Lab & pathology prices at Bellville Medical Center
Bellville, TX · every code in this section with a posted price and a Medicare benchmark.
602 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) | $140.50 | $140.50 | 3.6× |
| 17-Hydroxycorticosteroids (83491) | $131 | $131 | 7.3× |
| 5 Hiaa (83497) | $21 | $21 | 1.6× |
| 5 Nucleotidase (83915) | $119 | $119 | 10.7× |
| Activated protein c resistance (85307) | $156 | $156 | 10.2× |
| Acute hepatitis panel (80074) | $218 | $218 | 4.6× |
| Afb culture (87116) | $124 | $124 | 11.5× |
| Agglutinins febrile (86000) | $66 | $66 | 9.5× |
| Albumin Fluid (82042) | $80 | $80 | 10.3× |
| Albumin serum (82040) | $22 | $22 | 4.4× |
| Aldolase (82085) | $41 | $41 | 4.2× |
| Aldosterone urine (82088) | $273 | $273 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) | $77 | $77 | 5.2× |
| Allerg sp igg quan or semiquan (86001) | $46 | $46 | 5.9× |
| Allergen specific ige (86003) | $45 | $45 | 8.6× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $319 | $319 | 40.0× |
| Alpha-1-antitrypsin phenotype (82104) | $144 | $144 | 10.0× |
| Alpha-1-antitrypsin, total (82103) | $52.50 | $52.50 | 3.9× |
| Alpha-Fetoprotein L3 (82107) | $271 | $271 | 4.2× |
| Alpha-fetoprotein, serum (82105) | $245 | $245 | 14.6× |
| Alt (sgpt) (84460) | $98 | $98 | 18.5× |
| Amikacin trough (80150) | $101 | $101 | 6.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $344 | $344 | 20.4× |
| Amino Acids, Single Quantitation (82131) | $77 | $77 | 3.4× |
| Aminolevulinic acid (ala) (82135) | $45 | $45 | 2.7× |
| Ammonia (82140) | $142 | $142 | 9.7× |
| Amylase urine (82150) | $70 | $70 | 10.8× |
| Ana Titer (86039) | $50 | $50 | 4.5× |
| Angiotensin i enzyme test (82164) | $67.50 | $67.50 | 4.6× |
| Anti-phosphatidylserine antibody (86148) | $40 | $40 | 2.5× |
| Antibody Absorption (86978) | $118 | $118 | 2.0× |
| Antibody aspergillus (86606) | $162 | $162 | 10.8× |
| Antibody coxiella burnetii q fever (86638) | $41 | $41 | 3.4× |
| Antibody cytomegalovirus cmv (86644) | $72 | $72 | 5.0× |
| Antibody cytomegalovirus cmv igm (86645) | $41 | $41 | 2.4× |
| Antibody Detection Nos If (87299) | $156 | $156 | 9.7× |
| Antibody Encephalitis Eastern Equine (86652) | $145 | $145 | 11.0× |
| Antibody Encephalitis St. Louis (86653) | $29 | $29 | 2.2× |
| Antibody helicobacter pylori (86677) | $147 | $147 | 8.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72 | $72 | 5.0× |
| Antibody herpes smplx type 1 (86695) | $108.50 | $108.50 | 8.2× |
| Antibody HIV-2 (86702) | $17 | $17 | 1.3× |
| Antibody identification (86870) | $263 | $263 | 0.7× |
| Antibody identification leukocyte antibodies (86021) | $156 | $156 | 10.4× |
| Antibody influenza virus (86710) | $176 | $176 | 13.0× |
| Antibody mumps (86735) | $142 | $142 | 10.9× |
| Antibody Protozoa Nes (86753) | $147 | $147 | 11.9× |
| Antibody rubeola (86765) | $147 | $147 | 11.4× |
| Antibody screen (86850) | $109 | $109 | 11.2× |
| Antibody treponema pallidum (86780) | $98 | $98 | 7.4× |
| Antibody; campylobacter (86625) | $207 | $207 | 15.8× |
| Antibody; Coccidioides (86635) | $63 | $63 | 5.5× |
| Antigen typing (86905) | $213 | $213 | 55.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $605 | $605 | 116.8× |
| Antinuclear antibodies (86038) | $130 | $130 | 10.8× |
| Antistreptolysin o titer (86060) | $36 | $36 | 4.9× |
| Antithrombin iii activity (85300) | $50 | $50 | 4.2× |
| Antithrombin iii antigen (85301) | $55 | $55 | 5.1× |
| Apolipoprotein b (82172) | $131 | $131 | 6.2× |
| Arsenic Urine (82175) | $221 | $221 | 11.6× |
| Aspergillus ag eia (87305) | $343 | $343 | 28.6× |
| Assay Nephelometry Not Spec (83883) | $178 | $178 | 13.1× |
| Assay of acth (82024) | $162 | $162 | 4.2× |
| Assay of androstenedione (82157) | $238 | $238 | 8.1× |
| Assay of blood chloride (82435) | $43 | $43 | 9.3× |
| Assay of c-peptide (84681) | $87 | $87 | 4.2× |
| Assay of calcitonin (82308) | $231 | $231 | 8.6× |
| Assay of ceruloplasmin (82390) | $63 | $63 | 5.9× |
| Assay of creatine (82540) | $182 | $182 | 39.2× |
| Assay of cyclosporine (80158) | $121 | $121 | 6.7× |
| Assay of erythropoietin (82668) | $171 | $171 | 9.1× |
| Assay of ethosuximide (80168) | $124 | $124 | 7.6× |
| Assay of ferritin (82728) | $58 | $58 | 4.3× |
| Assay of g6pd enzyme (82955) | $97 | $97 | 10.0× |
| Assay of gammaglobulin igm (82784) | $64 | $64 | 6.9× |
| Assay of gastrin (82941) | $128 | $128 | 7.3× |
| Assay of gentamicin (80170) | $81 | $81 | 4.9× |
| Assay of glucagon (82943) | $217 | $217 | 15.2× |
| Assay of homocystine (83090) | $363 | $363 | 20.3× |
| Assay of manganese (83785) | $105 | $105 | 3.9× |
| Assay of metanephrines (83835) | $82.50 | $82.50 | 4.9× |
| Assay of parathormone (83970) | $546 | $546 | 13.2× |
| Assay of phenobarbital (80184) | $100 | $100 | 6.5× |
| Assay of phosphatase acid total (84060) | $86 | $86 | 11.3× |
| Assay of prealbumin (84134) | $43 | $43 | 2.9× |
| Assay of procainamide (80190) | $123 | $123 | 2.1× |
| Assay of proinsulin (84206) | $142 | $142 | 5.3× |
| Assay of selenium (84255) | $128 | $128 | 5.0× |
| Assay of serotonin (84260) | $241 | $241 | 7.8× |
| Assay of somatomedin (84305) | $388 | $388 | 18.3× |
| Assay of tacrolimus (80197) | $209 | $209 | 15.2× |
| Assay of urine vma (84585) | $65 | $65 | 4.2× |
| Assay of vitamin k (84597) | $69 | $69 | 5.0× |
| Assay Ph Body Fluid Nos (83986) | $30.50 | $30.50 | 8.5× |
| Ast (sgot) (84450) | $53 | $53 | 10.2× |
| B cells total count (86355) | $210 | $210 | 5.6× |
| Bartonella antibody (86611) | $35 | $35 | 3.4× |
| Bcr/abl1 gene major bp (81206) | $537 | $537 | 3.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $309 | $309 | 12.1× |
| Beta hydroxybutyrate (82010) | $103 | $103 | 12.6× |
| Beta Lactamase (87185) | $45 | $45 | 9.5× |
| Beta-2 microglobulin (82232) | $106 | $106 | 6.6× |
| Bile acids, total (82239) | $55 | $55 | 3.2× |
| Bilirubin direct (82248) | $110 | $110 | 21.9× |
| Bilirubin total (82247) | $92 | $92 | 18.3× |
| Bl Smear W/Diff Wbc Count (85007) | $14 | $14 | 3.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $28.50 | $28.50 | 8.3× |
| Blastomyces antibody (86612) | $48 | $48 | 3.7× |
| Bleeding time (85002) | $65 | $65 | 13.5× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) | $56 | $56 | 1.9× |
| Blood gases w/02 saturation (82805) | $120 | $120 | 1.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14 | $14 | 3.2× |
| Blood Ph - Ph Venous (82800) | $101 | $101 | 9.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $123 | $123 | 19.4× |
| Blood typing abo (86900) | $79 | $79 | 26.4× |
| Blood typing serologic rh (d) (86901) | $118 | $118 | 39.5× |
| Blood typing serologic rh phenotyping complete (86906) | $209 | $209 | 27.0× |
| Body fluid cell count (89051) | $67.50 | $67.50 | 12.1× |
| Body fluid cell count (89050) | $21 | $21 | 4.4× |
| Bordetella antibody (86615) | $69 | $69 | 5.2× |
| Brca1&2 seq & full dup/del (81162) | $1,035 | $1,035 | 0.6× |
| Brca2 gene analysis full sequence analysis (81216) | $1,035 | $1,035 | 5.6× |
| Brucella antibody (86622) | $263 | $263 | 29.5× |
| C diff amplified probe (87493) | $138 | $138 | 3.7× |
| C-reactive protein (86140) | $52 | $52 | 10.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $120 | $120 | 9.3× |
| C1q binding assay (86332) | $424 | $424 | 17.4× |
| Ca 125 (86304) | $88 | $88 | 4.2× |
| Ca 19-9 (86301) | $74 | $74 | 3.6× |
| Ca 27 29 (86300) | $65 | $65 | 3.1× |
| Cadmium level (82300) | $384 | $384 | 16.2× |
| Calcium ionized (82330) | $117 | $117 | 8.6× |
| Calcium total (82310) | $80 | $80 | 15.5× |
| Calcium urine (82340) | $68 | $68 | 11.3× |
| Calculus Quantitative Chemical (82360) | $89 | $89 | 6.9× |
| California encephalitis ab (86651) | $29 | $29 | 2.2× |
| Calprotectin, fecal (83993) | $520 | $520 | 26.5× |
| Candida antibody (86628) | $293 | $293 | 24.4× |
| Carb deficient transferrin (82373) | $355 | $355 | 19.7× |
| Carbamazepine (tegretol) total (80156) | $157 | $157 | 10.8× |
| Carbamazepine free (80157) | $160 | $160 | 12.1× |
| Carbon dioxide (82374) | $43 | $43 | 8.8× |
| Carboxyhemoglobin Quantitative (82375) | $52 | $52 | 4.2× |
| Carcinoembryonic antigen (82378) | $80 | $80 | 4.2× |
| Cardiolipin ab igg (86147) | $165 | $165 | 6.5× |
| Carnitine (82379) | $299 | $299 | 17.7× |
| Carotene (82380) | $68 | $68 | 7.4× |
| Catecholamines fraction plasma (82384) | $169 | $169 | 6.7× |
| Catecholamines organic nitrogen blood level (82383) | $124 | $124 | 4.3× |
| Catecholamines Total Urine (82382) | $147 | $147 | 5.4× |
| Cd4 absolute count (86361) | $113 | $113 | 4.2× |
| Cell marker study (88182) | $371 | $371 | 7.1× |
| Cftr gene com variants (81220) | $1,047 | $1,047 | 1.9× |
| Chemiluminescent assay (82397) | $70 | $70 | 5.0× |
| Chlamydia antibody (86631) | $41 | $41 | 3.5× |
| Chlamydia Igm Antibody (86632) | $72 | $72 | 5.7× |
| Chloride other source (82438) | $58 | $58 | 11.6× |
| Chloride urine (82436) | $22 | $22 | 3.8× |
| Cholesterol total (82465) | $41.50 | $41.50 | 9.5× |
| Cholinesterase rbc (82482) | $57 | $57 | 5.8× |
| Cholinesterase serum (82480) | $92 | $92 | 11.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $602 | $602 | 4.8× |
| Chromium urine (82495) | $194.50 | $194.50 | 9.6× |
| Chromogranin a (86316) | $88 | $88 | 4.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $171.50 | $171.50 | 4.9× |
| Citrate (82507) | $471 | $471 | 16.9× |
| Ck isoenzymes (82552) | $67 | $67 | 5.0× |
| Ckmb (82553) | $124 | $124 | 10.7× |
| Clot factor viii vw antigen (85246) | $264 | $264 | 11.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $314 | $314 | 17.5× |
| Clot retraction (85170) | $45 | $45 | 2.8× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $358 | $358 | 18.9× |
| Clotting time (85345) | $55 | $55 | 11.7× |
| Clozapine level (80159) | $156 | $156 | 7.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $231 | $231 | 9.6× |
| Cold agglutinin screen (86156) | $55 | $55 | 6.8× |
| Cold agglutinin titer (86157) | $197.50 | $197.50 | 24.5× |
| Collagen cross links (82523) | $153 | $153 | 8.2× |
| Compatibility test antiglob (86922) | $342.50 | $342.50 | 2.0× |
| Compatibility Test Incubate (86921) | $208 | $208 | 1.2× |
| Complement c3 (86160) | $140 | $140 | 11.7× |
| Complement total ch50 (86162) | $241 | $241 | 11.9× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $61 | $61 | 5.1× |
| Coombs direct (86880) | $81 | $81 | 15.0× |
| Coombs Test Indirect Qual (86885) | $342.50 | $342.50 | 59.9× |
| Copper urine (82525) | $100 | $100 | 8.1× |
| Cortisol free (82530) | $213 | $213 | 12.7× |
| Cortisol total (82533) | $138 | $138 | 8.5× |
| Creatine kinase total (82550) | $122 | $122 | 18.7× |
| Creatinine blood (82565) | $22 | $22 | 4.3× |
| Creatinine clearance (82575) | $402.50 | $402.50 | 42.5× |
| Creatinine other source (82570) | $124 | $124 | 23.9× |
| Crossmatch immediate spin (86920) | $345 | $345 | 2.0× |
| Cryoglobulin (82595) | $92 | $92 | 14.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $246 | $246 | 30.4× |
| Culture Aerobic Identify (87077) | $107.50 | $107.50 | 13.3× |
| Culture anaerobic (87075) | $123 | $123 | 13.0× |
| Culture blood (87040) | $52 | $52 | 5.0× |
| Culture chlamydia (87110) | $212 | $212 | 10.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $33 | $33 | 4.3× |
| Culture fungus id yeast (87106) | $34 | $34 | 3.3× |
| Culture genital (87070) | $75.50 | $75.50 | 8.8× |
| Culture herpes (87250) | $256 | $256 | 13.1× |
| Culture screen only (87081) | $111 | $111 | 16.7× |
| Culture stool (87045) | $121 | $121 | 12.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $75.50 | $75.50 | 14.6× |
| Culture urine (87086) | $44 | $44 | 5.5× |
| Culture urine id ea isolate (87088) | $35 | $35 | 4.3× |
| Cyanide (82600) | $47 | $47 | 2.4× |
| Cyclic amp (82030) | $275 | $275 | 10.7× |
| Cyclic Citrullinated Peptide (86200) | $142 | $142 | 11.0× |
| Cyp2c19 gene com variants (81225) | $397 | $397 | 1.4× |
| Cyp2d6 gene com variants (81226) | $1,648 | $1,648 | 3.7× |
| Cystatin c (82610) | $480 | $480 | 25.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $191 | $191 | 4.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $121 | $121 | 3.2× |
| Cytopath smear cerv/vag,index add-on (88155) | $142 | $142 | 9.7× |
| Cytopath Smear Other Source (88160) | $83 | $83 | 2.9× |
| Cytp concentration smears & interpretation (88108) | $102 | $102 | 2.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $182 | $182 | 3.5× |
| Cytp fna eval dx 1st each site (88172) | $603 | $603 | 3.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $83 | $83 | 4.5× |
| D-Dimer (85379) | $171 | $171 | 16.8× |
| Deoxyribonuclease antibody (86215) | $237 | $237 | 17.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $55 | $55 | 3.3× |
| Dhea (82626) | $125 | $125 | 4.9× |
| Dhea sulfate (82627) | $55 | $55 | 2.5× |
| Digoxin (80162) | $149 | $149 | 11.2× |
| Dilantin (80185) | $153 | $153 | 11.5× |
| Diphtheria antitoxoid (86648) | $89 | $89 | 5.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $57 | $57 | 4.1× |
| Drug assay flecainide (80181) | $169 | $169 | 9.1× |
| Drug Screen Quant Gabapentin (80171) | $118 | $118 | 5.4× |
| Drug screen quant zonisamide (80203) | $111.50 | $111.50 | 8.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $107 | $107 | 8.1× |
| Drug Scrn Quan Levetiracetam (80177) | $196 | $196 | 14.8× |
| Drug scrn quant oxcarbazepin (80183) | $131 | $131 | 9.9× |
| Drug test prsmv chem anlyzr (80307) | $240 | $240 | 3.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $144.50 | $144.50 | 11.5× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $276 | $276 | 16.1× |
| Ebv viral capsid (86665) | $233 | $233 | 12.8× |
| Echinococcus ab igg (86682) | $343 | $343 | 26.4× |
| Ehrlichia antibody (86666) | $254 | $254 | 25.0× |
| Electrolyte panel (80051) | $32 | $32 | 4.6× |
| Electron microscopy diagnostic (88348) | $1,430 | $1,430 | 1.8× |
| Encephalitis Western Equine (86654) | $144.50 | $144.50 | 11.0× |
| Endomysial antibody iga (86255) | $130 | $130 | 10.8× |
| Enterovirus antibody (86658) | $158.50 | $158.50 | 12.2× |
| Enzyme cell activity (82657) | $396 | $396 | 17.9× |
| Eosinophil count (85048) | $57 | $57 | 22.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $119 | $119 | 7.8× |
| Estradiol (82670) | $232 | $232 | 8.3× |
| Estriol (82677) | $120 | $120 | 5.0× |
| Estrogen fractionated (82671) | $136 | $136 | 4.2× |
| Estrogens total (82672) | $20 | $20 | 0.9× |
| Estrone (82679) | $259 | $259 | 10.4× |
| Ethylene glycol (82693) | $36 | $36 | 2.4× |
| Everolimus (80169) | $69 | $69 | 5.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $32 | $32 | 4.4× |
| F2 gene analysis 20210g >a variant (81240) | $252 | $252 | 3.8× |
| F5 gene (81241) | $303 | $303 | 4.1× |
| Factor ii activity (85210) | $65 | $65 | 5.0× |
| Factor inhibitor test (85335) | $543 | $543 | 42.2× |
| Factor v activity (85220) | $305 | $305 | 17.3× |
| Factor vii assay (85230) | $317 | $317 | 17.7× |
| Factor viii ahg (85240) | $279 | $279 | 15.6× |
| Factor viii vw multimetric (85247) | $801 | $801 | 34.9× |
| Factor xi assay (85270) | $343 | $343 | 19.2× |
| Factor xii assay (85280) | $343 | $343 | 17.7× |
| Fat stain (89125) | $22 | $22 | 3.7× |
| Fecal fat qual (82705) | $54.50 | $54.50 | 10.7× |
| Fecal fat quant (82710) | $266 | $266 | 15.8× |
| Fibrin degradation products (85362) | $64 | $64 | 9.3× |
| Fibrinogen activity (85384) | $44 | $44 | 4.5× |
| Fibrinogen antigen (85385) | $58 | $58 | 4.0× |
| Fitzgerald factor (clotting factor) measurement (85293) | $419 | $419 | 22.1× |
| Flow cytometry first marker (88184) | $322 | $322 | 0.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $183 | $183 | 15.2× |
| Folate serum (82746) | $149 | $149 | 10.1× |
| Folic acid rbc (82747) | $123 | $123 | 7.0× |
| Follicle Stimulating Hormone (83001) | $122 | $122 | 6.6× |
| Francisella Tularensis (86668) | $52 | $52 | 3.7× |
| Fresh frozen plasma thawing each unit (86927) | $603 | $603 | 3.5× |
| Frozen Section (88331) | $515 | $515 | 3.0× |
| Fructosamine (82985) | $64 | $64 | 3.8× |
| Gammaglobulin ige (82785) | $70 | $70 | 4.3× |
| Gastric Occult Blood (82271) | $14 | $14 | 2.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,352 | $2,352 | 0.8× |
| Ggt (82977) | $51.75 | $51.75 | 7.2× |
| Giardia antigen eia stool (87329) | $109 | $109 | 9.1× |
| Giardia lamblia antibody (86674) | $75 | $75 | 5.1× |
| Glucose (82947) | $13.50 | $13.50 | 3.4× |
| Glucose Blood Test (82962) | $47 | $47 | 14.3× |
| Glucose body fluid (82945) | $44 | $44 | 11.2× |
| Glucose post dose (82950) | $28.50 | $28.50 | 6.0× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $24 | $24 | 6.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $188 | $188 | 14.6× |
| Growth hormone (83003) | $182 | $182 | 10.9× |
| Haptoglobin (83010) | $153 | $153 | 12.2× |
| Hcg qualitative (84703) | $35.50 | $35.50 | 4.7× |
| Hcg quant (84702) | $128 | $128 | 8.5× |
| Hdl Cholesterol (83718) | $51 | $51 | 6.2× |
| Heavy metal quant each (83018) | $109 | $109 | 5.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $259 | $259 | 12.4× |
| Hematocrit (85014) | $46 | $46 | 19.4× |
| Hematocrit spun (85013) | $62 | $62 | 8.9× |
| Hemoglobin (85018) | $9 | $9 | 3.8× |
| Hemoglobin a1c (83036) | $44 | $44 | 4.5× |
| Hemoglobin electrophoresis (83020) | $76 | $76 | 5.9× |
| Hemoglobin fetal ql (83033) | $149 | $149 | 18.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $171 | $171 | 22.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $33 | $33 | 4.0× |
| Hemoglobin plasma (83051) | $73 | $73 | 10.0× |
| Hemolysins And Agglutinins Incubated (86941) | $570 | $570 | 47.1× |
| Hemosiderin urine (83070) | $37 | $37 | 7.8× |
| Heparin assay (85520) | $205 | $205 | 15.7× |
| Hepatitis a antibody total (86708) | $81 | $81 | 6.5× |
| Hepatitis a igm (86709) | $59 | $59 | 5.2× |
| Hepatitis b core ab igm (86705) | $155 | $155 | 13.2× |
| Hepatitis b core antibody total (86704) | $52 | $52 | 4.3× |
| Hepatitis B Surface Ab (86706) | $57 | $57 | 5.3× |
| Hepatitis B Surface Antigen (87340) | $45 | $45 | 4.4× |
| Hepatitis b virus genotyping (87912) | $1,232 | $1,232 | 4.8× |
| Hepatitis be antibody (86707) | $79 | $79 | 6.8× |
| Hepatitis Be Antigen (87350) | $58 | $58 | 5.0× |
| Hepatitis c antibody (86803) | $172 | $172 | 12.1× |
| Hepatitis C Genotype (87902) | $898 | $898 | 3.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $476 | $476 | 13.6× |
| Hepatitis delta ab (86692) | $174 | $174 | 10.1× |
| Herpes culture (87252) | $359 | $359 | 13.8× |
| Herpes simplex type 2 (86696) | $97 | $97 | 5.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $121 | $121 | 23.4× |
| Hfe gene (81256) | $336 | $336 | 5.1× |
| Histamine plasma (83088) | $452 | $452 | 15.3× |
| Histoplasma antibody (86698) | $41 | $41 | 3.0× |
| Histoplasma antigen urine (87385) | $121 | $121 | 9.1× |
| HIV confirmation (86689) | $328 | $328 | 17.0× |
| HIV-1 antibody (86701) | $13 | $13 | 1.5× |
| Hla I Typing Complete Lr (81372) | $360 | $360 | 0.9× |
| Hla-b27 (86812) | $109 | $109 | 4.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $354 | $354 | 5.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $58 | $58 | 1.7× |
| Hydroxyprogesterone 17-d (83498) | $116 | $116 | 4.3× |
| Hydroxyproline total (83505) | $290 | $290 | 11.9× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $81 | $81 | 4.5× |
| Iaad ia clostridium difficile toxin (87324) | $51 | $51 | 4.3× |
| Iaad ia cryptosporidium (87328) | $177 | $177 | 12.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $17 | $17 | 1.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $61 | $61 | 2.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $107 | $107 | 7.7× |
| Iaad ia rotavirus (87425) | $52 | $52 | 4.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $145 | $145 | 4.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $96 | $96 | 8.0× |
| Iaadi inffluenza a virus (87276) | $85 | $85 | 5.3× |
| Iaadi influenza b virus (87275) | $85 | $85 | 6.9× |
| Iaadi respiratory synctial virus (87280) | $61 | $61 | 4.5× |
| Iaadiadoo not otherwise specified (87899) | $61 | $61 | 3.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $231 | $231 | 6.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $86 | $86 | 3.8× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $230 | $230 | 4.5× |
| Iadna hepatitis b virus amplified probe tq (87516) | $375 | $375 | 10.7× |
| Iadna hepatitis b virus quantification (87517) | $120 | $120 | 2.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $529 | $529 | 12.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $452 | $452 | 5.3× |
| Iadna human papillomavirus high-risk types (87624) | $212 | $212 | 6.0× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $484.50 | $484.50 | 11.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $254 | $254 | 7.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $133 | $133 | 3.8× |
| Iadna nos amplified probe tq each organism (87798) | $266 | $266 | 7.6× |
| Iadna nos quantification each organism (87799) | $252.50 | $252.50 | 5.9× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $1,375 | $1,375 | 5.2× |
| If cryptosporidium antigen (87272) | $33 | $33 | 2.8× |
| If varicella-zoster antigen (87290) | $91 | $91 | 6.8× |
| Igg subclasses (82787) | $29 | $29 | 3.6× |
| Immunfix e-phorsis/urine/csf (86335) | $158.50 | $158.50 | 5.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $106 | $106 | 7.1× |
| Immunoassay nonantibody (83516) | $292 | $292 | 25.3× |
| Immunoassay with direct visual observation for clostridium (87803) | $46 | $46 | 2.9× |
| Immunodiffusion not elsewhere specified (86329) | $141 | $141 | 10.0× |
| Immunodiffusion Ouchterlony (86331) | $20 | $20 | 1.7× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $113 | $113 | 4.9× |
| Immunofixj Electrophoresis Serum (86334) | $95 | $95 | 4.3× |
| Immunohisto Antibody Slide (88344) | $1,133 | $1,133 | 3.1× |
| Immunohistochemistry (88342) | $515 | $515 | 3.0× |
| India ink prep (87210) | $84 | $84 | 14.4× |
| Inhibin a (86336) | $121 | $121 | 7.8× |
| Inhibin b (83520) | $259 | $259 | 15.0× |
| Insitu hybridization (fish) (88365) | $678 | $678 | 4.0× |
| Insulin antibodies (86337) | $250 | $250 | 11.7× |
| Insulin total (83525) | $124 | $124 | 10.8× |
| Intrinsic factor antibody (86340) | $84 | $84 | 5.6× |
| Iron (83540) | $88 | $88 | 13.6× |
| Iron binding capacity (83550) | $239.50 | $239.50 | 27.4× |
| Jak2 gene analysis (81270) | $1,255 | $1,255 | 13.7× |
| Ketosteroids 17; total (83586) | $97 | $97 | 7.6× |
| Koh Prep (87220) | $19 | $19 | 4.4× |
| L/s ratio, fetal lung (83661) | $245 | $245 | 11.1× |
| Lactic acid (83605) | $130 | $130 | 11.2× |
| Lactoferrin fecal qualitative (83630) | $216 | $216 | 11.0× |
| Ldh (83615) | $116 | $116 | 19.2× |
| Ldh isoenzymes (83625) | $55 | $55 | 4.3× |
| LDL cholesterol direct (83721) | $46 | $46 | 4.4× |
| Lead (83655) | $52 | $52 | 4.3× |
| Legionella antibody (86713) | $103 | $103 | 6.7× |
| Legionella antigen urine (87449) | $240 | $240 | 20.0× |
| Legionella pneumophila dfa (87278) | $134.50 | $134.50 | 8.6× |
| Leptospira antibody (86720) | $55 | $55 | 3.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $19 | $19 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $164 | $164 | 4.4× |
| Level v surg pathology grossµscopic exam (88307) | $341 | $341 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $1,487 | $1,487 | 1.8× |
| Lh (83002) | $130 | $130 | 7.0× |
| Lidocaine level (80176) | $69 | $69 | 4.7× |
| Lipase (83690) | $75 | $75 | 10.9× |
| Lipoprotein Bld Hr Fraction (83701) | $172 | $172 | 5.1× |
| Lithium (80178) | $58 | $58 | 8.8× |
| Lyme disease antibody (86618) | $195 | $195 | 11.5× |
| Lyme disease antibody confirm (86617) | $77 | $77 | 5.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $783 | $783 | 4.6× |
| Magnesium (83735) | $149 | $149 | 22.2× |
| Malaria smear (87207) | $75.50 | $75.50 | 12.6× |
| Manual reticulocyte count (85044) | $58 | $58 | 13.5× |
| Mass spectrometry qual/quan (83789) | $279 | $279 | 11.6× |
| Measurement of hemolysin (red blood cell destructive substance) (85475) | $111 | $111 | 12.5× |
| Meat fibers, feces (89160) | $35 | $35 | 7.2× |
| Mercury (83825) | $190 | $190 | 11.7× |
| Methotrexate (80299) | $167 | $167 | 9.0× |
| Methylmalonic acid serum (83921) | $259 | $259 | 12.2× |
| Microalbumin urine (82043) | $37 | $37 | 6.4× |
| Microsomal antibodies (86376) | $147 | $147 | 10.1× |
| Molecular pathology procedure level 2 (81401) | $1,083 | $1,083 | 7.9× |
| Mononuclear cell antigen (86356) | $220 | $220 | 8.2× |
| Mopath procedure level 5 (81404) | $1,993 | $1,993 | 7.3× |
| Morphometric analysis tumor (88358) | $512 | $512 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $217 | $217 | 3.3× |
| Mucin synovial fluid ropes test (83872) | $33 | $33 | 5.6× |
| Muramidase (85549) | $39 | $39 | 2.1× |
| Mycobacteric Identification (87118) | $31 | $31 | 2.1× |
| Mycophenolic acid (80180) | $91 | $91 | 5.0× |
| Mycoplasma antibody (86738) | $90.50 | $90.50 | 6.8× |
| Myelin basic protein csf (83873) | $86 | $86 | 5.0× |
| Myoglobin urine (83874) | $64 | $64 | 5.0× |
| Nasal smear for eosinophils (89190) | $53.50 | $53.50 | 9.2× |
| Natriuretic peptide (83880) | $329.50 | $329.50 | 8.4× |
| Nk cells total count (86357) | $110 | $110 | 2.9× |
| Nuclear antigen antibody (86235) | $105 | $105 | 5.9× |
| Occult blood stool (82272) | $14 | $14 | 3.3× |
| Oligoclonal bands (83916) | $100 | $100 | 3.7× |
| Oncoprotein dcp (83951) | $319 | $319 | 5.0× |
| Organic Acids Total Quantitative Each Specimen (83918) | $472 | $472 | 20.0× |
| Orthopoxvirus Amp Prb Each (87593) | $264 | $264 | 5.1× |
| Osmolality serum (83930) | $22 | $22 | 3.3× |
| Osmolality urine (83935) | $22 | $22 | 3.2× |
| Ova and parasite direct-id lca (87177) | $121 | $121 | 13.6× |
| Oxalate urine (83945) | $169 | $169 | 11.7× |
| Pancreatic polypeptide (83519) | $152 | $152 | 8.3× |
| Particle Agglutination Screen Each Antibody (86403) | $51 | $51 | 4.4× |
| Parvovirus antibody (86747) | $75 | $75 | 5.0× |
| Phenylalanine (84030) | $37 | $37 | 6.7× |
| Phenytoin free (80186) | $58 | $58 | 4.2× |
| Phosphatase acid prostatic (84066) | $106 | $106 | 11.0× |
| Phosphatase alkaline (84075) | $59 | $59 | 11.4× |
| Phosphorus blood (84100) | $72 | $72 | 15.2× |
| Phosphorus urine (84105) | $79 | $79 | 13.7× |
| Pinworm exam (87172) | $57 | $57 | 13.3× |
| Platelet count (85049) | $20 | $20 | 4.5× |
| Platelet neutralization (85597) | $65 | $65 | 3.6× |
| Pooling blood platelets (86965) | $340 | $340 | 2.0× |
| Porphobilinogen urine quant (84110) | $35 | $35 | 4.1× |
| Porphyrins feces qn (84126) | $47 | $47 | 1.2× |
| Porphyrins qn & fraction urine (84120) | $145 | $145 | 9.9× |
| Porphyrins urine qual (84119) | $47 | $47 | 3.5× |
| Potassium (84132) | $67 | $67 | 14.1× |
| Potassium urine (84133) | $19 | $19 | 4.0× |
| Pregnenolone (84140) | $270 | $270 | 13.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $245 | $245 | 1.4× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $242 | $242 | 1.4× |
| Primidone (80188) | $162 | $162 | 9.8× |
| Procalcitonin (pct) (84145) | $436 | $436 | 16.0× |
| Progesterone (84144) | $88 | $88 | 4.2× |
| Prolactin (84146) | $321 | $321 | 16.6× |
| Protein body fluid (84157) | $78.50 | $78.50 | 19.6× |
| Protein c activity (85303) | $58 | $58 | 4.2× |
| Protein c antigen (85302) | $256 | $256 | 21.3× |
| Protein electrophoresis serum (84165) | $45 | $45 | 4.2× |
| Protein S Functional (85306) | $241 | $241 | 15.7× |
| Protein s total (85305) | $256 | $256 | 22.0× |
| Protein Total Serum (84155) | $15 | $15 | 4.1× |
| Protein urine (84156) | $140 | $140 | 38.1× |
| Protein Western Blot (84182) | $389 | $389 | 13.3× |
| Protein westrn blot i&r blood/other fluid (84181) | $144 | $144 | 8.5× |
| Prothrombin time substitution (85611) | $7 | $7 | 1.8× |
| PSA free (84154) | $39 | $39 | 2.1× |
| Quantiferon tb gold (86480) | $304 | $304 | 4.9× |
| Quinidine (80194) | $106 | $106 | 7.3× |
| Rbc antibody elution (86860) | $222 | $222 | 1.3× |
| Rbc pretx incubatj w/chemicl (86970) | $83 | $83 | 1.4× |
| Reducing substances, stool (84376) | $133 | $133 | 24.2× |
| Renin activity plasma (84244) | $95 | $95 | 4.3× |
| Respiratory viral panel PCR (87633) | $254 | $254 | 0.6× |
| Reticulocyte separation (86972) | $208 | $208 | 1.2× |
| Rheumatoid Factor Qual (86430) | $54 | $54 | 8.8× |
| Rheumatoid factor quant (86431) | $62 | $62 | 10.9× |
| Rickettsia antibody (86757) | $85 | $85 | 4.4× |
| Rpr Titer (86593) | $29 | $29 | 6.6× |
| Rubella antibody (86762) | $72.50 | $72.50 | 5.0× |
| Russell viper venom time diluted (85613) | $45 | $45 | 4.7× |
| Saccharomyces ab iga (86671) | $197.50 | $197.50 | 16.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120 | $120 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $51 | $51 | 1.2× |
| Sed rate automated (85652) | $39 | $39 | 14.4× |
| Sedimentation rate (85651) | $22 | $22 | 5.2× |
| Semen analysis w/count (89310) | $51 | $51 | 5.9× |
| Sensitivity mic (87186) | $88 | $88 | 10.2× |
| Serotonin Release Assay (86022) | $410 | $410 | 22.3× |
| Sex hormone binding globulin (84270) | $147 | $147 | 6.8× |
| Sickle cell screen (85660) | $91 | $91 | 16.5× |
| Sirolimus (rapamycin) (80195) | $125 | $125 | 9.1× |
| Smear acid fast (87206) | $107 | $107 | 19.9× |
| Smear gram stain (87205) | $77.50 | $77.50 | 18.1× |
| Sodium (84295) | $21 | $21 | 4.4× |
| Sodium other source (84302) | $88 | $88 | 18.1× |
| Sodium urine (84300) | $21 | $21 | 4.2× |
| Soluble transferrin receptor (84238) | $182 | $182 | 5.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $108 | $108 | 0.8× |
| Special stains group 1 (88312) | $182 | $182 | 3.5× |
| Specific gravity body fluid (84315) | $33 | $33 | 10.1× |
| Spectrophotometry (84311) | $116 | $116 | 14.3× |
| Stool Cultr Aerobic Bact Ea (87046) | $47 | $47 | 5.0× |
| Strep a assay w/optic (87880) | $129 | $129 | 7.8× |
| Sulfate urine (84392) | $50 | $50 | 9.1× |
| Surg path level iii (88304) | $182 | $182 | 3.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $59 | $59 | 2.0× |
| Surgical pathology level IV (88305) | $56 | $56 | 1.1× |
| Susceptibility study antimicrobial disk method (87184) | $84 | $84 | 11.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $386 | $386 | 8.2× |
| T cells, total count (86359) | $305.50 | $305.50 | 8.1× |
| T3 free (84481) | $88.50 | $88.50 | 5.2× |
| T3 reverse (84482) | $102 | $102 | 6.5× |
| T3 total (84480) | $35 | $35 | 2.5× |
| T3 uptake (84479) | $52 | $52 | 8.0× |
| T4 Free (84439) | $98 | $98 | 10.9× |
| T4 total (84436) | $53.50 | $53.50 | 7.8× |
| Tb ag response t-cell susp (86481) | $359 | $359 | 3.6× |
| Tb intradermal test (86580) | $289 | $289 | 9.9× |
| Test for acetone/ketones (82009) | $19 | $19 | 4.2× |
| Testosterone free (84402) | $128 | $128 | 5.0× |
| Testosterone total (84403) | $182 | $182 | 7.1× |
| Theophylline (80198) | $70 | $70 | 5.0× |
| Thin prep pap (88142) | $81.50 | $81.50 | 4.0× |
| Thrombin time plasma (85670) | $109 | $109 | 18.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $160 | $160 | 24.7× |
| Thyroglobulin (84432) | $68 | $68 | 4.2× |
| Thyroglobulin Ab (86800) | $118 | $118 | 7.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $107 | $107 | 2.1× |
| Thyroxine binding globulin (84442) | $85 | $85 | 5.8× |
| Tissue culture bone marrow (88237) | $602 | $602 | 4.2× |
| Tobramycin peak (80200) | $112 | $112 | 6.9× |
| Topiramate (80201) | $108 | $108 | 9.1× |
| Touch prep (88161) | $121 | $121 | 4.2× |
| Toxin or antitoxin assay (87230) | $267 | $267 | 13.5× |
| Toxoplasma antibody igg (86777) | $109 | $109 | 7.6× |
| Transferrin (84466) | $119 | $119 | 9.3× |
| Triglycerides (84478) | $22.50 | $22.50 | 3.9× |
| Troponin (84484) | $177 | $177 | 14.2× |
| Trypsin feces qual (84488) | $145 | $145 | 19.9× |
| Ugt1a1 gene analysis common variants (81350) | $552 | $552 | 2.4× |
| Unlisted transfusion medicine procedure (86999) | $228 | $228 | 7.8× |
| Urea nitrogen (84520) | $61 | $61 | 15.4× |
| Urea nitrogen urine (84540) | $24 | $24 | 4.3× |
| Uric acid blood (84550) | $55.50 | $55.50 | 12.3× |
| Uric acid other source (84560) | $24 | $24 | 4.7× |
| Urinalysis microscopic only (81015) | $47 | $47 | 15.4× |
| Urinalysis qual/semiquant except immunoassays (81005) | $97 | $97 | 44.7× |
| Urinalysis w/microscopic (81001) | $72 | $72 | 22.7× |
| Urine pregnancy test (81025) | $67 | $67 | 7.8× |
| Urine volume measurement (81050) | $24 | $24 | 6.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $9.75 | $9.75 | 4.3× |
| Urobilinogen quantitative (84580) | $29 | $29 | 3.0× |
| Valproic acid level (80164) | $58 | $58 | 4.3× |
| Vancomycin trough (80202) | $63 | $63 | 4.7× |
| Varicella-zoster antibody (86787) | $118 | $118 | 9.2× |
| Vasoactive intestinal peptide (vip) (84586) | $387 | $387 | 11.0× |
| Vasopressin (84588) | $353 | $353 | 10.4× |
| Vdrl csf (86592) | $107 | $107 | 25.1× |
| Virus antibody nos (86790) | $248 | $248 | 19.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $103 | $103 | 3.0× |
| Viscosity serum (85810) | $96 | $96 | 8.2× |
| Vitamin A (84590) | $138 | $138 | 11.9× |
| Vitamin b-12 (82607) | $76 | $76 | 5.0× |
| Vitamin b-2 (riboflavin) (84252) | $278 | $278 | 13.7× |
| Vitamin b1 (thiamine) (84425) | $134 | $134 | 6.3× |
| Vitamin b6 (84207) | $98 | $98 | 3.5× |
| Vitamin C (82180) | $237 | $237 | 24.0× |
| Vitamin D 25-Hydroxy (82306) | $192.50 | $192.50 | 6.5× |
| Vitamin e serum (84446) | $98 | $98 | 6.9× |
| Von willebrand factor activity (85245) | $231.50 | $231.50 | 10.1× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $162 | $162 | 18.8× |
| West nile virus ab, igm (86788) | $365 | $365 | 21.7× |
| Xylose Absorption Test (84620) | $109 | $109 | 8.4× |
| Zika Virus Igm Antibody (86794) | $76 | $76 | 4.5× |
| Zinc (84630) | $48 | $48 | 4.2× |