Lab & pathology prices at Baylor Scott and White Medical Center Uptown

Dallas, TX · every code in this section with a posted price and a Medicare benchmark.

236 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $152.40 $254 4.0×
Acute hepatitis panel (80074) $30 $50 0.6×
Afb culture (87116) $48 $80 4.4×
Albumin Fluid (82042) $152.40 $254 19.6×
Albumin serum (82040) $152.40 $254 30.8×
Alpha-fetoprotein, serum (82105) $57 $95 3.4×
Alt (sgpt) (84460) $25.80 $43 4.9×
Ammonia (82140) $141 $235 9.7×
Amylase urine (82150) $120.60 $201 18.6×
Angiotensin i enzyme test (82164) $83.40 $139 5.7×
Antibody helicobacter pylori (86677) $93.60 $156 5.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $78.60 $131 5.5×
Antibody herpes smplx type 1 (86695) $78.60 $131 6.0×
Antibody identification (86870) $40.80 $68 0.1×
Antibody mumps (86735) $51 $85 3.9×
Antibody screen (86850) $127.20 $212 13.0×
Antibody treponema pallidum (86780) $48 $80 3.6×
Antigen typing (86905) $67.80 $113 17.7×
Antinuclear antibodies (86038) $40.80 $68 3.4×
Assay of blood chloride (82435) $58.80 $98 12.8×
Assay of creatine (82540) $15 $25 3.2×
Assay of ferritin (82728) $24.60 $41 1.8×
Assay of gammaglobulin igm (82784) $152.40 $254 16.4×
Assay of homocystine (83090) $55.20 $92 3.1×
Assay of parathormone (83970) $69 $115 1.7×
Assay of phenobarbital (80184) $25.80 $43 1.7×
Assay of prealbumin (84134) $24.60 $41 1.7×
Assay of volatiles (84600) $132 $220 7.7×
Ast (sgot) (84450) $22.20 $37 4.3×
Beta 2 Glycoprotein I Antibody,Ea (86146) $55.80 $93 2.2×
Beta hydroxybutyrate (82010) $150.60 $251 18.4×
Bilirubin direct (82248) $21 $35 4.2×
Bilirubin total (82247) $24.60 $41 4.9×
Bl Smear W/Diff Wbc Count (85007) $10.80 $18 2.8×
Bleeding time (85002) $30 $50 6.2×
Blood count reticulocyte automated (85045) $94.20 $157 23.6×
Blood gases (82803) $245.10 $408.50 9.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $55.20 $92 12.6×
Blood typing abo (86900) $127.20 $212 42.5×
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $68.40 $114 4.2×
Blood typing serologic rh (d) (86901) $127.20 $212 42.5×
Blood typing serologic rh phenotyping complete (86906) $34.20 $57 4.4×
Body fluid cell count (89051) $82.80 $138 14.8×
C-reactive protein (86140) $115.20 $192 22.2×
Ca 125 (86304) $72 $120 3.5×
Calcium ionized (82330) $94.80 $158 6.9×
Calcium total (82310) $94.80 $158 18.4×
Carbamazepine (tegretol) total (80156) $116.40 $194 8.0×
Carbon dioxide (82374) $58.80 $98 12.0×
Carcinoembryonic antigen (82378) $58.80 $98 3.1×
Cell saver (86891) $876.60 $1,461 1.1×
Cholesterol total (82465) $14.40 $24 3.3×
Chrmsm count 15-20 cll 2karyotyp banding (88262) $36 $60 0.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $27.60 $46 0.8×
Ck isoenzymes (82552) $133.80 $223 10.0×
Ckmb (82553) $207.60 $346 18.0×
Coagulation time activated (85347) $44.40 $74 10.4×
Compatibility test antiglob (86922) $250.80 $418 1.5×
Concentration Infectious Agent (87015) $90.60 $151 13.6×
Coombs direct (86880) $40.80 $68 7.6×
Cortisol total (82533) $118.20 $197 7.3×
Creatine kinase total (82550) $15 $25 2.3×
Creatinine blood (82565) $22.20 $37 4.3×
Creatinine other source (82570) $15 $25 2.9×
Crossmatch immediate spin (86920) $47.40 $79 0.3×
Culture anaerobic (87075) $130.20 $217 13.7×
Culture blood (87040) $91.80 $153 8.9×
Culture chlamydia (87110) $107.40 $179 5.5×
Culture fungus other (87102) $84.30 $140.50 10.0×
Culture genital (87070) $91.80 $153 10.6×
Culture screen only (87081) $70.20 $117 10.6×
Culture stool (87045) $90.60 $151 9.6×
Culture urine (87086) $130.20 $217 16.1×
Culture urine id ea isolate (87088) $47.70 $79.50 5.9×
Cyclic amp (82030) $151.20 $252 5.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $132 $220 2.5×
D-Dimer (85379) $49.80 $83 4.9×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $65.40 $109 4.0×
Detect agnt mult DNA ampli (87801) $222 $370 3.2×
Digoxin (80162) $30 $50 2.3×
Drug Scrn Quan Levetiracetam (80177) $90.60 $151 6.8×
Drug test prsmv chem anlyzr (80307) $184.20 $307 3.0×
Drug Test Prsmv Dir Opt Obs (80305) $184.20 $307 14.6×
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $52.20 $87 3.0×
Electrolyte panel (80051) $51 $85 7.3×
Eosinophil count (85048) $72.60 $121 28.6×
Estradiol (82670) $150.60 $251 5.4×
Ethylene glycol (82693) $127.20 $212 8.5×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $44.40 $74 6.1×
Factor v activity (85220) $156 $260 8.8×
Fibrinogen activity (85384) $37.20 $62 3.8×
Flow cytometry first marker (88184) $222 $370 0.6×
Folate serum (82746) $25.80 $43 1.8×
Follicle Stimulating Hormone (83001) $127.20 $212 6.8×
Frozen Section (88331) $187.80 $313 1.1×
Gastric Occult Blood (82271) $72.60 $121 13.6×
Ggt (82977) $43.20 $72 6.0×
Glucose (82947) $15.30 $25.50 3.9×
Glucose body fluid (82945) $40.20 $67 10.2×
Haptoglobin (83010) $55.20 $92 4.4×
Hcg qualitative (84703) $51 $85 6.8×
Hcg quant (84702) $82.20 $137 5.5×
Hdl Cholesterol (83718) $34.80 $58 4.2×
Hematocrit (85014) $29.10 $48.50 12.3×
Hemoglobin (85018) $34.80 $58 14.7×
Hemoglobin a1c (83036) $25.80 $43 2.7×
Hepatitis a antibody total (86708) $97.80 $163 7.9×
Hepatitis b core ab igm (86705) $93.60 $156 8.0×
Hepatitis b core antibody total (86704) $46.80 $78 3.9×
Hepatitis B Surface Ab (86706) $97.20 $162 9.1×
Hepatitis B Surface Antigen (87340) $51 $85 4.9×
Hepatitis c antibody (86803) $51 $85 3.6×
Herpes culture (87252) $126 $210 4.8×
Herpes simplex type 2 (86696) $86.10 $143.50 4.4×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $27.60 $46 5.3×
HIV confirmation (86689) $175.80 $293 9.1×
HIV-1 antibody (86701) $81.60 $136 9.2×
Hiv-1/Hiv-2 1 Result Antbdy (86703) $49.20 $82 3.6×
Hla-b27 (86812) $97.80 $163 3.8×
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $268.80 $448 4.0×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $222 $370 6.3×
Iaad ia clostridium difficile toxin (87324) $27.60 $46 2.3×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $49.20 $82 3.5×
Iaad ia rotavirus (87425) $49.80 $83 4.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $59.40 $99 1.7×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $49.20 $82 4.1×
Iaad Ia Streptococcus Group A (87430) $49.80 $83 3.0×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $205.20 $342 4.8×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $27.60 $46 0.8×
Iadna nos amplified probe tq each organism (87798) $121.20 $202 3.5×
If varicella-zoster antigen (87290) $97.20 $162 7.2×
Immunoassay infectious agent antibody quan nos (86317) $83.40 $139 5.6×
Immunofixj Electrophoresis Serum (86334) $87.60 $146 3.9×
Immunohisto Antibody Slide (88344) $150.60 $251 0.4×
Immunohistochemistry (88342) $214.80 $358 1.3×
India ink prep (87210) $31.20 $52 5.4×
Inhibin b (83520) $55.20 $92 3.2×
Insitu hybridization (fish) (88365) $298.20 $497 1.7×
Intraop cyto path consult 1 (88333) $234 $390 0.3×
Iron (83540) $30 $50 4.6×
Iron binding capacity (83550) $51 $85 5.8×
Lactic acid (83605) $30 $50 2.6×
Ldh (83615) $30 $50 5.0×
LDL cholesterol direct (83721) $37.80 $63 3.6×
Legionella antigen urine (87449) $49.80 $83 4.2×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $82.80 $138 19.4×
Level ii surg pathology gross&microscopic exam (88302) $58.80 $98 1.6×
Level v surg pathology gross&microscopic exam (88307) $191.40 $319 0.5×
Level vi surg pathology gross&microscopic exam (88309) $367.80 $613 0.5×
Lh (83002) $115.20 $192 6.2×
Lipase (83690) $94.80 $158 13.8×
Lithium (80178) $49.80 $83 7.5×
Lyme disease antibody (86618) $147 $245 8.6×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $292.80 $488 1.7×
Magnesium (83735) $27.60 $46 4.1×
Malaria smear (87207) $63 $105 10.5×
Metabolic Panel Ionized Ca (80047) $25.50 $42.50 1.9×
Methotrexate (80299) $426 $710 22.9×
Microsomal antibodies (86376) $184.80 $308 12.7×
Myoglobin urine (83874) $58.80 $98 4.6×
Natriuretic peptide (83880) $84.60 $141 2.2×
Orthopoxvirus Amp Prb Each (87593) $185.40 $309 3.6×
Osmolality serum (83930) $121.20 $202 18.3×
Osmolality urine (83935) $127.20 $212 18.7×
Ova and parasite direct-id lca (87177) $36 $60 4.0×
Particle Agglutination Screen Each Antibody (86403) $93.60 $156 8.1×
Path Consult During Surgery (88329) $132 $220 2.2×
Phosphatase alkaline (84075) $30 $50 5.8×
Phosphorus blood (84100) $25.80 $43 5.4×
Platelet aggregation (85576) $175.80 $293 7.1×
Platelet count (85049) $48 $80 10.7×
Potassium (84132) $25.80 $43 5.4×
Pretx rbc antibody incubat w/enzymes each (86971) $208.80 $348 1.2×
Progesterone (84144) $72 $120 3.5×
Prolactin (84146) $124.80 $208 6.4×
Protein body fluid (84157) $46.80 $78 11.7×
Protein c activity (85303) $46.20 $77 3.3×
Protein electrophoresis serum (84165) $75.60 $126 7.0×
Protein Electrophoresis Urine (84166) $49.20 $82 2.8×
Protein Total Serum (84155) $22.20 $37 6.0×
Protein urine (84156) $46.80 $78 12.8×
Quantiferon tb gold (86480) $220.80 $368 3.6×
Reagent strip/blood glucose (82948) $21.60 $36 4.3×
Reticulated platelet assay (85055) $48 $80 1.3×
Rpr Titer (86593) $18 $30 4.1×
Rsv (87807) $34.20 $57 2.6×
Rubella antibody (86762) $87.60 $146 6.1×
Salicylate (80179) $184.20 $307 9.9×
Sars-Cov-2 Covid-19 Amp Prb (87635) $288 $480 5.6×
Sars-Cov-2 Covid-19 Antibody (86769) $193.20 $322 4.6×
Sed rate automated (85652) $28.20 $47 10.4×
Sedimentation rate (85651) $28.20 $47 6.6×
Serotonin Release Assay (86022) $40.80 $68 2.2×
Sex hormone binding globulin (84270) $88.80 $148 4.1×
Sickle cell screen (85660) $24.60 $41 4.5×
Smear acid fast (87206) $71.40 $119 13.2×
Smear complex stain (87209) $75.60 $126 4.2×
Smear gram stain (87205) $71.40 $119 16.7×
Sodium (84295) $58.80 $98 12.2×
Sodium urine (84300) $90.60 $151 17.9×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $234 $390 1.8×
Special stains group 1 (88312) $234 $390 4.5×
Stool Cultr Aerobic Bact Ea (87046) $90.60 $151 9.6×
Strep a assay w/optic (87880) $27.60 $46 1.7×
Surg path level iii (88304) $126 $210 2.4×
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $58.80 $98 2.0×
Surgical pathology level IV (88305) $125.40 $209 2.4×
T3 free (84481) $48 $80 2.8×
T3 reverse (84482) $71.40 $119 4.5×
T3 total (84480) $40.20 $67 2.8×
T3 uptake (84479) $43.20 $72 6.7×
T4 Free (84439) $151.50 $252.50 16.8×
T4 total (84436) $30 $50 4.4×
Test for acetone/ketones (82009) $26.40 $44 5.8×
Testosterone free (84402) $49.20 $82 1.9×
Testosterone total (84403) $48.60 $81 1.9×
Thyroglobulin (84432) $87.60 $146 5.5×
Thyroglobulin Ab (86800) $205.20 $342 12.9×
Thyroxine binding globulin (84442) $60.60 $101 4.1×
Toxin or antitoxin assay (87230) $58.20 $97 2.9×
Triglycerides (84478) $22.20 $37 3.9×
Troponin (84484) $48 $80 3.8×
Urea nitrogen (84520) $22.20 $37 5.6×
Uric acid blood (84550) $34.80 $58 7.7×
Urinalysis microscopic only (81015) $27.60 $46 9.0×
Urinalysis w/microscopic (81001) $27.60 $46 8.7×
Urine pregnancy test (81025) $149.40 $249 17.4×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $9.90 $16.50 4.4×
Valproic acid level (80164) $51 $85 3.8×
Vancomycin trough (80202) $16.80 $28 1.2×
Vdrl csf (86592) $27.60 $46 6.5×
Vitamin b-12 (82607) $51 $85 3.4×
Vitamin b1 (thiamine) (84425) $28.80 $48 1.4×
Vitamin D 25-Hydroxy (82306) $151.80 $253 5.1×
West nile virus antibody (86789) $46.80 $78 3.3×
Zinc (84630) $37.80 $63 3.3×