Lab & pathology prices at Teton Valley Hospital
Driggs, ID · every code in this section with a posted price and a Medicare benchmark.
563 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $100 | $125 | 4.4× |
| 5 Nucleotidase (83915) | $97.60 | $122 | 8.8× |
| Acth (82024) | $187.20 | $234 | 4.8× |
| Acute hepatitis panel (80074) | $193.60 | $242 | 4.1× |
| Acylcarnitines Quant (82017) | $181.60 | $227 | 10.8× |
| Adenovirus antibody (86603) | $70.40 | $88 | 5.5× |
| Agglutinins Febrile Each Antigen (86000) | $50.40 | $63 | 7.2× |
| Albumin Fluid (82042) | $26.40 | $33 | 3.4× |
| Albumin serum (82040) range across 2 matching MRF lines |
$36–$92.80 | $45–$116 | varies |
| Aldolase (82085) | $60.80 | $76 | 6.3× |
| Aldosterone urine (82088) | $95.20 | $119 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $79.20 | $99 | 5.4× |
| Allergen specific ige (86003) | $40 | $50 | 7.7× |
| Allergen specific igg (86001) | $38.40 | $48 | 4.9× |
| Allg Spec Ige Recomb Ea (86008) | $66.40 | $83 | 3.7× |
| Alpha-1-antitrypsin total (82103) | $86.40 | $108 | 6.4× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$88.80–$103.20 | $111–$129 | varies |
| Alt (sgpt) (84460) | $44 | $55 | 8.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $291.20 | $364 | 17.3× |
| Aminolevulinic acid (ala) (82135) | $96.80 | $121 | 5.9× |
| Ammonia (82140) | $108 | $135 | 7.4× |
| Amylase urine (82150) range across 2 matching MRF lines |
$58.40–$122.40 | $73–$153 | varies |
| Ana Titer (86039) | $93.60 | $117 | 8.4× |
| Anca screen each antibody (86036) | $96 | $120 | 8.0× |
| Anca Titer Each Antibody (86037) | $112 | $140 | 9.3× |
| Androstenedione (82157) | $120.80 | $151 | 4.1× |
| Angiotensin converting enzyme csf (82164) | $77.60 | $97 | 5.3× |
| Anti-Phospholipid Antibody (86148) | $103.20 | $129 | 6.4× |
| Antibody aspergillus (86606) | $128.80 | $161 | 8.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$48.80–$52 | $61–$65 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $93.60 | $117 | 6.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $36 | $45 | 2.1× |
| Antibody Encephalitis California La Crosse (86651) | $63.20 | $79 | 4.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $98.40 | $123 | 7.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $98.40 | $123 | 6.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $97.60 | $122 | 5.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $170.40 | $213 | 13.9× |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$64–$116.80 | $80–$146 | varies |
| Antibody helicobacter pylori (86677) | $88.80 | $111 | 5.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $80.80 | $101 | 5.6× |
| Antibody Herpes Smplx Type 1 (86695) | $39.20 | $49 | 3.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $88 | $110 | 6.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $116.80 | $146 | 6.0× |
| Antibody identification leukocyte antibodies (86021) | $112 | $140 | 7.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $100.80 | $126 | 8.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $54.40 | $68 | 4.2× |
| Antibody Protozoa Nes (86753) | $53.60 | $67 | 4.3× |
| Antibody Titer (86886) | $159.20 | $199 | 30.7× |
| Antibody Treponema Pallidum (86780) | $62.40 | $78 | 4.7× |
| Antibody; encephalitis, st. louis (86653) | $64.80 | $81 | 4.9× |
| Antigen typing (86905) | $46.40 | $58 | 12.1× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$51.20–$75.20 | $64–$94 | varies |
| Antistreptolysin o titer (86060) | $47.20 | $59 | 6.5× |
| Antithrombin iii activity (85300) | $108.80 | $136 | 9.2× |
| Antithrombin iii antigen (85301) | $56.80 | $71 | 5.3× |
| Apc gene full sequence (81201) | $1,669.60 | $2,087 | 2.1× |
| Apolipoprotein a1 (82172) | $79.20 | $99 | 3.8× |
| Arsenic (82175) | $62.40 | $78 | 3.3× |
| Aspa gene analysis common variants (81200) | $279.20 | $349 | 5.9× |
| Assay activated protein c (85307) | $86.40 | $108 | 5.6× |
| Assay Blood Carbon Dioxide (82374) | $46.40 | $58 | 9.5× |
| Assay Dir Meas Fr Estradiol (82681) | $80 | $100 | 2.9× |
| Assay myeloperoxidase (83876) | $86.40 | $108 | 1.7× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$95.20–$135.20 | $119–$169 | varies |
| Assay of 5-hiaa (83497) | $63.20 | $79 | 4.9× |
| Assay of blood/uric acid (84550) | $38.40 | $48 | 8.5× |
| Assay of calcium in urine (82340) | $58.40 | $73 | 9.7× |
| Assay of cpk in blood (82552) | $37.60 | $47 | 2.8× |
| Assay of estrone (82679) | $131.20 | $164 | 5.3× |
| Assay of g6pd enzyme (82955) | $75.20 | $94 | 7.8× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$52–$161.60 | $65–$202 | varies |
| Assay of lactic acid (83605) | $83.20 | $104 | 7.2× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$58.40–$123.20 | $73–$154 | varies |
| Assay of phosphatase acid total (84060) | $44.80 | $56 | 5.9× |
| Assay of proinsulin (84206) | $107.20 | $134 | 4.0× |
| Assay of pyruvate (84210) | $32.80 | $41 | 2.3× |
| Assay of serum potassium (84132) | $36.80 | $46 | 7.7× |
| Assay of sweat sodium (84302) | $39.20 | $49 | 8.1× |
| Assay of urea nitrogen (84520) | $36 | $45 | 9.1× |
| Assay of urine vma (84585) | $49.60 | $62 | 3.2× |
| Assay of vasoactive intestinal peptide (84586) | $134.40 | $168 | 3.8× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$100.80–$152.80 | $126–$191 | varies |
| Assay Ph Body Fluid Nos (83986) | $34.40 | $43 | 9.6× |
| Automated Leukocyte Count (85048) | $28.80 | $36 | 11.3× |
| B cells total count (86355) | $184 | $230 | 4.9× |
| Bacterial antigens 87802 (87802) | $69.60 | $87 | 5.5× |
| Bartonella antibody (86611) | $74.40 | $93 | 7.3× |
| Bcr/abl1 gene minor bp (81207) | $388 | $485 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $111.20 | $139 | 4.4× |
| Beta hydroxybutyrate (82010) | $100.80 | $126 | 12.3× |
| Beta Lactamase (87185) | $32 | $40 | 6.7× |
| Beta-2 Microglobulin (82232) | $108.80 | $136 | 6.7× |
| Bilirubin direct (82248) | $43.20 | $54 | 8.6× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$32.80–$44.80 | $41–$56 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $172.80 | $216 | 1.0× |
| Bld Typing Serologic Rh Phnt (86906) | $103.20 | $129 | 13.3× |
| Bleeding time test (85002) | $68 | $85 | 14.1× |
| Blood Count Manual Cell Count Each (85032) | $55.20 | $69 | 12.8× |
| Blood Count Red Blood Cell Automated (85041) | $55.20 | $69 | 18.3× |
| Blood count reticulocyte automated (85045) | $40 | $50 | 10.0× |
| Blood count spun microhematocrit (85013) | $24 | $30 | 3.4× |
| Blood gas (82803) | $152 | $190 | 5.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$47.20–$79.20 | $59–$99 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$26.80–$28 | $33.50–$35 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $31.20 | $39 | 4.9× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $140.80 | $176 | 8.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$48–$52.80 | $60–$66 | varies |
| Bordetella antibody (86615) | $88 | $110 | 6.7× |
| Brca1&2 gen full seq dup/del (81162) | $2,822.40 | $3,528 | 1.5× |
| Brucella antibody (86622) | $86.40 | $108 | 9.7× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$65.60–$190.40 | $82–$238 | varies |
| C-Peptide (84681) | $112.80 | $141 | 5.4× |
| C-reactive protein (86140) | $96.80 | $121 | 18.7× |
| Ca 19-9 (86301) | $104 | $130 | 5.0× |
| Cadmium (82300) range across 2 matching MRF lines |
$48.80–$76 | $61–$95 | varies |
| Calcitonin (82308) | $114.40 | $143 | 4.3× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$80.80–$84 | $101–$105 | varies |
| Calcium total (82310) | $36 | $45 | 7.0× |
| Calculus assay quant (82360) | $122.40 | $153 | 9.5× |
| Calculus Spectroscopy (82365) | $88 | $110 | 6.8× |
| Calprotectin Fecal (83993) | $215.20 | $269 | 11.0× |
| Calr gene com variants (81219) | $108 | $135 | 0.9× |
| Cancer Antigen 125 (86304) | $58.40 | $73 | 2.8× |
| Cancer Antigen 27.29 (86300) | $88 | $110 | 4.2× |
| Candida antibody (86628) | $92 | $115 | 7.7× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$84–$92 | $105–$115 | varies |
| Carboxyhemoglobin (82375) | $104 | $130 | 8.4× |
| Carcinoembryonic antigen (82378) | $64 | $80 | 3.4× |
| Cardiolipin ab iga (86147) | $76 | $95 | 3.0× |
| Carnitine Quantitative Each Specimen (82379) | $143.20 | $179 | 8.5× |
| Carotene (82380) | $65.60 | $82 | 7.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$80–$113.60 | $100–$142 | varies |
| Ccp antibody (86200) | $83.20 | $104 | 6.4× |
| Cell count csf (89051) | $112 | $140 | 20.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $256.80 | $321 | 1.9× |
| Ceruloplasmin (82390) | $64 | $80 | 6.0× |
| Cftr gene com variants (81220) | $435.20 | $544 | 0.8× |
| Chemiluminescent assay (82397) | $92.80 | $116 | 6.6× |
| Chlamydia antibody (86631) | $59.20 | $74 | 5.0× |
| Chlamydia Igm Antibody (86632) | $59.20 | $74 | 4.7× |
| Chloride Serum (82435) | $36.80 | $46 | 8.0× |
| Cholesterol total (82465) | $32 | $40 | 7.4× |
| Cholinesterase Serum (82480) | $52.28 | $65.35 | 6.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$80–$104 | $100–$130 | varies |
| Chromium serum (82495) | $45.60 | $57 | 2.2× |
| Chromogranin a (86316) | $131.20 | $164 | 6.3× |
| Chromosome Analysis 15-20 (88262) | $402.40 | $503 | 3.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$48.47–$110.40 | $60.59–$138 | varies |
| Citric acid urine (82507) | $111.20 | $139 | 4.0× |
| Ckmb (82553) | $111.20 | $139 | 9.6× |
| Clostridium Difficile (87324) | $78.40 | $98 | 6.5× |
| Clot Factor VIII Multimetric (85247) | $59.20 | $74 | 2.6× |
| Coccidioides antibody (86635) | $90.40 | $113 | 7.9× |
| Cold agglutinin screen (86156) | $127.84 | $159.80 | 15.8× |
| Cold agglutinin titer (86157) | $46.40 | $58 | 5.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$132.80–$190.40 | $166–$238 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$68–$208 | $85–$260 | varies |
| Compatibility test antiglob (86922) | $206.40 | $258 | 1.2× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$77.60–$136.80 | $97–$171 | varies |
| Complement Total (Ch50) (86162) | $103.20 | $129 | 5.1× |
| Complement/Function Activity (86161) | $74.40 | $93 | 6.2× |
| Coombs direct (86880) range across 2 matching MRF lines |
$63.20–$71.20 | $79–$89 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$79.20–$108 | $99–$135 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$83.20–$95.20 | $104–$119 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$38.40–$107.20 | $48–$134 | varies |
| Creatine kinase total (82550) | $61.60 | $77 | 9.5× |
| Creatinine blood (82565) | $43.20 | $54 | 8.4× |
| Creatinine clearance (82575) | $72 | $90 | 7.6× |
| Creatinine Urine (82570) | $59.20 | $74 | 11.4× |
| Crp High Sensitivity (86141) | $83.20 | $104 | 6.4× |
| Cryofibrinogen (82585) | $58.40 | $73 | 4.1× |
| Cryoglobulin (82595) | $56 | $70 | 8.7× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$68–$84.80 | $85–$106 | varies |
| Cryptosporidium ag eia (87328) | $80.80 | $101 | 5.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $63.20 | $79 | 7.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $72 | $90 | 9.3× |
| Culture afb (87116) | $60.80 | $76 | 5.6× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$96.80–$97.60 | $121–$122 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$141.60–$282.40 | $177–$353 | varies |
| Culture csf (87070) range across 3 matching MRF lines |
$96.80–$101.60 | $121–$127 | varies |
| Culture fungus (87102) | $66.40 | $83 | 7.9× |
| Culture fungus blood (87103) | $52 | $65 | 2.5× |
| Culture screen only (87081) range across 2 matching MRF lines |
$36.80–$40.80 | $46–$51 | varies |
| Culture stool (87045) | $82.40 | $103 | 8.7× |
| Culture typing if ea antiserum (87140) | $40 | $50 | 7.2× |
| Culture urine (87086) | $61.60 | $77 | 7.6× |
| Cyanide (82600) | $95.20 | $119 | 4.9× |
| Cyclosporine (80158) | $90.40 | $113 | 5.0× |
| Cyp2c19 gene analysis common variants (81225) | $648 | $810 | 2.2× |
| Cystatin C (82610) | $136.80 | $171 | 7.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,653.60 | $2,067 | 1.4× |
| Cytomegalovirus igg (86644) | $71.20 | $89 | 4.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $88 | $110 | 4.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $96.80 | $121 | 3.6× |
| Cytp Concentration Smears & Interpretation (88108) | $23.20 | $29 | 0.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $173.60 | $217 | 3.4× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 3 matching MRF lines |
$32.56–$45.60 | $40.70–$57 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $73.60 | $92 | 2.6× |
| Deoxyribonuclease antibody (86215) | $31.20 | $39 | 2.4× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$46.40–$533.60 | $58–$667 | varies |
| Detect Agent Nos Dna Quant (87799) | $300 | $375 | 7.0× |
| Detect agnt mult DNA ampli (87801) | $251.20 | $314 | 3.6× |
| Dhea (82626) | $142.40 | $178 | 5.6× |
| Dhea-S (82627) | $100 | $125 | 4.5× |
| Digoxin (80162) | $132 | $165 | 9.9× |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$164–$200 | $205–$250 | varies |
| Diphtheria antitoxoid (86648) | $117.60 | $147 | 7.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$52–$212.80 | $65–$266 | varies |
| Dna Antibody Single Stranded (86226) | $132 | $165 | 10.9× |
| Drug assay adalimumab (80145) | $244 | $305 | 6.3× |
| Drug Assay Amiodarone (80151) | $68 | $85 | 3.6× |
| Drug Assay Everolimus (80169) | $189.60 | $237 | 13.8× |
| Drug Assay Infliximab (80230) | $244 | $305 | 6.3× |
| Drug Screen Quant Zonisamide (80203) | $56.80 | $71 | 4.3× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$58.40–$74.40 | $73–$93 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $82.40 | $103 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $64.80 | $81 | 4.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $102.40 | $128 | 6.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$116.80–$195.20 | $146–$244 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $63.20 | $79 | 5.0× |
| Drug Test Prsmv Instrmnt (80306) | $84 | $105 | 4.9× |
| Ehrlichia antibody (86666) | $108 | $135 | 10.6× |
| Electrolyte panel (80051) | $58.40 | $73 | 8.3× |
| Encephaltis East Eqne Anbdy (86652) | $63.20 | $79 | 4.8× |
| Encephaltis West Eqne Antbdy (86654) | $169.60 | $212 | 12.9× |
| Enterovirus Antibody (86658) | $68 | $85 | 5.2× |
| Enterovirus PCR (87498) | $238.40 | $298 | 6.8× |
| Enzyme cell activity (82657) | $116.80 | $146 | 5.3× |
| Eosinophil Smear (89190) | $64.80 | $81 | 11.2× |
| Erythropoietin (82668) | $111.20 | $139 | 5.9× |
| Estradiol serum (82670) | $140 | $175 | 5.0× |
| Estriol (82677) | $72.80 | $91 | 3.0× |
| Estrogen total (82672) | $129.60 | $162 | 6.0× |
| Estrogens fractionated (82671) | $204 | $255 | 6.3× |
| Ethosuximide (80168) | $119.62 | $149.52 | 7.3× |
| Exam Synovial Fluid Crystals (89060) | $72 | $90 | 9.8× |
| F2 Gene (81240) | $215.20 | $269 | 3.3× |
| Factor ii activity (85210) | $191.20 | $239 | 14.7× |
| Factor Inhibitor Test (85335) | $160 | $200 | 12.4× |
| Factor ix activity (85250) | $154.40 | $193 | 8.1× |
| Factor v activity (85220) | $140 | $175 | 7.9× |
| Factor v leiden mutation (81241) | $274.40 | $343 | 3.7× |
| Factor viii assay (85240) | $110.40 | $138 | 6.2× |
| Factor X (85260) | $150.40 | $188 | 8.4× |
| Factor xi activity (85270) | $153.60 | $192 | 8.6× |
| Fat/Lipids Feces Quantitative (82710) | $138.40 | $173 | 8.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $164.80 | $206 | 25.2× |
| Fecal Fat Qualitative (82705) | $42.40 | $53 | 8.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$72.80–$100.80 | $91–$126 | varies |
| Fetal Fibronectin (82731) | $495.20 | $619 | 7.7× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $176.80 | $221 | 9.3× |
| Fibrin degradation products (85362) | $95.28 | $119.10 | 13.8× |
| Fibrin Degradation Quant (85379) | $93.60 | $117 | 9.2× |
| Fibrinogen activity (85384) | $71.20 | $89 | 7.3× |
| Flecainide level (80181) | $92.80 | $116 | 5.0× |
| Flow cytometry first marker (88184) | $164 | $205 | 0.5× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$38.40–$1,327.20 | $48–$1,659 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $78.40 | $98 | 6.5× |
| Fmr1 gene detection (81243) | $323.20 | $404 | 5.7× |
| Folic acid rbc (82747) | $79.20 | $99 | 4.5× |
| Folic Acid Serum (82746) | $91.20 | $114 | 6.2× |
| Follicle Stimulating Hormone (83001) | $128.80 | $161 | 6.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $32 | $40 | 0.2× |
| Fungi Identification Mold (87107) | $84.80 | $106 | 8.2× |
| Fungi Identification Yeast (87106) | $203.20 | $254 | 19.7× |
| Gammaglobulin ige (82785) | $104.80 | $131 | 6.4× |
| Gases blood ph only (82800) | $74.40 | $93 | 6.8× |
| Gastrin (82941) | $114.40 | $143 | 6.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,167.20 | $1,459 | 2.8× |
| Genet Virus Isolate Hsv (87255) | $103.20 | $129 | 3.0× |
| Gentamicin (80170) | $116.80 | $146 | 7.1× |
| Ggt (82977) | $47.20 | $59 | 6.6× |
| Giardia antigen (87329) | $76 | $95 | 6.3× |
| Giardia lamblia antibody (86674) | $148 | $185 | 10.1× |
| Glucose 2 hr pp (82950) | $40.80 | $51 | 8.6× |
| Glucose body fluid (82945) | $32 | $40 | 8.1× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$32–$37.60 | $40–$47 | varies |
| Glucose tolerance test (gtt) (82951) | $84 | $105 | 6.5× |
| Glycated Protein (82985) | $48.80 | $61 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $70.40 | $88 | 9.4× |
| Growth hormone (83003) | $103.20 | $129 | 6.2× |
| Gtt-added samples (82952) | $29.60 | $37 | 7.6× |
| H Pylori (C-13) Breath (83013) | $268.80 | $336 | 4.0× |
| Haptoglobin (83010) | $77.60 | $97 | 6.2× |
| Hdl Cholesterol (83718) | $25.60 | $32 | 3.1× |
| Helicobacter Pylori Stool (87338) | $123.20 | $154 | 8.6× |
| Helminth Antibody (86682) | $244 | $305 | 18.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$23.20–$27.20 | $29–$34 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$24.80–$25.60 | $31–$32 | varies |
| Hemoglobin a1c (83036) | $55.20 | $69 | 5.7× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$56–$132.80 | $70–$166 | varies |
| Hemoglobin electrophoresis (83020) | $208 | $260 | 16.2× |
| Hep a ab igm (86709) | $64 | $80 | 5.7× |
| Heparin assay (85520) | $179.20 | $224 | 13.7× |
| Hepatitis a antibody total (86708) | $61.60 | $77 | 5.0× |
| Hepatitis b core ab igm (86705) | $72.80 | $91 | 6.2× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$71.20–$122.40 | $89–$153 | varies |
| Hepatitis B Surface Antibody (86706) | $84.80 | $106 | 7.9× |
| Hepatitis B Surface Antigen (87340) | $66.40 | $83 | 6.4× |
| Hepatitis Be Antibody (86707) | $56.80 | $71 | 4.9× |
| Hepatitis Be Antigen (87350) | $72.80 | $91 | 6.3× |
| Hepatitis C Antibody (86803) | $110.40 | $138 | 7.7× |
| Hepatitis c antibody confirmatory test (86804) | $165.60 | $207 | 10.7× |
| Hepatitis C Genotype (87902) | $376 | $470 | 1.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $71.20 | $89 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $232 | $290 | 5.4× |
| Hepatitis delta ag (87380) | $112.80 | $141 | 6.1× |
| Hepatitis Delta Agent Antibody (86692) | $114.40 | $143 | 6.7× |
| Herpes simplex type 2 (86696) | $99.20 | $124 | 5.1× |
| Heterophile Antibody Screen (86308) | $58.40 | $73 | 11.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$344.80–$637.60 | $431–$797 | varies |
| Histamine urine (83088) range across 2 matching MRF lines |
$143.20–$224 | $179–$280 | varies |
| Histoplasma antibody (86698) | $72 | $90 | 5.2× |
| Histoplasma antigen urine (87385) | $152.80 | $191 | 11.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $71.20 | $89 | 0.8× |
| HIV-2 probe&revrse trnscripj (87538) | $92.80 | $116 | 2.6× |
| Hla I Typing 1 Allele Hr (81381) | $163.20 | $204 | 1.0× |
| Hla-b27 (86812) | $172.80 | $216 | 6.7× |
| Homocysteine (83090) | $84 | $105 | 4.7× |
| Homovanillic acid urine (83150) | $156.80 | $196 | 7.0× |
| Hpv High-Risk Types (87624) | $107.20 | $134 | 3.1× |
| Hpv low-risk types (87623) | $114.40 | $143 | 3.3× |
| Hsv Dna Amp Probe (87529) | $172.80 | $216 | 4.9× |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$88–$92.80 | $110–$116 | varies |
| Hydroxyprogesterone 17-d (83498) | $95.20 | $119 | 3.5× |
| Iaad Ia Escherichia Coli 0157 (87335) | $100.80 | $126 | 8.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $106.40 | $133 | 7.6× |
| Iaad ia shiga-like toxin (87427) | $69.60 | $87 | 5.8× |
| Iaad Ia Streptococcus Group A (87430) | $79.20 | $99 | 4.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $344 | $430 | 9.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $124.80 | $156 | 3.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $172 | $215 | 4.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $274.40 | $343 | 7.8× |
| Iadna Cytomegalovirus Quantification (87497) | $271.20 | $339 | 6.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $313.60 | $392 | 7.3× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $225.60 | $282 | 6.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $327.20 | $409 | 9.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$48.47–$98.40 | $60.59–$123 | varies |
| Igg subclasses (82787) | $408 | $510 | 50.9× |
| Immunfix e-phorsis/urine/csf (86335) | $122.40 | $153 | 4.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$144–$1,327.20 | $180–$1,659 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$28.80–$40.80 | $36–$51 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$88.80–$113.60 | $111–$142 | varies |
| Immunofixation electrophoresis (86334) | $164 | $205 | 7.3× |
| Immunohistochemistry (88342) | $193.60 | $242 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $66.40 | $83 | 4.2× |
| Influenza a/b ag eia (87400) | $96.80 | $121 | 6.9× |
| Influenza assay w/optic (87804) | $64 | $80 | 3.9× |
| Influenza DNA amp probe (87502) | $108.80 | $136 | 1.1× |
| Inhibin A (86336) | $212.80 | $266 | 13.6× |
| Inhibin b (83520) range across 13 matching MRF lines |
$60–$288.80 | $75–$361 | varies |
| Insulin antibodies (86337) | $172.80 | $216 | 8.1× |
| Insulin total (83525) | $70.40 | $88 | 6.2× |
| Intrinsic factor antibody (86340) | $111.20 | $139 | 7.4× |
| Iron (83540) range across 3 matching MRF lines |
$44–$52.80 | $55–$66 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$43.20–$48.80 | $54–$61 | varies |
| Irradiation Blood Product Each Unit (86945) | $159.20 | $199 | 4.3× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$184–$284 | $230–$355 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $427.20 | $534 | 4.7× |
| Ketosteroids 17 total (83586) | $40.80 | $51 | 3.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$43.20–$48 | $54–$60 | varies |
| Lactoferrin fecal qualitative (83630) | $106.40 | $133 | 5.4× |
| Ldh Isoenzymes (83625) | $142.40 | $178 | 11.1× |
| LDL direct (83721) | $56 | $70 | 5.3× |
| Lead (83655) | $86.40 | $108 | 7.1× |
| Legionella antibody (86713) | $196 | $245 | 12.8× |
| Legionella antigen urine (87449) | $104.80 | $131 | 8.7× |
| Leptospira antibody (86720) | $83.20 | $104 | 5.1× |
| Lipase (83690) | $69.60 | $87 | 10.1× |
| Lipoprotein A (83695) | $68 | $85 | 4.7× |
| Lipoprotein Bld Quan Part (83704) | $126.40 | $158 | 3.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $80 | $100 | 7.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $138.40 | $173 | 3.0× |
| Lithium (80178) | $56 | $70 | 8.5× |
| Luteinizing Hormone (Lh) (83002) | $109.60 | $137 | 5.9× |
| Lyme disease antibody (86618) | $122.40 | $153 | 7.2× |
| Lysozyme serum (85549) | $112 | $140 | 6.0× |
| M. Genitalium Amp Probe (87563) | $129.60 | $162 | 3.7× |
| Macroscopic exam arthropod (87168) | $92.02 | $115.02 | 21.6× |
| Macroscopic Exam Parasite (87169) | $43.20 | $54 | 10.0× |
| Magnesium Urine (83735) | $51.20 | $64 | 7.6× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$120.80–$272.80 | $151–$341 | varies |
| Mercury urine (83825) | $78.40 | $98 | 4.8× |
| Methotrexate (80204) | $76 | $95 | 2.0× |
| Methylmalonic acid serum (83921) | $115.20 | $144 | 5.4× |
| Microalbumin, quantitative (82043) | $43.20 | $54 | 7.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$74.40–$89.60 | $93–$112 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $820.80 | $1,026 | 2.7× |
| Mopath procedure level 2 (81401) | $527.20 | $659 | 3.8× |
| Mopath procedure level 4 (81403) | $302.40 | $378 | 1.6× |
| Mopath procedure level 5 (81404) | $638 | $797.50 | 2.3× |
| Mrsa Pcr (87641) | $61.63 | $77.04 | 1.8× |
| Mthfr Gene Analysis Common Variants (81291) | $440.80 | $551 | 6.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$73.60–$74.40 | $92–$93 | varies |
| Mycophenolic Acid (80180) | $84.80 | $106 | 4.7× |
| Mycoplasma antibody (86738) | $82.40 | $103 | 6.2× |
| Mycoplasma culture (87109) | $105.60 | $132 | 6.9× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$85.60–$99.20 | $107–$124 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$166.40–$188 | $208–$235 | varies |
| Neutralization Test Viral (86382) | $86.40 | $108 | 5.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $196 | $245 | 0.7× |
| Nickel level (83885) | $56.80 | $71 | 2.3× |
| Nk cells total count (86357) | $115.20 | $144 | 3.1× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$22.40–$232 | $28–$290 | varies |
| Occult Blood Other Sources (82271) | $40 | $50 | 7.5× |
| Oligoclonal bands (83916) | $106.40 | $133 | 3.9× |
| Organic acids urine (83918) | $68 | $85 | 2.9× |
| Osmolality serum (83930) | $84.80 | $106 | 12.8× |
| Osmolality Urine (83935) | $86.40 | $108 | 12.7× |
| Osteocalcin (83937) | $172 | $215 | 5.8× |
| Ova and parasites smears (87177) | $60 | $75 | 6.7× |
| Oxalate urine (83945) | $156 | $195 | 10.8× |
| Pancreatic Elastase Fecal (82656) | $327.20 | $409 | 28.4× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$68–$110.40 | $85–$138 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$80.80–$94.40 | $101–$118 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$14.40–$16.80 | $18–$21 | varies |
| Phenobarbital Level (80184) | $115.20 | $144 | 7.5× |
| Phenytoin (Dilantin) (80185) | $88 | $110 | 6.6× |
| Phosphatase acid prostatic (84066) | $106.05 | $132.56 | 11.0× |
| Phosphatase alkaline (84075) | $40 | $50 | 7.7× |
| Phosphorus Serum (84100) | $40.80 | $51 | 8.6× |
| Phosphorus urine (84105) | $27.20 | $34 | 4.7× |
| Pinworm exam (87172) | $82.40 | $103 | 19.3× |
| Platelet Aggregation (85576) | $155.20 | $194 | 6.2× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$58.40–$120 | $73–$150 | varies |
| Platelet count automated (85049) | $46.40 | $58 | 10.4× |
| Platelet neutralization (85597) | $76 | $95 | 4.2× |
| Porphobilinogen, urine; quantitative (84110) | $76 | $95 | 9.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$121.60–$148 | $152–$185 | varies |
| Potassium Urine (84133) | $54.40 | $68 | 11.5× |
| Prealbumin (84134) | $100.80 | $126 | 6.9× |
| Pregnancy-Associated Plasma Protein-A (84163) | $244 | $305 | 16.2× |
| Pregnenolone (84140) | $54.40 | $68 | 2.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $16 | $20 | 0.3× |
| Primidone (80188) | $76.80 | $96 | 4.6× |
| Procalcitonin (Pct) (84145) | $171.20 | $214 | 6.3× |
| Progesterone (84144) | $127.20 | $159 | 6.1× |
| Prolactin (84146) | $47.20 | $59 | 2.4× |
| Protein body fluid (84157) | $54.40 | $68 | 13.6× |
| Protein C Activity (85303) | $82.40 | $103 | 6.0× |
| Protein c antigen (85302) | $44 | $55 | 3.7× |
| Protein Electrophoresis Urine (84166) | $84.80 | $106 | 4.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$68.80–$75.20 | $86–$94 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$102.40–$128 | $128–$160 | varies |
| Protein s total (85305) | $89.60 | $112 | 7.7× |
| Protein total serum (84155) | $26.40 | $33 | 7.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$39.20–$108.80 | $49–$136 | varies |
| PSA free (84154) | $99.20 | $124 | 5.4× |
| Pth Intact (83970) | $76 | $95 | 1.8× |
| Q Fever Antibody (86638) | $232.80 | $291 | 19.2× |
| Quantiferon tb gold plus (86480) | $80.80 | $101 | 1.3× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$52–$177.60 | $65–$222 | varies |
| Quantitative Screen Metals (83018) | $195.20 | $244 | 8.9× |
| Rbc antibody elution (86860) | $90.40 | $113 | 0.5× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$114.40–$168.80 | $143–$211 | varies |
| Rbc antibody screen (86850) | $111.20 | $139 | 11.4× |
| Rbc pretreatment serum (86978) | $244.80 | $306 | 4.2× |
| Reagent Strip/Blood Glucose (82948) | $20 | $25 | 4.0× |
| Renin activity plasma (84244) | $102.40 | $128 | 4.7× |
| Resp virus 12-25 targets (87633) | $524.80 | $656 | 1.3× |
| Reticulocyte Count (85046) | $56.80 | $71 | 10.2× |
| Rh (86901) range across 2 matching MRF lines |
$38.40–$64 | $48–$80 | varies |
| Rheumatoid factor quant (86431) | $112 | $140 | 19.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$44.80–$112.80 | $56–$141 | varies |
| Ristocetin cofactor (85245) | $172 | $215 | 7.5× |
| Rotavirus ag eia (87425) | $64.80 | $81 | 5.4× |
| Rpr qualitative (86592) | $140.80 | $176 | 33.0× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$28–$28.80 | $35–$36 | varies |
| Rubella Antibody (86762) | $73.60 | $92 | 5.1× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$112–$144 | $140–$180 | varies |
| Russell Viper Venom Time Diluted (85613) | $72 | $90 | 7.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$24.80–$142.40 | $31–$178 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $72 | $90 | 1.7× |
| Sedimentation rate (85651) | $45.60 | $57 | 10.7× |
| Selenium (84255) | $144 | $180 | 5.6× |
| Semen Anal Sperm Detection (89321) | $25.60 | $32 | 2.1× |
| Semen analysis complete (89320) | $20.80 | $26 | 1.7× |
| Sept9 Methylation Analysis (81327) | $297.60 | $372 | 1.6× |
| Sex Hormone Binding Globulin (84270) | $98.40 | $123 | 4.5× |
| Sickling of rbc reduction (85660) | $44.80 | $56 | 8.1× |
| Sirolimus (80195) | $38.40 | $48 | 2.8× |
| Skin test tuberculosis intradermal (86580) | $39.20 | $49 | 1.4× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$44–$57.60 | $55–$72 | varies |
| Smear complex stain (87209) | $85.60 | $107 | 4.8× |
| Smear gram stain (87205) | $52 | $65 | 12.2× |
| Smear Special Stain (87207) | $144.80 | $181 | 24.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $39.20 | $49 | 6.7× |
| Sodium Serum (84295) | $40 | $50 | 8.3× |
| Sodium Urine (84300) | $52 | $65 | 10.3× |
| Somatomedin (84305) | $75.20 | $94 | 3.5× |
| Somatostatin (84307) | $193.60 | $242 | 10.6× |
| Special Stains Group 1 (88312) | $143.20 | $179 | 2.8× |
| Special Stains Group 2 (88313) | $116.80 | $146 | 0.9× |
| Specimen infect agnt concntj (87015) | $40 | $50 | 6.0× |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$32–$133.60 | $40–$167 | varies |
| Stool cultr aerobic bact ea (87046) | $63.20 | $79 | 6.7× |
| Strep a assay w/optic (87880) | $32.80 | $41 | 2.0× |
| Strep a DNA amp probe (87651) range across 3 matching MRF lines |
$61.61–$148 | $77.01–$185 | varies |
| Streptokinase, antibody Facility (86590) | $182.40 | $228 | 14.4× |
| Sulfate urine (84392) | $114.40 | $143 | 20.8× |
| Surg path level iii (88304) | $160 | $200 | 3.1× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$212–$380 | $265–$475 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $34.40 | $43 | 4.6× |
| T cells absolute cd4 count (86361) | $85.60 | $107 | 3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $91.20 | $114 | 1.9× |
| T cells total count (86359) | $133.60 | $167 | 3.5× |
| T3 Free (84481) range across 2 matching MRF lines |
$86.40–$97.60 | $108–$122 | varies |
| T3 reverse (84482) | $265.60 | $332 | 16.9× |
| T3 Total (84480) | $92.80 | $116 | 6.5× |
| T3 Uptake (84479) | $43.20 | $54 | 6.7× |
| T4 Free (84439) | $66.40 | $83 | 7.4× |
| T4 total (84436) | $60 | $75 | 8.7× |
| Tacrolimus (80197) | $110.40 | $138 | 8.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$119.20–$121.60 | $149–$152 | varies |
| Testosterone, Free (84402) | $107.20 | $134 | 4.2× |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$64–$92 | $80–$115 | varies |
| Theophylline (80198) | $68.80 | $86 | 4.9× |
| Thrombin Time (85670) | $31.20 | $39 | 5.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $33.60 | $42 | 5.2× |
| Thyroglobulin (84432) | $86.40 | $108 | 5.4× |
| Thyroglobulin Antibody (86800) | $76.80 | $96 | 4.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $62.40 | $78 | 1.2× |
| Thyroxine binding globulin (84442) | $63.20 | $79 | 4.3× |
| Tissue Culture Lymphocyte (88230) | $431.20 | $539 | 3.7× |
| Tobramycin peak (80200) | $140 | $175 | 8.7× |
| Topiramate (80201) | $88.80 | $111 | 7.4× |
| Toxoplasma ab igm (86778) | $40.80 | $51 | 2.8× |
| Toxoplasma antibody (86777) | $44 | $55 | 3.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $43.20 | $54 | 8.3× |
| Transferrin (84466) | $88.80 | $111 | 7.0× |
| Trichomonas Vaginalis Amplif (87661) | $151.20 | $189 | 4.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$38.40–$47.20 | $48–$59 | varies |
| Troponin Quant (84484) | $118.40 | $148 | 9.5× |
| Urea nitrogen urine (84540) | $52.80 | $66 | 9.5× |
| Uric acid other source (84560) | $100.80 | $126 | 19.8× |
| Urinalysis Microscopic Only (81015) | $17.60 | $22 | 5.8× |
| Urinalysis Volume Measure (81050) | $20.80 | $26 | 5.7× |
| Urine Albumin Semiquantitative (82044) | $12.80 | $16 | 2.1× |
| Urine Bacteria Culture (87088) | $47.20 | $59 | 5.8× |
| Urine Pregnancy Test (81025) | $50.40 | $63 | 5.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $41.60 | $52 | 13.1× |
| Valproic acid (80164) | $109.60 | $137 | 8.1× |
| Vancomycin (80202) | $126.40 | $158 | 9.3× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$65.60–$127.20 | $82–$159 | varies |
| Vasopressin (84588) | $168 | $210 | 4.9× |
| Viral Culture (87252) | $103.20 | $129 | 4.0× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$38.40–$263.20 | $48–$329 | varies |
| Virus inoculation, shell via (87254) | $112.80 | $141 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) | $211.20 | $264 | 5.5× |
| Vitamin A (84590) | $152 | $190 | 13.1× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$88.80–$96.80 | $111–$121 | varies |
| Vitamin B2 (Riboflavin) (84252) | $156 | $195 | 7.7× |
| Vitamin B6 (84207) | $172.80 | $216 | 6.1× |
| Vitamin c (82180) | $92 | $115 | 9.3× |
| Vitamin D 25-Hydroxy (82306) | $160.80 | $201 | 5.4× |
| Vitamin E (84446) | $85.60 | $107 | 6.0× |
| Vitamin K (84597) | $280 | $350 | 20.4× |
| Volatiles (84600) | $95.20 | $119 | 5.6× |
| Von willebrand factor ag (85246) | $101.60 | $127 | 4.4× |
| Wbc Alkaline Phosphatase Count (85540) | $73.96 | $92.45 | 8.6× |
| West nile virus ab igm (86788) | $84.80 | $106 | 5.0× |
| West Nile Virus Antibody (86789) | $101.60 | $127 | 7.1× |
| Zinc (84630) | $73.60 | $92 | 6.5× |
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.