Lab & pathology prices at Cimarron Memorial Hospital
Boise City, OK · every code in this section with a posted price and a Medicare benchmark.
430 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) | $267 | $534 | 6.9× |
| 5 Hiaa (83497) | $55 | $109 | 4.3× |
| Acute hepatitis panel (80074) | $79.50 | $158.50 | 1.7× |
| Adenovirus ag, if (87260) | $32 | $64 | 2.2× |
| Adenovirus antibody (86603) | $53 | $105 | 4.1× |
| Afb culture (87116) | $95 | $190 | 8.8× |
| Albumin serum (82040) | $18 | $35 | 3.6× |
| Aldolase (82085) | $34 | $67 | 3.5× |
| Aldosterone urine (82088) | $73 | $145 | 1.8× |
| Alkaline phosphatase isoenzymes (84080) | $34 | $67 | 2.3× |
| Allerg sp igg quan or semiquan (86001) | $31 | $61 | 4.0× |
| Allergen specific ige (86003) | $43 | $85 | 8.2× |
| Alpha-1-antitrypsin phenotype (82104) | $15 | $29 | 1.0× |
| Alpha-1-antitrypsin, total (82103) | $34 | $67 | 2.5× |
| Alpha-fetoprotein, serum (82105) | $34 | $67 | 2.0× |
| Alt (sgpt) (84460) | $16.50 | $32 | 3.1× |
| Amikacin trough (80150) | $44 | $88 | 2.9× |
| Amino Acids, Single Quantitation (82131) | $58 | $116 | 2.5× |
| Ammonia (82140) | $34 | $67 | 2.3× |
| Amylase urine (82150) | $31 | $61.50 | 4.8× |
| Ana Titer (86039) | $25 | $49 | 2.2× |
| Anti-phosphatidylserine antibody (86148) | $88 | $176 | 5.5× |
| Antibody coxiella burnetii q fever (86638) | $49 | $97 | 4.0× |
| Antibody cytomegalovirus cmv igm (86645) | $49 | $97 | 2.9× |
| Antibody Detection Nos If (87299) | $36 | $72 | 2.2× |
| Antibody Encephalitis Eastern Equine (86652) | $49 | $97 | 3.7× |
| Antibody Encephalitis St. Louis (86653) | $49 | $97 | 3.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $49 | $97 | 3.7× |
| Antibody helicobacter pylori (86677) | $49 | $97 | 2.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $49 | $97 | 3.4× |
| Antibody herpes smplx type 1 (86695) | $49 | $97 | 3.7× |
| Antibody identification (86870) | $74 | $148 | 0.2× |
| Antibody influenza virus (86710) | $126 | $251 | 9.3× |
| Antibody mumps (86735) | $30 | $59 | 2.3× |
| Antibody Protozoa Nes (86753) | $113 | $225 | 9.1× |
| Antibody rubeola (86765) | $30 | $59 | 2.3× |
| Antibody screen (86850) | $30 | $59 | 3.1× |
| Antibody treponema pallidum (86780) | $5 | $10 | 0.4× |
| Antibody; Coccidioides (86635) | $49 | $97 | 4.3× |
| Antigen typing (86905) | $55 | $110 | 14.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $13 | $25 | 1.1× |
| Antinuclear antibodies (86038) | $30 | $59 | 2.5× |
| Antistreptolysin o titer (86060) | $30 | $59 | 4.1× |
| Antithrombin iii activity (85300) | $49 | $97.50 | 4.1× |
| Antithrombin iii antigen (85301) | $49 | $97 | 4.5× |
| Apolipoprotein b (82172) | $37 | $74 | 1.8× |
| Assay of acth (82024) | $73 | $145 | 1.9× |
| Assay of blood chloride (82435) | $18 | $35 | 3.9× |
| Assay of c-peptide (84681) | $31 | $61.50 | 1.5× |
| Assay of ceruloplasmin (82390) | $34 | $67 | 3.2× |
| Assay of ethosuximide (80168) | $65 | $130 | 4.0× |
| Assay of ferritin (82728) | $31 | $61.50 | 2.3× |
| Assay of g6pd enzyme (82955) | $34 | $67 | 3.5× |
| Assay of gammaglobulin igm (82784) | $46 | $91 | 4.9× |
| Assay of gastrin (82941) | $73 | $145 | 4.1× |
| Assay of gentamicin (80170) | $57 | $113.50 | 3.5× |
| Assay of homocystine (83090) | $67 | $133 | 3.7× |
| Assay of lipoprotein(a) (83695) | $31 | $61.50 | 2.2× |
| Assay of metanephrines (83835) | $73 | $145 | 4.3× |
| Assay of parathormone (83970) | $77 | $153 | 1.9× |
| Assay of phenobarbital (80184) | $55.50 | $111 | 3.6× |
| Assay of prealbumin (84134) | $34 | $67 | 2.3× |
| Assay of procainamide (80190) | $49 | $98 | 0.8× |
| Assay of prostate specific antigen complexed (84152) | $36 | $72 | 2.0× |
| Assay of selenium (84255) | $47 | $94 | 1.8× |
| Assay of serotonin (84260) | $73 | $145 | 2.4× |
| Assay of tacrolimus (80197) | $67 | $133 | 4.9× |
| Assay of urine vma (84585) | $73 | $145 | 4.7× |
| Assay of vitamin k (84597) | $117 | $234 | 8.5× |
| Ast (sgot) (84450) | $16.50 | $32 | 3.2× |
| Bartonella antibody (86611) | $49 | $97 | 4.8× |
| Bcr/abl1 gene major bp (81206) | $553 | $1,106 | 3.4× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $36 | $71 | 1.4× |
| Beta Lactamase (87185) | $26 | $52 | 5.5× |
| Bile acids, total (82239) | $34 | $67 | 2.0× |
| Bilirubin direct (82248) | $18 | $35 | 3.6× |
| Bilirubin total (82247) | $18 | $35 | 3.6× |
| Bl Smear W/Diff Wbc Count (85007) | $25 | $49 | 6.6× |
| Bleeding time (85002) | $13 | $26 | 2.7× |
| Blood count reticulocyte automated (85045) | $25 | $49 | 6.3× |
| Blood gases (82803) | $60.50 | $120 | 2.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $34 | $67 | 2.1× |
| Blood Ph - Ph Venous (82800) | $34 | $67 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $95 | $190 | 15.0× |
| Blood typing abo (86900) | $9.50 | $18.50 | 3.2× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $28 | $56 | 1.7× |
| Blood typing serologic rh (d) (86901) | $10 | $20 | 3.3× |
| Body fluid cell count (89051) | $79 | $157 | 14.1× |
| Body fluid cell count (89050) | $79 | $157 | 16.7× |
| Bordetella antibody (86615) | $49 | $97 | 3.7× |
| Breath Alcohol Test (82075) | $13 | $26 | 0.4× |
| Brucella antibody (86622) | $673 | $1,345 | 75.4× |
| C diff amplified probe (87493) | $157 | $313 | 4.2× |
| C-reactive protein (86140) | $30 | $59 | 5.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $27.50 | $54.50 | 2.1× |
| C1q binding assay (86332) | $61.50 | $122 | 2.5× |
| Ca 125 (86304) | $95 | $190 | 4.6× |
| Ca 19-9 (86301) | $95 | $190 | 4.6× |
| Ca 27 29 (86300) | $95 | $190 | 4.6× |
| Calcium ionized (82330) | $34 | $67 | 2.5× |
| Calcium total (82310) | $16.50 | $32 | 3.2× |
| Calcium urine (82340) | $34 | $67 | 5.6× |
| Calculus Quantitative Chemical (82360) | $34 | $67 | 2.6× |
| Calculus Spectroscopy (82365) | $53 | $106 | 4.1× |
| California encephalitis ab (86651) | $49 | $97 | 3.7× |
| Calprotectin, fecal (83993) | $125 | $250 | 6.4× |
| Candida antibody (86628) | $35 | $70 | 2.9× |
| Carbamazepine (tegretol) total (80156) | $51.50 | $102.50 | 3.5× |
| Carbon dioxide (82374) | $18 | $35 | 3.7× |
| Carboxyhemoglobin Quantitative (82375) | $34 | $67 | 2.8× |
| Carcinoembryonic antigen (82378) | $37 | $74 | 2.0× |
| Cardiolipin ab igg (86147) | $49 | $97 | 1.9× |
| Carnitine (82379) | $34 | $67 | 2.0× |
| Catecholamines fraction plasma (82384) | $73 | $145 | 2.9× |
| Cftr gene com variants (81220) | $775 | $1,549.50 | 1.4× |
| Chemiluminescent assay (82397) | $92 | $183 | 6.5× |
| Chlamydia antibody (86631) | $26 | $52 | 2.2× |
| Chloride urine (82436) | $18 | $35 | 3.1× |
| Cholesterol total (82465) | $16.50 | $32 | 3.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $127 | $253 | 1.0× |
| Chromium urine (82495) | $50 | $100 | 2.5× |
| Chromogranin a (86316) | $63 | $125.50 | 3.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $57 | $114 | 1.6× |
| Ck isoenzymes (82552) | $34 | $67 | 2.5× |
| Ckmb (82553) | $34 | $67 | 2.9× |
| Clot factor viii vw antigen (85246) | $84 | $167 | 3.7× |
| Clotting time (85345) | $13 | $26 | 2.8× |
| Coagulation time (85348) | $13 | $26 | 2.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $143 | $285.50 | 5.9× |
| Cold agglutinin titer (86157) | $30 | $59 | 3.7× |
| Collagen cross links (82523) | $49 | $97 | 2.6× |
| Compatibility test antiglob (86922) | $155 | $310 | 0.9× |
| Compatibility Test Incubate (86921) | $82 | $164 | 0.5× |
| Complement c3 (86160) | $30 | $59 | 2.5× |
| Complement total ch50 (86162) | $30 | $59 | 1.5× |
| Concentration Infectious Agent (87015) | $26 | $52 | 3.9× |
| Coombs direct (86880) | $30 | $59 | 5.6× |
| Copper urine (82525) | $46 | $91.50 | 3.7× |
| Cortisol free (82530) | $33.50 | $66 | 2.0× |
| Cortisol total (82533) | $67 | $133 | 4.1× |
| Creatine kinase total (82550) | $16.50 | $32 | 2.5× |
| Creatinine blood (82565) | $18 | $35 | 3.5× |
| Creatinine clearance (82575) | $34 | $67 | 3.6× |
| Creatinine other source (82570) | $16.50 | $32 | 3.2× |
| Crossmatch immediate spin (86920) | $82 | $164 | 0.5× |
| Cryoglobulin (82595) | $34 | $67 | 5.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $26 | $52 | 3.2× |
| Culture Aerobic Identify (87077) | $26 | $52 | 3.2× |
| Culture anaerobic (87075) | $29 | $58 | 3.1× |
| Culture blood (87040) | $95 | $190 | 9.2× |
| Culture chlamydia (87110) | $27 | $54 | 1.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $26 | $52 | 3.4× |
| Culture fungus blood (87103) | $95 | $190 | 4.6× |
| Culture fungus id yeast (87106) | $60 | $119 | 5.8× |
| Culture genital (87070) | $26 | $52 | 3.0× |
| Culture screen only (87081) | $26 | $52 | 3.9× |
| Culture stool (87045) | $26 | $52 | 2.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $26 | $52 | 5.0× |
| Culture urine (87086) | $24 | $48 | 3.0× |
| Culture urine id ea isolate (87088) | $26 | $52 | 3.2× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient (87084) | $32 | $64 | 1.2× |
| Cyclic Citrullinated Peptide (86200) | $30 | $59 | 2.3× |
| Cystatin c (82610) | $161 | $321 | 8.7× |
| Cytopath,cerv/vag,auto thin layer,interp (88174) | $52 | $104 | 2.0× |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Other… (88153) | $52 | $104 | 2.2× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $52 | $104 | 2.0× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $52 | $104 | 2.8× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $52 | $104 | 2.8× |
| D-Dimer (85379) | $49.50 | $98.50 | 4.9× |
| Deoxyribonuclease antibody (86215) | $30 | $59 | 2.3× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $106 | $212 | 2.4× |
| Detect agnt mult DNA ampli (87801) | $30 | $59 | 0.4× |
| Dhea (82626) | $115 | $229 | 4.6× |
| Dhea sulfate (82627) | $97.50 | $194.50 | 4.4× |
| Digoxin (80162) | $48.50 | $96.50 | 3.7× |
| Dihydrotestosterone (82642) | $73 | $145 | 2.5× |
| Dilantin (80185) | $49 | $98 | 3.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $30 | $59 | 2.2× |
| Drug assay adalimumab (80145) | $208 | $416 | 5.4× |
| Drug screen quant zonisamide (80203) | $62 | $123 | 4.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $44 | $88 | 3.3× |
| Drug Scrn Quan Levetiracetam (80177) | $44 | $88 | 3.3× |
| Drug scrn quant oxcarbazepin (80183) | $44 | $88 | 3.3× |
| Drug test prsmv chem anlyzr (80307) | $102 | $204 | 1.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $34 | $67 | 2.7× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $1,539.50 | $3,078.50 | 89.8× |
| Ebv viral capsid (86665) | $49 | $97 | 2.7× |
| Ehrlichia antibody (86666) | $99 | $198 | 9.7× |
| Electrolyte panel (80051) | $37 | $73 | 5.3× |
| Encephalitis Western Equine (86654) | $49 | $97 | 3.7× |
| Endomysial antibody iga (86255) | $49 | $97 | 4.1× |
| Enzyme cell activity (82657) | $70 | $139 | 3.2× |
| Eosinophil count (85048) | $25 | $49 | 9.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $50 | $99.50 | 3.3× |
| Estradiol (82670) | $67 | $133 | 2.4× |
| Estrogens total (82672) | $73 | $145 | 3.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $79 | $157 | 10.8× |
| F2 gene analysis 20210g >a variant (81240) | $311 | $622 | 4.7× |
| F5 gene (81241) | $311 | $622 | 4.2× |
| Factor v activity (85220) | $82 | $164 | 4.6× |
| Factor xiii solubility screen (85291) | $34 | $68 | 3.7× |
| Fecal fat qual (82705) | $18 | $35 | 3.5× |
| Fibrin degradation products (85362) | $25 | $49 | 3.6× |
| Fibrinogen activity (85384) | $13 | $26 | 1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $49 | $97 | 4.1× |
| Folate serum (82746) | $31.50 | $62 | 2.1× |
| Follicle Stimulating Hormone (83001) | $67 | $133 | 3.6× |
| Francisella Tularensis (86668) | $99 | $198 | 7.0× |
| Gammaglobulin ige (82785) | $44 | $87 | 2.7× |
| Ggt (82977) | $18 | $35 | 2.5× |
| Giardia antigen eia stool (87329) | $23.50 | $46.50 | 2.0× |
| Glucose (82947) | $16.50 | $32 | 4.2× |
| Glucose body fluid (82945) | $18 | $35 | 4.6× |
| Glucose post dose (82950) | $16.50 | $32 | 3.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $34 | $67 | 8.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $31 | $61.50 | 2.4× |
| Growth hormone (83003) | $61 | $121 | 3.7× |
| Haloperidol (haldol) (80173) | $83 | $165 | 5.3× |
| Haptoglobin; phenotypes Other Outpatient (83012) | $2 | $3 | 0.1× |
| Hcg qualitative (84703) | $34 | $67 | 4.5× |
| Hcg quant (84702) | $55 | $109 | 3.7× |
| Hdl Cholesterol (83718) | $31 | $61.50 | 3.8× |
| Heavy metal quant each (83018) | $50 | $100 | 2.3× |
| Hematocrit (85014) | $25 | $49 | 10.5× |
| Hemoglobin (85018) | $25 | $49 | 10.5× |
| Hemoglobin a1c (83036) | $41.50 | $82 | 4.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $56 | $112 | 3.1× |
| Hemoglobin electrophoresis (83020) | $28 | $56 | 2.2× |
| Hepatitis a igm (86709) | $35.50 | $70.50 | 3.2× |
| Hepatitis b core ab igm (86705) | $36 | $71.50 | 3.1× |
| Hepatitis b core antibody total (86704) | $30 | $59 | 2.5× |
| Hepatitis B Surface Ab (86706) | $27.50 | $54 | 2.6× |
| Hepatitis B Surface Antigen (87340) | $37 | $74 | 3.6× |
| Hepatitis be antibody (86707) | $30 | $59 | 2.6× |
| Hepatitis Be Antigen (87350) | $30 | $59 | 2.6× |
| Hepatitis c ab confirm (86804) | $34 | $67 | 2.2× |
| Hepatitis c antibody (86803) | $49 | $97 | 3.4× |
| Hepatitis C Genotype (87902) | $668 | $1,336 | 2.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $146 | $292 | 4.2× |
| Herpes simplex type 2 (86696) | $30 | $59 | 1.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $30 | $59 | 5.8× |
| HIV-1 antibody (86701) | $35 | $69 | 3.9× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $30 | $59 | 2.2× |
| Hla b 27 disease association lc (81374) | $311 | $622 | 4.2× |
| Hla ii low resolution one antigen equivalent ea (81377) | $436 | $872 | 4.6× |
| Hla ii typing 1 allele hr (81383) | $436 | $872 | 4.0× |
| Hla-b27 (86812) | $130 | $259 | 5.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $250 | $500 | 3.7× |
| Hydroxyprogesterone 17-d (83498) | $73 | $145 | 2.7× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $57 | $113 | 1.3× |
| Iaad ia cryptosporidium (87328) | $98 | $196 | 7.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $47 | $94 | 2.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $42 | $83 | 2.9× |
| Iaad ia rotavirus (87425) | $30 | $59 | 2.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $30 | $59 | 0.8× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $30 | $59 | 2.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $143 | $285 | 4.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $80 | $159 | 2.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $215 | $430 | 5.0× |
| Iadna human papillomavirus high-risk types (87624) | $95 | $190 | 2.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $80 | $159 | 2.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $95 | $190 | 2.7× |
| Iadna nos amplified probe tq each organism (87798) | $200.50 | $400.50 | 5.7× |
| Iadna nos quantification each organism (87799) | $265 | $529 | 6.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $95 | $190 | 2.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $191 | $382 | 0.5× |
| If cryptosporidium antigen (87272) | $33 | $66 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) | $49 | $97 | 1.7× |
| Immunoassay nonantibody (83516) | $30 | $59 | 2.6× |
| Immunoassay with direct visual observation for clostridium (87803) | $26 | $52 | 1.6× |
| Immunofixj Electrophoresis Serum (86334) | $68.50 | $136 | 3.1× |
| Immunohistochemistry (88342) | $145 | $290 | 0.9× |
| India ink prep (87210) | $26 | $52 | 4.5× |
| Influenza a/b ag eia (87400) | $42 | $83 | 3.0× |
| Inhibin b (83520) | $30 | $59 | 1.7× |
| Insulin antibodies (86337) | $73 | $145 | 3.4× |
| Insulin free (83527) | $73 | $145 | 5.6× |
| Insulin total (83525) | $55 | $109 | 4.8× |
| Iron (83540) | $16.50 | $32 | 2.6× |
| Iron binding capacity (83550) | $31 | $61.50 | 3.5× |
| Islet cell antibody (86341) | $209.50 | $418.50 | 8.9× |
| Kit gene analys d816 variant (81273) | $284 | $567 | 2.3× |
| Koh Prep (87220) | $26 | $52 | 6.1× |
| Lactic acid (83605) | $34 | $67 | 2.9× |
| Lactoferrin Fecal Quantitative (83631) | $67 | $133 | 3.4× |
| Ldh (83615) | $18 | $35 | 3.0× |
| LDL cholesterol direct (83721) | $31 | $61.50 | 3.0× |
| Lead (83655) | $50 | $100 | 4.1× |
| Legionella antibody (86713) | $56 | $111 | 3.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $25 | $49 | 5.9× |
| Level ii surg pathology grossµscopic exam (88302) | $110 | $219 | 3.1× |
| Lh (83002) | $67 | $133 | 3.6× |
| Lidocaine level (80176) | $44 | $88 | 3.0× |
| Lipase (83690) | $16.50 | $32 | 2.4× |
| Listeria ab (86609) | $189 | $378 | 14.7× |
| Lithium (80178) | $44 | $88 | 6.7× |
| Lyme disease antibody (86618) | $49 | $97 | 2.9× |
| Lyme disease antibody confirm (86617) | $49 | $97 | 3.2× |
| Magnesium (83735) | $18 | $35 | 2.7× |
| Manual reticulocyte count (85044) | $25 | $49 | 5.8× |
| Mass spectrometry qual/quan (83789) | $57 | $113 | 2.4× |
| Metabolic Panel Ionized Ca (80047) | $37 | $73 | 2.7× |
| Methotrexate (80299) | $83 | $166 | 4.5× |
| Methylmalonic acid serum (83921) | $13 | $25 | 0.6× |
| Microalbumin urine (82043) | $11 | $21 | 1.9× |
| Microbe susceptible diffuse (87181) | $26 | $52 | 5.5× |
| Microsomal antibodies (86376) | $73 | $145 | 5.0× |
| Mycobacteric Identification (87118) | $95 | $190 | 6.5× |
| Mycoplasma antibody (86738) | $49 | $97 | 3.7× |
| Mycoplasma culture (87109) | $95 | $190 | 6.2× |
| Myoglobin urine (83874) | $34 | $67 | 2.6× |
| Natriuretic peptide (83880) | $93.50 | $187 | 2.4× |
| Niacin (84591) | $104 | $207 | 6.1× |
| Nuclear antigen antibody (86235) | $49 | $97 | 2.7× |
| Obstetric panel (80081) | $87 | $174 | 1.2× |
| Osmolality serum (83930) | $18 | $35 | 2.7× |
| Osmolality urine (83935) | $18 | $35 | 2.6× |
| Ova and parasite direct-id lca (87177) | $28 | $56 | 3.1× |
| Pancreatic elastase fecal (82656) | $225 | $450 | 19.5× |
| Pancreatic polypeptide (83519) | $74 | $148 | 4.0× |
| Parainfluenza ag if (87279) | $34 | $68 | 2.1× |
| Pathology lab procedure (89240) | $79 | $157 | 1.6× |
| Phenylalanine (84030) | $18 | $35 | 3.3× |
| Phenytoin free (80186) | $63 | $126 | 4.6× |
| Phosphatase acid prostatic (84066) | $34 | $67 | 3.5× |
| Phosphatase alkaline (84075) | $16.50 | $32 | 3.2× |
| Phospholipid Neutralization Hexagonal (85598) | $50 | $100 | 2.8× |
| Phosphorus blood (84100) | $16.50 | $32 | 3.5× |
| Potassium (84132) | $32.50 | $64.50 | 6.8× |
| Potassium urine (84133) | $18 | $35 | 3.8× |
| Pregnenolone (84140) | $73 | $145.50 | 3.5× |
| Primidone (80188) | $65 | $130 | 3.9× |
| Procainamide napa (80192) | $44 | $88 | 2.6× |
| Procalcitonin (pct) (84145) | $225 | $450 | 8.3× |
| Progesterone (84144) | $50.50 | $100 | 2.4× |
| Prolactin (84146) | $67 | $133 | 3.5× |
| Protein body fluid (84157) | $18 | $35 | 4.5× |
| Protein c activity (85303) | $40 | $79.50 | 2.9× |
| Protein electrophoresis serum (84165) | $34 | $67 | 3.2× |
| Protein Electrophoresis Urine (84166) | $34 | $67 | 1.9× |
| Protein s total (85305) | $43 | $85 | 3.7× |
| Protein Total Serum (84155) | $18 | $35 | 4.9× |
| Protein urine (84156) | $20.50 | $40.50 | 5.6× |
| PSA free (84154) | $34 | $67 | 1.8× |
| Quantiferon tb gold (86480) | $86 | $172 | 1.4× |
| Quinidine (80194) | $53 | $106 | 3.6× |
| Reagent strip/blood glucose (82948) | $12 | $24 | 2.4× |
| Renin activity plasma (84244) | $73 | $145 | 3.3× |
| Respiratory viral panel PCR (87633) | $760.50 | $1,520 | 1.8× |
| Respiratory Virus (86756) | $49 | $97 | 3.1× |
| Rheumatoid Factor Qual (86430) | $25 | $49 | 4.1× |
| Rheumatoid factor quant (86431) | $30 | $59 | 5.3× |
| Rickettsia antibody (86757) | $49 | $97 | 2.5× |
| Rubella antibody (86762) | $30 | $59 | 2.1× |
| Russell viper venom time diluted (85613) | $43 | $85 | 4.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $95 | $190 | 1.9× |
| Sed rate automated (85652) | $276.50 | $552.50 | 102.4× |
| Sedimentation rate (85651) | $23 | $45 | 5.4× |
| Semen analysis sperm presence&/motility sprm (89321) | $79 | $157 | 6.6× |
| Semen analysis w/count (89310) | $79 | $157 | 9.2× |
| Sensitivity mic (87186) | $94.50 | $188.50 | 10.9× |
| Serotonin Release Assay (86022) | $80 | $159 | 4.4× |
| Sex hormone binding globulin (84270) | $38.50 | $76 | 1.8× |
| Sickle cell screen (85660) | $25 | $49 | 4.5× |
| Sirolimus (rapamycin) (80195) | $62 | $123 | 4.5× |
| Smear acid fast (87206) | $26 | $52 | 4.8× |
| Smear complex stain (87209) | $95 | $190 | 5.3× |
| Smear gram stain (87205) | $26 | $52 | 6.1× |
| Sodium urine (84300) | $18 | $35 | 3.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $79 | $157 | 0.6× |
| Special stains group 1 (88312) | $95 | $190 | 1.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $26 | $52 | 2.8× |
| Strep a assay w/optic (87880) | $26 | $52 | 1.6× |
| Surg path level iii (88304) | $89 | $177.50 | 1.8× |
| Surgical pathology level IV (88305) | $79 | $157 | 1.6× |
| Susceptibility study antimicrobial disk method (87184) | $26 | $52 | 3.5× |
| T cells, total count (86359) | $128 | $255 | 3.4× |
| T3 free (84481) | $50.50 | $100 | 3.0× |
| T3 reverse (84482) | $50.50 | $100 | 3.2× |
| T3 total (84480) | $55 | $109 | 3.9× |
| T3 uptake (84479) | $50.50 | $100 | 7.8× |
| T4 Free (84439) | $50.50 | $100 | 5.6× |
| T4 total (84436) | $50.50 | $100 | 7.4× |
| Tb intradermal test (86580) | $30 | $59 | 1.1× |
| Test for acetone/ketones (82009) | $11 | $21 | 2.4× |
| Testosterone free (84402) | $73 | $145 | 2.9× |
| Testosterone total (84403) | $67 | $133 | 2.6× |
| Theophylline (80198) | $52 | $104 | 3.7× |
| Thin prep pap (88142) | $52 | $104 | 2.6× |
| Thrombin time plasma (85670) | $18 | $36 | 3.1× |
| Thromboplastin Inhibition Tissue (85705) | $132 | $263 | 13.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $21 | $42 | 3.2× |
| Thyroglobulin Ab (86800) | $67 | $133 | 4.2× |
| Tissue Culture Lymphocyte (88230) | $133 | $266 | 1.1× |
| Tobramycin peak (80200) | $44 | $88 | 2.7× |
| Topiramate (80201) | $44 | $88 | 3.7× |
| Transferrin (84466) | $31 | $61.50 | 2.4× |
| Triglycerides (84478) | $16.50 | $32 | 2.9× |
| Troponin (84484) | $34 | $67 | 2.7× |
| Troponin i qualitative (84512) | $38 | $75 | 3.8× |
| Unlisted reproductive medicine laboratory procedure (89398) | $175 | $350 | 3.5× |
| Urea nitrogen (84520) | $18 | $35 | 4.6× |
| Uric acid blood (84550) | $16.50 | $32 | 3.7× |
| Uric acid other source (84560) | $18 | $35 | 3.5× |
| Urinalysis microscopic only (81015) | $11 | $21 | 3.6× |
| Urinalysis qual/semiquant except immunoassays (81005) | $53 | $106 | 24.4× |
| Urinalysis w/microscopic (81001) | $14.50 | $28 | 4.6× |
| Urine pregnancy test (81025) | $11 | $22 | 1.3× |
| Urine volume measurement (81050) | $11 | $21 | 3.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $8 | $15 | 3.6× |
| Valproic acid level (80164) | $44 | $88 | 3.2× |
| Vancomycin trough (80202) | $44 | $88 | 3.2× |
| Varicella-zoster antibody (86787) | $30 | $59 | 2.3× |
| Vasopressin (84588) | $73 | $145 | 2.2× |
| Vdrl csf (86592) | $30 | $59 | 7.0× |
| Virus antibody nos (86790) | $103 | $205 | 8.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $95 | $190 | 2.8× |
| Virus inoculation, shell via (87254) | $95 | $190 | 4.9× |
| Vitamin A (84590) | $31 | $61.50 | 2.7× |
| Vitamin b-12 (82607) | $50.50 | $100 | 3.3× |
| Vitamin b-2 (riboflavin) (84252) | $40 | $80 | 2.0× |
| Vitamin b1 (thiamine) (84425) | $38 | $75 | 1.8× |
| Vitamin b6 (84207) | $39 | $78 | 1.4× |
| Vitamin C (82180) | $36 | $71 | 3.6× |
| Vitamin D 25-Hydroxy (82306) | $102 | $204 | 3.4× |
| Vitamin e serum (84446) | $78 | $156 | 5.5× |
| Vldl cholesterol level (83719) | $28 | $56 | 2.2× |
| Von willebrand factor activity (85245) | $34 | $68 | 1.5× |
| West nile virus antibody (86789) | $85.50 | $170 | 5.9× |
| Zinc (84630) | $79 | $157 | 6.9× |