Lab & pathology prices at Memorial Hospital of Converse County

Douglas, WY · every code in this section with a posted price and a Medicare benchmark.

567 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $69.26 $121.50 2.5×
17-Hydroxypregnenolone (84143) $112.86 $198 4.9×
5-Hiaa (83497) $58.71 $103 4.6×
Acetone serum qual (82009) $56.43 $99 12.5×
Acetone, quantitative (82010) $51.30 $90 6.3×
Acth (82024) $71.54 $125.50 1.9×
Activated protein c resistance (85307) $51.87 $91 3.4×
Acute hepatitis panel (80074) $47.31 $83 1.0×
Acylcarnitines quantitative (82017) $281.01 $493 16.7×
Afb concentration (87015) $55.86 $98 8.4×
Afb culture (87116) $131.10 $230 12.1×
Afb smear (87206) $30.21 $53 5.6×
Afp-l3 fraction isoform & total afp w/ratio (82107) $156.18 $274 2.4×
Albumin body fluid (82042) $39.04 $68.50 5.0×
Albumin serum (82040) $33.92 $59.50 6.9×
Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) $38.19 $67 6.1×
Aldolase (82085) $31.06 $54.50 3.2×
Aldosterone (82088) $74.96 $131.50 1.8×
Alkaline phosphatase (84075) $25.08 $44 4.8×
Alkaline phosphatase isoenzymes (84080) $50.16 $88 3.4×
Allergen profile perennial allergen (86003) $39.33 $69 7.5×
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $26.22 $46 1.5×
Alpha-1-antitrypsin (82103) $48.45 $85 3.6×
Alpha-1-antitrypsin phenotype (82104) $57.86 $101.50 4.0×
Alpha-fetoprotein serum (82105) $55.86 $98 3.3×
Alt (84460) $25.08 $44 4.7×
Amikacin level (80150) $152.19 $267 10.1×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $103.46 $181.50 6.1×
Ammonia (82140) $88.06 $154.50 6.0×
Amylase (82150) $66.69 $117 10.3×
Ana (86038) $43.60 $76.50 3.6×
Ana titer (86039) $44.46 $78 4.0×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $48.16 $84.50 3.2×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $66.40 $116.50 3.7×
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $94.62 $166 6.0×
Androstenedione (82157) $105.45 $185 3.6×
Angiotensin converting enzyme (82164) $70.11 $123 4.8×
Anti-mitochondrial antibody (86255) $192.94 $338.50 16.0×
Antibody identification platelet antibodies (86022) $85.50 $150 4.7×
Antibody west nile virus igm (86788) $75.81 $133 4.5×
Antineutrophil cytoplasmic antb screen ea antb (86036) $115.14 $202 9.6×
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 (81410) $1,732.23 $3,039 3.4×
Apolipoprotein each (82172) $31.92 $56 1.5×
Arsenic (82175) $42.75 $75 2.3×
Aspergillus antibody (86606) $40.47 $71 2.7×
Assay of interleukin-6 (il-6) (83529) $24.51 $43 1.4×
Assay of vitamin not otherwise specified (84591) $118.28 $207.50 6.9×
Ast (84450) $24.51 $43 4.7×
B cells total count (86355) $134.80 $236.50 3.6×
Bacterium antibody (86609) $90.06 $158 7.0×
Bartonella antibody (86611) $92.62 $162.50 9.1×
Bcr/abl 1 gene other bp (81208) $266.76 $468 1.2×
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 (86146) $67.54 $118.50 2.7×
Beta lactamase (87185) $9.12 $16 1.9×
Beta-2 microglobulin (82232) $70.96 $124.50 4.4×
Bile acids, cholylglycine - 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 (82261) $13.11 $23 0.8×
Blastomyces antibody (86612) $53.01 $93 4.1×
Blood count leukocyte wbc automated (85048) $47.31 $83 18.6×
Blood count reticulocyte automated (85045) $60.70 $106.50 15.2×
Blood count; automated differential WBC count Other Outpatient (85004) $38.76 $68 6.0×
Blood gases any combination (82803) $215.46 $378 8.3×
Blood typing rbc antigens (86905) $246.24 $432 64.3×
Blood typing serologic abo (86900) $56.72 $99.50 19.0×
Blood typing serologic rh (d) (86901) $39.33 $69 13.2×
Bordetella pertussis igm (86615) $103.17 $181 7.8×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (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-peptide (84681) $69.26 $121.50 3.3×
C-reactive protein (86140) $57.86 $101.50 11.2×
C-reactive protein high sensitivity (86141) $48.74 $85.50 3.8×
C2 complement functional (86161) $53.58 $94 4.5×
Ca 125 (86304) $55.29 $97 2.7×
Ca 15-3 (86300) $33.06 $58 1.6×
Cadmium (82300) $33.06 $58 1.4×
Calcitonin (82308) $60.42 $106 2.3×
Calcium ionized (82330) $49.30 $86.50 3.6×
Calcium total (82310) $35.91 $63 7.0×
Calcium, random urine (82340) $41.90 $73.50 6.9×
Calprotectin fecal (83993) $181.26 $318 9.2×
Cancer antigen 19-9 (86301) $53.30 $93.50 2.6×
Candida antibody (86628) $86.07 $151 7.2×
Carbamazepine total (80156) $72.39 $127 5.0×
Carbon monoxide (82375) $72.96 $128 5.9×
Cardiolipin antibody ea ig class (86147) $66.12 $116 2.6×
Carotene (82380) $55 $96.50 6.0×
Casein igg (86001) $36.20 $63.50 4.6×
Catecholamines fractionated (82384) $120.84 $212 4.8×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $85.50 $150 1.8×
Cea (82378) $49.59 $87 2.6×
Cell count body fluid (89050) $64.98 $114 13.8×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $64.70 $113.50 11.6×
Ceruloplasmin (82390) $26.50 $46.50 2.5×
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 antibody igm (86632) $30.21 $53 2.4×
Chlamydia culture (87110) $60.99 $107 3.1×
Chlamydia pneumoniae PCR (87486) $72.10 $126.50 2.1×
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×
Chorionic gonadotropin test (84702) $137.37 $241 9.1×
Chromium (82495) $56.14 $98.50 2.8×
Chromogranin a (86316) $94.90 $166.50 4.6×
Chromosome analysis 15-20 cells (88262) $205.77 $361 1.6×
Chromosome analysis 20-25 cells (88264) $115.71 $203 0.8×
Chromosome analysis for genetic defects, additional cells counted, each study (88285) $105.16 $184.50 3.9×
Chromosome analysis for genetic defects, additional high resolution study (88289) $359.10 $630 10.4×
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $62.13 $109 1.9×
Citrate (82507) $257.64 $452 9.3×
Ck mb fraction (82553) $116 $203.50 10.0×
Clostridium ag eia (87324) $60.99 $107 5.1×
Clot inhibit prot s total (85305) $81.51 $143 7.0×
Clotting funct activity (85397) $36.76 $64.50 1.2×
Cmv antibody (86644) $33.34 $58.50 2.3×
Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) $413.25 $725 1.0×
Coccidioides antibody (86635) $33.63 $59 2.9×
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 agglutinins titer (86157) $64.41 $113 8.0×
Collagen cross links (82523) $87.21 $153 4.7×
Compatibility each unit electronic (86923) $124.83 $219 0.7×
Complement antigen ea component (86160) $59.85 $105 5.0×
Complement total (ch50) (86162) $45.03 $79 2.2×
Coombs test indirect titer (86886) $203.49 $357 39.3×
Copper (82525) $38.48 $67.50 3.1×
Cortisol free (82530) $55.58 $97.50 3.3×
Cortisol saliva (82533) $55.58 $97.50 3.4×
Creatine kinase isoenzymes (82552) $110.58 $194 8.3×
Creatine kinase total (82550) $53.58 $94 8.2×
Creatinine (82565) $23.94 $42 4.7×
Creatinine clearance (82575) $68.68 $120.50 7.3×
Creatinine other source (82570) $39.33 $69 7.6×
Crossmatch ahg (86922) $192.94 $338.50 1.1×
Cryofibrinogen (82585) $15.39 $27 1.1×
Cryoglobulins (82595) $30.78 $54 4.8×
Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) $193.23 $339 14.8×
Crystals fluid (89060) $47.31 $83 6.5×
Culture anaerobic (87075) $72.10 $126.50 7.6×
Culture blood (87040) $176.42 $309.50 17.1×
Culture fungus skin hair nail (87101) $39.33 $69 5.1×
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, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $45.32 $79.50 5.6×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $74.10 $130 9.2×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $92.62 $162.50 9.8×
Cyclic citrullinated peptide ab (86200) $35.06 $61.50 2.7×
Cyclosporine (80158) $72.96 $128 4.0×
Cystatin c (82610) $90.06 $158 4.9×
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $38.19 $67 2.9×
Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) $2,154.03 $3,779 1.9×
Cytomeg DNA amp probe (87496) $360.81 $633 10.3×
Cytomegalovirus antibody igm (86645) $37.62 $66 2.2×
Cytopath cell enhance tech (88112) $106.59 $187 2.0×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $83.79 $147 4.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $88.92 $156 3.3×
Cytp eval fine needle aspirate interp & report (88173) $210.04 $368.50 3.9×
D-dimer quantitative (85379) $130.82 $229.50 12.9×
Deoxyribonuclease antibody (86215) $8.26 $14.50 0.6×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $30.50 $53.50 2.2×
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×
Direct antiglobulin test (86880) $60.70 $106.50 11.3×
DNA/RNA amplified probe (87150) $98.04 $172 2.8×
DNA/RNA sequencing (87153) $314.07 $551 2.7×
Drug assay adalimumab (80145) $163.02 $286 4.2×
Drug screen quant clozapine (80159) $224.01 $393 11.1×
Drug screen quant everolimus (80169) $126.54 $222 9.2×
Drug screen quant gabapentin (80171) $197.79 $347 9.1×
Drug screen quant levetiracetam (80177) $98.90 $173.50 7.5×
Drug screen quant mycophenolate (80180) $17.10 $30 0.9×
Drug screen quant zonisamide (80203) $145.92 $256 11.0×
Drug screen quantitative oxcarbazepine (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 test prsmv instrmnt (80306) $68.12 $119.50 4.0×
Ear culture (87070) $75.52 $132.50 8.8×
Ehrlichia antibody (86666) $131.67 $231 12.9×
Electrolytes panel (80051) $66.98 $117.50 9.6×
Electrophoretic test (82664) $108.87 $191 1.8×
Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) $60.99 $107 4.6×
Eosinophils urine (87205) $37.90 $66.50 8.9×
Erythropoietin (82668) $67.26 $118 3.6×
Estradiol (82670) $96.90 $170 3.5×
Estrone (82679) $35.62 $62.50 1.4×
Ethosuximide (80168) $52.72 $92.50 3.2×
Eval amniotic fluid protein (84112) $179.84 $315.50 1.8×
Extractable nuclear antigen antibody any method (86235) $42.18 $74 2.4×
F2 gene analysis (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 activity (85230) $145.35 $255 8.1×
Factor viii activity (85240) $49.02 $86 2.7×
Factor viii vw antigen (85246) $57 $100 2.5×
Factor xii (hageman) (85280) $97.47 $171 5.0×
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $47.31 $83 2.8×
Fatty acids nonesterified (82725) $375.06 $658 20.0×
Ferritin (82728) $94.34 $165.50 6.9×
Fetal chromosomal aneuploidy genomic seq analys (81420) $565.44 $992 0.7×
Fetal fibronectin (82731) $287.56 $504.50 4.5×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $76.38 $134 9.9×
Fibrin split products (85362) $109.44 $192 15.9×
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) $106.59 $187 1.3×
Fibrinogen antigen (85385) $110.01 $193 7.6×
Fibrinogen, activity (85384) $88.92 $156 9.1×
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $132.52 $232.50 8.6×
Flow cytometry first marker (88184) $100.32 $176 0.3×
Fmr1 gene alys eval to detect abnormal alleles (81243) $467.40 $820 8.2×
Folate serum (82746) $39.33 $69 2.7×
Follicle stimulating hormone (fsh) (83001) $62.13 $109 3.3×
Francisella tularensis ab (86668) $62.70 $110 4.4×
Fructosamine (82985) $43.89 $77 2.6×
Ftl cgen abnor four anal (81511) $273.60 $480 1.8×
Fungus isolation culture (87102) $56.43 $99 6.7×
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $107.73 $189 8.8×
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $13.11 $23 1.1×
Gamma glutamyl transferase (82977) $41.32 $72.50 5.7×
Gammaglobulin ige (82785) $56.14 $98.50 3.4×
Gastrin (82941) $49.88 $87.50 2.8×
Gentamicin (80170) $45.03 $79 2.7×
Giardia antigen (87329) $42.46 $74.50 3.5×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $17.96 $31.50 5.5×
Glucagon (82943) $231.99 $407 16.2×
Glucose Fasting (82947) $32.20 $56.50 8.2×
Glucose other fluid (82945) $43.60 $76.50 11.1×
Glucose post glucose dose (82950) $43.04 $75.50 9.1×
Glucose tolerance test (gtt) (82951) $92.91 $163 7.2×
Glucose-6-pd (82955) $61.28 $107.50 6.3×
Glycated hemoglobin (83036) $48.45 $85 5.0×
Glycosylated hb home device (83037) $17.10 $30 1.8×
Growth hormone (hgh) (83003) $30.21 $53 1.8×
Gtt-added samples (82952) $25.94 $45.50 6.6×
H pylori stool (87338) $94.05 $165 6.5×
Haptoglobin (83010) $50.73 $89 4.0×
Hba1/hba2 full gene sequence (81259) $384.75 $675 0.6×
Hbb full gene sequence (81364) $208.05 $365 0.6×
Hbb gene dup/del variants (81363) $161.88 $284 0.8×
Hbsag neutralization (87341) $94.62 $166 9.2×
Hcg ql (84703) $53.86 $94.50 7.2×
HDL cholesterol (83718) $41.04 $72 5.0×
Heavy metal quan each nes (83018) $109.72 $192.50 5.0×
Hematocrit (hct) (85014) $23.37 $41 9.9×
Hemoglobin (85018) $23.37 $41 9.9×
Hemoglobin electrophoresis (83020) $34.20 $60 2.7×
Hemoglobin fractj/quantj chromotography (83021) $38.76 $68 2.1×
Hemoglobin plasma (83051) $30.78 $54 4.2×
Hep a ab total (86708) $29.07 $51 2.3×
Heparin assay (85520) $93.48 $164 7.1×
Hepatitis a antibody igm (86709) $45.60 $80 4.0×
Hepatitis b core antibody igm (86705) $62.13 $109 5.3×
Hepatitis b core antibody total (86704) $43.04 $75.50 3.6×
Hepatitis b DNA quant (87517) $173 $303.50 4.0×
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 RNA quantitative (87522) $169.58 $297.50 4.0×
Hepatitis delta antibody (86692) $124.83 $219 7.3×
Heredtry nurondcrn tum dsrdr (81437) $2,489.19 $4,367 1.9×
Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) $46.17 $81 3.2×
Herpes simplex virus by PCR (87529) $62.70 $110 1.8×
Heterophile antibody screen (86308) $50.73 $89 9.8×
Hexagonal phospholipid neutralization (85598) $138.51 $243 7.7×
Hfe gene (81256) $288.42 $506 4.4×
Histamine (83088) $76.10 $133.50 2.6×
Histoplasma antibody (86698) $40.47 $71 2.9×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $41.61 $73 1.7×
HIV-1 antibody (86701) $92.34 $162 10.4×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $67.26 $118 4.9×
HIV-2 antibody (86702) $92.34 $162 6.8×
Hla b27 (86812) $84.08 $147.50 3.3×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $192.66 $338 0.9×
Hla ii typing 1 locus lr (81376) $288.42 $506 2.4×
Homocysteine level (83090) $63.84 $112 3.6×
Homogenization tissue (87176) $31.35 $55 5.3×
Homovanillic acid urine (83150) $35.34 $62 1.6×
Hrdtry brst ca-rlatd dsordrs (81432) $1,602.84 $2,812 1.2×
Human epididymis protein 4 (86305) $177.56 $311.50 8.5×
Iaad ia sarscov & influenza virus types a&b (87428) $71.82 $126 1.0×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $90.63 $159 1.8×
Igg subclass 1 (82787) $81.51 $143 10.2×
Immunoassay analyte quantitative nos (83520) $129.39 $227 7.5×
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) $62.70 $110 3.5×
Immunoassay infectious agent antibody quan nos (86317) $39.62 $69.50 2.6×
Immunofixation electrophoresis (86334) $94.62 $166 4.2×
Immunofixation urine (86335) $112.86 $198 3.8×
Immunofluor antb 1st stain (88346) $314.07 $551 1.8×
Immunoglobulin d (82784) $41.61 $73 4.5×
Immunoglobulin light chains free each (83521) $78.09 $137 4.5×
Immunoperoxidase (88342) $214.32 $376 1.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) $89.49 $157 6.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $54.72 $96 3.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $91.20 $160 7.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) $42.18 $74 3.3×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism… (87797) $86.36 $151.50 2.9×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $246.81 $433 5.8×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) $200.64 $352 5.7×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) $70.11 $123 3.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $76.95 $135 2.2×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) $70.11 $123 3.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $198.93 $349 5.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) $288.70 $506.50 6.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) $208.62 $366 5.0×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $202.06 $354.50 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) $45.60 $80 1.7×
Inhibin a (86336) $53.58 $94 3.4×
Insulin antibody (86337) $75.24 $132 3.5×
Insulin total (83525) $48.45 $85 4.2×
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, each unit (86945) $174.99 $307 4.6×
Islet cell antibody (86341) $94.90 $166.50 4.0×
Jak2 gene (81270) $397.29 $697 4.3×
Koh prep (87220) $39.33 $69 9.2×
Lactate (83605) $116.85 $205 10.1×
Lactate dehydrogenase (83615) $45.03 $79 7.5×
Lactoferrin fecal (qual) (83630) $59.85 $105 3.0×
Lamotrigine (80175) $55.86 $98 4.2×
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 culture (87081) $45.60 $80 6.9×
Legionella urine antigen (87449) $64.41 $113 5.4×
Leptospira antibody (86720) $124.83 $219 7.7×
Leukocyte antibody id (86021) $48.74 $85.50 3.2×
Leukocyte assessment fecal (89055) $28.50 $50 6.7×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $113.72 $199.50 3.0×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $123.98 $217.50 2.3×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $108.58 $190.50 2.0×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $830.20 $1,456.50 2.3×
Lidocaine (80176) $55.29 $97 3.8×
Lipase (83690) $125.40 $220 18.2×
Lipoprotein bld hr fraction (83701) $51.30 $90 1.5×
Lipoprotein-associated phospholipase a2 (83698) $159.32 $279.50 3.4×
Lithium (80178) $32.49 $57 4.9×
Luteinizing hormone (lh) (83002) $61.84 $108.50 3.3×
Lyme disease antibody (86617) $48.16 $84.50 3.1×
Lyme disease antibody (86618) $95.19 $167 5.6×
Lymph choriomeningitis ab (86727) $53.58 $94 4.2×
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×
Manganese (83785) $133.38 $234 5.0×
Manual differential (85007) $34.20 $60 9.0×
Mercury (83825) $45.60 $80 2.8×
Metanephrines (83835) $106.30 $186.50 6.3×
Methylmalonic acid serum (83921) $75.81 $133 3.6×
Microalbumin urine (82043) $47.88 $84 8.3×
Mitochondrial antibody each (86381) $57 $100 2.2×
Mlh1 gene dup/delete variant (81294) $578.55 $1,015 2.9×
Mlh1 gene full seq (81292) $578.55 $1,015 0.9×
Mog-igg1 antb flo cytmtry ea (86363) $454.29 $797 12.0×
Mold id (87107) $18.24 $32 1.8×
Molecular cytogenetics DNA probe each (88271) $83.79 $147 3.9×
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $83.79 $147 1.6×
Mononuclear cell antigen (86356) $218.88 $384 8.2×
Mopath procedure level 2 (81401) $309.22 $542.50 2.3×
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 7 (81406) $824.22 $1,446 2.9×
Mopath procedure level 8 (81407) $824.22 $1,446 1.0×
Mopath procedure level 9 (81408) $655.50 $1,150 0.3×
Mrsa PCR (87641) $107.16 $188 3.1×
Msh2 gene dup/delete variant (81297) $578.55 $1,015 2.7×
Msh2 gene full seq (81295) $578.55 $1,015 1.5×
Mumps antibody (86735) $35.34 $62 2.7×
Mycoplasma antibody (86738) $61.56 $108 4.6×
Mycoplasma pneumoniae by PCR (87581) $90.92 $159.50 2.6×
Myelin associated glycoprotein (mag) antibody (83516) $72.96 $128 6.3×
Myoglobin (83874) $66.98 $117.50 5.2×
N.gonorrhoeae DNA amp prob (87591) $78.66 $138 2.2×
Natriuretic peptide (83880) $166.72 $292.50 4.2×
Nephelometry ea analyte (83883) $166.44 $292 12.2×
Neutralization test viral (86382) $106.02 $186 6.3×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $192.38 $337.50 4.6×
Nfct ds chrnc hcv 6 assays (81596) $189.81 $333 2.6×
Nk cells total count (86357) $125.97 $221 3.3×
Nucleotidase 5 (83915) $64.98 $114 5.8×
Obstetric panel includes HIV testing (80081) $241.40 $423.50 3.2×
Occult bld feces 1-3 tests (82272) $30.78 $54 7.3×
Occult blood screening (82270) $15.39 $27 3.5×
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 exam (87177) $53.01 $93 6.0×
Pancreatic elastase fecal (82656) $99.18 $174 8.6×
Pancreatic polypeptide (83519) $179.26 $314.50 9.7×
Parathyroid hormone (83970) $96.62 $169.50 2.3×
Parvovirus antibody (86747) $16.53 $29 1.1×
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $162.45 $285 0.4×
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $222.87 $391 1.3×
Pertussis by PCR (87798) $196.36 $344.50 5.6×
Ph body fluid (83986) $27.36 $48 7.6×
Phenobarbital (80184) $49.30 $86.50 3.2×
Phenotype infect agent drug (87900) $796.86 $1,398 6.1×
Phenylalanine (84030) $30.50 $53.50 5.5×
Phenytoin (dilantin) free (80186) $46.46 $81.50 3.4×
Phenytoin level total (80185) $68.97 $121 5.2×
Phosphorus (84100) $45.32 $79.50 9.6×
Pinworm exam (87172) $119.13 $209 27.9×
Platelet count automated (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 (84110) $33.92 $59.50 4.0×
Porphyrins total plasma (84311) $144.21 $253 17.8×
Porphyrins urine quantitation & fractionation (84120) $184.68 $324 12.6×
Potassium (84132) $33.34 $58.50 7.0×
Potassium urine (84133) $53.86 $94.50 11.4×
Prealbumin (84134) $52.16 $91.50 3.6×
Pregnenolone (84140) $80.94 $142 3.9×
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) $37.34 $65.50 0.6×
Primidone (80188) $27.93 $49 1.7×
Procalcitonin (pct) (84145) $98.32 $172.50 3.6×
Progesterone (84144) $43.60 $76.50 2.1×
Proinsulin (84206) $140.79 $247 5.3×
Prolactin (84146) $55.29 $97 2.9×
Prostaglandin (84150) $211.47 $371 5.1×
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 antigen, free (85306) $70.96 $124.50 4.6×
Protein total other source (84157) $57.57 $101 14.4×
Protein total serum (84155) $35.62 $62.50 9.7×
Protein total urine (84156) $53.30 $93.50 14.5×
Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) $91.20 $160 3.1×
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $84.64 $148.50 21.5×
Protozoa antibody nos (86753) $96.90 $170 7.8×
PSA free (84154) $46.17 $81 2.5×
Q fever antibody (86638) $63.27 $111 5.2×
Rbc antibody identification (86870) $227.43 $399 0.6×
Rbc antibody screen (86850) $51.02 $89.50 5.2×
Reagent strip/blood glucose (82948) $40.76 $71.50 8.1×
Receptor assay non-endocrine specify receptor (84238) $148.20 $260 4.1×
Reducing substances fecal (84376) $66.69 $117 12.1×
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $77.24 $135.50 6.4×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $28.78 $50.50 2.2×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $35.06 $61.50 1.8×
Renin (84244) $46.46 $81.50 2.1×
Resp virus 12-25 targets (87633) $459.99 $807 1.1×
Resp virus 6-11 targets (87632) $419.52 $736 1.9×
Rheumatoid factor quant (86431) $41.61 $73 7.3×
Rickettsia antibody (86757) $70.96 $124.50 3.7×
Rotavirus ag eia (87425) $69.26 $121.50 5.8×
Rpr qual (86592) $42.75 $75 10.0×
Rubella antibody (86762) $45.60 $80 3.2×
Rubeola antibody (86765) $34.77 $61 2.7×
Russell viper venom diluted (85613) $44.18 $77.50 4.6×
Sedimentation rate rbc automated (85652) $43.04 $75.50 15.9×
Selenium (84255) $89.78 $157.50 3.5×
Semen analysis post vasectomy (89321) $52.16 $91.50 4.3×
Serotonin (84260) $88.35 $155 2.9×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $58.14 $102 1.1×
Sex hormone binding globulin (84270) $54.15 $95 2.5×
Sialidase enzyme assay (87905) $84.93 $149 7.0×
Sickle cell screen (85660) $87.50 $153.50 15.9×
Sirolimus (80195) $103.74 $182 7.6×
Skin test tuberculosis intradermal (86580) $28.78 $50.50 1.0×
Smear wet mount (87210) $37.05 $65 6.4×
SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (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×
Somatomedin (84305) $68.40 $120 3.2×
Stone analysis (82365) $50.44 $88.50 3.9×
Strep a assay w/optic (87880) $51.30 $90 3.1×
Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) $55.29 $97 0.6×
Susceptibility mic per plate (87186) $67.83 $119 7.8×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $59.28 $104 12.5×
T3 free (84481) $59.28 $104 3.5×
T3 reverse (84482) $148.77 $261 9.4×
T3 uptake (84479) $51.30 $90 7.9×
T4 (thyroxine) total (84436) $33.34 $58.50 4.9×
Tacrolimus (80197) $115.71 $203 8.4×
Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) $396.72 $696 3.1×
Tb test cell immun measure (86480) $139.65 $245 2.3×
Testosterone free (84402) $54.44 $95.50 2.1×
Testosterone total (84403) $23.94 $42 0.9×
Theophylline (80198) $95.19 $167 6.7×
Thiopurine drug metabolites (83789) $175.56 $308 7.3×
Thiopurine metabolites (80299) $137.94 $242 7.4×
Thiopurine methyltransferase, rbc (82657) $277.59 $487 12.5×
Thrombin time plasma (85670) $59 $103.50 10.2×
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $69.54 $122 10.7×
Thyroglobulin (84432) $103.74 $182 6.5×
Thyroglobulin antibody (86800) $28.50 $50 1.8×
Thyroid peroxidase antibody (86376) $56.43 $99 3.9×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $149.91 $263 2.9×
Thyroxine free (ft4) (84439) $61.56 $108 6.8×
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $13.11 $23 2.0×
Tissue culture bone marrow (88237) $188.38 $330.50 1.3×
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) $224.58 $394 1.5×
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $186.10 $326.50 1.3×
Tissue culture lymphocyte (88230) $319.48 $560.50 2.7×
Tissue transglutaminase ea immunoglobulin class (86364) $57 $100 4.9×
Topiramate (80201) $82.65 $145 6.9×
Toxoplasma antibody igg (86777) $41.61 $73 2.9×
Toxoplasma antibody igm (86778) $46.17 $81 3.2×
Transferrin (84466) $48.45 $85 3.8×
Treponema pallidum antibody (86780) $37.05 $65 2.8×
Trichomonas vagin dir probe (87660) $70.11 $123 3.5×
Trichrome stain (87209) $41.32 $72.50 2.3×
Triglycerides (84478) $40.47 $71 7.1×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $46.74 $82 3.3×
Troponin t (84484) $122.55 $215 9.8×
Unlisted cytogenetic study (88299) $262.20 $460 4.9×
Unlisted molecular pathology (81479) $383.90 $673.50
Urea nitrogen quantitative (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 auto w/micro (81001) $37.62 $66 11.9×
Urinalysis microscopic only (81015) $26.22 $46 8.6×
Urinalysis volume measure (81050) $16.53 $29 4.5×
Urine bacteria culture (87088) $44.46 $78 5.5×
Urine Pregnancy Test POC (81025) $45.03 $79 5.2×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $25.08 $44 11.1×
Valproic acid (80164) $43.32 $76 3.2×
Valproic acid (dipropylacetic acid); free (80165) $61.56 $108 4.5×
Vancomycin (80202) $114 $200 8.4×
Varicella zoster antibody igg (86787) $34.20 $60 2.7×
Vasoactive intestinal peptide (vip) (84586) $104.31 $183 3.0×
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $35.34 $62 1.0×
Viral culture non-respiratory (87252) $129.39 $227 5.0×
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 whole blood (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 D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $76.66 $134.50 2.0×
Vitamin e (84446) $43.89 $77 3.1×
Vitamin k1 (84597) $88.92 $156 6.5×
Vma (84585) $23.94 $42 1.5×
Volatiles (84600) $75.24 $132 4.4×
West nile virus antibody (86789) $82.08 $144 5.7×
Yeast id (87106) $49.59 $87 4.8×
Yersinia antibody (86793) $128.25 $225 9.7×
Z t cells total count (86359) $63.56 $111.50 1.7×
Zinc (84630) $37.90 $66.50 3.3×