Lab & pathology prices at Ellett Memorial Hospital

Appleton City, MO · every code in this section with a posted price and a Medicare benchmark.

523 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) $124.22 $165.62 3.2×
5 Hiaa (83497) $66.09 $88.12 5.1×
Actin smooth muscle antibody each (86015) $79.78 $106.38 6.6×
Actinomyces antibody (86602) $19.31 $25.75 1.9×
Activated protein c resistance (85307) $107.81 $143.75 7.0×
Acute hepatitis panel (80074) $243 $324 5.1×
Afb culture (87116) $45.38 $60.50 4.2×
Albumin serum (82040) $34.59 $46.12 7.0×
Aldolase (82085) $76.22 $101.62 7.8×
Aldosterone urine (82088) $85.22 $113.62 2.1×
Alkaline phosphatase isoenzymes (84080) $66.47 $88.62 4.5×
Allergen specific ige (86003) $41.62 $55.50 8.0×
Allergen specific ige; qualitative, multiallergen screen (86005) $37.41 $49.88 4.7×
Allg Spec Ige Recomb Ea (86008) $25.22 $33.62 1.4×
Alpha-1-antitrypsin phenotype (82104) $148.31 $197.75 10.3×
Alpha-1-antitrypsin, total (82103) $58.78 $78.38 4.4×
Alpha-fetoprotein, serum (82105) $148.31 $197.75 8.8×
Alt (sgpt) (84460) $34.97 $46.62 6.6×
Aluminum (82108) $106.31 $141.75 4.2×
Amikacin trough (80150) $30.94 $41.25 2.1×
Amino acids 6/> amino acids quantitative ea spe (82139) $285 $380 16.9×
Amino Acids, Single Quantitation (82131) $47.25 $63 2.1×
Aminolevulinic acid (ala) (82135) $40.22 $53.62 2.4×
Ammonia (82140) $93.84 $125.12 6.4×
Amylase urine (82150) $60.47 $80.62 9.3×
Angiotensin i enzyme test (82164) $156.38 $208.50 10.7×
Anti-phosphatidylserine antibody (86148) $82.97 $110.62 5.2×
Antibody coxiella burnetii q fever (86638) $110.62 $147.50 9.1×
Antibody cytomegalovirus cmv (86644) $104.53 $139.38 7.3×
Antibody cytomegalovirus cmv igm (86645) $111.19 $148.25 6.6×
Antibody epstein-barr eb virus early antigen ea (86663) $89.16 $118.88 6.8×
Antibody helicobacter pylori (86677) $75 $100 4.5×
Antibody Herpes Smplx Non-Specific Type Test (86694) $77.53 $103.38 5.4×
Antibody HIV-2 (86702) $189.66 $252.88 14.0×
Antibody identification (86870) $9.47 $12.62 0.0×
Antibody influenza virus (86710) $53.44 $71.25 3.9×
Antibody mumps (86735) $54.56 $72.75 4.2×
Antibody Protozoa Nes (86753) $83.81 $111.75 6.8×
Antibody rubeola (86765) $90.56 $120.75 7.0×
Antibody screen (86850) $62.62 $83.50 6.4×
Antibody treponema pallidum (86780) $53.91 $71.88 4.1×
Antibody; Coccidioides (86635) $28.22 $37.62 2.5×
Antigen typing (86905) $9 $12 2.3×
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $213.75 $285 17.7×
Antinuclear antibodies (86038) $78.19 $104.25 6.5×
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $26.25 $35 4.5×
Antistreptolysin o titer (86060) $48.09 $64.12 6.6×
Antithrombin iii activity (85300) $131.81 $175.75 11.1×
Antithrombin iii antigen (85301) $26.25 $35 2.4×
Apolipoprotein b (82172) $41.72 $55.62 2.0×
Aquaporin-4 Antb Elisa (86051) $91.31 $121.75 7.9×
Arsenic Urine (82175) $112.78 $150.38 5.9×
Assay direct measurement free estradiol (82681) $83.81 $111.75 3.0×
Assay galactose transferase (82775) $51 $68 2.4×
Assay of 17-hydroxypregnenolone (84143) $78.75 $105 3.5×
Assay of acth (82024) $133.88 $178.50 3.5×
Assay of androstenedione (82157) $178.22 $237.62 6.1×
Assay of blood chloride (82435) $15.90 $21.20 3.5×
Assay of c-peptide (84681) $169.50 $226 8.1×
Assay of calcitonin (82308) $128.25 $171 4.8×
Assay of ceruloplasmin (82390) $45 $60 4.2×
Assay of creatine (82540) $19.69 $26.25 4.2×
Assay of cyclosporine (80158) $48.94 $65.25 2.7×
Assay of erythropoietin (82668) $78.19 $104.25 4.2×
Assay of ethosuximide (80168) $85.41 $113.88 5.2×
Assay of ferritin (82728) $83.81 $111.75 6.1×
Assay of g6pd enzyme (82955) $56.25 $75 5.8×
Assay of gammaglobulin igm (82784) $45.56 $60.75 4.9×
Assay of gastrin (82941) $87 $116 4.9×
Assay of gentamicin (80170) $85.31 $113.75 5.2×
Assay of homocystine (83090) $221.34 $295.12 12.4×
Assay of lipoprotein(a) (83695) $145.59 $194.12 10.2×
Assay of metanephrines (83835) $235.12 $313.50 13.9×
Assay of osteocalcin (83937) $61.31 $81.75 2.1×
Assay of parathormone (83970) $104.72 $139.62 2.5×
Assay of phenobarbital (80184) $63.56 $84.75 4.2×
Assay of prealbumin (84134) $58.59 $78.12 4.0×
Assay of proinsulin (84206) $43.31 $57.75 1.6×
Assay of selenium (84255) $116.06 $154.75 4.5×
Assay of serotonin (84260) $74.91 $99.88 2.4×
Assay of somatomedin (84305) $276.66 $368.88 13.0×
Assay of tacrolimus (80197) $246.28 $328.38 17.9×
Assay of transcortin (84449) $74.44 $99.25 4.1×
Assay of urine vma (84585) $37.97 $50.62 2.4×
Assay of vitamin k (84597) $198.66 $264.88 14.5×
Assay of volatiles (84600) $39 $52 2.3×
Assay Ph Body Fluid Nos (83986) $12.56 $16.75 3.5×
Ast (sgot) (84450) $34.97 $46.62 6.8×
Automated rbc count (85041) $24 $32 7.9×
Bartonella antibody (86611) $45.66 $60.88 4.5×
Beta 2 Glycoprotein I Antibody,Ea (86146) $99.38 $132.50 3.9×
Beta hydroxybutyrate (82010) $153.75 $205 18.8×
Beta-2 microglobulin (82232) $46.69 $62.25 2.9×
Bile acids, total (82239) $20.81 $27.75 1.2×
Bilirubin direct (82248) $40.59 $54.12 8.1×
Bilirubin total (82247) $36.47 $48.62 7.3×
Bl Smear W/Diff Wbc Count (85007) $43.97 $58.62 11.6×
Blastomyces antibody (86612) $82.97 $110.62 6.4×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $105.66 $140.88 0.6×
Bleeding time (85002) $32.72 $43.62 6.8×
Blood count reticulocyte automated (85045) $30.09 $40.12 7.5×
Blood gases w/02 saturation (82805) $128.34 $171.12 1.6×
Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) $21.47 $28.62 2.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $27 $36 1.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $28.97 $38.62 6.6×
Blood typing abo (86900) $168.19 $224.25 56.2×
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $116.25 $155 7.1×
Blood typing serologic rh (d) (86901) $29.16 $38.88 9.8×
Body fluid cell count (89051) $31.50 $42 5.6×
Bordetella antibody (86615) $139.12 $185.50 10.5×
Brca1&2 seq & full dup/del (81162) $4,522.50 $6,030 2.5×
Brucella antibody (86622) $241.50 $322 27.0×
C diff amplified probe (87493) $174 $232 4.7×
C-reactive protein (86140) $49.31 $65.75 9.5×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $33.56 $44.75 2.6×
Ca 125 (86304) $73.41 $97.88 3.5×
Ca 19-9 (86301) $102.38 $136.50 4.9×
Ca 27 29 (86300) $42.66 $56.88 2.0×
Cadmium level (82300) $102.28 $136.38 4.3×
Calcium ionized (82330) $89.16 $118.88 6.5×
Calcium total (82310) $37.22 $49.62 7.2×
Calcium urine (82340) $49.50 $66 8.2×
Calculus Spectroscopy (82365) $28.50 $38 2.2×
Calprotectin, fecal (83993) $477.75 $637 24.3×
Candida DNA dir probe (87480) $152.25 $203 7.6×
Carbamazepine (tegretol) total (80156) $107.34 $143.12 7.4×
Carbon dioxide (82374) $30.09 $40.12 6.2×
Carboxyhemoglobin Quantitative (82375) $53.91 $71.88 4.4×
Carcinoembryonic antigen (82378) $142.12 $189.50 7.5×
Cardiolipin ab igg (86147) $87 $116 3.4×
Carotene (82380) $22.50 $30 2.4×
Catecholamines fraction plasma (82384) $147 $196 5.8×
Cell saver (86891) $32.25 $43 0.0×
Chemiluminescent assay (82397) $283.50 $378 20.1×
Chlamydia Igm Antibody (86632) $114.47 $152.62 9.0×
Chloride other source (82438) $11.91 $15.88 2.4×
Chloride urine (82436) $32.62 $43.50 5.7×
Cholesterol total (82465) $59.53 $79.38 13.7×
Chrmsm count 15-20 cll 2karyotyp banding (88262) $638.25 $851 5.1×
Chromogranin a (86316) $105 $140 5.0×
Chromosome analysis 20-25 cells (88264) $281.16 $374.88 1.9×
Chromosome karyotype study (88280) $56.91 $75.88 1.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $117.47 $156.62 3.3×
Citrate (82507) $47.25 $63 1.7×
Ck isoenzymes (82552) $35.25 $47 2.6×
Ckmb (82553) $166.78 $222.38 14.4×
Clot factor viii vw antigen (85246) $279.47 $372.62 12.2×
Clozapine level (80159) $113.06 $150.75 5.6×
Cmv PCR (87496) $334.31 $445.75 9.5×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $191.25 $255 7.9×
Cold agglutinin titer (86157) $19.50 $26 2.4×
Collagen cross links (82523) $145.50 $194 7.8×
Compatibility test antiglob (86922) $167.16 $222.88 1.0×
Complement c3 (86160) $68.44 $91.25 5.7×
Complement total ch50 (86162) $110.72 $147.62 5.4×
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $45.38 $60.50 3.8×
Concentration Infectious Agent (87015) $14.06 $18.75 2.1×
Coombs direct (86880) $189.38 $252.50 35.1×
Copper urine (82525) $80.16 $106.88 6.5×
Cortisol free (82530) $78.66 $104.88 4.7×
Cortisol total (82533) $82.97 $110.62 5.1×
Creatine kinase total (82550) $61.50 $82 9.4×
Creatinine blood (82565) $45.66 $60.88 8.9×
Creatinine clearance (82575) $57.56 $76.75 6.1×
Creatinine other source (82570) $44.25 $59 8.5×
Cryoglobulin (82595) $18 $24 2.8×
Cryptococcus antibody (86641) $35.06 $46.75 2.4×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $53.53 $71.38 6.6×
Culture Aerobic Identify (87077) $66 $88 8.2×
Culture anaerobic (87075) $74.91 $99.88 7.9×
Culture blood (87040) $92.81 $123.75 9.0×
Culture chlamydia (87110) $59.91 $79.88 3.1×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $58.50 $78 7.6×
Culture fungus other (87102) $59.16 $78.88 7.0×
Culture genital (87070) $96.19 $128.25 11.2×
Culture screen only (87081) $37.50 $50 5.7×
Culture stool (87045) $61.78 $82.38 6.5×
Culture typing if ea antiserum (87140) $13.97 $18.62 2.5×
Culture urine (87086) $60.09 $80.12 7.4×
Culture urine id ea isolate (87088) $47.34 $63.12 5.9×
Cyclic Citrullinated Peptide (86200) $100.50 $134 7.8×
Cystatin c (82610) $55.50 $74 3.0×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $433.50 $578 10.1×
Cytopath cell enhance tech (88112) $103.88 $138.50 2.0×
Cytopath Smear Other Source (88160) $145.50 $194 5.0×
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $71.34 $95.12 2.7×
Cytp slides cerv/vag mnl scrn physician supv (88164) $25.97 $34.62 1.4×
D-Dimer (85379) $158.16 $210.88 15.5×
D-Dimer (85378) $71.34 $95.12 7.3×
Deoxyribonuclease antibody (86215) $56.25 $75 4.2×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $64.03 $85.38 3.9×
Detect agnt mult DNA ampli (87801) $186.47 $248.62 2.7×
Detection test by immunoassay technique for cytomegalovirus (87332) $29.25 $39 2.4×
Dhea (82626) $103.59 $138.12 4.1×
Dhea sulfate (82627) $78.66 $104.88 3.5×
Digoxin (80162) $97.31 $129.75 7.3×
Dihydrotestosterone (82642) $137.81 $183.75 4.7×
Dilantin (80185) $109.41 $145.88 8.3×
Dna Antibody Single Stranded (86226) $37.31 $49.75 3.1×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $177.75 $237 12.9×
Dna/Rna Amplified Probe (87150) $56.25 $75 1.6×
Dpyd gene common variants (81232) $330.75 $441 1.9×
Drug assay adalimumab (80145) $323.06 $430.75 8.4×
Drug Assay Amiodarone (80151) $62.16 $82.88 3.3×
Drug Assay Infliximab (80230) $260.91 $347.88 6.8×
Drug Assay Lacosamide (80235) $132.56 $176.75 4.9×
Drug assay methotrexate (80204) $82.97 $110.62 2.2×
Drug Screen Quant Gabapentin (80171) $62.16 $82.88 2.9×
Drug screen quant zonisamide (80203) $66.47 $88.62 5.0×
Drug Screen Quantitative Lamotrigine (80175) $157.50 $210 11.9×
Drug Scrn Quan Levetiracetam (80177) $133.41 $177.88 10.1×
Drug scrn quant oxcarbazepin (80183) $123 $164 9.3×
Drug test prsmv chem anlyzr (80307) $202.12 $269.50 3.3×
Drug Test Prsmv Dir Opt Obs (80305) $284.25 $379 22.6×
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $185.25 $247 10.8×
Ebv viral capsid (86665) $102.56 $136.75 5.7×
Echinococcus ab igg (86682) $82.97 $110.62 6.4×
Ehrlichia antibody (86666) $129.38 $172.50 12.7×
Elastase pancreatic fecal quantitative (82653) $271.03 $361.38 11.8×
Electrolyte panel (80051) $80.06 $106.75 11.4×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $83.25 $111 1.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $122.06 $162.75 10.1×
Endomysial antibody iga (86255) $91.31 $121.75 7.6×
Enterovirus antibody (86658) $41.25 $55 3.2×
Enterovirus Pcr (87498) $231.66 $308.88 6.6×
Eosinophil count (85048) $33.28 $44.38 13.1×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $88.12 $117.50 5.8×
Estradiol (82670) $142.12 $189.50 5.1×
Estriol (82677) $159 $212 6.6×
Estrogens total (82672) $139.50 $186 6.4×
Estrone (82679) $87 $116 3.5×
Eval c/v amniotic fluid protein qual ea specimen (84112) $10.41 $13.88 0.1×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $29.25 $39 4.0×
F2 gene analysis 20210g >a variant (81240) $144.75 $193 2.2×
F5 gene (81241) $189.66 $252.88 2.6×
Factor v activity (85220) $34.50 $46 2.0×
Factor viii ahg (85240) $279.38 $372.50 15.6×
Factor xi assay (85270) $231.38 $308.50 12.9×
Fecal fat qual (82705) $24.47 $32.62 4.8×
Fecal fat quant (82710) $15.66 $20.88 0.9×
Fetal bleed screen (85461) $16.41 $21.88 1.8×
Fetal chrmoml aneuploidy (81420) $595.50 $794 0.8×
Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) $595.50 $794 0.8×
Fetal fibronectin (82731) $155.81 $207.75 2.4×
Fibrin degradation products (85362) $76.69 $102.25 11.1×
Fibrinogen activity (85384) $46.59 $62.12 4.8×
Flow cytometry first marker (88184) $75 $100 0.2×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $180.75 $241 15.0×
Folate serum (82746) $109.12 $145.50 7.4×
Folic acid rbc (82747) $177.75 $237 10.1×
Follicle Stimulating Hormone (83001) $111 $148 6.0×
Francisella Tularensis (86668) $164.06 $218.75 11.6×
Fresh frozen plasma thawing each unit (86927) $19.97 $26.62 0.1×
Fructosamine (82985) $61.22 $81.62 3.7×
Gammaglobulin ige (82785) $72.56 $96.75 4.4×
Gardner vag DNA dir probe (87510) $152.25 $203 7.6×
Gastric Occult Blood (82271) $74.25 $99 14.0×
Ggt (82977) $52.31 $69.75 7.3×
Giardia antigen eia stool (87329) $55.03 $73.38 4.6×
Gliadin antibody each immunoglobulin class (86258) $34.69 $46.25 2.9×
Glucose (82947) $36.84 $49.12 9.4×
Glucose Blood Test (82962) $27.75 $37 8.5×
Glucose body fluid (82945) $18.56 $24.75 4.7×
Glucose post dose (82950) $25.22 $33.62 5.3×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $32.34 $43.12 8.3×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $88.22 $117.62 6.9×
Growth hormone (83003) $48.75 $65 2.9×
Haloperidol (haldol) (80173) $114 $152 7.2×
Haptoglobin (83010) $94.69 $126.25 7.5×
Hcg qualitative (84703) $56.16 $74.88 7.5×
Hcg quant (84702) $60.75 $81 4.0×
Hdl Cholesterol (83718) $20.25 $27 2.5×
Heavy metal quant each (83018) $94.22 $125.62 4.3×
Hematocrit (85014) $29.72 $39.62 12.5×
Hemoglobin (85018) $27.75 $37 11.7×
Hemoglobin a1c (83036) $55.22 $73.62 5.7×
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $18.75 $25 1.0×
Hemoglobin electrophoresis (83020) $31.31 $41.75 2.4×
Hemoglobin Methemoglobin Quantitative (83050) $24 $32 2.9×
Hemoglobin plasma (83051) $17.91 $23.88 2.4×
Heparin assay (85520) $139.69 $186.25 10.7×
Hepatitis a antibody total (86708) $55.41 $73.88 4.5×
Hepatitis a igm (86709) $57.94 $77.25 5.1×
Hepatitis b core ab igm (86705) $74.72 $99.62 6.3×
Hepatitis b core antibody total (86704) $70.41 $93.88 5.8×
Hepatitis B Surface Ab (86706) $71.72 $95.62 6.7×
Hepatitis B Surface Antigen (87340) $56.72 $75.62 5.5×
Hepatitis be antibody (86707) $68.81 $91.75 5.9×
Hepatitis Be Antigen (87350) $66.47 $88.62 5.8×
Hepatitis c ab confirm (86804) $116.06 $154.75 7.5×
Hepatitis c antibody (86803) $84 $112 5.9×
Hepatitis C Genotype (87902) $478.41 $637.88 1.9×
Hepatitis C Probe&Rvrs Trnsc (87521) $231.66 $308.88 6.6×
Hepatitis delta ab (86692) $55.03 $73.38 3.2×
Herpes culture (87252) $218.34 $291.12 8.4×
Herpes simplex type 2 (86696) $91.31 $121.75 4.7×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $44.72 $59.62 8.6×
Hfe gene (81256) $287.25 $383 4.4×
Histoplasma antibody (86698) $71.06 $94.75 5.2×
Histoplasma antigen urine (87385) $163.88 $218.50 12.4×
HIV confirmation (86689) $132 $176 6.8×
HIV-1 antibody (86701) $110.81 $147.75 12.5×
HIV-2 probe&revrse trnscripj (87538) $67.50 $90 1.9×
Hla b 27 disease association lc (81374) $62.72 $83.62 0.8×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $221.06 $294.75 6.3×
Hydroxyprogesterone 17-d (83498) $138.75 $185 5.1×
Iaad ia clostridium difficile toxin (87324) $63 $84 5.3×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $118.59 $158.12 4.9×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $140.16 $186.88 9.7×
Iaad ia rotavirus (87425) $100.59 $134.12 8.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $51.75 $69 1.5×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $49.41 $65.88 4.1×
Iaadiadoo not otherwise specified (87899) $37.41 $49.88 2.3×
Iadna borrelia burgdorferi amplified probe tq (87476) $322.50 $430 9.2×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $98.44 $131.25 1.4×
Iadna DNA/RNA zika virus amplified probe tq (87662) $248.16 $330.88 4.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $127.88 $170.50 3.6×
Iadna hepatitis b virus quantification (87517) $533.81 $711.75 12.5×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $442.03 $589.38 10.3×
Iadna herpes virus-6 amplified probe tq (87532) $145.97 $194.62 4.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $206.91 $275.88 5.9×
Iadna HIV-1 quant & reverse transcription (87536) $551.25 $735 6.5×
Iadna human papillomavirus high-risk types (87624) $96.66 $128.88 2.8×
Iadna mycobacteria tuberculosis amp prb (87556) $351 $468 8.4×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $152.25 $203 4.3×
Iadna nos amplified probe tq each organism (87798) $152.25 $203 4.3×
Iadna nos quantification each organism (87799) $516.75 $689 12.1×
Iadna trichomonas vaginalis amplified probe tech (87661) $125.72 $167.62 3.6×
Igg subclasses (82787) $67.41 $89.88 8.4×
Immunoassay infectious agent antibody quan nos (86317) $27.19 $36.25 1.8×
Immunoassay nonantibody (83516) $103.50 $138 9.0×
Immunodiffusion Ouchterlony (86331) $49.97 $66.62 4.2×
Immunoelectrophoresis Other Fluids Concentration (86325) $45.75 $61 2.0×
Immunoelectrophoresis serum (86320) $128.81 $171.75 4.3×
Immunofixj Electrophoresis Serum (86334) $80.72 $107.62 3.6×
Immunofluorescent technique for treponema pallidum syphilis organism (87285) $23.06 $30.75 1.9×
Immunoglobulin light chains free each (83521) $107.81 $143.75 6.2×
Immunohistochemistry (88342) $108.09 $144.12 0.6×
India ink prep (87210) $21 $28 3.6×
Infectious agent enzymatic activity to detect organism (87905) $59.16 $78.88 4.8×
Influenza a/b ag eia (87400) $42.38 $56.50 3.0×
Influenza DNA amp probe (87502) $80.25 $107 0.8×
Inhibin a (86336) $78.66 $104.88 5.0×
Inhibin b (83520) $173.81 $231.75 10.1×
Insitu hybridization manual (88368) $103.41 $137.88 0.3×
Insulin antibodies (86337) $135.56 $180.75 6.3×
Insulin total (83525) $69.94 $93.25 6.1×
Intrinsic factor antibody (86340) $31.22 $41.62 2.1×
Iron (83540) $49.31 $65.75 7.6×
Iron binding capacity (83550) $64.78 $86.38 7.4×
Islet cell antibody (86341) $101.16 $134.88 4.3×
Ketosteroids 17; total (83586) $31.22 $41.62 2.4×
Koh Prep (87220) $9 $12 2.1×
Lactic acid (83605) $112.69 $150.25 9.7×
Ldh (83615) $42.38 $56.50 7.0×
Ldh isoenzymes (83625) $84.19 $112.25 6.6×
LDL cholesterol direct (83721) $72.47 $96.62 6.9×
Lead (83655) $81.28 $108.38 6.7×
Legionella antibody (86713) $362.81 $483.75 23.7×
Legionella antigen urine (87449) $98.72 $131.62 8.2×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $38.81 $51.75 9.1×
Level ii surg pathology gross&microscopic exam (88302) $89.25 $119 2.4×
Lh (83002) $100.69 $134.25 5.4×
Lipase (83690) $63.09 $84.12 9.2×
Lithium (80178) $45.09 $60.12 6.8×
Lyme disease antibody (86618) $107.62 $143.50 6.3×
Lyme disease antibody confirm (86617) $87 $116 5.6×
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $485.06 $646.75 2.8×
Macroscopic exam parasite (87169) $13.97 $18.62 3.2×
Magnesium (83735) $56.16 $74.88 8.4×
Malaria smear (87207) $15 $20 2.5×
Mass spectrometry qual/quan (83789) $53.91 $71.88 2.2×
Mercury (83825) $94.03 $125.38 5.8×
Metabolic Panel Ionized Ca (80047) $37.88 $50.50 2.8×
Methotrexate (80299) $62.06 $82.75 3.3×
Methylmalonic acid serum (83921) $166.31 $221.75 7.8×
Microalbumin urine (82043) $52.41 $69.88 9.1×
Microsomal antibodies (86376) $92.16 $122.88 6.3×
Mitochondrial antibody each (86381) $22.50 $30 0.9×
Molecular pathology procedure level 7 (81406) $2,773.22 $3,697.62 9.8×
Mononuclear cell antigen (86356) $84.66 $112.88 3.2×
Mopath procedure level 9 (81408) $3,247.22 $4,329.62 1.6×
Mthfr Gene Analysis Common Variants (81291) $240.75 $321 3.7×
Mycophenolic acid (80180) $54.19 $72.25 3.0×
Mycoplasma antibody (86738) $114.47 $152.62 8.6×
Myelin basic protein csf (83873) $41.81 $55.75 2.4×
Myoglobin urine (83874) $172.12 $229.50 13.3×
Nasal smear for eosinophils (89190) $22.31 $29.75 3.9×
Natriuretic peptide (83880) $131.25 $175 3.3×
Nk cells total count (86357) $119.16 $158.88 3.2×
Nuclear antigen antibody (86235) $104.44 $139.25 5.8×
Nudt15 Gene Analysis Common Variants (81306) $216.19 $288.25 0.7×
Occult blood stool (82272) $33.09 $44.12 7.8×
Oligoclonal bands (83916) $48.75 $65 1.8×
Osmolality serum (83930) $40.22 $53.62 6.1×
Osmolality urine (83935) $60.09 $80.12 8.8×
Ova and parasite direct-id lca (87177) $68.62 $91.50 7.7×
Oxalate urine (83945) $54.47 $72.62 3.8×
Pancreatic polypeptide (83519) $174 $232 9.5×
Parvovirus antibody (86747) $36.66 $48.88 2.4×
Phenotype Infect Agent Drug (87900) $326.91 $435.88 2.5×
Phenylalanine (84030) $13.50 $18 2.5×
Phenytoin free (80186) $95.25 $127 6.9×
Phosphatase alkaline (84075) $43.88 $58.50 8.5×
Phospholipid Neutralization Hexagonal (85598) $99.56 $132.75 5.5×
Phosphorus blood (84100) $34.97 $46.62 7.4×
Phosphorus urine (84105) $10.97 $14.62 1.9×
Plasminogen (85420) $136.50 $182 20.9×
Platelet count (85049) $32.34 $43.12 7.2×
Potassium (84132) $37.03 $49.38 7.8×
Potassium urine (84133) $45.94 $61.25 9.7×
Primidone (80188) $62.25 $83 3.8×
Procainamide napa (80192) $88.69 $118.25 5.3×
Procalcitonin (pct) (84145) $185.72 $247.62 6.8×
Progesterone (84144) $113.81 $151.75 5.5×
Prolactin (84146) $105.66 $140.88 5.5×
Protein body fluid (84157) $19.41 $25.88 4.9×
Protein c activity (85303) $256.41 $341.88 18.5×
Protein c antigen (85302) $149.06 $198.75 12.4×
Protein electrophoresis serum (84165) $53.81 $71.75 5.0×
Protein Electrophoresis Urine (84166) $87 $116 4.9×
Protein S Functional (85306) $165.56 $220.75 10.8×
Protein s total (85305) $258.66 $344.88 22.3×
Protein Total Serum (84155) $30.56 $40.75 8.3×
Protein urine (84156) $62.72 $83.62 17.1×
Protoporphyrin rbc quantitative (84202) $34.97 $46.62 2.4×
PSA free (84154) $142.31 $189.75 7.7×
Quantiferon tb gold (86480) $221.44 $295.25 3.6×
Renin activity plasma (84244) $45.19 $60.25 2.1×
Respiratory Virus (86756) $70.41 $93.88 4.4×
Rheumatoid Factor Qual (86430) $41.06 $54.75 6.7×
Rheumatoid factor quant (86431) $51 $68 9.0×
Rickettsia antibody (86757) $100.88 $134.50 5.2×
Rpr Titer (86593) $34.88 $46.50 7.9×
Rubella antibody (86762) $59.53 $79.38 4.1×
Russell viper venom time diluted (85613) $85.22 $113.62 8.9×
Sars-Cov-2 Covid-19 Amp Prb (87635) $101.25 $135 2.0×
Sars-Cov-2 Covid-19 Antibody (86769) $97.50 $130 2.3×
Sed rate automated (85652) $50.91 $67.88 18.9×
Semen analysis complete (89320) $28.50 $38 2.3×
Sensitivity mic (87186) $55.97 $74.62 6.5×
Serotonin Release Assay (86022) $19.59 $26.12 1.1×
Sex hormone binding globulin (84270) $52.97 $70.62 2.4×
Sickle cell screen (85660) $33.84 $45.12 6.1×
Sirolimus (rapamycin) (80195) $62.16 $82.88 4.5×
Smear acid fast (87206) $107.62 $143.50 20.0×
Smear gram stain (87205) $28.41 $37.88 6.7×
Smn1 Gene Dos/Deletion Alys (81329) $964.97 $1,286.62 7.0×
Sodium (84295) $33.38 $44.50 6.9×
Sodium urine (84300) $47.06 $62.75 9.3×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $79.97 $106.62 0.6×
Special stains group 1 (88312) $131.81 $175.75 2.5×
Specific gravity body fluid (84315) $31.22 $41.62 9.5×
Spectrophotometry (84311) $17.16 $22.88 2.1×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $48.56 $64.75 0.3×
Stool Cultr Aerobic Bact Ea (87046) $22.88 $30.50 2.4×
Strep a assay w/optic (87880) $44.06 $58.75 2.7×
Strep a DNA amp probe (87651) $46.88 $62.50 1.3×
Strep b DNA amp probe (87653) $168 $224 4.8×
Sulfate urine (84392) $11.25 $15 2.0×
Surgical pathology level IV (88305) $141.75 $189 2.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $137.72 $183.62 2.9×
T3 free (84481) $146.44 $195.25 8.6×
T3 reverse (84482) $181.41 $241.88 11.5×
T3 total (84480) $106.50 $142 7.5×
T3 uptake (84479) $45 $60 7.0×
T4 Free (84439) $62.16 $82.88 6.9×
T4 total (84436) $47.34 $63.12 6.9×
Tb intradermal test (86580) $18 $24 0.6×
Test for acetone/ketones (82009) $11.16 $14.88 2.5×
Testosterone free (84402) $203.16 $270.88 8.0×
Testosterone total (84403) $133.97 $178.62 5.2×
Theophylline (80198) $117.75 $157 8.3×
Thin prep pap (88142) $71.06 $94.75 3.5×
Thrombin time plasma (85670) $95.34 $127.12 16.5×
Thromboplastin Inhibition Tissue (85705) $111.19 $148.25 11.5×
Thromboplastin time prtl substit plasma frctj ea (85732) $131.25 $175 20.3×
Thyroglobulin Ab (86800) $108.28 $144.38 6.8×
Thyroid Stimulating Immunoglobulin (84445) $128.06 $170.75 2.5×
Thyroxine binding globulin (84442) $36 $48 2.4×
Tiagabine (80199) $89.06 $118.75 3.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $89.25 $119 7.7×
Tissue culture bone marrow (88237) $284.91 $379.88 2.0×
Tissue Culture Lymphocyte (88230) $281.72 $375.62 2.4×
Tobramycin peak (80200) $82.12 $109.50 5.1×
Topiramate (80201) $143.25 $191 12.0×
Toxoplasma antibody igg (86777) $101.53 $135.38 7.1×
Tpmt gene com variants (81335) $524.44 $699.25 3.0×
Transferrin (84466) $70.22 $93.62 5.5×
Trichomonas vagin dir probe (87660) $152.25 $203 7.6×
Triglycerides (84478) $42.75 $57 7.4×
Troponin (84484) $156.75 $209 12.6×
Urea nitrogen (84520) $30.94 $41.25 7.8×
Urea Nitrogen Clearance (84545) $33.47 $44.62 4.6×
Urea nitrogen urine (84540) $10.22 $13.62 1.8×
Uric acid blood (84550) $40.22 $53.62 8.9×
Uric acid other source (84560) $55.88 $74.50 11.0×
Urinalysis w/microscopic (81001) $25.12 $33.50 7.9×
Urine pregnancy test (81025) $47.44 $63.25 5.5×
Urine volume measurement (81050) $10.22 $13.62 2.8×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $27.38 $36.50 12.2×
Valproic acid level (80164) $96.28 $128.38 7.1×
Vancomycin trough (80202) $152.81 $203.75 11.3×
Varicella-zoster antibody (86787) $76.41 $101.88 5.9×
Vasopressin (84588) $256.69 $342.25 7.6×
Vdrl csf (86592) $31.22 $41.62 7.3×
Virus antibody nos (86790) $31.31 $41.75 2.4×
Virus id non-immunologic oth/thn cytopathic (87255) $117.56 $156.75 3.5×
Virus inoculation, shell via (87254) $213 $284 10.9×
Viscosity serum (85810) $17.81 $23.75 1.5×
Vitamin A (84590) $75.84 $101.12 6.5×
Vitamin b-12 (82607) $101.44 $135.25 6.7×
Vitamin b-2 (riboflavin) (84252) $156.94 $209.25 7.8×
Vitamin b1 (thiamine) (84425) $69 $92 3.3×
Vitamin b6 (84207) $114.66 $152.88 4.1×
Vitamin C (82180) $50.62 $67.50 5.1×
Vitamin D 25-Hydroxy (82306) $154.69 $206.25 5.2×
Vitamin e serum (84446) $94.50 $126 6.7×
Von willebrand factor activity (85245) $279.38 $372.50 12.2×
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $21 $28 2.4×
West nile virus ab, igm (86788) $111 $148 6.6×
West nile virus antibody (86789) $124.22 $165.62 8.6×
Zinc (84630) $53.91 $71.88 4.7×