Lab tests CPT 86376 Outpatient

TPO antibody test cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 44 hospitals list a cash price for thyroid peroxidase (TPO) antibody test: from $5.49 to $169.40, with a median of $17.87. The lowest listed price is at Memorial Hospital of Gardena and 3 other hospitals — $12.38 less than the median here. Across California, the median is $22.88 at 184 hospitals.

  • The median here, $17.87, is 72% below the US median of $63.84.
  • That is 1.2× Medicare's 2026 national rate for the same service ($14.55).
  • Los Angeles, CA ranks 3rd of 4 metro areas in California by median, cheapest first.
  • 12 of 44 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 44 facilities across 34 cities for code 86376, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Nov 26, 2025 and Oct 5, 2026.

Lowest$5.49Memorial Hospital of Gardena + 3 more
Median$17.87half of hospitals charge less
Highest$169.40in this market
Difference30.9×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $5.49Highest $169.40

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Memorial Hospital of Gardena lowest Gardena, CA · (310) 532-4200 THYROID PEROXIDASE (TPO) Ab - LABCORP File of Feb 4, 2026 · source file $5.49 $5.49 $2.57–$29.10 —
East Los Angeles Doctors Hospital lowest Los Angeles, CA · (323) 268-5514 THYROID PEROXIDASE (TPO) Ab - LABCORP File of Feb 4, 2026 · source file $5.49 $5.49 $2.57–$29.10 —
Community Hospital of Huntington Park lowest Huntington Park, CA · (323) 583-1931 THYROID PEROXIDASE (TPO) Ab - LABCORP File of Feb 4, 2026 · source file $5.49 $5.49 $2.57–$29.10 —
Coast Plaza Doctors Hospital lowest Norwalk, CA · (310) 532-4200 THYROID PEROXIDASE (TPO) Ab - LABCORP File of Feb 4, 2026 · source file $5.49 $5.49 $2.57–$34.60 —
St Mary Medical Center Long Beach, CA · (562) 491-9000 RL-A-LKM1 IGG 55241 File of Sep 30, 2026 · source file $6.06 $14.00 $3.50–$92.75 57%
California Hospital Medical Center LA Los Angeles, CA · (213) 748-2411 RL-A-LIVER-KID 99270 File of Sep 30, 2026 · source file $6.70 $14.00 $3.36–$92.75 52%
Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 C MICROSOMAL ANTIBODIES EACH - LC File of Jun 15, 2026 · source file $7.00 $7.00 $2.10–$28.86 —
Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 C MICROSOMAL ANTIBODIES EACH - LC File of Jun 15, 2026 · source file $7.00 $7.00 $2.10–$47.65 —
Chapman Global Medical Center Orange, CA · (714) 633-0011 C MICROSOMAL ANTIBODIES EACH - LC File of May 6, 2026 · source file $7.00 $7.00 $2.10–$28.86 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 Thyroid Peroxidase (TPO) Ab LABCORP File of Feb 4, 2026 · source file $7.50 $7.50 $3.52–$29.10 —
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 Thyroid Peroxidase (TPO) Ab LABCORP File of Feb 4, 2026 · source file $7.50 $7.50 $3.52–$29.10 —
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 Thyroid Peroxidase (TPO) Ab LABCORP File of Feb 4, 2026 · source file $7.50 $7.50 $3.52–$34.60 —
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 Thyroid Peroxidase (TPO) Ab LABCORP File of Feb 4, 2026 · source file $7.50 $7.50 $3.52–$29.10 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP File of Feb 4, 2026 · source file $8.00 $8.00 $3.75–$29.10 —
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP File of Feb 4, 2026 · source file $8.00 $8.00 $3.75–$29.10 —
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP File of Feb 4, 2026 · source file $8.00 $8.00 $3.75–$29.10 —
Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 THYROID PEROXIDASE ABS - LC File of Jun 15, 2026 · source file $8.00 $8.00 $2.40–$30.48 —
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP File of Feb 4, 2026 · source file $8.00 $8.00 $3.75–$34.60 —
Chapman Global Medical Center Orange, CA · (714) 633-0011 THYROID PEROXIDASE ABS - LC File of May 6, 2026 · source file $8.00 $8.00 $2.40–$30.48 —
Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 THYROID PEROXIDASE ABS - LC File of Jun 15, 2026 · source file $8.00 $8.00 $2.40–$47.65 —
Hoag Memorial Hospital Presbyterian Newport Beach, CA · (949) 764-4624 HC Microsomal Ab - Analyzer Ana, Ifa W/Reflex Titer File of Apr 1, 2026 · source file $8.39 $12.91 — 35%
Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC MICROSOMAL ANTIBODIES EACH # 30200152 File of Mar 18, 2026 · source file $9.00 $9.00 $4.05–$173.89 —
Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 MICROSOMAL ANTIBODY (THYROID); RIA+5 more lines at this price File of Nov 26, 2025 · source file $9.10 $14.00 $35.77–$203.66 35%
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 REFLEX Thyroid Peroxidase (TPO) Ant ARUP+1 more line at this price File of Feb 4, 2026 · source file $9.80 $9.80 $4.60–$34.60 —
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 Thyroid Peroxidase Antibody ARUP+1 more line at this price File of Feb 4, 2026 · source file $9.80 $9.80 $4.60–$29.10 —
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 Thyroid Peroxidase Antibody ARUP+1 more line at this price File of Feb 4, 2026 · source file $9.80 $9.80 $4.60–$29.10 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 Thyroid Peroxidase Antibody ARUP+1 more line at this price File of Feb 4, 2026 · source file $9.80 $9.80 $4.60–$29.10 —
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 MICROSOMAL ANTIBODY File of Feb 4, 2026 · source file $10.58 $10.58 $4.96–$29.10 —
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 MICROSOMAL ANTIBODY File of Feb 4, 2026 · source file $10.58 $10.58 $4.96–$34.60 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 MICROSOMAL ANTIBODY File of Feb 4, 2026 · source file $10.58 $10.58 $4.96–$29.10 —
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 MICROSOMAL ANTIBODY File of Feb 4, 2026 · source file $10.58 $10.58 $4.96–$29.10 —
La Palma Intercommunity Hospital La Palma, CA · (714) 670-7400 Hc Microsomal Antibody File of Sep 1, 2026 · source file $14.00 $109.13 $14.55–$109.13 87%
St Francis Medical Center Lynwood, CA · (310) 900-8900 Hc Microsomal Antibody File of Sep 1, 2026 · source file $14.00 $43.65 $13.10–$39.29 68%
Encino Hospital Medical Center Encino, CA · (818) 995-5000 ANTI-TPO AB (RDL) LC+3 more lines at this price File of Sep 1, 2026 · source file $14.00 $66.00 $1.72–$66.00 79%
Chapman Global Medical Center Orange, CA · (714) 633-0011 LKM-1 ANTIBODY (IGG) - LC File of May 6, 2026 · source file $14.00 $14.00 $4.20–$53.34 —
Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 LKM-1 ANTIBODY (IGG) - LC File of Jun 15, 2026 · source file $14.00 $14.00 $4.20–$53.34 —
West Anaheim Medical Center Anaheim, CA · (714) 827-3000 Hc Microsomal Antibody File of Sep 1, 2026 · source file $14.00 $109.13 $14.55–$109.13 87%
Garden Grove Hospital Medical Center Garden Grove, CA · (714) 537-5160 Hc Microsomal Antibody File of Sep 1, 2026 · source file $14.00 $109.13 $14.55–$109.13 87%
Sherman Oaks Hospital Sherman Oaks, CA · (818) 981-7111 ANTI-TPO AB (RDL) LC+5 more lines at this price File of Sep 1, 2026 · source file $14.00 $66.00 $2.06–$66.00 79%
Centinela Hospital Medical Center Inglewood, CA · (310) 673-4660 MICROSOMAL AB LVR KIDMY+2 more lines at this price File of Sep 1, 2026 · source file $14.00 $68.00 $6.37–$68.00 79%
Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 LKM-1 ANTIBODY (IGG) - LC File of Jun 15, 2026 · source file $14.00 $14.00 $4.20–$53.34 —
San Dimas Community Hospital San Dimas, CA · (909) 599-6811 Hc Microsomal Antibody File of Sep 1, 2026 · source file $14.00 $211.25 $13.82–$211.25 93%
Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Thyroid Peroxidase Antibodytpo source file $14.00 $14.00 $7.00–$18.00 —
Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY 30010661+1 more line at this price File of Mar 18, 2026 · source file $15.00 $15.00 $6.75–$173.89 —
Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 NH-MICROSOML AB THYROID File of Sep 30, 2026 · source file $15.74 $50.00 $10.00–$92.75 69%
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP File of Feb 4, 2026 · source file $16.60 $16.60 $6.11–$29.10 —
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP File of Feb 4, 2026 · source file $16.60 $16.60 $6.11–$29.10 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP File of Feb 4, 2026 · source file $16.60 $16.60 $6.11–$29.10 —
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP File of Feb 4, 2026 · source file $16.60 $16.60 $6.11–$34.60 —
Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC MICROSOMAL ANTIBODIES EACH LAB 30211273 File of Mar 18, 2026 · source file $17.00 $17.00 $7.65–$173.89 —
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 LIVER, KIDNEY MICROSOMAL AB File of Jul 9, 2026 · source file $20.00 $20.00 $5.00–$56.74 —
California Hospital Medical Center LA Los Angeles, CA · (213) 748-2411 NH-MICROSOML AB THYROID File of Sep 30, 2026 · source file $21.05 $44.00 $10.56–$92.75 52%
USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA Liver-Kidney Microsomal Igg(4) File of Apr 1, 2026 · source file $22.00 $22.00 — —
Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 MICROSOMAL ANTIBODIES EACH File of Apr 1, 2026 · source file $22.88 $44.00 $10.00–$30.00 48%
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 THYROID MICROSOMAL ANTIBODY File of Jul 9, 2026 · source file $23.00 $23.00 $5.75–$56.74 —
Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Thyroid Microsomal Ab,ref source file $23.00 $23.00 $12.00–$23.00 —
Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 RL-ES-ANTITHYROID PEROX File of Sep 30, 2026 · source file $23.84 $75.75 $12.37–$92.75 69%
St Jude Hospital Fullerton, CA · (714) 992-3000 HC MICROSOMAL ANTIBODIES EACH LAB File of Apr 1, 2026 · source file $28.78 $59.95 — 52%
Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC MICROSOMAL ANTIBODIES EACH LAB File of Apr 1, 2026 · source file $28.78 $59.95 — 52%
Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC MICROSOMAL ANTIBODIES EACH LAB File of Apr 1, 2026 · source file $28.78 $59.95 — 52%
UCI Health - Lakewood Orange, CA · (562) 602-6751 MICROSOMAL ANTIBODY EA/5 File of Apr 1, 2026 · source file $30.00 $75.00 — 60%
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 HC MICROSOMAL ANTIBODIES EACH CDM+1 more line at this price File of Apr 1, 2026 · source file $31.50 $90.00 — 65%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 HC MICROSOMAL ANTIBODIES EACH CDM+1 more line at this price File of Apr 1, 2026 · source file $31.50 $90.00 — 65%
St Mary Medical Center Long Beach, CA · (562) 491-9000 RL-ES-ANTITHYROID PEROX File of Sep 30, 2026 · source file $32.78 $75.75 $14.55–$92.75 57%
Providence Holy Cross Medical Center Mission Hills, CA · (818) 365-8051 HC MICROSOMAL ANTIBODIES EACH LAB+1 more line at this price File of Apr 1, 2026 · source file $33.25 $95.00 — 65%
St Mary Medical Center Long Beach, CA · (562) 491-9000 NH-MICROSOML AB THYROID File of Sep 30, 2026 · source file $35.91 $83.00 $14.55–$92.75 57%
Providence Saint Joseph Medical Center Burbank, CA · (818) 843-5111 HC MICROSOMAL ANTIBODIES EACH LAB File of Apr 1, 2026 · source file $37.80 $108.00 — 65%
Providence Saint Joseph Medical Center Burbank, CA · (818) 843-5111 HC MICROSOMAL ANTIBODIES EACH LAB+1 more line at this price File of Apr 1, 2026 · source file $43.40 $124.00 — 65%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC MICROSOMAL ANTIBODIES EACH CDM+1 more line at this price File of Apr 1, 2026 · source file $46.20 $132.00 — 65%
Providence Holy Cross Medical Center Mission Hills, CA · (818) 365-8051 HC MICROSOMAL ANTIBODIES EACH LAB+1 more line at this price File of Apr 1, 2026 · source file $101.85 $291.00 — 65%
Casa Colina Hospital and Centers for Healthcare Pomona, CA · (909) 596-7733 Microsomal antibodies (autoantibody) measurement File of Oct 5, 2026 · source file $113.49 $87.30 $13.10–$118.73 -30%
Hoag Memorial Hospital Presbyterian Newport Beach, CA · (949) 764-4624 HC Microsomal Antibodies Each # File of Apr 1, 2026 · source file $122.55 $188.54 — 35%
Hoag Memorial Hospital Presbyterian Newport Beach, CA · (949) 764-4624 HC Microsomal Antibody - Liver/Kidney File of Apr 1, 2026 · source file $134.71 $207.24 — 35%
Providence Saint Joseph Medical Center Burbank, CA · (818) 843-5111 HC MICROSOMAL ANTIBODIES EACH CDM File of Apr 1, 2026 · source file $145.25 $415.00 — 65%
Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Microsomal Ab Serum source file $151.00 $151.00 $12.00–$151.00 —
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC MICROSOMAL ANTIBODIES EACH LAB+1 more line at this price File of Apr 1, 2026 · source file $156.80 $448.00 — 65%
Catalina Island Medical Center Avalon, CA · (310) 510-0700 Microsomal antibodies (autoantibody) measurement File of Jul 20, 2026 · source file $169.40 $242.00 $13.82–$242.00 30%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $5.49, median $17.87, highest $169.40 — a 30.9× difference within the same market.

As an inpatient, the same code is billed by 34 facilities here, median $22.88. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 33 of 33 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What TPO antibody test is, what the price covers and why prices differ: TPO antibody test explained.

25 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86376 ($54.60). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
UCI Health - Fountain Valley Orange, CAMICROSOMAL ANTIBODY EA $1.96 file
UCI Health - Los Alamitos Orange, CAMICROSOMAL ANTIBODY EA $1.96 file
UCI Health - Lakewood Orange, CAMICROSOMAL ANTIBODY EA $1.96 file
Mission Hospital Regional Med Center Mission Viejo, CAHC MICROSOMAL ANTIBODY $2.34 file
Providence St Joseph Hospital Orange Orange, CAHC MICROSOMAL ANTIBODY $2.34 file
St Jude Hospital Fullerton, CAHC MICROSOMAL ANTIBODY $2.34 file
Providence St Joseph Hospital Orange Orange, CAHC MICROSOMAL ANTIBODIES EACH CDM $2.40 file
St Jude Hospital Fullerton, CAHC MICROSOMAL ANTIBODIES EACH CDM $2.40 file
Mission Hospital Regional Med Center Mission Viejo, CAHC MICROSOMAL ANTIBODIES EACH CDM $2.40 file
Glendale Memorial Hospital & Health Center Glendale, CARL-A-TPO ANTIBODY 50075 $2.52 file
Glendale Memorial Hospital & Health Center Glendale, CARL-A-LIVER PAN 3002479B $3.31 file
St Mary Medical Center Long Beach, CARL-A-TPO ANTIBODY 50075 $3.47 file
Childrens Hospital at Mission - Cerner Mission Viejo, CAHC MICROSOMAL ANTIBODIES EACH # 30200114 $4.00 file
Glendale Memorial Hospital & Health Center Glendale, CARL-A-LKM1 IGG 55241 $4.41 file
St Mary Medical Center Long Beach, CARL-A-LIVER PAN 3002479B $4.56 file
Childrens Hospital at Mission - Cerner Mission Viejo, CAHC MICROSOMAL ANTIBODIES EACH # $5.00 file
UCI Health - Placentia Linda Orange, CAMICROSOMAL ANTIBODY EA/2 $5.00 file
UCI Health - Los Alamitos Orange, CAMICROSOMAL ANTIBODY EA/2 $5.00 file
UCI Health - Fountain Valley Orange, CAMICROSOMAL ANTIBODY EA/2 $5.00 file
Childrens Hospital at Mission - Cerner Mission Viejo, CAHC MICROSOMAL ANTIBODY -THROID PEROXIDASE $5.00 file
Childrens Hospital at Mission - Cerner Mission Viejo, CATHYROPEROXIDASE ANTIBODIES $5.00 file
UCI Health - Lakewood Orange, CAMICROSOMAL ANTIBODY EA/2 $5.00 file
California Hospital Medical Center LA Los Angeles, CARL-A-LIVER PAN 3002479B $5.04 file
Hoag Memorial Hospital Presbyterian Newport Beach, CAHC Microsomal Antibody -Throid Peroxidase $5.19 file
Hoag Memorial Hospital Presbyterian Newport Beach, CAHC Microsomal Antibody Each - Lupus Panel 4 $5.43 file
File Link to the hospital's own price file.