-Dihydroxy (82652) | $253.60 | $317 | 6.6× |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $120.80 | $151 | 8.0× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin c (82180) | $83.20 | $104 | 8.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$96.80–$132 | $121–$165 | varies |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Von willebrand factor ag (85246) | $220 | $275 | 9.6× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$52.80–$86.40 | $66–$108 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$52.80–$111.20 | $66–$139 | varies |
| Western Blot Test (84181) | $100 | $125 | 5.9× |
| Zinc (84630) range across 2 matching MRF lines |
$26.40–$40 | $33–$50 | 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.