Lab & pathology prices at Sanford Wheaton Medical Center
Wheaton, MN · every code in this section with a posted price and a Medicare benchmark.
524 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $108 | $135 | 2.8× |
| Actin smooth muscle antibody each (86015) | $52.80 | $66 | 4.4× |
| Acute hepatitis panel (80074) | $212 | $265 | 4.5× |
| Acylcarnitines Quant (82017) | $57.60 | $72 | 3.4× |
| Albumin Fluid (82042) | $70.40 | $88 | 9.0× |
| Albumin serum (82040) range across 3 matching MRF lines |
$31.20–$44.80 | $39–$56 | varies |
| Aldolase (82085) | $41.60 | $52 | 4.3× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$100.80–$224.80 | $126–$281 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 43 matching MRF lines |
$15.20–$41.60 | $19–$52 | varies |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$53.60–$148 | $67–$185 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$36–$125.60 | $45–$157 | varies |
| Alpha-Fetoprotein Serum (82105) | $110.40 | $138 | 6.6× |
| Alt (sgpt) (84460) | $50.40 | $63 | 9.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $177.60 | $222 | 10.5× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$57.60–$121.60 | $72–$152 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$37.60–$97.60 | $47–$122 | varies |
| Amylase urine (82150) | $68 | $85 | 10.5× |
| Ana Titer (86039) | $86.40 | $108 | 7.7× |
| Anca screen each antibody (86036) | $53.60 | $67 | 4.4× |
| Anca Titer Each Antibody (86037) | $48 | $60 | 4.0× |
| Androstenedione (82157) | $71.20 | $89 | 2.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$52–$79.20 | $65–$99 | varies |
| Antibody aspergillus (86606) | $69.60 | $87 | 4.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $54.40 | $68 | 4.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$58.40–$61.60 | $73–$77 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$72–$76.80 | $90–$96 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$72–$90.40 | $90–$113 | varies |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $76 | $95 | 4.5× |
| Antibody Herpes Smplx Type 1 (86695) | $58.40 | $73 | 4.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $66.40 | $83 | 4.8× |
| Antibody HIV-2 (86702) | $60 | $75 | 4.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $207.20 | $259 | 0.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $219.20 | $274 | 11.3× |
| Antibody identification leukocyte antibodies (86021) | $119.20 | $149 | 7.9× |
| Antibody Protozoa Nes (86753) | $66.40 | $83 | 5.4× |
| Antibody Titer (86886) | $40.80 | $51 | 7.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$66.40–$69.60 | $83–$87 | varies |
| Antigen typing (86905) | $56.80 | $71 | 14.8× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$51.20–$69.60 | $64–$87 | varies |
| Antistreptolysin o titer (86060) | $60 | $75 | 8.2× |
| Antithrombin iii activity (85300) | $47.20 | $59 | 4.0× |
| Antithrombin iii antigen (85301) | $112 | $140 | 10.4× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$51.20–$57.60 | $64–$72 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $190.40 | $238 | 5.0× |
| Arsenic (82175) range across 3 matching MRF lines |
$48–$52 | $60–$65 | varies |
| Assay activated protein c (85307) | $136 | $170 | 8.9× |
| Assay Blood Carbon Dioxide (82374) | $46.40 | $58 | 9.5× |
| Assay myeloperoxidase (83876) | $133.60 | $167 | 2.6× |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
$36.80–$287.20 | $46–$359 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$45.60–$46.40 | $57–$58 | varies |
| Assay of anti-mullerian hormone (82166) | $90.40 | $113 | 2.3× |
| Assay of blood/uric acid (84550) | $46.40 | $58 | 10.3× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$15.20–$44.80 | $19–$56 | varies |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$33.60–$84.80 | $42–$106 | varies |
| Assay of lactic acid (83605) | $65.60 | $82 | 5.7× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of serum potassium (84132) | $45.60 | $57 | 9.6× |
| Assay of Tyrosine (84510) | $98.40 | $123 | 9.3× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$44–$54.40 | $55–$68 | varies |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $9.60 | $12 | 2.7× |
| Assay spec xcp ur&breath ia (82077) | $188 | $235 | 10.9× |
| Asy carbamazepin 10,11-epxid (80161) | $71.20 | $89 | 3.8× |
| Automated Leukocyte Count (85048) | $35.20 | $44 | 13.9× |
| B cells total count (86355) | $139.20 | $174 | 3.7× |
| Bartonella antibody (86611) | $33.60 | $42 | 3.3× |
| Bcr/abl1 gene major bp (81206) | $400 | $500 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $353.60 | $442 | 2.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $524 | $655 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$75.20–$109.60 | $94–$137 | varies |
| Beta hydroxybutyrate (82010) | $28 | $35 | 3.4× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$51.20–$54.40 | $64–$68 | varies |
| Bile acids total (82239) | $45.60 | $57 | 2.7× |
| Bilirubin direct (82248) | $51.20 | $64 | 10.2× |
| Bilirubin total (82247) | $51.20 | $64 | 10.2× |
| Blastomyces antibody (86612) | $62.40 | $78 | 4.8× |
| Blood Count Red Blood Cell Automated (85041) | $12.80 | $16 | 4.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $32.80 | $41 | 8.6× |
| Blood gas (82803) | $179.20 | $224 | 6.9× |
| 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) | $47.20 | $59 | 10.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$96.80–$126.40 | $121–$158 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $100.80 | $126 | 6.2× |
| Blood typing serologic abo (86900) | $55.20 | $69 | 18.5× |
| Body fluid cell count (89050) | $23.20 | $29 | 4.9× |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $121.60 | $152 | 3.3× |
| C-Peptide (84681) | $132.80 | $166 | 6.4× |
| C-reactive protein (86140) | $68 | $85 | 13.1× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) | $60 | $75 | 2.5× |
| Calcitonin (82308) | $40 | $50 | 1.5× |
| Calcium ionized (82330) | $99.20 | $124 | 7.3× |
| Calcium total (82310) | $43.20 | $54 | 8.4× |
| Calculus Spectroscopy (82365) | $84.80 | $106 | 6.6× |
| Calprotectin Fecal (83993) | $140.80 | $176 | 7.2× |
| 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 total (80156) range across 2 matching MRF lines |
$71.20–$104.80 | $89–$131 | varies |
| Carboxyhemoglobin (82375) | $88.80 | $111 | 7.2× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$100–$152 | $125–$190 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$84.80 | $74–$106 | varies |
| Carnitine Quantitative Each Specimen (82379) | $50.40 | $63 | 3.0× |
| Catecholamines fractionated (82384) | $81.60 | $102 | 3.2× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$56.80–$91.20 | $71–$114 | varies |
| Cell count csf (89051) | $72 | $90 | 12.9× |
| Ceruloplasmin (82390) | $64.80 | $81 | 6.0× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$38.40–$131.20 | $48–$164 | varies |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$200.80–$266.40 | $251–$333 | varies |
| Chloride Serum (82435) | $47.20 | $59 | 10.3× |
| Chloride urine (82436) range across 2 matching MRF lines |
$14.40–$28.80 | $18–$36 | varies |
| Cholesterol total (82465) | $48 | $60 | 11.0× |
| Chorionic gonadotropin test (84702) | $98.40 | $123 | 6.5× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| 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 |
$98.40–$172.80 | $123–$216 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$68.80–$76.80 | $86–$96 | varies |
| Ckmb (82553) | $69.60 | $87 | 6.0× |
| Clostridium Difficile (87324) | $97.60 | $122 | 8.1× |
| Clot Factor VIII Multimetric (85247) | $73.60 | $92 | 3.2× |
| Clotting Funct Activity (85397) | $79.20 | $99 | 2.6× |
| Coccidioides antibody (86635) | $57.60 | $72 | 5.0× |
| Cold agglutinin titer (86157) | $46.40 | $58 | 5.8× |
| Column Chromotography Quant (82542) | $180 | $225 | 7.5× |
| Compatibility test antiglob (86922) | $144 | $180 | 0.8× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$58.40–$61.60 | $73–$77 | varies |
| Coombs direct (86880) | $59.20 | $74 | 11.0× |
| Copper urine (82525) range across 3 matching MRF lines |
$46.40–$64.80 | $58–$81 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$50.40–$108.80 | $63–$136 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$48–$81.60 | $60–$102 | varies |
| Creatine kinase total (82550) | $57.60 | $72 | 8.8× |
| Creatinine blood (82565) | $45.60 | $57 | 8.9× |
| Creatinine clearance (82575) | $55.20 | $69 | 5.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$16.80–$109.60 | $21–$137 | varies |
| Crossmatch immediate spin (86920) | $139.20 | $174 | 0.8× |
| Crp High Sensitivity (86141) | $84.80 | $106 | 6.5× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) | $31.20 | $39 | 4.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$64–$68 | $80–$85 | varies |
| Cryptosporidium ag eia (87328) | $53.60 | $67 | 3.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$51.20–$90.40 | $64–$113 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$46.40–$124 | $58–$155 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $83.20 | $104 | 10.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $611.20 | $764 | 2.8× |
| Culture afb (87116) | $74.40 | $93 | 6.9× |
| Culture Anaerobic (87075) | $89.60 | $112 | 9.5× |
| Culture blood (87040) | $119.20 | $149 | 11.6× |
| Culture csf (87070) | $87.20 | $109 | 10.1× |
| Culture fungus (87102) range across 2 matching MRF lines |
$71.20–$72.80 | $89–$91 | varies |
| Culture screen only (87081) | $51.20 | $64 | 7.7× |
| Culture stool (87045) | $44.80 | $56 | 4.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$21.60–$33.60 | $27–$42 | varies |
| Culture urine (87086) | $84.80 | $106 | 10.5× |
| Cyanide (82600) | $121.60 | $152 | 6.3× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) range across 5 matching MRF lines |
$56–$144.80 | $70–$181 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $460 | $575 | 0.4× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$58.40–$66.40 | $73–$83 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $72 | $90 | 3.6× |
| Cytopath Cell Enhance Tech (88112) | $127.20 | $159 | 2.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $89.60 | $112 | 3.4× |
| Cytp Concentration Smears & Interpretation (88108) | $134.40 | $168 | 3.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $642.40 | $803 | 3.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $71.20 | $89 | 3.8× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$86.40–$127.20 | $108–$159 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$109.60–$189.60 | $137–$237 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$44.80–$54.40 | $56–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $88.80 | $111 | 4.0× |
| Digoxin (80162) | $105.60 | $132 | 8.0× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$40–$132 | $50–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $80 | $100 | 5.8× |
| Dna/Rna Amplified Probe (87150) | $138.40 | $173 | 3.9× |
| DNA/RNA direct probe (87149) | $64 | $80 | 3.2× |
| Drug assay acetaminophen (80143) | $55.20 | $69 | 3.0× |
| Drug assay adalimumab (80145) | $176 | $220 | 4.6× |
| Drug Assay Everolimus (80169) | $71.20 | $89 | 5.2× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Lacosamide (80235) | $99.20 | $124 | 3.7× |
| Drug Assay Vedolizumab (80280) | $193.60 | $242 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $71.20 | $89 | 3.5× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $62.40 | $78 | 4.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$69.60–$209.60 | $87–$262 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Ehrlichia antibody (86666) | $56.80 | $71 | 5.6× |
| El-1 Fecal Quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $66.40 | $83 | 9.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$54.40–$94.40 | $68–$118 | varies |
| Enterovirus PCR (87498) | $206.40 | $258 | 5.9× |
| Eosinophil Smear (89190) | $24.80 | $31 | 4.3× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $157.60 | $197 | 5.6× |
| Estrogens fractionated (82671) | $87.20 | $109 | 2.7× |
| Exam Synovial Fluid Crystals (89060) | $50.40 | $63 | 6.9× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor Inhibitor Test (85335) | $36 | $45 | 2.8× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$45.60–$70.40 | $57–$88 | varies |
| Fat stain feces urine/respir secretions (89125) | $16.80 | $21 | 2.9× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Ferritin (82728) | $105.60 | $132 | 7.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$301.60–$371.20 | $377–$464 | varies |
| Fibrin Degradation Quant (85379) | $115.20 | $144 | 11.3× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Fibrinogen antigen (85385) | $64 | $80 | 4.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $104 | $130 | 6.7× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$171.20–$558.40 | $214–$698 | varies |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$52.80–$90.40 | $66–$113 | varies |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic Acid Serum (82746) | $88 | $110 | 6.0× |
| Follicle Stimulating Hormone (83001) | $83.20 | $104 | 4.5× |
| Francisella tularensis (86668) | $84.80 | $106 | 6.0× |
| Frozen Section (88331) | $207.20 | $259 | 1.2× |
| Fungi Identification Mold (87107) | $60.80 | $76 | 5.9× |
| Fungi Identification Yeast (87106) | $90.40 | $113 | 8.8× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$78.40–$93.60 | $98–$117 | varies |
| Gases blood ph only (82800) | $91.20 | $114 | 8.3× |
| 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) | $83.20 | $104 | 5.1× |
| Ggt (82977) | $71.20 | $89 | 9.9× |
| Giardia antigen (87329) | $48 | $60 | 4.0× |
| Glucose 2 hr pp (82950) | $60.80 | $76 | 12.8× |
| Glucose body fluid (82945) | $48 | $60 | 12.2× |
| Glucose Serum (82947) | $44.80 | $56 | 11.4× |
| Glucose tolerance test (gtt) (82951) | $124.80 | $156 | 9.7× |
| Glycated Protein (82985) | $54.40 | $68 | 3.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$74.40–$88 | $93–$110 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$45.60–$48.80 | $57–$61 | varies |
| Gtt-added samples (82952) | $27.20 | $34 | 6.9× |
| Haptoglobin (83010) | $68 | $85 | 5.4× |
| Hdl Cholesterol (83718) | $56.80 | $71 | 6.9× |
| Helicobacter Pylori Stool (87338) | $162.40 | $203 | 11.3× |
| Hematocrit (85014) | $20 | $25 | 8.4× |
| Hemoglobin (85018) | $19.20 | $24 | 8.1× |
| Hemoglobin a1c (83036) | $68.80 | $86 | 7.1× |
| Hemoglobin plasma (83051) | $28.80 | $36 | 3.9× |
| Hep a ab igm (86709) | $45.60 | $57 | 4.0× |
| Heparin assay (85520) | $48.80 | $61 | 3.7× |
| Hepatitis a antibody total (86708) | $83.20 | $104 | 6.7× |
| Hepatitis b core ab igm (86705) | $45.60 | $57 | 3.9× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$66.40–$72 | $83–$90 | varies |
| Hepatitis B Surface Antibody (86706) | $68.80 | $86 | 6.4× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$33.60–$51.20 | $42–$64 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$60.80–$66.40 | $76–$83 | varies |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $87.20 | $109 | 2.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $119.20 | $149 | 2.8× |
| Herpes simplex type 2 (86696) | $64.80 | $81 | 3.3× |
| Heterophile Antibody Screen (86308) | $58.40 | $73 | 11.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$159.20–$183.20 | $199–$229 | varies |
| Histoplasma antibody (86698) | $61.60 | $77 | 4.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $80 | $100 | 3.3× |
| Hiv-1 Antibody (86701) | $32 | $40 | 3.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $377.60 | $472 | 4.4× |
| HIV-2 probe&revrse trnscripj (87538) | $165.60 | $207 | 4.7× |
| Hla Class I Typing Low Resolution Complete (81372) | $462.40 | $578 | 1.1× |
| Hla class ii high defin qual (86833) | $182.40 | $228 | 0.6× |
| Hla class ii typing high resolution one locus ea (81382) | $106.40 | $133 | 0.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $145.60 | $182 | 2.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $448.80 | $561 | 2.0× |
| Hla ii typing 1 locus lr (81376) | $85.60 | $107 | 0.7× |
| Hla-b27 (86812) | $73.60 | $92 | 2.9× |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homogenization Tissue (87176) | $38.40 | $48 | 6.5× |
| Hpv High-Risk Types (87624) | $120.80 | $151 | 3.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $120.80 | $151 | 1.7× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$87.20–$121.60 | $109–$152 | varies |
| Htlv-I Antibody (86687) | $66.40 | $83 | 7.3× |
| Htlv-ii antibody (86688) | $66.40 | $83 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $65.60 | $82 | 2.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $52 | $65 | 4.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $286.40 | $358 | 8.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$86.40–$123.20 | $108–$154 | varies |
| 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 amplified probe tq (87516) | $87.20 | $109 | 2.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $100 | $125 | 2.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $352.80 | $441 | 10.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$87.20–$165.60 | $109–$207 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $117.60 | $147 | 1.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $252 | $315 | 6.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$136 | $108–$170 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $152.80 | $191 | 3.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $739.20 | $924 | 2.8× |
| Ig Light Chains Free Each (83521) | $56.80 | $71 | 3.3× |
| Igg subclasses (82787) | $47.20 | $59 | 5.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $718.40 | $898 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $366.40 | $458 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$100.80–$204 | $126–$255 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$50.40–$198.40 | $63–$248 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
$44–$134.40 | $55–$168 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$54.40–$90.40 | $68–$113 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$96.80–$119.20 | $121–$149 | varies |
| Immunohistochemistry (88342) | $188.80 | $236 | 1.1× |
| In situ hybridization 1st probe stain (88365) | $341.60 | $427 | 1.9× |
| Influenza assay w/optic (87804) | $55.20 | $69 | 3.3× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin b (83520) range across 14 matching MRF lines |
$48.80–$865.60 | $61–$1,082 | varies |
| Insulin antibodies (86337) | $54.40 | $68 | 2.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$81.60–$117.60 | $102–$147 | varies |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $60.80 | $76 | 9.4× |
| Iron Binding Capacity (83550) | $72 | $90 | 8.2× |
| Islet cell antibody (86341) range across 8 matching MRF lines |
$55.20–$448 | $69–$560 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $44 | $55 | 10.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$28–$52.80 | $35–$66 | varies |
| Lactoferrin fecal qualitative (83630) | $70.40 | $88 | 3.6× |
| Ldh Isoenzymes (83625) | $49.60 | $62 | 3.9× |
| LDL direct (83721) | $68 | $85 | 6.5× |
| Lead (83655) range across 5 matching MRF lines |
$29.60–$68 | $37–$85 | varies |
| Legionella antigen urine (87449) | $164 | $205 | 13.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $56 | $70 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $85.60 | $107 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $463.20 | $579 | 1.3× |
| Lipase (83690) | $73.60 | $92 | 10.7× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lithium (80178) | $60.80 | $76 | 9.2× |
| Luteinizing Hormone (Lh) (83002) | $73.60 | $92 | 4.0× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$69.60–$154.40 | $87–$193 | varies |
| Lysozyme serum (85549) | $52.80 | $66 | 2.8× |
| M. Genitalium Amp Probe (87563) | $103.20 | $129 | 2.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $833.60 | $1,042 | 4.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$16.80–$54.40 | $21–$68 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$40–$137.60 | $50–$172 | varies |
| Methotrexate (80204) | $108 | $135 | 2.8× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$52–$162.40 | $65–$203 | varies |
| Microalbumin, quantitative (82043) | $57.60 | $72 | 10.0× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$52.80–$88.80 | $66–$111 | varies |
| Mitochondrial Antibody Each (86381) | $59.20 | $74 | 2.3× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $420 | $525 | 11.1× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$51.20–$241.60 | $64–$302 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mopath procedure level 2 (81401) | $440.80 | $551 | 3.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$452–$488.80 | $565–$611 | varies |
| Mrsa Pcr (87641) | $101.60 | $127 | 2.9× |
| Mumps antibody (86735) | $76.80 | $96 | 5.9× |
| Mycobacteric Identification (87118) | $92 | $115 | 6.3× |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $72 | $90 | 5.4× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$100–$137.60 | $125–$172 | varies |
| Neutralization Test Viral (86382) | $54.40 | $68 | 3.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $139.20 | $174 | 3.7× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$67.20 | $71–$84 | varies |
| Occult blood feces (82272) | $46.40 | $58 | 11.0× |
| Occult Blood Other Sources (82271) | $20 | $25 | 3.8× |
| Osmolality serum (83930) | $53.60 | $67 | 8.1× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$16.80–$50.40 | $21–$63 | varies |
| Ova and parasites smears (87177) | $72 | $90 | 8.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$36.80–$57.60 | $46–$72 | varies |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$24–$28.80 | $30–$36 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$94.40 | $89–$118 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$85.60–$105.60 | $107–$132 | varies |
| Phenytoin (Dilantin) (80185) | $99.20 | $124 | 7.5× |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$51.20 | $36–$64 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $74.40 | $93 | 4.1× |
| Phosphorus Serum (84100) | $49.60 | $62 | 10.5× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$14.40–$24.80 | $18–$31 | varies |
| Pinworm exam (87172) | $20 | $25 | 4.7× |
| Platelet Antibodies (86022) | $66.40 | $83 | 3.6× |
| Platelet count automated (85049) | $42.40 | $53 | 9.5× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$31.20–$60 | $39–$75 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$50.40–$57.60 | $63–$72 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$23.20 | $15–$29 | varies |
| Prealbumin (84134) | $87.20 | $109 | 6.0× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $96 | $120 | 3.5× |
| Progesterone (84144) | $84 | $105 | 4.0× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$102.40 | $61–$128 | varies |
| Protein body fluid (84157) | $41.60 | $52 | 10.4× |
| Protein C Activity (85303) | $55.20 | $69 | 4.0× |
| Protein c antigen (85302) | $29.60 | $37 | 2.5× |
| Protein Electrophoresis Urine (84166) | $72 | $90 | 4.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$59.20–$136.80 | $74–$171 | varies |
| Protein S Free (85306) | $80 | $100 | 5.2× |
| Protein total serum (84155) | $44.80 | $56 | 12.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$26.40–$40 | $33–$50 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$73.60–$114.40 | $92–$143 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$68.80–$72 | $86–$90 | varies |
| Pth Intact (83970) | $111.20 | $139 | 2.7× |
| Q Fever Antibody (86638) | $66.40 | $83 | 5.5× |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$185.60–$250.40 | $232–$313 | varies |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$56.80–$256 | $71–$320 | varies |
| Quantitative Screen Metals (83018) | $73.60 | $92 | 3.4× |
| Rbc antibody elution (86860) | $173.60 | $217 | 1.0× |
| Rbc antibody identification (86870) | $173.60 | $217 | 0.5× |
| Rbc antibody screen (86850) | $94.40 | $118 | 9.7× |
| Reagent Strip/Blood Glucose (82948) | $32.80 | $41 | 6.5× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$51.20–$61.60 | $64–$77 | varies |
| Reticulocyte Count (85046) | $24.80 | $31 | 4.5× |
| Rh (86901) | $55.20 | $69 | 18.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$56.80–$60.80 | $71–$76 | varies |
| Ristocetin cofactor (85245) | $94.40 | $118 | 4.1× |
| Rotavirus ag eia (87425) | $51.20 | $64 | 4.3× |
| Rpr qualitative (86592) | $55.20 | $69 | 12.9× |
| Rsv Assay W/Optic (87807) | $97.60 | $122 | 7.5× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$39.20–$60.80 | $49–$76 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$66.40–$107.20 | $83–$134 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$26.40–$41.60 | $33–$52 | varies |
| Russell Viper Venon Time Undiluted (85612) | $20 | $25 | 1.1× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $188 | $235 | 10.1× |
| 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) | $38.40 | $48 | 9.0× |
| Sedimentation Rate, Automated (85652) | $36.80 | $46 | 13.6× |
| Selenium (84255) range across 2 matching MRF lines |
$61.60–$169.60 | $77–$212 | varies |
| Semen Anal Sperm Detection (89321) | $58.40 | $73 | 4.8× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$50.40–$68 | $63–$85 | varies |
| Sex Hormone Binding Globulin (84270) | $57.60 | $72 | 2.7× |
| Sickling of rbc reduction (85660) | $28 | $35 | 5.1× |
| Smear acid fast (87206) | $64.80 | $81 | 12.0× |
| Smear complex stain (87209) | $66.40 | $83 | 3.7× |
| Smear gram stain (87205) | $44.80 | $56 | 10.5× |
| Smear Special Stain (87207) | $98.40 | $123 | 16.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $48 | $60 | 8.2× |
| Sodium Serum (84295) | $45.60 | $57 | 9.5× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$12.80–$46.40 | $16–$58 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$54.40–$127.20 | $68–$159 | varies |
| Special Stains Group 1 (88312) | $144 | $180 | 2.7× |
| Special Stains Group 2 (88313) | $93.60 | $117 | 0.7× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$39.20–$40 | $49–$50 | varies |
| Stool cultr aerobic bact ea (87046) | $36.80 | $46 | 3.9× |
| Strep a assay w/optic (87880) | $56.80 | $71 | 3.4× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strep b DNA amp probe (87653) | $71.20 | $89 | 2.0× |
| Sugars Single Qual (84376) | $74.40 | $93 | 13.5× |
| Sulfate urine (84392) | $13.60 | $17 | 2.5× |
| Surg path level iii (88304) | $101.60 | $127 | 1.9× |
| Surgical pathology level IV (88305) | $154.40 | $193 | 2.9× |
| Surgical pathology level vi (88309) | $716 | $895 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$23.20–$36 | $29–$45 | varies |
| Syphilis Test Non-Trep Quant (86593) | $11.20 | $14 | 2.5× |
| T cells absolute cd4 count (86361) | $114.40 | $143 | 4.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $156 | $195 | 3.3× |
| T cells total count (86359) | $139.20 | $174 | 3.7× |
| T3 Free (84481) | $122.40 | $153 | 7.2× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $107.20 | $134 | 7.6× |
| T4 Free (84439) | $81.60 | $102 | 9.0× |
| T4 total (84436) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$140–$180 | $175–$225 | varies |
| Tau phosphorylated each (84393) | $500 | $625 | 3.9× |
| Tb ag response t-cell susp (86481) | $289.60 | $362 | 2.9× |
| Test for acetone/ketones (82009) | $29.60 | $37 | 6.5× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$60.80–$113.60 | $76–$142 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Theophylline (80198) | $108.80 | $136 | 7.7× |
| Thiopurine methyltransferase (84433) | $150.40 | $188 | 6.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$40–$43.20 | $50–$54 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $20 | $25 | 3.1× |
| Thyroglobulin (84432) range across 5 matching MRF lines |
$45.60–$120.80 | $57–$151 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$52.80–$79.20 | $66–$99 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$42.40–$44.80 | $53–$56 | varies |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $61.60 | $77 | 4.3× |
| Toxoplasma antibody (86777) | $83.20 | $104 | 5.8× |
| Tp53 gene analysis targeted sequence analysis (81352) | $869.60 | $1,087 | 2.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.40 | $63 | 9.7× |
| Transferrin (84466) | $55.20 | $69 | 4.3× |
| Trichomonas Vaginalis Amplif (87661) | $117.60 | $147 | 3.4× |
| Triglycerides (84478) | $53.60 | $67 | 9.3× |
| Troponin Quant (84484) | $118.40 | $148 | 9.5× |
| Tumor Immunohistochem/Manual (88360) | $339.20 | $424 | 1.9× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$14.40–$20 | $18–$25 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$12.80–$47.20 | $16–$59 | varies |
| Urinalysis Microscopic Only (81015) | $33.60 | $42 | 11.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $68 | $85 | 31.3× |
| Urinalysis Volume Measure (81050) | $14.40 | $18 | 4.0× |
| Urine Albumin Semiquantitative (82044) | $52.80 | $66 | 8.5× |
| Urine Bacteria Culture (87088) | $45.60 | $57 | 5.6× |
| Urine Pregnancy Test (81025) | $60.80 | $76 | 7.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $62.40 | $78 | 19.7× |
| Valproic acid (80164) range across 2 matching MRF lines |
$40–$102.40 | $50–$128 | varies |
| Vancomycin (80202) | $100.80 | $126 | 7.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Viral Culture (87252) | $247.20 | $309 | 9.5× |
| Virus antibody nos (86790) | $102.40 | $128 | 8.0× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$231.20 | $153–$289 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$48.80–$117.60 | $61–$147 | varies |
| Vitamin b-12 (82607) | $88.80 | $111 | 5.9× |
| Vitamin B2 (Riboflavin) (84252) | $57.60 | $72 | 2.8× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin c (82180) | $28 | $35 | 2.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$44–$132 | $55–$165 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$48.80–$142.40 | $61–$178 | varies |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $54.40 | $68 | 4.5× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$58.40–$94.40 | $73–$118 | varies |
| West nile virus ab igm (86788) | $68.80 | $86 | 4.1× |
| West Nile Virus Antibody (86789) | $62.40 | $78 | 4.3× |
| 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.