Lab & pathology prices at Union Hospital Clinton
Clinton, IN · every code in this section with a posted price and a Medicare benchmark.
580 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $63.60 | $106 | 5.7× |
| Acetylcholine receptor binding antibody (86041) | $65.40 | $109 | 3.6× |
| Acetylcholine receptor blocking antibody (86042) | $62.40 | $104 | 3.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $62.40 | $104 | 5.2× |
| Acth (82024) | $306 | $510 | 7.9× |
| Actin smooth muscle antibody each (86015) | $39 | $65 | 3.2× |
| Acute hepatitis panel (80074) | $417 | $695 | 8.8× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $202.80 | $338 | 12.3× |
| Albumin Fluid (82042) | $35.40 | $59 | 4.6× |
| Albumin serum (82040) | $46.80 | $78 | 9.5× |
| Aldolase (82085) | $66 | $110 | 6.8× |
| Aldosterone urine (82088) | $213.60 | $356 | 5.2× |
| Alkaline phosphatase isoenzymes (84080) | $74.40 | $124 | 5.0× |
| Allergen specific ige (86003) | $35.40 | $59 | 6.8× |
| Allg Spec Ige Recomb Ea (86008) | $41.40 | $69 | 2.3× |
| Alpha-1-antitrypsin phenotype (82104) | $106.80 | $178 | 7.4× |
| Alpha-1-antitrypsin total (82103) | $103.20 | $172 | 7.7× |
| Alpha-Fetoprotein Serum (82105) | $127.80 | $213 | 7.6× |
| Alt (sgpt) (84460) | $52.20 | $87 | 9.8× |
| Aluminum (82108) | $119.40 | $199 | 4.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $231 | $385 | 13.7× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $152.40 | $254 | 11.0× |
| Ammonia (82140) | $160.80 | $268 | 11.0× |
| Amylase urine (82150) | $89.40 | $149 | 13.8× |
| Anca screen each antibody (86036) | $45 | $75 | 3.7× |
| Anca Titer Each Antibody (86037) | $44.40 | $74 | 3.7× |
| Androstenedione (82157) | $110.40 | $184 | 3.8× |
| Angiotensin converting enzyme csf (82164) | $115.80 | $193 | 7.9× |
| Anti-Phospholipid Antibody (86148) | $84 | $140 | 5.2× |
| Antibody aspergillus (86606) | $70.80 | $118 | 4.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $22.20 | $37 | 1.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $103.20 | $172 | 6.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $96 | $160 | 5.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $97.80 | $163 | 7.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $89.40 | $149 | 5.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $93 | $155 | 5.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $61.80 | $103 | 5.0× |
| Antibody helicobacter pylori (86677) | $103.20 | $172 | 6.1× |
| Antibody Herpes Smplx Type 1 (86695) | $63.60 | $106 | 4.8× |
| Antibody HIV-1&HIV-2 single result (86703) | $85.80 | $143 | 6.3× |
| Antibody HIV-2 (86702) | $62.40 | $104 | 4.6× |
| Antibody identification leukocyte antibodies (86021) | $107.40 | $179 | 7.1× |
| Antibody Protozoa Nes (86753) | $67.80 | $113 | 5.5× |
| Antibody Titer (86886) | $112.80 | $188 | 21.8× |
| Antibody Treponema Pallidum (86780) | $67.80 | $113 | 5.1× |
| Antigen typing (86905) | $258 | $430 | 67.4× |
| Antinomyces antibody (86602) | $48.60 | $81 | 4.8× |
| Antinuclear antibodies (86038) | $131.40 | $219 | 10.9× |
| Antistreptolysin o titer (86060) | $53.40 | $89 | 7.3× |
| Antithrombin iii activity (85300) | $106.80 | $178 | 9.0× |
| Antithrombin iii antigen (85301) | $142.20 | $237 | 13.2× |
| Apolipoprotein a1 (82172) | $64.20 | $107 | 3.0× |
| Arsenic (82175) | $96 | $160 | 5.1× |
| Aspa gene analysis common variants (81200) | $84 | $140 | 1.8× |
| Aspergillus ag eia (87305) | $103.20 | $172 | 8.6× |
| Assay Blood Carbon Dioxide (82374) | $37.20 | $62 | 7.6× |
| Assay Nephelometry Not Spec (83883) | $93 | $155 | 6.8× |
| Assay of 5-hiaa (83497) | $89.40 | $149 | 6.9× |
| Assay of blood/uric acid (84550) | $61.80 | $103 | 13.7× |
| Assay of calcium in urine (82340) | $53.40 | $89 | 8.9× |
| Assay of cpk in blood (82552) | $73.20 | $122 | 5.5× |
| Assay of estrone (82679) | $81 | $135 | 3.2× |
| Assay of g6pd enzyme (82955) | $56.40 | $94 | 5.8× |
| Assay of gammaglobulin igm (82784) | $85.20 | $142 | 9.2× |
| Assay of lactic acid (83605) | $117.60 | $196 | 10.2× |
| Assay of metanephrines (83835) | $173.40 | $289 | 10.2× |
| Assay of proinsulin (84206) | $101.40 | $169 | 3.8× |
| Assay of prostate specific antigen complexed (84152) | $69 | $115 | 3.8× |
| Assay of pyruvate (84210) | $65.40 | $109 | 4.5× |
| Assay of serotonin (84260) | $124.80 | $208 | 4.0× |
| Assay of serum potassium (84132) | $46.80 | $78 | 9.8× |
| Assay of sweat sodium (84302) | $37.20 | $62 | 7.7× |
| Assay of urea nitrogen (84520) | $49.20 | $82 | 12.5× |
| Assay of urine vma (84585) | $74.40 | $124 | 4.8× |
| Assay of vasoactive intestinal peptide (84586) | $124.80 | $208 | 3.5× |
| Assay of vitamin b-1 (84425) | $154.20 | $257 | 7.3× |
| Assay Ph Body Fluid Nos (83986) | $35.40 | $59 | 9.9× |
| Assay spec xcp ur&breath ia (82077) | $196.80 | $328 | 11.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $990 | $1,650 | 1.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $231 | $385 | 1.3× |
| Automated Leukocyte Count (85048) | $29.40 | $49 | 11.6× |
| Bartonella antibody (86611) | $58.20 | $97 | 5.7× |
| Bcr/abl1 gene major bp (81206) | $337.20 | $562 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $251.40 | $419 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $82.80 | $138 | 3.3× |
| Beta hydroxybutyrate (82010) | $73.20 | $122 | 9.0× |
| Beta Lactamase (87185) | $33 | $55 | 6.9× |
| Beta-2 Microglobulin (82232) | $85.80 | $143 | 5.3× |
| Bile acids total (82239) | $58.20 | $97 | 3.4× |
| Bilirubin direct (82248) | $66 | $110 | 13.1× |
| Bilirubin total (82247) | $53.40 | $89 | 10.6× |
| Biotinidase (82261) | $78 | $130 | 4.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $24.60 | $41 | 7.2× |
| Blastomyces antibody (86612) | $67.80 | $113 | 5.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $205.80 | $343 | 1.1× |
| Bld Typing Serologic Rh Phnt (86906) | $123.60 | $206 | 15.9× |
| Bleeding time test (85002) | $70.80 | $118 | 14.7× |
| Blm Gene (81209) | $70.20 | $117 | 1.8× |
| Blood count reticulocyte automated (85045) | $49.80 | $83 | 12.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $41.40 | $69 | 10.9× |
| Blood gas (82803) | $253.80 | $423 | 9.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $53.40 | $89 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $58.20 | $97 | 13.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $560.40 | $934 | 88.3× |
| Blood typing serologic abo (86900) | $106.80 | $178 | 35.7× |
| Bordetella antibody (86615) | $67.80 | $113 | 5.1× |
| Brca1&2 gen full seq dup/del (81162) | $1,997.40 | $3,329 | 1.1× |
| Breath Alcohol Test (82075) | $52.20 | $87 | 1.7× |
| C diff amplified probe (87493) | $192.60 | $321 | 5.2× |
| C-Peptide (84681) | $156.60 | $261 | 7.5× |
| C-reactive protein (86140) | $74.40 | $124 | 14.4× |
| Ca 19-9 (86301) | $149.40 | $249 | 7.2× |
| Cadmium (82300) | $63.60 | $106 | 2.7× |
| Calcium ionized (82330) | $106.80 | $178 | 7.8× |
| Calcium total (82310) | $49.80 | $83 | 9.7× |
| Calculus Spectroscopy (82365) | $82.80 | $138 | 6.4× |
| Calprotectin Fecal (83993) | $184.20 | $307 | 9.4× |
| Cancer Antigen 125 (86304) | $167.40 | $279 | 8.0× |
| Cancer Antigen 27.29 (86300) | $164.40 | $274 | 7.9× |
| Candida Dna Dir Probe (87480) | $62.40 | $104 | 3.1× |
| Carbamazepine total (80156) | $112.80 | $188 | 7.7× |
| Carboxyhemoglobin (82375) | $78.60 | $131 | 6.4× |
| Carcinoembryonic antigen (82378) | $163.80 | $273 | 8.6× |
| Cardiolipin ab iga (86147) | $106.80 | $178 | 4.2× |
| Carotene (82380) | $43.20 | $72 | 4.7× |
| Catecholamines fractionated (82384) | $127.80 | $213 | 5.1× |
| Ccp antibody (86200) | $100.80 | $168 | 7.8× |
| Cell count csf (89051) | $85.80 | $143 | 15.3× |
| Cell marker study (88182) range across 2 matching MRF lines |
$222.60–$231 | $371–$385 | varies |
| Ceruloplasmin (82390) | $96 | $160 | 8.9× |
| Cftr gene com variants (81220) | $490.20 | $817 | 0.9× |
| Chemiluminescent assay (82397) | $96 | $160 | 6.8× |
| Chlamydia antibody (86631) | $51.60 | $86 | 4.4× |
| Chlamydia Igm Antibody (86632) | $51 | $85 | 4.0× |
| Chloride other source (82438) | $33.60 | $56 | 6.7× |
| Chloride Serum (82435) | $26.40 | $44 | 5.7× |
| Chloride urine (82436) | $25.80 | $43 | 4.5× |
| Cholesterol total (82465) | $54.60 | $91 | 12.6× |
| Chorionic gonadotropin test (84702) | $142.20 | $237 | 9.4× |
| Chromogranin a (86316) | $140.40 | $234 | 6.7× |
| Chromosome Analysis 15-20 (88262) | $591 | $985 | 4.7× |
| Chromosome Analysis 20-25 (88264) | $355.80 | $593 | 2.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $145.20 | $242 | 4.1× |
| Ckmb (82553) | $106.80 | $178 | 9.2× |
| Clostridium Difficile (87324) | $96 | $160 | 8.0× |
| Clotting Funct Activity (85397) | $160.20 | $267 | 5.2× |
| Coagulation time activated (85347) | $33.60 | $56 | 7.9× |
| Coccidioides antibody (86635) | $64.20 | $107 | 5.6× |
| Cold agglutinin titer (86157) | $83.40 | $139 | 10.3× |
| Collagen crosslinks (82523) | $99 | $165 | 5.3× |
| Column Chromotography Quant (82542) | $121.20 | $202 | 5.0× |
| Compatibility test antiglob (86922) | $121.20 | $202 | 0.7× |
| Complement Antigen Each Component (86160) | $123.60 | $206 | 10.3× |
| Complement Total (Ch50) (86162) | $147.60 | $246 | 7.3× |
| Complement/Function Activity (86161) | $124.20 | $207 | 10.4× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $320.40 | $534 | 1.8× |
| Coombs direct (86880) | $65.40 | $109 | 12.1× |
| Copper urine (82525) | $119.40 | $199 | 9.6× |
| Cortisol free (82530) | $153.60 | $256 | 9.2× |
| Cortisol saliva (82533) | $136.20 | $227 | 8.4× |
| Creatine kinase total (82550) | $73.20 | $122 | 11.2× |
| Creatinine blood (82565) | $53.40 | $89 | 10.4× |
| Creatinine clearance (82575) | $74.40 | $124 | 7.9× |
| Creatinine Urine (82570) | $60.60 | $101 | 11.7× |
| Crossmatch electronic (86923) | $122.40 | $204 | 0.7× |
| Crossmatch immediate spin (86920) | $163.80 | $273 | 0.9× |
| Crp High Sensitivity (86141) | $114 | $190 | 8.8× |
| Cryoglobulin (82595) | $37.20 | $62 | 5.7× |
| Cryptococcus ag titer (87899) | $66 | $110 | 4.1× |
| Cryptosporidium ag eia (87328) | $70.80 | $118 | 5.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $57.60 | $96 | 7.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70.80 | $118 | 8.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $81 | $135 | 10.5× |
| Culture afb (87116) | $121.20 | $202 | 11.2× |
| Culture Anaerobic (87075) | $115.80 | $193 | 12.2× |
| Culture blood (87040) | $147 | $245 | 14.2× |
| Culture chlamydia (87110) | $91.80 | $153 | 4.7× |
| Culture csf (87070) | $120.60 | $201 | 14.0× |
| Culture fungus (87102) | $115.80 | $193 | 13.8× |
| Culture fungus blood (87103) | $97.20 | $162 | 4.8× |
| Culture screen only (87081) | $73.20 | $122 | 11.0× |
| Culture stool (87045) | $99 | $165 | 10.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $35.40 | $59 | 6.8× |
| Culture urine (87086) | $82.20 | $137 | 10.2× |
| Cyclosporine (80158) | $117.60 | $196 | 6.5× |
| Cystatin C (82610) | $74.40 | $124 | 4.0× |
| Cytogenomic neo microra alys (81277) | $1,794 | $2,990 | 1.5× |
| Cytomegalovirus igg (86644) | $96 | $160 | 6.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $82.80 | $138 | 4.1× |
| Cytotoxic pra quick (86808) | $238.20 | $397 | 8.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$108.60–$112.80 | $181–$188 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$78–$81 | $130–$135 | varies |
| Detect Agent Nos Dna Amp (87798) | $132.60 | $221 | 3.8× |
| Detect Agent Nos Dna Quant (87799) | $300 | $500 | 7.0× |
| Detect agnt mult DNA ampli (87801) | $220.80 | $368 | 3.1× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $235.20 | $392 | 1.5× |
| Dgp Antibody Each Ig Class (86258) | $41.40 | $69 | 3.4× |
| Dhea (82626) | $142.20 | $237 | 5.6× |
| Dhea-S (82627) | $142.20 | $237 | 6.4× |
| Digoxin (80162) | $124.80 | $208 | 9.4× |
| Dna Antibody Native/Double Stranded (86225) | $115.80 | $193 | 8.4× |
| Dna Antibody Single Stranded (86226) | $97.20 | $162 | 8.0× |
| Dna/Rna Sequencing (87153) | $266.40 | $444 | 2.3× |
| Drug assay acetaminophen (80143) | $196.80 | $328 | 10.6× |
| Drug Assay Amiodarone (80151) | $33.60 | $56 | 1.8× |
| Drug assay felbamate (80167) | $33.60 | $56 | 1.8× |
| Drug Screen Quantitative Gabapentin (80171) | $115.80 | $193 | 5.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $121.20 | $202 | 9.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $112.80 | $188 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $74.40 | $124 | 5.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $103.20 | $172 | 1.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $121.80 | $203 | 9.7× |
| Ehrlichia antibody (86666) | $35.40 | $59 | 3.5× |
| Electrolyte panel (80051) | $100.20 | $167 | 14.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $48.60 | $81 | 4.0× |
| Enterovirus Antibody (86658) | $52.20 | $87 | 4.0× |
| Enzyme cell activity (82657) | $175.80 | $293 | 7.9× |
| Eosinophil Smear (89190) | $57.60 | $96 | 9.9× |
| Erythropoietin (82668) | $127.80 | $213 | 6.8× |
| Estradiol serum (82670) | $163.80 | $273 | 5.9× |
| Estriol (82677) | $78.60 | $131 | 3.3× |
| Estrogen total (82672) | $131.40 | $219 | 6.1× |
| Ethosuximide (80168) | $73.20 | $122 | 4.5× |
| Ethylene Glycol (82693) | $95.40 | $159 | 6.4× |
| Exam Synovial Fluid Crystals (89060) | $81 | $135 | 11.1× |
| F2 Gene (81240) | $184.20 | $307 | 2.8× |
| Factor v activity (85220) | $114.60 | $191 | 6.5× |
| Factor v leiden mutation (81241) | $207 | $345 | 2.8× |
| Factor viii assay (85240) | $166.20 | $277 | 9.3× |
| Fancc Gene (81242) | $66 | $110 | 1.8× |
| Fecal Fat Qualitative (82705) | $60 | $100 | 11.8× |
| Ferritin (82728) | $114 | $190 | 8.4× |
| Fetal Chrmoml Microdeltj (81422) | $1,354.20 | $2,257 | 1.8× |
| Fetal Fibronectin (82731) | $412.20 | $687 | 6.4× |
| Fetal screen rosette (85461) | $93.60 | $156 | 10.0× |
| Fibrin Degradation Quant (85379) | $147 | $245 | 14.4× |
| Fibrinogen activity (85384) | $96 | $160 | 9.9× |
| Fibrinogen antigen (85385) | $67.80 | $113 | 4.7× |
| Flow cytometry first marker (88184) | $302.40 | $504 | 0.8× |
| Fluorescent antibody screen (86255) | $142.20 | $237 | 11.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $90 | $150 | 7.5× |
| Fmr1 gene detection (81243) | $202.20 | $337 | 3.5× |
| Folic acid rbc (82747) | $117.60 | $196 | 6.7× |
| Folic Acid Serum (82746) | $119.40 | $199 | 8.1× |
| Follicle Stimulating Hormone (83001) | $153.60 | $256 | 8.3× |
| Frozen Section (88331) range across 2 matching MRF lines |
$270.60–$281.40 | $451–$469 | varies |
| Fungi Identification Mold (87107) | $66 | $110 | 6.4× |
| Fungi Identification Yeast (87106) | $66 | $110 | 6.4× |
| Galactose (82760) | $30 | $50 | 2.7× |
| Galactose transferase test (82776) | $23.40 | $39 | 2.0× |
| Gammaglobulin ige (82785) | $149.40 | $249 | 9.1× |
| Gardner vag DNA dir probe (87510) | $74.40 | $124 | 3.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $58.20 | $97 | 6.0× |
| Gases blood ph only (82800) | $49.80 | $83 | 4.5× |
| Gastrin (82941) | $112.80 | $188 | 6.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $550.80 | $918 | 1.3× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $84.60 | $141 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $119.40 | $199 | 3.5× |
| Gentamicin (80170) | $127.80 | $213 | 7.8× |
| Ggt (82977) | $74.40 | $124 | 10.3× |
| Giardia antigen (87329) | $70.80 | $118 | 5.9× |
| Glucose 2 hr pp (82950) | $38.40 | $64 | 8.1× |
| Glucose Blood Test (82962) | $37.20 | $62 | 11.3× |
| Glucose body fluid (82945) | $49.80 | $83 | 12.7× |
| Glucose Serum (82947) | $46.80 | $78 | 11.9× |
| Glucose tolerance test (gtt) (82951) | $108 | $180 | 8.4× |
| Glycated Protein (82985) | $60.60 | $101 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $100.20 | $167 | 13.3× |
| Growth hormone (83003) | $84 | $140 | 5.0× |
| Gtt-added samples (82952) | $30.60 | $51 | 7.8× |
| Haloperidol (80173) | $66.60 | $111 | 4.2× |
| Haptoglobin (83010) | $111 | $185 | 8.8× |
| Hba1/Hba2 Gene (81257) | $432 | $720 | 4.2× |
| Hbb Gene Com Variants (81361) | $312 | $520 | 1.8× |
| Hdl Cholesterol (83718) | $61.80 | $103 | 7.5× |
| Helicobacter Pylori Stool (87338) | $121.20 | $202 | 8.4× |
| Helminth Antibody (86682) | $70.20 | $117 | 5.4× |
| Hematocrit (85014) | $15 | $25 | 6.3× |
| Hemoglobin (85018) | $15 | $25 | 6.3× |
| Hemoglobin a1c (83036) | $89.40 | $149 | 9.2× |
| Hemoglobin Chromotography (83021) | $74.40 | $124 | 4.1× |
| Hemoglobin electrophoresis (83020) | $97.80 | $163 | 7.6× |
| Hep a ab igm (86709) | $77.40 | $129 | 6.9× |
| Heparin assay (85520) | $110.40 | $184 | 8.4× |
| Hepatitis a antibody total (86708) | $100.20 | $167 | 8.1× |
| Hepatitis b core ab igm (86705) | $117.60 | $196 | 10.0× |
| Hepatitis b core ab total (86704) | $85.20 | $142 | 7.1× |
| Hepatitis B Surface Antibody (86706) | $96 | $160 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $86.40 | $144 | 8.4× |
| Hepatitis Be Antibody (86707) | $89.40 | $149 | 7.7× |
| Hepatitis Be Antigen (87350) | $88.80 | $148 | 7.7× |
| Hepatitis C Antibody (86803) | $117.60 | $196 | 8.2× |
| Hepatitis C Genotype (87902) | $579.60 | $966 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $223.80 | $373 | 6.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $319.80 | $533 | 7.5× |
| Herpes simplex type 2 (86696) | $93.60 | $156 | 4.8× |
| Heterophile Antibody Screen (86308) | $89.40 | $149 | 17.3× |
| Hexa gene analysis common variants (81255) | $91.80 | $153 | 1.8× |
| Hfe Gene (81256) | $278.40 | $464 | 4.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $123.60 | $206 | 16.0× |
| Histoplasma antibody (86698) | $60.60 | $101 | 4.4× |
| Histoplasma antigen urine (87385) | $149.40 | $249 | 11.3× |
| Hiv Antigen W/Hiv Antibodies (87806) | $95.40 | $159 | 2.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $110.40 | $184 | 4.6× |
| Hiv-1 Antibody (86701) | $58.20 | $97 | 6.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $335.40 | $559 | 3.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $242.40 | $404 | 1.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $178.20 | $297 | 2.4× |
| Hla ii typing 1 allele hr (81383) | $192.60 | $321 | 1.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $333 | $555 | 5.7× |
| Hla-b27 (86812) | $79.80 | $133 | 3.1× |
| Homocysteine (83090) | $185.40 | $309 | 10.3× |
| Homogenization Tissue (87176) | $39.60 | $66 | 6.7× |
| Hsv Dna Amp Probe (87529) | $171 | $285 | 4.9× |
| Htlv-I Antibody (86687) | $53.40 | $89 | 5.9× |
| Hydroxyprogesterone 17-d (83498) | $79.20 | $132 | 2.9× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $69.60 | $116 | 1.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $61.80 | $103 | 6.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $138.60 | $231 | 10.0× |
| Iaad ia shiga-like toxin (87427) | $61.80 | $103 | 5.2× |
| Iaad Ia Streptococcus Group A (87430) | $78.60 | $131 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $109.80 | $183 | 3.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $184.20 | $307 | 5.2× |
| Iadna Cytomegalovirus Quantification (87497) | $273.60 | $456 | 6.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $232.80 | $388 | 5.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $213 | $355 | 6.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $209.40 | $349 | 5.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93 | $155 | 2.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $142.20 | $237 | 4.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$280.80–$312 | $468–$520 | varies |
| Igg subclasses (82787) | $51.60 | $86 | 6.4× |
| Ikbkap Gene Analysis Common Variants (81260) | $70.20 | $117 | 1.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$223.80–$232.80 | $373–$388 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $155.40 | $259 | 5.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $149.40 | $249 | 8.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $70.80 | $118 | 4.7× |
| Immunoassay nonantibody (83516) | $100.80 | $168 | 8.7× |
| Immunodiffusion Ouchterlony (86331) | $57.60 | $96 | 4.8× |
| Immunofixation electrophoresis (86334) | $155.40 | $259 | 7.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$211.80–$220.20 | $353–$367 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$251.40–$261 | $419–$435 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$262.20–$272.40 | $437–$454 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $51 | $85 | 4.2× |
| Influenza a/b ag eia (87400) | $97.20 | $162 | 6.9× |
| Influenza DNA amp probe (87502) | $205.80 | $343 | 2.1× |
| Inhibin A (86336) | $78.60 | $131 | 5.0× |
| Inhibin b (83520) | $142.20 | $237 | 8.2× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$366–$380.40 | $610–$634 | varies |
| Insulin antibodies (86337) | $80.40 | $134 | 3.8× |
| Insulin free (83527) | $51.60 | $86 | 4.0× |
| Insulin total (83525) | $114 | $190 | 10.0× |
| Intrinsic factor antibody (86340) | $82.80 | $138 | 5.5× |
| Iron (83540) | $61.20 | $102 | 9.5× |
| Iron Binding Capacity (83550) | $73.20 | $122 | 8.4× |
| Islet cell antibody (86341) | $152.40 | $254 | 6.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $385.20 | $642 | 4.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $330 | $550 | 1.8× |
| Kras Gene Variants Exon 2 (81275) | $579.60 | $966 | 3.0× |
| Lactate (ld) (ldh) enzyme (83615) | $58.20 | $97 | 9.6× |
| Lactoferrin Fecal Quantitative (83631) | $154.20 | $257 | 7.9× |
| Ldh Isoenzymes (83625) | $67.80 | $113 | 5.3× |
| LDL direct (83721) | $81 | $135 | 7.7× |
| Lead (83655) | $81 | $135 | 6.7× |
| Legionella antibody (86713) | $102 | $170 | 6.7× |
| Legionella antigen urine (87449) | $114 | $190 | 9.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$86.40–$90 | $144–$150 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$133.20–$138.60 | $222–$231 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$489.60–$508.80 | $816–$848 | varies |
| Lidocaine (80176) | $90 | $150 | 6.1× |
| Lipase (83690) | $89.40 | $149 | 13.0× |
| Lipoprotein A (83695) | $67.80 | $113 | 4.7× |
| Lipoprotein Bld Quan Part (83704) | $133.80 | $223 | 3.9× |
| Lithium (80178) | $76.80 | $128 | 11.6× |
| Luteinizing Hormone (Lh) (83002) | $160.80 | $268 | 8.7× |
| Lyme disease antibody (86618) | $139.20 | $232 | 8.2× |
| Lymphocytotoxicity Assay (86805) | $286.20 | $477 | 1.5× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $56.40 | $94 | 1.2× |
| Lysozyme serum (85549) | $48.60 | $81 | 2.6× |
| M. Genitalium Amp Probe (87563) | $93 | $155 | 2.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$378–$393 | $630–$655 | varies |
| Macroscopic exam arthropod (87168) | $39.60 | $66 | 9.3× |
| Macroscopic Exam Parasite (87169) | $36.60 | $61 | 8.5× |
| Magnesium Urine (83735) | $70.80 | $118 | 10.6× |
| Mass Spectrometry Quant (83789) | $93.60 | $156 | 3.9× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $70.20 | $117 | 1.8× |
| Mercury urine (83825) | $74.40 | $124 | 4.6× |
| Metabolic panel ionized ca (80047) | $130.80 | $218 | 9.5× |
| Methotrexate (80204) | $110.40 | $184 | 2.9× |
| Methylmalonic acid serum (83921) | $142.20 | $237 | 6.7× |
| Microalbumin, quantitative (82043) | $70.80 | $118 | 12.2× |
| Microsomal Antibodies Each (86376) | $121.20 | $202 | 8.3× |
| Mitochondrial Antibody Each (86381) | $56.40 | $94 | 2.2× |
| Mlh1 Gene (81288) | $348.60 | $581 | 1.8× |
| Mopath procedure level 1 (81400) | $271.20 | $452 | 4.2× |
| Mopath procedure level 2 (81401) | $329.40 | $549 | 2.4× |
| Mopath procedure level 4 (81403) | $448.80 | $748 | 2.4× |
| Mpl gene common variants (81338) | $268.20 | $447 | 1.8× |
| Mrsa Pcr (87641) | $178.20 | $297 | 5.1× |
| Mthfr Gene Analysis Common Variants (81291) | $205.80 | $343 | 3.1× |
| Mumps antibody (86735) | $74.40 | $124 | 5.7× |
| Mycoplasma antibody (86738) | $93 | $155 | 7.0× |
| Myelin basic protein csf (83873) | $95.40 | $159 | 5.5× |
| Myoglobin urine (83874) | $90 | $150 | 7.0× |
| Natriuretic peptide (83880) | $185.40 | $309 | 4.7× |
| Nfct ds bv&vaginitis DNA alg (81515) range across 2 matching MRF lines |
$394.20–$409.80 | $657–$683 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $238.20 | $397 | 3.3× |
| Niacin (84591) | $93.60 | $156 | 5.5× |
| Nk cells total count (86357) | $124.20 | $207 | 3.3× |
| Nuclear antigen antibody (86235) | $96 | $160 | 5.4× |
| Occult blood feces (82272) | $56.40 | $94 | 13.3× |
| Occult Blood Other Sources (82271) | $34.80 | $58 | 6.5× |
| Oligoclonal bands (83916) | $99 | $165 | 3.6× |
| Oncoprotein dcp (83951) | $179.40 | $299 | 2.8× |
| Organic acids urine (83918) | $183 | $305 | 7.8× |
| Osmolality serum (83930) | $70.80 | $118 | 10.7× |
| Osmolality Urine (83935) | $67.80 | $113 | 9.9× |
| Ova and parasites smears (87177) | $77.40 | $129 | 8.7× |
| Particle Agglut Antbdy Titr (86406) | $57 | $95 | 5.4× |
| Particle Agglutination Screen Each Antibody (86403) | $56.40 | $94 | 4.9× |
| Parvovirus antibody (86747) | $78.60 | $131 | 5.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$807–$838.20 | $1,345–$1,397 | varies |
| Ph urine (81003) | $38.40 | $64 | 17.1× |
| Phenobarbital Level (80184) | $90 | $150 | 5.9× |
| Phenotype Infect Agent Drug (87900) | $419.40 | $699 | 3.2× |
| Phenytoin (Dilantin) (80185) | $99 | $165 | 7.5× |
| Phenytoin free (80186) | $105.60 | $176 | 7.7× |
| Phosphatase alkaline (84075) | $60.60 | $101 | 11.7× |
| Phospholipid Neutralization Hexagonal (85598) | $93 | $155 | 5.2× |
| Phosphorus Serum (84100) | $54.60 | $91 | 11.5× |
| Phosphorus urine (84105) | $38.40 | $64 | 6.6× |
| Pinworm exam (87172) | $33.60 | $56 | 7.9× |
| Platelet Aggregation (85576) | $127.80 | $213 | 5.1× |
| Platelet Antibodies (86022) | $165 | $275 | 9.0× |
| Platelet count automated (85049) | $53.40 | $89 | 11.9× |
| Platelet neutralization (85597) | $130.80 | $218 | 7.3× |
| Pooling blood platelets (86965) | $119.40 | $199 | 0.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $77.40 | $129 | 5.3× |
| Potassium Urine (84133) | $39.60 | $66 | 8.4× |
| Prealbumin (84134) | $96 | $160 | 6.6× |
| Pregnenolone (84140) | $106.80 | $178 | 5.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $91.20 | $152 | 1.5× |
| Primidone (80188) | $66.60 | $111 | 4.0× |
| Procalcitonin (Pct) (84145) | $189 | $315 | 6.9× |
| Progesterone (84144) | $114 | $190 | 5.5× |
| Prolactin (84146) | $166.80 | $278 | 8.6× |
| Protein body fluid (84157) | $61.80 | $103 | 15.5× |
| Protein C Activity (85303) | $185.40 | $309 | 13.4× |
| Protein c antigen (85302) | $95.40 | $159 | 7.9× |
| Protein Electrophoresis Urine (84166) | $101.40 | $169 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $91.20 | $152 | 8.5× |
| Protein S Free (85306) | $217.80 | $363 | 14.2× |
| Protein s total (85305) | $115.80 | $193 | 10.0× |
| Protein total serum (84155) | $43.20 | $72 | 11.8× |
| Protein Total Urine (84156) | $54.60 | $91 | 14.9× |
| Protein Western Blot Test (84182) | $190.80 | $318 | 6.5× |
| Protoporphyrin rbc quantitative (84202) | $91.20 | $152 | 6.4× |
| PSA free (84154) | $131.40 | $219 | 7.1× |
| Pth Intact (83970) | $214.20 | $357 | 5.2× |
| Quantiferon tb gold plus (86480) | $199.20 | $332 | 3.2× |
| Quantitative assay drug (80299) | $110.40 | $184 | 5.9× |
| Quantitative Screen Metals (83018) | $90 | $150 | 4.1× |
| Rbc antibody elution (86860) | $185.40 | $309 | 1.0× |
| Rbc antibody identification (86870) | $252.60 | $421 | 0.7× |
| Rbc antibody screen (86850) | $131.40 | $219 | 13.4× |
| Rbc pretreatment serum (86978) | $91.20 | $152 | 1.5× |
| Rbc pretx incubatj w/enzymes (86971) | $112.80 | $188 | 0.6× |
| Reagent Strip/Blood Glucose (82948) | $45 | $75 | 8.9× |
| Renin activity plasma (84244) | $153.60 | $256 | 7.0× |
| Resp virus 12-25 targets (87633) | $756 | $1,260 | 1.8× |
| Reticulocyte Count Manual (85044) | $44.40 | $74 | 10.3× |
| Rh (86901) | $78.60 | $131 | 26.3× |
| Rheumatoid Factor Qualitative (86430) | $82.20 | $137 | 13.4× |
| Rheumatoid factor quant (86431) | $70.80 | $118 | 12.5× |
| Rickettsia antibody (86757) | $87 | $145 | 4.5× |
| Ristocetin cofactor (85245) | $162 | $270 | 7.1× |
| Rotavirus ag eia (87425) | $96 | $160 | 8.0× |
| Rpr qualitative (86592) | $66 | $110 | 15.5× |
| Rsv Assay W/Optic (87807) | $91.80 | $153 | 7.0× |
| Rubella Antibody (86762) | $89.40 | $149 | 6.2× |
| Rubeola antibody (86765) | $89.40 | $149 | 6.9× |
| Russell Viper Venom Time Diluted (85613) | $71.40 | $119 | 7.5× |
| Salicylate Level (80179) | $196.80 | $328 | 10.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $58.80 | $98 | 1.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $67.80 | $113 | 1.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $268.20 | $447 | 1.9× |
| Sedimentation rate (85651) | $66 | $110 | 15.5× |
| Sedimentation Rate, Automated (85652) | $38.40 | $64 | 14.2× |
| Selenium (84255) | $90 | $150 | 3.5× |
| Semen Anal Sperm Detection (89321) | $54.60 | $91 | 4.5× |
| Semen analysis complete (89322) | $164.40 | $274 | 10.6× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $53.40 | $89 | 5.4× |
| Sensitivity mic (87186) | $72.60 | $121 | 8.4× |
| Sex Hormone Binding Globulin (84270) | $78.60 | $131 | 3.6× |
| Sickling of rbc reduction (85660) | $51 | $85 | 9.3× |
| Sirolimus (80195) | $163.80 | $273 | 11.9× |
| Skin test tuberculosis intradermal (86580) | $199.20 | $332 | 6.5× |
| Smear acid fast (87206) | $67.80 | $113 | 12.6× |
| Smear complex stain (87209) | $78.60 | $131 | 4.4× |
| Smear gram stain (87205) | $49.80 | $83 | 11.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $280.80 | $468 | 2.0× |
| Smpd1 Gene Analysis Common Variants (81330) | $84 | $140 | 1.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $54.60 | $91 | 9.4× |
| Sodium Serum (84295) | $46.80 | $78 | 9.7× |
| Sodium Urine (84300) | $49.80 | $83 | 9.8× |
| Soluble Transferrin Receptor (84238) | $165 | $275 | 4.5× |
| Somatomedin (84305) | $123.60 | $206 | 5.8× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$189–$196.20 | $315–$327 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$136.80–$142.20 | $228–$237 | varies |
| Specimen infect agnt concntj (87015) | $49.80 | $83 | 7.5× |
| Spectrophotometry (84311) | $55.80 | $93 | 6.9× |
| Stool cultr aerobic bact ea (87046) | $49.80 | $83 | 5.3× |
| Strep a assay w/optic (87880) | $89.40 | $149 | 5.4× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$89.40–$96 | $149–$160 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $16.20 | $27 | 0.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $54.60 | $91 | 9.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$189–$196.20 | $315–$327 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$240–$249.60 | $400–$416 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$771.60–$801.60 | $1,286–$1,336 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $35.40 | $59 | 7.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $52.20 | $87 | 7.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $43.20 | $72 | 5.9× |
| Sweat Collection Iontophoresis (89230) | $128.40 | $214 | 2.3× |
| Syphilis Test Non-Trep Quant (86593) | $60 | $100 | 13.6× |
| T cells absolute cd4 count (86361) | $175.80 | $293 | 6.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $184.20 | $307 | 3.9× |
| T cells total count (86359) | $155.40 | $259 | 4.1× |
| T3 Free (84481) | $128.40 | $214 | 7.6× |
| T3 reverse (84482) | $124.80 | $208 | 7.9× |
| T3 Total (84480) | $115.80 | $193 | 8.2× |
| T3 Uptake (84479) | $68.40 | $114 | 10.6× |
| T4 Free (84439) | $103.20 | $172 | 11.4× |
| T4 total (84436) | $91.20 | $152 | 13.3× |
| Tacrolimus (80197) | $163.80 | $273 | 11.9× |
| Testosterone total (84403) | $165 | $275 | 6.4× |
| Testosterone, Free (84402) | $165.60 | $276 | 6.5× |
| Theophylline (80198) | $142.20 | $237 | 10.1× |
| Thrombin Time (85670) | $70.80 | $118 | 12.3× |
| Thromboplastin Inhibition Tissue (85705) | $57 | $95 | 5.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $100.20 | $167 | 15.5× |
| Thyroglobulin (84432) | $100.20 | $167 | 6.2× |
| Thyroglobulin Antibody (86800) | $93 | $155 | 5.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $266.40 | $444 | 5.2× |
| Tiss cul neo disorders solid tumor (88239) | $511.80 | $853 | 3.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $43.80 | $73 | 3.8× |
| Tissue Culture Lymphocyte (88230) | $309 | $515 | 2.7× |
| Tobramycin peak (80200) | $110.40 | $184 | 6.8× |
| Topiramate (80201) | $85.80 | $143 | 7.2× |
| Touch prep (88161) range across 2 matching MRF lines |
$93.60–$97.20 | $156–$162 | varies |
| Toxoplasma ab igm (86778) | $74.40 | $124 | 5.2× |
| Toxoplasma antibody (86777) | $73.20 | $122 | 5.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $53.40 | $89 | 10.3× |
| Transferrin (84466) | $126.60 | $211 | 9.9× |
| Trichomonas vagin dir probe (87660) | $62.40 | $104 | 3.1× |
| Trichomonas Vaginalis Amplif (87661) | $105 | $175 | 3.0× |
| Triglycerides (84478) | $66 | $110 | 11.5× |
| Troponin Quant (84484) | $149.40 | $249 | 12.0× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$252.60–$262.20 | $421–$437 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $112.80 | $188 | 3.7× |
| Urea nitrogen urine (84540) | $46.80 | $78 | 8.4× |
| Uric acid other source (84560) | $45.60 | $76 | 9.0× |
| Urinalysis Microscopic Only (81015) | $5.27 | $8.79 | 1.7× |
| Urine Pregnancy Test (81025) | $54.60 | $91 | 6.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $69 | $115 | 21.8× |
| Valproic acid (80164) | $121.20 | $202 | 9.0× |
| Vancomycin (80202) | $122.40 | $204 | 9.0× |
| Varicella-zoster antibody (86787) | $103.20 | $172 | 8.0× |
| Viral Culture (87252) | $163.20 | $272 | 6.3× |
| Virus antibody nos (86790) | $97.80 | $163 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $163.80 | $273 | 4.3× |
| Vitamin A (84590) | $104.40 | $174 | 9.0× |
| Vitamin b-12 (82607) | $131.40 | $219 | 8.7× |
| Vitamin B6 (84207) | $145.80 | $243 | 5.2× |
| Vitamin D 25-Hydroxy (82306) | $166.80 | $278 | 5.6× |
| Vitamin E (84446) | $115.80 | $193 | 8.2× |
| Vitamin K (84597) | $166.80 | $278 | 12.2× |
| Von willebrand factor ag (85246) | $184.20 | $307 | 8.0× |
| Wbc Alkaline Phosphatase Count (85540) | $43.20 | $72 | 5.0× |
| West nile virus ab igm (86788) | $99 | $165 | 5.9× |
| West Nile Virus Antibody (86789) | $99 | $165 | 6.9× |
| Zinc (84630) | $102 | $170 | 9.0× |
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.