Lab & pathology prices at Wichita County Health Center
Leoti, KS · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $184 | $230 | 4.8× |
| 5 Hiaa (83497) | $72.80 | $91 | 5.6× |
| Acetaminophen level (80143) | $120.40 | $150.50 | 6.5× |
| Actin smooth muscle antibody each (86015) | $84 | $105 | 7.0× |
| Acute hepatitis panel (80074) | $176.80 | $221 | 3.7× |
| Albumin serum (82040) | $19.60 | $24.50 | 4.0× |
| Aldolase (82085) | $41.60 | $52 | 4.3× |
| Aldosterone urine (82088) | $157.60 | $197 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $69.60 | $87 | 4.7× |
| Allergen specific ige (86003) | $42.40 | $53 | 8.1× |
| Alpha-1-antitrypsin, total (82103) | $68 | $85 | 5.1× |
| Alpha-fetoprotein, serum (82105) | $101.60 | $127 | 6.1× |
| Alt (sgpt) (84460) | $28 | $35 | 5.3× |
| Ammonia (82140) | $64 | $80 | 4.4× |
| Amylase urine (82150) | $32 | $40 | 4.9× |
| Antibody aspergillus (86606) | $74.40 | $93 | 4.9× |
| Antibody cytomegalovirus cmv (86644) | $92.80 | $116 | 6.4× |
| Antibody cytomegalovirus cmv igm (86645) | $92.80 | $116 | 5.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $80 | $100 | 6.1× |
| Antibody helicobacter pylori (86677) | $92 | $115 | 5.5× |
| Antibody herpes smplx type 1 (86695) | $84 | $105 | 6.4× |
| Antibody identification (86870) | $124.80 | $156 | 0.4× |
| Antibody mumps (86735) | $88 | $110 | 6.7× |
| Antibody rubeola (86765) | $92 | $115 | 7.1× |
| Antibody screen (86850) | $106.40 | $133 | 10.9× |
| Antibody treponema pallidum (86780) | $72 | $90 | 5.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $9.44 | $11.80 | 0.8× |
| Antinuclear antibodies (86038) | $84.80 | $106 | 7.0× |
| Antistreptolysin o titer (86060) | $44 | $55 | 6.0× |
| Antithrombin iii activity (85300) | $56 | $70 | 4.7× |
| Antithrombin iii antigen (85301) | $56 | $70 | 5.2× |
| Arsenic Urine (82175) | $76.80 | $96 | 4.0× |
| Assay Nephelometry Not Spec (83883) | $118.40 | $148 | 8.7× |
| Assay of acth (82024) | $152 | $190 | 3.9× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $69.20 | $86.50 | 4.0× |
| Assay of androstenedione (82157) | $160 | $200 | 5.5× |
| Assay of anti-mullerian hormone (82166) | $64 | $80 | 1.7× |
| Assay of blood chloride (82435) | $24 | $30 | 5.2× |
| Assay of c-peptide (84681) | $168.80 | $211 | 8.1× |
| Assay of calcitonin (82308) | $202.40 | $253 | 7.6× |
| Assay of ceruloplasmin (82390) | $48 | $60 | 4.5× |
| Assay of erythropoietin (82668) | $91.20 | $114 | 4.9× |
| Assay of ferritin (82728) | $72 | $90 | 5.3× |
| Assay of gammaglobulin igm (82784) | $68 | $85 | 7.3× |
| Assay of gentamicin (80170) | $73.60 | $92 | 4.5× |
| Assay of homocystine (83090) | $236 | $295 | 13.2× |
| Assay of metanephrines (83835) | $121.60 | $152 | 7.2× |
| Assay of parathormone (83970) | $204 | $255 | 4.9× |
| Assay of somatomedin (84305) | $160 | $200 | 7.5× |
| Assay of tacrolimus (80197) | $86.40 | $108 | 6.3× |
| Assay of vitamin k (84597) | $96.80 | $121 | 7.1× |
| Ast (sgot) (84450) | $28 | $35 | 5.4× |
| B cells total count (86355) | $81.60 | $102 | 2.2× |
| Beta-2 microglobulin (82232) | $129.60 | $162 | 8.0× |
| Bilirubin direct (82248) | $26.40 | $33 | 5.3× |
| Bilirubin total (82247) | $28 | $35 | 5.6× |
| Bl Smear W/Diff Wbc Count (85007) | $12 | $15 | 3.2× |
| Blood count reticulocyte automated (85045) | $104 | $130 | 26.1× |
| Blood gases w/02 saturation (82805) | $200 | $250 | 2.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $16 | $20 | 3.7× |
| Blood Ph - Ph Venous (82800) | $72 | $90 | 6.5× |
| Blood typing abo (86900) | $241.60 | $302 | 80.8× |
| Blood typing serologic rh (d) (86901) | $72.80 | $91 | 24.3× |
| Body fluid cell count (89051) | $124 | $155 | 22.1× |
| Bordetella antibody (86615) | $52 | $65 | 3.9× |
| C diff amplified probe (87493) | $76.80 | $96 | 2.1× |
| C-reactive protein (86140) | $42 | $52.50 | 8.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $80 | $100 | 6.2× |
| Ca 125 (86304) | $69.60 | $87 | 3.3× |
| Ca 19-9 (86301) | $160.80 | $201 | 7.7× |
| Ca 27 29 (86300) | $142.40 | $178 | 6.8× |
| Calcium ionized (82330) | $60 | $75 | 4.4× |
| Calcium total (82310) | $24 | $30 | 4.7× |
| Calcium urine (82340) | $28.80 | $36 | 4.8× |
| Calprotectin, fecal (83993) | $232 | $290 | 11.8× |
| Carbamazepine (tegretol) total (80156) | $116.80 | $146 | 8.0× |
| Carbon dioxide (82374) | $36 | $45 | 7.4× |
| Carboxyhemoglobin Quantitative (82375) | $89.60 | $112 | 7.3× |
| Carcinoembryonic antigen (82378) | $133.60 | $167 | 7.0× |
| Cardiolipin ab igg (86147) | $100.80 | $126 | 4.0× |
| Catecholamines fraction plasma (82384) | $156 | $195 | 6.2× |
| Cholesterol total (82465) | $16 | $20 | 3.7× |
| Chromium urine (82495) | $51.20 | $64 | 2.5× |
| Chromogranin a (86316) | $74.80 | $93.50 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $116 | $145 | 3.3× |
| Citrate (82507) | $168.80 | $211 | 6.1× |
| Ckmb (82553) | $72 | $90 | 6.2× |
| Clot factor viii vw antigen (85246) | $201.60 | $252 | 8.8× |
| Cold agglutinin titer (86157) | $39.20 | $49 | 4.9× |
| Collagen cross links (82523) | $127.20 | $159 | 6.8× |
| Compatibility test antiglob (86922) | $54.40 | $68 | 0.3× |
| Complement c3 (86160) | $71.60 | $89.50 | 6.0× |
| Complement total ch50 (86162) | $104 | $130 | 5.1× |
| Coombs direct (86880) | $44 | $55 | 8.2× |
| Copper urine (82525) | $60 | $75 | 4.8× |
| Cortisol free (82530) | $108 | $135 | 6.5× |
| Cortisol total (82533) | $80 | $100 | 4.9× |
| Creatine kinase total (82550) | $29.60 | $37 | 4.5× |
| Creatinine blood (82565) | $24 | $30 | 4.7× |
| Creatinine other source (82570) | $25.20 | $31.50 | 4.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.20 | $49 | 4.9× |
| Culture Aerobic Identify (87077) | $40 | $50 | 5.0× |
| Culture anaerobic (87075) | $40 | $50 | 4.2× |
| Culture blood (87040) | $49.60 | $62 | 4.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $36.80 | $46 | 4.8× |
| Culture genital (87070) | $90.40 | $113 | 10.5× |
| Culture screen only (87081) | $55.20 | $69 | 8.3× |
| Culture stool (87045) | $38.40 | $48 | 4.1× |
| Culture urine (87086) | $84 | $105 | 10.4× |
| Culture urine id ea isolate (87088) | $84 | $105 | 10.4× |
| Cyclic Citrullinated Peptide (86200) | $36 | $45 | 2.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $160 | $200 | 3.7× |
| D-Dimer (85379) | $148 | $185 | 14.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $72 | $90 | 4.4× |
| Dhea (82626) | $116 | $145 | 4.6× |
| Dhea sulfate (82627) | $103.20 | $129 | 4.6× |
| Digoxin (80162) | $81.20 | $101.50 | 6.1× |
| Dilantin (80185) | $72 | $90 | 5.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $80 | $100 | 5.8× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $124 | $155 | 6.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $36.80 | $46 | 2.8× |
| Drug Scrn Quan Levetiracetam (80177) | $132 | $165 | 10.0× |
| Drug scrn quant oxcarbazepin (80183) | $155.20 | $194 | 11.7× |
| Drug test prsmv chem anlyzr (80307) | $192 | $240 | 3.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $118.40 | $148 | 9.4× |
| Ebv viral capsid (86665) | $80 | $100 | 4.4× |
| Elastase pancreatic fecal quantitative (82653) | $166.40 | $208 | 7.2× |
| Electrolyte panel (80051) | $40 | $50 | 5.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $101.60 | $127 | 8.4× |
| Endomysial antibody iga (86255) | $110.80 | $138.50 | 9.2× |
| Eosinophil count (85048) | $12.80 | $16 | 5.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $84 | $105 | 5.5× |
| Estradiol (82670) | $168 | $210 | 6.0× |
| Estriol (82677) | $89.60 | $112 | 3.7× |
| Estrogens total (82672) | $112 | $140 | 5.2× |
| Estrone (82679) | $166.40 | $208 | 6.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $75.60 | $94.50 | 10.3× |
| F2 gene analysis 20210g >a variant (81240) | $243.20 | $304 | 3.7× |
| F5 gene (81241) | $224 | $280 | 3.1× |
| Factor viii ahg (85240) | $176.80 | $221 | 9.9× |
| Fecal fat qual (82705) | $23.20 | $29 | 4.5× |
| Fibrinogen activity (85384) | $32 | $40 | 3.3× |
| Fibrinogen antigen (85385) | $160 | $200 | 11.1× |
| Folate serum (82746) | $84 | $105 | 5.7× |
| Folic acid rbc (82747) | $64 | $80 | 3.6× |
| Follicle Stimulating Hormone (83001) | $96 | $120 | 5.2× |
| Fructosamine (82985) | $52.80 | $66 | 3.2× |
| Gammaglobulin ige (82785) | $84 | $105 | 5.1× |
| Gastric Occult Blood (82271) | $16 | $20 | 3.0× |
| Ggt (82977) | $20 | $25 | 2.8× |
| Gliadin antibody each immunoglobulin class (86258) | $99.20 | $124 | 8.2× |
| Glucose (82947) | $20 | $25 | 5.1× |
| Glucose Blood Test (82962) | $16 | $20 | 4.9× |
| Glucose body fluid (82945) | $20 | $25 | 5.1× |
| Glucose post dose (82950) | $28 | $35 | 5.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $60 | $75 | 15.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $62.40 | $78 | 4.8× |
| Growth hormone (83003) | $104 | $130 | 6.2× |
| Haptoglobin (83010) | $67.20 | $84 | 5.3× |
| Hcg qualitative (84703) | $44 | $55 | 5.9× |
| Hcg quant (84702) | $124.80 | $156 | 8.3× |
| Hdl Cholesterol (83718) | $28 | $35 | 3.4× |
| Heavy metal quant each (83018) | $58.40 | $73 | 2.7× |
| Hematocrit (85014) | $12 | $15 | 5.1× |
| Hemoglobin (85018) | $12.80 | $16 | 5.4× |
| Hemoglobin a1c (83036) | $48 | $60 | 4.9× |
| Hepatitis a antibody total (86708) | $60 | $75 | 4.8× |
| Hepatitis b core antibody total (86704) | $56.80 | $71 | 4.7× |
| Hepatitis B Surface Ab (86706) | $60 | $75 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $56 | $70 | 5.4× |
| Hepatitis be antibody (86707) | $44.80 | $56 | 3.9× |
| Hepatitis Be Antigen (87350) | $44.80 | $56 | 3.9× |
| Hepatitis c antibody (86803) | $76 | $95 | 5.3× |
| Herpes culture (87252) | $119.20 | $149 | 4.6× |
| Herpes simplex type 2 (86696) | $120 | $150 | 6.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $32 | $40 | 6.2× |
| Hfe gene (81256) | $484.80 | $606 | 7.4× |
| Hla b 27 disease association lc (81374) | $172.80 | $216 | 2.3× |
| Hla ii low resolution one antigen equivalent ea (81377) | $358.40 | $448 | 3.8× |
| Hla ii typing 1 allele hr (81383) | $280 | $350 | 2.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $351.20 | $439 | 5.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $96 | $120 | 2.7× |
| Iaad ia clostridium difficile toxin (87324) | $99.20 | $124 | 8.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $76.80 | $96 | 3.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $61.60 | $77 | 4.3× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $70.40 | $88 | 5.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $455.20 | $569 | 10.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $116 | $145 | 3.3× |
| Iadna nos quantification each organism (87799) | $319.20 | $399 | 7.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $96.80 | $121 | 2.8× |
| Igg subclasses (82787) | $43.20 | $54 | 5.4× |
| Immunfix e-phorsis/urine/csf (86335) | $40 | $50 | 1.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $44.80 | $56 | 3.0× |
| Immunoassay nonantibody (83516) | $99.20 | $124 | 8.6× |
| Immunofixj Electrophoresis Serum (86334) | $128 | $160 | 5.7× |
| India ink prep (87210) | $44 | $55 | 7.6× |
| Inhibin a (86336) | $128.80 | $161 | 8.3× |
| Inhibin b (83520) | $36.80 | $46 | 2.1× |
| Insulin total (83525) | $68 | $85 | 5.9× |
| Intrinsic factor antibody (86340) | $68 | $85 | 4.5× |
| Iron (83540) | $36 | $45 | 5.6× |
| Iron binding capacity (83550) | $56 | $70 | 6.4× |
| Islet cell antibody (86341) | $101.60 | $127 | 4.3× |
| Koh Prep (87220) | $24 | $30 | 5.6× |
| Lactic acid (83605) | $64 | $80 | 5.5× |
| Lactoferrin Fecal Quantitative (83631) | $54.40 | $68 | 2.8× |
| Ldh (83615) | $29.60 | $37 | 4.9× |
| Ldh isoenzymes (83625) | $64 | $80 | 5.0× |
| LDL cholesterol direct (83721) | $80 | $100 | 7.6× |
| Lead (83655) | $31.20 | $39 | 2.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $19.20 | $24 | 4.5× |
| Lh (83002) | $92 | $115 | 5.0× |
| Lipase (83690) | $36 | $45 | 5.2× |
| Lithium (80178) | $36 | $45 | 5.4× |
| Lyme disease antibody (86618) | $230.40 | $288 | 13.5× |
| Macroscopic exam parasite (87169) | $29.60 | $37 | 6.9× |
| Magnesium (83735) | $36 | $45 | 5.4× |
| Mercury (83825) | $63.20 | $79 | 3.9× |
| Methylmalonic acid serum (83921) | $55.20 | $69 | 2.6× |
| Microalbumin urine (82043) | $32 | $40 | 5.5× |
| Microsomal antibodies (86376) | $65.60 | $82 | 4.5× |
| Mrsa amp probe (87641) | $96.80 | $121 | 2.8× |
| Mycoplasma antibody (86738) | $96 | $120 | 7.3× |
| Myoglobin urine (83874) | $80 | $100 | 6.2× |
| Natriuretic peptide (83880) | $108 | $135 | 2.8× |
| Neutralization test, viral (86382) | $76 | $95 | 4.5× |
| Nmr Lipoprofile (83704) | $80.80 | $101 | 2.4× |
| Nuclear antigen antibody (86235) | $68 | $85 | 3.8× |
| Occult blood stool (82272) | $16 | $20 | 3.8× |
| Osmolality serum (83930) | $29.60 | $37 | 4.5× |
| Osmolality urine (83935) | $44 | $55 | 6.5× |
| Ova and parasite direct-id lca (87177) | $52.80 | $66 | 5.9× |
| Pancreatic polypeptide (83519) | $228.80 | $286 | 12.4× |
| Phenylalanine (84030) | $24 | $30 | 4.4× |
| Phosphatase alkaline (84075) | $21.20 | $26.50 | 4.1× |
| Phosphorus blood (84100) | $24 | $30 | 5.1× |
| Platelet count (85049) | $20 | $25 | 4.5× |
| Potassium (84132) | $20 | $25 | 4.2× |
| Pregnenolone (84140) | $66.40 | $83 | 3.2× |
| Procalcitonin (pct) (84145) | $117.60 | $147 | 4.3× |
| Progesterone (84144) | $92 | $115 | 4.4× |
| Prolactin (84146) | $104 | $130 | 5.4× |
| Protein body fluid (84157) | $24.80 | $31 | 6.2× |
| Protein c activity (85303) | $152.80 | $191 | 11.0× |
| Protein c antigen (85302) | $128 | $160 | 10.7× |
| Protein electrophoresis serum (84165) | $76 | $95 | 7.1× |
| Protein Electrophoresis Urine (84166) | $44 | $55 | 2.5× |
| Protein S Functional (85306) | $78.80 | $98.50 | 5.1× |
| Protein s total (85305) | $19.20 | $24 | 1.7× |
| Protein Total Serum (84155) | $24 | $30 | 6.5× |
| Protein urine (84156) | $27.60 | $34.50 | 7.5× |
| PSA free (84154) | $196.80 | $246 | 10.7× |
| Quantiferon tb gold (86480) | $190.40 | $238 | 3.1× |
| Renin activity plasma (84244) | $102.80 | $128.50 | 4.7× |
| Rheumatoid factor quant (86431) | $127.20 | $159 | 22.4× |
| Rickettsia antibody (86757) | $160.80 | $201 | 8.3× |
| Rsv (87807) | $72 | $90 | 5.5× |
| Rubella antibody (86762) | $72 | $90 | 5.0× |
| Russell viper venom time diluted (85613) | $60.40 | $75.50 | 6.3× |
| Salicylate (80179) | $136.80 | $171 | 7.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $108 | $135 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $43.20 | $54 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $304.80 | $381 | 2.1× |
| Sedimentation rate (85651) | $20 | $25 | 4.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $60 | $75 | 5.0× |
| Sensitivity mic (87186) | $44 | $55 | 5.1× |
| Sex hormone binding globulin (84270) | $164 | $205 | 7.5× |
| Sirolimus (rapamycin) (80195) | $164 | $205 | 11.9× |
| Smear complex stain (87209) | $49.60 | $62 | 2.8× |
| Smear gram stain (87205) | $28.80 | $36 | 6.7× |
| Sodium (84295) | $24 | $30 | 5.0× |
| Sodium urine (84300) | $28 | $35 | 5.5× |
| Stool Cultr Aerobic Bact Ea (87046) | $52 | $65 | 5.5× |
| Strep a assay w/optic (87880) | $72 | $90 | 4.4× |
| Surgical pathology level IV (88305) | $142.40 | $178 | 3.0× |
| T3 free (84481) | $112 | $140 | 6.6× |
| T3 reverse (84482) | $108 | $135 | 6.9× |
| T3 total (84480) | $60.80 | $76 | 4.3× |
| T3 uptake (84479) | $24.80 | $31 | 3.8× |
| T4 Free (84439) | $40 | $50 | 4.4× |
| T4 total (84436) | $24 | $30 | 3.5× |
| Tb intradermal test (86580) | $52 | $65 | 2.0× |
| Testosterone free (84402) | $144 | $180 | 5.7× |
| Testosterone total (84403) | $140 | $175 | 5.4× |
| Thrombin time plasma (85670) | $71.20 | $89 | 12.3× |
| Thromboplastin Inhibition Tissue (85705) | $102.40 | $128 | 10.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $57.20 | $71.50 | 8.8× |
| Thyroglobulin Ab (86800) | $112 | $140 | 7.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $500 | $625 | 9.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $105.20 | $131.50 | 9.1× |
| Transferrin (84466) | $104 | $130 | 8.2× |
| Triglycerides (84478) | $20 | $25 | 3.5× |
| Troponin (84484) | $92 | $115 | 7.4× |
| Urea nitrogen (84520) | $20 | $25 | 5.1× |
| Urea nitrogen urine (84540) | $24 | $30 | 4.3× |
| Uric acid blood (84550) | $20 | $25 | 4.4× |
| Uric acid other source (84560) | $26.40 | $33 | 5.2× |
| Urinalysis w/microscopic (81001) | $20 | $25 | 6.3× |
| Urine pregnancy test (81025) | $44 | $55 | 5.1× |
| Valproic acid level (80164) | $88 | $110 | 6.5× |
| Vancomycin trough (80202) | $80 | $100 | 5.9× |
| Varicella-zoster antibody (86787) | $88 | $110 | 6.8× |
| Vdrl csf (86592) | $20.80 | $26 | 4.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $124 | $155 | 3.7× |
| Vitamin A (84590) | $60 | $75 | 5.2× |
| Vitamin b-12 (82607) | $72.80 | $91 | 4.8× |
| Vitamin b1 (thiamine) (84425) | $92.80 | $116 | 4.4× |
| Vitamin b6 (84207) | $179.20 | $224 | 6.4× |
| Vitamin D 25-Hydroxy (82306) | $277.60 | $347 | 9.4× |
| Vitamin e serum (84446) | $57.60 | $72 | 4.1× |
| Von willebrand factor activity (85245) | $161.60 | $202 | 7.0× |
| West nile virus ab, igm (86788) | $104 | $130 | 6.2× |
| West nile virus antibody (86789) | $104 | $130 | 7.2× |
| Zinc (84630) | $94.40 | $118 | 8.3× |