Lab & pathology prices at Choctaw Memorial Hospital
Hugo, OK · every code in this section with a posted price and a Medicare benchmark.
529 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) | $99 | $198 | 2.6× |
| 17-Hydroxycorticosteroids (83491) | $65.50 | $131 | 3.7× |
| 5 Hiaa (83497) | $69 | $138 | 5.3× |
| Acetaminophen level (80143) | $59.50 | $119 | 3.2× |
| Activated protein c resistance (85307) | $36 | $72 | 2.3× |
| Acute hepatitis panel (80074) | $132 | $264 | 2.8× |
| Acylcarnitine Plasma (82017) | $35 | $70 | 2.1× |
| Afb culture (87116) | $73 | $146 | 6.8× |
| Agglutinins febrile (86000) | $49.50 | $99 | 7.1× |
| Albumin Fluid (82042) | $16.50 | $33 | 2.1× |
| Albumin serum (82040) | $23.50 | $47 | 4.7× |
| Aldolase (82085) | $22 | $44 | 2.3× |
| Aldosterone urine (82088) | $91.50 | $183 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $33 | $66 | 2.2× |
| Allergen specific ige (86003) | $176 | $352 | 33.7× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $18 | $36 | 2.3× |
| Allg Spec Ige Recomb Ea (86008) | $30 | $60 | 1.7× |
| Alpha-1-antitrypsin phenotype (82104) | $34.50 | $69 | 2.4× |
| Alpha-1-antitrypsin, total (82103) | $40.50 | $81 | 3.0× |
| Alpha-fetoprotein amniotic (82106) | $57.50 | $115 | 3.4× |
| Alpha-fetoprotein, serum (82105) | $50.50 | $101 | 3.0× |
| Alt (sgpt) (84460) | $26.50 | $53 | 5.0× |
| Amikacin trough (80150) | $56 | $112 | 3.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $41 | $82 | 2.4× |
| Amino Acids, Single Quantitation (82131) | $38 | $76 | 1.7× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) | $71.50 | $143 | 5.0× |
| Aminolevulinic acid (ala) (82135) | $37 | $74 | 2.2× |
| Ammonia (82140) | $45 | $90 | 3.1× |
| Amylase urine (82150) | $41 | $82 | 6.3× |
| Angiotensin i enzyme test (82164) | $55 | $110 | 3.8× |
| Antibody aspergillus (86606) | $40 | $80 | 2.7× |
| Antibody cytomegalovirus cmv (86644) | $34 | $68 | 2.4× |
| Antibody Encephalitis St. Louis (86653) | $29.50 | $59 | 2.2× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $52.50 | $105 | 4.0× |
| Antibody helicobacter pylori (86677) | $53.50 | $107 | 3.2× |
| Antibody herpes smplx type 1 (86695) | $51.50 | $103 | 3.9× |
| Antibody identification (86870) | $284 | $568 | 0.8× |
| Antibody mumps (86735) | $35.50 | $71 | 2.7× |
| Antibody Protozoa Nes (86753) | $40 | $80 | 3.2× |
| Antibody rubeola (86765) | $32 | $64 | 2.5× |
| Antibody screen (86850) | $210.75 | $421.50 | 21.6× |
| Antibody treponema pallidum (86780) | $41.50 | $83 | 3.1× |
| Antibody; Coccidioides (86635) | $40.50 | $81 | 3.5× |
| Antigen typing (86905) | $276.50 | $553 | 72.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $156 | $312 | 30.1× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $84 | $168 | 7.0× |
| Antinuclear antibodies (86038) | $25 | $50 | 2.1× |
| Antistreptolysin o titer (86060) | $33 | $66 | 4.5× |
| Antithrombin iii activity (85300) | $60 | $120 | 5.1× |
| Antithrombin iii antigen (85301) | $25.50 | $51 | 2.4× |
| Apolipoprotein b (82172) | $205.50 | $411 | 9.7× |
| Aquaporin-4 Antb Elisa (86051) | $22 | $44 | 1.9× |
| Arsenic Urine (82175) | $183.50 | $367 | 9.7× |
| Assay direct measurement free estradiol (82681) | $49.50 | $99 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $30.50 | $61 | 2.2× |
| Assay of acth (82024) | $87 | $174 | 2.3× |
| Assay of androstenedione (82157) | $53 | $106 | 1.8× |
| Assay of blood chloride (82435) | $12.50 | $25 | 2.7× |
| Assay of c-peptide (84681) | $51.50 | $103 | 2.5× |
| Assay of ceruloplasmin (82390) | $24 | $48 | 2.2× |
| Assay of cyclosporine (80158) | $40.50 | $81 | 2.2× |
| Assay of erythropoietin (82668) | $50.50 | $101 | 2.7× |
| Assay of ethosuximide (80168) | $97 | $194 | 5.9× |
| Assay of ferritin (82728) | $46.50 | $93 | 3.4× |
| Assay of g6pd enzyme (82955) | $22 | $44 | 2.3× |
| Assay of gammaglobulin igm (82784) | $29.50 | $59 | 3.2× |
| Assay of gastrin (82941) | $45 | $90 | 2.6× |
| Assay of gentamicin (80170) | $41 | $82 | 2.5× |
| Assay of homocystine (83090) | $103.50 | $207 | 5.8× |
| Assay of lipoprotein(a) (83695) | $30 | $60 | 2.1× |
| Assay of manganese (83785) | $49.50 | $99 | 1.9× |
| Assay of metanephrines (83835) | $71.50 | $143 | 4.2× |
| Assay of parathormone (83970) | $104 | $208 | 2.5× |
| Assay of phenobarbital (80184) | $56 | $112 | 3.7× |
| Assay of phosphatase acid total (84060) | $36.50 | $73 | 4.8× |
| Assay of prealbumin (84134) | $33 | $66 | 2.3× |
| Assay of proinsulin (84206) | $557 | $1,114 | 20.9× |
| Assay of prostate specific antigen complexed (84152) | $41.50 | $83 | 2.3× |
| Assay of pyruvate (84210) | $30 | $60 | 2.1× |
| Assay of selenium (84255) | $59.50 | $119 | 2.3× |
| Assay of serotonin (84260) | $46 | $92 | 1.5× |
| Assay of somatomedin (84305) | $48 | $96 | 2.3× |
| Assay of tacrolimus (80197) | $193.50 | $387 | 14.1× |
| Assay of urine vma (84585) | $52.50 | $105 | 3.4× |
| Assay of vitamin k (84597) | $194 | $388 | 14.1× |
| Assay Ph Body Fluid Nos (83986) | $14.50 | $29 | 4.1× |
| Assay Thiopurine S-Methyltransferase (84433) | $37.50 | $75 | 1.7× |
| Ast (sgot) (84450) | $26.50 | $53 | 5.1× |
| Automated rbc count (85041) | $8 | $16 | 2.6× |
| B cells total count (86355) | $69 | $138 | 1.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $82 | $164 | 3.2× |
| Beta hydroxybutyrate (82010) | $39.50 | $79 | 4.8× |
| Beta Lactamase (87185) | $10 | $20 | 2.1× |
| Beta-2 microglobulin (82232) | $69 | $138 | 4.3× |
| Bilirubin direct (82248) | $23.50 | $47 | 4.7× |
| Bilirubin total (82247) | $26.50 | $53 | 5.3× |
| Biotinidase ea specimen (82261) | $43 | $86 | 2.5× |
| Bl Smear W/Diff Wbc Count (85007) | $11 | $22 | 2.9× |
| Bleeding time (85002) | $12 | $24 | 2.5× |
| Blood count reticulocyte automated (85045) | $26 | $52 | 6.5× |
| Blood gases (82803) | $64.50 | $129 | 2.5× |
| Blood gases w/02 saturation (82805) | $118.50 | $237 | 1.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $10 | $20 | 2.3× |
| Blood Ph - Ph Venous (82800) | $29.50 | $59 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $276.50 | $553 | 43.5× |
| Blood typing abo (86900) | $82 | $164 | 27.4× |
| Blood typing serologic rh (d) (86901) | $43 | $86 | 14.4× |
| Body fluid cell count (89051) | $27.50 | $55 | 4.9× |
| Bone Marrow Smear Interpretation (85097) | $681.50 | $1,363 | 0.9× |
| Bordetella antibody (86615) | $31 | $62 | 2.4× |
| Brucella antibody (86622) | $48 | $96 | 5.4× |
| C diff amplified probe (87493) | $107 | $214 | 2.9× |
| C-reactive protein (86140) | $22 | $44 | 4.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $40.50 | $81 | 3.1× |
| Ca 125 (86304) | $49 | $98 | 2.4× |
| Ca 19-9 (86301) | $106.50 | $213 | 5.1× |
| Ca 27 29 (86300) | $70 | $140 | 3.4× |
| Cadmium level (82300) | $52 | $104 | 2.2× |
| Calcium ionized (82330) | $38.50 | $77 | 2.8× |
| Calcium total (82310) | $27 | $54 | 5.2× |
| Calcium urine (82340) | $32 | $64 | 5.3× |
| Calculus Spectroscopy (82365) | $53.50 | $107 | 4.1× |
| California encephalitis ab (86651) | $98.50 | $197 | 7.5× |
| Calprotectin, fecal (83993) | $33 | $66 | 1.7× |
| Carbamazepine (tegretol) total (80156) | $55 | $110 | 3.8× |
| Carbon dioxide (82374) | $16.50 | $33 | 3.4× |
| Carboxyhemoglobin Quantitative (82375) | $56.50 | $113 | 4.6× |
| Carcinoembryonic antigen (82378) | $60.50 | $121 | 3.2× |
| Cardiolipin ab igg (86147) | $57.50 | $115 | 2.3× |
| Carotene (82380) | $65.50 | $131 | 7.1× |
| Catecholamines fraction plasma (82384) | $89.50 | $179 | 3.5× |
| Cd4 absolute count (86361) | $64 | $128 | 2.4× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $276.50 | $553 | 2.0× |
| Chemiluminescent assay (82397) | $51 | $102 | 3.6× |
| Chlamydia Igm Antibody (86632) | $33 | $66 | 2.6× |
| Chloride urine (82436) | $15 | $30 | 2.6× |
| Cholesterol total (82465) | $27 | $54 | 6.2× |
| Cholinesterase serum (82480) | $41.50 | $83 | 5.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $335 | $670 | 2.7× |
| Chromium urine (82495) | $47.50 | $95 | 2.3× |
| Chromogenic substrate assay (85130) | $27.50 | $55 | 2.3× |
| Chromogranin a (86316) | $35 | $70 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $94.50 | $189 | 2.7× |
| Citrate (82507) | $62.50 | $125 | 2.2× |
| Ck isoenzymes (82552) | $67 | $134 | 5.0× |
| Ckmb (82553) | $43.50 | $87 | 3.8× |
| Clot factor viii vw antigen (85246) | $51.50 | $103 | 2.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $65.50 | $131 | 3.7× |
| Clot factor xiii fibrin stab (85290) | $33 | $66 | 2.0× |
| Clotting time (85345) | $13.50 | $27 | 2.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $88 | $176 | 3.7× |
| Cold agglutinin titer (86157) | $25.50 | $51 | 3.2× |
| Collagen cross links (82523) | $148 | $296 | 7.9× |
| Compatibility test antiglob (86922) | $177.50 | $355 | 1.1× |
| Complement c3 (86160) | $44 | $88 | 3.7× |
| Complement total ch50 (86162) | $65 | $130 | 3.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $44 | $88 | 3.7× |
| Concentration Infectious Agent (87015) | $16.50 | $33 | 2.5× |
| Coombs direct (86880) | $76 | $152 | 14.1× |
| Coombs Test Indirect Qual (86885) | $156 | $312 | 27.3× |
| Copper urine (82525) | $36 | $72 | 2.9× |
| Cortisol free (82530) | $37.50 | $75 | 2.2× |
| Cortisol total (82533) | $43 | $86 | 2.6× |
| Creatine kinase total (82550) | $48.50 | $97 | 7.5× |
| Creatinine blood (82565) | $27 | $54 | 5.3× |
| Creatinine clearance (82575) | $46 | $92 | 4.9× |
| Creatinine other source (82570) | $23.50 | $47 | 4.5× |
| Crossmatch immediate spin (86920) | $156 | $312 | 1.0× |
| Cryoglobulin (82595) | $14.50 | $29 | 2.2× |
| Cryptococcus antibody (86641) | $51 | $102 | 3.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $19.50 | $39 | 2.4× |
| Culture Aerobic Identify (87077) | $63 | $126 | 7.8× |
| Culture anaerobic (87075) | $21.50 | $43 | 2.3× |
| Culture blood (87040) | $47 | $94 | 4.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $39.50 | $79 | 5.1× |
| Culture fungus id yeast (87106) | $33 | $66 | 3.2× |
| Culture fungus other (87102) | $40 | $80 | 4.8× |
| Culture genital (87070) | $39.50 | $79 | 4.6× |
| Culture screen only (87081) | $39.50 | $79 | 6.0× |
| Culture stool (87045) | $21.50 | $43 | 2.3× |
| Culture urine (87086) | $47 | $94 | 5.8× |
| Culture urine id ea isolate (87088) | $30 | $60 | 3.7× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $172.50 | $345 | 1.5× |
| Cyanide (82600) | $69 | $138 | 3.6× |
| Cyclic Citrullinated Peptide (86200) | $29 | $58 | 2.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $175 | $350 | 4.1× |
| Cytopath cell enhance tech (88112) | $155 | $310 | 3.1× |
| Cytp concentration smears & interpretation (88108) | $116 | $232 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $206 | $412 | 4.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $31.50 | $63 | 1.7× |
| D-Dimer (85379) | $99 | $198 | 9.7× |
| Deoxyribonuclease antibody (86215) | $63.50 | $127 | 4.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $34.50 | $69 | 2.1× |
| Detection test by immunoassay technique for cytomegalovirus (87332) | $195 | $390 | 16.3× |
| Dhea (82626) | $87 | $174 | 3.4× |
| Dhea sulfate (82627) | $50 | $100 | 2.2× |
| Digoxin (80162) | $49.50 | $99 | 3.7× |
| Dilantin (80185) | $46.50 | $93 | 3.5× |
| Dipropylacetic acid free (80165) | $28 | $56 | 2.1× |
| Dna Antibody Single Stranded (86226) | $27.50 | $55 | 2.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $31 | $62 | 2.3× |
| DNA/RNA direct probe (87149) | $45 | $90 | 2.2× |
| Drug assay adalimumab (80145) | $60 | $120 | 1.6× |
| Drug assay flecainide (80181) | $31.50 | $63 | 1.7× |
| Drug Assay Infliximab (80230) | $64 | $128 | 1.7× |
| Drug Screen Quant Gabapentin (80171) | $86.50 | $173 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $86 | 3.2× |
| Drug Scrn Quan Levetiracetam (80177) | $86.50 | $173 | 6.5× |
| Drug scrn quant oxcarbazepin (80183) | $73.50 | $147 | 5.5× |
| Drug test prsmv chem anlyzr (80307) | $120 | $240 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $36 | $72 | 2.9× |
| Ehrlichia antibody (86666) | $80.25 | $160.50 | 7.9× |
| Elastase pancreatic fecal quantitative (82653) | $35 | $70 | 1.5× |
| Electrolyte panel (80051) | $54.50 | $109 | 7.8× |
| Endomysial antibody iga (86255) | $28 | $56 | 2.3× |
| Enterovirus antibody (86658) | $54.50 | $109 | 4.2× |
| Enterovirus Pcr (87498) | $79 | $158 | 2.3× |
| Eosinophil count (85048) | $12 | $24 | 4.7× |
| Estradiol (82670) | $68.50 | $137 | 2.5× |
| Estriol (82677) | $54.50 | $109 | 2.3× |
| Estrogens total (82672) | $85 | $170 | 3.9× |
| Ethylene glycol (82693) | $33.50 | $67 | 2.2× |
| Everolimus (80169) | $32.50 | $65 | 2.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $21 | $42 | 2.9× |
| F2 gene analysis 20210g >a variant (81240) | $111 | $222 | 1.7× |
| F5 gene (81241) | $137.50 | $275 | 1.9× |
| Factor ii activity (85210) | $24.50 | $49 | 1.9× |
| Factor ix activity (85250) | $251 | $502 | 13.2× |
| Factor vii assay (85230) | $114.50 | $229 | 6.4× |
| Factor viii ahg (85240) | $46.75 | $93.50 | 2.6× |
| Factor viii related antigen (85244) | $121 | $242 | 5.9× |
| Factor viii vw multimetric (85247) | $51.50 | $103 | 2.2× |
| Fecal fat qual (82705) | $12 | $24 | 2.4× |
| Fecal fat quant (82710) | $30 | $60 | 1.8× |
| Fibrin degradation products (85362) | $46.50 | $93 | 6.7× |
| Fibrinogen activity (85384) | $35.50 | $71 | 3.7× |
| Flow cytometry first marker (88184) | $284 | $568 | 0.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $112 | $224 | 9.3× |
| Fmr1 gene detection (81243) | $175 | $350 | 3.1× |
| Folate serum (82746) | $44 | $88 | 3.0× |
| Folic acid rbc (82747) | $69.50 | $139 | 3.9× |
| Follicle Stimulating Hormone (83001) | $54.50 | $109 | 2.9× |
| Francisella Tularensis (86668) | $45 | $90 | 3.2× |
| Fresh frozen plasma thawing each unit (86927) | $284 | $568 | 1.7× |
| Fructosamine (82985) | $34 | $68 | 2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $22.50 | $45 | 2.2× |
| Galactose (82760) | $27.50 | $55 | 2.5× |
| Gammaglobulin ige (82785) | $47 | $94 | 2.9× |
| Gastric Occult Blood (82271) | $10 | $20 | 1.9× |
| Ggt (82977) | $27 | $54 | 3.8× |
| Giardia antigen eia stool (87329) | $27 | $54 | 2.3× |
| Giardia lamblia antibody (86674) | $43.50 | $87 | 3.0× |
| Glucose (82947) | $46 | $92 | 11.7× |
| Glucose body fluid (82945) | $25 | $50 | 6.4× |
| Glucose post dose (82950) | $49.50 | $99 | 10.4× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $21 | $42 | 5.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $63 | $126 | 4.9× |
| Gonadotropin releasing hormone (83727) | $295 | $590 | 17.2× |
| Growth hormone (83003) | $31 | $62 | 1.9× |
| Haloperidol (haldol) (80173) | $76.50 | $153 | 4.8× |
| Haptoglobin (83010) | $41 | $82 | 3.3× |
| Hcg qualitative (84703) | $29 | $58 | 3.9× |
| Hcg quant (84702) | $49.50 | $99 | 3.3× |
| Hdl Cholesterol (83718) | $25.50 | $51 | 3.1× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $51 | $102 | 2.4× |
| Hematocrit (85014) | $10 | $20 | 4.2× |
| Hemoglobin (85018) | $10 | $20 | 4.2× |
| Hemoglobin a1c (83036) | $35.50 | $71 | 3.7× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $40.50 | $81 | 2.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $84 | $168 | 10.2× |
| Heparin assay (85520) | $22.50 | $45 | 1.7× |
| Hepatitis a antibody total (86708) | $37 | $74 | 3.0× |
| Hepatitis a igm (86709) | $37 | $74 | 3.3× |
| Hepatitis b core ab igm (86705) | $27 | $54 | 2.3× |
| Hepatitis b core antibody total (86704) | $46.50 | $93 | 3.9× |
| Hepatitis B Surface Ab (86706) | $24.50 | $49 | 2.3× |
| Hepatitis B Surface Antigen (87340) | $46.50 | $93 | 4.5× |
| Hepatitis be antibody (86707) | $29.50 | $59 | 2.5× |
| Hepatitis Be Antigen (87350) | $29 | $58 | 2.5× |
| Hepatitis c antibody (86803) | $134 | $268 | 9.4× |
| Hepatitis C Genotype (87902) | $579.50 | $1,159 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $87.50 | $175 | 2.5× |
| Herpes culture (87252) | $64 | $128 | 2.5× |
| Herpes simplex type 2 (86696) | $51.50 | $103 | 2.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $32 | $64 | 6.2× |
| Heterophile antibody titer (86309) | $30.50 | $61 | 4.7× |
| Hexa gene analysis common variants (81255) | $122.50 | $245 | 2.4× |
| Histamine plasma (83088) | $49.50 | $99 | 1.7× |
| Histoplasma antigen urine (87385) | $112.50 | $225 | 8.5× |
| HIV confirmation (86689) | $64 | $128 | 3.3× |
| HIV-1 antibody (86701) | $20 | $40 | 2.2× |
| HIV-1 genotype (87901) | $121.50 | $243 | 0.5× |
| HIV-1 integrase genotype (87906) | $214 | $428 | 1.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $38.50 | $77 | 2.8× |
| Hla b 27 disease association lc (81374) | $209.50 | $419 | 2.8× |
| Hla class i typing high resolution one allele or allele group (81381) | $280 | $560 | 1.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $132 | $264 | 3.8× |
| Hydroxyprogesterone 17-d (83498) | $61 | $122 | 2.2× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $53.50 | $107 | 3.0× |
| Iaad ia clostridium difficile toxin (87324) | $28 | $56 | 2.3× |
| Iaad ia cryptosporidium (87328) | $27 | $54 | 2.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $47.25 | $94.50 | 2.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $28 | $56 | 1.9× |
| Iaad ia rotavirus (87425) | $58 | $116 | 4.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $50 | $100 | 1.4× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $27 | $54 | 2.3× |
| Iaadiadoo not otherwise specified (87899) | $27 | $54 | 1.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $105.50 | $211 | 1.5× |
| Iadna hepatitis b virus quantification (87517) | $545.50 | $1,091 | 12.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $210.50 | $421 | 4.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $499 | $998 | 14.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $363.50 | $727 | 4.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $94.50 | $189 | 2.7× |
| Iadna nos amplified probe tq each organism (87798) | $158 | $316 | 4.5× |
| Iadna nos quantification each organism (87799) | $97 | $194 | 2.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $60 | $120 | 1.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $848.50 | $1,697 | 2.0× |
| Igg subclasses (82787) | $18 | $36 | 2.2× |
| Immunfix e-phorsis/urine/csf (86335) | $66 | $132 | 2.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $25 | $50 | 1.7× |
| Immunoassay nonantibody (83516) | $27 | $54 | 2.3× |
| Immunoassay with direct visual observation for streptococcus (87802) | $69 | $138 | 5.4× |
| Immunofixj Electrophoresis Serum (86334) | $50.50 | $101 | 2.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $284 | $568 | 1.7× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $27.50 | $55 | 2.3× |
| Immunoglobulin light chains free each (83521) | $60 | $120 | 3.5× |
| Immunohistochemistry (88342) | $284 | $568 | 1.7× |
| India ink prep (87210) | $96 | $192 | 16.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) | $363.50 | $727 | 6.2× |
| Influenza DNA amp probe (87502) | $142.50 | $285 | 1.5× |
| Inhibin a (86336) | $32.50 | $65 | 2.1× |
| Inhibin b (83520) | $28.50 | $57 | 1.7× |
| Insitu hybridization manual (88368) | $307.50 | $615 | 0.9× |
| Insulin antibodies (86337) | $180.50 | $361 | 8.4× |
| Insulin total (83525) | $41 | $82 | 3.6× |
| Iron (83540) | $18.50 | $37 | 2.9× |
| Iron binding capacity (83550) | $54 | $108 | 6.2× |
| Irradiation of blood product (86945) | $87 | $174 | 2.4× |
| Islet cell antibody (86341) | $60.50 | $121 | 2.6× |
| Ketosteroids 17; total (83586) | $39.50 | $79 | 3.1× |
| Lactic acid (83605) | $31.50 | $63 | 2.7× |
| Lactoferrin Fecal Quantitative (83631) | $34 | $68 | 1.7× |
| Ldh (83615) | $29 | $58 | 4.8× |
| Ldh isoenzymes (83625) | $49.50 | $99 | 3.9× |
| LDL cholesterol direct (83721) | $21.50 | $43 | 2.0× |
| Lead (83655) | $38.50 | $77 | 3.2× |
| Legionella antibody (86713) | $53 | $106 | 3.5× |
| Legionella antigen urine (87449) | $103 | $206 | 8.6× |
| Legionella pneumophila dfa (87278) | $33 | $66 | 2.1× |
| Leptospira antibody (86720) | $29.50 | $59 | 1.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $13.50 | $27 | 3.2× |
| Level ii surg pathology grossµscopic exam (88302) | $80 | $160 | 2.2× |
| Level v surg pathology grossµscopic exam (88307) | $284 | $568 | 0.8× |
| Level vi surg pathology grossµscopic exam (88309) | $681.50 | $1,363 | 0.9× |
| Lh (83002) | $53.50 | $107 | 2.9× |
| Lipase (83690) | $41 | $82 | 6.0× |
| Lithium (80178) | $31.50 | $63 | 4.8× |
| Lyme disease antibody (86618) | $75 | $150 | 4.4× |
| Lyme disease antibody confirm (86617) | $70 | $140 | 4.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $284 | $568 | 1.7× |
| Macroscopic exam parasite (87169) | $10 | $20 | 2.3× |
| Magnesium (83735) | $31.50 | $63 | 4.7× |
| Malaria smear (87207) | $60.50 | $121 | 10.1× |
| Mass spectrometry qual/quan (83789) | $42 | $84 | 1.7× |
| Mecp2 gene dup/delet variant (81304) | $44.50 | $89 | 0.3× |
| Mercury (83825) | $36.50 | $73 | 2.2× |
| Methylmalonic acid serum (83921) | $62 | $124 | 2.9× |
| Microalbumin urine (82043) | $46.50 | $93 | 8.0× |
| Microbe susceptible diffuse (87181) | $7 | $14 | 1.5× |
| Microsomal antibodies (86376) | $59.50 | $119 | 4.1× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $22 | $44 | 1.8× |
| Mthfr Gene Analysis Common Variants (81291) | $107.50 | $215 | 1.6× |
| Mucopolysaccharides acid quantitative (83864) | $43.50 | $87 | 1.5× |
| Muramidase (85549) | $42 | $84 | 2.2× |
| Mycobacteric Identification (87118) | $30 | $60 | 2.1× |
| Mycophenolic acid (80180) | $33 | $66 | 1.8× |
| Mycoplasma antibody (86738) | $60.50 | $121 | 4.6× |
| Mycoplasma genitalium PCR (87563) | $52.50 | $105 | 1.5× |
| Myelin basic protein csf (83873) | $69 | $138 | 4.0× |
| Myoglobin urine (83874) | $65.50 | $131 | 5.1× |
| N.gonorrhoeae, DNA, dir prob (87590) | $70 | $140 | 2.6× |
| Natriuretic peptide (83880) | $148 | $296 | 3.8× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $124 | $248 | 1.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $430.50 | $861 | 16.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $733.50 | $1,467 | 1.5× |
| Nk cells total count (86357) | $69 | $138 | 1.8× |
| Nuclear antigen antibody (86235) | $40.50 | $81 | 2.3× |
| Organic Acids Qual Each (83919) | $40.50 | $81 | 2.5× |
| Osmolality serum (83930) | $29.50 | $59 | 4.5× |
| Osmolality urine (83935) | $29.50 | $59 | 4.3× |
| Ova and parasite direct-id lca (87177) | $53.50 | $107 | 6.0× |
| Oxalate urine (83945) | $44 | $88 | 3.0× |
| Pancreatic polypeptide (83519) | $99 | $198 | 5.4× |
| Particle Agglutination Screen Each Antibody (86403) | $35 | $70 | 3.0× |
| Parvovirus antibody (86747) | $332 | $664 | 22.1× |
| Phenotype Infect Agent Drug (87900) | $214 | $428 | 1.6× |
| Phenylalanine (84030) | $15.50 | $31 | 2.8× |
| Phenytoin free (80186) | $31 | $62 | 2.3× |
| Phosphatase alkaline (84075) | $16.50 | $33 | 3.2× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $60 | 1.7× |
| Phosphorus blood (84100) | $27 | $54 | 5.7× |
| Phosphorus urine (84105) | $24 | $48 | 4.2× |
| Pinworm exam (87172) | $13 | $26 | 3.0× |
| Platelet count (85049) | $16.50 | $33 | 3.7× |
| Porphobilinogen urine quant (84110) | $19 | $38 | 2.3× |
| Porphyrins qn & fraction urine (84120) | $59 | $118 | 4.0× |
| Potassium (84132) | $25.50 | $51 | 5.4× |
| Potassium urine (84133) | $25 | $50 | 5.3× |
| Primidone (80188) | $46.50 | $93 | 2.8× |
| Procainamide napa (80192) | $59 | $118 | 3.5× |
| Procalcitonin (pct) (84145) | $49.50 | $99 | 1.8× |
| Progesterone (84144) | $53 | $106 | 2.5× |
| Prolactin (84146) | $64 | $128 | 3.3× |
| Prostaglandin Ea (84150) | $67.50 | $135 | 1.6× |
| Protein body fluid (84157) | $25 | $50 | 6.3× |
| Protein c activity (85303) | $78.50 | $157 | 5.7× |
| Protein electrophoresis serum (84165) | $40.50 | $81 | 3.8× |
| Protein Electrophoresis Urine (84166) | $40 | $80 | 2.2× |
| Protein S Functional (85306) | $78.50 | $157 | 5.1× |
| Protein Total Serum (84155) | $27 | $54 | 7.4× |
| Protein urine (84156) | $12 | $24 | 3.3× |
| Protein Western Blot (84182) | $121 | $242 | 4.1× |
| Protoporphyrin rbc quantitative (84202) | $34 | $68 | 2.4× |
| PSA free (84154) | $183 | $366 | 10.0× |
| Quantiferon tb gold (86480) | $139.50 | $279 | 2.3× |
| Quinidine (80194) | $46.50 | $93 | 3.2× |
| Rbc pretx incubatj w/chemicl (86970) | $186.50 | $373 | 3.3× |
| Rbc serum pretx incubj drugs (86975) | $186.50 | $373 | 0.4× |
| Reagent strip/blood glucose (82948) | $14 | $28 | 2.8× |
| Renin activity plasma (84244) | $70.50 | $141 | 3.2× |
| Respiratory viral panel PCR (87633) | $938 | $1,876 | 2.3× |
| Respiratory Virus (86756) | $54 | $108 | 3.4× |
| Rheumatoid factor quant (86431) | $16 | $32 | 2.8× |
| Rickettsia antibody (86757) | $62.50 | $125 | 3.2× |
| Rpr Titer (86593) | $26.50 | $53 | 6.0× |
| Rsv (87807) | $32 | $64 | 2.4× |
| Rubella antibody (86762) | $35.50 | $71 | 2.5× |
| Russell viper venom time diluted (85613) | $23 | $46 | 2.4× |
| Salicylate (80179) | $59.50 | $119 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $102.50 | $205 | 2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $102.50 | $205 | 2.4× |
| Sars-cov-2 covid19 w/optic (87811) | $62.50 | $125 | 1.5× |
| Sedimentation rate (85651) | $16.50 | $33 | 3.9× |
| Sensitivity mic (87186) | $68.25 | $136.50 | 7.9× |
| Serotonin Release Assay (86022) | $125 | $250 | 6.8× |
| Serpina1 gene (81332) | $90 | $180 | 2.1× |
| Sex hormone binding globulin (84270) | $49 | $98 | 2.3× |
| Sickle cell screen (85660) | $66 | $132 | 12.0× |
| Sirolimus (rapamycin) (80195) | $234 | $468 | 17.0× |
| Skin test histoplasmosis (86510) | $60 | $120 | 1.7× |
| Smear acid fast (87206) | $23.50 | $47 | 4.4× |
| Smear complex stain (87209) | $41.50 | $83 | 2.3× |
| Smear gram stain (87205) | $19 | $38 | 4.4× |
| Sodium (84295) | $16.50 | $33 | 3.4× |
| Sodium urine (84300) | $29.50 | $59 | 5.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $93 | $186 | 0.7× |
| Special stains group 1 (88312) | $111.50 | $223 | 2.2× |
| Specific gravity body fluid (84315) | $5.50 | $11 | 1.7× |
| Spectrophotometry (84311) | $16.50 | $33 | 2.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $156 | $312 | 1.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $21.50 | $43 | 2.3× |
| Strep a assay w/optic (87880) | $27 | $54 | 1.6× |
| Strep a DNA amp probe (87651) | $55 | $110 | 1.6× |
| Streptozyme (86590) | $74.50 | $149 | 5.9× |
| Sulfate urine (84392) | $43.50 | $87 | 7.9× |
| Surg path level iii (88304) | $77 | $154 | 1.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $43 | $86 | 1.5× |
| Surgical pathology level IV (88305) | $101 | $202 | 2.0× |
| Susceptibility study antimicrobial disk method (87184) | $54.25 | $108.50 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $150 | $300 | 3.2× |
| T cells, total count (86359) | $69 | $138 | 1.8× |
| T3 free (84481) | $68.50 | $137 | 4.0× |
| T3 reverse (84482) | $115.50 | $231 | 7.3× |
| T3 total (84480) | $33 | $66 | 2.3× |
| T3 uptake (84479) | $25.50 | $51 | 3.9× |
| T4 Free (84439) | $41 | $82 | 4.5× |
| T4 total (84436) | $30.50 | $61 | 4.4× |
| Tb intradermal test (86580) | $19 | $38 | 0.7× |
| Testosterone free (84402) | $85.50 | $171 | 3.4× |
| Testosterone total (84403) | $74.50 | $149 | 2.9× |
| Theophylline (80198) | $41 | $82 | 2.9× |
| Thiocyanate (84430) | $53 | $106 | 4.6× |
| Thrombin time plasma (85670) | $7 | $14 | 1.2× |
| Thromboplastin Inhibition Tissue (85705) | $23 | $46 | 2.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $15.50 | $31 | 2.4× |
| Thyroglobulin Ab (86800) | $87 | $174 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $82.50 | $165 | 1.6× |
| Thyroxine binding globulin (84442) | $57.50 | $115 | 3.9× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $378 | $756 | 2.7× |
| Tissue culture bone marrow (88237) | $284.50 | $569 | 2.0× |
| Tissue Culture Lymphocyte (88230) | $312.50 | $625 | 2.7× |
| Tobramycin peak (80200) | $53 | $106 | 3.3× |
| Topiramate (80201) | $55 | $110 | 4.6× |
| Toxin or antitoxin assay (87230) | $60 | $120 | 3.0× |
| Toxoplasma ab igm (86778) | $33 | $66 | 2.3× |
| Toxoplasma antibody igg (86777) | $33 | $66 | 2.3× |
| Tpmt gene com variants (81335) | $288 | $576 | 1.6× |
| Transferrin (84466) | $41.50 | $83 | 3.3× |
| Triglycerides (84478) | $23.50 | $47 | 4.1× |
| Troponin (84484) | $60.50 | $121 | 4.9× |
| Urea nitrogen (84520) | $25 | $50 | 6.3× |
| Urea nitrogen urine (84540) | $21.50 | $43 | 3.9× |
| Uric acid blood (84550) | $27 | $54 | 6.0× |
| Uric acid other source (84560) | $32 | $64 | 6.3× |
| Urinalysis microscopic only (81015) | $9 | $18 | 3.0× |
| Urinalysis qual/semiquant except immunoassays (81005) | $6.25 | $12.50 | 2.9× |
| Urinalysis w/microscopic (81001) | $21 | $42 | 6.6× |
| Urine pregnancy test (81025) | $29 | $58 | 3.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $9 | $18 | 4.0× |
| Valproic acid level (80164) | $50.50 | $101 | 3.7× |
| Vancomycin trough (80202) | $51 | $102 | 3.8× |
| Varicella-zoster antibody (86787) | $39.50 | $79 | 3.1× |
| Vasopressin (84588) | $100 | $200 | 2.9× |
| Vdrl csf (86592) | $26.50 | $53 | 6.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $79 | $158 | 2.3× |
| Virus inoculation, shell via (87254) | $45 | $90 | 2.3× |
| Vitamin A (84590) | $27 | $54 | 2.3× |
| Vitamin b-12 (82607) | $43 | $86 | 2.9× |
| Vitamin b1 (thiamine) (84425) | $78 | $156 | 3.7× |
| Vitamin b6 (84207) | $104.50 | $209 | 3.7× |
| Vitamin C (82180) | $40.50 | $81 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $66.50 | $133 | 2.2× |
| Vitamin e serum (84446) | $35 | $70 | 2.5× |
| Von willebrand factor activity (85245) | $51.50 | $103 | 2.2× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $43.50 | $87 | 5.1× |
| West nile virus ab, igm (86788) | $102.50 | $205 | 6.1× |
| West nile virus antibody (86789) | $102.50 | $205 | 7.1× |
| Xylose Absorption Test (84620) | $43 | $86 | 3.3× |
| Zinc (84630) | $25.50 | $51 | 2.2× |