Lab & pathology prices at Eastern Idaho Regional Medical Center

Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $608.15 $608.15 15.8×
5 Nucleotidase (83915) $462.08 $462.08 41.4×
Acetaminophen level (80143) $518.71 $518.71 27.8×
Acetylcholine receptor binding antibody (86041) $387.54 $387.54 21.1×
Acetylcholine receptor blocking antibody (86042) $387.54 $387.54 21.1×
Acetylcholn Rcptr Modlg Antb (86043) $387.54 $387.54 32.2×
Actin smooth muscle antibody each (86015) $345.76 $345.76 28.7×
Activated protein c resistance (85307) $1,049.32 $1,049.32 68.5×
Acute hepatitis panel (80074) $420.35 $420.35 8.8×
Acylcarnitine Plasma (82017) $819.78 $819.78 48.6×
Adenovirus antibody (86603) $354.73 $354.73 27.6×
Adrenocorticotropic hormone (82024) $1,004.62 $1,004.62 26.0×
Afp maternal serum (82105) $366.70 $366.70 21.9×
Albumin body fluid (82042) $356.26 $356.26 45.8×
Albumin serum (82040) $113.28 $113.28 22.9×
Aldolase (82085) $267.51 $267.51 27.5×
Aldosterone urine (82088) $372.64 $372.64 9.1×
Alkaline phosphatase isoenzymes (84080) $602.20 $602.20 40.7×
Allergen peanut (86003) $117.02 $117.02 22.4×
Allergen spec ige qual multiallergen screen (86005) $947.96 $947.96 118.9×
Allergen specific igg (86001) $88.13 $88.13 11.3×
Alpha-1-antitrypsin phenotype (82104) $718.45 $718.45 49.7×
Alpha-1-antitrypsin, total (82103) $366.70 $366.70 27.3×
Alpha-Fetoprotein; Amniotic (82106) $363.67 $363.67 21.4×
Alt (sgpt) (84460) $219.85 $219.85 41.5×
Aluminum (82108) $527.68 $527.68 20.7×
Amikacin trough (80150) $399.44 $399.44 26.5×
Amino Acids 1 Quantitative Each Specimen (82131) $304.05 $304.05 13.2×
Amino acids 6/> amino acids quantitative ea spe (82139) $715.46 $715.46 42.4×
Amino acids; single, qualitative, each specimen Facility (82127) $542.57 $542.57 38.3×
Aminolevulinic acid (ala) (82135) $512.74 $512.74 31.2×
Amylase urine (82150) $286.57 $286.57 44.2×
Ana titer (86039) $879.42 $879.42 78.8×
Angiotensin i enzyme test (82164) $242.19 $242.19 16.6×
Anti-phosphatidylserine antibody (86148) $79.76 $79.76 5.0×
Antibody aspergillus (86606) $69.30 $69.30 4.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $56.35 $56.35 3.6×
Antibody coxiella burnetii q fever (86638) $605.15 $605.15 49.9×
Antibody cytomegalovirus cmv (86644) $283.58 $283.58 19.7×
Antibody epstein-barr eb virus early antigen ea (86663) $468.05 $468.05 35.7×
Antibody haemophilus influenza (86684) $515.74 $515.74 32.6×
Antibody helicobacter pylori (86677) $104.34 $104.34 6.2×
Antibody HIV-2 (86702) $471.01 $471.01 34.8×
Antibody identification (86870) $729.96 $729.96 2.1×
Antibody Identification Platelet Immunogl Assay (86023) $630.50 $630.50 50.6×
Antibody influenza virus (86710) $220.57 $220.57 16.3×
Antibody mumps (86735) $319.34 $319.34 24.5×
Antibody Protozoa Nes (86753) $327.87 $327.87 26.5×
Antibody screen (86850) $366.70 $366.70 37.5×
Antibody treponema pallidum (86780) $265.30 $265.30 20.0×
Antibody; Coccidioides (86635) $396.47 $396.47 34.6×
Antigen typing (86905) $988.90 $988.90 258.2×
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $360.69 $360.69 69.6×
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $825.77 $825.77 68.5×
Antinuclear antibodies (86038) $336.84 $336.84 27.9×
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $178.86 $178.86 31.0×
Antistreptolysin o titer (86060) $405.44 $405.44 55.5×
Antithrombin iii activity (85300) $584.29 $584.29 49.3×
Apolipoprotein each (82172) $267.53 $267.53 12.7×
Arsenic Urine (82175) $339.86 $339.86 17.9×
Assay 17-(17-Ks)Ketosteroids (83586) $488.91 $488.91 38.2×
Assay Nephelometry Not Spec (83883) $551.51 $551.51 40.6×
Assay of 5-hiaa (83497) $369.64 $369.64 28.7×
Assay of ammonia (82140) $471.01 $471.01 32.3×
Assay of androstenedione (82157) $221.35 $221.35 7.6×
Assay of anti-mullerian hormone (82166) $342.83 $342.83 8.9×
Assay of biotinidase (82261) $578.33 $578.33 34.3×
Assay of c-peptide (84681) $190.77 $190.77 9.2×
Assay of ceruloplasmin (82390) $243.71 $243.71 22.7×
Assay of citrate (82507) $318.23 $318.23 11.4×
Assay of cpk in blood (82552) $288.06 $288.06 21.5×
Assay of creatine (82540) $479.95 $479.95 103.4×
Assay of cyclosporine (80158) $604.48 $604.48 33.5×
Assay of dibucaine number (82638) $503.81 $503.81 41.1×
Assay of erythropoietin (82668) $272.01 $272.01 14.5×
Assay of estrone (82679) $715.46 $715.46 28.7×
Assay of ethosuximide (80168) $512.74 $512.74 31.4×
Assay of ferritin (82728) $375.66 $375.66 27.6×
Assay of g6pd enzyme (82955) $324.91 $324.91 33.5×
Assay of gammaglobulin igm (82784) $327.87 $327.87 35.3×
Assay of gastrin (82941) $351.76 $351.76 20.0×
Assay of gentamicin (80170) $503.81 $503.81 30.8×
Assay of homocystine (83090) $378.59 $378.59 21.1×
Assay of lactic acid (83605) $396.47 $396.47 34.3×
Assay of manganese (83785) $599.23 $599.23 22.5×
Assay of metanephrines (83835) $459.09 $459.09 27.1×
Assay of osteocalcin (83937) $98.44 $98.44 3.3×
Assay of phenobarbital (80184) $417.37 $417.37 27.3×
Assay of prealbumin (84134) $234.77 $234.77 16.1×
Assay of prolactin (84146) $204.20 $204.20 10.5×
Assay of pyruvate (84210) $274.22 $274.22 18.9×
Assay of serotonin (84260) $488.91 $488.91 15.8×
Assay of sialic acid (84275) $260.84 $260.84 19.4×
Assay of tacrolimus (80197) $640.35 $640.35 46.6×
Assay of topiramate (80201) $364.43 $364.43 30.6×
Assay of urine vma (84585) $384.57 $384.57 24.8×
Assay of vasopressin anti-diuretic hormone (84588) $339.83 $339.83 10.0×
Assay of vitamin k (84597) $1,120.91 $1,120.91 81.7×
Assay of volatiles (84600) $557.46 $557.46 32.6×
Assay spec xcp ur&breath ia (82077) $27.58 $27.58 1.6×
Ast (sgot) (84450) $219.85 $219.85 42.4×
Autol Bld/Component Collj Storage Predeposited (86890) $1,467.60 $1,467.60 8.7×
B cells total count (86355) $393.54 $393.54 10.4×
Bartonella PCR (87471) $339.35 $339.35 9.7×
Bcr/abl1 gene major bp (81206) $851.51 $851.51 5.2×
Bcr/abl1 gene minor bp (81207) $212.20 $212.20 1.5×
Beta 2 glycoprotein 1 igm (86146) $130.42 $130.42 5.1×
Beta hydroxybutyrate (82010) $43.48 $43.48 5.3×
Beta-2 microglobulin (82232) $423.34 $423.34 26.2×
Bile acids, total (82239) $60.67 $60.67 3.5×
Bilirubin direct (82248) $468.41 $468.41 93.3×
Bilirubin total (82247) $251.88 $251.88 50.2×
Bilirubin total transcutaneous (88720) $187.81 $187.81 37.4×
Bl Smear W/Diff Wbc Count (85007) $121.48 $121.48 32.0×
Bl Smear W/O Diff Wbc Count (85008) $273.94 $273.94 79.9×
Blastomyces antibody (86612) $217.62 $217.62 16.9×
Bld Typing Serologic Rh Phnt (86906) $149.79 $149.79 19.3×
Blood gas (82803) $629 $629 24.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $140.14 $140.14 32.0×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $988.90 $988.90 155.7×
Blood typing abo (86900) $129.66 $129.66 43.4×
Blood typing serologic rh (d) (86901) $84.94 $84.94 28.4×
Body fluid cell count (89051) $423.34 $423.34 75.6×
Body fluid cell count (89050) $134.16 $134.16 28.4×
Bone Marrow Smear Interpretation (85097) $215.91 $215.91 0.3×
Bordetella antibody (86615) $965.81 $965.81 73.2×
Bordetella pertussis dfa (87265) $152.05 $152.05 12.7×
Braf gene (81210) $778.05 $778.05 4.4×
Brucella antibody (86622) $324.91 $324.91 36.4×
C diff amplified probe (87493) $242.96 $242.96 6.5×
C-reactive protein (86140) $307.79 $307.79 59.4×
C1q binding assay (86332) $699.07 $699.07 28.7×
Ca 125 (86304) $429.28 $429.28 20.6×
Ca 19-9 (86301) $339.83 $339.83 16.3×
Ca 27 29 (86300) $343.18 $343.18 16.5×
Cadmium level (82300) $327.87 $327.87 13.9×
Caffeine (80155) $351.76 $351.76 9.1×
Calcitonin (82308) $760.19 $760.19 28.4×
Calcium ionized (82330) $269.05 $269.05 19.7×
Calcium total (82310) $269.05 $269.05 52.1×
Calcium urine (82340) $182.60 $182.60 30.3×
Calculus Quantitative Chemical (82360) $485.91 $485.91 37.8×
Calprotectin, fecal (83993) $602.20 $602.20 30.7×
Candida antibody (86628) $305.56 $305.56 25.4×
Carbamazepine free (80157) $551.51 $551.51 41.6×
Carbamazepine total (80156) $512.74 $512.74 35.2×
Carbon dioxide (82374) $228.05 $228.05 46.7×
Carboxyhemoglobin (82375) $426.29 $426.29 34.6×
Carcinoembryonic antigen (82378) $411.39 $411.39 21.7×
Cardiolipin ab igg (86147) $465.08 $465.08 18.3×
Carnitine (82379) $787.03 $787.03 46.7×
Carotene (82380) $324.91 $324.91 35.2×
Catecholamines fraction plasma (82384) $548.53 $548.53 21.7×
Catecholamines organic nitrogen blood level (82383) $700.54 $700.54 24.1×
Catecholamines Total Urine (82382) $605.15 $605.15 22.2×
Cftr gene com variants (81220) $2,682.94 $2,682.94 4.8×
Chemiluminescent assay (82397) $74.51 $74.51 5.3×
Chlamydia antibody (86631) $318.20 $318.20 26.9×
Chlamydia trachomatis ag if (87270) $290.64 $290.64 24.3×
Chloride blood (82435) $182.60 $182.60 39.7×
Chloride feces (82438) $317.46 $317.46 63.5×
Chloride urine (82436) $163.22 $163.22 28.4×
Cholesterol HDL (83718) $203.47 $203.47 24.8×
Cholesterol total (82465) $203.47 $203.47 46.8×
Cholinesterase rbc (82482) $411.39 $411.39 41.9×
Cholinesterase serum (82480) $348.74 $348.74 44.3×
Chrmsm analysis addl high resolution study (88289) $998.62 $998.62 29.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $438.24 $438.24 13.1×
Chrmsm count 15-20 cll 2karyotyp banding (88262) $1,582.94 $1,582.94 12.6×
Chromium urine (82495) $183.33 $183.33 9.0×
Chromogranin a (86316) $728.86 $728.86 35.0×
Chromosome analys amniotic (88269) $1,582.94 $1,582.94 9.1×
Chromosome analysis 20-25 cells (88264) $1,582.94 $1,582.94 10.9×
Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) $1,582.94 $1,582.94 8.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $313.30 $313.30 8.9×
Ckmb (82553) $396.47 $396.47 34.3×
Clot Factor VIII Multimetric (85247) $1,180.50 $1,180.50 51.5×
Clot factor viii vw antigen (85246) $165.25 $165.25 7.2×
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $423.34 $423.34 23.7×
Clot lysis time, whole blood dilution Facility (85175) $149.06 $149.06 7.3×
Clotting Inhibitors Protein S Free (85306) $53.88 $53.88 3.5×
Clozapine level (80159) $96.60 $96.60 4.8×
Cmv ab igm (86645) $357.72 $357.72 21.2×
Cmv PCR (87496) $542.14 $542.14 15.5×
Coagulation time activated (85347) $175.13 $175.13 40.9×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $148.96 $148.96 6.2×
Cold agglutinin titer (86157) $267.51 $267.51 33.2×
Compatibility test antiglob (86922) $468.05 $468.05 2.8×
Complement c3 (86160) $414.37 $414.37 34.5×
Complement total (ch50) (86162) $628.99 $628.99 31.0×
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $278.72 $278.72 23.2×
Concentration Infectious Agent (87015) $55.22 $55.22 8.3×
Coombs direct (86880) $160.62 $160.62 29.8×
Copper urine (82525) $324.91 $324.91 26.2×
Cortisol free (82530) $637.96 $637.96 38.2×
Cortisol total (82533) $418.85 $418.85 25.7×
Creatine kinase total (82550) $515.74 $515.74 79.2×
Creatinine blood (82565) $160.23 $160.23 31.3×
Creatinine clearance (82575) $465.08 $465.08 49.2×
Creatinine other source (82570) $245.94 $245.94 47.5×
Crossmatch immediate spin (86920) $468.05 $468.05 2.8×
Cryoglobulin (82595) $257.11 $257.11 39.7×
Cryptococcus antibody (86641) $506.76 $506.76 35.2×
Crystals body fluid (89060) $207.14 $207.14 28.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $209.45 $209.45 25.9×
Culture Aerobic Identify (87077) $209.45 $209.45 25.9×
Culture afb (87116) $563.44 $563.44 52.2×
Culture anaerobic (87075) $310.04 $310.04 32.7×
Culture blood (87040) $435.24 $435.24 42.2×
Culture fungus id yeast (87106) $118.49 $118.49 11.5×
Culture fungus other (87102) $351.76 $351.76 41.8×
Culture genital (87070) $383.08 $383.08 44.4×
Culture screen only (87081) $304.80 $304.80 46.0×
Culture typing if ea antiserum (87140) $73.77 $73.77 13.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $57.94 $57.94 11.2×
Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) $332.23 $332.23 9.5×
Culture virus (87252) $651.40 $651.40 25.0×
Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) $73.77 $73.77 5.9×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $482.96 $482.96 33.7×
Cyclic Citrullinated Peptide (86200) $420.35 $420.35 32.5×
Cystatin c (82610) $162.11 $162.11 8.8×
Cysticercosis Antibody (86682) $709.50 $709.50 54.5×
Cytogen micrarray copy nmbr (81228) $5,692.78 $5,692.78 6.3×
Cytogenetics 10-30 (88273) $1,043.34 $1,043.34 30.0×
Cytogenetics 100-300 (88275) $264.55 $264.55 5.2×
Cytogenetics DNA probe (88271) $384.57 $384.57 18.0×
Cytopath cell enhance tech (88112) $417.37 $417.37 8.1×
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $242.94 $242.94 6.6×
Cytp concentration smears & interpretation (88108) $132.64 $132.64 3.6×
Cytp fna eval dx 1st each site (88172) $682.68 $682.68 4.1×
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $703.52 $703.52 13.7×
Deoxyribonuclease antibody (86215) $450.16 $450.16 34.0×
Dgp antibody each ig class (86258) $778.05 $778.05 64.6×
Dhea (82626) $754.22 $754.22 29.8×
Dhea-sulfate (82627) $423.34 $423.34 19.0×
Digoxin (80162) $84.54 $84.54 6.4×
Dilantin (80185) $369.64 $369.64 27.9×
Diphtheria antitoxoid (86648) $637.96 $637.96 41.9×
Dna Antibody Single Stranded (86226) $150.55 $150.55 12.4×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $294.37 $294.37 21.4×
DNA/RNA direct probe (87149) $73.77 $73.77 3.7×
Drug Assay Amiodarone (80151) $548.53 $548.53 29.4×
Drug assay felbamate (80167) $167.67 $167.67 9.0×
Drug assay flecainide (80181) $381.59 $381.59 20.5×
Drug Assay Lacosamide (80235) $575.37 $575.37 21.2×
Drug assay methotrexate (80204) $409.54 $409.54 10.6×
Drug quant nes (80299) $387.54 $387.54 20.8×
Drug screen quant zonisamide (80203) $333.91 $333.91 25.2×
Drug Screen Quantitative Lamotrigine (80175) $357.72 $357.72 27.0×
Drug Screen Quantitative Lidocaine (80176) $456.12 $456.12 31.0×
Drug Screen Quantitative Oxcarbazepine (80183) $210.91 $210.91 15.9×
Drug Scrn Quan Levetiracetam (80177) $295.87 $295.87 22.3×
Drug test prsmv chem anlyzr (80307) $1,234.65 $1,234.65 19.9×
Drug Test Prsmv Dir Opt Obs (80305) $460.02 $460.02 36.5×
Ebv viral capsid (86665) $57.30 $57.30 3.2×
Egfr Gene Analysis Common Variants (81235) $1,818.60 $1,818.60 5.6×
Electrolyte panel (80051) $329.78 $329.78 47.0×
Electron microscopy diagnostic (88348) $1,865.86 $1,865.86 2.3×
Electronic crossmatch (86923) $371.51 $371.51 2.2×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $1,353.45 $1,353.45 22.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $384.18 $384.18 31.8×
Enterovirus antibody (86658) $414.37 $414.37 31.8×
Enterovirus Pcr (87498) $955.02 $955.02 27.2×
Enzyme histochemistry (88319) $622.27 $622.27 0.8×
Eosinophil count (85048) $172.17 $172.17 67.8×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $61.51 $61.51 4.0×
Estradiol (82670) $381.59 $381.59 13.7×
Estrogens total (82672) $360.69 $360.69 16.6×
Ethylene glycol (82693) $402.46 $402.46 27.0×
Eval c/v amniotic fluid protein qual ea specimen (84112) $225.78 $225.78 2.3×
Everolimus (80169) $324.31 $324.31 23.6×
F2 gene analysis 20210g >a variant (81240) $1,146.97 $1,146.97 17.5×
F5 gene analysis, leiden variant (81241) $1,482.32 $1,482.32 20.2×
Factor ix activity (85250) $742.28 $742.28 39.0×
Factor v activity (85220) $989.72 $989.72 56.1×
Factor vii assay (85230) $557.46 $557.46 31.1×
Factor viii ahg (85240) $637.96 $637.96 35.6×
Factor xi assay (85270) $706.54 $706.54 39.5×
Factor xii assay (85280) $652.84 $652.84 33.7×
Fecal fat qual (82705) $46.97 $46.97 9.2×
Fecal fat quant (82710) $569.39 $569.39 33.9×
Fetal bleed screen (85461) $218.36 $218.36 23.3×
Fetal fibronectin (82731) $760.19 $760.19 11.8×
Fibrin degradation products (85362) $387.54 $387.54 56.2×
Fibrin Degradation Quant (85379) $533.61 $533.61 52.4×
Fibrinogen activity (85384) $383.07 $383.07 39.4×
Flow cytometry first marker (88184) $727.38 $727.38 2.1×
Flt3 gene analysis (81245) $1,048.86 $1,048.86 6.3×
Fluorescent Antibody Screen (86255) $354.76 $354.76 29.4×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $303.31 $303.31 25.2×
Fmr1 gene charac alleles (81244) $1,415.25 $1,415.25 31.5×
Fmr1 gene detection (81243) $1,415.25 $1,415.25 24.8×
Folate serum (82746) $228.76 $228.76 15.6×
Folic acid rbc (82747) $203.47 $203.47 11.5×
Follicle Stimulating Hormone (83001) $242.19 $242.19 13.0×
Francisella tularensis (86668) $279.48 $279.48 19.7×
Fresh frozen plasma thawing each unit (86927) $470.80 $470.80 2.8×
Frozen Section (88331) $264.55 $264.55 1.6×
Fructosamine (82985) $83.46 $83.46 5.0×
Fungus Identification, Mold - Fungal Identification, Mold (87107) $110.42 $110.42 10.7×
Gabapentin (80171) $479.95 $479.95 22.1×
Gammaglobulin ige (82785) $646.89 $646.89 39.3×
Gardner vag DNA dir probe (87510) $179.44 $179.44 8.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $444.19 $444.19 45.5×
Gba Gene (81251) $1,714.05 $1,714.05 36.3×
Gc Dna Probe (87590) $184.06 $184.06 6.8×
Ggt (82977) $273.54 $273.54 38.0×
Giardia antigen eia stool (87329) $417.37 $417.37 34.8×
Glucagon (82943) $721.41 $721.41 50.5×
Glucose (82947) $106.58 $106.58 27.1×
Glucose body fluid (82945) $160.23 $160.23 40.8×
Glucose post dose (82950) $137.90 $137.90 29.0×
Glucose tolerance ea addl beyond 3 specimens (82952) $196.74 $196.74 50.2×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $162.46 $162.46 12.6×
Growth hormone (83003) $168.71 $168.71 10.1×
Growth hormone, human (HGH), antibody Facility (86277) $339.83 $339.83 21.6×
Haloperidol (haldol) (80173) $289.88 $289.88 18.4×
Haptoglobin (83010) $333.91 $333.91 26.5×
Hcg qualitative (84703) $177.34 $177.34 23.6×
Hcg quant (84702) $313.02 $313.02 20.8×
Heavy Metal Qualitative Any Analytes (83015) $225.78 $225.78 10.8×
Heavy metal quant each (83018) $221.35 $221.35 10.1×
Hematocrit (85014) $93.89 $93.89 39.6×
Hemoglobin (85018) $121.48 $121.48 51.3×
Hemoglobin a1c (83036) $207.18 $207.18 21.3×
Hemoglobin electrophoresis (83020) $599.23 $599.23 46.6×
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $816.78 $816.78 105.7×
Hemoglobin plasma (83051) $438.24 $438.24 60.0×
Hemoglobin urine (83069) $405.44 $405.44 102.6×
Heparin assay (85520) $257.11 $257.11 19.6×
Hepatitis a antibody total (86708) $126.72 $126.72 10.2×
Hepatitis a igm (86709) $263.03 $263.03 23.4×
Hepatitis b core ab igm (86705) $54.47 $54.47 4.6×
Hepatitis b core antibody total (86704) $524.69 $524.69 43.5×
Hepatitis B Surface Ab (86706) $299.59 $299.59 27.9×
Hepatitis B Surface Antigen (87340) $239.21 $239.21 23.2×
Hepatitis be antibody (86707) $210.91 $210.91 18.2×
Hepatitis Be Antigen (87350) $242.94 $242.94 21.1×
Hepatitis c antibody (86803) $308.53 $308.53 21.6×
Hepatitis C Antibody Confirmatory Test (86804) $753.50 $753.50 48.6×
Hepatitis C Genotype (87902) $753.50 $753.50 2.9×
Hepatitis delta ab (86692) $254.13 $254.13 14.8×
Herpes simplex type i (86695) $219.85 $219.85 16.7×
Herpes simplex type ii (86696) $219.85 $219.85 11.4×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $178.86 $178.86 34.5×
Hexagonal phospholipid (85598) $83.48 $83.48 4.6×
Hfe gene (81256) $1,380.07 $1,380.07 21.1×
Histamine plasma (83088) $332.75 $332.75 11.3×
Histoplasma antibody (86698) $324.91 $324.91 23.6×
Histoplasma antigen urine (87385) $584.29 $584.29 44.1×
HIV confirmation (86689) $202.71 $202.71 10.5×
HIV-1 antibody (86701) $408.52 $408.52 46.0×
HIV-2 probe&revrse trnscripj (87538) $754.22 $754.22 21.5×
HLA typing; A, B, or C, multiple antigens Facility (86813) $676.71 $676.71 11.7×
Hla-b27 (86812) $557.46 $557.46 21.6×
Homogenization tissue (87176) $17.06 $17.06 2.9×
Homovanillic acid urine (83150) $533.61 $533.61 23.8×
Hsv Dna Quant (87530) $857.06 $857.06 20.0×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $251.48 $251.48 7.2×
Htlv-I Antibody (86687) $608.15 $608.15 66.9×
Hydroxycorticosteroids 17 (83491) $623.03 $623.03 34.8×
Hydroxyprogesterone 17-d (83498) $474 $474 17.4×
Iaad ia clostridium difficile toxin (87324) $87.65 $87.65 7.3×
Iaad ia cryptosporidium (87328) $417.37 $417.37 30.2×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $161.03 $161.03 6.7×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $354.73 $354.73 24.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $37.04 $37.04 2.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $37.04 $37.04 1.0×
Iaadi Legionella Pneumophila (87278) $605.15 $605.15 38.8×
Iaadiadoo not otherwise specified (87899) $187.08 $187.08 11.6×
Iadna Candida Species Direct Probe Tq (87480) $179.44 $179.44 8.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $276 $276 7.9×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $236.64 $236.64 3.4×
Iadna hepatitis b virus quantification (87517) $1,708.17 $1,708.17 39.9×
Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) $753.50 $753.50 21.5×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $753.50 $753.50 17.6×
Iadna herpes virus-6 amplified probe tq (87532) $255.56 $255.56 7.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $754.22 $754.22 21.5×
Iadna HIV-1 quant & reverse transcription (87536) $1,779.69 $1,779.69 20.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $276 $276 7.9×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $329.70 $329.70 9.4×
Iadna nos amplified probe tq each organism (87798) $255.56 $255.56 7.3×
Iadna nos quantification each organism (87799) $737.81 $737.81 17.2×
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $918.38 $918.38 4.2×
Iadna-DNA/RNA probe tq 12-25 (87507) $1,933.17 $1,933.17 4.6×
Igg subclasses (82787) $69.97 $69.97 8.7×
Igh gene rearrange amp meth (81261) $1,708.17 $1,708.17 8.6×
Immunoassay infectious agent antibody quan nos (86317) $253.39 $253.39 16.9×
Immunoassay nonantibody (83516) $163.94 $163.94 14.2×
Immunodiffusion (86329) $52.15 $52.15 3.7×
Immunodiffusion Ouchterlony (86331) $52.15 $52.15 4.4×
Immunoelectrophoresis serum (86320) $772.10 $772.10 25.8×
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) $697.59 $697.59 30.2×
Immunofixation urine (86335) $530.63 $530.63 18.1×
Immunofluorescence per spec 1st singl antb stain (88346) $851.50 $851.50 5.1×
Immunoglobulin light chains free each (83521) $375.66 $375.66 21.8×
Immunohistochemistry (88342) $760.19 $760.19 4.5×
In situ hybridization (88365) $1,380.20 $1,380.20 8.2×
Indirect coombs (86885) $324.91 $324.91 56.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) $187.08 $187.08 14.7×
Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) $297.36 $297.36 24.8×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $557.46 $557.46 13.0×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $1,570.99 $1,570.99 36.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) $184.06 $184.06 8.1×
Influenza a/b ag eia (87400) $37.04 $37.04 2.6×
Influenza DNA amp probe (87502) $408.52 $408.52 4.3×
Inhibin a (86336) $763.15 $763.15 49.0×
Inhibin b (83520) $103.88 $103.88 6.0×
Insulin antibodies (86337) $825.77 $825.77 38.6×
Insulin total (83525) $199.01 $199.01 17.4×
Intrinsic factor antibody (86340) $127.42 $127.42 8.4×
Iron (83540) $399.44 $399.44 61.7×
Iron binding capacity (83550) $155 $155 17.7×
Irradiation Blood Product Each Unit (86945) $1,148.14 $1,148.14 31.1×
Islet cell antibody (86341) $433.96 $433.96 18.4×
Jak2 gene analysis (81270) $930.09 $930.09 10.1×
Lactoferrin Fecal Quantitative (83631) $304.93 $304.93 15.5×
Ldh body fluid (83615) $235.53 $235.53 39.0×
Ldh isoenzymes (83625) $643.92 $643.92 50.3×
Lead (83655) $202.33 $202.33 16.7×
Legion pneumo, DNA, amp prob (87541) $276 $276 7.9×
Legionella antibody (86713) $485.92 $485.92 31.8×
Legionella antigen urine (87449) $315.30 $315.30 26.3×
Leptospira antibody (86720) $450.16 $450.16 27.8×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $169.18 $169.18 39.6×
Level ii surg pathology gross&microscopic exam (88302) $243.82 $243.82 6.6×
Level v surg pathology gross&microscopic exam (88307) $697.59 $697.59 2.0×
Level vi surg pathology gross&microscopic exam (88309) $772.10 $772.10 1.0×
Lh (83002) $456.12 $456.12 24.6×
Lipase (83690) $327.87 $327.87 47.6×
Lipoprotein Bld Hr Fraction (83701) $333.91 $333.91 9.9×
Listeria ab (86609) $88.13 $88.13 6.8×
Lithium (80178) $257.11 $257.11 38.9×
Lyme disease antibody (86618) $387.54 $387.54 22.8×
M/phmtrc alys ish quant/semiq cptr each multiprb (88374) $879.29 $879.29 5.2×
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $955.55 $955.55 5.7×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $348.94 $348.94 2.1×
Macroscopic exam parasite (87169) $196.38 $196.38 45.6×
Magnesium (83735) $359.96 $359.96 53.7×
Malaria smear (87207) $1,225.20 $1,225.20 204.5×
Mass spectrometry qual/quan (83789) $260.85 $260.85 10.8×
Measurement of complement fixation tests (immune system proteins) (86171) $444.19 $444.19 44.4×
Mercury urine (83825) $226.20 $226.20 13.9×
Methemoglobin (83050) $465.08 $465.08 56.7×
Methylmalonic acid serum (83921) $596.24 $596.24 28.1×
Microalbumin urine (82043) $321.94 $321.94 55.7×
Microsomal antibodies (86376) $501.20 $501.20 34.4×
Mitochondrial antibody each (86381) $345.76 $345.76 13.6×
Molecular pathology procedure level 2 (81401) $1,471.87 $1,471.87 10.7×
Mononuclear cell antigen (86356) $239.97 $239.97 9.0×
Mopath procedure level 4 (81403) $875.64 $875.64 4.7×
Mrsa PCR (87641) $354.73 $354.73 10.1×
Mtb PCR (87556) $943.23 $943.23 22.6×
Mthfr Gene Analysis Common Variants (81291) $745.24 $745.24 11.4×
Muramidase (85549) $411.39 $411.39 21.9×
Mycobacteric identification (87118) $429.28 $429.28 29.4×
Mycophenolic acid (80180) $173.91 $173.91 9.6×
Mycoplasma antibody (86738) $526.17 $526.17 39.7×
Mycoplasma culture (87109) $412.88 $412.88 26.8×
Myelin basic protein csf (83873) $351.76 $351.76 20.5×
Myoglobin urine (83874) $364.79 $364.79 28.2×
Nasal smear for eosinophils (89190) $203.47 $203.47 35.1×
Natriuretic peptide (83880) $587.28 $587.28 15.0×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $1,933.17 $1,933.17 15.1×
Nfct ds bv&vaginitis DNA alg (81515) $723.23 $723.23 2.8×
Nitroblue Tetrazolium Dye (86384) $700.54 $700.54 51.5×
Nk cells total count (86357) $393.54 $393.54 10.4×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $966.04 $966.04 3.9×
Nuclear antigen antibody (86235) $271.26 $271.26 15.1×
Occult blood gastric (82271) $142.33 $142.33 26.8×
Oligoclonal bands (83916) $402.46 $402.46 14.7×
Organic Acids Qualitative Each Specimen (83919) $724.43 $724.43 44.0×
Organic acids total quantitative each specimen (83918) $1,058.27 $1,058.27 44.8×
Osmolality serum (83930) $357.72 $357.72 54.1×
Osmolality urine (83935) $357.72 $357.72 52.5×
Osmotic fragility rbc incubated (85557) $611.14 $611.14 45.7×
Ova and parasite direct-id lca (87177) $52.15 $52.15 5.9×
Oxalate urine (83945) $254.12 $254.12 17.6×
Pancreatic elastase, fecal (82656) $324.91 $324.91 28.2×
Pancreatic polypeptide (83519) $371.90 $371.90 20.2×
Parvovirus antibody (86747) $292.86 $292.86 19.5×
Ph body fluid (83986) $232.52 $232.52 64.9×
Ph urine (81003) $102.84 $102.84 45.7×
Phenytoin free (80186) $816.78 $816.78 59.4×
Phosphatase alkaline (84075) $201.94 $201.94 39.0×
Phosphorus blood (84100) $316.38 $316.38 66.7×
Phosphorus urine (84105) $216.87 $216.87 37.5×
Plasminogen (85420) $575.37 $575.37 88.1×
Platelet aggregation (85576) $345.76 $345.76 13.9×
Platelet count automated (85049) $185.58 $185.58 41.4×
Pooling blood platelets (86965) $188.87 $188.87 1.1×
Porphobilinogen urine qual (84106) $336.84 $336.84 57.9×
Porphyrins Urine Quantitation & Fractionation (84120) $506.76 $506.76 34.5×
Porphyrins, urine; qualitative Facility (84119) $190.77 $190.77 14.3×
Potassium (84132) $108.79 $108.79 22.9×
Potassium urine (84133) $121.48 $121.48 25.7×
Pregnenolone (84140) $144.66 $144.66 7.0×
Pretx rbc antibody incubat w/enzymes each (86971) $155 $155 0.9×
Primidone (80188) $227.32 $227.32 13.7×
Procalcitonin (pct) (84145) $354.73 $354.73 13.0×
Progesterone (84144) $453.11 $453.11 21.7×
Protein body fluid (84157) $174.39 $174.39 43.6×
Protein c activity (85303) $71.38 $71.38 5.2×
Protein c antigen (85302) $664.75 $664.75 55.3×
Protein electrophoresis serum (84165) $291.38 $291.38 27.1×
Protein Electrophoresis Urine (84166) $539.59 $539.59 30.3×
Protein s total (85305) $1,132.80 $1,132.80 97.6×
Protein urine (84156) $182.60 $182.60 49.8×
Protein westrn blot i&r blood/other fluid (84181) $161.02 $161.02 9.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $357.72 $357.72 90.8×
Protoporphyrin rbc quantitative (84202) $384.57 $384.57 26.8×
PSA free (84154) $438.24 $438.24 23.8×
Pth intact (83970) $792.96 $792.96 19.2×
Rbc antibody elution (86860) $342.83 $342.83 2.0×
Rbc pretreatment serum (86978) $324.91 $324.91 5.6×
Rbc pretx incubatj w/chemicl (86970) $172.89 $172.89 3.0×
Renin activity plasma (84244) $494.86 $494.86 22.5×
Reptilase test (85635) $73.77 $73.77 7.5×
Resp virus 12-25 targets (87633) $1,725.10 $1,725.10 4.1×
Resp virus 3-5 targets (87631) $587.22 $587.22 4.1×
Reticulocyte count auto (85045) $243.71 $243.71 61.1×
Rheumatoid Factor Qual (86430) $168.80 $168.80 27.5×
Rheumatoid factor quant (86431) $348.74 $348.74 61.5×
Rickettsia antibody (86757) $257.11 $257.11 13.3×
Ristocetin cofactor (85245) $944.98 $944.98 41.2×
Rubella antibody (86762) $169.33 $169.33 11.8×
Rubeola Antibody Igg (86765) $393.54 $393.54 30.6×
Russell viper venom time diluted (85613) $369.64 $369.64 38.6×
Sars-Cov-2 Covid-19 Amp Prb (87635) $103.40 $103.40 2.0×
Sarscov2&inf a&b&rsv amp prb (87637) $109.52 $109.52 0.8×
Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) $240.74 $240.74 36.3×
Sedimentation rate (85651) $197.48 $197.48 46.2×
Sedimentation rate auto (85652) $17.08 $17.08 6.3×
Selenium (84255) $284.66 $284.66 11.2×
Semen analysis complete (89320) $429.28 $429.28 34.9×
Semen analysis motility and count (89310) $313.74 $313.74 36.4×
Sensitivity kb (87184) $88.32 $88.32 11.8×
Sensitivity mic (87186) $254.13 $254.13 29.4×
Serotonin Release Assay (86022) $849.53 $849.53 46.2×
Serum bactericidal titer (87197) $661.78 $661.78 44.1×
Sex hormone binding globulin (84270) $199.01 $199.01 9.2×
Sickling of rbc reduction (85660) $171.44 $171.44 31.1×
Sirolimus (rapamycin) (80195) $233.98 $233.98 17.0×
Skin Test, Candida (86485) $292.86 $292.86 10.3×
Smear acid fast (87206) $190.77 $190.77 35.4×
Smear complex stain (87209) $52.15 $52.15 2.9×
Smear gram stain (87205) $105.11 $105.11 24.6×
Smr Prim Src Wet Mount Nfct Agt (87210) $201.60 $201.60 34.6×
Sodium (84295) $183.33 $183.33 38.1×
Sodium feces (84302) $646.89 $646.89 133.1×
Sodium urine (84300) $207.14 $207.14 40.9×
Somatomedin (84305) $711 $711 33.4×
Somatostatin (84307) $468.05 $468.05 25.6×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $295.87 $295.87 2.3×
Special stains group 1 (88312) $295.87 $295.87 5.7×
Specific gravity body fluid (84315) $81.98 $81.98 25.0×
Spectrophotometry (84311) $569.42 $569.42 70.3×
Sperm antibody measurement (89325) $1,263.99 $1,263.99 118.5×
Splitting blood/blood products each unit (86985) $406 $406 2.4×
Strep b DNA amp probe (87653) $255.56 $255.56 7.3×
Sugars mono di&oligos mlt qualitative each spe (84377) $167.67 $167.67 30.5×
Surg path level 1 (88300) $280.94 $280.94 9.8×
Surg path level iii (88304) $284.07 $284.07 5.5×
Surgical pathology level IV (88305) $587.64 $587.64 11.4×
Sweat collection (89230) $506.76 $506.76 9.8×
T Cell Absolute Count (86361) $271.26 $271.26 10.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $488.91 $488.91 10.4×
T cells total count (86359) $381.59 $381.59 10.1×
T3 free (84481) $245.21 $245.21 14.5×
T3 reverse (84482) $143.09 $143.09 9.1×
T3 total (84480) $327.87 $327.87 23.1×
T3 uptake (84479) $204.20 $204.20 31.6×
T4 free (84439) $386.43 $386.43 42.8×
T4 total (84436) $396.47 $396.47 57.7×
Tb intradermal test (86580) $219.85 $219.85 7.7×
Tb test, cell immun measure (86480) $536.60 $536.60 8.7×
Testosterone free (84402) $213.90 $213.90 8.4×
Testosterone total (84403) $375.66 $375.66 14.6×
Tetanus antibody (86774) $554.53 $554.53 37.5×
Theophylline (80198) $164.68 $164.68 11.6×
Thiocyanate (84430) $357.72 $357.72 30.8×
Thrombin time plasma (85670) $292.14 $292.14 50.6×
Thromboplastin time prtl substit plasma frctj ea (85732) $357.72 $357.72 55.3×
Thyroglobulin (84432) $275.73 $275.73 17.2×
Thyroglobulin antibody (86800) $532.12 $532.12 33.4×
Thyroid Stimulating Immune Globulins Tsi (84445) $715.46 $715.46 14.1×
Thyroxine binding globulin (84442) $307.78 $307.78 20.8×
Tiagabine (80199) $151.81 $151.81 5.6×
Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) $375.66 $375.66 2.5×
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $1,582.94 $1,582.94 11.2×
Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) $198.26 $198.26 46.4×
Tissue culture bone marrow (88237) $375.66 $375.66 2.6×
Tissue culture lymphocyte (88230) $375.66 $375.66 3.2×
Tissue transglutaminase ab iga (86364) $300.30 $300.30 26.0×
Tobramycin peak (80200) $572.41 $572.41 35.5×
Touch prep (88161) $189.29 $189.29 6.6×
Toxoplasma ab igm (86778) $378.59 $378.59 26.3×
Toxoplasma antibody igg (86777) $360.69 $360.69 25.1×
Transferrin (84466) $333.91 $333.91 26.2×
Trichinella antibody (86784) $813.82 $813.82 64.8×
Trichomonas vagin dir probe (87660) $179.44 $179.44 8.9×
Triglycerides (84478) $188.52 $188.52 32.8×
Troponin (84484) $712.46 $712.46 57.1×
Urea nitrogen (84520) $164.68 $164.68 41.7×
Urea nitrogen urine (84540) $245.94 $245.94 44.2×
Uric acid blood (84550) $183.33 $183.33 40.6×
Uric acid other source (84560) $434.12 $434.12 85.5×
Urinalysis auto w/scope (81001) $135.97 $135.97 42.9×
Urinalysis Microscopic Only (81015) $63.35 $63.35 20.8×
Urine Bacteria Culture (87088) $292.57 $292.57 36.2×
Urine pregnancy test (81025) $144.16 $144.16 16.7×
Urine volume measurement (81050) $46.96 $46.96 12.9×
Valproic acid (80164) $509.77 $509.77 37.6×
Vancomycin trough (80202) $542.55 $542.55 40.1×
Varicella-zoster antibody (86787) $402.46 $402.46 31.2×
Vasoactive intestinal peptide (vip) (84586) $324.91 $324.91 9.2×
Vdrl csf (86592) $299.23 $299.23 70.1×
Virus antibody nos (86790) $459.10 $459.10 35.6×
Viscosity serum (85810) $801.89 $801.89 68.7×
Vitamin A (84590) $527.68 $527.68 45.5×
Vitamin b-12 (82607) $396.47 $396.47 26.3×
Vitamin b1 (thiamine) (84425) $339.83 $339.83 16.0×
Vitamin b2 (84252) $167.67 $167.67 8.3×
Vitamin b3 niacin (84591) $309.28 $309.28 18.1×
Vitamin b6 (84207) $569.39 $569.39 20.3×
Vitamin c (82180) $548.53 $548.53 55.5×
Vitamin D 25-Hydroxy (82306) $748.28 $748.28 25.3×
Vitamin e serum (84446) $417.37 $417.37 29.4×
West nile virus antibody (86789) $375.66 $375.66 26.1×
West nile virus igm (86788) $375.66 $375.66 22.3×
Xylose Absorption Test (84620) $221.35 $221.35 17.1×
Zinc (84630) $468.05 $468.05 41.1×