Lab & pathology prices at Freestone Medical Center
Fairfield, TX · every code in this section with a posted price and a Medicare benchmark.
426 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $225.75 | $322.50 | 5.9× |
| 5 Nucleotidase (83915) | $15.93 | $22.75 | 1.4× |
| Acetaminophen level (80143) | $119.70 | $171 | 6.4× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $72.63 | $103.75 | 3.9× |
| Acetylcholine receptor binding antibody (86041) | $27.30 | $39 | 1.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $158.20 | $226 | 13.1× |
| Actin smooth muscle antibody each (86015) | $176.76 | $252.51 | 14.7× |
| Acute hepatitis panel (80074) | $84.70 | $121 | 1.8× |
| Albumin serum (82040) | $29.58 | $42.25 | 6.0× |
| Aldolase (82085) | $56.70 | $81 | 5.8× |
| Aldosterone urine (82088) | $182.96 | $261.38 | 4.5× |
| Alkaline phosphatase isoenzymes (84080) | $41.30 | $59 | 2.8× |
| Allergen specific ige (86003) | $10.68 | $15.25 | 2.0× |
| Allg Spec Ige Recomb Ea (86008) | $31.68 | $45.25 | 1.8× |
| Alpha-1-antitrypsin, total (82103) | $15.93 | $22.75 | 1.2× |
| Alpha-fetoprotein, serum (82105) | $99.05 | $141.50 | 5.9× |
| Alt (sgpt) (84460) | $42.53 | $60.75 | 8.0× |
| Amikacin trough (80150) | $89.43 | $127.75 | 5.9× |
| Amino Acids, Single Quantitation (82131) | $16.10 | $23 | 0.7× |
| Ammonia (82140) | $52 | $74.28 | 3.6× |
| Amylase urine (82150) | $39.38 | $56.25 | 6.1× |
| Angiotensin i enzyme test (82164) | $64.40 | $92 | 4.4× |
| Antibody Absorption (86978) | $101.50 | $145 | 1.7× |
| Antibody cytomegalovirus cmv (86644) | $73.76 | $105.38 | 5.1× |
| Antibody cytomegalovirus cmv igm (86645) | $30.28 | $43.25 | 1.8× |
| Antibody helicobacter pylori (86677) | $48.48 | $69.25 | 2.9× |
| Antibody herpes smplx type 1 (86695) | $70.79 | $101.12 | 5.4× |
| Antibody HIV-2 (86702) | $51.63 | $73.75 | 3.8× |
| Antibody identification (86870) | $339.16 | $484.50 | 0.9× |
| Antibody mumps (86735) | $67.20 | $96 | 5.1× |
| Antibody rubeola (86765) | $65.02 | $92.88 | 5.0× |
| Antibody screen (86850) | $55.30 | $79 | 5.7× |
| Antibody treponema pallidum (86780) | $56.70 | $80.99 | 4.3× |
| Antigen typing (86905) | $439.08 | $627.25 | 114.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $346.15 | $494.50 | 66.8× |
| Antinuclear antibodies (86038) | $71.23 | $101.75 | 5.9× |
| Antistreptolysin o titer (86060) | $42.35 | $60.50 | 5.8× |
| Antithrombin iii activity (85300) | $60.55 | $86.50 | 5.1× |
| Apolipoprotein b (82172) | $42.18 | $60.25 | 2.0× |
| Arsenic Urine (82175) | $25.03 | $35.75 | 1.3× |
| Assay Nephelometry Not Spec (83883) | $39.12 | $55.88 | 2.9× |
| Assay of acth (82024) | $225.75 | $322.50 | 5.8× |
| Assay of blood chloride (82435) | $26.43 | $37.75 | 5.7× |
| Assay of c-peptide (84681) | $122.50 | $175 | 5.9× |
| Assay of calcitonin (82308) | $44.63 | $63.75 | 1.7× |
| Assay of ceruloplasmin (82390) | $14.35 | $20.50 | 1.3× |
| Assay of cyclosporine (80158) | $106.75 | $152.50 | 5.9× |
| Assay of erythropoietin (82668) | $84 | $120 | 4.5× |
| Assay of ferritin (82728) | $48.61 | $69.44 | 3.6× |
| Assay of g6pd enzyme (82955) | $30.28 | $43.25 | 3.1× |
| Assay of gammaglobulin igm (82784) | $55.30 | $79 | 5.9× |
| Assay of gastrin (82941) | $30.98 | $44.25 | 1.8× |
| Assay of gentamicin (80170) | $96.95 | $138.50 | 5.9× |
| Assay of glucagon (82943) | $38.85 | $55.50 | 2.7× |
| Assay of homocystine (83090) | $39.38 | $56.25 | 2.2× |
| Assay of lipoprotein(a) (83695) | $28.88 | $41.25 | 2.0× |
| Assay of metanephrines (83835) | $100.80 | $144 | 6.0× |
| Assay of osteocalcin (83937) | $65.10 | $93 | 2.2× |
| Assay of parathormone (83970) | $206.68 | $295.25 | 5.0× |
| Assay of phenobarbital (80184) | $67.38 | $96.25 | 4.4× |
| Assay of prealbumin (84134) | $49.88 | $71.25 | 3.4× |
| Assay of proinsulin (84206) | $80.79 | $115.41 | 3.0× |
| Assay of prostate specific antigen complexed (84152) | $41.65 | $59.50 | 2.3× |
| Assay of pyruvate (84210) | $22.75 | $32.50 | 1.6× |
| Assay of selenium (84255) | $70.37 | $100.53 | 2.8× |
| Assay of somatomedin (84305) | $71.14 | $101.62 | 3.3× |
| Assay of tacrolimus (80197) | $80.85 | $115.50 | 5.9× |
| Assay of urine vma (84585) | $91.53 | $130.75 | 5.9× |
| Assay of vitamin k (84597) | $109.03 | $155.75 | 7.9× |
| Assay Ph Body Fluid Nos (83986) | $21.35 | $30.50 | 6.0× |
| Ast (sgot) (84450) | $42.18 | $60.25 | 8.1× |
| B cells total count (86355) | $78.75 | $112.50 | 2.1× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $45.50 | $65 | 1.8× |
| Beta hydroxybutyrate (82010) | $35.53 | $50.75 | 4.3× |
| Beta-2 microglobulin (82232) | $37.80 | $54 | 2.3× |
| Bilirubin direct (82248) | $29.58 | $42.25 | 5.9× |
| Bilirubin total (82247) | $41.83 | $59.75 | 8.3× |
| Bl Smear W/Diff Wbc Count (85007) | $19.78 | $28.25 | 5.2× |
| Blood count reticulocyte automated (85045) | $25.73 | $36.75 | 6.4× |
| Blood gases (82803) | $103.60 | $148 | 4.0× |
| Blood gases w/02 saturation (82805) | $159.78 | $228.25 | 2.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $19.60 | $28 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $439.08 | $627.25 | 69.1× |
| Blood typing abo (86900) | $95.38 | $136.25 | 31.9× |
| Blood typing serologic rh (d) (86901) | $46.90 | $67 | 15.7× |
| Blood typing serologic rh phenotyping complete (86906) | $45.50 | $65 | 5.9× |
| Body fluid cell count (89051) | $33.43 | $47.75 | 6.0× |
| Body fluid cell count (89050) | $28.88 | $41.25 | 6.1× |
| Bordetella antibody (86615) | $73.50 | $105 | 5.6× |
| Brca1&2 seq & full dup/del (81162) | $3,244.50 | $4,635 | 1.8× |
| Brucella antibody (86622) | $37.10 | $53 | 4.2× |
| C diff amplified probe (87493) | $79.45 | $113.50 | 2.1× |
| C-reactive protein (86140) | $30.28 | $43.25 | 5.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $76.48 | $109.25 | 5.9× |
| Ca 125 (86304) | $122.50 | $175 | 5.9× |
| Ca 19-9 (86301) | $122.50 | $175 | 5.9× |
| Ca 27 29 (86300) | $112.35 | $160.50 | 5.4× |
| Calcium ionized (82330) | $80.85 | $115.50 | 5.9× |
| Calcium total (82310) | $30.28 | $43.25 | 5.9× |
| Calcium urine (82340) | $11.38 | $16.25 | 1.9× |
| Calculus Quantitative Chemical (82360) | $42.35 | $60.50 | 3.3× |
| Calprotectin, fecal (83993) | $34.83 | $49.75 | 1.8× |
| Carbamazepine (tegretol) total (80156) | $86.28 | $123.25 | 5.9× |
| Carbon dioxide (82374) | $28.88 | $41.25 | 5.9× |
| Carboxyhemoglobin Quantitative (82375) | $35.53 | $50.75 | 2.9× |
| Carcinoembryonic antigen (82378) | $112.18 | $160.25 | 5.9× |
| Cardiolipin ab igg (86147) | $46.20 | $66 | 1.8× |
| Catecholamines fraction plasma (82384) | $65.80 | $94 | 2.6× |
| Cd4 absolute count (86361) | $78.75 | $112.50 | 2.9× |
| Chemiluminescent assay (82397) | $67.38 | $96.25 | 4.8× |
| Chloride urine (82436) | $21.88 | $31.25 | 3.8× |
| Cholesterol total (82465) | $39.90 | $57 | 9.2× |
| Chromium urine (82495) | $119.70 | $171 | 5.9× |
| Chromogranin a (86316) | $122.50 | $175 | 5.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $203 | $290 | 5.8× |
| Citrate (82507) | $19.43 | $27.75 | 0.7× |
| Ckmb (82553) | $37.45 | $53.50 | 3.2× |
| Clot factor viii vw antigen (85246) | $182.35 | $260.50 | 7.9× |
| Cmv PCR (87496) | $240.80 | $344 | 6.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $60.55 | $86.50 | 2.5× |
| Cold agglutinin screen (86156) | $39.38 | $56.25 | 4.9× |
| Collagen cross links (82523) | $65.89 | $94.12 | 3.5× |
| Compatibility test antiglob (86922) | $231.70 | $331 | 1.4× |
| Complement c3 (86160) | $71.23 | $101.75 | 5.9× |
| Complement total ch50 (86162) | $111.13 | $158.75 | 5.5× |
| Coombs direct (86880) | $59.85 | $85.50 | 11.1× |
| Coombs Test Indirect Qual (86885) | $117.43 | $167.75 | 20.5× |
| Copper urine (82525) | $45.13 | $64.47 | 3.6× |
| Cortisol free (82530) | $30.28 | $43.25 | 1.8× |
| Cortisol total (82533) | $87.06 | $124.38 | 5.3× |
| Creatine kinase total (82550) | $38.50 | $55 | 5.9× |
| Creatinine blood (82565) | $30.28 | $43.25 | 5.9× |
| Creatinine clearance (82575) | $55.30 | $79 | 5.8× |
| Creatinine other source (82570) | $11.64 | $16.62 | 2.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.38 | $56.25 | 4.9× |
| Culture Aerobic Identify (87077) | $56.70 | $81 | 7.0× |
| Culture anaerobic (87075) | $56 | $80 | 5.9× |
| Culture blood (87040) | $60.55 | $86.50 | 5.9× |
| Culture fungus other (87102) | $49.88 | $71.25 | 5.9× |
| Culture genital (87070) | $50.58 | $72.25 | 5.9× |
| Culture screen only (87081) | $39.38 | $56.25 | 5.9× |
| Culture stool (87045) | $17.50 | $25 | 1.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $54.43 | $77.75 | 10.5× |
| Culture urine (87086) | $48.48 | $69.25 | 6.0× |
| Culture urine id ea isolate (87088) | $48.48 | $69.25 | 6.0× |
| Cystatin c (82610) | $122.50 | $175 | 6.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $162.23 | $231.75 | 3.8× |
| D-Dimer (85379) | $172.73 | $246.75 | 17.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $71.23 | $101.75 | 4.3× |
| Detect agnt mult DNA ampli (87801) | $205.10 | $293 | 2.9× |
| Dhea (82626) | $149.98 | $214.25 | 5.9× |
| Dhea sulfate (82627) | $131.08 | $187.25 | 5.9× |
| Digoxin (80162) | $78.75 | $112.50 | 5.9× |
| Dilantin (80185) | $78.75 | $112.50 | 5.9× |
| Dna Antibody Single Stranded (86226) | $64.40 | $92 | 5.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $80.85 | $115.50 | 5.9× |
| Dpyd gene common variants (81232) | $493.50 | $705 | 2.8× |
| Drug Assay Lacosamide (80235) | $45.50 | $65 | 1.7× |
| Drug Screen Quant Gabapentin (80171) | $80.85 | $115.50 | 3.7× |
| Drug screen quant zonisamide (80203) | $173.08 | $247.25 | 13.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $106.75 | $152.50 | 8.1× |
| Drug Scrn Quan Levetiracetam (80177) | $106.75 | $152.50 | 8.1× |
| Drug scrn quant oxcarbazepin (80183) | $58.28 | $83.25 | 4.4× |
| Drug test prsmv chem anlyzr (80307) | $102.90 | $147 | 1.7× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $9.86 | $14.08 | 0.6× |
| Ebv viral capsid (86665) | $106.75 | $152.50 | 5.9× |
| Ehrlichia antibody (86666) | $293.83 | $419.75 | 28.9× |
| Electrolyte panel (80051) | $41.65 | $59.50 | 5.9× |
| Endomysial antibody iga (86255) | $76.48 | $109.25 | 6.3× |
| Enzyme cell activity (82657) | $653.45 | $933.50 | 29.5× |
| Estradiol (82670) | $165.03 | $235.75 | 5.9× |
| Estriol (82677) | $115.85 | $165.50 | 4.8× |
| Estrogens total (82672) | $170.98 | $244.25 | 7.9× |
| Estrone (82679) | $53.03 | $75.75 | 2.1× |
| Everolimus (80169) | $259.53 | $370.75 | 18.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $41.65 | $59.50 | 5.7× |
| F2 gene analysis 20210g >a variant (81240) | $67.38 | $96.25 | 1.0× |
| F5 gene (81241) | $330.86 | $472.66 | 4.5× |
| Factor ii activity (85210) | $182.35 | $260.50 | 14.0× |
| Factor ix activity (85250) | $110.08 | $157.26 | 5.8× |
| Factor v activity (85220) | $39.38 | $56.25 | 2.2× |
| Factor viii ahg (85240) | $130.20 | $186 | 7.3× |
| Fecal fat qual (82705) | $30.98 | $44.25 | 6.1× |
| Fecal fat quant (82710) | $39.38 | $56.25 | 2.3× |
| Fibrinogen activity (85384) | $12.78 | $18.25 | 1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $51.36 | $73.38 | 4.3× |
| Folate serum (82746) | $86.98 | $124.25 | 5.9× |
| Folic acid rbc (82747) | $102.20 | $146 | 5.8× |
| Follicle Stimulating Hormone (83001) | $109.73 | $156.75 | 5.9× |
| Fructosamine (82985) | $89.43 | $127.75 | 5.3× |
| Galectin-3 serum (82777) | $105 | $150 | 2.4× |
| Gammaglobulin ige (82785) | $62.92 | $89.88 | 3.8× |
| Gastric Occult Blood (82271) | $19.60 | $28 | 3.7× |
| Ggt (82977) | $48.22 | $68.88 | 6.7× |
| Giardia antigen eia stool (87329) | $71.23 | $101.75 | 5.9× |
| Glucose (82947) | $38.42 | $54.88 | 9.8× |
| Glucose Blood Test (82962) | $18.90 | $27 | 5.8× |
| Glucose body fluid (82945) | $22.75 | $32.50 | 5.8× |
| Glucose post dose (82950) | $28.88 | $41.25 | 6.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $22.75 | $32.50 | 5.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $76.48 | $109.25 | 5.9× |
| Growth hormone (83003) | $97.65 | $139.50 | 5.9× |
| Haptoglobin (83010) | $64.14 | $91.62 | 5.1× |
| Hcg qualitative (84703) | $44.63 | $63.75 | 5.9× |
| Hcg quant (84702) | $51.63 | $73.75 | 3.4× |
| Heavy metal quant each (83018) | $117.43 | $167.75 | 5.3× |
| Hematocrit (85014) | $14.35 | $20.50 | 6.1× |
| Hemoglobin (85018) | $14.35 | $20.50 | 6.1× |
| Hemoglobin a1c (83036) | $47.98 | $68.55 | 4.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $76.48 | $109.25 | 4.2× |
| Hemoglobin electrophoresis (83020) | $13.65 | $19.50 | 1.1× |
| Hemoglobin plasma (83051) | $22.75 | $32.50 | 3.1× |
| Heparin assay (85520) | $102.65 | $146.64 | 7.8× |
| Hepatitis a antibody total (86708) | $73.33 | $104.75 | 5.9× |
| Hepatitis a igm (86709) | $66.68 | $95.25 | 5.9× |
| Hepatitis b core ab igm (86705) | $69.65 | $99.50 | 5.9× |
| Hepatitis b core antibody total (86704) | $71.23 | $101.75 | 5.9× |
| Hepatitis B Surface Ab (86706) | $62.83 | $89.75 | 5.9× |
| Hepatitis B Surface Antigen (87340) | $60.55 | $86.50 | 5.9× |
| Hepatitis be antibody (86707) | $68.78 | $98.25 | 5.9× |
| Hepatitis Be Antigen (87350) | $68.78 | $98.25 | 6.0× |
| Hepatitis c antibody (86803) | $84.70 | $121 | 5.9× |
| Hepatitis C Genotype (87902) | $337.58 | $482.25 | 1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $174.83 | $249.75 | 5.0× |
| Herpes culture (87252) | $74.90 | $107 | 2.9× |
| Herpes simplex type 2 (86696) | $88.56 | $126.50 | 4.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $30.28 | $43.25 | 5.8× |
| Hfe gene (81256) | $97.65 | $139.50 | 1.5× |
| HIV confirmation (86689) | $114.28 | $163.25 | 5.9× |
| Hla ii low resolution one antigen equivalent ea (81377) | $129.85 | $185.50 | 1.4× |
| Hla-b27 (86812) | $152.08 | $217.25 | 5.9× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $200.55 | $286.50 | 3.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $203 | $290 | 5.8× |
| Htt gene analysis detect abnormal alleles (81271) | $630 | $900 | 4.6× |
| Human epididymis protein 4 (86305) | $399 | $570 | 19.2× |
| Iaad ia clostridium difficile toxin (87324) | $116.55 | $166.50 | 9.7× |
| Iaad ia cryptosporidium (87328) | $71.23 | $101.75 | 5.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $53.03 | $75.75 | 2.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $71.23 | $101.75 | 5.0× |
| Iaad ia rotavirus (87425) | $71.23 | $101.75 | 5.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $101.50 | $145 | 2.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $44.63 | $63.75 | 3.7× |
| Iaadiadoo not otherwise specified (87899) | $33.43 | $47.75 | 2.1× |
| Iadna candida species amplified probe tq (87481) | $61.78 | $88.25 | 1.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $135.10 | $193 | 3.9× |
| Iadna hepatitis b virus amplified probe tq (87516) | $457.98 | $654.25 | 13.1× |
| Iadna hepatitis b virus quantification (87517) | $735.35 | $1,050.50 | 17.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $308.26 | $440.38 | 7.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $232.40 | $332 | 2.7× |
| Iadna human papillomavirus high-risk types (87624) | $98.70 | $141 | 2.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $135.10 | $193 | 3.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $203 | $290 | 5.8× |
| Iadna nos amplified probe tq each organism (87798) | $169.05 | $241.50 | 4.8× |
| Iadna nos quantification each organism (87799) | $331.80 | $474 | 7.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $89.60 | $128 | 2.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $625.28 | $893.25 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $174.13 | $248.75 | 5.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $67.20 | $96 | 4.5× |
| Immunoassay nonantibody (83516) | $68.78 | $98.25 | 6.0× |
| Immunofixj Electrophoresis Serum (86334) | $131.78 | $188.25 | 5.9× |
| Immunohistochemistry (88342) | $108.68 | $155.25 | 0.6× |
| India ink prep (87210) | $25.03 | $35.75 | 4.3× |
| Inhibin a (86336) | $74.20 | $106 | 4.8× |
| Inhibin b (83520) | $73.50 | $105 | 4.3× |
| Insulin antibodies (86337) | $80.85 | $115.50 | 3.8× |
| Insulin free (83527) | $76.48 | $109.25 | 5.9× |
| Insulin total (83525) | $67.38 | $96.25 | 5.9× |
| Iron (83540) | $33.34 | $47.62 | 5.2× |
| Iron binding capacity (83550) | $39.90 | $57 | 4.6× |
| Islet cell antibody (86341) | $59.50 | $85 | 2.5× |
| Jak2 gene analysis (81270) | $401.28 | $573.25 | 4.4× |
| Ketosteroids 17; total (83586) | $133.88 | $191.25 | 10.5× |
| Koh Prep (87220) | $25.03 | $35.75 | 5.9× |
| Lactic acid (83605) | $62.83 | $89.75 | 5.4× |
| Lactoferrin fecal qualitative (83630) | $65.80 | $94 | 3.3× |
| Ldh (83615) | $35.53 | $50.75 | 5.9× |
| Lead (83655) | $46.29 | $66.12 | 3.8× |
| Legionella antibody (86713) | $90.13 | $128.75 | 5.9× |
| Legionella antigen urine (87449) | $104.48 | $149.25 | 8.7× |
| Legionella pneumophila dfa (87278) | $71.23 | $101.75 | 4.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $25.03 | $35.75 | 5.9× |
| Lh (83002) | $109.73 | $156.75 | 5.9× |
| Lipase (83690) | $40.95 | $58.50 | 5.9× |
| Lithium (80178) | $39.38 | $56.25 | 6.0× |
| Lyme disease antibody (86618) | $100.80 | $144 | 5.9× |
| Magnesium (83735) | $26.78 | $38.25 | 4.0× |
| Malaria smear (87207) | $52.50 | $75 | 8.8× |
| Mass spectrometry qual/quan (83789) | $850.59 | $1,215.12 | 35.3× |
| Mercury (83825) | $25.03 | $35.75 | 1.5× |
| Methotrexate (80299) | $90.83 | $129.75 | 4.9× |
| Methylmalonic acid serum (83921) | $34.13 | $48.75 | 1.6× |
| Microalbumin urine (82043) | $15.93 | $22.75 | 2.8× |
| Microsomal antibodies (86376) | $64.66 | $92.36 | 4.4× |
| Mitochondrial antibody each (86381) | $176.76 | $252.51 | 6.9× |
| Molecular pathology procedure level 2 (81401) | $304.50 | $435 | 2.2× |
| Mopath procedure level 1 (81400) | $430.50 | $615 | 6.7× |
| Mopath procedure level 9 (81408) | $4,326 | $6,180 | 2.2× |
| Mycobacteric Identification (87118) | $65.10 | $93 | 4.5× |
| Mycoplasma antibody (86738) | $78.75 | $112.50 | 5.9× |
| Mycoplasma culture (87109) | $108.78 | $155.40 | 7.1× |
| Myoglobin urine (83874) | $76.48 | $109.25 | 5.9× |
| Natriuretic peptide (83880) | $171.50 | $245 | 4.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $308.53 | $440.75 | 1.2× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $326.20 | $466 | 4.5× |
| Niacin (84591) | $86.45 | $123.50 | 5.1× |
| Nmr Lipoprofile (83704) | $23.98 | $34.25 | 0.7× |
| Nuclear antigen antibody (86235) | $106.05 | $151.50 | 5.9× |
| Osmolality serum (83930) | $30.28 | $43.25 | 4.6× |
| Osmolality urine (83935) | $21.88 | $31.25 | 3.2× |
| Oxalate urine (83945) | $14.18 | $20.25 | 1.0× |
| Pancreatic elastase fecal (82656) | $320.25 | $457.50 | 27.8× |
| Pancreatic polypeptide (83519) | $103.78 | $148.25 | 5.6× |
| Particle Agglutination Screen Each Antibody (86403) | $60.55 | $86.50 | 5.2× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $167.30 | $239 | 2.4× |
| Phenylalanine (84030) | $170.28 | $243.25 | 31.0× |
| Phospholipid Neutralization Hexagonal (85598) | $49.70 | $71 | 2.8× |
| Phosphorus blood (84100) | $28.88 | $41.25 | 6.1× |
| Phosphorus urine (84105) | $14.18 | $20.25 | 2.5× |
| Pinworm exam (87172) | $25.03 | $35.75 | 5.9× |
| Platelet count (85049) | $26.43 | $37.75 | 5.9× |
| Platelet neutralization (85597) | $49.70 | $71 | 2.8× |
| Porphobilinogen urine quant (84110) | $20.30 | $29 | 2.4× |
| Porphyrins qn & fraction urine (84120) | $27.30 | $39 | 1.9× |
| Potassium (84132) | $26.43 | $37.75 | 5.6× |
| Potassium urine (84133) | $19.96 | $28.50 | 4.2× |
| Pregnenolone (84140) | $64.93 | $92.75 | 3.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $439.08 | $627.25 | 2.6× |
| Primidone (80188) | $30.98 | $44.25 | 1.9× |
| Procalcitonin (pct) (84145) | $331.63 | $473.75 | 12.2× |
| Progesterone (84144) | $122.50 | $175 | 5.9× |
| Prolactin (84146) | $114.98 | $164.25 | 5.9× |
| Protein body fluid (84157) | $21.35 | $30.50 | 5.3× |
| Protein c activity (85303) | $81.90 | $117 | 5.9× |
| Protein electrophoresis serum (84165) | $62.83 | $89.75 | 5.9× |
| Protein Electrophoresis Urine (84166) | $63.52 | $90.75 | 3.6× |
| Protein S Functional (85306) | $81.90 | $117 | 5.3× |
| Protein Total Serum (84155) | $21.35 | $30.50 | 5.8× |
| Protein urine (84156) | $21.35 | $30.50 | 5.8× |
| PSA free (84154) | $109.03 | $155.75 | 5.9× |
| Quantiferon tb gold (86480) | $180.95 | $258.50 | 2.9× |
| Rbc antibody elution (86860) | $284.55 | $406.50 | 1.7× |
| Renin activity plasma (84244) | $145.16 | $207.38 | 6.6× |
| Respiratory viral panel PCR (87633) | $291.73 | $416.75 | 0.7× |
| Rheumatoid factor quant (86431) | $34.13 | $48.75 | 6.0× |
| Rickettsia antibody (86757) | $114.28 | $163.25 | 5.9× |
| Rpr Titer (86593) | $12.78 | $18.25 | 2.9× |
| Rsv (87807) | $71.23 | $101.75 | 5.4× |
| Rubella antibody (86762) | $84.70 | $121 | 5.9× |
| Russell viper venom time diluted (85613) | $45.32 | $64.75 | 4.7× |
| Salicylate (80179) | $41.65 | $59.50 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $137.03 | $195.75 | 2.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $111.30 | $159 | 2.6× |
| Sarscov2 & inf a&b amp prb (87636) | $225.58 | $322.25 | 1.6× |
| Sedimentation rate (85651) | $22.05 | $31.50 | 5.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $51.63 | $73.75 | 4.3× |
| Sensitivity mic (87186) | $284.38 | $406.25 | 32.9× |
| Serpina1 gene (81332) | $463.51 | $662.16 | 10.6× |
| Sex hormone binding globulin (84270) | $125.65 | $179.50 | 5.8× |
| Sickle cell screen (85660) | $77.62 | $110.88 | 14.1× |
| Sirolimus (rapamycin) (80195) | $86.28 | $123.25 | 6.3× |
| Smear acid fast (87206) | $45.06 | $64.38 | 8.4× |
| Smear complex stain (87209) | $85.58 | $122.25 | 4.8× |
| Smear gram stain (87205) | $20.83 | $29.75 | 4.9× |
| Sodium (84295) | $28.88 | $41.25 | 6.0× |
| Sodium urine (84300) | $14.35 | $20.50 | 2.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $113.93 | $162.75 | 0.9× |
| Special stains group 1 (88312) | $135.98 | $194.25 | 2.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $17.50 | $25 | 1.9× |
| Strep a assay w/optic (87880) | $71.23 | $101.75 | 4.3× |
| Strep a DNA amp probe (87651) | $129.85 | $185.50 | 3.7× |
| Sulfate urine (84392) | $14.18 | $20.25 | 2.6× |
| Surg path level iii (88304) | $96.25 | $137.50 | 1.8× |
| Surgical pathology level IV (88305) | $127.40 | $182 | 2.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $183.23 | $261.75 | 3.9× |
| T cells, total count (86359) | $78.75 | $112.50 | 2.1× |
| T3 free (84481) | $100.80 | $144 | 6.0× |
| T3 reverse (84482) | $45.50 | $65 | 2.9× |
| T3 total (84480) | $84 | $120 | 5.9× |
| T3 uptake (84479) | $38.50 | $55 | 6.0× |
| T4 Free (84439) | $53.73 | $76.75 | 6.0× |
| T4 total (84436) | $40.95 | $58.50 | 6.0× |
| Test for acetone/ketones (82009) | $25.73 | $36.75 | 5.7× |
| Testosterone free (84402) | $150.68 | $215.25 | 5.9× |
| Testosterone total (84403) | $38.50 | $55 | 1.5× |
| Theophylline (80198) | $84 | $120 | 5.9× |
| Thrombin time plasma (85670) | $51.36 | $73.38 | 8.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $44.63 | $63.75 | 6.9× |
| Thyroglobulin Ab (86800) | $94.68 | $135.25 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $211.93 | $302.75 | 4.2× |
| Thyroxine binding globulin (84442) | $86.98 | $124.25 | 5.9× |
| Tobramycin peak (80200) | $35.53 | $50.75 | 2.2× |
| Topiramate (80201) | $70.53 | $100.75 | 5.9× |
| Tpmt gene com variants (81335) | $641.20 | $916 | 3.7× |
| Transferrin (84466) | $54.43 | $77.75 | 4.3× |
| Triglycerides (84478) | $44.10 | $63 | 7.7× |
| Troponin (84484) | $95.20 | $136 | 7.6× |
| Ugt1a1 gene analysis common variants (81350) | $534.14 | $763.05 | 2.3× |
| Urea nitrogen (84520) | $18.20 | $26 | 4.6× |
| Uric acid blood (84550) | $26.43 | $37.75 | 5.8× |
| Uric acid other source (84560) | $14.18 | $20.25 | 2.8× |
| Urinalysis microscopic only (81015) | $21.70 | $31 | 7.1× |
| Urinalysis w/microscopic (81001) | $19.78 | $28.25 | 6.2× |
| Urine microalbumin (protein) analysis (82044) | $26.43 | $37.75 | 4.2× |
| Urine pregnancy test (81025) | $44.63 | $63.75 | 5.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $13.92 | $19.88 | 6.2× |
| Valproic acid level (80164) | $80.15 | $114.50 | 5.9× |
| Vancomycin trough (80202) | $80.15 | $114.50 | 5.9× |
| Varicella-zoster antibody (86787) | $48.48 | $69.25 | 3.8× |
| Vasoactive intestinal peptide (vip) (84586) | $90.83 | $129.75 | 2.6× |
| Vasopressin (84588) | $33.25 | $47.50 | 1.0× |
| Vdrl csf (86592) | $25.03 | $35.75 | 5.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $37.10 | $53 | 1.1× |
| Virus inoculation, shell via (87254) | $317.28 | $453.25 | 16.2× |
| Vitamin A (84590) | $55.30 | $79 | 4.8× |
| Vitamin b-12 (82607) | $89.43 | $127.75 | 5.9× |
| Vitamin b-2 (riboflavin) (84252) | $25.03 | $35.75 | 1.2× |
| Vitamin b1 (thiamine) (84425) | $40.25 | $57.50 | 1.9× |
| Vitamin b6 (84207) | $149.10 | $213 | 5.3× |
| Vitamin C (82180) | $36.40 | $52 | 3.7× |
| Vitamin D 25-Hydroxy (82306) | $160.48 | $229.25 | 5.4× |
| Vitamin e serum (84446) | $67.38 | $96.25 | 4.8× |
| Voltage-gated calcium channel antibody each (86596) | $210 | $300 | 17.4× |
| Von willebrand factor activity (85245) | $144.55 | $206.50 | 6.3× |
| West nile virus ab, igm (86788) | $71.23 | $101.75 | 4.2× |
| West nile virus antibody (86789) | $71.23 | $101.75 | 4.9× |
| Zinc (84630) | $67.38 | $96.25 | 5.9× |