Lab & pathology prices at CHI Health Plainview
Plainview, NE · every code in this section with a posted price and a Medicare benchmark.
781 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) | $321.72 | $383 | 8.4× |
| 17-Hydroxycorticosteroids (83491) | $491.40 | $585 | 27.5× |
| 5 Hiaa (83497) | $86.52 | $103 | 6.7× |
| 5 Nucleotidase (83915) | $70.56 | $84 | 6.3× |
| Acetaminophen level (80143) | $437.64 | $521 | 23.5× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $170.52 | $203 | 9.3× |
| Acetylcholine receptor binding antibody (86041) | $170.52 | $203 | 9.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $170.52 | $203 | 14.2× |
| Actin smooth muscle antibody each (86015) | $178.08 | $212 | 14.8× |
| Activated protein c resistance (85307) | $78.12 | $93 | 5.1× |
| Acute hepatitis panel (80074) | $377.16 | $449 | 7.9× |
| Adamts13 activity (85397) | $278.04 | $331 | 9.0× |
| Additional high resolution study (88289) | $162.12 | $193 | 4.7× |
| Adenovirus Ag Ia (87301) | $133.56 | $159 | 11.1× |
| Adenovirus antibody (86603) | $138.60 | $165 | 10.8× |
| Afb culture (87116) | $246.54 | $293.50 | 22.8× |
| Agglutinins febrile (86000) | $76.44 | $91 | 11.0× |
| Albumin Fluid (82042) | $75.60 | $90 | 9.7× |
| Albumin serum (82040) | $52.50 | $62.50 | 10.6× |
| Aldolase (82085) | $85.68 | $102 | 8.8× |
| Aldosterone urine (82088) | $417.48 | $497 | 10.2× |
| Alkaline phosphatase isoenzymes (84080) | $81.90 | $97.50 | 5.5× |
| Allerg sp igg quan or semiquan (86001) | $51.24 | $61 | 6.6× |
| Allergen specific ige (86003) | $101.64 | $121 | 19.5× |
| Alpha-1-antitrypsin phenotype (82104) | $258.72 | $308 | 17.9× |
| Alpha-1-antitrypsin, total (82103) | $119.28 | $142 | 8.9× |
| Alpha-fetoprotein amniotic (82106) | $144.48 | $172 | 8.5× |
| Alpha-fetoprotein, serum (82105) | $147.84 | $176 | 8.8× |
| Alt (sgpt) (84460) | $71.40 | $85 | 13.5× |
| Aluminum (82108) | $128.52 | $153 | 5.0× |
| Amikacin trough (80150) | $152.04 | $181 | 10.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $476.70 | $567.50 | 28.3× |
| Amino Acids, Single Quantitation (82131) | $298.20 | $355 | 13.0× |
| Aminolevulinic acid (ala) (82135) | $258.72 | $308 | 15.7× |
| Ammonia (82140) | $147.84 | $176 | 10.1× |
| Amylase urine (82150) | $124.32 | $148 | 19.2× |
| Ana Titer (86039) | $70.56 | $84 | 6.3× |
| Androstanediol glucuronide (82154) | $231.84 | $276 | 8.0× |
| Angiotensin i enzyme test (82164) | $170.52 | $203 | 11.7× |
| Angiotensin ll (protein) level (82163) | $155.40 | $185 | 7.6× |
| Antibody Absorption (86978) | $151.20 | $180 | 2.5× |
| Antibody aspergillus (86606) | $136.08 | $162 | 9.0× |
| Antibody coxiella burnetii q fever (86638) | $35.28 | $42 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $144.48 | $172 | 10.0× |
| Antibody cytomegalovirus cmv igm (86645) | $152.88 | $182 | 9.1× |
| Antibody Encephalitis Eastern Equine (86652) | $107.52 | $128 | 8.2× |
| Antibody Encephalitis St. Louis (86653) | $107.52 | $128 | 8.2× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $137.76 | $164 | 10.5× |
| Antibody helicobacter pylori (86677) | $65.94 | $78.50 | 3.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $88.20 | $105 | 6.1× |
| Antibody herpes smplx type 1 (86695) | $231 | $275 | 17.5× |
| Antibody HIV-2 (86702) | $165.48 | $197 | 12.2× |
| Antibody identification (86870) | $154.98 | $184.50 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $859.32 | $1,023 | 57.1× |
| Antibody influenza virus (86710) | $80.64 | $96 | 6.0× |
| Antibody mumps (86735) | $83.16 | $99 | 6.4× |
| Antibody Protozoa Nes (86753) | $147 | $175 | 11.9× |
| Antibody rubeola (86765) | $99.12 | $118 | 7.7× |
| Antibody screen (86850) | $80.22 | $95.50 | 8.2× |
| Antibody treponema pallidum (86780) | $114.66 | $136.50 | 8.7× |
| Antibody; Coccidioides (86635) | $90.72 | $108 | 7.9× |
| Antigen typing (86905) | $62.16 | $74 | 16.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $272.58 | $324.50 | 52.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $111.72 | $133 | 9.3× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $178.08 | $212 | 14.8× |
| Antinuclear antibodies (86038) | $99.54 | $118.50 | 8.2× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $108.36 | $129 | 18.8× |
| Antistreptolysin o titer (86060) | $164.64 | $196 | 22.6× |
| Antithrombin iii activity (85300) | $168 | $200 | 14.2× |
| Antithrombin iii antigen (85301) | $231.84 | $276 | 21.4× |
| Apolipoprotein b (82172) | $112.14 | $133.50 | 5.3× |
| Aquaporin-4 Antb Elisa (86051) | $165.48 | $197 | 14.4× |
| Arsenic Urine (82175) | $123.48 | $147 | 6.5× |
| Aspergillus ag eia (87305) | $387.24 | $461 | 32.3× |
| Assay galactose transferase (82775) | $198.24 | $236 | 9.4× |
| Assay Lipoprotein Pla2 (83698) | $132.72 | $158 | 2.9× |
| Assay Nephelometry Not Spec (83883) | $159.60 | $190 | 11.7× |
| Assay of 17-hydroxypregnenolone (84143) | $88.20 | $105 | 3.9× |
| Assay of acth (82024) | $296.10 | $352.50 | 7.7× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $335.16 | $399 | 19.4× |
| Assay of androstenedione (82157) | $243.60 | $290 | 8.3× |
| Assay of anti-mullerian hormone (82166) | $161.28 | $192 | 4.2× |
| Assay of blood chloride (82435) | $84.84 | $101 | 18.4× |
| Assay of c-peptide (84681) | $204.12 | $243 | 9.8× |
| Assay of calcitonin (82308) | $263.76 | $314 | 9.8× |
| Assay of ceruloplasmin (82390) | $121.80 | $145 | 11.3× |
| Assay of creatine (82540) | $749.28 | $892 | 161.5× |
| Assay of cyclosporine (80158) | $243.60 | $290 | 13.5× |
| Assay of dibucaine number (82638) | $196.56 | $234 | 16.0× |
| Assay of erythropoietin (82668) | $242.76 | $289 | 12.9× |
| Assay of ethosuximide (80168) | $139.44 | $166 | 8.5× |
| Assay of ferritin (82728) | $132.30 | $157.50 | 9.7× |
| Assay of g6pd enzyme (82955) | $193.20 | $230 | 19.9× |
| Assay of gammaglobulin igm (82784) | $126 | $150 | 13.5× |
| Assay of gastrin (82941) | $168 | $200 | 9.5× |
| Assay of gentamicin (80170) | $184.80 | $220 | 11.3× |
| Assay of glucagon (82943) | $194.88 | $232 | 13.6× |
| Assay of homocystine (83090) | $169.26 | $201.50 | 9.4× |
| Assay of homovanillic acid (83150) | $217.56 | $259 | 9.7× |
| Assay of ketogenic steroids (83582) | $99.12 | $118 | 6.4× |
| Assay of lipoprotein(a) (83695) | $90.72 | $108 | 6.3× |
| Assay of manganese (83785) | $53.76 | $64 | 2.0× |
| Assay of metanephrines (83835) | $183.12 | $218 | 10.8× |
| Assay of osteocalcin (83937) | $147 | $175 | 4.9× |
| Assay of parathormone (83970) | $284.34 | $338.50 | 6.9× |
| Assay of phenobarbital (80184) | $116.34 | $138.50 | 7.6× |
| Assay of phosphatase acid total (84060) | $94.92 | $113 | 12.4× |
| Assay of prealbumin (84134) | $82.74 | $98.50 | 5.7× |
| Assay of proinsulin (84206) | $204.96 | $244 | 7.7× |
| Assay of prostate specific antigen complexed (84152) | $498.96 | $594 | 27.1× |
| Assay of pyruvate (84210) | $216.72 | $258 | 15.0× |
| Assay of selenium (84255) | $184.80 | $220 | 7.2× |
| Assay of serotonin (84260) | $309.12 | $368 | 10.0× |
| Assay of somatomedin (84305) | $239.40 | $285 | 11.3× |
| Assay of tacrolimus (80197) | $199.92 | $238 | 14.6× |
| Assay of urine vma (84585) | $156.24 | $186 | 10.1× |
| Assay of vitamin k (84597) | $316.68 | $377 | 23.1× |
| Assay of volatiles (84600) | $186.48 | $222 | 10.9× |
| Assay Ph Body Fluid Nos (83986) | $93.66 | $111.50 | 26.2× |
| Ast (sgot) (84450) | $57.12 | $68 | 11.0× |
| Autologous Blood Process (86890) | $577.08 | $687 | 3.3× |
| Automated rbc count (85041) | $31.92 | $38 | 10.6× |
| B cells total count (86355) | $120.12 | $143 | 3.2× |
| Bartonella antibody (86611) | $84 | $100 | 8.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $63.84 | $76 | 2.5× |
| Beta hydroxybutyrate (82010) | $154.56 | $184 | 18.9× |
| Beta Lactamase (87185) | $41.58 | $49.50 | 8.8× |
| Beta-2 microglobulin (82232) | $146.16 | $174 | 9.0× |
| Bile acids, total (82239) | $49.56 | $59 | 2.9× |
| Bilirubin direct (82248) | $40.74 | $48.50 | 8.1× |
| Bilirubin total (82247) | $105.84 | $126 | 21.1× |
| Bilirubin total transcutaneous (88720) | $50.40 | $60 | 10.0× |
| Biotinidase ea specimen (82261) | $70.56 | $84 | 4.2× |
| Bl Smear W/Diff Wbc Count (85007) | $59.64 | $71 | 15.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $47.88 | $57 | 14.0× |
| Blastomyces antibody (86612) | $165.48 | $197 | 12.8× |
| Bleeding time (85002) | $185.64 | $221 | 38.5× |
| Blood clot lysis time (85175) | $104.16 | $124 | 5.1× |
| Blood Count Automated Differential Wbc Count (85004) | $80.64 | $96 | 12.5× |
| Blood count reticulocyte automated (85045) | $47.04 | $56 | 11.8× |
| Blood gases (82803) | $349.44 | $416 | 13.4× |
| Blood gases w/02 saturation (82805) | $326.76 | $389 | 4.1× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $63 | $75 | 6.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $50.82 | $60.50 | 3.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $46.20 | $55 | 10.5× |
| Blood Ph - Ph Venous (82800) | $120.12 | $143 | 10.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $159.60 | $190 | 25.1× |
| Blood typing abo (86900) | $63 | $75 | 21.1× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $168 | $200 | 10.3× |
| Blood typing serologic rh (d) (86901) | $34.44 | $41 | 11.5× |
| Blood typing serologic rh phenotyping complete (86906) | $212.52 | $253 | 27.4× |
| Body fluid cell count (89051) | $81.90 | $97.50 | 14.6× |
| Body fluid cell count (89050) | $42.84 | $51 | 9.1× |
| Bone Marrow Smear Interpretation (85097) | $242.76 | $289 | 0.3× |
| Bordetella antibody (86615) | $148.68 | $177 | 11.3× |
| Braf gene (81210) | $491.40 | $585 | 2.8× |
| Brucella antibody (86622) | $104.16 | $124 | 11.7× |
| C diff amplified probe (87493) | $189.42 | $225.50 | 5.1× |
| C-reactive protein (86140) | $30.24 | $36 | 5.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $181.44 | $216 | 14.0× |
| C1q binding assay (86332) | $387.24 | $461 | 15.9× |
| Ca 125 (86304) | $134.82 | $160.50 | 6.5× |
| Ca 19-9 (86301) | $130.20 | $155 | 6.3× |
| Ca 27 29 (86300) | $189.84 | $226 | 9.1× |
| Cadmium level (82300) | $175.56 | $209 | 7.4× |
| Caffeine (80155) | $82.32 | $98 | 2.1× |
| Calcium ionized (82330) | $154.56 | $184 | 11.3× |
| Calcium total (82310) | $45.78 | $54.50 | 8.9× |
| Calcium urine (82340) | $76.44 | $91 | 12.7× |
| Calculus analysis (82370) | $139.44 | $166 | 11.1× |
| Calculus Qualitative Analysis (82355) | $119.28 | $142 | 10.3× |
| Calculus Spectroscopy (82365) | $178.08 | $212 | 13.8× |
| California encephalitis ab (86651) | $139.44 | $166 | 10.6× |
| Calprotectin, fecal (83993) | $233.52 | $278 | 11.9× |
| Candida antibody (86628) | $16.80 | $20 | 1.4× |
| Candida DNA dir probe (87480) | $69.30 | $82.50 | 3.5× |
| Carbamazepine (tegretol) total (80156) | $191.52 | $228 | 13.1× |
| Carbamazepine free (80157) | $148.68 | $177 | 11.2× |
| Carbon dioxide (82374) | $99.96 | $119 | 20.5× |
| Carboxyhemoglobin Quantitative (82375) | $193.20 | $230 | 15.7× |
| Carcinoembryonic antigen (82378) | $125.16 | $149 | 6.6× |
| Cardiolipin ab igg (86147) | $281.40 | $335 | 11.1× |
| Carnitine (82379) | $140.28 | $167 | 8.3× |
| Carotene (82380) | $137.76 | $164 | 14.9× |
| Catecholamines fraction plasma (82384) | $256.20 | $305 | 10.1× |
| Catecholamines organic nitrogen blood level (82383) | $273 | $325 | 9.4× |
| Cd4 absolute count (86361) | $136.92 | $163 | 5.1× |
| Cell Cryopreserve/Storage (88240) | $518.70 | $617.50 | 39.7× |
| Cell marker study (88182) | $586.32 | $698 | 10.8× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $314.16 | $374 | 2.3× |
| Cftr gene com variants (81220) | $1,805.16 | $2,149 | 3.2× |
| Chemiluminescent assay (82397) | $152.04 | $181 | 10.8× |
| Chlamydia antibody (86631) | $94.08 | $112 | 8.0× |
| Chlamydia Igm Antibody (86632) | $60.48 | $72 | 4.8× |
| Chlamydia trachomatis ag if (87270) | $232.26 | $276.50 | 19.4× |
| Chloride other source (82438) | $56.28 | $67 | 11.3× |
| Chloride urine (82436) | $87.36 | $104 | 15.2× |
| Cholesterol total (82465) | $52.08 | $62 | 12.0× |
| Cholinesterase rbc (82482) | $115.92 | $138 | 11.8× |
| Cholinesterase serum (82480) | $110.88 | $132 | 14.1× |
| Chrmsm analysis addl cells counted each study (88285) | $162.12 | $193 | 6.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $1,399.44 | $1,666 | 11.2× |
| Chromium urine (82495) | $184.80 | $220 | 9.1× |
| Chromogranin a (86316) | $517.44 | $616 | 24.9× |
| Chromosome analysis 20-25 cells (88264) | $635.04 | $756 | 4.4× |
| Chromosome Analysis 5 (88261) | $1,050.84 | $1,251 | 4.0× |
| Chromosome karyotype study (88280) | $154.56 | $184 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $170.52 | $203 | 4.9× |
| Citrate (82507) | $173.04 | $206 | 6.2× |
| Ck isoenzymes (82552) | $109.62 | $130.50 | 8.2× |
| Ckmb (82553) | $112.98 | $134.50 | 9.8× |
| Clot factor viii vw antigen (85246) | $916.44 | $1,091 | 39.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $233.52 | $278 | 13.0× |
| Clot factor xiii fibrin stab (85290) | $466.20 | $555 | 28.5× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $395.64 | $471 | 20.9× |
| Clozapine level (80159) | $55.44 | $66 | 2.8× |
| Cmv PCR (87496) | $280.14 | $333.50 | 8.0× |
| Cns DNA amp probe type 12-25 (87483) | $1,359.12 | $1,618 | 3.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $630 | $750 | 26.2× |
| Cold agglutinin titer (86157) | $207.48 | $247 | 25.7× |
| Collagen cross links (82523) | $174.30 | $207.50 | 9.3× |
| Compatibility test antiglob (86922) | $265.44 | $316 | 1.5× |
| Compatibility Test Incubate (86921) | $98.28 | $117 | 0.6× |
| Complement c3 (86160) | $148.68 | $177 | 12.4× |
| Complement total ch50 (86162) | $336.84 | $401 | 16.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $1,019.76 | $1,214 | 85.0× |
| Comprehensive review of data (88325) | $564.48 | $672 | 3.2× |
| Concentration Infectious Agent (87015) | $96.60 | $115 | 14.5× |
| Coombs direct (86880) | $78.96 | $94 | 14.6× |
| Coombs Test Indirect Qual (86885) | $15.96 | $19 | 2.8× |
| Copper urine (82525) | $128.52 | $153 | 10.4× |
| Cortisol free (82530) | $168 | $200 | 10.1× |
| Cortisol total (82533) | $120.96 | $144 | 7.4× |
| Creatine kinase total (82550) | $79.80 | $95 | 12.3× |
| Creatinine blood (82565) | $88.20 | $105 | 17.2× |
| Creatinine clearance (82575) | $105.42 | $125.50 | 11.1× |
| Creatinine other source (82570) | $54.18 | $64.50 | 10.5× |
| Crossmatch immediate spin (86920) | $97.44 | $116 | 0.6× |
| Cryoglobulin (82595) | $89.04 | $106 | 13.8× |
| Cryptococcal Antigen (87327) | $183.12 | $218 | 13.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $112.14 | $133.50 | 13.9× |
| Culture Aerobic Identify (87077) | $43.68 | $52 | 5.4× |
| Culture aerobic quant other (87071) | $76.44 | $91 | 7.7× |
| Culture anaerobic (87075) | $115.50 | $137.50 | 12.2× |
| Culture Bacteria Anaerobic (87073) | $323.40 | $385 | 33.5× |
| Culture blood (87040) | $120.96 | $144 | 11.7× |
| Culture chlamydia (87110) | $220.92 | $263 | 11.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $120.12 | $143 | 15.6× |
| Culture fungus blood (87103) | $186.48 | $222 | 9.1× |
| Culture fungus id yeast (87106) | $141.12 | $168 | 13.7× |
| Culture fungus other (87102) | $316.68 | $377 | 37.7× |
| Culture genital (87070) | $178.92 | $213 | 20.8× |
| Culture screen only (87081) | $68.46 | $81.50 | 10.3× |
| Culture stool (87045) | $130.62 | $155.50 | 13.8× |
| Culture typing if ea antiserum (87140) | $59.64 | $71 | 10.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $105.84 | $126 | 20.4× |
| Culture urine (87086) | $99.96 | $119 | 12.4× |
| Culture urine id ea isolate (87088) | $63.42 | $75.50 | 7.8× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $804.72 | $958 | 7.0× |
| Cyanide (82600) | $357.84 | $426 | 18.4× |
| Cyclic amp (82030) | $278.88 | $332 | 10.8× |
| Cyclic Citrullinated Peptide (86200) | $79.80 | $95 | 6.2× |
| Cystatin c (82610) | $91.14 | $108.50 | 4.9× |
| Cytogenetics DNA probe (88271) | $178.92 | $213 | 8.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $620.76 | $739 | 14.5× |
| Cytopath cell enhance tech (88112) | $272.16 | $324 | 5.0× |
| Cytopath Fl Nongyn Filter (88106) | $170.52 | $203 | 5.7× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $146.16 | $174 | 3.8× |
| Cytopath Smear Other Source (88160) | $94.08 | $112 | 3.1× |
| Cytotoxic pra quick (86808) | $1,445.64 | $1,721 | 48.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $102.48 | $122 | 3.9× |
| Cytp concentration smears & interpretation (88108) | $165.48 | $197 | 4.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $358.68 | $427 | 6.6× |
| Cytp fna eval dx 1st each site (88172) | $121.80 | $145 | 0.7× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $63.84 | $76 | 3.4× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $56.28 | $67 | 1.0× |
| D-Dimer (85379) | $91.56 | $109 | 9.0× |
| D-Dimer (85378) | $63 | $75 | 6.5× |
| Dark field (87164) | $205.80 | $245 | 19.2× |
| Deoxycortisol (82634) | $98.28 | $117 | 3.4× |
| Deoxyribonuclease antibody (86215) | $131.88 | $157 | 10.0× |
| Detect agent nos DNA dir (87797) | $77.70 | $92.50 | 2.6× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $155.40 | $185 | 3.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $127.26 | $151.50 | 7.7× |
| Detect agnt mult DNA ampli (87801) | $321.72 | $383 | 4.6× |
| Dhea (82626) | $197.40 | $235 | 7.8× |
| Dhea sulfate (82627) | $207.48 | $247 | 9.3× |
| Digoxin (80162) | $84.42 | $100.50 | 6.4× |
| Dilantin (80185) | $97.86 | $116.50 | 7.4× |
| Dipropylacetic acid free (80165) | $240.24 | $286 | 17.7× |
| Dna Antibody Single Stranded (86226) | $69.72 | $83 | 5.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $297.36 | $354 | 21.6× |
| Dna/Rna Amplified Probe (87150) | $181.44 | $216 | 5.2× |
| DNA/RNA direct probe (87149) | $196.56 | $234 | 9.8× |
| Drug Assay Amiodarone (80151) | $205.80 | $245 | 11.0× |
| Drug assay felbamate (80167) | $350.28 | $417 | 18.8× |
| Drug Assay Lacosamide (80235) | $367.08 | $437 | 13.5× |
| Drug assay methotrexate (80204) | $236.88 | $282 | 6.1× |
| Drug assay voriconazole (80285) | $189.84 | $226 | 7.0× |
| Drug Screen Quant Gabapentin (80171) | $59.64 | $71 | 2.8× |
| Drug screen quant zonisamide (80203) | $165.48 | $197 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $69.72 | $83 | 5.3× |
| Drug Scrn Quan Levetiracetam (80177) | $176.40 | $210 | 13.3× |
| Drug scrn quant oxcarbazepin (80183) | $74.76 | $89 | 5.6× |
| Drug test prsmv chem anlyzr (80307) | $357 | $425 | 5.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $202.44 | $241 | 16.1× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $47.04 | $56 | 2.7× |
| Ebv viral capsid (86665) | $165.48 | $197 | 9.1× |
| Echinococcus ab igg (86682) | $235.20 | $280 | 18.1× |
| Egfr Gene Analysis Common Variants (81235) | $1,154.16 | $1,374 | 3.6× |
| Ehrlichia antibody (86666) | $87.36 | $104 | 8.6× |
| Elastase pancreatic fecal quantitative (82653) | $228.48 | $272 | 9.9× |
| Electrolyte panel (80051) | $83.58 | $99.50 | 11.9× |
| Electron microscopy diagnostic (88348) | $1,202.04 | $1,431 | 1.4× |
| Electronic crossmatch (86923) | $266.28 | $317 | 1.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $266.28 | $317 | 4.3× |
| Encephalitis Western Equine (86654) | $107.52 | $128 | 8.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $158.76 | $189 | 13.1× |
| Endomysial antibody iga (86255) | $115.92 | $138 | 9.6× |
| Enterovirus antibody (86658) | $109.62 | $130.50 | 8.4× |
| Enterovirus Pcr (87498) | $349.44 | $416 | 10.0× |
| Enzyme cell activity (82657) | $426.72 | $508 | 19.2× |
| Enzyme histochemistry (88319) | $652.68 | $777 | 0.8× |
| Eosinophil count (85048) | $82.32 | $98 | 32.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $143.64 | $171 | 9.4× |
| Estradiol (82670) | $217.56 | $259 | 7.8× |
| Estriol (82677) | $125.16 | $149 | 5.2× |
| Estrogen fractionated (82671) | $370.44 | $441 | 11.5× |
| Estrogen receptor analysis (84233) | $242.76 | $289 | 2.8× |
| Estrogens total (82672) | $212.52 | $253 | 9.8× |
| Estrone (82679) | $90.72 | $108 | 3.6× |
| Ethylene glycol (82693) | $315.84 | $376 | 21.2× |
| Everolimus (80169) | $283.08 | $337 | 20.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $54.60 | $65 | 7.4× |
| Examination of archival tissue for genetic analysis (88363) | $137.76 | $164 | 4.6× |
| F2 gene analysis 20210g >a variant (81240) | $492.24 | $586 | 7.5× |
| F5 gene (81241) | $492.24 | $586 | 6.7× |
| Factor ii activity (85210) | $159.60 | $190 | 12.3× |
| Factor inhibitor test (85335) | $414.12 | $493 | 32.2× |
| Factor ix activity (85250) | $622.44 | $741 | 32.7× |
| Factor v activity (85220) | $292.32 | $348 | 16.6× |
| Factor vii assay (85230) | $363.72 | $433 | 20.3× |
| Factor viii ahg (85240) | $244.44 | $291 | 13.7× |
| Factor viii vw multimetric (85247) | $321.72 | $383 | 14.0× |
| Factor xi assay (85270) | $330.96 | $394 | 18.5× |
| Factor xii assay (85280) | $330.96 | $394 | 17.1× |
| Fat stain (89125) | $38.64 | $46 | 6.6× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $177.24 | $211 | 23.0× |
| Fecal fat qual (82705) | $40.32 | $48 | 7.9× |
| Fecal fat quant (82710) | $280.56 | $334 | 16.7× |
| Fetal bleed screen (85461) | $126.84 | $151 | 13.6× |
| Fetal fibronectin (82731) | $433.44 | $516 | 6.7× |
| Fibrin degradation products (85362) | $137.76 | $164 | 20.0× |
| Fibrinogen activity (85384) | $110.04 | $131 | 11.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $263.76 | $314 | 17.0× |
| Fibrinolytic Plasminogen (85415) | $225.96 | $269 | 13.1× |
| Flow cytometry first marker (88184) | $113.40 | $135 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $163.80 | $195 | 13.6× |
| Folate serum (82746) | $131.04 | $156 | 8.9× |
| Folic acid rbc (82747) | $214.20 | $255 | 12.1× |
| Follicle Stimulating Hormone (83001) | $221.76 | $264 | 11.9× |
| Francisella Tularensis (86668) | $75.60 | $90 | 5.3× |
| Fresh frozen plasma thawing each unit (86927) | $37.80 | $45 | 0.2× |
| Frozen Section (88331) | $290.64 | $346 | 1.6× |
| Fructosamine (82985) | $152.04 | $181 | 9.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $157.92 | $188 | 15.3× |
| G6pd Screen (82960) | $121.80 | $145 | 20.1× |
| Galactose (82760) | $34.44 | $41 | 3.1× |
| Galactose transferase test (82776) | $34.44 | $41 | 2.9× |
| Gammaglobulin ige (82785) | $120.12 | $143 | 7.3× |
| Gardner vag DNA dir probe (87510) | $69.30 | $82.50 | 3.5× |
| Gastric Occult Blood (82271) | $31.50 | $37.50 | 5.9× |
| Ggt (82977) | $49.56 | $59 | 6.9× |
| Giardia antigen eia stool (87329) | $104.58 | $124.50 | 8.7× |
| Gliadin antibody each immunoglobulin class (86258) | $194.88 | $232 | 16.2× |
| Glucose (82947) | $37.38 | $44.50 | 9.5× |
| Glucose Blood Test (82962) | $61.32 | $73 | 18.7× |
| Glucose body fluid (82945) | $116.76 | $139 | 29.7× |
| Glucose post dose (82950) | $66.36 | $79 | 14.0× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $117.60 | $140 | 30.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $217.14 | $258.50 | 16.9× |
| Growth hormone (83003) | $128.52 | $153 | 7.7× |
| Haptoglobin (83010) | $176.40 | $210 | 14.0× |
| Hcg free betachain test (84704) | $193.20 | $230 | 12.6× |
| Hcg qualitative (84703) | $94.50 | $112.50 | 12.6× |
| Hcg quant (84702) | $108.78 | $129.50 | 7.2× |
| Hdl Cholesterol (83718) | $93.66 | $111.50 | 11.4× |
| Heavy metal quant each (83018) | $210.84 | $251 | 9.6× |
| Hematocrit (85014) | $40.32 | $48 | 17.0× |
| Hemoglobin (85018) | $23.10 | $27.50 | 9.7× |
| Hemoglobin a1c (83036) | $70.56 | $84 | 7.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $99.12 | $118 | 5.5× |
| Hemoglobin electrophoresis (83020) | $201.60 | $240 | 15.7× |
| Hemoglobin fetal ql (83033) | $61.32 | $73 | 7.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $348.60 | $415 | 45.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $131.88 | $157 | 16.1× |
| Hemoglobin plasma (83051) | $133.56 | $159 | 18.3× |
| Hemoglobin stability screen (83068) | $153.72 | $183 | 16.2× |
| Hemolysins/agglutinins auto screen (86940) | $74.76 | $89 | 8.5× |
| Hemosiderin urine (83070) | $43.68 | $52 | 9.2× |
| Heparin assay (85520) | $313.32 | $373 | 23.9× |
| Hepatitis a antibody total (86708) | $126 | $150 | 10.2× |
| Hepatitis a igm (86709) | $25.20 | $30 | 2.2× |
| Hepatitis b core ab igm (86705) | $78.12 | $93 | 6.6× |
| Hepatitis b core antibody total (86704) | $161.28 | $192 | 13.4× |
| Hepatitis B Surface Ab (86706) | $95.34 | $113.50 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $162.96 | $194 | 15.8× |
| Hepatitis be antibody (86707) | $97.86 | $116.50 | 8.5× |
| Hepatitis Be Antigen (87350) | $87.36 | $104 | 7.6× |
| Hepatitis c ab confirm (86804) | $1,255.80 | $1,495 | 81.1× |
| Hepatitis c antibody (86803) | $114.66 | $136.50 | 8.0× |
| Hepatitis C Genotype (87902) | $907.20 | $1,080 | 3.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $406.56 | $484 | 11.6× |
| Herpes culture (87252) | $260.40 | $310 | 10.0× |
| Herpes simplex type 2 (86696) | $236.88 | $282 | 12.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $70.14 | $83.50 | 13.5× |
| Hfe gene (81256) | $864.36 | $1,029 | 13.2× |
| Histamine plasma (83088) | $231.84 | $276 | 7.9× |
| Histoplasma antibody (86698) | $126.84 | $151 | 9.2× |
| Histoplasma antigen urine (87385) | $236.04 | $281 | 17.8× |
| HIV confirmation (86689) | $611.94 | $728.50 | 31.6× |
| HIV-1 antibody (86701) | $198.24 | $236 | 22.3× |
| HIV-1 genotype (87901) | $1,199.52 | $1,428 | 4.7× |
| HIV-1 integrase genotype (87906) | $607.32 | $723 | 4.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $76.44 | $91 | 5.6× |
| Hla class ii typing high resolution one locus ea (81382) | $135.24 | $161 | 1.1× |
| Hla ii typing 1 allele hr (81383) | $891.24 | $1,061 | 8.2× |
| Hla typing a/b/c multiple antigens (86813) | $1,617 | $1,925 | 27.9× |
| Hla typing dr/dq (86817) | $1,908.48 | $2,272 | 18.0× |
| Hla-b27 (86812) | $355.32 | $423 | 13.8× |
| Homogenization tissue (87176) | $62.16 | $74 | 10.6× |
| Hpv types 16 & 18 only (87625) | $567.84 | $676 | 14.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $391.86 | $466.50 | 11.2× |
| Htlv-i antibody (86687) | $89.04 | $106 | 9.8× |
| Htlv-ii antibody (86688) | $89.04 | $106 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $80.64 | $96 | 3.0× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $70.56 | $84 | 3.9× |
| Iaad ia clostridium difficile toxin (87324) | $131.46 | $156.50 | 11.0× |
| Iaad ia cryptosporidium (87328) | $95.34 | $113.50 | 6.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $49.56 | $59 | 4.8× |
| Iaad ia HIV-1 (87390) | $901.32 | $1,073 | 37.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $131.46 | $156.50 | 5.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $36.96 | $44 | 2.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $52.92 | $63 | 3.8× |
| Iaad ia rotavirus (87425) | $230.16 | $274 | 19.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $77.28 | $92 | 2.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $59.64 | $71 | 5.0× |
| Iaad Ia Streptococcus Group A (87430) | $109.62 | $130.50 | 6.5× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $133.56 | $159 | 4.1× |
| Iaadiadoo not otherwise specified (87899) | $243.60 | $290 | 15.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $75.60 | $90 | 2.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $423.36 | $504 | 12.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $147.84 | $176 | 4.2× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $98.28 | $117 | 4.3× |
| Iadna hepatitis b virus quantification (87517) | $433.44 | $516 | 10.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $412.86 | $491.50 | 9.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $413.28 | $492 | 11.8× |
| Iadna herpes virus-6 quantification (87533) | $572.88 | $682 | 13.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $1,389.36 | $1,654 | 16.3× |
| Iadna human papillomavirus high-risk types (87624) | $180.60 | $215 | 5.1× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $157.92 | $188 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $264.60 | $315 | 7.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $150.36 | $179 | 4.3× |
| Iadna nos amplified probe tq each organism (87798) | $148.68 | $177 | 4.2× |
| Iadna nos quantification each organism (87799) | $528.36 | $629 | 12.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $156.24 | $186 | 4.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,083.60 | $1,290 | 2.6× |
| If varicella-zoster antigen (87290) | $221.76 | $264 | 16.5× |
| Igg subclasses (82787) | $45.36 | $54 | 5.7× |
| Igh gene rearrange amp meth (81261) | $819.84 | $976 | 4.1× |
| Immunfix e-phorsis/urine/csf (86335) | $402.36 | $479 | 13.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $212.52 | $253 | 14.2× |
| Immunoassay nonantibody (83516) | $183.96 | $219 | 16.0× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) | $215.04 | $256 | 17.0× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $96.60 | $115 | 6.0× |
| Immunodiffusion not elsewhere specified (86329) | $166.32 | $198 | 11.8× |
| Immunodiffusion Ouchterlony (86331) | $37.80 | $45 | 3.2× |
| Immunofixj Electrophoresis Serum (86334) | $269.22 | $320.50 | 12.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $157.08 | $187 | 0.9× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $224.28 | $267 | 18.7× |
| Immunoglobulin assay (86023) | $188.16 | $224 | 15.1× |
| Immunoglobulin light chains free each (83521) | $162.12 | $193 | 9.4× |
| Immunohisto Antibody Slide (88344) | $376.32 | $448 | 1.0× |
| Immunohistochemistry (88342) | $362.88 | $432 | 2.1× |
| India ink prep (87210) | $104.16 | $124 | 17.9× |
| Influenza a/b ag eia (87400) | $81.48 | $97 | 5.8× |
| Influenza DNA amp probe (87502) | $404.88 | $482 | 4.2× |
| Inhibin a (86336) | $264.60 | $315 | 17.0× |
| Inhibin b (83520) | $230.16 | $274 | 13.3× |
| Insitu hybridization (fish) (88365) | $529.20 | $630 | 3.0× |
| Insitu hybridization manual (88368) | $637.56 | $759 | 1.7× |
| Insulin antibodies (86337) | $523.32 | $623 | 24.4× |
| Insulin free (83527) | $84 | $100 | 6.5× |
| Insulin total (83525) | $134.40 | $160 | 11.8× |
| Intraop cyto path consult 1 (88333) | $279.72 | $333 | 0.3× |
| Intrinsic factor antibody (86340) | $78.96 | $94 | 5.2× |
| Iron (83540) | $116.76 | $139 | 18.0× |
| Iron binding capacity (83550) | $86.10 | $102.50 | 9.9× |
| Irradiation of blood product (86945) | $126 | $150 | 3.2× |
| Islet cell antibody (86341) | $625.80 | $745 | 26.6× |
| Jak2 gene analysis (81270) | $888.72 | $1,058 | 9.7× |
| Ketosteroids 17; total (83586) | $357.84 | $426 | 28.0× |
| Koh Prep (87220) | $84.84 | $101 | 19.9× |
| Kras gene analysis (81275) | $1,445.64 | $1,721 | 7.5× |
| L/s ratio, fetal lung (83661) | $522.48 | $622 | 23.8× |
| Lactic acid (83605) | $80.22 | $95.50 | 6.9× |
| Lactoferrin fecal qualitative (83630) | $98.28 | $117 | 5.0× |
| Lamellar Body Count (83664) | $36.12 | $43 | 1.9× |
| Ldh (83615) | $66.78 | $79.50 | 11.1× |
| Ldh isoenzymes (83625) | $412.44 | $491 | 32.2× |
| LDL cholesterol direct (83721) | $105.42 | $125.50 | 10.0× |
| Lead (83655) | $88.62 | $105.50 | 7.3× |
| Legion pneumo, DNA, amp prob (87541) | $593.88 | $707 | 16.9× |
| Legionella antibody (86713) | $128.52 | $153 | 8.4× |
| Legionella antigen urine (87449) | $178.92 | $213 | 14.9× |
| Legionella pneumophila dfa (87278) | $110.04 | $131 | 7.1× |
| Leishmania antibody (86717) | $166.32 | $198 | 13.6× |
| Leptospira antibody (86720) | $337.68 | $402 | 20.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $55.86 | $66.50 | 13.1× |
| Level ii surg pathology grossµscopic exam (88302) | $155.40 | $185 | 4.0× |
| Level v surg pathology grossµscopic exam (88307) | $438.48 | $522 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $583.80 | $695 | 0.7× |
| Lh (83002) | $228.48 | $272 | 12.3× |
| Lidocaine level (80176) | $155.40 | $185 | 10.6× |
| Lipase (83690) | $97.86 | $116.50 | 14.2× |
| Lipopro bld electrophoretic (83700) | $256.20 | $305 | 22.8× |
| Listeria ab (86609) | $54.60 | $65 | 4.2× |
| Lithium (80178) | $84 | $100 | 12.7× |
| Lyme disease antibody (86618) | $136.08 | $162 | 8.0× |
| Lyme disease antibody confirm (86617) | $57.12 | $68 | 3.7× |
| Lymph Choriomeningitis Ab (86727) | $104.16 | $124 | 8.1× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $635.04 | $756 | 3.6× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $472.08 | $562 | 2.7× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $502.32 | $598 | 1.3× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $312.48 | $372 | 1.8× |
| Macroscopic exam arthropod (87168) | $63 | $75 | 14.8× |
| Macroscopic exam parasite (87169) | $66.36 | $79 | 15.4× |
| Magnesium (83735) | $57.54 | $68.50 | 8.6× |
| Malaria smear (87207) | $213.36 | $254 | 35.6× |
| Manual cell count each (85032) | $60.48 | $72 | 14.0× |
| Manual Diff Wbc Count B-Coat (85009) | $102.48 | $122 | 20.2× |
| Manual reticulocyte count (85044) | $84 | $100 | 19.5× |
| Mass spectrometry qual/quan (83789) | $216.72 | $258 | 9.0× |
| Measurement of hemolysin (red blood cell destructive substance) (85475) | $140.28 | $167 | 15.8× |
| Mercury (83825) | $186.48 | $222 | 11.5× |
| Metabolic Panel Ionized Ca (80047) | $265.44 | $316 | 19.3× |
| Methotrexate (80299) | $248.64 | $296 | 13.3× |
| Methylmalonic acid serum (83921) | $47.04 | $56 | 2.2× |
| Microalbumin urine (82043) | $66.36 | $79 | 11.5× |
| Microbe Suscept Mycobacteri (87190) | $55.44 | $66 | 7.6× |
| Microbe susceptible diffuse (87181) | $70.56 | $84 | 14.9× |
| Microsatellite instability (81301) | $1,199.52 | $1,428 | 3.4× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $279.72 | $333 | 5.2× |
| Microsomal antibodies (86376) | $143.22 | $170.50 | 9.8× |
| Mitochondrial antibody each (86381) | $173.88 | $207 | 6.8× |
| Mog-igg1 antibody flow cytometry each (86363) | $672 | $800 | 17.8× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $354.48 | $422 | 6.9× |
| Molecular pathology procedure level 2 (81401) | $933.24 | $1,111 | 6.8× |
| Mopath procedure level 4 (81403) | $1,132.32 | $1,348 | 6.1× |
| Morphometric analysis tumor (88358) | $148.68 | $177 | 0.8× |
| Mrsa amp probe (87641) | $143.64 | $171 | 4.1× |
| Mthfr Gene Analysis Common Variants (81291) | $1,010.52 | $1,203 | 15.5× |
| Mucin synovial fluid ropes test (83872) | $116.76 | $139 | 19.9× |
| Muramidase (85549) | $131.88 | $157 | 7.0× |
| Muscle-specific kinase (musk) antibody (86366) | $161.28 | $192 | 8.8× |
| Mycophenolic acid (80180) | $90.72 | $108 | 5.0× |
| Mycoplasma antibody (86738) | $116.76 | $139 | 8.8× |
| Mycoplasma culture (87109) | $138.60 | $165 | 9.0× |
| Mycoplasma genitalium PCR (87563) | $154.56 | $184 | 4.4× |
| Myelin basic protein csf (83873) | $194.88 | $232 | 11.3× |
| Myoglobin urine (83874) | $156.24 | $186 | 12.1× |
| N.gonorrhoeae, DNA, dir prob (87590) | $74.76 | $89 | 2.8× |
| Nasal smear for eosinophils (89190) | $78.12 | $93 | 13.5× |
| Natriuretic peptide (83880) | $107.10 | $127.50 | 2.7× |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) | $99.96 | $119 | 3.4× |
| Nfct ds bv&vaginitis DNA alg (81514) | $490.56 | $584 | 1.9× |
| Niacin (84591) | $44.52 | $53 | 2.6× |
| Nk cells total count (86357) | $120.12 | $143 | 3.2× |
| Nmr Lipoprofile (83704) | $444.36 | $529 | 13.0× |
| Nuclear antigen antibody (86235) | $222.60 | $265 | 12.4× |
| Obstetric panel (80081) | $659.40 | $785 | 8.8× |
| Occult blood stool (82272) | $56.28 | $67 | 13.3× |
| Oligoclonal bands (83916) | $270.48 | $322 | 9.9× |
| Organic Acids Total Quantitative Each Specimen (83918) | $443.52 | $528 | 18.8× |
| Osmolality serum (83930) | $104.16 | $124 | 15.8× |
| Osmolality urine (83935) | $89.88 | $107 | 13.2× |
| Osmotic fragility rbc incubated (85557) | $382.20 | $455 | 28.6× |
| Ova and parasite direct-id lca (87177) | $76.86 | $91.50 | 8.6× |
| Oxalate urine (83945) | $168.84 | $201 | 11.7× |
| Pancreatic elastase fecal (82656) | $228.48 | $272 | 19.8× |
| Pancreatic polypeptide (83519) | $126.84 | $151 | 6.9× |
| Particle Agglutination Screen Each Antibody (86403) | $283.92 | $338 | 24.6× |
| Parvovirus antibody (86747) | $136.08 | $162 | 9.1× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $333.48 | $397 | 4.7× |
| Pertussis dfa (87265) | $330.96 | $394 | 27.6× |
| Phenotype Infect Agent Drug (87900) | $637.56 | $759 | 4.9× |
| Phenylalanine (84030) | $78.96 | $94 | 14.4× |
| Phenytoin free (80186) | $112.56 | $134 | 8.2× |
| Phosphatase acid prostatic (84066) | $107.52 | $128 | 11.1× |
| Phosphatase alkaline (84075) | $57.12 | $68 | 11.0× |
| Phospholipid Neutralization Hexagonal (85598) | $288.96 | $344 | 16.1× |
| Phosphorus blood (84100) | $52.08 | $62 | 11.0× |
| Phosphorus urine (84105) | $112.56 | $134 | 19.5× |
| Pinworm exam (87172) | $53.76 | $64 | 12.6× |
| Plasminogen (85420) | $233.52 | $278 | 35.8× |
| Platelet aggregation (85576) | $326.76 | $389 | 13.1× |
| Platelet count (85049) | $66.36 | $79 | 14.8× |
| Platelet neutralization (85597) | $271.32 | $323 | 15.1× |
| Pooling blood platelets (86965) | $56.28 | $67 | 0.3× |
| Porphobilinogen Urine Qual (84106) | $96.60 | $115 | 16.6× |
| Porphobilinogen urine quant (84110) | $346.92 | $413 | 41.1× |
| Porphyrins qn & fraction urine (84120) | $260.40 | $310 | 17.7× |
| Porphyrins urine qual (84119) | $82.32 | $98 | 6.2× |
| Potassium (84132) | $92.40 | $110 | 19.4× |
| Potassium urine (84133) | $85.68 | $102 | 18.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $85.68 | $102 | 0.5× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $212.52 | $253 | 1.2× |
| Pretx serum rbc antibody identification dilution (86976) | $74.76 | $89 | 2.5× |
| Primidone (80188) | $112.56 | $134 | 6.8× |
| Procainamide napa (80192) | $150.36 | $179 | 9.0× |
| Procalcitonin (pct) (84145) | $328.44 | $391 | 12.1× |
| Progesterone (84144) | $157.92 | $188 | 7.6× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $242.76 | $289 | 3.7× |
| Prolactin (84146) | $141.12 | $168 | 7.3× |
| Protein body fluid (84157) | $57.12 | $68 | 14.3× |
| Protein c activity (85303) | $288.12 | $343 | 20.8× |
| Protein c antigen (85302) | $168.84 | $201 | 14.1× |
| Protein electrophoresis serum (84165) | $122.64 | $146 | 11.4× |
| Protein Electrophoresis Urine (84166) | $327.60 | $390 | 18.4× |
| Protein S Functional (85306) | $479.64 | $571 | 31.3× |
| Protein s total (85305) | $306.60 | $365 | 26.4× |
| Protein Total Serum (84155) | $69.30 | $82.50 | 18.9× |
| Protein urine (84156) | $32.34 | $38.50 | 8.8× |
| Protein Western Blot (84182) | $99.54 | $118.50 | 3.4× |
| Protein westrn blot i&r blood/other fluid (84181) | $301.56 | $359 | 17.7× |
| Prothrombin time substitution (85611) | $84.84 | $101 | 21.5× |
| Protoporphyrin rbc quantitative (84202) | $642.60 | $765 | 44.8× |
| PSA free (84154) | $190.68 | $227 | 10.4× |
| Quantiferon tb gold (86480) | $403.20 | $480 | 6.5× |
| Quinidine (80194) | $165.48 | $197 | 11.3× |
| Rbc antibody elution (86860) | $110.88 | $132 | 0.6× |
| Rbc pretx incubatj w/chemicl (86970) | $131.88 | $157 | 2.2× |
| Rbc serum pretx incubj drugs (86975) | $478.80 | $570 | 1.0× |
| Reagent strip/blood glucose (82948) | $42 | $50 | 8.3× |
| Reducing substances, stool (84376) | $47.88 | $57 | 8.7× |
| Ref consult prep elsewhere (88321) | $721.98 | $859.50 | 18.6× |
| Renin activity plasma (84244) | $215.04 | $256 | 9.8× |
| Resp virus 3-5 targets (87631) | $543.48 | $647 | 3.8× |
| Respiratory viral panel PCR (87633) | $1,918.56 | $2,284 | 4.6× |
| Respiratory Virus (86756) | $166.32 | $198 | 10.5× |
| Reticulated platelet assay (85055) | $157.92 | $188 | 4.4× |
| Reticulocyte Count (85046) | $80.64 | $96 | 14.5× |
| Reticulocyte separation (86972) | $159.60 | $190 | 0.9× |
| Rheumatoid Factor Qual (86430) | $60.06 | $71.50 | 9.8× |
| Rheumatoid factor quant (86431) | $55.44 | $66 | 9.8× |
| Rickettsia antibody (86757) | $75.60 | $90 | 3.9× |
| Rpr Titer (86593) | $34.44 | $41 | 7.8× |
| Rsv (87807) | $30.24 | $36 | 2.3× |
| Rubella antibody (86762) | $148.68 | $177 | 10.3× |
| Russell viper venom time diluted (85613) | $108.36 | $129 | 11.3× |
| Russell Viper Venom Time Undiluted (85612) | $148.68 | $177 | 8.5× |
| Saccharomyces ab iga (86671) | $90.72 | $108 | 7.4× |
| Salicylate (80179) | $359.52 | $428 | 19.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $165.48 | $197 | 3.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $90.72 | $108 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $355.32 | $423 | 2.5× |
| Sed rate automated (85652) | $50.40 | $60 | 18.7× |
| Sedimentation rate (85651) | $37.38 | $44.50 | 8.8× |
| Semen analysis (89322) | $294 | $350 | 19.0× |
| Semen analysis complete (89320) | $294 | $350 | 23.9× |
| Semen analysis sperm presence&/motility sprm (89321) | $91.56 | $109 | 7.6× |
| Semen analysis w/count (89310) | $213.36 | $254 | 24.8× |
| Sensitivity mic (87186) | $98.70 | $117.50 | 11.4× |
| Serotonin Release Assay (86022) | $275.52 | $328 | 15.0× |
| Serum bactericidal titer (87197) | $203.28 | $242 | 13.5× |
| Sex hormone binding globulin (84270) | $259.56 | $309 | 11.9× |
| Sickle cell screen (85660) | $97.44 | $116 | 17.7× |
| Sirolimus (rapamycin) (80195) | $178.08 | $212 | 13.0× |
| Smear acid fast (87206) | $164.64 | $196 | 30.5× |
| Smear complex stain (87209) | $218.40 | $260 | 12.1× |
| Smear gram stain (87205) | $54.60 | $65 | 12.8× |
| Sodium (84295) | $86.52 | $103 | 18.0× |
| Sodium other source (84302) | $53.76 | $64 | 11.1× |
| Sodium urine (84300) | $82.32 | $98 | 16.3× |
| Soluble transferrin receptor (84238) | $483.84 | $576 | 13.2× |
| Somatostatin (84307) | $231 | $275 | 12.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $204.12 | $243 | 1.5× |
| Special stains group 1 (88312) | $138.60 | $165 | 2.6× |
| Specific gravity body fluid (84315) | $37.80 | $45 | 11.5× |
| Spectrophotometry (84311) | $252 | $300 | 31.1× |
| Splitting blood/blood products each unit (86985) | $120.12 | $143 | 0.7× |
| Stem cells total count (86367) | $874.44 | $1,041 | 11.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $86.10 | $102.50 | 9.1× |
| Strep a assay w/optic (87880) | $97.86 | $116.50 | 5.9× |
| Strep a DNA amp probe (87651) | $149.52 | $178 | 4.3× |
| Strep b DNA amp probe (87653) | $92.40 | $110 | 2.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $156.24 | $186 | 1.7× |
| Sulfate urine (84392) | $53.76 | $64 | 9.8× |
| Surg path level iii (88304) | $232.68 | $277 | 4.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $135.24 | $161 | 4.5× |
| Surgical pathology level IV (88305) | $337.68 | $402 | 6.2× |
| Susceptibility study antimicrobial disk method (87184) | $96.60 | $115 | 12.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $233.52 | $278 | 5.0× |
| T cells, total count (86359) | $233.52 | $278 | 6.2× |
| T3 free (84481) | $212.52 | $253 | 12.5× |
| T3 reverse (84482) | $288.96 | $344 | 18.3× |
| T3 total (84480) | $59.64 | $71 | 4.2× |
| T3 uptake (84479) | $63 | $75 | 9.7× |
| T4 Free (84439) | $81.48 | $97 | 9.0× |
| T4 total (84436) | $68.46 | $81.50 | 10.0× |
| T4-neonatal (84437) | $26.88 | $32 | 4.2× |
| Tb intradermal test (86580) | $244.96 | $291.62 | 8.2× |
| Test for acetone/ketones (82009) | $49.56 | $59 | 11.0× |
| Test rbc protoporphyrin (84203) | $23.52 | $28 | 2.4× |
| Testosterone free (84402) | $125.58 | $149.50 | 4.9× |
| Testosterone total (84403) | $170.10 | $202.50 | 6.6× |
| Theophylline (80198) | $92.82 | $110.50 | 6.6× |
| Thin prep pap (88142) | $84 | $100 | 4.1× |
| Thiocyanate (84430) | $74.76 | $89 | 6.4× |
| Thrombin time plasma (85670) | $64.26 | $76.50 | 11.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $115.92 | $138 | 17.9× |
| Thyroglobulin (84432) | $271.32 | $323 | 16.9× |
| Thyroglobulin Ab (86800) | $154.56 | $184 | 9.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $416.64 | $496 | 8.2× |
| Thyroxine binding globulin (84442) | $57.12 | $68 | 3.9× |
| Tiagabine (80199) | $220.92 | $263 | 8.1× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $796.32 | $948 | 5.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $178.08 | $212 | 15.4× |
| Tissue culture bone marrow (88237) | $987.84 | $1,176 | 6.9× |
| Tissue Culture Lymphocyte (88230) | $698.88 | $832 | 6.0× |
| Tissue culture placenta (88235) | $828.24 | $986 | 5.5× |
| Tissue culture solid tumor (88239) | $845.88 | $1,007 | 5.7× |
| Tobramycin peak (80200) | $174.72 | $208 | 10.8× |
| Topiramate (80201) | $197.40 | $235 | 16.6× |
| Touch prep (88161) | $1,760.64 | $2,096 | 58.6× |
| Toxoplasma ab igm (86778) | $126.84 | $151 | 8.8× |
| Toxoplasma antibody igg (86777) | $126.84 | $151 | 8.8× |
| Tpmt gene com variants (81335) | $982.80 | $1,170 | 5.6× |
| Transferrin (84466) | $63 | $75 | 4.9× |
| Trichinella antibody (86784) | $123.48 | $147 | 9.8× |
| Trichomonas vagin dir probe (87660) | $128.94 | $153.50 | 6.4× |
| Triglycerides (84478) | $65.94 | $78.50 | 11.5× |
| Troponin (84484) | $140.28 | $167 | 11.2× |
| Troponin i qualitative (84512) | $110.04 | $131 | 10.9× |
| Tyrosine (84510) | $214.20 | $255 | 20.2× |
| Unlisted transfusion medicine procedure (86999) | $168.42 | $200.50 | 5.6× |
| Urea nitrogen (84520) | $73.92 | $88 | 18.7× |
| Urea nitrogen urine (84540) | $97.44 | $116 | 17.5× |
| Uric acid blood (84550) | $62.58 | $74.50 | 13.8× |
| Uric acid other source (84560) | $126.84 | $151 | 25.0× |
| Urinalysis microscopic only (81015) | $63.84 | $76 | 20.9× |
| Urinalysis w/microscopic (81001) | $62.16 | $74 | 19.6× |
| Urine microalbumin (protein) analysis (82044) | $57.96 | $69 | 9.3× |
| Urine pregnancy test (81025) | $105 | $125 | 12.2× |
| Urine volume measurement (81050) | $35.28 | $42 | 9.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $29.82 | $35.50 | 13.3× |
| Urobilinogen (84578) | $33.60 | $40 | 7.5× |
| Valproic acid level (80164) | $139.02 | $165.50 | 10.3× |
| Vancomycin trough (80202) | $186.48 | $222 | 13.8× |
| Varicella-zoster antibody (86787) | $188.16 | $224 | 14.6× |
| Vasoactive intestinal peptide (vip) (84586) | $329.28 | $392 | 9.3× |
| Vasopressin (84588) | $152.04 | $181 | 4.5× |
| Vdrl csf (86592) | $46.20 | $55 | 10.8× |
| Very long chain fatty acids (82726) | $66.36 | $79 | 3.4× |
| Virus antibody nos (86790) | $115.08 | $137 | 8.9× |
| Virus inoculate tissue addl (87253) | $145.32 | $173 | 7.2× |
| Virus inoculation, shell via (87254) | $85.68 | $102 | 4.4× |
| Viscosity serum (85810) | $78.96 | $94 | 6.8× |
| Vitamin A (84590) | $108.78 | $129.50 | 9.4× |
| Vitamin b-12 (82607) | $101.22 | $120.50 | 6.7× |
| Vitamin b1 (thiamine) (84425) | $173.88 | $207 | 8.2× |
| Vitamin b6 (84207) | $235.20 | $280 | 8.4× |
| Vitamin C (82180) | $131.88 | $157 | 13.3× |
| Vitamin D 25-Hydroxy (82306) | $194.04 | $231 | 6.6× |
| Vitamin e serum (84446) | $218.40 | $260 | 15.4× |
| Von willebrand factor activity (85245) | $307.44 | $366 | 13.4× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $207.48 | $247 | 24.1× |
| West nile virus ab, igm (86788) | $196.56 | $234 | 11.7× |
| West nile virus antibody (86789) | $196.56 | $234 | 13.7× |
| Xylose Absorption Test (84620) | $183.96 | $219 | 14.2× |
| Zinc (84630) | $74.76 | $89 | 6.6× |