Hepatitis C RNA test cost in Los Angeles, CA
In Los Angeles-Long Beach-Anaheim, CA, 46 hospitals list a cash price for hepatitis C viral load (HCV RNA) test: from $20.00 to $940.37, with a median of $55.00. The lowest listed price is at UCI Health - Placentia Linda and 3 other hospitals — $35.00 less than the median here. Across California, the median is $87.88 at 182 hospitals.
- The median here, $55.00, is 73% below the US median of $202.46.
- That is 1.3× Medicare's 2026 national rate for the same service ($42.84).
- Los Angeles, CA has the lowest median of 4 metro areas in California with at least 10 hospitals pricing this code.
- 16 of 46 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 46 facilities across 30 cities for code 87522, 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$20.00UCI Health - Placentia Linda + 3 more
Median$55.00half of hospitals charge less
Highest$940.37in this market
Difference47.0×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 $20.00Highest $940.37
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| UCI Health - Placentia Linda lowest Orange, CA · (714) 456-7890 HEP C QUANT/2 File of Apr 1, 2026 · source file | $20.00 | $50.00 | — | 60% |
| UCI Health - Fountain Valley lowest Orange, CA · (714) 966-7200 HEP C QUANT/2 File of Apr 1, 2026 · source file | $20.00 | $50.00 | — | 60% |
| UCI Health - Lakewood lowest Orange, CA · (562) 602-6751 HEP C QUANT/2 File of Apr 1, 2026 · source file | $20.00 | $50.00 | — | 60% |
| UCI Health - Los Alamitos lowest Orange, CA · (562) 799-3220 HEP C QUANT/4 File of Apr 1, 2026 · source file | $20.00 | $50.00 | — | 60% |
| St Jude Hospital Fullerton, CA · (714) 992-3000 HC HEPATITIS C QUANTITATIVE PCR File of Apr 1, 2026 · source file | $27.79 | $57.90 | — | 52% |
| Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC HEPATITIS C QUANTITATIVE PCR File of Apr 1, 2026 · source file | $27.79 | $57.90 | — | 52% |
| Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC HEPATITIS C QUANTITATIVE PCR File of Apr 1, 2026 · source file | $27.79 | $57.90 | — | 52% |
| UCI Health - Los Alamitos Orange, CA · (562) 799-3220 HEP C QUANT/2 File of Apr 1, 2026 · source file | $29.60 | $74.00 | — | 60% |
| UCI Health - Placentia Linda Orange, CA · (714) 456-7890 HEP C QUANT File of Apr 1, 2026 · source file | $29.60 | $74.00 | — | 60% |
| UCI Health - Los Alamitos Orange, CA · (562) 799-3220 HEP C QUANT File of Apr 1, 2026 · source file | $32.58 | $81.45 | — | 60% |
| Glendale Memorial Hospital & Health Center one side Glendale, CA · (818) 502-1900 NH-IA HEPATITIS C QN RT File of Sep 30, 2026 · source file | $40.59 | $129.00 | $25.80–$226.00 | 69% |
| Hoag Memorial Hospital Presbyterian one side Newport Beach, CA · (949) 764-4624 HC Hepatitis C Quantitative Pcr by Rt File of Apr 1, 2026 · source file | $41.56 | $63.94 | — | 35% |
| Encino Hospital Medical Center Encino, CA · (818) 995-5000 LC 140639NGI HCV QUANTASURE+8 more lines at this price File of Sep 1, 2026 · source file | $42.00 | $243.48 | $15.00–$243.48 | 83% |
| Encino Hospital Medical Center one side Encino, CA · (818) 995-5000 LC 550070HCV RT-PCR,QNT(GPH)+1 more line at this price File of Sep 1, 2026 · source file | $42.00 | $119.89 | $15.00–$243.48 | 65% |
| Sherman Oaks Hospital one side Sherman Oaks, CA · (818) 981-7111 LC 550070 HCV RT-PCR,QNT (GPH)+1 more line at this price File of Sep 1, 2026 · source file | $42.00 | $119.89 | $30.00–$243.48 | 65% |
| Sherman Oaks Hospital Sherman Oaks, CA · (818) 981-7111 LC 550080 HCV PCR QN NON-GRAPH+8 more lines at this price File of Sep 1, 2026 · source file | $42.00 | $119.89 | $30.00–$243.48 | 65% |
| San Dimas Community Hospital San Dimas, CA · (909) 599-6811 Hc Iadna Hepatitis C Quant & Reverse Transcription File of Sep 1, 2026 · source file | $42.00 | $551.93 | $36.16–$551.93 | 92% |
| St Francis Medical Center Lynwood, CA · (310) 900-8900 Hc Iadna Hepatitis C Quant & Reverse Transcription File of Sep 1, 2026 · source file | $42.00 | $214.20 | $36.16–$192.78 | 80% |
| La Palma Intercommunity Hospital La Palma, CA · (714) 670-7400 Hc Iadna Hepatitis C Quant & Reverse Transcription File of Sep 1, 2026 · source file | $42.00 | $330.94 | $36.16–$330.94 | 87% |
| Centinela Hospital Medical Center Inglewood, CA · (310) 673-4660 HCV PCR QNT GRAPHICAL W/REFLX+2 more lines at this price File of Sep 1, 2026 · source file | $42.00 | $408.75 | $22.76–$408.75 | 90% |
| West Anaheim Medical Center Anaheim, CA · (714) 827-3000 Hc Iadna Hepatitis C Quant & Reverse Transcription File of Sep 1, 2026 · source file | $42.00 | $330.94 | $36.16–$330.94 | 87% |
| Garden Grove Hospital Medical Center Garden Grove, CA · (714) 537-5160 Hc Iadna Hepatitis C Quant & Reverse Transcription File of Sep 1, 2026 · source file | $42.00 | $257.04 | $36.16–$257.04 | 84% |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 HCV Quant w/Rflx to HCV HR Genotype LCRP+2 more lines at this price File of Feb 4, 2026 · source file | $50.00 | $50.00 | $17.99–$85.68 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 HCV BY QUANTITATIVE NAAT - LABCORP+2 more lines at this price File of Feb 4, 2026 · source file | $50.00 | $50.00 | $17.99–$85.68 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 HCV Quant w/Rflx to HCV HR Genotype LCRP+2 more lines at this price File of Feb 4, 2026 · source file | $50.00 | $50.00 | $17.99–$101.87 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 HCV Quant w/Rflx to HCV HR Genotype LCRP+2 more lines at this price File of Feb 4, 2026 · source file | $50.00 | $50.00 | $17.99–$85.68 | — |
| St Mary Medical Center one side Long Beach, CA · (562) 491-9000 NH-IA HEPATITIS C QN RT File of Sep 30, 2026 · source file | $53.22 | $123.00 | $30.75–$226.00 | 57% |
| Los Angeles Community Hospital Los Angeles, CA · (323) 267-0477 HCV RNA QUANTITATIVE REAL TIME File of Mar 18, 2026 · source file | $55.00 | $55.00 | $2.24–$141.04 | — |
| Southern California Hospital at Hollywood Hollywood, CA · (323) 462-2271 HCV RNA QUANTITATIVE REAL TIME File of Mar 18, 2026 · source file | $55.00 | $55.00 | $1.37–$141.04 | — |
| Childrens Hospital at Mission - Cerner one side Mission Viejo, CA · (949) 365-2408 HC HEPATITIS C QUANTITATIVE PCR BY RT File of Mar 18, 2026 · source file | $58.00 | $58.00 | $26.10–$511.77 | — |
| Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC HEPATITIS C QUANTITATIVE PCR+1 more line at this price File of Mar 18, 2026 · source file | $58.00 | $58.00 | $26.10–$511.77 | — |
| Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC HEPATITIS C QUANTITATIVE PCR PAML 30011653 File of Mar 18, 2026 · source file | $59.00 | $59.00 | $26.55–$511.77 | — |
| California Hospital Medical Center LA one side Los Angeles, CA · (213) 748-2411 NH-IA HEPATITIS C QN RT File of Sep 30, 2026 · source file | $61.21 | $128.00 | $30.72–$226.00 | 52% |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 REFLEX HCV RNA QNT PCR - LC File of Jun 15, 2026 · source file | $72.00 | $72.00 | $21.60–$163.22 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 REFLEX HCV RNA QNT PCR - LC File of Jun 15, 2026 · source file | $72.00 | $72.00 | $21.60–$163.22 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 REFLEX HCV RNA QNT PCR - LC File of May 6, 2026 · source file | $72.00 | $72.00 | $21.60–$163.22 | — |
| UCI Health - Lakewood Orange, CA · (562) 602-6751 HEP C QUANT File of Apr 1, 2026 · source file | $73.30 | $183.26 | — | 60% |
| UCI Health - Fountain Valley Orange, CA · (714) 966-7200 HEP C QUANT File of Apr 1, 2026 · source file | $74.94 | $187.34 | — | 60% |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 HCV GENOTYPE BY PCR & SEQ - LABCORP File of Feb 4, 2026 · source file | $75.00 | $75.00 | $17.99–$85.68 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 HCV GENOTYPE BY PCR & SEQ - LABCORP File of Feb 4, 2026 · source file | $75.00 | $75.00 | $17.99–$85.68 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 HCV GENOTYPE BY PCR & SEQ - LABCORP File of Feb 4, 2026 · source file | $75.00 | $75.00 | $17.99–$101.87 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 HCV GENOTYPE BY PCR & SEQ - LABCORP File of Feb 4, 2026 · source file | $75.00 | $75.00 | $17.99–$85.68 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 HCV RNA PCR QUANT - LC File of May 6, 2026 · source file | $79.00 | $79.00 | $23.70–$163.22 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 HCV RNA PCR QUANT - LC File of Jun 15, 2026 · source file | $79.00 | $79.00 | $23.70–$163.22 | — |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 HCV RNA PCR QUANT - LC File of Jun 15, 2026 · source file | $79.00 | $79.00 | $23.70–$163.22 | — |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 HCV RNA-BIOT File of Jun 15, 2026 · source file | $83.00 | $83.00 | $24.90–$163.22 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 HCV RNA-BIOT File of Jun 15, 2026 · source file | $83.00 | $83.00 | $24.90–$163.22 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 HCV RNA-BIOT File of May 6, 2026 · source file | $83.00 | $83.00 | $24.90–$163.22 | — |
| Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION File of Apr 1, 2026 · source file | $87.88 | $169.00 | $30.00–$90.00 | 48% |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 HEP C VIRAL RNA QUAN - LC File of Jun 15, 2026 · source file | $95.00 | $95.00 | $28.50–$163.23 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 HEP C VIRAL RNA QUAN - LC File of May 6, 2026 · source file | $95.00 | $95.00 | $28.50–$163.23 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 HEP C VIRAL RNA QUAN - LC File of Jun 15, 2026 · source file | $95.00 | $95.00 | $28.50–$163.23 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 Hepatitis C Virus RNA Quantitative,ARUP File of Feb 4, 2026 · source file | $98.44 | $98.44 | $17.99–$85.68 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 Hepatitis C Virus RNA Quantitative,ARUP File of Feb 4, 2026 · source file | $98.44 | $98.44 | $17.99–$85.68 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 Hepatitis C Virus RNA Quantitative,ARUP File of Feb 4, 2026 · source file | $98.44 | $98.44 | $17.99–$85.68 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 Hepatitis C Virus RNA Quantitative,ARUP File of Feb 4, 2026 · source file | $98.44 | $98.44 | $17.99–$101.87 | — |
| Coast Plaza Doctors Hospital one side Norwalk, CA · (310) 532-4200 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP File of Feb 4, 2026 · source file | $111.47 | $111.47 | $17.99–$101.87 | — |
| Memorial Hospital of Gardena one side Gardena, CA · (310) 532-4200 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP File of Feb 4, 2026 · source file | $111.47 | $111.47 | $17.99–$89.18 | — |
| East Los Angeles Doctors Hospital one side Los Angeles, CA · (323) 268-5514 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP File of Feb 4, 2026 · source file | $111.47 | $111.47 | $17.99–$89.18 | — |
| Community Hospital of Huntington Park one side Huntington Park, CA · (323) 583-1931 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP File of Feb 4, 2026 · source file | $111.47 | $111.47 | $17.99–$89.18 | — |
| Southern California Hospital at Van Nuys D/P Aph Van Nuys, CA · (323) 462-2271 HCV RNA QUANTITATIVE REAL TIME File of Mar 18, 2026 · source file | $115.00 | $115.00 | $34.16–$130.41 | — |
| Foothill Regional Medical Center Tustin, CA · (714) 619-7700 HCV RNA QUANTITATIVE REAL TIME File of Mar 18, 2026 · source file | $115.00 | $115.00 | $1.37–$141.04 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 HEPATITIS C RNA QUANT File of Feb 4, 2026 · source file | $126.26 | $126.26 | $17.99–$101.01 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 HEPATITIS C RNA QUANT File of Feb 4, 2026 · source file | $126.26 | $126.26 | $17.99–$101.01 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 HEPATITIS C RNA QUANT File of Feb 4, 2026 · source file | $126.26 | $126.26 | $17.99–$101.87 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 HEPATITIS C RNA QUANT File of Feb 4, 2026 · source file | $126.26 | $126.26 | $17.99–$101.01 | — |
| Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 HEPATITIS C RNA, PCR (VIRAL LO File of Jul 9, 2026 · source file | $128.00 | $128.00 | $32.00–$167.00 | — |
| Foothill Regional Medical Center Tustin, CA · (714) 619-7700 HEPATITIS C REVRS TRNSCRPJ File of Mar 18, 2026 · source file | $147.95 | $147.95 | $127.54 | — |
| St Jude Hospital Fullerton, CA · (714) 992-3000 HC IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION CDM+2 more lines at this price File of Apr 1, 2026 · source file | $202.56 | $422.00 | — | 52% |
| Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION CDM+2 more lines at this price File of Apr 1, 2026 · source file | $202.56 | $422.00 | — | 52% |
| Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION CDM+2 more lines at this price File of Apr 1, 2026 · source file | $202.56 | $422.00 | — | 52% |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 HCA VIRAL RNA QUANT File of May 6, 2026 · source file | $292.00 | $292.00 | $37.81–$292.00 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 HCA VIRAL RNA QUANT File of Jun 15, 2026 · source file | $292.00 | $292.00 | $31.51–$292.00 | — |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 HCA VIRAL RNA QUANT File of Jun 15, 2026 · source file | $292.00 | $292.00 | $34.27–$292.00 | — |
| Casa Colina Hospital and Centers for Healthcare Pomona, CA · (909) 596-7733 Detection test by nucleic acid for Hepatitis C virus, quantification File of Oct 5, 2026 · source file | $376.38 | $289.52 | $38.56–$393.75 | -30% |
| USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA Hepatitis C Revrs Trnscrpj File of Apr 1, 2026 · source file | $385.50 | $385.50 | — | — |
| Keck Hospital of USC Los Angeles, CA · (323) 442-8656 Hepatitis C Revrs Trnscrpj File of Apr 1, 2026 · source file | $397.00 | $397.00 | — | — |
| Orange County Global Medical Center one side Santa Ana, CA · (714) 953-3500 HCV RT PCR - REFLEX File of Jun 15, 2026 · source file | $469.00 | $469.00 | $34.27–$469.00 | — |
| Chapman Global Medical Center one side Orange, CA · (714) 633-0011 HCV RT PCR - REFLEX File of May 6, 2026 · source file | $469.00 | $469.00 | $37.81–$469.00 | — |
| Anaheim Global Medical Center one side Anaheim, CA · (714) 533-6220 HCV RT PCR - REFLEX File of Jun 15, 2026 · source file | $469.00 | $469.00 | $31.51–$469.00 | — |
| Catalina Island Medical Center Avalon, CA · (310) 510-0700 Detection test by nucleic acid for Hepatitis C virus, quantification File of Jul 20, 2026 · source file | $590.80 | $844.00 | $40.70–$844.00 | 30% |
| Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; HEPATITIS C, REVERSE TRANSCRIPTION AND QUANTIFICATION+4 more lines at this price File of Nov 26, 2025 · source file | $940.37 | $1,446.73 | $104.83–$359.85 | 35% |
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 $20.00, median $55.00, highest $940.37 — a 47.0× difference within the same market.
As an inpatient, the same code is billed by 37 facilities here, median $72.00. 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 35 of 36 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 hepatitis C RNA test is, what the price covers and why prices differ: Hepatitis C RNA test explained.
3 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 87522 ($200.00). 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.
| Hospital | Cash price | File |
|---|---|---|
| Glendale Memorial Hospital & Health Center Glendale, CARL-A-HCVQT GR 3000576 | $12.17 | file |
| St Mary Medical Center Long Beach, CARL-A-HCVQT GR 3000576 | $16.74 | file |
| California Hospital Medical Center LA Los Angeles, CARL-A-HCVQT GR 3000576 | $18.50 | file |
File Link to the hospital's own price file.