Lab & pathology prices at Garfield County Memorial Hospital
Pomeroy, WA · every code in this section with a posted price and a Medicare benchmark.
425 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) | $158.10 | $186 | 4.1× |
| Acetaminophen level (80143) | $197.20 | $232 | 10.6× |
| Acetylcholinesterase (82013) | $40.80 | $48 | 3.3× |
| Acth stimulation panel adrenal insufficiency (80400) | $213.35 | $251 | 6.5× |
| Activated protein c resistance (85307) | $191.25 | $225 | 12.5× |
| Acute hepatitis panel (80074) | $270.30 | $318 | 5.7× |
| Adrenocorticotropic hormone (82024) | $222.70 | $262 | 5.8× |
| Afp maternal serum (82105) | $99.45 | $117 | 5.9× |
| Agglutinins febrile ea antigen (86000) | $122.40 | $144 | 17.5× |
| Albumin serum (82040) | $18.70 | $22 | 3.8× |
| Aldolase (82085) | $68.85 | $81 | 7.1× |
| Aldosterone urine (82088) | $125.80 | $148 | 3.1× |
| Alkaline phosphatase isoenzymes (84080) | $152.15 | $179 | 10.3× |
| Allergen peanut (86003) | $41.65 | $49 | 8.0× |
| Alpha-1-antitrypsin phenotype (82104) | $153 | $180 | 10.6× |
| Alpha-1-antitrypsin, total (82103) | $158.10 | $186 | 11.8× |
| Alt (sgpt) (84460) | $52.70 | $62 | 9.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $280.50 | $330 | 12.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $192.95 | $227 | 11.4× |
| Amino Acids, Multiple Qual (82128) | $54.40 | $64 | 3.9× |
| Aminolevulinic acid (ala) (82135) | $70.55 | $83 | 4.3× |
| Amylase urine (82150) | $83.30 | $98 | 12.9× |
| Ana titer (86039) | $80.75 | $95 | 7.2× |
| Angiotensin i enzyme test (82164) | $124.95 | $147 | 8.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $232.05 | $273 | 15.0× |
| Antibody cytomegalovirus cmv (86644) | $116.45 | $137 | 8.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $82.45 | $97 | 6.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $222.70 | $262 | 18.2× |
| Antibody helicobacter pylori (86677) | $185.30 | $218 | 11.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $96.05 | $113 | 6.7× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $137.70 | $162 | 10.0× |
| Antibody identification leukocyte antibodies (86021) | $162.35 | $191 | 10.8× |
| Antibody influenza virus (86710) | $110.50 | $130 | 8.2× |
| Antibody mumps (86735) | $108.80 | $128 | 8.3× |
| Antibody screen (86850) | $152.15 | $179 | 15.6× |
| Antibody treponema pallidum (86780) | $79.90 | $94 | 6.0× |
| Antibody; Coccidioides (86635) | $103.70 | $122 | 9.0× |
| Antinuclear antibodies (86038) | $71.40 | $84 | 5.9× |
| Antistreptolysin o titer (86060) | $88.40 | $104 | 12.1× |
| Antithrombin iii activity (85300) | $204 | $240 | 17.2× |
| Apolipoprotein each (82172) | $87.55 | $103 | 4.2× |
| Arsenic Urine (82175) | $123.25 | $145 | 6.5× |
| Assay Lipoprotein Pla2 (83698) | $165.75 | $195 | 3.6× |
| Assay of 5-hiaa (83497) | $91.80 | $108 | 7.1× |
| Assay of ammonia (82140) | $119.85 | $141 | 8.2× |
| Assay of c-peptide (84681) | $126.65 | $149 | 6.1× |
| Assay of ceruloplasmin (82390) | $98.60 | $116 | 9.2× |
| Assay of citrate (82507) | $184.45 | $217 | 6.6× |
| Assay of cpk in blood (82552) | $224.40 | $264 | 16.8× |
| Assay of erythropoietin (82668) | $135.15 | $159 | 7.2× |
| Assay of ethosuximide (80168) | $68.85 | $81 | 4.2× |
| Assay of ferritin (82728) | $106.25 | $125 | 7.8× |
| Assay of g6pd enzyme (82955) | $90.95 | $107 | 9.4× |
| Assay of gastrin (82941) | $137.70 | $162 | 7.8× |
| Assay of gentamicin (80170) | $177.65 | $209 | 10.8× |
| Assay of homocystine (83090) | $145.35 | $171 | 8.1× |
| Assay of lactic acid (83605) | $115.60 | $136 | 10.0× |
| Assay of lipoprotein(a) (83695) | $136 | $160 | 9.5× |
| Assay of metanephrines (83835) | $145.35 | $171 | 8.6× |
| Assay of phenobarbital (80184) | $100.30 | $118 | 6.6× |
| Assay of phosphatase acid total (84060) | $72.25 | $85 | 9.5× |
| Assay of prealbumin (84134) | $113.05 | $133 | 7.7× |
| Assay of proinsulin (84206) | $145.35 | $171 | 5.4× |
| Assay of prolactin (84146) | $90.10 | $106 | 4.6× |
| Assay of pyruvate (84210) | $96.05 | $113 | 6.6× |
| Assay of tacrolimus (80197) | $154.70 | $182 | 11.3× |
| Assay of topiramate (80201) | $129.20 | $152 | 10.8× |
| Assay of urine vma (84585) | $88.40 | $104 | 5.7× |
| Assay of vasopressin anti-diuretic hormone (84588) | $130.90 | $154 | 3.9× |
| Assay of vitamin k (84597) | $226.95 | $267 | 16.5× |
| Ast (sgot) (84450) | $48.45 | $57 | 9.4× |
| Bcr/abl1 gene major bp (81206) | $261.80 | $308 | 1.6× |
| Beta hydroxybutyrate (82010) | $77.35 | $91 | 9.5× |
| Beta-2 microglobulin (82232) | $115.60 | $136 | 7.1× |
| Bilirubin direct (82248) | $44.20 | $52 | 8.8× |
| Bilirubin total (82247) | $49.30 | $58 | 9.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $43.35 | $51 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $27.20 | $32 | 6.2× |
| Blood typing abo (86900) | $194.65 | $229 | 65.1× |
| Blood typing serologic rh (d) (86901) | $73.95 | $87 | 24.7× |
| Body fluid cell count (89051) | $117.30 | $138 | 20.9× |
| Bordetella antibody (86615) | $130.90 | $154 | 9.9× |
| C diff amplified probe (87493) | $172.55 | $203 | 4.6× |
| C-reactive protein (86140) | $53.55 | $63 | 10.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $82.45 | $97 | 6.4× |
| C1q binding assay (86332) | $152.15 | $179 | 6.2× |
| Ca 125 (86304) | $173.40 | $204 | 8.3× |
| Ca 19-9 (86301) | $170 | $200 | 8.2× |
| Ca 27 29 (86300) | $175.10 | $206 | 8.4× |
| Cadmium level (82300) | $55.25 | $65 | 2.3× |
| Calcitonin (82308) | $145.35 | $171 | 5.4× |
| Calcium ionized (82330) | $115.60 | $136 | 8.5× |
| Calcium total (82310) | $49.30 | $58 | 9.6× |
| Calcium urine (82340) | $50.15 | $59 | 8.3× |
| Calculus spectroscopy (82365) | $109.65 | $129 | 8.5× |
| Calprotectin, fecal (83993) | $263.50 | $310 | 13.4× |
| Carbamazepine total (80156) | $44.20 | $52 | 3.0× |
| Carbon dioxide (82374) | $48.45 | $57 | 9.9× |
| Carboxyhemoglobin (82375) | $93.50 | $110 | 7.6× |
| Carcinoembryonic antigen (82378) | $133.45 | $157 | 7.0× |
| Cardiolipin ab igg (86147) | $172.55 | $203 | 6.8× |
| Carotene (82380) | $106.25 | $125 | 11.5× |
| Catecholamines fraction plasma (82384) | $57.80 | $68 | 2.3× |
| Catecholamines organic nitrogen blood level (82383) | $200.60 | $236 | 6.9× |
| Catecholamines Total Urine (82382) | $177.65 | $209 | 6.5× |
| Chemiluminescent assay (82397) | $175.10 | $206 | 12.4× |
| Chlamydia antibody (86631) | $102.85 | $121 | 8.7× |
| Chloride blood (82435) | $58.65 | $69 | 12.8× |
| Chloride urine (82436) | $36.55 | $43 | 6.4× |
| Cholesterol HDL (83718) | $29.75 | $35 | 3.6× |
| Cholesterol total (82465) | $41.65 | $49 | 9.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $173.40 | $204 | 5.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $809.20 | $952 | 6.4× |
| Chromium urine (82495) | $118.15 | $139 | 5.8× |
| Chromogranin a (86316) | $140.25 | $165 | 6.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $148.75 | $175 | 4.2× |
| Ckmb (82553) | $235.45 | $277 | 20.4× |
| Clot factor viii vw antigen (85246) | $221 | $260 | 9.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $85.85 | $101 | 4.8× |
| Clotting Inhibitors Protein S Free (85306) | $255.85 | $301 | 16.7× |
| Clozapine level (80159) | $190.40 | $224 | 9.4× |
| Cmv ab igm (86645) | $129.20 | $152 | 7.7× |
| Cold agglutinin screen (86156) | $244.80 | $288 | 30.3× |
| Cold agglutinin titer (86157) | $87.55 | $103 | 10.9× |
| Complement c3 (86160) | $107.95 | $127 | 9.0× |
| Complement total (ch50) (86162) | $128.35 | $151 | 6.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $124.10 | $146 | 10.3× |
| Coombs direct (86880) | $99.45 | $117 | 18.5× |
| Copper urine (82525) | $119.85 | $141 | 9.7× |
| Cortisol total (82533) | $136.85 | $161 | 8.4× |
| Creatine kinase total (82550) | $70.55 | $83 | 10.8× |
| Creatinine blood (82565) | $51.85 | $61 | 10.1× |
| Creatinine clearance (82575) | $85.85 | $101 | 9.1× |
| Creatinine other source (82570) | $51.85 | $61 | 10.0× |
| Cryoglobulin (82595) | $72.25 | $85 | 11.2× |
| Crystals body fluid (89060) | $104.55 | $123 | 14.3× |
| Culture Aerobic Identify (87077) | $80.75 | $95 | 10.0× |
| Culture afb (87116) | $87.55 | $103 | 8.1× |
| Culture blood (87040) | $106.25 | $125 | 10.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $69.70 | $82 | 9.0× |
| Culture fungus id yeast (87106) | $140.25 | $165 | 13.6× |
| Culture fungus other (87102) | $97.75 | $115 | 11.6× |
| Culture genital (87070) | $85 | $100 | 9.9× |
| Culture screen only (87081) | $137.70 | $162 | 20.8× |
| Culture stool (87045) | $87.55 | $103 | 9.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $69.70 | $82 | 13.5× |
| Culture urine (87086) | $66.30 | $78 | 8.2× |
| Culture virus (87252) | $136 | $160 | 5.2× |
| Cyclic Citrullinated Peptide (86200) | $106.25 | $125 | 8.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $645.15 | $759 | 15.1× |
| Cytopath cell enhance tech (88112) | $175.95 | $207 | 3.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $75.65 | $89 | 1.8× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $145.35 | $171 | 5.5× |
| Cytp concentration smears & interpretation (88108) | $92.65 | $109 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $239.70 | $282 | 4.1× |
| Dhea-sulfate (82627) | $147.90 | $174 | 6.7× |
| Digoxin (80162) | $96.90 | $114 | 7.3× |
| Dilantin (80185) | $131.75 | $155 | 9.9× |
| Dipropylacetic acid free (80165) | $125.80 | $148 | 9.3× |
| Dna Antibody Single Stranded (86226) | $80.75 | $95 | 6.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $84.15 | $99 | 6.1× |
| DNA/RNA direct probe (87149) | $68 | $80 | 3.4× |
| Drug quant nes (80299) | $129.20 | $152 | 6.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $136.85 | $161 | 10.3× |
| Drug Scrn Quan Levetiracetam (80177) | $160.65 | $189 | 12.1× |
| Drug test prsmv chem anlyzr (80307) | $251.60 | $296 | 4.0× |
| E test (87181) | $39.10 | $46 | 8.2× |
| Ebv viral capsid (86665) | $128.35 | $151 | 7.1× |
| Electrolyte panel (80051) | $59.50 | $70 | 8.5× |
| Eosinophil count (85048) | $73.10 | $86 | 28.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $112.20 | $132 | 7.3× |
| Estradiol (82670) | $126.65 | $149 | 4.5× |
| Estriol serum (82677) | $113.90 | $134 | 4.7× |
| Estrogens fractionated (82671) | $66.30 | $78 | 2.1× |
| Estrogens total (82672) | $145.35 | $171 | 6.7× |
| F2 gene analysis 20210g >a variant (81240) | $258.40 | $304 | 3.9× |
| F5 gene analysis, leiden variant (81241) | $190.40 | $224 | 2.6× |
| Factor ii activity (85210) | $85.85 | $101 | 6.6× |
| Factor v activity (85220) | $119 | $140 | 6.7× |
| Factor viii ahg (85240) | $199.75 | $235 | 11.2× |
| Factor xiii solubility screen (85291) | $124.10 | $146 | 13.6× |
| Fatty acids free (82725) | $236.30 | $278 | 12.6× |
| Fecal fat qual (82705) | $74.80 | $88 | 14.7× |
| Fecal fat quant (82710) | $193.80 | $228 | 11.5× |
| Fibrin Degradation Quant (85379) | $125.80 | $148 | 12.4× |
| Fibrinogen activity (85384) | $82.45 | $97 | 8.5× |
| Flow cytometry first marker (88184) | $546.55 | $643 | 1.4× |
| Fluorescent Antibody Screen (86255) | $57.80 | $68 | 4.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $101.15 | $119 | 8.4× |
| Folate serum (82746) | $108.80 | $128 | 7.4× |
| Folic acid rbc (82747) | $77.35 | $91 | 4.4× |
| Follicle Stimulating Hormone (83001) | $95.20 | $112 | 5.1× |
| Gabapentin (80171) | $147.90 | $174 | 6.8× |
| Gammaglobulin ige (82785) | $71.40 | $84 | 4.3× |
| Gardner vag DNA dir probe (87510) | $61.20 | $72 | 3.1× |
| Ggt (82977) | $59.50 | $70 | 8.3× |
| Giardia antigen eia stool (87329) | $130.90 | $154 | 10.9× |
| Giardia lamblia antibody (86674) | $141.95 | $167 | 9.6× |
| Glucose (82947) | $30.60 | $36 | 7.8× |
| Growth hormone (83003) | $145.35 | $171 | 8.7× |
| H pylori breath test (83013) | $215.90 | $254 | 3.2× |
| Haptoglobin (83010) | $93.50 | $110 | 7.4× |
| Hcg qualitative (84703) | $114.75 | $135 | 15.3× |
| Hcg quant (84702) | $130.90 | $154 | 8.7× |
| Heavy Metal Qualitative Any Analytes (83015) | $51.85 | $61 | 2.5× |
| Hematocrit (85014) | $38.25 | $45 | 16.1× |
| Hemoglobin (85018) | $31.45 | $37 | 13.3× |
| Hemoglobin a1c (83036) | $70.55 | $83 | 7.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $68.85 | $81 | 3.8× |
| Hemoglobin electrophoresis (83020) | $147.90 | $174 | 11.5× |
| Hepatitis a antibody total (86708) | $192.10 | $226 | 15.5× |
| Hepatitis a igm (86709) | $147.05 | $173 | 13.1× |
| Hepatitis b core antibody total (86704) | $164.05 | $193 | 13.6× |
| Hepatitis B Surface Ab (86706) | $113.05 | $133 | 10.5× |
| Hepatitis B Surface Antigen (87340) | $83.30 | $98 | 8.1× |
| Hepatitis c antibody (86803) | $129.20 | $152 | 9.1× |
| Hepatitis C Antibody Confirmatory Test (86804) | $221.85 | $261 | 14.3× |
| Hepatitis C Genotype (87902) | $410.55 | $483 | 1.6× |
| Herpes simplex type i (86695) | $145.35 | $171 | 11.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $52.70 | $62 | 10.2× |
| Hfe gene (81256) | $252.45 | $297 | 3.9× |
| HIV confirmation (86689) | $198.90 | $234 | 10.3× |
| HIV-1 antibody (86701) | $140.25 | $165 | 15.8× |
| HIV-1 p24 antigen (87390) | $137.70 | $162 | 5.7× |
| Hla-b27 (86812) | $162.35 | $191 | 6.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $167.45 | $197 | 4.8× |
| Iaad ia clostridium difficile toxin (87324) | $95.20 | $112 | 7.9× |
| Iaad ia cryptosporidium (87328) | $145.35 | $171 | 10.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $191.25 | $225 | 7.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $154.70 | $182 | 10.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $170 | $200 | 12.2× |
| Iaad ia shiga-like toxin (87427) | $56.95 | $67 | 4.8× |
| Iaadi inffluenza a virus (87276) | $79.05 | $93 | 4.9× |
| Iaadi influenza b virus (87275) | $84.15 | $99 | 6.9× |
| Iaadiadoo not otherwise specified (87899) | $112.20 | $132 | 7.0× |
| Iadna Candida Species Direct Probe Tq (87480) | $61.20 | $72 | 3.1× |
| Iadna hepatitis b virus quantification (87517) | $179.35 | $211 | 4.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $395.25 | $465 | 9.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $261.80 | $308 | 3.1× |
| Iadna human papillomavirus high-risk types (87624) | $88.40 | $104 | 2.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $141.95 | $167 | 4.0× |
| Iadna nos amplified probe tq each organism (87798) | $287.30 | $338 | 8.2× |
| Iadna nos quantification each organism (87799) | $470.05 | $553 | 11.0× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $308.55 | $363 | 1.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $110.50 | $130 | 3.1× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $475.15 | $559 | 1.8× |
| Igg subclasses (82787) | $141.95 | $167 | 17.7× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) | $61.20 | $72 | 3.4× |
| Immunoassay nonantibody (83516) | $119 | $140 | 10.3× |
| Immunodiffusion (86329) | $139.40 | $164 | 9.9× |
| Immunoelectrophoresis serum (86320) | $218.45 | $257 | 7.3× |
| Immunofixation (86334) | $130.05 | $153 | 5.8× |
| Immunofixation urine (86335) | $158.10 | $186 | 5.4× |
| Immunohistochemistry (88342) | $259.25 | $305 | 1.4× |
| In situ hybridization (88365) | $259.25 | $305 | 1.4× |
| Indirect coombs (86885) | $259.25 | $305 | 45.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) | $88.40 | $104 | 6.9× |
| Influenza a/b ag eia (87400) | $68 | $80 | 4.8× |
| Inhibin a (86336) | $132.60 | $156 | 8.5× |
| Inhibin b (83520) | $253.72 | $298.50 | 14.7× |
| Insitu hybridization manual (88368) | $546.55 | $643 | 1.4× |
| Insulin total (83525) | $91.80 | $108 | 8.0× |
| Interleukin 6 (83529) | $182.75 | $215 | 10.6× |
| Intrinsic factor antibody (86340) | $314.50 | $370 | 20.9× |
| Iron (83540) | $56.95 | $67 | 8.8× |
| Iron binding capacity (83550) | $62.05 | $73 | 7.1× |
| Jak2 gene analysis (81270) | $509.15 | $599 | 5.6× |
| Ldh body fluid (83615) | $60.35 | $71 | 10.0× |
| LDL cholesterol direct (83721) | $60.35 | $71 | 5.7× |
| Lead (83655) | $100.30 | $118 | 8.3× |
| Legionella antibody (86713) | $99.45 | $117 | 6.5× |
| Legionella antigen urine (87449) | $118.15 | $139 | 9.9× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $68 | $80 | 15.9× |
| Level ii surg pathology grossµscopic exam (88302) | $92.65 | $109 | 2.2× |
| Level v surg pathology grossµscopic exam (88307) | $546.55 | $643 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $696.15 | $819 | 0.8× |
| Lh (83002) | $97.75 | $115 | 5.3× |
| Lipase (83690) | $109.65 | $129 | 15.9× |
| Lithium (80178) | $65.45 | $77 | 9.9× |
| Lyme disease antibody (86618) | $126.65 | $149 | 7.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $284.75 | $335 | 1.5× |
| Magnesium (83735) | $72.25 | $85 | 10.8× |
| Mercury urine (83825) | $85 | $100 | 5.2× |
| Metabolic Panel Ionized Ca (80047) | $71.40 | $84 | 5.2× |
| Methylmalonic acid serum (83921) | $147.05 | $173 | 6.9× |
| Microalbumin urine (82043) | $73.95 | $87 | 12.8× |
| Microsomal antibodies (86376) | $141.10 | $166 | 9.7× |
| Mitochondrial antibody each (86381) | $153.85 | $181 | 6.0× |
| Mrsa PCR (87641) | $272 | $320 | 7.8× |
| Mthfr Gene Analysis Common Variants (81291) | $152.15 | $179 | 2.3× |
| Mycophenolic acid (80180) | $49.30 | $58 | 2.7× |
| Mycoplasma antibody (86738) | $77.35 | $91 | 5.8× |
| Myoglobin urine (83874) | $181.05 | $213 | 14.0× |
| Nasal smear for eosinophils (89190) | $57.80 | $68 | 10.0× |
| Natriuretic peptide (83880) | $243.95 | $287 | 6.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $351.90 | $414 | 4.9× |
| Nuclear antigen antibody (86235) | $55.25 | $65 | 3.1× |
| Obstetric panel (80081) | $120.70 | $142 | 1.6× |
| Occult blood gastric (82271) | $32.30 | $38 | 6.1× |
| Occult blood stool (82272) | $40.80 | $48 | 9.6× |
| Osmolality serum (83930) | $59.50 | $70 | 9.0× |
| Osmolality urine (83935) | $59.50 | $70 | 8.7× |
| Ova and parasite direct-id lca (87177) | $90.10 | $106 | 10.1× |
| Oxalate urine (83945) | $96.05 | $113 | 6.6× |
| Pancreatic polypeptide (83519) | $206.55 | $243 | 11.2× |
| Ph body fluid (83986) | $79.05 | $93 | 22.1× |
| Ph urine (81003) | $34 | $40 | 15.1× |
| Phenytoin free (80186) | $243.10 | $286 | 17.7× |
| Phosphatase alkaline (84075) | $44.20 | $52 | 8.5× |
| Phosphorus blood (84100) | $46.75 | $55 | 9.9× |
| Phosphorus urine (84105) | $33.15 | $39 | 5.7× |
| Pinworm exam (87172) | $34.85 | $41 | 8.2× |
| Platelet count automated (85049) | $64.60 | $76 | 14.4× |
| Porphobilinogen urine quant (84110) | $79.05 | $93 | 9.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $136 | $160 | 9.2× |
| Potassium (84132) | $46.75 | $55 | 9.8× |
| Potassium urine (84133) | $31.45 | $37 | 6.6× |
| Pregnanediol (84135) | $153.85 | $181 | 7.2× |
| Primidone (80188) | $46.75 | $55 | 2.8× |
| Procainamide napa (80192) | $179.35 | $211 | 10.7× |
| Procalcitonin (pct) (84145) | $237.15 | $279 | 8.7× |
| Progesterone (84144) | $70.55 | $83 | 3.4× |
| Protein body fluid (84157) | $65.45 | $77 | 16.4× |
| Protein c antigen (85302) | $198.90 | $234 | 16.6× |
| Protein electrophoresis serum (84165) | $135.15 | $159 | 12.6× |
| Protein Electrophoresis Urine (84166) | $129.20 | $152 | 7.2× |
| Protein s total (85305) | $217.60 | $256 | 18.7× |
| Protein total serum (84155) | $86.70 | $102 | 23.6× |
| Protein urine (84156) | $65.45 | $77 | 17.8× |
| Protoporphyrin rbc quantitative (84202) | $62.90 | $74 | 4.4× |
| PSA free (84154) | $106.25 | $125 | 5.8× |
| Pth intact (83970) | $244.80 | $288 | 5.9× |
| Pyruvate kinase (84220) | $68 | $80 | 7.2× |
| Rbc (85041) | $45.90 | $54 | 15.2× |
| Reagent strip/blood glucose (82948) | $56.10 | $66 | 11.1× |
| Renin activity plasma (84244) | $130.90 | $154 | 6.0× |
| Resp virus 12-25 targets (87633) | $1,127.95 | $1,327 | 2.7× |
| Resp virus 3-5 targets (87631) | $238 | $280 | 1.7× |
| Reticulocyte count auto (85045) | $62.05 | $73 | 15.6× |
| Rheumatoid Factor Qual (86430) | $59.50 | $70 | 9.7× |
| Rheumatoid factor quant (86431) | $52.70 | $62 | 9.3× |
| Rickettsia antibody (86757) | $114.75 | $135 | 5.9× |
| Ristocetin cofactor (85245) | $221 | $260 | 9.6× |
| Rotavirus ag eia (87425) | $125.80 | $148 | 10.5× |
| Rubella antibody (86762) | $88.40 | $104 | 6.1× |
| Rubeola Antibody Igg (86765) | $106.25 | $125 | 8.2× |
| Salicylate Level (80179) | $181.90 | $214 | 9.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $147.90 | $174 | 2.9× |
| Sedimentation rate (85651) | $60.35 | $71 | 14.1× |
| Sensitivity kb (87184) | $53.55 | $63 | 7.2× |
| Sensitivity mic (87186) | $105.40 | $124 | 12.2× |
| Sex hormone binding globulin (84270) | $136 | $160 | 6.3× |
| Sirolimus (rapamycin) (80195) | $183.60 | $216 | 13.4× |
| Smear acid fast (87206) | $133.45 | $157 | 24.8× |
| Smear complex stain (87209) | $82.45 | $97 | 4.6× |
| Smear gram stain (87205) | $47.60 | $56 | 11.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $58.65 | $69 | 10.1× |
| Sodium (84295) | $41.65 | $49 | 8.7× |
| Sodium urine (84300) | $54.40 | $64 | 10.8× |
| Soluble transferrin receptor (84238) | $234.60 | $276 | 6.4× |
| Somatomedin (84305) | $139.40 | $164 | 6.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $104.55 | $123 | 0.7× |
| Special stains group 1 (88312) | $187 | $220 | 3.2× |
| Specific gravity body fluid (84315) | $29.75 | $35 | 9.1× |
| Spectrophotometry (84311) | $192.10 | $226 | 23.7× |
| Stool Culture, Addl Pathogens (87046) | $57.80 | $68 | 6.1× |
| Strep a assay w/optic (87880) | $56.95 | $67 | 3.4× |
| Sugars Single Qualitative, Each Specimen (84376) | $244.80 | $288 | 44.5× |
| Surg path level 1 (88300) | $62.05 | $73 | 1.9× |
| Surg path level iii (88304) | $187 | $220 | 3.2× |
| Surgical pathology level IV (88305) | $219.30 | $258 | 3.8× |
| T Cell Absolute Count (86361) | $50.64 | $59.58 | 1.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $85 | $100 | 1.8× |
| T3 free (84481) | $82.45 | $97 | 4.9× |
| T3 reverse (84482) | $143.65 | $169 | 9.1× |
| T3 total (84480) | $112.20 | $132 | 7.9× |
| T3 uptake (84479) | $93.50 | $110 | 14.5× |
| T4 free (84439) | $80.75 | $95 | 9.0× |
| T4 total (84436) | $106.25 | $125 | 15.5× |
| Tb intradermal test (86580) | $19.55 | $23 | 0.6× |
| Tb test, cell immun measure (86480) | $199.75 | $235 | 3.2× |
| Testosterone free (84402) | $118.15 | $139 | 4.6× |
| Testosterone total (84403) | $145.35 | $171 | 5.6× |
| Theophylline (80198) | $137.70 | $162 | 9.7× |
| Thyroglobulin (84432) | $149.60 | $176 | 9.3× |
| Thyroglobulin antibody (86800) | $132.60 | $156 | 8.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $243.10 | $286 | 4.8× |
| Thyroxine binding globulin (84442) | $117.30 | $138 | 7.9× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $57.80 | $68 | 13.5× |
| Tissue culture lymphocyte (88230) | $453.05 | $533 | 3.9× |
| Tissue transglutaminase ab iga (86364) | $285.60 | $336 | 24.8× |
| Tobramycin peak (80200) | $182.75 | $215 | 11.3× |
| Toxoplasma ab igm (86778) | $131.75 | $155 | 9.1× |
| Toxoplasma antibody igg (86777) | $121.55 | $143 | 8.4× |
| Transferrin (84466) | $94.35 | $111 | 7.4× |
| Triglycerides (84478) | $50.15 | $59 | 8.7× |
| Troponin (84484) | $150.45 | $177 | 12.1× |
| Urea nitrogen (84520) | $43.35 | $51 | 11.0× |
| Uric acid blood (84550) | $56.95 | $67 | 12.6× |
| Uric acid other source (84560) | $32.30 | $38 | 6.4× |
| Urinalysis auto w/scope (81001) | $59.50 | $70 | 18.8× |
| Urinalysis Microscopic Only (81015) | $34 | $40 | 11.1× |
| Urine Bacteria Culture (87088) | $67.15 | $79 | 8.3× |
| Urine pregnancy test (81025) | $66.30 | $78 | 7.7× |
| Urine volume measurement (81050) | $22.10 | $26 | 6.1× |
| Valproic acid (80164) | $115.60 | $136 | 8.5× |
| Vancomycin trough (80202) | $102 | $120 | 7.5× |
| Varicella-zoster antibody (86787) | $78.20 | $92 | 6.1× |
| Vasoactive intestinal peptide (vip) (84586) | $145.35 | $171 | 4.1× |
| Vdrl csf (86592) | $56.95 | $67 | 13.3× |
| Virus antibody nos (86790) | $177.65 | $209 | 13.8× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $96.05 | $113 | 4.9× |
| Viscosity serum (85810) | $72.25 | $85 | 6.2× |
| Vitamin A (84590) | $70.55 | $83 | 6.1× |
| Vitamin b-12 (82607) | $90.95 | $107 | 6.0× |
| Vitamin b1 (thiamine) (84425) | $107.10 | $126 | 5.0× |
| Vitamin b2 (84252) | $172.55 | $203 | 8.5× |
| Vitamin b3 niacin (84591) | $56.10 | $66 | 3.3× |
| Vitamin b6 (84207) | $142.80 | $168 | 5.1× |
| Vitamin c (82180) | $38.25 | $45 | 3.9× |
| Vitamin D 25-Hydroxy (82306) | $76.50 | $90 | 2.6× |
| Vitamin e serum (84446) | $85.85 | $101 | 6.1× |
| West nile virus antibody (86789) | $113.05 | $133 | 7.9× |
| West nile virus igm (86788) | $103.70 | $122 | 6.2× |
| Zinc (84630) | $98.60 | $116 | 8.7× |