Lab & pathology prices at Memorial Hospital of Converse County
Douglas, WY · every code in this section with a posted price and a Medicare benchmark.
566 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) | $76.66 | $134.50 | 2.0× |
| 5 Hiaa (83497) | $58.71 | $103 | 4.6× |
| 5 Nucleotidase (83915) | $64.98 | $114 | 5.8× |
| Activated protein c resistance (85307) | $51.87 | $91 | 3.4× |
| Acute hepatitis panel (80074) | $47.31 | $83 | 1.0× |
| Acylcarnitine Plasma (82017) | $281.01 | $493 | 16.7× |
| Adamts13 activity (85397) | $36.76 | $64.50 | 1.2× |
| Additional high resolution study (88289) | $359.10 | $630 | 10.4× |
| Afb culture (87116) | $131.10 | $230 | 12.1× |
| Albumin Fluid (82042) | $39.04 | $68.50 | 5.0× |
| Albumin serum (82040) | $33.92 | $59.50 | 6.9× |
| Aldolase (82085) | $31.06 | $54.50 | 3.2× |
| Aldosterone urine (82088) | $74.96 | $131.50 | 1.8× |
| Alkaline phosphatase isoenzymes (84080) | $50.16 | $88 | 3.4× |
| Allerg sp igg quan or semiquan (86001) | $36.20 | $63.50 | 4.6× |
| Allergen specific ige (86003) | $39.33 | $69 | 7.5× |
| Allg Spec Ige Recomb Ea (86008) | $26.22 | $46 | 1.5× |
| Alpha-1-antitrypsin phenotype (82104) | $57.86 | $101.50 | 4.0× |
| Alpha-1-antitrypsin, total (82103) | $48.45 | $85 | 3.6× |
| Alpha-Fetoprotein L3 (82107) | $156.18 | $274 | 2.4× |
| Alpha-fetoprotein, serum (82105) | $55.86 | $98 | 3.3× |
| Alt (sgpt) (84460) | $25.08 | $44 | 4.7× |
| Amikacin trough (80150) | $152.19 | $267 | 10.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $103.46 | $181.50 | 6.1× |
| Ammonia (82140) | $88.06 | $154.50 | 6.0× |
| Amylase urine (82150) | $66.69 | $117 | 10.3× |
| Ana Titer (86039) | $44.46 | $78 | 4.0× |
| Angiotensin i enzyme test (82164) | $70.11 | $123 | 4.8× |
| Antibody aspergillus (86606) | $40.47 | $71 | 2.7× |
| Antibody coxiella burnetii q fever (86638) | $63.27 | $111 | 5.2× |
| Antibody cytomegalovirus cmv (86644) | $33.34 | $58.50 | 2.3× |
| Antibody cytomegalovirus cmv igm (86645) | $37.62 | $66 | 2.2× |
| Antibody Encephalitis St. Louis (86653) | $60.99 | $107 | 4.6× |
| Antibody haemophilus influenza (86684) | $94.62 | $166 | 6.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $46.17 | $81 | 3.2× |
| Antibody herpes smplx type 1 (86695) | $28.78 | $50.50 | 2.2× |
| Antibody HIV-2 (86702) | $92.34 | $162 | 6.8× |
| Antibody identification (86870) | $227.43 | $399 | 0.6× |
| Antibody identification leukocyte antibodies (86021) | $48.74 | $85.50 | 3.2× |
| Antibody mumps (86735) | $35.34 | $62 | 2.7× |
| Antibody Protozoa Nes (86753) | $96.90 | $170 | 7.8× |
| Antibody rubeola (86765) | $34.77 | $61 | 2.7× |
| Antibody screen (86850) | $51.02 | $89.50 | 5.2× |
| Antibody treponema pallidum (86780) | $37.05 | $65 | 2.8× |
| Antibody; Coccidioides (86635) | $33.63 | $59 | 2.9× |
| Antigen typing (86905) | $246.24 | $432 | 64.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $203.49 | $357 | 39.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $115.14 | $202 | 9.6× |
| Antinuclear antibodies (86038) | $43.60 | $76.50 | 3.6× |
| Antistreptolysin o titer (86060) | $21.94 | $38.50 | 3.0× |
| Antithrombin iii activity (85300) | $46.17 | $81 | 3.9× |
| Antithrombin iii antigen (85301) | $87.78 | $154 | 8.1× |
| Aortic dysfunction/dilation genomic seq analysis (81410) | $1,732.23 | $3,039 | 3.4× |
| Apolipoprotein b (82172) | $31.92 | $56 | 1.5× |
| Arsenic Urine (82175) | $42.75 | $75 | 2.3× |
| Assay Lipoprotein Pla2 (83698) | $159.32 | $279.50 | 3.4× |
| Assay Nephelometry Not Spec (83883) | $166.44 | $292 | 12.2× |
| Assay of 17-hydroxypregnenolone (84143) | $112.86 | $198 | 4.9× |
| Assay of acth (82024) | $71.54 | $125.50 | 1.9× |
| Assay of androstenedione (82157) | $105.45 | $185 | 3.6× |
| Assay of blood fatty acids (82725) | $375.06 | $658 | 20.0× |
| Assay of c-peptide (84681) | $69.26 | $121.50 | 3.3× |
| Assay of calcitonin (82308) | $60.42 | $106 | 2.3× |
| Assay of ceruloplasmin (82390) | $26.50 | $46.50 | 2.5× |
| Assay of cyclosporine (80158) | $72.96 | $128 | 4.0× |
| Assay of erythropoietin (82668) | $67.26 | $118 | 3.6× |
| Assay of ethosuximide (80168) | $52.72 | $92.50 | 3.2× |
| Assay of ferritin (82728) | $94.34 | $165.50 | 6.9× |
| Assay of g6pd enzyme (82955) | $61.28 | $107.50 | 6.3× |
| Assay of gammaglobulin igm (82784) | $41.61 | $73 | 4.5× |
| Assay of gastrin (82941) | $49.88 | $87.50 | 2.8× |
| Assay of gentamicin (80170) | $45.03 | $79 | 2.7× |
| Assay of glucagon (82943) | $231.99 | $407 | 16.2× |
| Assay of homocystine (83090) | $63.84 | $112 | 3.6× |
| Assay of homovanillic acid (83150) | $35.34 | $62 | 1.6× |
| Assay of manganese (83785) | $133.38 | $234 | 5.0× |
| Assay of metanephrines (83835) | $106.30 | $186.50 | 6.3× |
| Assay of parathormone (83970) | $96.62 | $169.50 | 2.3× |
| Assay of phenobarbital (80184) | $49.30 | $86.50 | 3.2× |
| Assay of prealbumin (84134) | $52.16 | $91.50 | 3.6× |
| Assay of proinsulin (84206) | $140.79 | $247 | 5.3× |
| Assay of selenium (84255) | $89.78 | $157.50 | 3.5× |
| Assay of serotonin (84260) | $88.35 | $155 | 2.9× |
| Assay of somatomedin (84305) | $68.40 | $120 | 3.2× |
| Assay of tacrolimus (80197) | $115.71 | $203 | 8.4× |
| Assay of urine vma (84585) | $23.94 | $42 | 1.5× |
| Assay of vitamin k (84597) | $88.92 | $156 | 6.5× |
| Assay of volatiles (84600) | $75.24 | $132 | 4.4× |
| Assay Ph Body Fluid Nos (83986) | $27.36 | $48 | 7.6× |
| Ast (sgot) (84450) | $24.51 | $43 | 4.7× |
| B cells total count (86355) | $134.80 | $236.50 | 3.6× |
| Bartonella antibody (86611) | $92.62 | $162.50 | 9.1× |
| Bcr/abl1 gene major bp (81206) | $229.71 | $403 | 1.4× |
| Bcr/abl1 gene minor bp (81207) | $213.18 | $374 | 1.5× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $67.54 | $118.50 | 2.7× |
| Beta hydroxybutyrate (82010) | $51.30 | $90 | 6.3× |
| Beta Lactamase (87185) | $9.12 | $16 | 1.9× |
| Beta-2 microglobulin (82232) | $70.96 | $124.50 | 4.4× |
| Bile acids; cholylglycine (82240) | $191.52 | $336 | 7.2× |
| Bilirubin direct (82248) | $21.66 | $38 | 4.3× |
| Bilirubin total (82247) | $33.63 | $59 | 6.7× |
| Bilirubin total transcutaneous (88720) | $59.28 | $104 | 11.8× |
| Biotinidase ea specimen (82261) | $13.11 | $23 | 0.8× |
| Bl Smear W/Diff Wbc Count (85007) | $34.20 | $60 | 9.0× |
| Blastomyces antibody (86612) | $53.01 | $93 | 4.1× |
| Blood Count Automated Differential Wbc Count (85004) | $38.76 | $68 | 6.0× |
| Blood count reticulocyte automated (85045) | $60.70 | $106.50 | 15.2× |
| Blood gases (82803) | $215.46 | $378 | 8.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.39 | $27 | 3.5× |
| Blood typing abo (86900) | $56.72 | $99.50 | 19.0× |
| Blood typing serologic rh (d) (86901) | $39.33 | $69 | 13.2× |
| Body fluid cell count (89051) | $64.70 | $113.50 | 11.6× |
| Body fluid cell count (89050) | $64.98 | $114 | 13.8× |
| Bordetella antibody (86615) | $103.17 | $181 | 7.8× |
| Brca1&2 seq & full dup/del (81162) | $1,344.92 | $2,359.50 | 0.7× |
| Breath Alcohol Test (82075) | $27.36 | $48 | 0.9× |
| Brucella antibody (86622) | $39.90 | $70 | 4.5× |
| C diff amplified probe (87493) | $190.10 | $333.50 | 5.1× |
| C-reactive protein (86140) | $57.86 | $101.50 | 11.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $48.74 | $85.50 | 3.8× |
| Ca 125 (86304) | $55.29 | $97 | 2.7× |
| Ca 19-9 (86301) | $53.30 | $93.50 | 2.6× |
| Ca 27 29 (86300) | $33.06 | $58 | 1.6× |
| Cadmium level (82300) | $33.06 | $58 | 1.4× |
| Calcium ionized (82330) | $49.30 | $86.50 | 3.6× |
| Calcium total (82310) | $35.91 | $63 | 7.0× |
| Calcium urine (82340) | $41.90 | $73.50 | 6.9× |
| Calculus Spectroscopy (82365) | $50.44 | $88.50 | 3.9× |
| Calprotectin, fecal (83993) | $181.26 | $318 | 9.2× |
| Candida antibody (86628) | $86.07 | $151 | 7.2× |
| Candida DNA dir probe (87480) | $70.11 | $123 | 3.5× |
| Carbamazepine (tegretol) total (80156) | $72.39 | $127 | 5.0× |
| Carboxyhemoglobin Quantitative (82375) | $72.96 | $128 | 5.9× |
| Carcinoembryonic antigen (82378) | $49.59 | $87 | 2.6× |
| Cardiolipin ab igg (86147) | $66.12 | $116 | 2.6× |
| Carotene (82380) | $55 | $96.50 | 6.0× |
| Catecholamines fraction plasma (82384) | $120.84 | $212 | 4.8× |
| Cell Cryopreserve/Storage (88240) | $193.23 | $339 | 14.8× |
| Cftr gene com variants (81220) | $364.80 | $640 | 0.7× |
| Cftr gene dup/delet variants (81222) | $799.71 | $1,403 | 1.8× |
| Cftr gene full sequence (81223) | $799.71 | $1,403 | 1.6× |
| Chemiluminescent assay (82397) | $124.26 | $218 | 8.8× |
| Chlamydia antibody (86631) | $30.21 | $53 | 2.6× |
| Chlamydia Igm Antibody (86632) | $30.21 | $53 | 2.4× |
| Chloride other source (82438) | $33.06 | $58 | 6.6× |
| Chloride urine (82436) | $29.07 | $51 | 5.1× |
| Cholesterol total (82465) | $27.93 | $49 | 6.4× |
| Chrmsm analysis addl cells counted each study (88285) | $105.16 | $184.50 | 3.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $205.77 | $361 | 1.6× |
| Chromium urine (82495) | $56.14 | $98.50 | 2.8× |
| Chromogranin a (86316) | $94.90 | $166.50 | 4.6× |
| Chromosome analysis 20-25 cells (88264) | $115.71 | $203 | 0.8× |
| Chromosome karyotype study (88280) | $62.13 | $109 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $76.95 | $135 | 2.2× |
| Citrate (82507) | $257.64 | $452 | 9.3× |
| Ck isoenzymes (82552) | $110.58 | $194 | 8.3× |
| Ckmb (82553) | $116 | $203.50 | 10.0× |
| Clot factor viii vw antigen (85246) | $57 | $100 | 2.5× |
| Clozapine level (80159) | $224.01 | $393 | 11.1× |
| Cmv PCR (87496) | $360.81 | $633 | 10.3× |
| Cns DNA amp probe type 12-25 (87483) | $413.25 | $725 | 1.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $241.68 | $424 | 10.0× |
| Cold agglutinin screen (86156) | $23.94 | $42 | 3.0× |
| Cold agglutinin titer (86157) | $64.41 | $113 | 8.0× |
| Collagen cross links (82523) | $87.21 | $153 | 4.7× |
| Compatibility test antiglob (86922) | $192.94 | $338.50 | 1.1× |
| Complement c3 (86160) | $59.85 | $105 | 5.0× |
| Complement total ch50 (86162) | $45.03 | $79 | 2.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $53.58 | $94 | 4.5× |
| Concentration Infectious Agent (87015) | $55.86 | $98 | 8.4× |
| Coombs direct (86880) | $60.70 | $106.50 | 11.3× |
| Copper urine (82525) | $38.48 | $67.50 | 3.1× |
| Cortisol free (82530) | $55.58 | $97.50 | 3.3× |
| Cortisol total (82533) | $55.58 | $97.50 | 3.4× |
| Creatine kinase total (82550) | $53.58 | $94 | 8.2× |
| Creatinine blood (82565) | $23.94 | $42 | 4.7× |
| Creatinine clearance (82575) | $68.68 | $120.50 | 7.3× |
| Creatinine other source (82570) | $39.33 | $69 | 7.6× |
| Cryofibrinogen (82585) | $15.39 | $27 | 1.1× |
| Cryoglobulin (82595) | $30.78 | $54 | 4.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $74.10 | $130 | 9.2× |
| Culture Aerobic Identify (87077) | $45.32 | $79.50 | 5.6× |
| Culture anaerobic (87075) | $72.10 | $126.50 | 7.6× |
| Culture blood (87040) | $176.42 | $309.50 | 17.1× |
| Culture chlamydia (87110) | $60.99 | $107 | 3.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $39.33 | $69 | 5.1× |
| Culture fungus id yeast (87106) | $49.59 | $87 | 4.8× |
| Culture fungus other (87102) | $56.43 | $99 | 6.7× |
| Culture genital (87070) | $75.52 | $132.50 | 8.8× |
| Culture screen only (87081) | $45.60 | $80 | 6.9× |
| Culture stool (87045) | $70.96 | $124.50 | 7.5× |
| Culture typing if ea antiserum (87140) | $60.99 | $107 | 10.9× |
| Culture urine (87086) | $30.21 | $53 | 3.7× |
| Culture urine id ea isolate (87088) | $44.46 | $78 | 5.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $314.07 | $551 | 2.7× |
| Cyclic Citrullinated Peptide (86200) | $35.06 | $61.50 | 2.7× |
| Cystatin c (82610) | $90.06 | $158 | 4.9× |
| Cytogenetics DNA probe (88271) | $83.79 | $147 | 3.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,154.03 | $3,779 | 1.9× |
| Cytopath cell enhance tech (88112) | $106.59 | $187 | 2.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $88.92 | $156 | 3.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $210.04 | $368.50 | 3.9× |
| D-Dimer (85379) | $130.82 | $229.50 | 12.9× |
| Deoxyribonuclease antibody (86215) | $8.26 | $14.50 | 0.6× |
| Detect agent nos DNA dir (87797) | $86.36 | $151.50 | 2.9× |
| Dhea (82626) | $46.46 | $81.50 | 1.8× |
| Dhea sulfate (82627) | $72.10 | $126.50 | 3.2× |
| Digoxin (80162) | $90.34 | $158.50 | 6.8× |
| Dihydrotestosterone (82642) | $75.81 | $133 | 2.6× |
| Dilantin (80185) | $68.97 | $121 | 5.2× |
| Dipropylacetic acid free (80165) | $61.56 | $108 | 4.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $30.50 | $53.50 | 2.2× |
| Dna/Rna Amplified Probe (87150) | $98.04 | $172 | 2.8× |
| Drug assay adalimumab (80145) | $163.02 | $286 | 4.2× |
| Drug Screen Quant Gabapentin (80171) | $197.79 | $347 | 9.1× |
| Drug screen quant zonisamide (80203) | $145.92 | $256 | 11.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $55.86 | $98 | 4.2× |
| Drug Scrn Quan Levetiracetam (80177) | $98.90 | $173.50 | 7.5× |
| Drug scrn quant oxcarbazepin (80183) | $105.45 | $185 | 8.0× |
| Drug test prsmv chem anlyzr (80307) | $162.45 | $285 | 2.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $35.62 | $62.50 | 2.8× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $68.12 | $119.50 | 4.0× |
| Ebv viral capsid (86665) | $66.40 | $116.50 | 3.7× |
| Echinococcus ab igg (86682) | $38.19 | $67 | 2.9× |
| Ehrlichia antibody (86666) | $131.67 | $231 | 12.9× |
| Electrolyte panel (80051) | $66.98 | $117.50 | 9.6× |
| Electronic crossmatch (86923) | $124.83 | $219 | 0.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $108.87 | $191 | 1.8× |
| Endomysial antibody iga (86255) | $192.94 | $338.50 | 16.0× |
| Enzyme cell activity (82657) | $277.59 | $487 | 12.5× |
| Eosinophil count (85048) | $47.31 | $83 | 18.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $48.16 | $84.50 | 3.2× |
| Estradiol (82670) | $96.90 | $170 | 3.5× |
| Estrone (82679) | $35.62 | $62.50 | 1.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $179.84 | $315.50 | 1.8× |
| Everolimus (80169) | $126.54 | $222 | 9.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $47.31 | $83 | 6.5× |
| F2 gene analysis 20210g >a variant (81240) | $173.85 | $305 | 2.6× |
| F5 gene (81241) | $159.03 | $279 | 2.2× |
| Factor inhibitor test (85335) | $176.70 | $310 | 13.7× |
| Factor ix activity (85250) | $85.50 | $150 | 4.5× |
| Factor v activity (85220) | $44.46 | $78 | 2.5× |
| Factor vii assay (85230) | $145.35 | $255 | 8.1× |
| Factor viii ahg (85240) | $49.02 | $86 | 2.7× |
| Factor xii assay (85280) | $97.47 | $171 | 5.0× |
| Fecal fat quant (82710) | $47.31 | $83 | 2.8× |
| Fetal chrmoml aneuploidy (81420) | $565.44 | $992 | 0.7× |
| Fetal fibronectin (82731) | $287.56 | $504.50 | 4.5× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $106.59 | $187 | 1.3× |
| Fibrin degradation products (85362) | $109.44 | $192 | 15.9× |
| Fibrinogen activity (85384) | $88.92 | $156 | 9.1× |
| Fibrinogen antigen (85385) | $110.01 | $193 | 7.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $132.52 | $232.50 | 8.6× |
| Flow cytometry first marker (88184) | $100.32 | $176 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $77.24 | $135.50 | 6.4× |
| Fmr1 gene detection (81243) | $467.40 | $820 | 8.2× |
| Folate serum (82746) | $39.33 | $69 | 2.7× |
| Follicle Stimulating Hormone (83001) | $62.13 | $109 | 3.3× |
| Francisella Tularensis (86668) | $62.70 | $110 | 4.4× |
| Frozen Section (88331) | $222.87 | $391 | 1.3× |
| Fructosamine (82985) | $43.89 | $77 | 2.6× |
| Ftl cgen abnor four anal (81511) | $273.60 | $480 | 1.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $18.24 | $32 | 1.8× |
| Galactose transferase test (82776) | $13.11 | $23 | 1.1× |
| Gammaglobulin ige (82785) | $56.14 | $98.50 | 3.4× |
| Gardner vag DNA dir probe (87510) | $70.11 | $123 | 3.5× |
| Ggt (82977) | $41.32 | $72.50 | 5.7× |
| Giardia antigen eia stool (87329) | $42.46 | $74.50 | 3.5× |
| Glucose (82947) | $32.20 | $56.50 | 8.2× |
| Glucose Blood Test (82962) | $17.96 | $31.50 | 5.5× |
| Glucose body fluid (82945) | $43.60 | $76.50 | 11.1× |
| Glucose post dose (82950) | $43.04 | $75.50 | 9.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $25.94 | $45.50 | 6.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $92.91 | $163 | 7.2× |
| Glycosylated hb home device (83037) | $17.10 | $30 | 1.8× |
| Growth hormone (83003) | $30.21 | $53 | 1.8× |
| Haptoglobin (83010) | $50.73 | $89 | 4.0× |
| Hba1/hba2 full gene sequence (81259) | $384.75 | $675 | 0.6× |
| Hbb duplication/deletion variants (81363) | $161.88 | $284 | 0.8× |
| Hbb Full Gene Sequence (81364) | $208.05 | $365 | 0.6× |
| Hcg qualitative (84703) | $53.86 | $94.50 | 7.2× |
| Hcg quant (84702) | $137.37 | $241 | 9.1× |
| Hdl Cholesterol (83718) | $41.04 | $72 | 5.0× |
| Heavy metal quant each (83018) | $109.72 | $192.50 | 5.0× |
| Hematocrit (85014) | $23.37 | $41 | 9.9× |
| Hemoglobin (85018) | $23.37 | $41 | 9.9× |
| Hemoglobin a1c (83036) | $48.45 | $85 | 5.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $38.76 | $68 | 2.1× |
| Hemoglobin electrophoresis (83020) | $34.20 | $60 | 2.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $76.38 | $134 | 9.9× |
| Hemoglobin plasma (83051) | $30.78 | $54 | 4.2× |
| Heparin assay (85520) | $93.48 | $164 | 7.1× |
| Hepatitis a antibody total (86708) | $29.07 | $51 | 2.3× |
| Hepatitis a igm (86709) | $45.60 | $80 | 4.0× |
| Hepatitis b core ab igm (86705) | $62.13 | $109 | 5.3× |
| Hepatitis b core antibody total (86704) | $43.04 | $75.50 | 3.6× |
| Hepatitis B Surface Ab (86706) | $40.18 | $70.50 | 3.7× |
| Hepatitis B Surface Antigen (87340) | $33.92 | $59.50 | 3.3× |
| Hepatitis be antibody (86707) | $70.40 | $123.50 | 6.1× |
| Hepatitis Be Antigen (87350) | $70.96 | $124.50 | 6.2× |
| Hepatitis c antibody (86803) | $39.04 | $68.50 | 2.7× |
| Hepatitis C Genotype (87902) | $425.22 | $746 | 1.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $198.93 | $349 | 5.7× |
| Hepatitis delta ab (86692) | $124.83 | $219 | 7.3× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,602.84 | $2,812 | 1.2× |
| Heredtry nurondcrn tum dsrdr (81437) | $2,489.19 | $4,367 | 1.9× |
| Herpes culture (87252) | $129.39 | $227 | 5.0× |
| Herpes simplex type 2 (86696) | $35.06 | $61.50 | 1.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $50.73 | $89 | 9.8× |
| Hfe gene (81256) | $288.42 | $506 | 4.4× |
| Histamine plasma (83088) | $76.10 | $133.50 | 2.6× |
| Histoplasma antibody (86698) | $40.47 | $71 | 2.9× |
| Histoplasma antigen urine (87385) | $89.49 | $157 | 6.8× |
| HIV-1 antibody (86701) | $92.34 | $162 | 10.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $67.26 | $118 | 4.9× |
| Hla ii typing 1 locus lr (81376) | $288.42 | $506 | 2.4× |
| Hla ii typing ag equiv lr (81375) | $192.66 | $338 | 0.9× |
| Hla-b27 (86812) | $84.08 | $147.50 | 3.3× |
| Homogenization tissue (87176) | $31.35 | $55 | 5.3× |
| Hsv Dna Quant (87530) | $288.70 | $506.50 | 6.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $62.70 | $110 | 1.8× |
| Human epididymis protein 4 (86305) | $177.56 | $311.50 | 8.5× |
| Hydroxyprogesterone 17-d (83498) | $69.26 | $121.50 | 2.5× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $62.70 | $110 | 3.5× |
| Iaad ia clostridium difficile toxin (87324) | $60.99 | $107 | 5.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $94.62 | $166 | 9.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $41.61 | $73 | 1.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $94.05 | $165 | 6.5× |
| Iaad ia rotavirus (87425) | $69.26 | $121.50 | 5.8× |
| Iaadiadoo not otherwise specified (87899) | $54.72 | $96 | 3.4× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $200.64 | $352 | 5.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $72.10 | $126.50 | 2.1× |
| Iadna hepatitis b virus quantification (87517) | $173 | $303.50 | 4.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $169.58 | $297.50 | 4.0× |
| Iadna herpes virus-6 quantification (87533) | $208.62 | $366 | 5.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $202.06 | $354.50 | 2.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $90.92 | $159.50 | 2.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $78.66 | $138 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $196.36 | $344.50 | 5.6× |
| Iadna nos quantification each organism (87799) | $246.81 | $433 | 5.8× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $419.52 | $736 | 1.9× |
| Igg subclasses (82787) | $81.51 | $143 | 10.2× |
| Immunfix e-phorsis/urine/csf (86335) | $112.86 | $198 | 3.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $39.62 | $69.50 | 2.6× |
| Immunoassay nonantibody (83516) | $72.96 | $128 | 6.3× |
| Immunoassay with direct visual observation for streptococcus (87802) | $42.18 | $74 | 3.3× |
| Immunofixj Electrophoresis Serum (86334) | $94.62 | $166 | 4.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $314.07 | $551 | 1.8× |
| Immunoglobulin light chains free each (83521) | $78.09 | $137 | 4.5× |
| Immunohistochemistry (88342) | $214.32 | $376 | 1.2× |
| India ink prep (87210) | $37.05 | $65 | 6.4× |
| Infectious agent enzymatic activity to detect organism (87905) | $84.93 | $149 | 7.0× |
| Inhibin a (86336) | $53.58 | $94 | 3.4× |
| Inhibin b (83520) | $129.39 | $227 | 7.5× |
| Insulin antibodies (86337) | $75.24 | $132 | 3.5× |
| Insulin total (83525) | $48.45 | $85 | 4.2× |
| Interleukin 6 (83529) | $24.51 | $43 | 1.4× |
| Intrinsic factor antibody (86340) | $77.80 | $136.50 | 5.2× |
| Iron (83540) | $31.92 | $56 | 4.9× |
| Iron binding capacity (83550) | $28.78 | $50.50 | 3.3× |
| Irradiation of blood product (86945) | $174.99 | $307 | 4.6× |
| Islet cell antibody (86341) | $94.90 | $166.50 | 4.0× |
| Jak2 gene analysis (81270) | $397.29 | $697 | 4.3× |
| Koh Prep (87220) | $39.33 | $69 | 9.2× |
| Lactic acid (83605) | $116.85 | $205 | 10.1× |
| Lactoferrin fecal qualitative (83630) | $59.85 | $105 | 3.0× |
| Ldh (83615) | $45.03 | $79 | 7.5× |
| Ldh isoenzymes (83625) | $34.77 | $61 | 2.7× |
| Lead (83655) | $33.34 | $58.50 | 2.8× |
| Legion pneumo, DNA, amp prob (87541) | $67.83 | $119 | 1.9× |
| Legionella antibody (86713) | $48.16 | $84.50 | 3.1× |
| Legionella antigen urine (87449) | $64.41 | $113 | 5.4× |
| Leptospira antibody (86720) | $124.83 | $219 | 7.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $28.50 | $50 | 6.7× |
| Level ii surg pathology grossµscopic exam (88302) | $113.72 | $199.50 | 3.0× |
| Level v surg pathology grossµscopic exam (88307) | $830.20 | $1,456.50 | 2.3× |
| Lh (83002) | $61.84 | $108.50 | 3.3× |
| Lidocaine level (80176) | $55.29 | $97 | 3.8× |
| Lipase (83690) | $125.40 | $220 | 18.2× |
| Lipoprotein Bld Hr Fraction (83701) | $51.30 | $90 | 1.5× |
| Listeria ab (86609) | $90.06 | $158 | 7.0× |
| Lithium (80178) | $32.49 | $57 | 4.9× |
| Lyme disease antibody (86618) | $95.19 | $167 | 5.6× |
| Lyme disease antibody confirm (86617) | $48.16 | $84.50 | 3.1× |
| Lymph Choriomeningitis Ab (86727) | $53.58 | $94 | 4.2× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $162.45 | $285 | 0.4× |
| Macroscopic exam arthropod (87168) | $53.86 | $94.50 | 12.6× |
| Macroscopic exam parasite (87169) | $36.48 | $64 | 8.5× |
| Magnesium (83735) | $46.17 | $81 | 6.9× |
| Malaria antibody (86750) | $55.29 | $97 | 4.2× |
| Malaria smear (87207) | $49.59 | $87 | 8.3× |
| Mass spectrometry qual/quan (83789) | $175.56 | $308 | 7.3× |
| Mercury (83825) | $45.60 | $80 | 2.8× |
| Methotrexate (80299) | $137.94 | $242 | 7.4× |
| Methylmalonic acid serum (83921) | $75.81 | $133 | 3.6× |
| Microalbumin urine (82043) | $47.88 | $84 | 8.3× |
| Microbe susceptible diffuse (87181) | $59.28 | $104 | 12.5× |
| Microsomal antibodies (86376) | $56.43 | $99 | 3.9× |
| Mitochondrial antibody each (86381) | $57 | $100 | 2.2× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $578.55 | $1,015 | 2.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $578.55 | $1,015 | 0.9× |
| Mog-igg1 antibody flow cytometry each (86363) | $454.29 | $797 | 12.0× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $83.79 | $147 | 1.6× |
| Molecular pathology procedure level 2 (81401) | $309.22 | $542.50 | 2.3× |
| Molecular pathology procedure level 7 (81406) | $824.22 | $1,446 | 2.9× |
| Mononuclear cell antigen (86356) | $218.88 | $384 | 8.2× |
| Mopath procedure level 3 (81402) | $486.78 | $854 | 3.2× |
| Mopath procedure level 4 (81403) | $119.13 | $209 | 0.6× |
| Mopath procedure level 5 (81404) | $595.65 | $1,045 | 2.2× |
| Mopath procedure level 6 (81405) | $486.78 | $854 | 1.6× |
| Mopath procedure level 8 (81407) | $824.22 | $1,446 | 1.0× |
| Mopath procedure level 9 (81408) | $655.50 | $1,150 | 0.3× |
| Mrsa amp probe (87641) | $107.16 | $188 | 3.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $578.55 | $1,015 | 1.5× |
| Msh2 gene dup/delete variant (81297) | $578.55 | $1,015 | 2.7× |
| Mycophenolic acid (80180) | $17.10 | $30 | 0.9× |
| Mycoplasma antibody (86738) | $61.56 | $108 | 4.6× |
| Myoglobin urine (83874) | $66.98 | $117.50 | 5.2× |
| N.gonorrhoeae, DNA, dir prob (87590) | $45.60 | $80 | 1.7× |
| Natriuretic peptide (83880) | $166.72 | $292.50 | 4.2× |
| Neutralization test, viral (86382) | $106.02 | $186 | 6.3× |
| Neutralizing Antibody Sars-Cov-2 Screen (86408) | $192.38 | $337.50 | 4.6× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $189.81 | $333 | 2.6× |
| Niacin (84591) | $118.28 | $207.50 | 6.9× |
| Nk cells total count (86357) | $125.97 | $221 | 3.3× |
| Nuclear antigen antibody (86235) | $42.18 | $74 | 2.4× |
| Obstetric panel (80081) | $241.40 | $423.50 | 3.2× |
| Occult blood stool (82272) | $30.78 | $54 | 7.3× |
| Oligoclonal bands (83916) | $96.62 | $169.50 | 3.5× |
| Osmolality serum (83930) | $33.92 | $59.50 | 5.1× |
| Osmolality urine (83935) | $51.02 | $89.50 | 7.5× |
| Ova and parasite direct-id lca (87177) | $53.01 | $93 | 6.0× |
| Pancreatic elastase fecal (82656) | $99.18 | $174 | 8.6× |
| Pancreatic polypeptide (83519) | $179.26 | $314.50 | 9.7× |
| Parvovirus antibody (86747) | $16.53 | $29 | 1.1× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $71.82 | $126 | 1.0× |
| Phenotype Infect Agent Drug (87900) | $796.86 | $1,398 | 6.1× |
| Phenylalanine (84030) | $30.50 | $53.50 | 5.5× |
| Phenytoin free (80186) | $46.46 | $81.50 | 3.4× |
| Phosphatase alkaline (84075) | $25.08 | $44 | 4.8× |
| Phospholipid Neutralization Hexagonal (85598) | $138.51 | $243 | 7.7× |
| Phosphorus blood (84100) | $45.32 | $79.50 | 9.6× |
| Pinworm exam (87172) | $119.13 | $209 | 27.9× |
| Platelet count (85049) | $29.07 | $51 | 6.5× |
| Platelet neutralization (85597) | $78.09 | $137 | 4.3× |
| Pmp22 gene dup/delet (81324) | $590.52 | $1,036 | 0.8× |
| Porphobilinogen urine quant (84110) | $33.92 | $59.50 | 4.0× |
| Porphyrins qn & fraction urine (84120) | $184.68 | $324 | 12.6× |
| Potassium (84132) | $33.34 | $58.50 | 7.0× |
| Potassium urine (84133) | $53.86 | $94.50 | 11.4× |
| Pregnenolone (84140) | $80.94 | $142 | 3.9× |
| Primidone (80188) | $27.93 | $49 | 1.7× |
| Procalcitonin (pct) (84145) | $98.32 | $172.50 | 3.6× |
| Progesterone (84144) | $43.60 | $76.50 | 2.1× |
| Prolactin (84146) | $55.29 | $97 | 2.9× |
| Prostaglandin Ea (84150) | $211.47 | $371 | 5.1× |
| Protein body fluid (84157) | $57.57 | $101 | 14.4× |
| Protein c activity (85303) | $87.21 | $153 | 6.3× |
| Protein c antigen (85302) | $112.29 | $197 | 9.3× |
| Protein electrophoresis serum (84165) | $46.17 | $81 | 4.3× |
| Protein Electrophoresis Urine (84166) | $25.65 | $45 | 1.4× |
| Protein S Functional (85306) | $70.96 | $124.50 | 4.6× |
| Protein s total (85305) | $81.51 | $143 | 7.0× |
| Protein Total Serum (84155) | $35.62 | $62.50 | 9.7× |
| Protein urine (84156) | $53.30 | $93.50 | 14.5× |
| Protein Western Blot (84182) | $91.20 | $160 | 3.1× |
| Prothrombin time substitution (85611) | $84.64 | $148.50 | 21.5× |
| PSA free (84154) | $46.17 | $81 | 2.5× |
| Quantiferon tb gold (86480) | $139.65 | $245 | 2.3× |
| Rbc pretx incubatj w/chemicl (86970) | $37.34 | $65.50 | 0.6× |
| Reagent strip/blood glucose (82948) | $40.76 | $71.50 | 8.1× |
| Reducing substances, stool (84376) | $66.69 | $117 | 12.1× |
| Renin activity plasma (84244) | $46.46 | $81.50 | 2.1× |
| Respiratory viral panel PCR (87633) | $459.99 | $807 | 1.1× |
| Rheumatoid factor quant (86431) | $41.61 | $73 | 7.3× |
| Rickettsia antibody (86757) | $70.96 | $124.50 | 3.7× |
| Rsv (87807) | $91.20 | $160 | 7.0× |
| Rubella antibody (86762) | $45.60 | $80 | 3.2× |
| Russell viper venom time diluted (85613) | $44.18 | $77.50 | 4.6× |
| Saccharomyces ab iga (86671) | $107.73 | $189 | 8.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $90.63 | $159 | 1.8× |
| Sed rate automated (85652) | $43.04 | $75.50 | 15.9× |
| Semen analysis sperm presence&/motility sprm (89321) | $52.16 | $91.50 | 4.3× |
| Sensitivity mic (87186) | $67.83 | $119 | 7.8× |
| Serotonin Release Assay (86022) | $85.50 | $150 | 4.7× |
| Sev aqt respir synd coronavirus 2 antibody quan (86413) | $58.14 | $102 | 1.1× |
| Sex hormone binding globulin (84270) | $54.15 | $95 | 2.5× |
| Sickle cell screen (85660) | $87.50 | $153.50 | 15.9× |
| Sirolimus (rapamycin) (80195) | $103.74 | $182 | 7.6× |
| Smear acid fast (87206) | $30.21 | $53 | 5.6× |
| Smear complex stain (87209) | $41.32 | $72.50 | 2.3× |
| Smear gram stain (87205) | $37.90 | $66.50 | 8.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $377.34 | $662 | 2.8× |
| Sodium (84295) | $19.38 | $34 | 4.0× |
| Sodium other source (84302) | $39.90 | $70 | 8.2× |
| Sodium urine (84300) | $43.32 | $76 | 8.6× |
| Soluble transferrin receptor (84238) | $148.20 | $260 | 4.1× |
| Spectrophotometry (84311) | $144.21 | $253 | 17.8× |
| Stool Cultr Aerobic Bact Ea (87046) | $92.62 | $162.50 | 9.8× |
| Strep a assay w/optic (87880) | $51.30 | $90 | 3.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.29 | $97 | 0.6× |
| Surg path level iii (88304) | $123.98 | $217.50 | 2.3× |
| Surgical pathology level IV (88305) | $108.58 | $190.50 | 2.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $85.50 | $150 | 1.8× |
| T cells, total count (86359) | $63.56 | $111.50 | 1.7× |
| T3 free (84481) | $59.28 | $104 | 3.5× |
| T3 reverse (84482) | $148.77 | $261 | 9.4× |
| T3 total (84480) | $46.74 | $82 | 3.3× |
| T3 uptake (84479) | $51.30 | $90 | 7.9× |
| T4 Free (84439) | $61.56 | $108 | 6.8× |
| T4 total (84436) | $33.34 | $58.50 | 4.9× |
| T4-neonatal (84437) | $13.11 | $23 | 2.0× |
| Tau phosphorylated each (84393) | $396.72 | $696 | 3.1× |
| Tb intradermal test (86580) | $28.78 | $50.50 | 1.0× |
| Test for acetone/ketones (82009) | $56.43 | $99 | 12.5× |
| Testosterone free (84402) | $54.44 | $95.50 | 2.1× |
| Testosterone total (84403) | $23.94 | $42 | 0.9× |
| Theophylline (80198) | $95.19 | $167 | 6.7× |
| Thin prep pap (88142) | $83.79 | $147 | 4.1× |
| Thrombin time plasma (85670) | $59 | $103.50 | 10.2× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $69.54 | $122 | 10.7× |
| Thyroglobulin (84432) | $103.74 | $182 | 6.5× |
| Thyroglobulin Ab (86800) | $28.50 | $50 | 1.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $149.91 | $263 | 2.9× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $186.10 | $326.50 | 1.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $57 | $100 | 4.9× |
| Tissue culture bone marrow (88237) | $188.38 | $330.50 | 1.3× |
| Tissue Culture Lymphocyte (88230) | $319.48 | $560.50 | 2.7× |
| Tissue culture placenta (88235) | $224.58 | $394 | 1.5× |
| Topiramate (80201) | $82.65 | $145 | 6.9× |
| Toxoplasma ab igm (86778) | $46.17 | $81 | 3.2× |
| Toxoplasma antibody igg (86777) | $41.61 | $73 | 2.9× |
| Transferrin (84466) | $48.45 | $85 | 3.8× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) | $266.76 | $468 | 1.2× |
| Trichomonas vagin dir probe (87660) | $70.11 | $123 | 3.5× |
| Triglycerides (84478) | $40.47 | $71 | 7.1× |
| Troponin (84484) | $122.55 | $215 | 9.8× |
| Unlisted cytogenetic study (88299) | $262.20 | $460 | 4.9× |
| Urea nitrogen (84520) | $33.06 | $58 | 8.4× |
| Urea nitrogen urine (84540) | $29.64 | $52 | 5.3× |
| Uric acid blood (84550) | $39.90 | $70 | 8.8× |
| Uric acid other source (84560) | $35.91 | $63 | 7.1× |
| Urinalysis microscopic only (81015) | $26.22 | $46 | 8.6× |
| Urinalysis w/microscopic (81001) | $37.62 | $66 | 11.9× |
| Urine microalbumin (protein) analysis (82044) | $38.19 | $67 | 6.1× |
| Urine pregnancy test (81025) | $45.03 | $79 | 5.2× |
| Urine volume measurement (81050) | $16.53 | $29 | 4.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $25.08 | $44 | 11.1× |
| Valproic acid level (80164) | $43.32 | $76 | 3.2× |
| Vancomycin trough (80202) | $114 | $200 | 8.4× |
| Varicella-zoster antibody (86787) | $34.20 | $60 | 2.7× |
| Vasoactive intestinal peptide (vip) (84586) | $104.31 | $183 | 3.0× |
| Vasopressin (84588) | $35.34 | $62 | 1.0× |
| Vdrl csf (86592) | $42.75 | $75 | 10.0× |
| Virus antibody nos (86790) | $108.87 | $191 | 8.5× |
| Vitamin A (84590) | $45.88 | $80.50 | 4.0× |
| Vitamin b-12 (82607) | $39.90 | $70 | 2.6× |
| Vitamin b1 (thiamine) (84425) | $64.41 | $113 | 3.0× |
| Vitamin b6 (84207) | $146.20 | $256.50 | 5.2× |
| Vitamin C (82180) | $55.86 | $98 | 5.6× |
| Vitamin D 25-Hydroxy (82306) | $89.20 | $156.50 | 3.0× |
| Vitamin e serum (84446) | $43.89 | $77 | 3.1× |
| West nile virus ab, igm (86788) | $75.81 | $133 | 4.5× |
| West nile virus antibody (86789) | $82.08 | $144 | 5.7× |
| Yersinia antibody (86793) | $128.25 | $225 | 9.7× |
| Zinc (84630) | $37.90 | $66.50 | 3.3× |