Lab & pathology prices at Bear Lake Memorial Hospital
Montpelier, ID · every code in this section with a posted price and a Medicare benchmark.
569 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) | $102.43 | $120.50 | 2.7× |
| 5 Nucleotidase (83915) | $110.93 | $130.50 | 9.9× |
| Acetone serum qual (82009) | $82.45 | $97 | 18.2× |
| Acetylcholine receptor binding antibody (86041) | $18.28 | $21.50 | 1.0× |
| Actin smooth muscle antibody each (86015) | $82.88 | $97.50 | 6.9× |
| Activated protein c resistance (85307) | $161.08 | $189.50 | 10.5× |
| Acute hepatitis panel (80074) | $152.58 | $179.50 | 3.2× |
| Adenovirus antibody (86603) | $152.58 | $179.50 | 11.9× |
| Adrenocorticotropic hormone (82024) | $106.68 | $125.50 | 2.8× |
| Afp maternal serum (82105) | $162.35 | $191 | 9.7× |
| Agglutinins febrile ea antigen (86000) | $174.68 | $205.50 | 25.0× |
| Albumin body fluid (82042) | $62.90 | $74 | 8.1× |
| Albumin serum (82040) | $62.90 | $74 | 12.7× |
| Aldolase (82085) | $18.70 | $22 | 1.9× |
| Aldosterone urine (82088) | $377.40 | $444 | 9.3× |
| Alkaline phosphatase isoenzymes (84080) | $197.63 | $232.50 | 13.4× |
| Allergen peanut (86003) | $15.94 | $18.75 | 3.1× |
| Allergen specific igg (86001) | $48.45 | $57 | 6.2× |
| Allg Spec Ige Recomb Ea (86008) | $9.78 | $11.50 | 0.5× |
| Alpha-1-antitrypsin phenotype (82104) | $172.98 | $203.50 | 12.0× |
| Alpha-1-antitrypsin, total (82103) | $266.48 | $313.50 | 19.8× |
| Alpha-Fetoprotein L3 (82107) | $162.35 | $191 | 2.5× |
| Alt (sgpt) (84460) | $25.08 | $29.50 | 4.7× |
| Amikacin trough (80150) | $229.08 | $269.50 | 15.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $46.33 | $54.50 | 2.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $864.45 | $1,017 | 51.2× |
| Aminolevulinic acid (ala) (82135) | $162.35 | $191 | 9.9× |
| Amylase urine (82150) | $127.50 | $150 | 19.7× |
| Ana titer (86039) | $29.33 | $34.50 | 2.6× |
| Analysis nerve (88356) | $278.80 | $328 | 5.4× |
| Analysis skeletal muscle (88355) | $124.10 | $146 | 0.7× |
| Angiotensin i enzyme test (82164) | $179.78 | $211.50 | 12.3× |
| Antibody aspergillus (86606) | $185.30 | $218 | 12.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $160.23 | $188.50 | 10.3× |
| Antibody coxiella burnetii q fever (86638) | $81.18 | $95.50 | 6.7× |
| Antibody cytomegalovirus cmv (86644) | $297.29 | $349.75 | 20.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $76.93 | $90.50 | 5.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $195.50 | $230 | 16.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $204.43 | $240.50 | 14.2× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $107.74 | $126.75 | 7.9× |
| Antibody HIV-2 (86702) | $244.38 | $287.50 | 18.1× |
| Antibody identification (86870) | $145.35 | $171 | 0.4× |
| Antibody influenza virus (86710) | $234.60 | $276 | 17.3× |
| Antibody mumps (86735) | $69.06 | $81.25 | 5.3× |
| Antibody Protozoa Nes (86753) | $266.48 | $313.50 | 21.5× |
| Antibody screen (86850) | $110.93 | $130.50 | 11.4× |
| Antibody treponema pallidum (86780) | $103.28 | $121.50 | 7.8× |
| Antibody; Coccidioides (86635) | $102.22 | $120.25 | 8.9× |
| Antigen typing (86905) | $118.15 | $139 | 30.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $145.35 | $171 | 28.1× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $9.78 | $11.50 | 0.8× |
| Antinomyces antibody (86602) | $42.93 | $50.50 | 4.2× |
| Antinuclear antibodies (86038) | $70.76 | $83.25 | 5.9× |
| Antistreptolysin o titer (86060) | $136.85 | $161 | 18.7× |
| Antithrombin iii activity (85300) | $107.10 | $126 | 9.0× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $989.83 | $1,164.50 | 2.0× |
| Apc gene full sequence (81201) | $2,035.75 | $2,395 | 2.6× |
| Apolipoprotein each (82172) | $234.18 | $275.50 | 11.1× |
| Arsenic Urine (82175) | $117.73 | $138.50 | 6.2× |
| Aspergillus ag eia (87305) | $92.65 | $109 | 7.7× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $172.98 | $203.50 | 13.5× |
| Assay myeloperoxidase (83876) | $100.30 | $118 | 2.0× |
| Assay Nephelometry Not Spec (83883) | $137.70 | $162 | 10.1× |
| Assay of 5-hiaa (83497) | $190.40 | $224 | 14.8× |
| Assay of ammonia (82140) | $91.38 | $107.50 | 6.3× |
| Assay of androstenedione (82157) | $325.55 | $383 | 11.1× |
| Assay of c-peptide (84681) | $188.28 | $221.50 | 9.0× |
| Assay of ceruloplasmin (82390) | $125.38 | $147.50 | 11.7× |
| Assay of citrate (82507) | $56.10 | $66 | 2.0× |
| Assay of cpk in blood (82552) | $197.63 | $232.50 | 14.8× |
| Assay of cyclosporine (80158) | $160.23 | $188.50 | 8.9× |
| Assay of erythropoietin (82668) | $164.90 | $194 | 8.8× |
| Assay of estrone (82679) | $59.08 | $69.50 | 2.4× |
| Assay of ethosuximide (80168) | $219.73 | $258.50 | 13.4× |
| Assay of ferritin (82728) | $86.28 | $101.50 | 6.3× |
| Assay of g6pd enzyme (82955) | $132.18 | $155.50 | 13.6× |
| Assay of gammaglobulin igm (82784) | $80.75 | $95 | 8.7× |
| Assay of gastrin (82941) | $234.60 | $276 | 13.3× |
| Assay of gentamicin (80170) | $194.65 | $229 | 11.9× |
| Assay of homocystine (83090) | $126.65 | $149 | 7.1× |
| Assay of lactic acid (83605) | $76.50 | $90 | 6.6× |
| Assay of lipoprotein(a) (83695) | $14.03 | $16.50 | 1.0× |
| Assay of metanephrines (83835) | $198.48 | $233.50 | 11.7× |
| Assay of osteocalcin (83937) | $192.95 | $227 | 6.5× |
| Assay of phenobarbital (80184) | $91.38 | $107.50 | 6.0× |
| Assay of prealbumin (84134) | $124.95 | $147 | 8.6× |
| Assay of procainamide (80190) | $175.95 | $207 | 2.9× |
| Assay of proinsulin (84206) | $210.80 | $248 | 7.9× |
| Assay of prolactin (84146) | $76.50 | $90 | 3.9× |
| Assay of pyruvate (84210) | $131.33 | $154.50 | 9.1× |
| Assay of serotonin (84260) | $487.48 | $573.50 | 15.7× |
| Assay of sialic acid (84275) | $95.20 | $112 | 7.1× |
| Assay of tacrolimus (80197) | $143.02 | $168.25 | 10.4× |
| Assay of topiramate (80201) | $109.65 | $129 | 9.2× |
| Assay of transcortin (84449) | $25.50 | $30 | 1.4× |
| Assay of urine vma (84585) | $219.73 | $258.50 | 14.2× |
| Assay of vasopressin anti-diuretic hormone (84588) | $76.93 | $90.50 | 2.3× |
| Assay of vitamin k (84597) | $174.68 | $205.50 | 12.7× |
| Assay of volatiles (84600) | $166.82 | $196.25 | 9.7× |
| Assay Phosphatase Acid Prostatic (84066) | $46.33 | $54.50 | 4.8× |
| Ast (sgot) (84450) | $37.40 | $44 | 7.2× |
| B cells total count (86355) | $725.69 | $853.75 | 19.2× |
| Bartonella antibody (86611) | $18.70 | $22 | 1.8× |
| Bcr/abl1 gene major bp (81206) | $620.50 | $730 | 3.8× |
| Beta 2 glycoprotein 1 igm (86146) | $113.90 | $134 | 4.5× |
| Beta hydroxybutyrate (82010) | $109.02 | $128.25 | 13.3× |
| Beta-2 microglobulin (82232) | $161.08 | $189.50 | 10.0× |
| Bile acids, total (82239) | $110.93 | $130.50 | 6.5× |
| Bilirubin direct (82248) | $58.22 | $68.50 | 11.6× |
| Bilirubin total (82247) | $95.20 | $112 | 19.0× |
| Bl Smear W/Diff Wbc Count (85007) | $47.60 | $56 | 12.5× |
| Bleeding time (85002) | $95.20 | $112 | 19.8× |
| Blood gas (82803) | $164.90 | $194 | 6.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $56.10 | $66 | 3.5× |
| Blood Ph (82800) | $82.45 | $97 | 7.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $276.68 | $325.50 | 43.6× |
| Blood typing abo (86900) | $35.28 | $41.50 | 11.8× |
| Blood typing serologic rh (d) (86901) | $48.45 | $57 | 16.2× |
| Body fluid cell count (89051) | $189.13 | $222.50 | 33.8× |
| Brca1&2 seq & full dup/del (81162) | $1,683.43 | $1,980.50 | 0.9× |
| Brucella antibody (86622) | $60.35 | $71 | 6.8× |
| C diff amplified probe (87493) | $170 | $200 | 4.6× |
| C-reactive protein (86140) | $112.20 | $132 | 21.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $110.93 | $130.50 | 8.6× |
| Ca 125 (86304) | $150.45 | $177 | 7.2× |
| Ca 19-9 (86301) | $50.58 | $59.50 | 2.4× |
| Cadmium level (82300) | $172.98 | $203.50 | 7.3× |
| Calcitonin (82308) | $274.55 | $323 | 10.2× |
| Calcium ionized (82330) | $76.50 | $90 | 5.6× |
| Calcium total (82310) | $42.08 | $49.50 | 8.2× |
| Calcium urine (82340) | $25.08 | $29.50 | 4.2× |
| Calculus spectroscopy (82365) | $174.68 | $205.50 | 13.5× |
| Calprotectin, fecal (83993) | $303.88 | $357.50 | 15.5× |
| Calr gene com variants (81219) | $672.78 | $791.50 | 5.5× |
| Candida antibody (86628) | $197.20 | $232 | 16.4× |
| Carbamazepine total (80156) | $154.28 | $181.50 | 10.6× |
| Carbon dioxide (82374) | $82.45 | $97 | 16.9× |
| Carboxyhemoglobin (82375) | $127.93 | $150.50 | 10.4× |
| Carcinoembryonic antigen (82378) | $160.23 | $188.50 | 8.5× |
| Cardiolipin ab igg (86147) | $118.15 | $139 | 4.6× |
| Carnitine (82379) | $72.68 | $85.50 | 4.3× |
| Carotene (82380) | $110.93 | $130.50 | 12.0× |
| Catecholamines fraction plasma (82384) | $178.92 | $210.50 | 7.1× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $353.60 | $416 | 2.6× |
| Cftr gene com variants (81220) | $240.13 | $282.50 | 0.4× |
| Cftr gene full sequence (81223) | $2,366.83 | $2,784.50 | 4.7× |
| Chemiluminescent assay (82397) | $62.90 | $74 | 4.5× |
| Chlamydia antibody (86631) | $212.93 | $250.50 | 18.0× |
| Chlamydia Igm Antibody (86632) | $212.93 | $250.50 | 16.8× |
| Chloride blood (82435) | $82.45 | $97 | 17.9× |
| Chloride feces (82438) | $79.48 | $93.50 | 15.9× |
| Chloride urine (82436) | $48.46 | $57 | 8.4× |
| Chlorinated hydrocarbons screen (82441) | $251.60 | $296 | 41.9× |
| Cholesterol HDL (83718) | $60.35 | $71 | 7.4× |
| Cholesterol total (82465) | $82.45 | $97 | 19.0× |
| Cholinesterase serum (82480) | $219.30 | $258 | 27.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $39.95 | $47 | 1.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $425.64 | $500.75 | 3.4× |
| Chromium urine (82495) | $175.95 | $207 | 8.7× |
| Chromogranin a (86316) | $180.20 | $212 | 8.7× |
| Chromosome analys amniotic (88269) | $333.63 | $392.50 | 1.9× |
| Chromosome Analysis 5 (88261) | $458.15 | $539 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $103.06 | $121.25 | 2.9× |
| Ckmb (82553) | $125.38 | $147.50 | 10.9× |
| Clot Factor VIII Multimetric (85247) | $84.58 | $99.50 | 3.7× |
| Clot factor viii vw antigen (85246) | $97.75 | $115 | 4.3× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $421.18 | $495.50 | 23.5× |
| Clotting Inhibitors Protein S Free (85306) | $187.43 | $220.50 | 12.2× |
| Cmv ab igm (86645) | $218.45 | $257 | 13.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $205.49 | $241.75 | 8.5× |
| Cold agglutinin screen (86156) | $119 | $140 | 14.7× |
| Collagen cross links (82523) | $175.32 | $206.25 | 9.4× |
| Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) | $179.78 | $211.50 | 0.3× |
| Compatibility test antiglob (86922) | $205.70 | $242 | 1.2× |
| Complement c3 (86160) | $78.63 | $92.50 | 6.6× |
| Complement total (ch50) (86162) | $234.18 | $275.50 | 11.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $144.08 | $169.50 | 12.0× |
| Comprehensive review of data (88325) | $265.20 | $312 | 1.6× |
| Concentration Infectious Agent (87015) | $27.63 | $32.50 | 4.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $161.50 | $190 | 4.4× |
| Coombs direct (86880) | $65.03 | $76.50 | 12.1× |
| Copper urine (82525) | $46.33 | $54.50 | 3.7× |
| Cortisol free (82530) | $53.55 | $63 | 3.2× |
| Cortisol total (82533) | $110.93 | $130.50 | 6.8× |
| Creatine kinase total (82550) | $145.78 | $171.50 | 22.4× |
| Creatinine blood (82565) | $47.60 | $56 | 9.3× |
| Creatinine clearance (82575) | $121.13 | $142.50 | 12.8× |
| Creatinine other source (82570) | $84.58 | $99.50 | 16.3× |
| Cryoglobulin (82595) | $367.63 | $432.50 | 56.8× |
| Crystals body fluid (89060) | $97.33 | $114.50 | 13.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $97.33 | $114.50 | 12.0× |
| Culture Aerobic Identify (87077) | $76.50 | $90 | 9.5× |
| Culture afb (87116) | $56.10 | $66 | 5.2× |
| Culture anaerobic (87075) | $102.43 | $120.50 | 10.8× |
| Culture Bacteria Anaerobic (87073) | $46.12 | $54.25 | 4.8× |
| Culture blood (87040) | $140.25 | $165 | 13.6× |
| Culture chlamydia (87110) | $179.78 | $211.50 | 9.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $16.58 | $19.50 | 2.2× |
| Culture genital (87070) | $125.38 | $147.50 | 14.5× |
| Culture screen only (87081) | $81.60 | $96 | 12.3× |
| Culture stool (87045) | $102.43 | $120.50 | 10.9× |
| Culture urine (87086) | $93.50 | $110 | 11.6× |
| Culture virus (87252) | $227.38 | $267.50 | 8.7× |
| Cyclic amp (82030) | $98.60 | $116 | 3.8× |
| Cystatin c (82610) | $236.73 | $278.50 | 12.8× |
| Cysticercosis Antibody (86682) | $160.65 | $189 | 12.3× |
| Cytogenetics 10-30 (88273) | $223.55 | $263 | 6.4× |
| Cytogenom const microarray copy number&snp var (81229) | $1,030.20 | $1,212 | 0.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $70.55 | $83 | 1.6× |
| Cytopath cell enhance tech (88112) | $211.23 | $248.50 | 4.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $67.58 | $79.50 | 2.5× |
| Cytp concentration smears & interpretation (88108) | $99.45 | $117 | 2.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $176.80 | $208 | 3.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,224 | $1,440 | 7.3× |
| Deoxyribonuclease antibody (86215) | $59.50 | $70 | 4.5× |
| Desoxycorticosterone (82633) | $710.18 | $835.50 | 22.9× |
| Detect agnt mult DNA ampli (87801) | $231.63 | $272.50 | 3.3× |
| Dgp antibody each ig class (86258) | $13.18 | $15.50 | 1.1× |
| Dhea (82626) | $216.33 | $254.50 | 8.6× |
| Dhea-sulfate (82627) | $229.08 | $269.50 | 10.3× |
| Digoxin (80162) | $141.95 | $167 | 10.7× |
| Dilantin (80185) | $143.65 | $169 | 10.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $91.38 | $107.50 | 6.7× |
| Drug assay vedolizumab (80280) | $172.55 | $203 | 4.5× |
| Drug assay voriconazole (80285) | $73.10 | $86 | 2.7× |
| Drug quant nes (80299) | $217.60 | $256 | 11.7× |
| Drug test prsmv chem anlyzr (80307) | $136.85 | $161 | 2.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $56.10 | $66 | 4.5× |
| Ebv viral capsid (86665) | $103.28 | $121.50 | 5.7× |
| Ehrlichia antibody (86666) | $458.15 | $539 | 45.0× |
| Electrolyte panel (80051) | $69.28 | $81.50 | 9.9× |
| Electron microscopy diagnostic (88348) | $484.93 | $570.50 | 0.6× |
| Encephalitis Western Equine (86654) | $34.43 | $40.50 | 2.6× |
| Enterovirus antibody (86658) | $193.59 | $227.75 | 14.9× |
| Enterovirus Pcr (87498) | $466.23 | $548.50 | 13.3× |
| Enzyme cell activity (82657) | $148.33 | $174.50 | 6.7× |
| Enzyme histochemistry (88319) | $174.25 | $205 | 0.2× |
| Eosinophil count (85048) | $31.03 | $36.50 | 12.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $103.28 | $121.50 | 6.8× |
| Estradiol (82670) | $313.66 | $369 | 11.2× |
| Estriol serum (82677) | $59.50 | $70 | 2.5× |
| Estrogens fractionated (82671) | $122.40 | $144 | 3.8× |
| Estrogens total (82672) | $189.13 | $222.50 | 8.7× |
| Ethylene glycol (82693) | $88.83 | $104.50 | 6.0× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $145.78 | $171.50 | 1.5× |
| Everolimus (80169) | $139.40 | $164 | 10.2× |
| F2 gene analysis 20210g >a variant (81240) | $897.18 | $1,055.50 | 13.7× |
| F5 gene analysis, leiden variant (81241) | $302.60 | $356 | 4.1× |
| Factor ii activity (85210) | $354.03 | $416.50 | 27.3× |
| Factor ix activity (85250) | $512.55 | $603 | 26.9× |
| Factor v activity (85220) | $354.03 | $416.50 | 20.1× |
| Factor vii assay (85230) | $525.30 | $618 | 29.3× |
| Factor viii ahg (85240) | $93.50 | $110 | 5.2× |
| Factor xi assay (85270) | $496.40 | $584 | 27.7× |
| Factor xii assay (85280) | $496.40 | $584 | 25.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $204 | $240 | 11.9× |
| Fecal fat qual (82705) | $160.23 | $188.50 | 31.4× |
| Fecal fat quant (82710) | $326.40 | $384 | 19.4× |
| Fetal bleed screen (85461) | $219.30 | $258 | 23.4× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $723.78 | $851.50 | 1.0× |
| Fetal fibronectin (82731) | $398.65 | $469 | 6.2× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $96.05 | $113 | 5.1× |
| Fibrin degradation products (85362) | $119 | $140 | 17.3× |
| Fibrin Degradation Quant (85379) | $89.26 | $105 | 8.8× |
| Fibrinogen activity (85384) | $354.03 | $416.50 | 36.4× |
| Flow cytometry first marker (88184) | $241.62 | $284.25 | 0.7× |
| Fluorescent Antibody Screen (86255) | $175.10 | $206 | 14.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $427.55 | $503 | 35.5× |
| Fmr1 gene detection (81243) | $175.10 | $206 | 3.1× |
| Folate serum (82746) | $121.13 | $142.50 | 8.2× |
| Folic acid rbc (82747) | $57.38 | $67.50 | 3.3× |
| Follicle Stimulating Hormone (83001) | $202.30 | $238 | 10.9× |
| Francisella tularensis (86668) | $101.15 | $119 | 7.1× |
| Frozen blood prep (86930) | $288.15 | $339 | 1.7× |
| Frozen Section (88331) | $39.53 | $46.50 | 0.2× |
| Fructosamine (82985) | $73.95 | $87 | 4.4× |
| Gabapentin (80171) | $14.45 | $17 | 0.7× |
| Galectin-3 serum (82777) | $223.13 | $262.50 | 5.0× |
| Gammaglobulin ige (82785) | $150.88 | $177.50 | 9.2× |
| Ggt (82977) | $112.62 | $132.50 | 15.6× |
| Giardia antigen eia stool (87329) | $11.05 | $13 | 0.9× |
| Glucagon (82943) | $34.43 | $40.50 | 2.4× |
| Glucose (82947) | $36.34 | $42.75 | 9.2× |
| Glucose body fluid (82945) | $78.84 | $92.75 | 20.1× |
| Glucose post dose (82950) | $100.30 | $118 | 21.1× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $78.20 | $92 | 19.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $194.65 | $229 | 15.1× |
| Gonadotropin releasing hormone (83727) | $332.35 | $391 | 19.3× |
| Growth hormone (83003) | $222.28 | $261.50 | 13.3× |
| H pylori breath test (83013) | $218.45 | $257 | 3.2× |
| Haloperidol (haldol) (80173) | $204.43 | $240.50 | 13.0× |
| Haptoglobin (83010) | $199.33 | $234.50 | 15.8× |
| Hcg qualitative (84703) | $87.55 | $103 | 11.6× |
| Hcg quant (84702) | $57.59 | $67.75 | 3.8× |
| Heavy metal quant each (83018) | $56.53 | $66.50 | 2.6× |
| Hematocrit (85014) | $36.98 | $43.50 | 15.6× |
| Hemoglobin (85018) | $30.18 | $35.50 | 12.7× |
| Hemoglobin a1c (83036) | $95.63 | $112.50 | 9.8× |
| Hemoglobin electrophoresis (83020) | $46.12 | $54.25 | 3.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $106.68 | $125.50 | 13.8× |
| Hemosiderin urine (83070) | $46.33 | $54.50 | 9.8× |
| Heparin assay (85520) | $184.03 | $216.50 | 14.1× |
| Hepatitis a antibody total (86708) | $32.73 | $38.50 | 2.6× |
| Hepatitis a igm (86709) | $172.98 | $203.50 | 15.4× |
| Hepatitis b core ab igm (86705) | $210.80 | $248 | 17.9× |
| Hepatitis b core antibody total (86704) | $104.13 | $122.50 | 8.6× |
| Hepatitis B Surface Ab (86706) | $82.45 | $97 | 7.7× |
| Hepatitis B Surface Antigen (87340) | $151.30 | $178 | 14.6× |
| Hepatitis be antibody (86707) | $199.33 | $234.50 | 17.2× |
| Hepatitis Be Antigen (87350) | $199.33 | $234.50 | 17.3× |
| Hepatitis c antibody (86803) | $78.84 | $92.75 | 5.5× |
| Hepatitis C Antibody Confirmatory Test (86804) | $552.93 | $650.50 | 35.7× |
| Hepatitis C Genotype (87902) | $559.72 | $658.50 | 2.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,805 | $3,300 | 2.2× |
| Herpes simplex type i (86695) | $43.36 | $51 | 3.3× |
| Herpes simplex type ii (86696) | $45.06 | $53 | 2.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $79.48 | $93.50 | 15.3× |
| Hexagonal phospholipid (85598) | $75.86 | $89.25 | 4.2× |
| Hfe gene (81256) | $214.20 | $252 | 3.3× |
| Histamine plasma (83088) | $262.23 | $308.50 | 8.9× |
| Histoplasma antibody (86698) | $122.83 | $144.50 | 8.9× |
| Histoplasma antigen urine (87385) | $176.80 | $208 | 13.3× |
| HIV confirmation (86689) | $465.38 | $547.50 | 24.1× |
| HIV-1 genotype (87901) | $827.90 | $974 | 3.2× |
| Hla class i&ii antibody qual (86828) | $155.55 | $183 | 2.4× |
| Hla class ii typing high resolution one locus ea (81382) | $642.18 | $755.50 | 5.2× |
| Hla-b27 (86812) | $147.48 | $173.50 | 5.7× |
| Homovanillic acid urine (83150) | $140.25 | $165 | 6.3× |
| Hpylori Drug Administration (83014) | $41.65 | $49 | 5.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $54.40 | $64 | 1.6× |
| Hydroxyprogesterone 17-d (83498) | $278.38 | $327.50 | 10.2× |
| Iaad ia clostridium difficile toxin (87324) | $76.50 | $90 | 6.4× |
| Iaad ia cryptosporidium (87328) | $168.73 | $198.50 | 12.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $121.13 | $142.50 | 8.4× |
| Iaad ia shiga-like toxin (87427) | $110.93 | $130.50 | 9.3× |
| Iaadi inffluenza a virus (87276) | $329.80 | $388 | 20.5× |
| Iaadi Pneumocustis Carinii (87281) | $173.83 | $204.50 | 14.5× |
| Iaadiadoo not otherwise specified (87899) | $82.03 | $96.50 | 5.1× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $246.50 | $290 | 7.0× |
| Iadna Candida Species Direct Probe Tq (87480) | $195.93 | $230.50 | 9.8× |
| Iadna hepatitis b virus quantification (87517) | $386.33 | $454.50 | 9.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $91.59 | $107.75 | 2.1× |
| Iadna HIV-1 quant & reverse transcription (87536) | $358.49 | $421.75 | 4.2× |
| Iadna human papillomavirus high-risk types (87624) | $97.75 | $115 | 2.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $102 | $120 | 2.9× |
| Iadna nos amplified probe tq each organism (87798) | $203.58 | $239.50 | 5.8× |
| Iadna nos quantification each organism (87799) | $501.50 | $590 | 11.7× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $1,296.89 | $1,525.75 | 5.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $55.68 | $65.50 | 1.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $413.95 | $487 | 1.0× |
| Igg subclasses (82787) | $173.83 | $204.50 | 21.7× |
| Ikbkap gene analysis (81260) | $240.13 | $282.50 | 6.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $92.65 | $109 | 6.2× |
| Immunoassay nonantibody (83516) | $113.90 | $134 | 9.9× |
| Immunodiffusion Ouchterlony (86331) | $145.78 | $171.50 | 12.2× |
| Immunofixation (86334) | $86.28 | $101.50 | 3.9× |
| Immunofixation urine (86335) | $145.56 | $171.25 | 5.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $141.53 | $166.50 | 0.8× |
| Immunohistochemistry (88342) | $76.93 | $90.50 | 0.5× |
| In situ hybridization (88365) | $151.30 | $178 | 0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) | $556.75 | $655 | 44.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) | $687.65 | $809 | 13.4× |
| Influenza DNA amp probe (87502) | $136.43 | $160.50 | 1.4× |
| Inhibin a (86336) | $306.85 | $361 | 19.7× |
| Inhibin b (83520) | $155.98 | $183.50 | 9.0× |
| Insulin antibodies (86337) | $218.45 | $257 | 10.2× |
| Insulin total (83525) | $91.38 | $107.50 | 8.0× |
| Interleukin 6 (83529) | $68 | $80 | 3.9× |
| Intrinsic factor antibody (86340) | $25.50 | $30 | 1.7× |
| Iron (83540) | $61.42 | $72.25 | 9.5× |
| Iron binding capacity (83550) | $98.60 | $116 | 11.3× |
| Islet cell antibody (86341) | $409.28 | $481.50 | 17.4× |
| Jak2 gene analysis (81270) | $148.75 | $175 | 1.6× |
| Kit gene analys d816 variant (81273) | $336.18 | $395.50 | 2.7× |
| Lactoferrin fecal qual (83630) | $97.75 | $115 | 5.0× |
| Lactoferrin Fecal Quantitative (83631) | $209.53 | $246.50 | 10.7× |
| Ldh body fluid (83615) | $56.10 | $66 | 9.3× |
| Ldh isoenzymes (83625) | $245.23 | $288.50 | 19.2× |
| LDL cholesterol direct (83721) | $42.93 | $50.50 | 4.1× |
| Lead (83655) | $127.29 | $149.75 | 10.5× |
| Legionella antigen urine (87449) | $142.38 | $167.50 | 11.9× |
| Leptospira antibody (86720) | $110.08 | $129.50 | 6.8× |
| Level ii surg pathology grossµscopic exam (88302) | $67.15 | $79 | 1.8× |
| Level v surg pathology grossµscopic exam (88307) | $433.08 | $509.50 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $123.25 | $145 | 0.2× |
| Lipase (83690) | $105.40 | $124 | 15.3× |
| Lipoprotein Bld Hr Fraction (83701) | $102.43 | $120.50 | 3.0× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $82.45 | $97 | 2.4× |
| Lithium (80178) | $74.38 | $87.50 | 11.3× |
| Lyme disease antibody (86618) | $96.90 | $114 | 5.7× |
| Lymphocyte transformation (86353) | $508.73 | $598.50 | 10.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $607.75 | $715 | 3.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $91.80 | $108 | 0.5× |
| Macroscopic exam parasite (87169) | $35.70 | $42 | 8.3× |
| Magnesium (83735) | $36.98 | $43.50 | 5.5× |
| Manual reticulocyte count (85044) | $82.45 | $97 | 19.1× |
| Mass spectrometry qual/quan (83789) | $51.43 | $60.50 | 2.1× |
| Mercury urine (83825) | $120.28 | $141.50 | 7.4× |
| Methylmalonic acid serum (83921) | $390.16 | $459 | 18.4× |
| Microalbumin urine (82043) | $41.65 | $49 | 7.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $59.93 | $70.50 | 1.2× |
| Microsomal antibodies (86376) | $172.98 | $203.50 | 11.9× |
| Mononuclear cell antigen (86356) | $398.23 | $468.50 | 14.9× |
| Mopath procedure level 3 (81402) | $672.78 | $791.50 | 4.5× |
| Mopath procedure level 4 (81403) | $175.10 | $206 | 0.9× |
| Mopath procedure level 5 (81404) | $1,568.25 | $1,845 | 5.7× |
| Mopath procedure level 6 (81405) | $1,994.10 | $2,346 | 6.6× |
| Mopath procedure level 9 (81408) | $1,630.30 | $1,918 | 0.8× |
| Morphometric analysis tumor (88358) | $42.08 | $49.50 | 0.3× |
| Mthfr Gene Analysis Common Variants (81291) | $592.03 | $696.50 | 9.1× |
| Mucin, synovial fluid (Ropes test) Facility (83872) | $472.60 | $556 | 80.6× |
| Muramidase (85549) | $9.35 | $11 | 0.5× |
| Mycoplasma antibody (86738) | $48.88 | $57.50 | 3.7× |
| Myelin basic protein csf (83873) | $59.50 | $70 | 3.5× |
| Myoglobin urine (83874) | $247.14 | $290.75 | 19.1× |
| Nasal smear for eosinophils (89190) | $59.50 | $70 | 10.3× |
| Natriuretic peptide (83880) | $145.99 | $171.75 | 3.7× |
| Nerve teasing preparations (88362) | $186.15 | $219 | 0.2× |
| Neutralization Test Viral (86382) | $83.30 | $98 | 4.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $637.50 | $750 | 5.0× |
| Nk cells total count (86357) | $275.83 | $324.50 | 7.3× |
| Nuclear antigen antibody (86235) | $195.08 | $229.50 | 10.9× |
| Nudt15 Gene Analysis Common Variants (81306) | $196.35 | $231 | 0.7× |
| Obstetric panel (80081) | $363.80 | $428 | 4.9× |
| Occult blood gastric (82271) | $28.90 | $34 | 5.4× |
| Oligoclonal bands (83916) | $60.35 | $71 | 2.2× |
| Onco (ovarian) biochemical assay two proteins (81500) | $379.95 | $447 | 1.5× |
| Oncoprotein dcp (83951) | $189.13 | $222.50 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $316.20 | $372 | 19.2× |
| Osmolality serum (83930) | $103.28 | $121.50 | 15.6× |
| Osmolality urine (83935) | $95.20 | $112 | 14.0× |
| Ova and parasite direct-id lca (87177) | $93.50 | $110 | 10.5× |
| Oxalate urine (83945) | $167.03 | $196.50 | 11.6× |
| Pancreatic elastase, fecal (82656) | $519.78 | $611.50 | 45.1× |
| Pancreatic polypeptide (83519) | $502.78 | $591.50 | 27.3× |
| Particle Agglutination Screen Each Antibody (86403) | $38.25 | $45 | 3.3× |
| Particle agglutination titer each antibody (86406) | $98.60 | $116 | 9.3× |
| Parvovirus antibody (86747) | $78.20 | $92 | 5.2× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $17 | $20 | 0.3× |
| Pathology Consultation During Surgery (88329) | $90.10 | $106 | 1.5× |
| Ph body fluid (83986) | $70.76 | $83.25 | 19.8× |
| Ph urine (81003) | $7.65 | $9 | 3.4× |
| Phenotype Infect Agent Drug (87900) | $827.90 | $974 | 6.4× |
| Phenylalanine (84030) | $37.40 | $44 | 6.8× |
| Phenytoin free (80186) | $266.48 | $313.50 | 19.4× |
| Phosphatase alkaline (84075) | $56.10 | $66 | 10.8× |
| Phosphorus blood (84100) | $60.35 | $71 | 12.7× |
| Phosphorus urine (84105) | $38.89 | $45.75 | 6.7× |
| Pinworm exam (87172) | $62.90 | $74 | 14.7× |
| Platelet count automated (85049) | $82.45 | $97 | 18.4× |
| Porphobilinogen urine quant (84110) | $31.45 | $37 | 3.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $176.38 | $207.50 | 12.0× |
| Potassium (84132) | $78.20 | $92 | 16.4× |
| Potassium urine (84133) | $78.20 | $92 | 16.5× |
| Pregnancy associated plasma protein-a (84163) | $173.83 | $204.50 | 11.6× |
| Pregnenolone (84140) | $127.93 | $150.50 | 6.2× |
| Primidone (80188) | $52.28 | $61.50 | 3.2× |
| Procalcitonin (pct) (84145) | $187 | $220 | 6.9× |
| Progesterone (84144) | $46.75 | $55 | 2.2× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $46.33 | $54.50 | 1.8× |
| Protein analysis of tissue by Western Blot, with interpretation and report; Non-Facility (88371) | $45.48 | $53.50 | 2.0× |
| Protein body fluid (84157) | $53.55 | $63 | 13.4× |
| Protein c activity (85303) | $73.53 | $86.50 | 5.3× |
| Protein c antigen (85302) | $207.40 | $244 | 17.3× |
| Protein electrophoresis serum (84165) | $148.96 | $175.25 | 13.9× |
| Protein Electrophoresis Urine (84166) | $97.33 | $114.50 | 5.5× |
| Protein s total (85305) | $273.49 | $321.75 | 23.6× |
| Protein total serum (84155) | $40.59 | $47.75 | 11.1× |
| Protein urine (84156) | $118.36 | $139.25 | 32.3× |
| Protoporphyrin rbc quantitative (84202) | $187.43 | $220.50 | 13.1× |
| PSA free (84154) | $137.70 | $162 | 7.5× |
| Pth intact (83970) | $137.70 | $162 | 3.3× |
| Quinidine (80194) | $230.78 | $271.50 | 15.8× |
| Rbc (85041) | $39.95 | $47 | 13.2× |
| Rbc antibody elution (86860) | $189.98 | $223.50 | 1.1× |
| Renin activity plasma (84244) | $354.03 | $416.50 | 16.1× |
| Resp virus 3-5 targets (87631) | $362.95 | $427 | 2.5× |
| Rheumatoid factor quant (86431) | $37.83 | $44.50 | 6.7× |
| Rickettsia antibody (86757) | $107.10 | $126 | 5.5× |
| Ristocetin cofactor (85245) | $119 | $140 | 5.2× |
| Rotavirus (86759) | $230.78 | $271.50 | 12.7× |
| Rotavirus ag eia (87425) | $230.78 | $271.50 | 19.3× |
| Rubella antibody (86762) | $82.45 | $97 | 5.7× |
| Rubeola Antibody Igg (86765) | $100.94 | $118.75 | 7.8× |
| Russell viper venom time diluted (85613) | $202.30 | $238 | 21.1× |
| Salmonella antibody (86768) | $133.88 | $157.50 | 10.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $74.38 | $87.50 | 1.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $66.73 | $78.50 | 1.6× |
| Sedimentation rate (85651) | $73.10 | $86 | 17.1× |
| Selenium (84255) | $61.84 | $72.75 | 2.4× |
| Semen analysis complete (89320) | $116.03 | $136.50 | 9.4× |
| Sensitivity mic (87186) | $91.16 | $107.25 | 10.5× |
| Serotonin Release Assay (86022) | $199.33 | $234.50 | 10.9× |
| Serpina1 gene (81332) | $188.28 | $221.50 | 4.3× |
| Sex hormone binding globulin (84270) | $121.13 | $142.50 | 5.6× |
| Sickling of rbc reduction (85660) | $85 | $100 | 15.4× |
| Smear gram stain (87205) | $72.68 | $85.50 | 17.0× |
| Sodium (84295) | $82.45 | $97 | 17.1× |
| Sodium feces (84302) | $91.38 | $107.50 | 18.8× |
| Sodium urine (84300) | $53.55 | $63 | 10.6× |
| Somatomedin (84305) | $53.98 | $63.50 | 2.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $223.55 | $263 | 1.7× |
| Special stains group 1 (88312) | $137.70 | $162 | 2.7× |
| Specific gravity body fluid (84315) | $32.73 | $38.50 | 10.0× |
| Spectrophotometry (84311) | $60.56 | $71.25 | 7.5× |
| Staph a DNA amp probe (87640) | $218.03 | $256.50 | 6.2× |
| Strep a DNA amp probe (87651) | $60.35 | $71 | 1.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $34.85 | $41 | 6.3× |
| Sulfate urine (84392) | $31.45 | $37 | 5.7× |
| Surg path level 1 (88300) | $67.58 | $79.50 | 2.4× |
| Surg path level iii (88304) | $73.53 | $86.50 | 1.4× |
| Surgical pathology level IV (88305) | $53.55 | $63 | 1.0× |
| T Cell Absolute Count (86361) | $101.15 | $119 | 3.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $210.80 | $248 | 4.5× |
| T cells total count (86359) | $93.72 | $110.25 | 2.5× |
| T3 free (84481) | $177.44 | $208.75 | 10.5× |
| T3 reverse (84482) | $67.15 | $79 | 4.3× |
| T3 total (84480) | $119 | $140 | 8.4× |
| T3 uptake (84479) | $62.90 | $74 | 9.7× |
| T4 free (84439) | $90.53 | $106.50 | 10.0× |
| T4 total (84436) | $67.58 | $79.50 | 9.8× |
| Tb intradermal test (86580) | $42.29 | $49.75 | 1.5× |
| Tb test, cell immun measure (86480) | $142.80 | $168 | 2.3× |
| Testosterone free (84402) | $209.74 | $246.75 | 8.2× |
| Testosterone total (84403) | $121.56 | $143 | 4.7× |
| Theophylline (80198) | $143.65 | $169 | 10.2× |
| Thrombin time plasma (85670) | $202.30 | $238 | 35.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $202.30 | $238 | 31.3× |
| Thyroglobulin (84432) | $131.75 | $155 | 8.2× |
| Thyroglobulin antibody (86800) | $145.78 | $171.50 | 9.2× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $265.20 | $312 | 5.2× |
| Thyroxine binding globulin (84442) | $136.85 | $161 | 9.3× |
| Tissue culture bone marrow (88237) | $333.63 | $392.50 | 2.3× |
| Tissue culture lymphocyte (88230) | $458.36 | $539.25 | 3.9× |
| Tobramycin peak (80200) | $184.03 | $216.50 | 11.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $60.35 | $71 | 3.1× |
| Toxoplasma ab igm (86778) | $143.44 | $168.75 | 10.0× |
| Tpmt gene com variants (81335) | $196.35 | $231 | 1.1× |
| Transferrin (84466) | $160.23 | $188.50 | 12.6× |
| Trichinella antibody (86784) | $350.63 | $412.50 | 27.9× |
| Triglycerides (84478) | $70.98 | $83.50 | 12.4× |
| Troponin (84484) | $140.25 | $165 | 11.2× |
| Troponin, qualitative Facility (84512) | $123.26 | $145 | 12.2× |
| Urea nitrogen (84520) | $82.45 | $97 | 20.9× |
| Urea Nitrogen Clearance (84545) | $62.90 | $74 | 8.7× |
| Urea nitrogen urine (84540) | $30.18 | $35.50 | 5.4× |
| Uric acid blood (84550) | $62.90 | $74 | 13.9× |
| Uric acid other source (84560) | $59.93 | $70.50 | 11.8× |
| Urinalysis (81005) | $34.85 | $41 | 16.1× |
| Urine Bacteria Culture (87088) | $90.53 | $106.50 | 11.2× |
| Urine volume measurement (81050) | $159.38 | $187.50 | 43.8× |
| Valproic acid (80164) | $89.14 | $104.88 | 6.6× |
| Vancomycin trough (80202) | $247.99 | $291.75 | 18.3× |
| Varicella-zoster antibody (86787) | $46.33 | $54.50 | 3.6× |
| Vasoactive intestinal peptide (vip) (84586) | $92.23 | $108.50 | 2.6× |
| Vdrl csf (86592) | $56.10 | $66 | 13.1× |
| Virus antibody nos (86790) | $123.89 | $145.75 | 9.6× |
| Virus inoculation, shell via (87254) | $263.50 | $310 | 13.5× |
| Vitamin A (84590) | $155.98 | $183.50 | 13.4× |
| Vitamin b-12 (82607) | $143.23 | $168.50 | 9.5× |
| Vitamin b1 (thiamine) (84425) | $115.60 | $136 | 5.4× |
| Vitamin b2 (84252) | $265.20 | $312 | 13.1× |
| Vitamin b3 niacin (84591) | $219.30 | $258 | 12.9× |
| Vitamin b6 (84207) | $413.10 | $486 | 14.7× |
| Vitamin c (82180) | $147.90 | $174 | 15.0× |
| Vitamin D 25-Hydroxy (82306) | $137.70 | $162 | 4.7× |
| Vitamin e serum (84446) | $145.78 | $171.50 | 10.3× |
| West nile virus antibody (86789) | $195.50 | $230 | 13.6× |
| Zinc (84630) | $213.56 | $251.25 | 18.8× |