Lab & pathology prices at Wellstar Mountain Lakes Medical Center
Clayton, GA · every code in this section with a posted price and a Medicare benchmark.
254 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) range across 2 matching MRF lines |
$80.40–$172.40 | $201–$431 | varies |
| Acute hepatitis panel (80074) | $160 | $400 | 3.4× |
| Albumin serum (82040) | $24.80 | $62 | 5.0× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$46.40–$82.40 | $116–$206 | varies |
| Allergen specific ige (86003) range across 13 matching MRF lines |
$13.60–$468.40 | $34–$1,171 | varies |
| Allg Spec Ige Recomb Ea (86008) | $111.60 | $279 | 6.2× |
| Alpha-1-antitrypsin total (82103) | $40 | $100 | 3.0× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$52.40–$75.20 | $131–$188 | varies |
| Alt (sgpt) (84460) | $24.80 | $62 | 4.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$27.58–$32 | $68.94–$80 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$597.60–$694.40 | $1,494–$1,736 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$38.40–$44 | $96–$110 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$17.48–$55.20 | $43.71–$138 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$42–$56 | $105–$140 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $67.60 | $169 | 3.7× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$64.40–$213.20 | $161–$533 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$56.40–$82.40 | $141–$206 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$34.80–$44.40 | $87–$111 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $62 | $155 | 3.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$37.60–$84.80 | $94–$212 | varies |
| Antibody; influenza virus (86710) | $62 | $155 | 4.6× |
| Antigen typing (86905) range across 3 matching MRF lines |
$368–$388.93 | $920–$972.33 | varies |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$44–$95.60 | $110–$239 | varies |
| Assay of blood/uric acid (84550) | $23.20 | $58 | 5.1× |
| Assay of cpk in blood (82552) | $62.40 | $156 | 4.7× |
| Assay of estrone (82679) | $62.40 | $156 | 2.5× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$36–$60.80 | $90–$152 | varies |
| Assay of lactic acid (83605) | $59.20 | $148 | 5.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$42–$232 | $105–$580 | varies |
| Assay of serum potassium (84132) | $24.80 | $62 | 5.2× |
| Assay of urea nitrogen (84520) | $24.80 | $62 | 6.3× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$53.20–$99.20 | $133–$248 | varies |
| Automated Leukocyte Count (85048) | $20.40 | $51 | 8.0× |
| Bartonella antibody (86611) range across 5 matching MRF lines |
$50.40–$66.40 | $126–$166 | varies |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$30.80–$108.80 | $77–$272 | varies |
| Beta-2 Microglobulin (82232) | $44.40 | $111 | 2.7× |
| Bilirubin direct (82248) | $25.60 | $64 | 5.1× |
| Bilirubin total (82247) | $24.80 | $62 | 4.9× |
| Blood count reticulocyte automated (85045) | $26 | $65 | 6.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $25.60 | $64 | 6.7× |
| Blood gas (82803) | $58.40 | $146 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20.40 | $51 | 4.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$106–$368 | $265–$920 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$139.33–$142.40 | $348.33–$356 | varies |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$22.40–$361.60 | $56–$904 | varies |
| C diff amplified probe (87493) | $255.20 | $638 | 6.8× |
| C-Peptide (84681) | $53.20 | $133 | 2.6× |
| C-reactive protein (86140) | $42 | $105 | 8.1× |
| Calcium total (82310) | $24.80 | $62 | 4.8× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$59.60–$463.60 | $149–$1,159 | varies |
| Cancer Antigen 27.29 (86300) | $58.40 | $146 | 2.8× |
| Carbamazepine total (80156) | $55.60 | $139 | 3.8× |
| Carboxyhemoglobin (82375) | $56.40 | $141 | 4.6× |
| Carcinoembryonic antigen (82378) | $88 | $220 | 4.6× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$53.20–$120.40 | $133–$301 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$46.40–$143.60 | $116–$359 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$104.80–$228.40 | $262–$571 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$99.60–$114 | $249–$285 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$6.90–$21.20 | $17.25–$53 | varies |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$18.80–$79.60 | $47–$199 | varies |
| Chromium serum (82495) | $92.80 | $232 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $71.60 | $179 | 2.0× |
| Ckmb (82553) | $63.20 | $158 | 5.5× |
| Clostridium Difficile (87324) | $52.40 | $131 | 4.4× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$167.20–$246 | $418–$615 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$40–$144 | $100–$360 | varies |
| Compatibility test antiglob (86922) | $188.40 | $471 | 1.3× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$28–$61.20 | $70–$153 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$33.60–$70.40 | $84–$176 | varies |
| Copper urine (82525) | $79.60 | $199 | 6.4× |
| Cortisol free (82530) range across 2 matching MRF lines |
$33.20–$92 | $83–$230 | varies |
| Cortisol saliva (82533) | $65.20 | $163 | 4.0× |
| Creatine kinase total (82550) | $34.80 | $87 | 5.3× |
| Creatinine blood (82565) | $24.80 | $62 | 4.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$8–$35.60 | $20–$89 | varies |
| Crp High Sensitivity (86141) | $48.40 | $121 | 3.7× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$31.20–$127.60 | $78–$319 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $66.40 | $166 | 8.2× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$33.20–$71.20 | $83–$178 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$42–$46.40 | $105–$116 | varies |
| Culture chlamydia (87110) | $84.80 | $212 | 4.3× |
| Culture csf (87070) range across 10 matching MRF lines |
$38.80–$88.40 | $97–$221 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$28.80–$62 | $72–$155 | varies |
| Culture stool (87045) | $48.80 | $122 | 5.2× |
| Cyp2c9 gene com variants (81227) range across 2 matching MRF lines |
$216.40–$552 | $541–$1,380 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$167.20–$397.20 | $418–$993 | varies |
| Dhea-S (82627) | $64 | $160 | 2.9× |
| Digoxin (80162) | $54 | $135 | 4.1× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$49.20–$454.80 | $123–$1,137 | varies |
| Drug assay acetaminophen (80143) | $79.20 | $198 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$77.20–$124.80 | $193–$312 | varies |
| Electrolyte panel (80051) | $47.20 | $118 | 6.7× |
| Estradiol serum (82670) | $71.60 | $179 | 2.6× |
| Estriol (82677) range across 2 matching MRF lines |
$46.40–$75.20 | $116–$188 | varies |
| Estrogen total (82672) | $89.60 | $224 | 4.1× |
| Ethosuximide (80168) range across 3 matching MRF lines |
$46.40–$119.20 | $116–$298 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$33.20–$189.60 | $83–$474 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$90.80–$717.20 | $227–$1,793 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$178.80–$549.60 | $447–$1,374 | varies |
| Ferritin (82728) | $55.60 | $139 | 4.1× |
| Fibrin Degradation Quant (85379) | $67.20 | $168 | 6.6× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $58.40 | $146 | 6.0× |
| Fibrinogen antigen (85385) | $132.40 | $331 | 9.2× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$48.80–$92.80 | $122–$232 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $240 | $600 | 19.9× |
| Folic Acid Serum (82746) | $53.60 | $134 | 3.6× |
| Follicle Stimulating Hormone (83001) | $60 | $150 | 3.2× |
| Gammaglobulin ige (82785) | $47.60 | $119 | 2.9× |
| Gases blood ph only (82800) | $38.40 | $96 | 3.5× |
| Gentamicin (80170) | $48 | $120 | 2.9× |
| Ggt (82977) | $30.40 | $76 | 4.2× |
| Glucose 2 hr pp (82950) | $24 | $60 | 5.1× |
| Glucose Blood Test (82962) | $10.80 | $27 | 3.3× |
| Glucose Serum (82947) | $24.80 | $62 | 6.3× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$57.20–$69.20 | $143–$173 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $54.80 | $137 | 7.3× |
| Gtt-added samples (82952) | $24 | $60 | 6.1× |
| Hdl Cholesterol (83718) | $24.80 | $62 | 3.0× |
| Helicobacter Pylori Stool (87338) | $176.80 | $442 | 12.3× |
| Hematocrit (85014) | $18 | $45 | 7.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$11.20–$16.40 | $28–$41 | varies |
| Hemoglobin a1c (83036) | $40.80 | $102 | 4.2× |
| Hepatitis a antibody total (86708) | $62.80 | $157 | 5.1× |
| Hepatitis b core ab igm (86705) | $48.40 | $121 | 4.1× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$40–$242.80 | $100–$607 | varies |
| Hepatitis B Surface Antibody (86706) | $46.80 | $117 | 4.4× |
| Hepatitis C Antibody (86803) | $56 | $140 | 3.9× |
| Hepatitis C Genotype (87902) | $397.20 | $993 | 1.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$84–$142 | $210–$355 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$172.40–$198.80 | $431–$497 | varies |
| Heterophile Antibody Screen (86308) | $6.40 | $16 | 1.2× |
| HIV-1 p24 antigen (87390) | $55.20 | $138 | 2.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$136.40–$156 | $341–$390 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $58.40 | $146 | 4.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$42.40–$64 | $106–$160 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$176.80–$486 | $442–$1,215 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$54.80–$86.40 | $137–$216 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$22.40–$92.80 | $56–$232 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$46.40–$60.80 | $116–$152 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$92.80–$750.80 | $232–$1,877 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$79.60–$144.40 | $199–$361 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$20–$1,380.80 | $50–$3,452 | varies |
| Immunoelectrophoresis Serum (86320) | $68.80 | $172 | 2.3× |
| Influenza assay w/optic (87804) | $20 | $50 | 1.2× |
| Influenza DNA amp probe (87502) | $315.60 | $789 | 3.3× |
| Inhibin b (83520) range across 4 matching MRF lines |
$37.60–$99.60 | $94–$249 | varies |
| Insulin total (83525) | $52 | $130 | 4.5× |
| Iron (83540) | $28 | $70 | 4.3× |
| Iron Binding Capacity (83550) | $34 | $85 | 3.9× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$49.60–$69.20 | $124–$173 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$21.20–$24.80 | $53–$62 | varies |
| Lead (83655) | $29.20 | $73 | 2.4× |
| Leukocyte Assessment Fecal (89055) | $22.80 | $57 | 5.3× |
| Lipase (83690) | $50.80 | $127 | 7.4× |
| Lipoprotein A (83695) | $31.20 | $78 | 2.2× |
| Lithium (80178) | $43.60 | $109 | 6.6× |
| Luteinizing Hormone (Lh) (83002) | $65.20 | $163 | 3.5× |
| Lyme disease antibody (86618) | $56.40 | $141 | 3.3× |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$8.04–$43.60 | $20.10–$109 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$52.80–$92.80 | $132–$232 | varies |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$26.40–$172.40 | $66–$431 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$24.40–$46.80 | $61–$117 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$636.80–$764 | $1,592–$1,910 | varies |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$169.60–$742.80 | $424–$1,857 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$33.20–$208.40 | $83–$521 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$44.40–$87.60 | $111–$219 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$58–$64.80 | $145–$162 | varies |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$40–$794.40 | $100–$1,986 | varies |
| Occult blood feces (82272) | $20.40 | $51 | 4.8× |
| Occult Blood Other Sources (82271) | $34.40 | $86 | 6.5× |
| Osmolality serum (83930) | $39.20 | $98 | 5.9× |
| Osmolality Urine (83935) | $36 | $90 | 5.3× |
| Ova and parasites smears (87177) | $32.40 | $81 | 3.6× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$26.80–$35.60 | $67–$89 | varies |
| Pancreatic Elastase Fecal (82656) range across 3 matching MRF lines |
$324.40–$331.20 | $811–$828 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $39.20 | $98 | 3.4× |
| Ph urine (81003) | $18.40 | $46 | 8.2× |
| Phenytoin (Dilantin) (80185) | $53.60 | $134 | 4.0× |
| Phosphatase alkaline (84075) | $24.80 | $62 | 4.8× |
| Phosphorus Serum (84100) | $24.80 | $62 | 5.2× |
| Phosphorus urine (84105) | $21.20 | $53 | 3.7× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$110.40–$602.80 | $276–$1,507 | varies |
| Progesterone (84144) | $52.80 | $132 | 2.5× |
| Prolactin (84146) | $69.20 | $173 | 3.6× |
| Prostaglandin (84150) | $270.40 | $676 | 6.5× |
| Protein c antigen (85302) | $160.40 | $401 | 13.4× |
| Protein S Free (85306) | $90.40 | $226 | 5.9× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$21.20–$35.60 | $53–$89 | varies |
| PSA free (84154) | $50 | $125 | 2.7× |
| Pth Intact (83970) | $112.80 | $282 | 2.7× |
| Quantiferon tb gold plus (86480) | $102.40 | $256 | 1.7× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$40.40–$70.80 | $101–$177 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$35.20–$62.80 | $88–$157 | varies |
| Reagent Strip/Blood Glucose (82948) | $6.40 | $16 | 1.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$42–$77.60 | $105–$194 | varies |
| Reticulocyte separation (86972) | $188.40 | $471 | 1.3× |
| Rh (86901) range across 2 matching MRF lines |
$14.80–$42.80 | $37–$107 | varies |
| Rheumatoid Factor Qualitative (86430) | $31.60 | $79 | 5.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$17.60–$26.80 | $44–$67 | varies |
| Rsv Assay W/Optic (87807) | $16 | $40 | 1.2× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$40.80–$46.40 | $102–$116 | varies |
| Russell Viper Venom Time Diluted (85613) | $380 | $950 | 39.7× |
| Salicylate Level (80179) | $65.60 | $164 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $63.60 | $159 | 1.2× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $42.40 | $106 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $176.40 | $441 | 1.2× |
| Sedimentation rate (85651) | $25.20 | $63 | 5.9× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$26.80–$56 | $67–$140 | varies |
| Sex Hormone Binding Globulin (84270) | $183.20 | $458 | 8.4× |
| Skin test tuberculosis intradermal (86580) | $11.20 | $28 | 0.4× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$18.40–$26.80 | $46–$67 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$21.20–$22.80 | $53–$57 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$20–$20.40 | $50–$51 | varies |
| Sodium Serum (84295) | $24.80 | $62 | 5.2× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$26.80–$32.40 | $67–$81 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$50.80–$228 | $127–$570 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$14–$33.20 | $35–$83 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$92–$99.60 | $230–$249 | varies |
| T cells total count (86359) | $70.80 | $177 | 1.9× |
| T3 Free (84481) | $54 | $135 | 3.2× |
| T3 Total (84480) | $57.20 | $143 | 4.0× |
| T3 Uptake (84479) | $34.80 | $87 | 5.4× |
| T4 Free (84439) | $43.60 | $109 | 4.8× |
| T4 total (84436) | $36 | $90 | 5.2× |
| Tacrolimus (80197) | $150.40 | $376 | 11.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$56.80–$70.40 | $142–$176 | varies |
| Testosterone, Free (84402) | $49.60 | $124 | 1.9× |
| Theophylline (80198) range across 2 matching MRF lines |
$36.40–$40 | $91–$100 | varies |
| Thromboplastin Inhibition Tissue (85705) | $132.40 | $331 | 13.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $132.40 | $331 | 20.5× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$46.40–$48.40 | $116–$121 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$46.40–$53.60 | $116–$134 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$115.20–$116 | $288–$290 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $24.80 | $62 | 4.8× |
| Transferrin (84466) | $56 | $140 | 4.4× |
| Triglycerides (84478) range across 2 matching MRF lines |
$21.20–$24.80 | $53–$62 | varies |
| Troponin Quant (84484) | $86.80 | $217 | 7.0× |
| Urea nitrogen urine (84540) | $21.20 | $53 | 3.8× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$21.20–$28.40 | $53–$71 | varies |
| Urine Albumin Semiquantitative (82044) | $38 | $95 | 6.1× |
| Urine Bacteria Culture (87088) | $57.60 | $144 | 7.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$10.40–$42 | $26–$105 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $23.60 | $59 | 7.4× |
| Valproic acid (80164) | $56 | $140 | 4.1× |
| Vancomycin (80202) | $43.60 | $109 | 3.2× |
| Varicella-zoster antibody (86787) | $28.80 | $72 | 2.2× |
| Vit D 1 25-Dihydroxy (82652) | $142 | $355 | 3.7× |
| Vitamin A (84590) | $52.80 | $132 | 4.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$61.20–$78 | $153–$195 | varies |
| Vitamin B6 (84207) | $60 | $150 | 2.1× |
| Vitamin D 25-Hydroxy (82306) | $86.40 | $216 | 2.9× |
| Vitamin E (84446) | $48.80 | $122 | 3.4× |
| Vitamin K (84597) | $232 | $580 | 16.9× |
| Von willebrand factor ag (85246) | $163.20 | $408 | 7.1× |
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.