Lab & pathology prices at Community Memorial Hospital
Cloquet, MN · every code in this section with a posted price and a Medicare benchmark.
540 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) | $65.44 | $102.25 | 1.7× |
| Acetaminophen level (80143) | $137.60 | $215 | 7.4× |
| Acth stimulation panel adrenal insufficiency (80400) | $240.64 | $376 | 7.4× |
| Activated protein c resistance (85307) | $113.28 | $177 | 7.4× |
| Acute hepatitis panel (80074) | $350.72 | $548 | 7.4× |
| Acylcarnitine Plasma (82017) | $124.80 | $195 | 7.4× |
| Adamts13 activity (85397) | $227.20 | $355 | 7.4× |
| Adrenocorticotropic hormone (82024) | $180.48 | $282 | 4.7× |
| Afp maternal serum (82105) | $123.52 | $193 | 7.4× |
| Agglutinins febrile ea antigen (86000) | $51.84 | $81 | 7.4× |
| Albumin body fluid (82042) | $57.60 | $90 | 7.4× |
| Albumin serum (82040) | $36.48 | $57 | 7.4× |
| Aldolase (82085) | $71.68 | $112 | 7.4× |
| Aldosterone urine (82088) | $131.24 | $205.06 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $108.80 | $170 | 7.4× |
| Allergen peanut (86003) | $39.04 | $61 | 7.5× |
| Alpha-1-antitrypsin, total (82103) | $99.20 | $155 | 7.4× |
| Alt (sgpt) (84460) | $39.04 | $61 | 7.4× |
| Amylase urine (82150) | $48 | $75 | 7.4× |
| Ana titer (86039) | $52.48 | $82 | 4.7× |
| Angiotensin i enzyme test (82164) | $68.48 | $107 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114.56 | $179 | 7.4× |
| Antibody coxiella burnetii q fever (86638) | $89.60 | $140 | 7.4× |
| Antibody cytomegalovirus cmv (86644) | $106.24 | $166 | 7.4× |
| Antibody encephalitis st. louis (86653) | $97.28 | $152 | 7.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $96.64 | $151 | 7.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $90.24 | $141 | 7.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $106.24 | $166 | 7.4× |
| Antibody HIV-2 (86702) | $99.84 | $156 | 7.4× |
| Antibody identification (86870) | $176 | $275 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $111.36 | $174 | 7.4× |
| Antibody mumps (86735) | $96.64 | $151 | 7.4× |
| Antibody Protozoa Nes (86753) | $74.88 | $117 | 6.0× |
| Antibody screen (86850) | $59.20 | $92.50 | 6.1× |
| Antibody treponema pallidum (86780) | $62.08 | $97 | 4.7× |
| Antibody; Coccidioides (86635) | $84.48 | $132 | 7.4× |
| Antigen typing (86905) | $28.80 | $45 | 7.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $38.40 | $60 | 7.4× |
| Antinuclear antibodies (86038) | $56.96 | $89 | 4.7× |
| Antistreptolysin o titer (86060) | $53.76 | $84 | 7.4× |
| Antithrombin iii activity (85300) | $87.68 | $137 | 7.4× |
| Antithrombin iii antigen (85301) | $80 | $125 | 7.4× |
| Arsenic Urine (82175) | $140.16 | $219 | 7.4× |
| Aspergillus ag eia (87305) | $88.32 | $138 | 7.4× |
| Assay Nephelometry Not Spec (83883) | $100.48 | $157 | 7.4× |
| Assay of 5-hiaa (83497) | $95.36 | $149 | 7.4× |
| Assay of ammonia (82140) | $107.52 | $168 | 7.4× |
| Assay of androstenedione (82157) | $136.96 | $214 | 4.7× |
| Assay of anti-mullerian hormone (82166) | $284.80 | $445 | 7.4× |
| Assay of biotinidase (82261) | $79.36 | $124 | 4.7× |
| Assay of c-peptide (84681) | $153.60 | $240 | 7.4× |
| Assay of ceruloplasmin (82390) | $79.36 | $124 | 7.4× |
| Assay of citrate (82507) | $204.80 | $320 | 7.4× |
| Assay of cyclosporine (80158) | $84.48 | $132 | 4.7× |
| Assay of erythropoietin (82668) | $138.88 | $217 | 7.4× |
| Assay of ethosuximide (80168) | $120.32 | $188 | 7.4× |
| Assay of ferritin (82728) | $100.48 | $157 | 7.4× |
| Assay of g6pd enzyme (82955) | $71.68 | $112 | 7.4× |
| Assay of gammaglobulin igm (82784) | $68.48 | $107 | 7.4× |
| Assay of gastrin (82941) | $129.92 | $203 | 7.4× |
| Assay of gentamicin (80170) | $120.96 | $189 | 7.4× |
| Assay of homocystine (83090) | $132.48 | $207 | 7.4× |
| Assay of lactic acid (83605) | $85.76 | $134 | 7.4× |
| Assay of lipoprotein(a) (83695) | $105.60 | $165 | 7.4× |
| Assay of manganese (83785) | $196.48 | $307 | 7.4× |
| Assay of metanephrines (83835) | $124.80 | $195 | 7.4× |
| Assay of phenobarbital (80184) | $112.64 | $176 | 7.4× |
| Assay of prealbumin (84134) | $107.52 | $168 | 7.4× |
| Assay of procainamide (80190) | $280.32 | $438 | 4.7× |
| Assay of proinsulin (84206) | $196.48 | $307 | 7.4× |
| Assay of prolactin (84146) | $34.08 | $53.25 | 1.8× |
| Assay of serotonin (84260) | $145.28 | $227 | 4.7× |
| Assay of tacrolimus (80197) | $101.12 | $158 | 7.4× |
| Assay of urine vma (84585) | $72.96 | $114 | 4.7× |
| Assay of vasopressin anti-diuretic hormone (84588) | $250.24 | $391 | 7.4× |
| Assay of vitamin k (84597) | $101.12 | $158 | 7.4× |
| Assay spec xcp ur&breath ia (82077) | $127.36 | $199 | 7.4× |
| Ast (sgot) (84450) | $38.40 | $60 | 7.4× |
| Asy carbamazepin 10,11-epxid (80161) | $137.60 | $215 | 7.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $492.80 | $770 | 2.8× |
| B cells total count (86355) | $227.20 | $355 | 6.0× |
| Bartonella antibody (86611) | $75.52 | $118 | 7.4× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $1,002.88 | $1,567 | 4.7× |
| Bcr/abl1 gene major bp (81206) | $766.08 | $1,197 | 4.7× |
| Bcr/abl1 gene minor bp (81207) | $677.12 | $1,058 | 4.7× |
| Beta 2 glycoprotein 1 igm (86146) | $119.04 | $186 | 4.7× |
| Beta hydroxybutyrate (82010) | $60.16 | $94 | 7.4× |
| Beta lactamase (87185) | $35.20 | $55 | 7.4× |
| Beta-2 microglobulin (82232) | $97.92 | $153 | 6.1× |
| Bile acids, total (82239) | $80 | $125 | 4.7× |
| Bilirubin direct (82248) | $37.12 | $58 | 7.4× |
| Bilirubin total (82247) | $37.12 | $58 | 7.4× |
| Bl Smear W/Diff Wbc Count (85007) | $28.16 | $44 | 7.4× |
| Blastomyces antibody (86612) | $78.08 | $122 | 6.1× |
| Bld Typing Serologic Rh Phnt (86906) | $57.60 | $90 | 7.4× |
| Blood Count Automated Differential Wbc Count (85004) | $48 | $75 | 7.4× |
| Blood gas (82803) | $192 | $300 | 7.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $74.88 | $117 | 4.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $38.72 | $60.50 | 6.1× |
| Blood typing abo (86900) | $18.24 | $28.50 | 6.1× |
| Blood typing serologic rh (d) (86901) | $18.24 | $28.50 | 6.1× |
| Bone Marrow Smear Interpretation (85097) | $86.40 | $135 | 0.1× |
| Bordetella antibody (86615) | $97.28 | $152 | 7.4× |
| Braf gene (81210) | $819.84 | $1,281 | 4.7× |
| C diff amplified probe (87493) | $174.72 | $273 | 4.7× |
| C-reactive protein (86140) | $38.40 | $60 | 7.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $95.36 | $149 | 7.4× |
| Ca 125 (86304) | $153.60 | $240 | 7.4× |
| Ca 19-9 (86301) | $153.60 | $240 | 7.4× |
| Ca 27 29 (86300) | $153.60 | $240 | 7.4× |
| Cadmium level (82300) | $174.08 | $272 | 7.4× |
| Calcitonin (82308) | $125.44 | $196 | 4.7× |
| Calcium total (82310) | $31.36 | $49 | 6.1× |
| Calcium urine (82340) | $44.80 | $70 | 7.4× |
| Calculus spectroscopy (82365) | $95.36 | $149 | 7.4× |
| Calprotectin, fecal (83993) | $144.64 | $226 | 7.4× |
| Calr gene com variants (81219) | $895.36 | $1,399 | 7.4× |
| Candida antibody (86628) | $56.32 | $88 | 4.7× |
| Carbamazepine total (80156) | $300.80 | $470 | 20.6× |
| Carbon dioxide (82374) | $36.48 | $57 | 7.5× |
| Carboxyhemoglobin (82375) | $90.88 | $142 | 7.4× |
| Carcinoembryonic antigen (82378) | $88.96 | $139 | 4.7× |
| Cardiolipin ab igg (86147) | $187.52 | $293 | 7.4× |
| Carnitine (82379) | $124.80 | $195 | 7.4× |
| Carotene (82380) | $68.48 | $107 | 7.4× |
| Catecholamines fraction plasma (82384) | $186.24 | $291 | 7.4× |
| Chlamydia antibody (86631) | $87.04 | $136 | 7.4× |
| Chlamydia Igm Antibody (86632) | $59.52 | $93 | 4.7× |
| Chloride blood (82435) | $33.92 | $53 | 7.4× |
| Chloride urine (82436) | $42.88 | $67 | 7.5× |
| Cholesterol total (82465) | $32.64 | $51 | 7.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $586.88 | $917 | 4.7× |
| Chromium urine (82495) | $95.36 | $149 | 4.7× |
| Chromogranin a (86316) | $153.60 | $240 | 7.4× |
| Chromosome analysis 20-25 cells (88264) | $675.84 | $1,056 | 4.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $61.76 | $96.50 | 1.8× |
| Ckmb (82553) | $85.12 | $133 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $168.96 | $264 | 7.4× |
| Clot factor viii vw antigen (85246) | $168.96 | $264 | 7.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $131.84 | $206 | 7.4× |
| Clotting Inhibitors Protein S Free (85306) | $113.28 | $177 | 7.4× |
| Clozapine level (80159) | $94.72 | $148 | 4.7× |
| Cmv ab igm (86645) | $124.16 | $194 | 7.4× |
| Cmv PCR (87496) | $258.56 | $404 | 7.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $177.92 | $278 | 7.4× |
| Cold agglutinin screen (86156) | $59.52 | $93 | 7.4× |
| Cold agglutinin titer (86157) | $59.52 | $93 | 7.4× |
| Compatibility test antiglob (86922) | $151.04 | $236 | 0.9× |
| Complement c3 (86160) | $72.32 | $113 | 6.0× |
| Complement total (ch50) (86162) | $149.76 | $234 | 7.4× |
| Concentration Infectious Agent (87015) | $49.28 | $77 | 7.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $360.32 | $563 | 9.3× |
| Coombs direct (86880) | $39.68 | $62 | 7.4× |
| Copper urine (82525) | $91.52 | $143 | 7.4× |
| Cortisol free (82530) | $123.52 | $193 | 7.4× |
| Cortisol total (82533) | $120.32 | $188 | 7.4× |
| Creatine kinase total (82550) | $48 | $75 | 7.4× |
| Creatinine blood (82565) | $37.76 | $59 | 7.4× |
| Creatinine clearance (82575) | $69.76 | $109 | 7.4× |
| Creatinine other source (82570) | $38.40 | $60 | 7.4× |
| Cryofibrinogen (82585) | $66.56 | $104 | 4.7× |
| Cryoglobulin (82595) | $48 | $75 | 7.4× |
| Crystals body fluid (89060) | $54.40 | $85 | 7.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $59.52 | $93 | 7.4× |
| Culture Aerobic Identify (87077) | $59.52 | $93 | 7.4× |
| Culture afb (87116) | $80 | $125 | 7.4× |
| Culture anaerobic (87075) | $69.76 | $109 | 7.4× |
| Culture blood (87040) | $62.40 | $97.50 | 6.0× |
| Culture chlamydia (87110) | $144.64 | $226 | 7.4× |
| Culture fungus blood (87103) | $96 | $150 | 4.7× |
| Culture fungus id yeast (87106) | $76.16 | $119 | 7.4× |
| Culture fungus other (87102) | $62.08 | $97 | 7.4× |
| Culture genital (87070) | $64 | $100 | 7.4× |
| Culture screen only (87081) | $49.28 | $77 | 7.4× |
| Culture stool (87045) | $69.76 | $109 | 7.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24.32 | $38 | 4.7× |
| Culture urine (87086) | $48.64 | $76 | 6.0× |
| Culture virus (87252) | $192 | $300 | 7.4× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $539.52 | $843 | 4.7× |
| Cyanide (82600) | $143.36 | $224 | 7.4× |
| Cyclic Citrullinated Peptide (86200) | $60.80 | $95 | 4.7× |
| Cytogenetics 100-300 (88275) | $239.36 | $374 | 4.7× |
| Cytogenetics DNA probe (88271) | $158.08 | $247 | 7.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $200.32 | $313 | 4.7× |
| Cytopath cell enhance tech (88112) | $170.88 | $267 | 3.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $82.56 | $129 | 2.1× |
| Cytopath Smear Other Source (88160) | $87.04 | $136 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $137.60 | $215 | 2.6× |
| Cytp fna eval dx 1st each site (88172) | $170.56 | $266.50 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $583.68 | $912 | 3.3× |
| D-Dimer (85378) | $71.68 | $112 | 7.4× |
| Deoxyribonuclease antibody (86215) | $62.08 | $97 | 4.7× |
| Detect agnt mult DNA ampli (87801) | $517.12 | $808 | 7.4× |
| Dgp antibody each ig class (86258) | $350.08 | $547 | 29.1× |
| Dhea (82626) | $186.24 | $291 | 7.4× |
| Dhea-sulfate (82627) | $104.32 | $163 | 4.7× |
| Digoxin (80162) | $158.72 | $248 | 12.0× |
| Dilantin (80185) | $97.92 | $153 | 7.4× |
| Dipropylacetic acid free (80165) | $99.84 | $156 | 7.4× |
| Dna Antibody Single Stranded (86226) | $89.60 | $140 | 7.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $64.64 | $101 | 4.7× |
| Drug Assay Amiodarone (80151) | $137.60 | $215 | 7.4× |
| Drug assay felbamate (80167) | $137.60 | $215 | 7.4× |
| Drug assay itraconazole (80189) | $126.72 | $198 | 4.7× |
| Drug quant nes (80299) | $137.60 | $215 | 7.4× |
| Drug screen quant zonisamide (80203) | $97.92 | $153 | 7.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $97.92 | $153 | 7.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $62.08 | $97 | 4.7× |
| Drug Scrn Quan Levetiracetam (80177) | $97.92 | $153 | 7.4× |
| Drug test prsmv chem anlyzr (80307) | $290.56 | $454 | 4.7× |
| E test (87181) | $35.20 | $55 | 7.4× |
| Ebv viral capsid (86665) | $85.12 | $133 | 4.7× |
| Ehrlichia antibody (86666) | $48 | $75 | 4.7× |
| Electrolyte panel (80051) | $51.84 | $81 | 7.4× |
| Enterovirus Pcr (87498) | $164.48 | $257 | 4.7× |
| Eosinophil count (85048) | $19.20 | $30 | 7.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $112.64 | $176 | 7.4× |
| Estradiol (82670) | $49.20 | $76.88 | 1.8× |
| Estriol serum (82677) | $178.56 | $279 | 7.4× |
| Estrogens fractionated (82671) | $101.56 | $158.69 | 3.1× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $458.88 | $717 | 4.7× |
| Everolimus (80169) | $64.64 | $101 | 4.7× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $64.64 | $101 | 2.2× |
| F2 gene analysis 20210g >a variant (81240) | $307.20 | $480 | 4.7× |
| F5 gene analysis, leiden variant (81241) | $343.04 | $536 | 4.7× |
| Factor ii activity (85210) | $96 | $150 | 7.4× |
| Factor ix activity (85250) | $140.16 | $219 | 7.4× |
| Factor vii assay (85230) | $131.84 | $206 | 7.4× |
| Factor viii ahg (85240) | $107.84 | $168.50 | 6.0× |
| Factor xi assay (85270) | $131.84 | $206 | 7.4× |
| Factor xii assay (85280) | $142.72 | $223 | 7.4× |
| Fecal fat qual (82705) | $37.76 | $59 | 7.4× |
| Fetal bleed screen (85461) | $69.12 | $108 | 7.4× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $3,546.88 | $5,542 | 4.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $717.44 | $1,121 | 4.7× |
| Fetal fibronectin (82731) | $474.24 | $741 | 7.4× |
| Fibrin Degradation Quant (85379) | $75.52 | $118 | 7.4× |
| Fibrinogen activity (85384) | $71.68 | $112 | 7.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $72.96 | $114 | 4.7× |
| Flow cytometry first marker (88184) | $280.64 | $438.50 | 0.8× |
| Fluorescent Antibody Screen (86255) | $88.96 | $139 | 7.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $88.96 | $139 | 7.4× |
| Folate serum (82746) | $108.80 | $170 | 7.4× |
| Follicle Stimulating Hormone (83001) | $32.72 | $51.13 | 1.8× |
| Frozen Section (88331) | $359.68 | $562 | 2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $76.16 | $119 | 7.4× |
| Gabapentin (80171) | $160 | $250 | 7.4× |
| Galactose (82760) | $52.48 | $82 | 4.7× |
| Galactose transferase test (82776) | $55.04 | $86 | 4.7× |
| Gammaglobulin ige (82785) | $121.60 | $190 | 7.4× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $3,548.80 | $5,545 | 4.7× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $2,793.60 | $4,365 | 4.7× |
| Ggt (82977) | $33.92 | $53 | 4.7× |
| Giardia lamblia antibody (86674) | $108.80 | $170 | 7.4× |
| Glucagon (82943) | $105.60 | $165 | 7.4× |
| Glucose (82947) | $29.44 | $46 | 7.5× |
| Glucose Blood Test (82962) | $24.32 | $38 | 7.4× |
| Glucose body fluid (82945) | $29.44 | $46 | 7.5× |
| Glucose post dose (82950) | $35.20 | $55 | 7.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $95.36 | $149 | 7.4× |
| Growth hormone (83003) | $122.88 | $192 | 7.4× |
| H pylori breath test (83013) | $314.88 | $492 | 4.7× |
| Haloperidol (haldol) (80173) | $116.48 | $182 | 7.4× |
| Haptoglobin (83010) | $92.80 | $145 | 7.4× |
| Hcg qualitative (84703) | $55.68 | $87 | 7.4× |
| Hcg quant (84702) | $111.36 | $174 | 7.4× |
| Heavy Metal Qualitative Any Analytes (83015) | $154.24 | $241 | 7.4× |
| Hematocrit (85014) | $17.92 | $28 | 7.6× |
| Hemoglobin (85018) | $17.92 | $28 | 7.6× |
| Hemoglobin a1c (83036) | $71.68 | $112 | 7.4× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $84.48 | $132 | 4.7× |
| Hemoglobin electrophoresis (83020) | $60.16 | $94 | 4.7× |
| Hemoglobin plasma (83051) | $54.40 | $85 | 7.4× |
| Hemosiderin urine (83070) | $35.20 | $55 | 7.4× |
| Heparin assay (85520) | $61.44 | $96 | 4.7× |
| Hepatitis a antibody total (86708) | $58.24 | $91 | 4.7× |
| Hepatitis a igm (86709) | $53.12 | $83 | 4.7× |
| Hepatitis b core ab igm (86705) | $87.04 | $136 | 7.4× |
| Hepatitis b core antibody total (86704) | $56.32 | $88 | 4.7× |
| Hepatitis B Surface Ab (86706) | $50.56 | $79 | 4.7× |
| Hepatitis B Surface Antigen (87340) | $76.16 | $119 | 7.4× |
| Hepatitis be antibody (86707) | $54.40 | $85 | 4.7× |
| Hepatitis Be Antigen (87350) | $54.40 | $85 | 4.7× |
| Hepatitis c antibody (86803) | $105.60 | $165 | 7.4× |
| Hepatitis C Genotype (87902) | $1,895.04 | $2,961 | 7.4× |
| Herpes simplex type i (86695) | $97.28 | $152 | 7.4× |
| Herpes simplex type ii (86696) | $90.88 | $142 | 4.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $38.40 | $60 | 7.4× |
| Hexagonal phospholipid (85598) | $132.48 | $207 | 7.4× |
| Hfe gene (81256) | $305.92 | $478 | 4.7× |
| Histoplasma antibody (86698) | $101.76 | $159 | 7.4× |
| Histoplasma antigen urine (87385) | $62.08 | $97 | 4.7× |
| HIV confirmation (86689) | $142.72 | $223 | 7.4× |
| HIV-1 antibody (86701) | $65.92 | $103 | 7.4× |
| Hla class i high defin qual (86832) | $1,512.96 | $2,364 | 4.7× |
| Hla typing dr/dq (86817) | $781.44 | $1,221 | 7.4× |
| Hla-b27 (86812) | $120.96 | $189 | 4.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $164.48 | $257 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $127.36 | $199 | 4.7× |
| Iaad ia clostridium difficile toxin (87324) | $88.32 | $138 | 7.4× |
| Iaad ia cryptosporidium (87328) | $101.76 | $159 | 7.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $144.96 | $226.50 | 6.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $106.24 | $166 | 7.4× |
| Iaad ia shiga-like toxin (87427) | $56.32 | $88 | 4.7× |
| Iaadi Pneumocustis Carinii (87281) | $56.32 | $88 | 4.7× |
| Iaadiadoo not otherwise specified (87899) | $75.52 | $118 | 4.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $258.56 | $404 | 7.4× |
| Iadna candida species amplified probe tq (87481) | $164.48 | $257 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $164.48 | $257 | 4.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $328.32 | $513 | 4.7× |
| Iadna hepatitis b virus quantification (87517) | $315.52 | $493 | 7.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $315.52 | $493 | 7.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $398.08 | $622 | 4.7× |
| Iadna human papillomavirus high-risk types (87624) | $258.56 | $404 | 7.4× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $190.08 | $297 | 4.7× |
| Iadna mycobacteria avium-intraclre amp prb (87561) | $164.48 | $257 | 4.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $152.08 | $237.63 | 4.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $61.76 | $96.50 | 1.8× |
| Iadna nos amplified probe tq each organism (87798) | $211.52 | $330.50 | 6.0× |
| Iadna nos quantification each organism (87799) | $200.32 | $313 | 4.7× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $1,018.88 | $1,592 | 4.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $164.48 | $257 | 4.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,463.52 | $2,286.75 | 3.5× |
| Igg subclasses (82787) | $37.76 | $59 | 4.7× |
| Igvh somatic hypermutation (81263) | $1,376 | $2,150 | 4.7× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $67.84 | $106 | 0.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $70.40 | $110 | 4.7× |
| Immunoassay nonantibody (83516) | $85.12 | $133 | 7.4× |
| Immunodiffusion Ouchterlony (86331) | $88.32 | $138 | 7.4× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) | $170.24 | $266 | 7.4× |
| Immunofixation (86334) | $104.96 | $164 | 4.7× |
| Immunofixation urine (86335) | $137.60 | $215 | 4.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $187.52 | $293 | 1.1× |
| Immunohistochemistry (88342) | $155.52 | $243 | 0.9× |
| In situ hybridization (88365) | $240 | $375 | 1.4× |
| Influenza DNA amp probe (87502) | $448 | $700 | 4.7× |
| Inhibin a (86336) | $115.20 | $180 | 7.4× |
| Inhibin b (83520) | $127.36 | $199 | 7.4× |
| Insitu hybridization manual (88368) | $424.96 | $664 | 1.1× |
| Insulin antibodies (86337) | $129.28 | $202 | 6.0× |
| Insulin total (83525) | $84.48 | $132 | 7.4× |
| Intrinsic factor antibody (86340) | $111.36 | $174 | 7.4× |
| Iron (83540) | $48 | $75 | 7.4× |
| Iron binding capacity (83550) | $64.64 | $101 | 7.4× |
| Islet cell antibody (86341) | $106.88 | $167 | 4.5× |
| Jak2 gene analysis (81270) | $428.80 | $670 | 4.7× |
| Lactoferrin fecal qual (83630) | $92.16 | $144 | 4.7× |
| Ldh body fluid (83615) | $44.80 | $70 | 7.4× |
| Ldh isoenzymes (83625) | $94.72 | $148 | 7.4× |
| LDL cholesterol direct (83721) | $49.28 | $77 | 4.7× |
| Lead (83655) | $73.28 | $114.50 | 6.1× |
| Legionella antibody (86713) | $112.64 | $176 | 7.4× |
| Legionella antigen urine (87449) | $88.32 | $138 | 7.4× |
| Level ii surg pathology grossµscopic exam (88302) | $69.12 | $108 | 1.8× |
| Level v surg pathology grossµscopic exam (88307) | $169.60 | $265 | 0.5× |
| Level vi surg pathology grossµscopic exam (88309) | $184.32 | $288 | 0.2× |
| Lh (83002) | $136.32 | $213 | 7.4× |
| Lipase (83690) | $51.20 | $80 | 7.4× |
| Listeria ab (86609) | $95.36 | $149 | 7.4× |
| Lithium (80178) | $49.28 | $77 | 7.5× |
| Lyme disease antibody (86618) | $102.72 | $160.50 | 6.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $496.96 | $776.50 | 2.8× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $219.52 | $343 | 1.2× |
| Macroscopic exam parasite (87169) | $32 | $50 | 7.4× |
| Magnesium (83735) | $49.92 | $78 | 7.5× |
| Malaria smear (87207) | $44.16 | $69 | 7.4× |
| Manual reticulocyte count (85044) | $32 | $50 | 7.4× |
| Mass spectrometry qual/quan (83789) | $145.60 | $227.50 | 6.0× |
| Mercury urine (83825) | $119.68 | $187 | 7.4× |
| Methemoglobin (83050) | $60.80 | $95 | 7.4× |
| Methylmalonic acid serum (83921) | $99.20 | $155 | 4.7× |
| Microalbumin urine (82043) | $42.88 | $67 | 7.4× |
| Microsatellite instability (81301) | $1,628.80 | $2,545 | 4.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $675.84 | $1,056 | 12.6× |
| Microsomal antibodies (86376) | $107.52 | $168 | 7.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $312.32 | $488 | 7.4× |
| Molecular pathology procedure level 2 (81401) | $824.64 | $1,288.50 | 6.0× |
| Mononuclear cell antigen (86356) | $197.12 | $308 | 7.4× |
| Mopath procedure level 4 (81403) | $865.28 | $1,352 | 4.7× |
| Mtb PCR (87556) | $307.20 | $480 | 7.4× |
| Mthfr Gene Analysis Common Variants (81291) | $305.28 | $477 | 4.7× |
| Mycophenolic acid (80180) | $84.48 | $132 | 4.7× |
| Mycoplasma antibody (86738) | $97.92 | $153 | 7.4× |
| Mycoplasma genitalium PCR (87563) | $258.56 | $404 | 7.4× |
| Myoglobin urine (83874) | $95.36 | $149 | 7.4× |
| Natriuretic peptide (83880) | $289.28 | $452 | 7.4× |
| Neutralization Test Viral (86382) | $124.80 | $195 | 7.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $374.40 | $585 | 2.6× |
| Nk cells total count (86357) | $176.64 | $276 | 4.7× |
| Nuclear antigen antibody (86235) | $83.84 | $131 | 4.7× |
| Occult blood stool (82272) | $31.36 | $49 | 7.4× |
| Oligoclonal bands (83916) | $201.60 | $315 | 7.4× |
| Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported… (81546) | $224 | $350 | 0.1× |
| Osmolality serum (83930) | $49.28 | $77 | 7.5× |
| Osmolality urine (83935) | $50.56 | $79 | 7.4× |
| Ova and parasite direct-id lca (87177) | $53.76 | $84 | 6.0× |
| Oxalate urine (83945) | $67.84 | $106 | 4.7× |
| Pancreatic elastase, fecal (82656) | $85.12 | $133 | 7.4× |
| Pancreatic polypeptide (83519) | $135.68 | $212 | 7.4× |
| Particle Agglutination Screen Each Antibody (86403) | $85.12 | $133 | 7.4× |
| Parvovirus antibody (86747) | $110.72 | $173 | 7.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $277.76 | $434 | 0.3× |
| Ph body fluid (83986) | $26.88 | $42 | 7.5× |
| Ph urine (81003) | $16.64 | $26 | 7.4× |
| Phenytoin free (80186) | $101.76 | $159 | 7.4× |
| Phosphatase alkaline (84075) | $38.40 | $60 | 7.4× |
| Phosphorus blood (84100) | $35.20 | $55 | 7.4× |
| Phosphorus urine (84105) | $42.88 | $67 | 7.4× |
| Pinworm exam (87172) | $32 | $50 | 7.5× |
| Platelet aggregation (85576) | $183.68 | $287 | 7.4× |
| Platelet count automated (85049) | $33.28 | $52 | 7.4× |
| Pml/raralpha com breakpoints (81315) | $1,526.40 | $2,385 | 7.4× |
| Porphobilinogen urine quant (84110) | $62.72 | $98 | 7.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $88.96 | $139 | 6.0× |
| Potassium (84132) | $35.20 | $55 | 7.4× |
| Potassium urine (84133) | $35.20 | $55 | 7.4× |
| Pregnancy associated plasma protein-a (84163) | $111.36 | $174 | 7.4× |
| Primidone (80188) | $122.24 | $191 | 7.4× |
| Procalcitonin (pct) (84145) | $200.96 | $314 | 7.4× |
| Progesterone (84144) | $36.72 | $57.38 | 1.8× |
| Protein body fluid (84157) | $29.44 | $46 | 7.4× |
| Protein c activity (85303) | $102.40 | $160 | 7.4× |
| Protein c antigen (85302) | $88.96 | $139 | 7.4× |
| Protein electrophoresis serum (84165) | $79.36 | $124 | 7.4× |
| Protein Electrophoresis Urine (84166) | $107.84 | $168.50 | 6.0× |
| Protein s total (85305) | $85.76 | $134 | 7.4× |
| Protein total serum (84155) | $27.52 | $43 | 7.5× |
| Protein urine (84156) | $22.40 | $35 | 6.1× |
| Protein westrn blot i&r blood/other fluid (84181) | $125.44 | $196 | 7.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $29.44 | $46 | 7.5× |
| PSA free (84154) | $135.68 | $212 | 7.4× |
| Pth intact (83970) | $72.64 | $113.50 | 1.8× |
| Rbc (85041) | $22.40 | $35 | 7.4× |
| Rbc antibody elution (86860) | $128.64 | $201 | 0.7× |
| Rbc pretreatment serum (86978) | $144 | $225 | 2.4× |
| Rbc pretx incubatj w/chemicl (86970) | $83.84 | $131 | 1.4× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) | $332.80 | $520 | 4.7× |
| Renin activity plasma (84244) | $161.92 | $253 | 7.4× |
| Resp virus 12-25 targets (87633) | $1,947.52 | $3,043 | 4.7× |
| Resp virus 3-5 targets (87631) | $666.88 | $1,042 | 4.7× |
| Reticulocyte separation (86972) | $120.64 | $188.50 | 0.7× |
| Rheumatoid factor quant (86431) | $42.24 | $66 | 7.4× |
| Rickettsia antibody (86757) | $142.72 | $223 | 7.4× |
| Ristocetin cofactor (85245) | $168.96 | $264 | 7.4× |
| Rotavirus ag eia (87425) | $88.32 | $138 | 7.4× |
| Rubella antibody (86762) | $67.84 | $106 | 4.7× |
| Rubeola Antibody Igg (86765) | $95.36 | $149 | 7.4× |
| Russell viper venom time diluted (85613) | $57.92 | $90.50 | 6.0× |
| Salicylate Level (80179) | $137.60 | $215 | 7.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $309.12 | $483 | 6.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $197.12 | $308 | 4.7× |
| Sedimentation rate auto (85652) | $20.48 | $32 | 7.6× |
| Selenium (84255) | $119.68 | $187 | 4.7× |
| Sensitivity kb (87184) | $35.20 | $55 | 4.7× |
| Sensitivity mic (87186) | $64 | $100 | 7.4× |
| Serotonin Release Assay (86022) | $86.40 | $135 | 4.7× |
| Sex hormone binding globulin (84270) | $101.76 | $159 | 4.7× |
| Sickling of rbc reduction (85660) | $40.96 | $64 | 7.4× |
| Sirolimus (rapamycin) (80195) | $64.64 | $101 | 4.7× |
| Smear acid fast (87206) | $39.68 | $62 | 7.4× |
| Smear complex stain (87209) | $84.48 | $132 | 4.7× |
| Smear gram stain (87205) | $32 | $50 | 7.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $42.88 | $67 | 7.4× |
| Sodium (84295) | $35.84 | $56 | 7.5× |
| Sodium urine (84300) | $37.76 | $59 | 7.5× |
| Soluble transferrin receptor (84238) | $170.88 | $267 | 4.7× |
| Somatomedin (84305) | $99.84 | $156 | 4.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $113.28 | $177 | 0.8× |
| Special stains group 1 (88312) | $78.40 | $122.50 | 1.5× |
| Specific gravity body fluid (84315) | $24.32 | $38 | 7.4× |
| Spectrophotometry (84311) | $60.16 | $94 | 7.4× |
| Stool Culture, Addl Pathogens (87046) | $69.76 | $109 | 7.4× |
| Strep a DNA amp probe (87651) | $164.48 | $257 | 4.7× |
| Strep b DNA amp probe (87653) | $164.48 | $257 | 4.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $40.96 | $64 | 7.4× |
| Surg path level 1 (88300) | $60.16 | $94 | 2.0× |
| Surg path level iii (88304) | $103.68 | $162 | 1.9× |
| Surgical pathology level IV (88305) | $136.32 | $213 | 2.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $219.52 | $343 | 4.7× |
| T cells total count (86359) | $277.76 | $434 | 7.4× |
| T3 free (84481) | $124.80 | $195 | 7.4× |
| T3 reverse (84482) | $116.48 | $182 | 7.4× |
| T3 total (84480) | $104.96 | $164 | 7.4× |
| T3 uptake (84479) | $48 | $75 | 7.4× |
| T4 free (84439) | $66.56 | $104 | 7.4× |
| T4 total (84436) | $51.20 | $80 | 7.5× |
| Tb ag response t-cell susp (86481) | $467.20 | $730 | 4.7× |
| Tb intradermal test (86580) | $41.07 | $64.17 | 1.4× |
| Tb test, cell immun measure (86480) | $109.12 | $170.50 | 1.8× |
| Testosterone free (84402) | $187.52 | $293 | 7.4× |
| Testosterone total (84403) | $120.96 | $189 | 4.7× |
| Theophylline (80198) | $104.32 | $163 | 7.4× |
| Thin prep pap (88142) | $94.72 | $148 | 4.7× |
| Thrombin time plasma (85670) | $42.88 | $67 | 7.4× |
| Thyroglobulin (84432) | $118.40 | $185 | 7.4× |
| Thyroglobulin antibody (86800) | $117.12 | $183 | 7.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $238.08 | $372 | 4.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $657.92 | $1,028 | 4.7× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $20.48 | $32 | 4.8× |
| Tissue culture bone marrow (88237) | $672 | $1,050 | 4.7× |
| Tissue culture lymphocyte (88230) | $544.64 | $851 | 4.7× |
| Tissue transglutaminase ab iga (86364) | $85.12 | $133 | 7.4× |
| Tobramycin peak (80200) | $75.52 | $118 | 4.7× |
| Touch prep (88161) | $103.68 | $162 | 3.5× |
| Toxoplasma ab igm (86778) | $67.84 | $106 | 4.7× |
| Toxoplasma antibody igg (86777) | $67.84 | $106 | 4.7× |
| Transferrin (84466) | $94.08 | $147 | 7.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $976.64 | $1,526 | 4.7× |
| Trg gene rearrangement analysis (81342) | $941.44 | $1,471 | 4.7× |
| Triglycerides (84478) | $42.88 | $67 | 7.5× |
| Troponin (84484) | $92.16 | $144 | 7.4× |
| Tumor immunohistochem/comput (88361) | $189.44 | $296 | 0.5× |
| U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis,… (81357) | $903.04 | $1,411 | 4.7× |
| Unlisted cytogenetic study (88299) | $460.80 | $720 | 8.6× |
| Urea nitrogen (84520) | $29.44 | $46 | 7.5× |
| Urea nitrogen urine (84540) | $26.24 | $41 | 4.7× |
| Uric acid blood (84550) | $33.28 | $52 | 7.4× |
| Uric acid other source (84560) | $31.04 | $48.50 | 6.1× |
| Urinalysis (81005) | $16 | $25 | 7.4× |
| Urinalysis auto w/scope (81001) | $23.68 | $37 | 7.5× |
| Urine Albumin Semiquantitative (82044) | $46.08 | $72 | 7.4× |
| Urine pregnancy test (81025) | $64 | $100 | 7.4× |
| Urine volume measurement (81050) | $26.88 | $42 | 7.4× |
| Valproic acid (80164) | $99.84 | $156 | 7.4× |
| Vancomycin trough (80202) | $99.84 | $156 | 7.4× |
| Varicella-zoster antibody (86787) | $78.08 | $122 | 6.1× |
| Vasoactive intestinal peptide (vip) (84586) | $260.48 | $407 | 7.4× |
| Vdrl csf (86592) | $32 | $50 | 7.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $249.60 | $390 | 7.4× |
| Virus inoculate tissue addl (87253) | $94.72 | $148 | 4.7× |
| Viscosity serum (85810) | $86.40 | $135 | 7.4× |
| Vitamin A (84590) | $85.76 | $134 | 7.4× |
| Vitamin b-12 (82607) | $111.36 | $174 | 7.4× |
| Vitamin b1 (thiamine) (84425) | $156.80 | $245 | 7.4× |
| Vitamin b6 (84207) | $131.84 | $206 | 4.7× |
| Vitamin D 25-Hydroxy (82306) | $95.48 | $149.19 | 3.2× |
| Vitamin e serum (84446) | $104.96 | $164 | 7.4× |
| West nile virus antibody (86789) | $67.84 | $106 | 4.7× |
| West nile virus igm (86788) | $79.36 | $124 | 4.7× |
| Zinc (84630) | $83.84 | $131 | 7.4× |