Lab & pathology prices at Arbuckle Memorial Hospital Authority
Sulphur, OK · every code in this section with a posted price and a Medicare benchmark.
530 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) | $107 | $134 | 2.8× |
| 5 Hiaa (83497) | $36 | $45 | 2.8× |
| 5 Nucleotidase (83915) | $22 | $28 | 2.0× |
| Acetaminophen level (80143) | $60 | $75 | 3.2× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $93 | $116 | 5.1× |
| Actin smooth muscle antibody each (86015) | $59 | $74 | 4.9× |
| Activated protein c resistance (85307) | $52 | $65 | 3.4× |
| Acute hepatitis panel (80074) | $132 | $165 | 2.8× |
| Adenovirus Ag Ia (87301) | $97 | $121 | 8.1× |
| Afb culture (87116) | $36 | $45 | 3.3× |
| Albumin serum (82040) | $14.50 | $18.50 | 2.9× |
| Aldolase (82085) | $27 | $34 | 2.8× |
| Aldosterone urine (82088) | $82 | $102 | 2.0× |
| Alkaline phosphatase isoenzymes (84080) | $52 | $65 | 3.5× |
| Allerg sp igg quan or semiquan (86001) | $35 | $44 | 4.5× |
| Allergen specific ige (86003) | $18 | $23 | 3.4× |
| Allg Spec Ige Recomb Ea (86008) | $146 | $182 | 8.1× |
| Alpha-1-antitrypsin phenotype (82104) | $129.50 | $162 | 9.0× |
| Alpha-1-antitrypsin, total (82103) | $195 | $244 | 14.5× |
| Alpha-fetoprotein, serum (82105) | $57.50 | $72 | 3.4× |
| Alt (sgpt) (84460) | $17 | $21.50 | 3.2× |
| Amikacin trough (80150) | $52 | $65 | 3.4× |
| Amines vaginal fluid qual (82120) | $18 | $22 | 3.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $40 | $50 | 2.4× |
| Amino Acids, Single Quantitation (82131) | $8 | $10 | 0.3× |
| Ammonia (82140) | $44 | $55 | 3.0× |
| Amylase urine (82150) | $44 | $55 | 6.8× |
| Ana Titer (86039) | $34 | $43 | 3.0× |
| Analysis for antibody to shigella (intestinal bacteria) (86771) | $37 | $46 | 1.5× |
| Angiotensin i enzyme test (82164) | $45 | $56 | 3.1× |
| Anti-phosphatidylserine antibody (86148) | $18 | $22 | 1.1× |
| Antibody aspergillus (86606) | $42 | $53 | 2.8× |
| Antibody cytomegalovirus cmv (86644) | $47 | $59 | 3.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $36 | $45 | 2.7× |
| Antibody helicobacter pylori (86677) | $42 | $52 | 2.5× |
| Antibody herpes smplx type 1 (86695) | $65 | $81 | 4.9× |
| Antibody identification (86870) | $252 | $315 | 0.7× |
| Antibody mumps (86735) | $36 | $45 | 2.8× |
| Antibody Protozoa Nes (86753) | $124 | $155 | 10.0× |
| Antibody rubeola (86765) | $36 | $45 | 2.8× |
| Antibody screen (86850) | $42 | $53 | 4.3× |
| Antibody treponema pallidum (86780) | $37 | $46 | 2.8× |
| Antigen typing (86905) | $22 | $27 | 5.7× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $36 | $45 | 3.0× |
| Antinuclear antibodies (86038) | $38 | $47.50 | 3.1× |
| Antistreptolysin o titer (86060) | $20 | $25 | 2.7× |
| Antithrombin iii activity (85300) | $40 | $50 | 3.4× |
| Antithrombin iii antigen (85301) | $40 | $50 | 3.7× |
| Apolipoprotein b (82172) | $60 | $75 | 2.8× |
| Arsenic Urine (82175) | $57 | $71 | 3.0× |
| Assay direct measurement free estradiol (82681) | $180 | $225 | 6.4× |
| Assay Nephelometry Not Spec (83883) | $60 | $75 | 4.4× |
| Assay of acth (82024) | $126 | $158 | 3.3× |
| Assay of androstenedione (82157) | $98 | $123 | 3.3× |
| Assay of blood chloride (82435) | $14.50 | $18 | 3.2× |
| Assay of blood fatty acids (82725) | $160 | $200 | 8.5× |
| Assay of c-peptide (84681) | $57 | $71 | 2.7× |
| Assay of calcitonin (82308) | $124 | $155 | 4.6× |
| Assay of ceruloplasmin (82390) | $30 | $38 | 2.8× |
| Assay of cyclosporine (80158) | $50 | $62 | 2.8× |
| Assay of erythropoietin (82668) | $83 | $104 | 4.4× |
| Assay of ethosuximide (80168) | $81 | $101 | 5.0× |
| Assay of ferritin (82728) | $38 | $47 | 2.8× |
| Assay of g6pd enzyme (82955) | $45 | $56 | 4.6× |
| Assay of gammaglobulin igm (82784) | $28 | $35 | 3.0× |
| Assay of gastrin (82941) | $302 | $378 | 17.1× |
| Assay of gentamicin (80170) | $46 | $57 | 2.8× |
| Assay of homocystine (83090) | $47 | $59 | 2.6× |
| Assay of homovanillic acid (83150) | $54 | $67 | 2.4× |
| Assay of lipoprotein(a) (83695) | $40 | $50 | 2.8× |
| Assay of manganese (83785) | $103 | $129 | 3.9× |
| Assay of metanephrines (83835) | $47 | $59 | 2.8× |
| Assay of parathormone (83970) | $114 | $143 | 2.8× |
| Assay of phenobarbital (80184) | $42 | $52 | 2.7× |
| Assay of prealbumin (84134) | $40 | $50 | 2.7× |
| Assay of proinsulin (84206) | $50 | $62 | 1.9× |
| Assay of prostate specific antigen complexed (84152) | $150 | $188 | 8.2× |
| Assay of pyruvate (84210) | $37 | $46 | 2.6× |
| Assay of selenium (84255) | $70 | $87 | 2.7× |
| Assay of serotonin (84260) | $139 | $174 | 4.5× |
| Assay of somatomedin (84305) | $223 | $279 | 10.5× |
| Assay of tacrolimus (80197) | $38 | $48 | 2.8× |
| Assay of urine vma (84585) | $43 | $54 | 2.8× |
| Assay of vitamin k (84597) | $103 | $129 | 7.5× |
| Assay Ph Body Fluid Nos (83986) | $10 | $13 | 2.8× |
| Assay Thiopurine S-Methyltransferase (84433) | $45 | $56 | 2.0× |
| Ast (sgot) (84450) | $14.50 | $18.50 | 2.8× |
| Autologous Blood Process (86890) | $10 | $12 | 0.1× |
| Automated rbc count (85041) | $11 | $14 | 3.6× |
| B cells total count (86355) | $75 | $94 | 2.0× |
| Bartonella antibody (86611) | $124 | $155 | 12.2× |
| Bcr/abl1 gene major bp (81206) | $280 | $350 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $240 | $300 | 1.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $134 | $167 | 5.3× |
| Beta hydroxybutyrate (82010) | $20 | $25 | 2.4× |
| Beta Lactamase (87185) | $5 | $6 | 1.1× |
| Beta-2 microglobulin (82232) | $46 | $57 | 2.8× |
| Bilirubin direct (82248) | $18.50 | $23 | 3.7× |
| Bilirubin total (82247) | $18.50 | $23 | 3.7× |
| Bl Smear W/Diff Wbc Count (85007) | $10 | $12 | 2.6× |
| Blood count reticulocyte automated (85045) | $12 | $15 | 3.0× |
| Blood gases (82803) | $88 | $110 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $14 | $17 | 0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.50 | $15.50 | 2.9× |
| Blood typing abo (86900) | $12 | $15 | 4.0× |
| Blood typing serologic rh (d) (86901) | $12 | $15 | 4.0× |
| Blood typing serologic rh phenotyping complete (86906) | $7 | $9 | 0.9× |
| Body fluid cell count (89051) | $15 | $19 | 2.7× |
| Body fluid cell count (89050) | $23 | $29 | 4.9× |
| Bordetella antibody (86615) | $186 | $232 | 14.1× |
| Brca1&2 seq & full dup/del (81162) | $1,456 | $1,820 | 0.8× |
| Brucella antibody (86622) | $88 | $110 | 9.9× |
| C-reactive protein (86140) | $14 | $18 | 2.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $36 | $45 | 2.8× |
| Ca 125 (86304) | $58 | $72 | 2.8× |
| Ca 19-9 (86301) | $58 | $73 | 2.8× |
| Ca 27 29 (86300) | $58 | $73 | 2.8× |
| Calcium ionized (82330) | $41 | $51 | 3.0× |
| Calcium total (82310) | $18 | $22.50 | 3.5× |
| Calcium urine (82340) | $17 | $21 | 2.8× |
| Calculus Spectroscopy (82365) | $32 | $40 | 2.5× |
| Calprotectin, fecal (83993) | $156 | $195 | 7.9× |
| Candida DNA dir probe (87480) | $34 | $43 | 1.7× |
| Carbamazepine (tegretol) total (80156) | $40 | $50 | 2.7× |
| Carbon dioxide (82374) | $14.50 | $18.50 | 3.0× |
| Carboxyhemoglobin Quantitative (82375) | $34 | $43 | 2.8× |
| Carcinoembryonic antigen (82378) | $53 | $66 | 2.8× |
| Cardiolipin ab igg (86147) | $49.50 | $61.50 | 1.9× |
| Carnitine (82379) | $154 | $193 | 9.1× |
| Catecholamines fraction plasma (82384) | $70 | $88 | 2.8× |
| Catecholamines Total Urine (82382) | $56 | $70 | 2.1× |
| Cell marker study (88182) | $73 | $91 | 1.5× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $385 | $481 | 2.8× |
| Cftr gene com variants (81220) | $890 | $1,113 | 1.6× |
| Cftr gene dup/delet variants (81222) | $696 | $870 | 1.6× |
| Cftr Gene Intron Poly T (81224) | $270 | $338 | 1.6× |
| Chemiluminescent assay (82397) | $47 | $58.50 | 3.3× |
| Chloride urine (82436) | $23 | $29 | 4.0× |
| Cholesterol total (82465) | $23 | $29 | 5.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $302 | $377 | 2.4× |
| Chromium urine (82495) | $54 | $67 | 2.7× |
| Chromogranin a (86316) | $73 | $91.50 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $78 | $98 | 2.2× |
| Citrate (82507) | $76 | $95 | 2.7× |
| Ckmb (82553) | $42 | $52 | 3.6× |
| Clot factor viii vw antigen (85246) | $67 | $84 | 2.9× |
| Clozapine level (80159) | $53 | $66 | 2.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $50 | $62 | 2.1× |
| Cold agglutinin titer (86157) | $22 | $28 | 2.7× |
| Collagen cross links (82523) | $53 | $66 | 2.8× |
| Compatibility test antiglob (86922) | $41 | $51 | 0.3× |
| Compatibility Test Incubate (86921) | $41 | $51 | 0.3× |
| Complement c3 (86160) | $34 | $42 | 2.8× |
| Complement total ch50 (86162) | $57 | $71 | 2.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $38 | $48 | 3.2× |
| Concentration Infectious Agent (87015) | $26 | $32 | 3.9× |
| Coombs direct (86880) | $24 | $30 | 4.5× |
| Coombs Test Indirect Qual (86885) | $24 | $30 | 4.2× |
| Copper urine (82525) | $34 | $43 | 2.7× |
| Cortisol free (82530) | $106 | $133 | 6.3× |
| Cortisol total (82533) | $45 | $56 | 2.8× |
| Creatine kinase total (82550) | $30 | $37.50 | 4.6× |
| Creatinine blood (82565) | $14 | $18 | 2.7× |
| Creatinine clearance (82575) | $26 | $33 | 2.7× |
| Creatinine other source (82570) | $28.50 | $36 | 5.5× |
| Crossmatch immediate spin (86920) | $36 | $45 | 0.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $28 | $35 | 3.5× |
| Culture Aerobic Identify (87077) | $22 | $28 | 2.7× |
| Culture anaerobic (87075) | $26 | $33 | 2.7× |
| Culture blood (87040) | $29 | $36 | 2.8× |
| Culture chlamydia (87110) | $54 | $68 | 2.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $17 | $21 | 2.2× |
| Culture fungus id yeast (87106) | $29 | $36 | 2.8× |
| Culture fungus other (87102) | $23 | $29 | 2.7× |
| Culture genital (87070) | $24 | $30 | 2.8× |
| Culture screen only (87081) | $18 | $23 | 2.7× |
| Culture stool (87045) | $35 | $44 | 3.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14 | $18 | 2.7× |
| Culture urine (87086) | $22 | $28 | 2.7× |
| Culture urine id ea isolate (87088) | $19.50 | $24.50 | 2.4× |
| Cyclic Citrullinated Peptide (86200) | $32 | $40 | 2.5× |
| Cyp2d6 gene com variants (81226) | $580 | $725 | 1.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $175 | $219 | 4.1× |
| Cytopath cell enhance tech (88112) | $109 | $136 | 2.2× |
| Cytopath,cerv/vag,auto thin layer,interp (88174) | $25 | $31 | 1.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $2 | $3 | 0.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $81.50 | $102 | 3.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $14 | $18 | 0.8× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $90 | $112 | 4.9× |
| D-Dimer (85379) | $21 | $26 | 2.1× |
| Deoxyribonuclease antibody (86215) | $44 | $55 | 3.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $34 | $42 | 2.1× |
| Dhea (82626) | $70 | $87 | 2.8× |
| Dhea sulfate (82627) | $62 | $77 | 2.8× |
| Digoxin (80162) | $60 | $75 | 4.5× |
| Dihydrotestosterone (82642) | $49 | $61 | 1.7× |
| Dilantin (80185) | $50 | $63 | 3.8× |
| Dipropylacetic acid free (80165) | $38 | $48 | 2.8× |
| Dna Antibody Single Stranded (86226) | $48 | $60 | 4.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $62 | $78 | 4.5× |
| Drug Assay Amiodarone (80151) | $88 | $110 | 4.7× |
| Drug assay felbamate (80167) | $67 | $84 | 3.6× |
| Drug assay flecainide (80181) | $42 | $52 | 2.3× |
| Drug assay itraconazole (80189) | $128 | $160 | 4.7× |
| Drug Assay Lacosamide (80235) | $42 | $52 | 1.5× |
| Drug assay methotrexate (80204) | $42 | $52 | 1.1× |
| Drug Screen Quant Gabapentin (80171) | $42 | $52 | 1.9× |
| Drug screen quant zonisamide (80203) | $38 | $48 | 2.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $38 | $48 | 2.9× |
| Drug Scrn Quan Levetiracetam (80177) | $38 | $48 | 2.9× |
| Drug scrn quant oxcarbazepin (80183) | $60 | $75 | 4.5× |
| Drug test prsmv chem anlyzr (80307) | $55.50 | $69.50 | 0.9× |
| Ebv viral capsid (86665) | $51 | $64 | 2.8× |
| Ehrlichia antibody (86666) | $28 | $35 | 2.8× |
| Elastase pancreatic fecal quantitative (82653) | $226 | $283 | 9.8× |
| Electrolyte panel (80051) | $42 | $52 | 6.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $32 | $40 | 2.6× |
| Endomysial antibody iga (86255) | $34 | $42 | 2.8× |
| Enzyme cell activity (82657) | $45 | $56 | 2.0× |
| Eosinophil count (85048) | $10 | $12.50 | 3.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $42 | $53 | 2.7× |
| Estradiol (82670) | $76 | $95 | 2.7× |
| Estriol (82677) | $85 | $106 | 3.5× |
| Estrogens total (82672) | $60 | $75 | 2.8× |
| Estrone (82679) | $240 | $300 | 9.6× |
| Everolimus (80169) | $140 | $175 | 10.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $17.50 | $22 | 2.4× |
| F2 gene analysis 20210g >a variant (81240) | $135 | $169 | 2.1× |
| F5 gene (81241) | $198 | $247 | 2.7× |
| Factor ii activity (85210) | $402 | $503 | 31.0× |
| Factor ix activity (85250) | $45 | $56 | 2.4× |
| Factor v activity (85220) | $53 | $66 | 3.0× |
| Factor viii ahg (85240) | $157 | $196 | 8.8× |
| Factor viii vw multimetric (85247) | $654 | $817 | 28.5× |
| Factor xi assay (85270) | $42 | $53 | 2.3× |
| Factor xii assay (85280) | $402 | $503 | 20.8× |
| Fecal fat qual (82705) | $24 | $30 | 4.7× |
| Fecal fat quant (82710) | $50 | $62 | 3.0× |
| Fetal bleed screen (85461) | $47 | $59 | 5.0× |
| Fibrinogen activity (85384) | $24 | $30 | 2.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $32 | $40 | 2.7× |
| Folate serum (82746) | $50 | $63 | 3.4× |
| Folic acid rbc (82747) | $47 | $59 | 2.7× |
| Follicle Stimulating Hormone (83001) | $51 | $64 | 2.7× |
| Francisella Tularensis (86668) | $30 | $38 | 2.1× |
| Fresh frozen plasma thawing each unit (86927) | $46 | $57.50 | 0.3× |
| Fructosamine (82985) | $102 | $128 | 6.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $41 | $51 | 4.0× |
| G6pd Screen (82960) | $45 | $56 | 7.4× |
| Gammaglobulin ige (82785) | $46 | $58 | 2.8× |
| Gastric Occult Blood (82271) | $17 | $21 | 3.2× |
| Ggt (82977) | $23 | $29 | 3.2× |
| Giardia antigen eia stool (87329) | $34 | $42 | 2.8× |
| Gliadin antibody each immunoglobulin class (86258) | $24 | $30 | 2.0× |
| Glucose (82947) | $23 | $29 | 5.9× |
| Glucose Blood Test (82962) | $28 | $35 | 8.5× |
| Glucose body fluid (82945) | $17 | $21.50 | 4.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $26 | $32 | 6.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $37 | $46 | 2.9× |
| Growth hormone (83003) | $48 | $60 | 2.9× |
| Haptoglobin (83010) | $35 | $44 | 2.8× |
| Hcg qualitative (84703) | $32 | $40 | 4.3× |
| Hcg quant (84702) | $42 | $52 | 2.8× |
| Hdl Cholesterol (83718) | $23 | $29 | 2.8× |
| Heavy metal quant each (83018) | $80 | $100 | 3.6× |
| Hematocrit (85014) | $8 | $10 | 3.4× |
| Hemoglobin (85018) | $8 | $10 | 3.4× |
| Hemoglobin a1c (83036) | $32 | $40 | 3.3× |
| Hemoglobin electrophoresis (83020) | $88 | $110 | 6.8× |
| Heparin assay (85520) | $200 | $250 | 15.3× |
| Hepatitis a antibody total (86708) | $135 | $169 | 10.9× |
| Hepatitis a igm (86709) | $30 | $38 | 2.7× |
| Hepatitis b core ab igm (86705) | $33 | $41 | 2.8× |
| Hepatitis b core antibody total (86704) | $34 | $42 | 2.8× |
| Hepatitis B Surface Ab (86706) | $30 | $38 | 2.8× |
| Hepatitis b surface ag quan (87467) | $32 | $40 | 1.3× |
| Hepatitis B Surface Antigen (87340) | $29 | $36 | 2.8× |
| Hepatitis be antibody (86707) | $32 | $40 | 2.8× |
| Hepatitis Be Antigen (87350) | $32 | $40 | 2.8× |
| Hepatitis c ab confirm (86804) | $62 | $77 | 4.0× |
| Hepatitis c antibody (86803) | $39 | $49 | 2.7× |
| Hepatitis C Genotype (87902) | $473.50 | $592 | 1.8× |
| Herpes culture (87252) | $72 | $90 | 2.8× |
| Herpes simplex type 2 (86696) | $54 | $68 | 2.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $16 | $20 | 3.1× |
| Hfe gene (81256) | $280 | $350 | 4.3× |
| Histamine plasma (83088) | $510.50 | $638 | 17.3× |
| Histoplasma antigen urine (87385) | $193 | $241.50 | 14.6× |
| HIV confirmation (86689) | $54 | $68 | 2.8× |
| HIV-1 antibody (86701) | $25 | $31 | 2.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $27 | $33.50 | 2.0× |
| Hla b 27 disease association lc (81374) | $70 | $87 | 0.9× |
| Hla ii typing 1 allele hr (81383) | $272 | $340 | 2.5× |
| Hla ii typing 1 locus lr (81376) | $304 | $380 | 2.5× |
| Homogenization tissue (87176) | $17 | $21 | 2.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $78 | $97 | 2.2× |
| Hydroxyprogesterone 17-d (83498) | $84 | $105 | 3.1× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $56 | $70 | 3.1× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $90 | $113 | 2.0× |
| Iaad ia clostridium difficile toxin (87324) | $82 | $103 | 6.8× |
| Iaad ia HIV-1 (87390) | $49 | $61 | 2.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $60 | $75 | 2.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $98 | $122 | 6.8× |
| Iaad ia rotavirus (87425) | $33 | $41 | 2.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $90 | $113 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) | $36 | $45 | 2.1× |
| Iaadiadoo not otherwise specified (87899) | $34 | $42 | 2.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $34 | $43 | 2.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $86 | $108 | 2.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $38.50 | $48.50 | 1.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $274 | $343 | 3.9× |
| Iadna hepatitis b virus quantification (87517) | $120 | $150 | 2.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $226 | $283 | 5.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $97 | $121 | 1.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $66.50 | $83.50 | 1.9× |
| Iadna nos amplified probe tq each organism (87798) | $109.50 | $137 | 3.1× |
| Iadna nos quantification each organism (87799) | $204 | $255 | 4.8× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $436 | $545 | 2.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $78 | $98 | 2.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,365 | $1,706 | 3.3× |
| Igg subclasses (82787) | $22 | $28 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $81 | $101 | 2.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $42 | $52 | 2.8× |
| Immunoassay nonantibody (83516) | $99.50 | $124.50 | 8.6× |
| Immunoassay with direct visual observation for streptococcus (87802) | $28 | $35 | 2.2× |
| Immunodiffusion Ouchterlony (86331) | $34 | $42 | 2.8× |
| Immunoelectrophoresis serum (86320) | $62 | $77 | 2.1× |
| Immunofixj Electrophoresis Serum (86334) | $62 | $77 | 2.8× |
| Immunoglobulin light chains free each (83521) | $124 | $155 | 7.2× |
| India ink prep (87210) | $12 | $15 | 2.1× |
| Inhibin a (86336) | $48 | $60 | 3.1× |
| Inhibin b (83520) | $35 | $44 | 2.0× |
| Insulin antibodies (86337) | $60 | $75 | 2.8× |
| Insulin free (83527) | $26 | $32 | 2.0× |
| Insulin total (83525) | $38.50 | $48 | 3.4× |
| Intrinsic factor antibody (86340) | $42 | $53 | 2.8× |
| Iron (83540) | $34 | $42.50 | 5.3× |
| Iron binding capacity (83550) | $25 | $31 | 2.9× |
| Irradiation of blood product (86945) | $86 | $107.50 | 2.4× |
| Islet cell antibody (86341) | $59 | $74 | 2.5× |
| Jak2 gene analysis (81270) | $240 | $300 | 2.6× |
| Ketosteroids 17; total (83586) | $36 | $45 | 2.8× |
| Koh Prep (87220) | $12 | $15 | 2.8× |
| Lactic acid (83605) | $30 | $38 | 2.6× |
| Lactoferrin fecal qualitative (83630) | $56 | $70 | 2.8× |
| Lactoferrin Fecal Quantitative (83631) | $56 | $70 | 2.9× |
| Ldh (83615) | $20 | $25 | 3.3× |
| Ldh isoenzymes (83625) | $35 | $44 | 2.7× |
| LDL cholesterol direct (83721) | $26 | $33 | 2.5× |
| Lead (83655) | $119 | $149 | 9.8× |
| Legionella antibody (86713) | $40 | $50 | 2.6× |
| Legionella antigen urine (87449) | $69 | $86.50 | 5.8× |
| Legionella pneumophila dfa (87278) | $34 | $42 | 2.2× |
| Leishmania antibody (86717) | $30 | $38 | 2.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $12 | $15 | 2.8× |
| Lh (83002) | $52 | $65 | 2.8× |
| Lipase (83690) | $19 | $24 | 2.8× |
| Lipoprotein Bld Hr Fraction (83701) | $73 | $91 | 2.2× |
| Listeria ab (86609) | $27 | $34 | 2.1× |
| Lithium (80178) | $28 | $35 | 4.2× |
| Lyme disease antibody (86618) | $62 | $77 | 3.6× |
| Lyme disease antibody confirm (86617) | $43 | $54 | 2.8× |
| Lymphocyte transformation (86353) | $216 | $270 | 4.4× |
| Macroscopic exam arthropod (87168) | $12 | $15 | 2.8× |
| Macroscopic exam parasite (87169) | $84 | $105 | 19.5× |
| Magnesium (83735) | $18 | $23 | 2.7× |
| Malaria antibody (86750) | $25 | $31 | 1.9× |
| Malaria smear (87207) | $38 | $47 | 6.3× |
| Manual cell count each (85032) | $11 | $13.50 | 2.6× |
| Mass spectrometry qual/quan (83789) | $71 | $89 | 2.9× |
| Mercury (83825) | $46 | $57 | 2.8× |
| Methotrexate (80299) | $46 | $57 | 2.5× |
| Methylmalonic acid serum (83921) | $46 | $58 | 2.2× |
| Microalbumin urine (82043) | $16 | $20 | 2.8× |
| Microbe susceptible diffuse (87181) | $14 | $17 | 2.9× |
| Microsomal antibodies (86376) | $89.50 | $111.50 | 6.2× |
| Mitochondrial antibody each (86381) | $91 | $114 | 3.6× |
| Mononuclear cell antigen (86356) | $54 | $67 | 2.0× |
| Mopath procedure level 5 (81404) | $440 | $550 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $592 | $740 | 9.1× |
| Muramidase (85549) | $258 | $323 | 13.8× |
| Muscle-specific kinase (musk) antibody (86366) | $1,000 | $1,250 | 54.3× |
| Mycophenolic acid (80180) | $42 | $52 | 2.3× |
| Mycoplasma antibody (86738) | $38 | $47 | 2.9× |
| Mycoplasma culture (87109) | $42 | $53 | 2.7× |
| Myoglobin urine (83874) | $36 | $45 | 2.8× |
| N.gonorrhoeae, DNA, dir prob (87590) | $22 | $28 | 0.8× |
| Natriuretic peptide (83880) | $128.50 | $161 | 3.3× |
| Neutralization test, viral (86382) | $90 | $112 | 5.3× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $360 | $450 | 5.0× |
| Niacin (84591) | $167.50 | $209 | 9.8× |
| Nickel level (83885) | $67 | $84 | 2.7× |
| Nk cells total count (86357) | $75 | $94 | 2.0× |
| Nmr Lipoprofile (83704) | $16 | $20 | 0.5× |
| Nuclear antigen antibody (86235) | $50 | $63 | 2.8× |
| Occult blood stool (82272) | $18 | $22.50 | 4.3× |
| Organic Acids Qual Each (83919) | $196 | $245 | 11.9× |
| Organic Acids Total Quantitative Each Specimen (83918) | $196 | $245 | 8.3× |
| Osmolality serum (83930) | $18 | $23 | 2.7× |
| Osmolality urine (83935) | $19 | $24 | 2.8× |
| Ova and parasite direct-id lca (87177) | $24 | $30 | 2.7× |
| Oxalate urine (83945) | $35 | $44 | 2.4× |
| Pancreatic polypeptide (83519) | $155 | $194 | 8.4× |
| Parvovirus antibody (86747) | $41 | $51 | 2.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $200 | $250 | 4.0× |
| Phenytoin free (80186) | $35 | $44 | 2.5× |
| Phosphatase acid prostatic (84066) | $38 | $47 | 3.9× |
| Phosphatase alkaline (84075) | $17 | $21.50 | 3.3× |
| Phosphorus blood (84100) | $23 | $29 | 4.9× |
| Phosphorus urine (84105) | $14 | $18 | 2.4× |
| Pinworm exam (87172) | $12 | $15 | 2.8× |
| Plasminogen (85420) | $18 | $23 | 2.8× |
| Platelet count (85049) | $21 | $26 | 4.7× |
| Porphyrins qn & fraction urine (84120) | $41 | $51 | 2.8× |
| Potassium (84132) | $23 | $29 | 4.8× |
| Potassium urine (84133) | $14 | $17 | 3.0× |
| Pregnenolone (84140) | $56 | $70 | 2.7× |
| Procalcitonin (pct) (84145) | $172 | $215 | 6.3× |
| Progesterone (84144) | $57.50 | $71.50 | 2.8× |
| Prolactin (84146) | $36 | $44.50 | 1.9× |
| Protein body fluid (84157) | $10 | $13 | 2.5× |
| Protein c activity (85303) | $40 | $50 | 2.9× |
| Protein c antigen (85302) | $64 | $80 | 5.3× |
| Protein electrophoresis serum (84165) | $30 | $38 | 2.8× |
| Protein Electrophoresis Urine (84166) | $46 | $57 | 2.6× |
| Protein S Functional (85306) | $43 | $54 | 2.8× |
| Protein s total (85305) | $34.50 | $43 | 3.0× |
| Protein Total Serum (84155) | $23 | $29 | 6.3× |
| Protein urine (84156) | $10 | $13 | 2.7× |
| Protoporphyrin rbc quantitative (84202) | $40 | $50 | 2.8× |
| PSA free (84154) | $51 | $64 | 2.8× |
| Quantiferon tb gold (86480) | $200 | $250 | 3.2× |
| Reagent strip/blood glucose (82948) | $16.50 | $20.50 | 3.3× |
| Reducing substances, stool (84376) | $11 | $14 | 2.0× |
| Renin activity plasma (84244) | $62 | $77 | 2.8× |
| Resp virus 3-5 targets (87631) | $353 | $441 | 2.5× |
| Respiratory Virus (86756) | $36 | $45 | 2.3× |
| Reticulated platelet assay (85055) | $75 | $94 | 2.1× |
| Rheumatoid Factor Qual (86430) | $16 | $20 | 2.6× |
| Rheumatoid factor quant (86431) | $16 | $20 | 2.8× |
| Rickettsia antibody (86757) | $48 | $60 | 2.5× |
| Rsv (87807) | $50 | $62.50 | 3.8× |
| Rubella antibody (86762) | $40 | $50 | 2.8× |
| Russell viper venom time diluted (85613) | $26 | $33 | 2.7× |
| Salmonella antibody (86768) | $26 | $32 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120 | $150 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $79 | $99 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $114 | $143 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $114 | $143 | 0.8× |
| Sed rate automated (85652) | $18 | $23 | 6.7× |
| Sedimentation rate (85651) | $18 | $23 | 4.2× |
| Sensitivity - mlc ea plate (87187) | $24 | $30 | 0.6× |
| Sensitivity mic (87186) | $24 | $30 | 2.8× |
| Serpina1 gene (81332) | $110 | $138 | 2.5× |
| Sex hormone binding globulin (84270) | $65.50 | $81.50 | 3.0× |
| Sickle cell screen (85660) | $15 | $19 | 2.7× |
| Sirolimus (rapamycin) (80195) | $38 | $48 | 2.8× |
| Smear acid fast (87206) | $12 | $15 | 2.2× |
| Smear gram stain (87205) | $12 | $15 | 2.8× |
| Sodium (84295) | $18.50 | $23 | 3.8× |
| Sodium urine (84300) | $14 | $17 | 2.8× |
| Soluble transferrin receptor (84238) | $280 | $350 | 7.7× |
| Specific gravity body fluid (84315) | $7 | $9 | 2.1× |
| Stool Cultr Aerobic Bact Ea (87046) | $34 | $42 | 3.6× |
| Strep a assay w/optic (87880) | $52 | $65 | 3.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $1,520 | $1,900 | 16.5× |
| Sulfate urine (84392) | $12 | $15 | 2.2× |
| Susceptibility study antimicrobial disk method (87184) | $17 | $21 | 2.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $94 | $117 | 2.0× |
| T cells, total count (86359) | $75 | $94 | 2.0× |
| T3 free (84481) | $47 | $59 | 2.8× |
| T3 reverse (84482) | $43 | $54 | 2.7× |
| T3 total (84480) | $40 | $50 | 2.8× |
| T3 uptake (84479) | $22.50 | $28 | 3.5× |
| T4 Free (84439) | $35 | $43.50 | 3.9× |
| T4 total (84436) | $53.50 | $67 | 7.8× |
| Tau phosphorylated each (84393) | $258 | $322 | 2.0× |
| Tb ag response t-cell susp (86481) | $200 | $250 | 2.0× |
| Tb intradermal test (86580) | $8 | $10 | 0.3× |
| Test for acetone/ketones (82009) | $13 | $16 | 2.9× |
| Testosterone free (84402) | $70.50 | $88 | 2.8× |
| Testosterone total (84403) | $71 | $89 | 2.8× |
| Theophylline (80198) | $50 | $63 | 3.5× |
| Thin prep pap (88142) | $112 | $140 | 5.5× |
| Thrombin time plasma (85670) | $18 | $22 | 3.1× |
| Thromboplastin Inhibition Tissue (85705) | $27 | $34 | 2.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $18 | $23 | 2.8× |
| Thyroglobulin (84432) | $44 | $55 | 2.7× |
| Thyroglobulin Ab (86800) | $44.50 | $55.50 | 2.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $144 | $180 | 2.8× |
| Thyroxine binding globulin (84442) | $88 | $110 | 6.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $59 | $74 | 5.1× |
| Tissue Culture Lymphocyte (88230) | $280 | $350 | 2.4× |
| Tobramycin peak (80200) | $45 | $56 | 2.8× |
| Topiramate (80201) | $27 | $34 | 2.3× |
| Toxoplasma ab igm (86778) | $40 | $50 | 2.8× |
| Transferrin (84466) | $35 | $44 | 2.7× |
| Triglycerides (84478) | $23 | $29 | 4.0× |
| Troponin (84484) | $65 | $81 | 5.2× |
| Unlisted transfusion medicine procedure (86999) | $221 | $276.50 | 7.9× |
| Urea nitrogen (84520) | $23 | $29 | 5.8× |
| Urea nitrogen urine (84540) | $13 | $16 | 2.3× |
| Uric acid blood (84550) | $23 | $29 | 5.1× |
| Uric acid other source (84560) | $14 | $17 | 2.8× |
| Urinalysis microscopic only (81015) | $14 | $18 | 4.6× |
| Urinalysis w/microscopic (81001) | $28 | $35 | 8.8× |
| Urine pregnancy test (81025) | $18 | $23 | 2.1× |
| Urine volume measurement (81050) | $10 | $12 | 2.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $21 | $26.50 | 9.3× |
| Valproic acid level (80164) | $38 | $47 | 2.8× |
| Vancomycin trough (80202) | $38 | $47 | 2.8× |
| Varicella-zoster antibody (86787) | $36 | $45 | 2.8× |
| Vasoactive intestinal peptide (vip) (84586) | $100 | $125 | 2.8× |
| Vasopressin (84588) | $178 | $222 | 5.2× |
| Vdrl csf (86592) | $18 | $23 | 4.2× |
| Virus antibody nos (86790) | $273 | $341.50 | 21.2× |
| Virus inoculation, shell via (87254) | $72 | $90 | 3.7× |
| Vitamin A (84590) | $42 | $52 | 3.6× |
| Vitamin b-12 (82607) | $42 | $52 | 2.8× |
| Vitamin b-2 (riboflavin) (84252) | $56 | $70 | 2.8× |
| Vitamin b1 (thiamine) (84425) | $68 | $85 | 3.2× |
| Vitamin b6 (84207) | $94 | $118 | 3.3× |
| Vitamin C (82180) | $26 | $32 | 2.6× |
| Vitamin D 25-Hydroxy (82306) | $109 | $136 | 3.7× |
| Vitamin e serum (84446) | $154 | $193 | 10.9× |
| Von willebrand factor activity (85245) | $67 | $84 | 2.9× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $24 | $30 | 2.8× |
| West nile virus antibody (86789) | $32 | $40 | 2.2× |
| Xylose Absorption Test (84620) | $33 | $41 | 2.6× |
| Zinc (84630) | $31 | $39 | 2.7× |