Lab & pathology prices at Boys Town National Research Hospital
Boys Town, NE · every code in this section with a posted price and a Medicare benchmark.
499 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) | $308 | $385 | 8.0× |
| 5 Hiaa (83497) | $103.20 | $129 | 8.0× |
| Acetaminophen level (80143) | $149.60 | $187 | 8.0× |
| Acetylcholine receptor binding antibody (86041) | $147.20 | $184 | 8.0× |
| Actin smooth muscle antibody each (86015) | $96.80 | $121 | 8.0× |
| Acute hepatitis panel (80074) | $381.60 | $477 | 8.0× |
| Acylcarnitine Plasma (82017) | $135.20 | $169 | 8.0× |
| Adenovirus ag, if (87260) | $115.20 | $144 | 8.0× |
| Afb culture (87116) | $86.40 | $108 | 8.0× |
| Albumin Fluid (82042) | $62.40 | $78 | 8.0× |
| Albumin serum (82040) | $40 | $50 | 8.1× |
| Aldolase (82085) | $78.40 | $98 | 8.1× |
| Aldosterone urine (82088) | $206.40 | $258 | 5.1× |
| Alkaline phosphatase isoenzymes (84080) | $118.40 | $148 | 8.0× |
| Allerg sp igg quan or semiquan (86001) | $62.40 | $78 | 8.0× |
| Allergen specific ige (86003) | $42.40 | $53 | 8.1× |
| Allg Spec Ige Recomb Ea (86008) | $143.60 | $179.50 | 8.0× |
| Alpha-1-antitrypsin phenotype (82104) | $116 | $145 | 8.0× |
| Alpha-1-antitrypsin, total (82103) | $108 | $135 | 8.0× |
| Alpha-fetoprotein, serum (82105) | $134.40 | $168 | 8.0× |
| Alt (sgpt) (84460) | $42.40 | $53 | 8.0× |
| Amino acid screen urine (82128) | $111.20 | $139 | 8.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $94.80 | $118.50 | 5.6× |
| Ammonia (82140) | $116.80 | $146 | 8.0× |
| Amylase urine (82150) | $36 | $45 | 5.6× |
| Ana Titer (86039) | $89.60 | $112 | 8.0× |
| Angiotensin i enzyme test (82164) | $116.80 | $146 | 8.0× |
| Antibody cytomegalovirus cmv (86644) | $115.20 | $144 | 8.0× |
| Antibody cytomegalovirus cmv igm (86645) | $135.20 | $169 | 8.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $105.60 | $132 | 8.0× |
| Antibody haemophilus influenza (86684) | $127.20 | $159 | 8.0× |
| Antibody herpes smplx type 1 (86695) | $105.60 | $132 | 8.0× |
| Antibody HIV-2 (86702) | $108 | $135 | 8.0× |
| Antibody identification (86870) | $276.80 | $346 | 0.7× |
| Antibody identification leukocyte antibodies (86021) | $120.80 | $151 | 8.0× |
| Antibody mumps (86735) | $104.80 | $131 | 8.0× |
| Antibody rubeola (86765) | $103.20 | $129 | 8.0× |
| Antibody screen (86850) | $78.40 | $98 | 8.0× |
| Antibody treponema pallidum (86780) | $106.40 | $133 | 8.0× |
| Antigen typing (86905) | $30.40 | $38 | 7.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $41.60 | $52 | 8.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $96.80 | $121 | 8.0× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $96.80 | $121 | 8.0× |
| Antinuclear antibodies (86038) | $96.80 | $121 | 8.0× |
| Antistreptolysin o titer (86060) | $58.40 | $73 | 8.0× |
| Antithrombin iii activity (85300) | $95.20 | $119 | 8.0× |
| Apolipoprotein b (82172) | $168.80 | $211 | 8.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $96.80 | $121 | 8.0× |
| Aquaporin-4 antibody flow cytometry each (86053) | $302.40 | $378 | 8.0× |
| Arsenic Urine (82175) | $152 | $190 | 8.0× |
| Assay Nephelometry Not Spec (83883) | $62.40 | $78 | 4.6× |
| Assay of 17-hydroxypregnenolone (84143) | $182.40 | $228 | 8.0× |
| Assay of acth (82024) | $57.60 | $72 | 1.5× |
| Assay of androstenedione (82157) | $180 | $225 | 6.1× |
| Assay of blood chloride (82435) | $36.80 | $46 | 8.0× |
| Assay of c-peptide (84681) | $167.20 | $209 | 8.0× |
| Assay of ceruloplasmin (82390) | $86.40 | $108 | 8.0× |
| Assay of cyclosporine (80158) | $144.80 | $181 | 8.0× |
| Assay of ethosuximide (80168) | $131.20 | $164 | 8.0× |
| Assay of ferritin (82728) | $109.60 | $137 | 8.0× |
| Assay of g6pd enzyme (82955) | $77.60 | $97 | 8.0× |
| Assay of gammaglobulin igm (82784) | $74.40 | $93 | 8.0× |
| Assay of gentamicin (80170) | $131.20 | $164 | 8.0× |
| Assay of homocystine (83090) | $111.20 | $139 | 6.2× |
| Assay of homovanillic acid (83150) | $179.60 | $224.50 | 8.0× |
| Assay of lipoprotein(a) (83695) | $114.40 | $143 | 8.0× |
| Assay of manganese (83785) | $213.60 | $267 | 8.0× |
| Assay of metanephrines (83835) | $136 | $170 | 8.0× |
| Assay of parathormone (83970) | $330.40 | $413 | 8.0× |
| Assay of phenobarbital (80184) | $94.40 | $118 | 6.2× |
| Assay of prealbumin (84134) | $116.80 | $146 | 8.0× |
| Assay of proinsulin (84206) | $213.60 | $267 | 8.0× |
| Assay of pyruvate (84210) | $116 | $145 | 8.0× |
| Assay of selenium (84255) | $204.80 | $256 | 8.0× |
| Assay of somatomedin (84305) | $170.40 | $213 | 8.0× |
| Assay of tacrolimus (80197) | $110.40 | $138 | 8.0× |
| Assay of urine vma (84585) | $124 | $155 | 8.0× |
| Assay of vitamin k (84597) | $110.40 | $138 | 8.0× |
| Assay Thiopurine S-Methyltransferase (84433) | $177.60 | $222 | 8.0× |
| Ast (sgot) (84450) | $41.60 | $52 | 8.0× |
| Automated rbc count (85041) | $24.80 | $31 | 8.2× |
| B cells total count (86355) | $302.40 | $378 | 8.0× |
| Bartonella antibody (86611) | $81.60 | $102 | 8.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $204 | $255 | 8.0× |
| Beta hydroxybutyrate (82010) | $65.60 | $82 | 8.0× |
| Beta-2 microglobulin (82232) | $79.20 | $99 | 4.9× |
| Bilirubin direct (82248) | $40.80 | $51 | 8.1× |
| Bilirubin total (82247) | $40.80 | $51 | 8.1× |
| Bl Smear W/Diff Wbc Count (85007) | $30.40 | $38 | 8.0× |
| Blood count reticulocyte automated (85045) | $32 | $40 | 8.0× |
| Blood gases (82803) | $208.80 | $261 | 8.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35.20 | $44 | 8.0× |
| Blood typing abo (86900) | $24 | $30 | 8.0× |
| Blood typing serologic rh (d) (86901) | $24 | $30 | 8.0× |
| Blood typing serologic rh phenotyping complete (86906) | $62.40 | $78 | 8.1× |
| Body fluid cell count (89051) | $44.80 | $56 | 8.0× |
| Body fluid cell count (89050) | $37.60 | $47 | 8.0× |
| C diff amplified probe (87493) | $298.40 | $373 | 8.0× |
| C-reactive protein (86140) | $41.60 | $52 | 8.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $104 | $130 | 8.0× |
| Ca 125 (86304) | $167.20 | $209 | 8.0× |
| Ca 27 29 (86300) | $167.20 | $209 | 8.0× |
| Calcium ionized (82330) | $109.60 | $137 | 8.0× |
| Calcium total (82310) | $41.60 | $52 | 8.1× |
| Calcium urine (82340) | $48 | $60 | 8.0× |
| Calculus Spectroscopy (82365) | $103.20 | $129 | 8.0× |
| Calprotectin, fecal (83993) | $157.60 | $197 | 8.0× |
| Candida DNA dir probe (87480) | $160.80 | $201 | 8.0× |
| Carbamazepine (tegretol) total (80156) | $116.80 | $146 | 8.0× |
| Carbon dioxide (82374) | $39.20 | $49 | 8.0× |
| Carboxyhemoglobin Quantitative (82375) | $98.40 | $123 | 8.0× |
| Carcinoembryonic antigen (82378) | $152 | $190 | 8.0× |
| Cardiolipin ab igg (86147) | $204 | $255 | 8.0× |
| Carnitine (82379) | $135.20 | $169 | 8.0× |
| Carotene (82380) | $73.60 | $92 | 8.0× |
| Catecholamines fraction plasma (82384) | $202.40 | $253 | 8.0× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $1,087.20 | $1,359 | 8.0× |
| Cftr gene com variants (81220) | $4,452.80 | $5,566 | 8.0× |
| Chemiluminescent assay (82397) | $113.60 | $142 | 8.0× |
| Chloride urine (82436) | $83.20 | $104 | 14.5× |
| Cholesterol total (82465) | $35.20 | $44 | 8.1× |
| Chromium urine (82495) | $162.40 | $203 | 8.0× |
| Chromogranin a (86316) | $166.40 | $208 | 8.0× |
| Chromosome analysis 20-25 cells (88264) | $1,157.60 | $1,447 | 8.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $105.60 | $132 | 3.0× |
| Ck isoenzymes (82552) | $107.20 | $134 | 8.0× |
| Ckmb (82553) | $92.80 | $116 | 8.0× |
| Clot factor viii vw antigen (85246) | $184 | $230 | 8.0× |
| Clozapine level (80159) | $161.60 | $202 | 8.0× |
| Cmv PCR (87496) | $280.80 | $351 | 8.0× |
| Cns DNA amp probe type 12-25 (87483) | $1,384.80 | $1,731 | 3.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $196.80 | $246 | 8.2× |
| Collagen cross links (82523) | $149.60 | $187 | 8.0× |
| Compatibility test antiglob (86922) | $122.40 | $153 | 0.7× |
| Compatibility Test Incubate (86921) | $298.40 | $373 | 1.7× |
| Complement c3 (86160) | $96 | $120 | 8.0× |
| Complement total ch50 (86162) | $163.20 | $204 | 8.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $96 | $120 | 8.0× |
| Comprehensive review of data (88325) | $664.80 | $831 | 3.8× |
| Concentration Infectious Agent (87015) | $53.60 | $67 | 8.0× |
| Coombs direct (86880) | $43.20 | $54 | 8.0× |
| Copper urine (82525) | $100 | $125 | 8.1× |
| Cortisol free (82530) | $133.60 | $167 | 8.0× |
| Cortisol total (82533) | $130.40 | $163 | 8.0× |
| Creatine kinase total (82550) | $38.40 | $48 | 5.9× |
| Creatinine blood (82565) | $41.60 | $52 | 8.1× |
| Creatinine other source (82570) | $41.60 | $52 | 8.0× |
| Crossmatch immediate spin (86920) | $501.60 | $627 | 2.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $64.80 | $81 | 8.0× |
| Culture Aerobic Identify (87077) | $64.80 | $81 | 8.0× |
| Culture aerobic quant other (87071) | $79.20 | $99 | 8.0× |
| Culture anaerobic (87075) | $76 | $95 | 8.0× |
| Culture blood (87040) | $83.20 | $104 | 8.1× |
| Culture chlamydia (87110) | $156.80 | $196 | 8.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $62.40 | $78 | 8.1× |
| Culture fungus blood (87103) | $164 | $205 | 8.0× |
| Culture fungus other (87102) | $68 | $85 | 8.1× |
| Culture genital (87070) | $68.80 | $86 | 8.0× |
| Culture screen only (87081) | $53.60 | $67 | 8.1× |
| Culture stool (87045) | $76 | $95 | 8.1× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $1,744.80 | $2,181 | 8.0× |
| Culture typing if ea antiserum (87140) | $44.80 | $56 | 8.0× |
| Culture urine (87086) | $64.80 | $81 | 8.0× |
| Culture urine id ea isolate (87088) | $64.80 | $81 | 8.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $923.20 | $1,154 | 8.0× |
| Cyclic Citrullinated Peptide (86200) | $104 | $130 | 8.0× |
| Cystatin c (82610) | $148.80 | $186 | 8.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $342.40 | $428 | 8.0× |
| Cytopath cell enhance tech (88112) | $499.20 | $624 | 9.2× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $213.60 | $267 | 8.0× |
| Cytp concentration smears & interpretation (88108) | $176.80 | $221 | 4.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $1,228.80 | $1,536 | 22.7× |
| Cytp fna eval dx 1st each site (88172) | $186.40 | $233 | 1.1× |
| D-Dimer (85379) | $81.60 | $102 | 8.0× |
| Deoxyribonuclease antibody (86215) | $106.40 | $133 | 8.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $132.80 | $166 | 8.0× |
| Detect agnt mult DNA ampli (87801) | $196.80 | $246 | 2.8× |
| Dhea (82626) | $202.40 | $253 | 8.0× |
| Dhea sulfate (82627) | $178.40 | $223 | 8.0× |
| Digoxin (80162) | $106.40 | $133 | 8.0× |
| Dilantin (80185) | $106.40 | $133 | 8.0× |
| Diphtheria antitoxoid (86648) | $122.40 | $153 | 8.0× |
| Dipropylacetic acid free (80165) | $108.80 | $136 | 8.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $110.40 | $138 | 8.0× |
| Dna/Rna Amplified Probe (87150) | $280.80 | $351 | 8.0× |
| Drug assay adalimumab (80145) | $308.80 | $386 | 8.0× |
| Drug assay felbamate (80167) | $149.60 | $187 | 8.0× |
| Drug Assay Infliximab (80230) | $308.80 | $386 | 8.0× |
| Drug Assay Lacosamide (80235) | $217.60 | $272 | 8.0× |
| Drug assay methotrexate (80204) | $308.80 | $386 | 8.0× |
| Drug assay rufinamide (80210) | $216.80 | $271 | 8.0× |
| Drug assay vedolizumab (80280) | $308.80 | $386 | 8.0× |
| Drug screen quant zonisamide (80203) | $106.40 | $133 | 8.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $106.40 | $133 | 8.0× |
| Drug Scrn Quan Levetiracetam (80177) | $106.40 | $133 | 8.0× |
| Drug scrn quant oxcarbazepin (80183) | $106.40 | $133 | 8.0× |
| Drug test prsmv chem anlyzr (80307) | $496.80 | $621 | 8.0× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $117.60 | $147 | 6.9× |
| Ebv viral capsid (86665) | $145.60 | $182 | 8.0× |
| Elastase pancreatic fecal quantitative (82653) | $184 | $230 | 8.0× |
| Electrolyte panel (80051) | $56 | $70 | 8.0× |
| Electron microscopy diagnostic (88348) | $191.20 | $239 | 0.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $96.80 | $121 | 8.0× |
| Endomysial antibody iga (86255) | $96.80 | $121 | 8.0× |
| Enterovirus Pcr (87498) | $280.80 | $351 | 8.0× |
| Enzyme cell activity (82657) | $177.60 | $222 | 8.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $122.40 | $153 | 8.0× |
| Estradiol (82670) | $196.80 | $246 | 7.0× |
| Estriol (82677) | $193.60 | $242 | 8.0× |
| Estrone (82679) | $200 | $250 | 8.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $59.20 | $74 | 8.1× |
| F2 gene analysis 20210g >a variant (81240) | $260 | $325 | 4.0× |
| F5 gene (81241) | $496 | $620 | 6.8× |
| Factor viii ahg (85240) | $44.80 | $56 | 2.5× |
| Factor xi assay (85270) | $14.40 | $18 | 0.8× |
| Factor xii assay (85280) | $155.20 | $194 | 8.0× |
| Fetal fibronectin (82731) | $515.20 | $644 | 8.0× |
| Fibrinogen activity (85384) | $49.60 | $62 | 5.1× |
| Flow cytometry first marker (88184) | $559.20 | $699 | 1.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $96.80 | $121 | 8.0× |
| Folate serum (82746) | $117.60 | $147 | 8.0× |
| Folic acid rbc (82747) | $141.60 | $177 | 8.0× |
| Follicle Stimulating Hormone (83001) | $148.80 | $186 | 8.0× |
| Fresh frozen plasma thawing each unit (86927) | $632 | $790 | 3.6× |
| Frozen Section (88331) | $749.60 | $937 | 4.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $83.20 | $104 | 8.1× |
| Gammaglobulin ige (82785) | $132 | $165 | 8.0× |
| Gardner vag DNA dir probe (87510) | $160.80 | $201 | 8.0× |
| Gardner Vag Dna Quant (87512) | $334.40 | $418 | 8.0× |
| Gastric Occult Blood (82271) | $42.40 | $53 | 8.0× |
| Ggt (82977) | $57.60 | $72 | 8.0× |
| Giardia antigen eia stool (87329) | $82.40 | $103 | 6.9× |
| Gliadin antibody each immunoglobulin class (86258) | $96.80 | $121 | 8.0× |
| Glucose (82947) | $32 | $40 | 8.1× |
| Glucose Blood Test (82962) | $26.40 | $33 | 8.0× |
| Glucose body fluid (82945) | $27.20 | $34 | 6.9× |
| Glucose post dose (82950) | $38.40 | $48 | 8.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $32 | $40 | 8.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $103.20 | $129 | 8.0× |
| Haptoglobin (83010) | $100.80 | $126 | 8.0× |
| Hcg qualitative (84703) | $60.80 | $76 | 8.1× |
| Hcg quant (84702) | $120.80 | $151 | 8.0× |
| Hdl Cholesterol (83718) | $65.60 | $82 | 8.0× |
| Hematocrit (85014) | $19.20 | $24 | 8.1× |
| Hemoglobin (85018) | $19.20 | $24 | 8.1× |
| Hemoglobin a1c (83036) | $47.20 | $59 | 4.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $73.60 | $92 | 4.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $65.60 | $82 | 8.0× |
| Heparin assay (85520) | $104.80 | $131 | 8.0× |
| Hepatitis a antibody total (86708) | $99.20 | $124 | 8.0× |
| Hepatitis a igm (86709) | $90.40 | $113 | 8.0× |
| Hepatitis b core ab igm (86705) | $94.40 | $118 | 8.0× |
| Hepatitis b core antibody total (86704) | $96.80 | $121 | 8.0× |
| Hepatitis B Surface Ab (86706) | $86.40 | $108 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $83.20 | $104 | 8.1× |
| Hepatitis be antibody (86707) | $92.80 | $116 | 8.0× |
| Hepatitis Be Antigen (87350) | $92 | $115 | 8.0× |
| Hepatitis c antibody (86803) | $114.40 | $143 | 8.0× |
| Herpes culture (87252) | $208.80 | $261 | 8.0× |
| Herpes simplex type 2 (86696) | $155.20 | $194 | 8.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $41.60 | $52 | 8.0× |
| Hfe gene (81256) | $523.20 | $654 | 8.0× |
| Histoplasma antibody (86698) | $110.40 | $138 | 8.0× |
| Histoplasma antigen urine (87385) | $106.40 | $133 | 8.0× |
| HIV-1 antibody (86701) | $71.20 | $89 | 8.0× |
| Hla class ii typing high resolution one locus ea (81382) | $989.60 | $1,237 | 8.0× |
| Hla ii typing 1 locus lr (81376) | $978.40 | $1,223 | 8.0× |
| Hla-b27 (86812) | $207.20 | $259 | 8.0× |
| Homogenization tissue (87176) | $47.20 | $59 | 8.0× |
| Hpv types 16 & 18 only (87625) | $324.80 | $406 | 8.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $280.80 | $351 | 8.0× |
| Hydroxyprogesterone 17-d (83498) | $31.20 | $39 | 1.1× |
| Iaad ia clostridium difficile toxin (87324) | $96 | $120 | 8.0× |
| Iaad ia cryptosporidium (87328) | $111.20 | $139 | 8.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $82.40 | $103 | 8.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $192.80 | $241 | 8.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $115.20 | $144 | 8.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $106.80 | $133.50 | 7.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $98.40 | $123 | 2.8× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $96 | $120 | 8.0× |
| Iaadiadoo not otherwise specified (87899) | $128.80 | $161 | 8.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $122.40 | $153 | 8.0× |
| Iadna candida species amplified probe tq (87481) | $280.80 | $351 | 8.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $120 | $150 | 1.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $343.20 | $429 | 8.0× |
| Iadna herpes virus-6 amplified probe tq (87532) | $280.80 | $351 | 8.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $280.80 | $351 | 8.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $310.40 | $388 | 3.6× |
| Iadna human papillomavirus high-risk types (87624) | $280.80 | $351 | 8.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $116 | $145 | 3.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $116 | $145 | 3.3× |
| Iadna nos amplified probe tq each organism (87798) | $280.80 | $351 | 8.0× |
| Iadna nos quantification each organism (87799) | $343.20 | $429 | 8.0× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $1,744.80 | $2,181 | 8.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $280.80 | $351 | 8.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,467.20 | $1,834 | 3.5× |
| Igg subclasses (82787) | $64.80 | $81 | 8.1× |
| Immunfix e-phorsis/urine/csf (86335) | $235.20 | $294 | 8.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $120 | $150 | 8.0× |
| Immunoassay nonantibody (83516) | $92.80 | $116 | 8.0× |
| Immunofixj Electrophoresis Serum (86334) | $179.20 | $224 | 8.0× |
| Immunoglobulin light chains free each (83521) | $138.40 | $173 | 8.0× |
| Immunohisto Antibody Slide (88344) | $323.20 | $404 | 0.9× |
| Immunohistochemistry (88342) | $776 | $970 | 4.4× |
| India ink prep (87210) | $47.20 | $59 | 8.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (87809) | $174.40 | $218 | 8.0× |
| Influenza a/b ag eia (87400) | $113.20 | $141.50 | 8.0× |
| Influenza DNA amp probe (87502) | $320 | $400 | 3.3× |
| Inhibin a (86336) | $124.80 | $156 | 8.0× |
| Inhibin b (83520) | $113.60 | $142 | 6.6× |
| Insitu hybridization (fish) (88365) | $1,292.80 | $1,616 | 7.3× |
| Insulin antibodies (86337) | $171.20 | $214 | 8.0× |
| Insulin total (83525) | $92 | $115 | 8.0× |
| Intrinsic factor antibody (86340) | $120.80 | $151 | 8.0× |
| Iron (83540) | $52 | $65 | 8.0× |
| Iron binding capacity (83550) | $70.40 | $88 | 8.1× |
| Islet cell antibody (86341) | $188.80 | $236 | 8.0× |
| Koh Prep (87220) | $34.40 | $43 | 8.1× |
| Lactic acid (83605) | $92.80 | $116 | 8.0× |
| Lactoferrin fecal qualitative (83630) | $74.40 | $93 | 3.8× |
| Lactoferrin Fecal Quantitative (83631) | $156.80 | $196 | 8.0× |
| Ldh (83615) | $48.80 | $61 | 8.1× |
| LDL cholesterol direct (83721) | $84 | $105 | 8.0× |
| Lead (83655) | $53.60 | $67 | 4.4× |
| Legionella antigen urine (87449) | $94.80 | $118.50 | 7.9× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $34.40 | $43 | 8.1× |
| Level ii surg pathology grossµscopic exam (88302) | $240 | $300 | 6.2× |
| Level v surg pathology grossµscopic exam (88307) | $2,099.20 | $2,624 | 5.6× |
| Level vi surg pathology grossµscopic exam (88309) | $3,164.80 | $3,956 | 3.8× |
| Lh (83002) | $148.40 | $185.50 | 8.0× |
| Lipase (83690) | $55.20 | $69 | 8.0× |
| Lithium (80178) | $50.40 | $63 | 7.6× |
| Lyme disease antibody (86618) | $136.80 | $171 | 8.0× |
| Lyme disease antibody confirm (86617) | $124 | $155 | 8.0× |
| Lymphocyte transformation (86353) | $392 | $490 | 8.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $1,179.20 | $1,474 | 6.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $882.40 | $1,103 | 5.0× |
| Macroscopic exam parasite (87169) | $34.40 | $43 | 8.0× |
| Magnesium (83735) | $53.60 | $67 | 8.0× |
| Malaria smear (87207) | $48 | $60 | 8.0× |
| Mercury (83825) | $130.40 | $163 | 8.0× |
| Metabolic Panel Ionized Ca (80047) | $110.40 | $138 | 8.0× |
| Methotrexate (80299) | $149.60 | $187 | 8.0× |
| Methylmalonic acid serum (83921) | $74.40 | $93 | 3.5× |
| Mgmt methylation analysis (81287) | $996.80 | $1,246 | 8.0× |
| Microalbumin urine (82043) | $46.40 | $58 | 8.0× |
| Microbe suscept macrobroth (87188) | $52.80 | $66 | 8.0× |
| Microbe susceptible diffuse (87181) | $38.40 | $48 | 8.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $864 | $1,080 | 16.0× |
| Microsomal antibodies (86376) | $116.80 | $146 | 8.0× |
| Mitochondrial antibody each (86381) | $204 | $255 | 8.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $96.80 | $121 | 8.0× |
| Mog-igg1 antibody flow cytometry each (86363) | $302.40 | $378 | 8.0× |
| Mthfr Gene Analysis Common Variants (81291) | $284 | $355 | 4.3× |
| Muramidase (85549) | $150.40 | $188 | 8.0× |
| Muscle-specific kinase (musk) antibody (86366) | $1,148 | $1,435 | 62.4× |
| Mycoplasma antibody (86738) | $106.40 | $133 | 8.0× |
| Mycoplasma culture (87109) | $123.20 | $154 | 8.0× |
| Myelin basic protein csf (83873) | $137.60 | $172 | 8.0× |
| Myoglobin urine (83874) | $104 | $130 | 8.0× |
| Nasal smear for eosinophils (89190) | $46.40 | $58 | 8.0× |
| Natriuretic peptide (83880) | $314.40 | $393 | 8.0× |
| Neutralization test, viral (86382) | $136 | $170 | 8.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $420.80 | $526 | 1.6× |
| Nk cells total count (86357) | $302.40 | $378 | 8.0× |
| Nmr Lipoprofile (83704) | $273.60 | $342 | 8.0× |
| Nuclear antigen antibody (86235) | $144 | $180 | 8.0× |
| Occult blood stool (82272) | $34.40 | $43 | 8.1× |
| Oligoclonal bands (83916) | $219.20 | $274 | 8.0× |
| Organic Acids Total Quantitative Each Specimen (83918) | $147.20 | $184 | 6.2× |
| Osmolality serum (83930) | $53.60 | $67 | 8.1× |
| Osmolality urine (83935) | $55.20 | $69 | 8.1× |
| Ova and parasite direct-id lca (87177) | $71.20 | $89 | 8.0× |
| Pancreatic polypeptide (83519) | $118.80 | $148.50 | 6.5× |
| Particle Agglutination Screen Each Antibody (86403) | $92 | $115 | 8.0× |
| Particle agglutination titer each antibody (86406) | $84.80 | $106 | 8.0× |
| Parvovirus antibody (86747) | $120 | $150 | 8.0× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $562.40 | $703 | 8.0× |
| Phenytoin free (80186) | $110.40 | $138 | 8.0× |
| Phosphatase alkaline (84075) | $41.60 | $52 | 8.0× |
| Phospholipid Neutralization Hexagonal (85598) | $144 | $180 | 8.0× |
| Phosphorus blood (84100) | $38.40 | $48 | 8.1× |
| Pinworm exam (87172) | $34.40 | $43 | 8.1× |
| Platelet aggregation (85576) | $199.20 | $249 | 8.0× |
| Platelet count (85049) | $36 | $45 | 8.0× |
| Platelet neutralization (85597) | $144 | $180 | 8.0× |
| Porphobilinogen urine quant (84110) | $67.20 | $84 | 8.0× |
| Potassium (84132) | $38.40 | $48 | 8.1× |
| Potassium urine (84133) | $37.60 | $47 | 7.9× |
| Primidone (80188) | $132.80 | $166 | 8.0× |
| Procalcitonin (pct) (84145) | $218.40 | $273 | 8.0× |
| Progesterone (84144) | $167.20 | $209 | 8.0× |
| Prolactin (84146) | $155.20 | $194 | 8.0× |
| Protein body fluid (84157) | $32 | $40 | 8.0× |
| Protein c activity (85303) | $111.20 | $139 | 8.0× |
| Protein electrophoresis serum (84165) | $86.40 | $108 | 8.0× |
| Protein Electrophoresis Urine (84166) | $142.40 | $178 | 8.0× |
| Protein S Functional (85306) | $123.20 | $154 | 8.0× |
| Protein Total Serum (84155) | $29.60 | $37 | 8.1× |
| Protein urine (84156) | $29.60 | $37 | 8.1× |
| Protein Western Blot (84182) | $233.60 | $292 | 8.0× |
| PSA free (84154) | $147.20 | $184 | 8.0× |
| Quantiferon tb gold (86480) | $496 | $620 | 8.0× |
| Ref consult prep elsewhere (88321) | $608.80 | $761 | 15.7× |
| Renin activity plasma (84244) | $176 | $220 | 8.0× |
| Resp virus 3-5 targets (87631) | $1,140.80 | $1,426 | 8.0× |
| Reticulocyte Count (85046) | $44.80 | $56 | 8.0× |
| Rheumatoid factor quant (86431) | $45.60 | $57 | 8.0× |
| Rpr Titer (86593) | $35.20 | $44 | 8.0× |
| Rsv (87807) | $104.80 | $131 | 8.0× |
| Rubella antibody (86762) | $115.20 | $144 | 8.0× |
| Russell viper venom time diluted (85613) | $76.80 | $96 | 8.0× |
| Saccharomyces ab iga (86671) | $98.40 | $123 | 8.0× |
| Salicylate (80179) | $149.60 | $187 | 8.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120 | $150 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $337.60 | $422 | 8.0× |
| Sarscov2 & inf a&b amp prb (87636) | $1,140.80 | $1,426 | 8.0× |
| Sed rate automated (85652) | $21.60 | $27 | 8.0× |
| Sensitivity mic (87186) | $69.60 | $87 | 8.0× |
| Serotonin Release Assay (86022) | $147.20 | $184 | 8.0× |
| Serpina1 gene (81332) | $349.60 | $437 | 8.0× |
| Sex hormone binding globulin (84270) | $174.40 | $218 | 8.0× |
| Sickle cell screen (85660) | $44.80 | $56 | 8.1× |
| Sirolimus (rapamycin) (80195) | $109.60 | $137 | 8.0× |
| Smear acid fast (87206) | $43.20 | $54 | 8.0× |
| Smear complex stain (87209) | $144 | $180 | 8.0× |
| Smear gram stain (87205) | $34.40 | $43 | 8.1× |
| Sodium (84295) | $39.20 | $49 | 8.1× |
| Sodium urine (84300) | $40.80 | $51 | 8.1× |
| Soluble transferrin receptor (84238) | $292.80 | $366 | 8.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $600.80 | $751 | 4.3× |
| Special stains group 1 (88312) | $820.80 | $1,026 | 15.2× |
| Spectrophotometry (84311) | $64.80 | $81 | 8.0× |
| Splitting blood/blood products each unit (86985) | $74.40 | $93 | 0.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $76 | $95 | 8.1× |
| Strep a assay w/optic (87880) | $132.40 | $165.50 | 8.0× |
| Strep a DNA amp probe (87651) | $117.60 | $147 | 3.4× |
| Strep b DNA amp probe (87653) | $280.80 | $351 | 8.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $88.80 | $111 | 1.0× |
| Surg path level iii (88304) | $312 | $390 | 5.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $116.80 | $146 | 3.9× |
| Surgical pathology level IV (88305) | $440 | $550 | 8.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $376 | $470 | 8.0× |
| T cells, total count (86359) | $302.40 | $378 | 8.0× |
| T3 free (84481) | $136 | $170 | 8.0× |
| T3 reverse (84482) | $126.40 | $158 | 8.0× |
| T3 total (84480) | $113.60 | $142 | 8.0× |
| T4 Free (84439) | $72.80 | $91 | 8.1× |
| T4 total (84436) | $55.20 | $69 | 8.0× |
| Tb intradermal test (86580) | $288.80 | $361 | 9.6× |
| Testosterone free (84402) | $100.80 | $126 | 4.0× |
| Testosterone total (84403) | $112 | $140 | 4.3× |
| Tetanus antibody (86774) | $118.40 | $148 | 8.0× |
| Tgsap so/hl 51/< RNA alys (81456) | $8,972.80 | $11,216 | 3.1× |
| Theophylline (80198) | $112.80 | $141 | 8.0× |
| Thrombin time plasma (85670) | $46.40 | $58 | 8.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $52 | $65 | 8.0× |
| Thyroglobulin (84432) | $128.80 | $161 | 8.0× |
| Thyroglobulin Ab (86800) | $128 | $160 | 8.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $407.20 | $509 | 8.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $92.80 | $116 | 8.0× |
| Tissue culture solid tumor (88239) | $1,180.80 | $1,476 | 8.0× |
| Tobramycin peak (80200) | $128.80 | $161 | 8.0× |
| Topiramate (80201) | $96 | $120 | 8.1× |
| Toxoplasma ab igm (86778) | $116 | $145 | 8.0× |
| Toxoplasma antibody igg (86777) | $115.20 | $144 | 8.0× |
| Tpmt gene com variants (81335) | $1,398.40 | $1,748 | 8.0× |
| Transferrin (84466) | $102.40 | $128 | 8.0× |
| Trichomonas vagin dir probe (87660) | $160.80 | $201 | 8.0× |
| Triglycerides (84478) | $46.40 | $58 | 8.1× |
| Troponin (84484) | $100 | $125 | 8.0× |
| Urea nitrogen (84520) | $32 | $40 | 8.1× |
| Urea nitrogen urine (84540) | $44.80 | $56 | 8.1× |
| Uric acid blood (84550) | $36.80 | $46 | 8.1× |
| Urinalysis microscopic only (81015) | $24.80 | $31 | 8.1× |
| Urinalysis w/microscopic (81001) | $25.60 | $32 | 8.1× |
| Urine pregnancy test (81025) | $58.40 | $73 | 6.8× |
| Urine volume measurement (81050) | $28.80 | $36 | 7.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $18.40 | $23 | 8.2× |
| Valproic acid level (80164) | $108.80 | $136 | 8.0× |
| Vancomycin trough (80202) | $108.80 | $136 | 8.0× |
| Varicella-zoster antibody (86787) | $103.20 | $129 | 8.0× |
| Vasoactive intestinal peptide (vip) (84586) | $294.40 | $368 | 8.3× |
| Vdrl csf (86592) | $34.40 | $43 | 8.1× |
| Very long chain fatty acids (82726) | $158.40 | $198 | 8.0× |
| Virus antibody nos (86790) | $103.20 | $129 | 8.0× |
| Vitamin A (84590) | $93.60 | $117 | 8.1× |
| Vitamin b-12 (82607) | $120.80 | $151 | 8.0× |
| Vitamin b-2 (riboflavin) (84252) | $162.40 | $203 | 8.0× |
| Vitamin b1 (thiamine) (84425) | $170.40 | $213 | 8.0× |
| Vitamin b6 (84207) | $224.80 | $281 | 8.0× |
| Vitamin C (82180) | $69.60 | $87 | 7.0× |
| Vitamin D 25-Hydroxy (82306) | $236.80 | $296 | 8.0× |
| Vitamin e serum (84446) | $113.60 | $142 | 8.0× |
| Voltage-gated calcium channel antibody each (86596) | $96.80 | $121 | 8.0× |
| Von willebrand factor activity (85245) | $184 | $230 | 8.0× |
| West nile virus ab, igm (86788) | $135.20 | $169 | 8.0× |
| West nile virus antibody (86789) | $115.20 | $144 | 8.0× |
| Zinc (84630) | $91.20 | $114 | 8.0× |