Lab & pathology prices at Genoa Community Hospital
Genoa, NE · every code in this section with a posted price and a Medicare benchmark.
467 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) | $319 | $354 | 8.3× |
| Acetaminophen level (80143) | $345 | $383 | 18.5× |
| Acetylcholine receptor binding antibody (86041) | $248 | $276 | 13.5× |
| Actin smooth muscle antibody each (86015) | $140 | $156 | 11.6× |
| Acute hepatitis panel (80074) | $325 | $361 | 6.8× |
| Afb culture (87116) | $98 | $109 | 9.1× |
| Agglutinins febrile (86000) | $136 | $151 | 19.5× |
| Albumin serum (82040) | $45 | $50 | 9.1× |
| Aldosterone urine (82088) | $275 | $305 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) | $133 | $148 | 9.0× |
| Allergen specific ige (86003) | $56 | $62 | 10.7× |
| Allg Spec Ige Recomb Ea (86008) | $89 | $99 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $176 | $196 | 12.2× |
| Alpha-1-antitrypsin, total (82103) | $149 | $166 | 11.1× |
| Alpha-fetoprotein, serum (82105) | $131 | $145 | 7.8× |
| Alt (sgpt) (84460) | $74 | $82 | 14.0× |
| Ammonia (82140) | $266 | $296 | 18.3× |
| Amylase urine (82150) | $68 | $75.50 | 10.5× |
| Ana Titer (86039) | $98 | $109 | 8.8× |
| Angiotensin i enzyme test (82164) | $133 | $148 | 9.1× |
| Antibody aspergillus (86606) | $158 | $175 | 10.5× |
| Antibody cytomegalovirus cmv (86644) | $155 | $172 | 10.8× |
| Antibody cytomegalovirus cmv igm (86645) | $136 | $151 | 8.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $163 | $181 | 12.4× |
| Antibody helicobacter pylori (86677) | $144 | $160 | 8.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $113 | $126 | 7.9× |
| Antibody herpes smplx type 1 (86695) | $92 | $102 | 7.0× |
| Antibody identification (86870) | $403 | $448 | 1.1× |
| Antibody mumps (86735) | $99 | $110 | 7.6× |
| Antibody rubeola (86765) | $83 | $92 | 6.4× |
| Antibody screen (86850) | $252 | $280 | 25.8× |
| Antibody treponema pallidum (86780) | $49 | $54 | 3.7× |
| Antibody; Coccidioides (86635) | $85 | $94 | 7.4× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $90 | $100 | 7.5× |
| Antinuclear antibodies (86038) | $100.50 | $111.50 | 8.3× |
| Antistreptolysin o titer (86060) | $88 | $98 | 12.1× |
| Antithrombin iii activity (85300) | $159 | $177 | 13.4× |
| Aquaporin-4 Antb Elisa (86051) | $380 | $422 | 33.0× |
| Aspergillus ag eia (87305) | $200 | $222 | 16.7× |
| Assay of acth (82024) | $275 | $306 | 7.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $332 | $369 | 19.2× |
| Assay of androstenedione (82157) | $214 | $238 | 7.3× |
| Assay of blood chloride (82435) | $49 | $54 | 10.7× |
| Assay of c-peptide (84681) | $85 | $94 | 4.1× |
| Assay of ceruloplasmin (82390) | $108 | $120 | 10.1× |
| Assay of creatine (82540) | $62 | $69 | 13.4× |
| Assay of cyclosporine (80158) | $210 | $233 | 11.6× |
| Assay of erythropoietin (82668) | $128 | $142 | 6.8× |
| Assay of ferritin (82728) | $93.50 | $103.50 | 6.9× |
| Assay of gammaglobulin igm (82784) | $159 | $177 | 17.1× |
| Assay of gentamicin (80170) | $179 | $199 | 10.9× |
| Assay of homocystine (83090) | $173 | $192 | 9.7× |
| Assay of lipoprotein(a) (83695) | $136 | $151 | 9.5× |
| Assay of metanephrines (83835) | $347 | $385.50 | 20.5× |
| Assay of parathormone (83970) | $251 | $279 | 6.1× |
| Assay of phenobarbital (80184) | $151 | $168 | 9.9× |
| Assay of prealbumin (84134) | $243.50 | $270.50 | 16.7× |
| Assay of serotonin (84260) | $230 | $255 | 7.4× |
| Assay of tacrolimus (80197) | $224 | $249 | 16.3× |
| Assay of urine vma (84585) | $163 | $181 | 10.5× |
| Assay of vitamin k (84597) | $72 | $80 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $50 | $55 | 14.0× |
| Ast (sgot) (84450) | $66 | $73 | 12.7× |
| Automated rbc count (85041) | $41 | $46 | 13.6× |
| B cells total count (86355) | $111 | $123 | 2.9× |
| Bcr/abl1 gene major bp (81206) | $872 | $969 | 5.3× |
| Bcr/abl1 gene minor bp (81207) | $532 | $591 | 3.7× |
| Beta hydroxybutyrate (82010) | $94 | $104 | 11.5× |
| Bile acids, total (82239) | $72 | $80 | 4.2× |
| Bilirubin direct (82248) | $55 | $61 | 11.0× |
| Bilirubin total (82247) | $44.50 | $49.50 | 8.9× |
| Biotinidase ea specimen (82261) | $44 | $49 | 2.6× |
| Bl Smear W/Diff Wbc Count (85007) | $56 | $62 | 14.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $26 | $29 | 7.6× |
| Blastomyces antibody (86612) | $276 | $307 | 21.4× |
| Bleeding time (85002) | $54 | $60 | 11.2× |
| Blood count reticulocyte automated (85045) | $50 | $55.50 | 12.5× |
| Blood gases (82803) | $237 | $263 | 9.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $234 | $260 | 14.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $26 | $29 | 5.9× |
| Blood Ph - Ph Venous (82800) | $103 | $114 | 9.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $215 | $239 | 33.9× |
| Blood typing abo (86900) | $153 | $170 | 51.2× |
| Blood typing serologic rh (d) (86901) | $171 | $190 | 57.2× |
| Blood typing serologic rh phenotyping complete (86906) | $196 | $217.50 | 25.3× |
| Body fluid cell count (89051) | $132 | $147 | 23.6× |
| Body fluid cell count (89050) | $68 | $75 | 14.4× |
| Bordetella antibody (86615) | $156.50 | $174 | 11.9× |
| C diff amplified probe (87493) | $214 | $237.50 | 5.7× |
| C-reactive protein (86140) | $70.50 | $78 | 13.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $82 | $91 | 6.3× |
| Ca 125 (86304) | $167 | $185 | 8.0× |
| Ca 19-9 (86301) | $101 | $112 | 4.9× |
| Ca 27 29 (86300) | $151 | $168 | 7.3× |
| Calcium ionized (82330) | $211 | $234 | 15.4× |
| Calcium total (82310) | $59 | $66 | 11.4× |
| Calcium urine (82340) | $75 | $83 | 12.4× |
| Calculus Qualitative Analysis (82355) | $116 | $129 | 10.0× |
| Calculus Spectroscopy (82365) | $140 | $156 | 10.9× |
| Calprotectin, fecal (83993) | $458 | $509 | 23.3× |
| Carbamazepine (tegretol) total (80156) | $125 | $139 | 8.6× |
| Carboxyhemoglobin Quantitative (82375) | $140 | $156 | 11.4× |
| Carcinoembryonic antigen (82378) | $145 | $161 | 7.6× |
| Catecholamines fraction plasma (82384) | $219 | $243 | 8.7× |
| Catecholamines Total Urine (82382) | $112 | $124 | 4.1× |
| Cd4 absolute count (86361) | $178 | $198 | 6.6× |
| Cell marker study (88182) | $149 | $166 | 2.8× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $302 | $336 | 2.2× |
| Chemiluminescent assay (82397) | $312.50 | $347.50 | 22.1× |
| Cholesterol total (82465) | $27 | $30 | 6.2× |
| Cholinesterase serum (82480) | $58 | $64 | 7.4× |
| Chrmsm analysis addl cells counted each study (88285) | $97 | $108 | 3.6× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $648 | $720 | 5.2× |
| Chromosome karyotype study (88280) | $141 | $157 | 4.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $127 | $141 | 3.6× |
| Ck isoenzymes (82552) | $131 | $145 | 9.8× |
| Ckmb (82553) | $179 | $199 | 15.5× |
| Clot factor viii vw antigen (85246) | $284 | $316 | 12.4× |
| Clot factor xiii fibrin stab (85290) | $364 | $404 | 22.3× |
| Clozapine level (80159) | $152.50 | $169 | 7.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $281 | $312 | 11.7× |
| Cold agglutinin titer (86157) | $140 | $156 | 17.4× |
| Collagen cross links (82523) | $288 | $320 | 15.4× |
| Compatibility test antiglob (86922) | $415 | $461 | 2.3× |
| Complement c3 (86160) | $108 | $120 | 9.0× |
| Complement total ch50 (86162) | $171 | $190 | 8.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $168 | $187 | 14.0× |
| Concentration Infectious Agent (87015) | $38 | $42 | 5.7× |
| Coombs direct (86880) | $159 | $177 | 29.5× |
| Coombs Test Indirect Qual (86885) | $77 | $85 | 13.5× |
| Copper urine (82525) | $140 | $156 | 11.3× |
| Cortisol free (82530) | $180 | $200 | 10.8× |
| Cortisol total (82533) | $140 | $155 | 8.6× |
| Creatine kinase total (82550) | $72.50 | $80.50 | 11.1× |
| Creatinine blood (82565) | $62 | $69 | 12.1× |
| Creatinine clearance (82575) | $103 | $114 | 10.9× |
| Creatinine other source (82570) | $73 | $81 | 14.1× |
| Crossmatch immediate spin (86920) | $450 | $500 | 2.5× |
| Cryofibrinogen (82585) | $131 | $145 | 9.3× |
| Cryoglobulin (82595) | $131 | $145 | 20.2× |
| Cryptococcal Antigen (87327) | $154 | $171 | 11.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $41 | $46 | 5.1× |
| Culture Aerobic Identify (87077) | $44 | $49 | 5.4× |
| Culture anaerobic (87075) | $125 | $139 | 13.2× |
| Culture blood (87040) | $195 | $217 | 18.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $96.50 | $107.50 | 12.5× |
| Culture fungus id yeast (87106) | $53.50 | $59 | 5.2× |
| Culture genital (87070) | $122 | $135 | 14.2× |
| Culture screen only (87081) | $63 | $70 | 9.5× |
| Culture stool (87045) | $93.50 | $104 | 9.9× |
| Culture urine (87086) | $64.50 | $72 | 8.0× |
| Culture urine id ea isolate (87088) | $89 | $98.50 | 11.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $115 | $128 | 8.0× |
| Cyclic Citrullinated Peptide (86200) | $145 | $161 | 11.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $309 | $343 | 7.2× |
| Cytopath cell enhance tech (88112) | $126 | $140 | 2.3× |
| Cytopath Fl Nongyn Filter (88106) | $121 | $134 | 4.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $177 | $197 | 4.6× |
| Cytopath Smear Other Source (88160) | $70 | $78 | 2.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $177 | $196.50 | 6.7× |
| Cytp concentration smears & interpretation (88108) | $132 | $147 | 3.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $176 | $196 | 3.3× |
| D-Dimer (85379) | $145 | $161 | 14.2× |
| D-Dimer (85378) | $142 | $158 | 14.6× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $88 | $98 | 2.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $28 | $31 | 1.7× |
| Detect agnt mult DNA ampli (87801) | $211 | $234 | 3.0× |
| Dhea (82626) | $209 | $232 | 8.3× |
| Dhea sulfate (82627) | $177 | $197 | 8.0× |
| Digoxin (80162) | $114 | $126.50 | 8.6× |
| Dilantin (80185) | $143 | $159 | 10.8× |
| Dipropylacetic acid free (80165) | $89 | $99 | 6.6× |
| Dna Antibody Single Stranded (86226) | $149 | $165 | 12.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $101 | $112 | 7.4× |
| DNA/RNA direct probe (87149) | $146 | $162 | 7.3× |
| Drug Assay Lacosamide (80235) | $344 | $382 | 12.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $167 | $185.50 | 12.6× |
| Drug Scrn Quan Levetiracetam (80177) | $223 | $248 | 16.8× |
| Drug scrn quant oxcarbazepin (80183) | $195 | $217 | 14.7× |
| Drug test prsmv chem anlyzr (80307) | $187 | $208 | 3.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $47 | $52 | 3.7× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $197 | $219 | 11.5× |
| Ebv viral capsid (86665) | $53 | $59 | 2.9× |
| Elastase pancreatic fecal quantitative (82653) | $235 | $261 | 10.2× |
| Electrolyte panel (80051) | $107 | $119 | 15.3× |
| Enzyme cell activity (82657) | $633 | $703 | 28.6× |
| Eosinophil count (85048) | $28 | $31.50 | 11.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $109 | $121 | 7.1× |
| Estradiol (82670) | $182.50 | $203 | 6.5× |
| Estriol (82677) | $107 | $119 | 4.4× |
| Estrogen fractionated (82671) | $150 | $167 | 4.6× |
| Estrone (82679) | $257 | $286 | 10.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $79 | $88 | 10.8× |
| Factor ix activity (85250) | $207 | $230 | 10.9× |
| Factor v activity (85220) | $248 | $276 | 14.1× |
| Factor viii ahg (85240) | $180 | $200 | 10.1× |
| Fecal fat qual (82705) | $85 | $94 | 16.7× |
| Fecal fat quant (82710) | $376 | $418 | 22.4× |
| Fetal hemoglobin, chemical (83030) | $59 | $66 | 5.5× |
| Fibrin degradation products (85362) | $143 | $159 | 20.8× |
| Fibrinogen activity (85384) | $66 | $73 | 6.8× |
| Flow cytometry first marker (88184) | $458 | $509 | 1.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $245 | $272 | 20.3× |
| Fmr1 gene charac alleles (81244) | $1,098 | $1,220 | 24.5× |
| Fmr1 gene detection (81243) | $320 | $356 | 5.6× |
| Folate serum (82746) | $105 | $116.50 | 7.1× |
| Folic acid rbc (82747) | $146 | $162 | 8.3× |
| Follicle Stimulating Hormone (83001) | $138.50 | $154 | 7.5× |
| Fresh frozen plasma thawing each unit (86927) | $13 | $14 | 0.1× |
| Frozen Section (88331) | $83 | $92 | 0.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $91 | $101 | 8.8× |
| Galactose (82760) | $32 | $36 | 2.9× |
| Galactose transferase test (82776) | $41 | $45 | 3.5× |
| Gammaglobulin ige (82785) | $117 | $130 | 7.1× |
| Ggt (82977) | $71 | $79 | 9.9× |
| Giardia antigen eia stool (87329) | $56 | $62 | 4.7× |
| Gliadin antibody each immunoglobulin class (86258) | $113 | $125 | 9.4× |
| Glucose (82947) | $40.50 | $45 | 10.3× |
| Glucose Blood Test (82962) | $31.50 | $35 | 9.6× |
| Glucose body fluid (82945) | $54 | $60 | 13.7× |
| Glucose post dose (82950) | $46 | $51 | 9.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $18.50 | $20.50 | 4.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $109 | $121 | 8.5× |
| Growth hormone (83003) | $113 | $125 | 6.8× |
| Haptoglobin (83010) | $114 | $127 | 9.1× |
| Hcg qualitative (84703) | $124 | $138 | 16.5× |
| Hcg quant (84702) | $176 | $195.50 | 11.7× |
| Hdl Cholesterol (83718) | $49 | $54 | 6.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $75 | $83 | 3.6× |
| Hematocrit (85014) | $43 | $48 | 18.1× |
| Hematocrit spun (85013) | $41 | $46 | 5.9× |
| Hemoglobin (85018) | $23 | $26 | 9.7× |
| Hemoglobin a1c (83036) | $81 | $90 | 8.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $194 | $215 | 10.7× |
| Hemoglobin electrophoresis (83020) | $84 | $93 | 6.5× |
| Hemoglobin level (83026) | $40 | $44 | 10.0× |
| Hemoglobin plasma (83051) | $77.50 | $86 | 10.6× |
| Hepatitis a antibody total (86708) | $146 | $162 | 11.8× |
| Hepatitis a igm (86709) | $123 | $137 | 10.9× |
| Hepatitis b core ab igm (86705) | $121 | $134 | 10.3× |
| Hepatitis b core antibody total (86704) | $115 | $128 | 9.5× |
| Hepatitis B Surface Ab (86706) | $166 | $184 | 15.5× |
| Hepatitis B Surface Antigen (87340) | $81 | $89.50 | 7.8× |
| Hepatitis c antibody (86803) | $102.50 | $114 | 7.2× |
| Hepatitis C Genotype (87902) | $696 | $773 | 2.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $445 | $494 | 12.7× |
| Herpes culture (87252) | $217 | $241 | 8.3× |
| Herpes simplex type 2 (86696) | $96 | $107 | 5.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $61 | $68 | 11.8× |
| Hfe gene (81256) | $430 | $478 | 6.6× |
| Hgb quant transcutaneous (88738) | $27 | $30 | 5.4× |
| Histoplasma antibody (86698) | $133.50 | $148 | 9.7× |
| Histoplasma antigen urine (87385) | $312 | $347 | 23.5× |
| HIV confirmation (86689) | $162 | $180 | 8.4× |
| HIV-1 antibody (86701) | $225 | $250 | 25.3× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $109 | $121 | 8.0× |
| Hla-b27 (86812) | $240 | $267 | 9.3× |
| Hpv types 16 & 18 only (87625) | $198.50 | $220.50 | 4.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $257 | $285 | 7.3× |
| Hydroxyprogesterone 17-d (83498) | $66 | $73 | 2.4× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $63 | $70 | 3.5× |
| Iaad ia clostridium difficile toxin (87324) | $172 | $191 | 14.4× |
| Iaad ia cryptosporidium (87328) | $112 | $124 | 8.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $347 | $385 | 33.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $191 | $212 | 13.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $90 | $100 | 6.5× |
| Iaad ia rotavirus (87425) | $128 | $142 | 10.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $102 | $113.50 | 2.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $170 | $189 | 14.2× |
| Iaadi respiratory synctial virus (87280) | $78 | $87 | 5.8× |
| Iaadiadoo not otherwise specified (87899) | $62 | $68.50 | 3.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $99 | $110 | 2.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $76 | $84.50 | 3.3× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $141 | $157 | 4.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $421 | $468 | 9.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $687 | $763 | 8.1× |
| Iadna human papillomavirus high-risk types (87624) | $171 | $190 | 4.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $114 | $127 | 3.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $86.50 | $96.50 | 2.5× |
| Iadna nos amplified probe tq each organism (87798) | $235 | $261 | 6.7× |
| Iadna nos quantification each organism (87799) | $386.50 | $429.50 | 9.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $117.50 | $130.50 | 3.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $708 | $787 | 2.7× |
| Igg subclasses (82787) | $347 | $385 | 43.3× |
| Immunfix e-phorsis/urine/csf (86335) | $263 | $292 | 9.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $126.50 | $140.50 | 8.4× |
| Immunoassay nonantibody (83516) | $180 | $200 | 15.6× |
| Immunoassay with direct visual observation for clostridium (87803) | $224 | $249 | 14.0× |
| Immunodiffusion Ouchterlony (86331) | $156 | $173 | 13.0× |
| Immunofixj Electrophoresis Serum (86334) | $170 | $189 | 7.6× |
| Immunoglobulin light chains free each (83521) | $239 | $265 | 13.8× |
| Immunohistochemistry (88342) | $189 | $210 | 1.1× |
| Influenza a/b ag eia (87400) | $104.50 | $116.50 | 7.4× |
| Inhibin b (83520) | $181 | $201 | 10.5× |
| Insulin antibodies (86337) | $217 | $241 | 10.1× |
| Insulin total (83525) | $106.50 | $118.50 | 9.3× |
| Iron (83540) | $53 | $58.50 | 8.2× |
| Iron binding capacity (83550) | $84 | $93 | 9.6× |
| Irradiation of blood product (86945) | $53 | $59 | 1.4× |
| Islet cell antibody (86341) | $135 | $150 | 5.7× |
| Ketosteroids 17; total (83586) | $125 | $139 | 9.8× |
| Koh Prep (87220) | $50 | $55 | 11.7× |
| Lactic acid (83605) | $234 | $260 | 20.2× |
| Ldh (83615) | $76 | $84 | 12.6× |
| Ldh isoenzymes (83625) | $123 | $137 | 9.6× |
| LDL cholesterol direct (83721) | $89 | $98.50 | 8.5× |
| Lead (83655) | $81 | $90 | 6.7× |
| Legionella antigen urine (87449) | $381 | $423 | 31.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $74 | $82 | 17.3× |
| Level ii surg pathology grossµscopic exam (88302) | $142.50 | $158 | 3.7× |
| Level v surg pathology grossµscopic exam (88307) | $402 | $447 | 1.1× |
| Level vi surg pathology grossµscopic exam (88309) | $530 | $589 | 0.6× |
| Lh (83002) | $94.50 | $105 | 5.1× |
| Lipase (83690) | $84 | $93 | 12.2× |
| Lipoprotein Bld Hr Fraction (83701) | $212 | $236 | 6.3× |
| Lithium (80178) | $85 | $94 | 12.9× |
| Lyme disease antibody (86618) | $137.50 | $152.50 | 8.1× |
| Lyme disease antibody confirm (86617) | $183 | $203 | 11.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $350 | $389 | 2.0× |
| Magnesium (83735) | $68.50 | $76 | 10.2× |
| Malaria smear (87207) | $66 | $73 | 11.0× |
| Manual Diff Wbc Count B-Coat (85009) | $41 | $46 | 8.1× |
| Mercury (83825) | $136 | $151 | 8.4× |
| Methotrexate (80299) | $235 | $261 | 12.6× |
| Methylmalonic acid serum (83921) | $233.50 | $259 | 11.0× |
| Microalbumin urine (82043) | $73.50 | $82 | 12.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $281 | $312 | 5.2× |
| Microsomal antibodies (86376) | $113.50 | $126 | 7.8× |
| Mitochondrial antibody each (86381) | $149 | $166 | 5.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $324 | $360 | 26.9× |
| Muscle-specific kinase (musk) antibody (86366) | $171 | $190 | 9.3× |
| Mycoplasma culture (87109) | $191 | $212 | 12.4× |
| Myoglobin urine (83874) | $143 | $159 | 11.1× |
| N.gonorrhoeae, DNA, dir prob (87590) | $62 | $69 | 2.3× |
| Nasal smear for eosinophils (89190) | $26 | $29 | 4.5× |
| Natriuretic peptide (83880) | $211.50 | $235 | 5.4× |
| Neutralization test, viral (86382) | $156 | $173 | 9.2× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $551 | $612 | 4.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $475 | $528 | 1.8× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $212 | $235 | 2.9× |
| Niacin (84591) | $212 | $235 | 12.4× |
| Nk cells total count (86357) | $111 | $123 | 2.9× |
| Nuclear antigen antibody (86235) | $140 | $156 | 7.8× |
| Occult blood stool (82272) | $30.50 | $34 | 7.2× |
| Osmolality serum (83930) | $98 | $109 | 14.8× |
| Osmolality urine (83935) | $89 | $99 | 13.0× |
| Ova and parasite direct-id lca (87177) | $95 | $105 | 10.7× |
| Pancreatic elastase fecal (82656) | $409 | $454 | 35.5× |
| Parvovirus antibody (86747) | $166 | $184 | 11.0× |
| Phenylalanine (84030) | $126 | $140 | 22.9× |
| Phenytoin free (80186) | $121 | $134 | 8.8× |
| Phosphatase acid prostatic (84066) | $57 | $63 | 5.9× |
| Phosphatase alkaline (84075) | $58 | $64 | 11.2× |
| Phosphorus blood (84100) | $49 | $54 | 10.3× |
| Platelet aggregation (85576) | $248 | $276 | 10.0× |
| Platelet count (85049) | $56 | $62 | 12.5× |
| Potassium (84132) | $53 | $59 | 11.1× |
| Potassium urine (84133) | $50 | $55 | 10.6× |
| Procainamide napa (80192) | $112 | $124 | 6.7× |
| Procalcitonin (pct) (84145) | $358 | $398 | 13.2× |
| Progesterone (84144) | $130 | $144.50 | 6.2× |
| Prolactin (84146) | $143 | $158.50 | 7.4× |
| Protein body fluid (84157) | $58 | $64 | 14.5× |
| Protein c activity (85303) | $210 | $233 | 15.2× |
| Protein c antigen (85302) | $385 | $428 | 32.1× |
| Protein electrophoresis serum (84165) | $118 | $131 | 11.0× |
| Protein Electrophoresis Urine (84166) | $276 | $307 | 15.5× |
| Protein s total (85305) | $221 | $246 | 19.0× |
| Protein Total Serum (84155) | $163 | $181 | 44.4× |
| Protein urine (84156) | $68 | $75 | 18.5× |
| Prothrombin time substitution (85611) | $49 | $54 | 12.4× |
| PSA free (84154) | $149 | $166 | 8.1× |
| Quantiferon tb gold (86480) | $265 | $294.50 | 4.3× |
| Quinidine (80194) | $101 | $112 | 6.9× |
| Ref consult prep elsewhere (88321) | $135 | $150 | 3.5× |
| Renin activity plasma (84244) | $189 | $210 | 8.6× |
| Respiratory viral panel PCR (87633) | $622.50 | $691.50 | 1.5× |
| Respiratory Virus (86756) | $151 | $168 | 9.5× |
| Reticulocyte Count (85046) | $25 | $28 | 4.5× |
| Rheumatoid Factor Qual (86430) | $96 | $107 | 15.6× |
| Rheumatoid factor quant (86431) | $60 | $66.50 | 10.6× |
| Rickettsia antibody (86757) | $134 | $149 | 6.9× |
| Rotavirus (86759) | $143 | $159 | 7.8× |
| Rsv (87807) | $58 | $64 | 4.4× |
| Rubella antibody (86762) | $79 | $88 | 5.5× |
| Russell viper venom time diluted (85613) | $357 | $397 | 37.3× |
| Salicylate (80179) | $345 | $383 | 18.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $194 | $216 | 3.8× |
| Sarscov2 & inf a&b amp prb (87636) | $266 | $296 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $334 | $371 | 2.3× |
| Sed rate automated (85652) | $29 | $32 | 10.7× |
| Sedimentation rate (85651) | $50 | $56 | 11.7× |
| Semen analysis complete (89320) | $189 | $210 | 15.4× |
| Sensitivity mic (87186) | $78 | $87 | 9.0× |
| Sex hormone binding globulin (84270) | $157 | $174 | 7.2× |
| Sickle cell screen (85660) | $68 | $75 | 12.3× |
| Smear acid fast (87206) | $74 | $82 | 13.7× |
| Smear complex stain (87209) | $85.50 | $95 | 4.8× |
| Smear gram stain (87205) | $27 | $29.50 | 6.3× |
| Sodium (84295) | $53 | $59 | 11.0× |
| Sodium urine (84300) | $40 | $44 | 7.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $161 | $178.50 | 1.2× |
| Special stains group 1 (88312) | $153 | $170 | 2.8× |
| Specific gravity body fluid (84315) | $16 | $18 | 4.9× |
| Spectrophotometry (84311) | $217 | $241 | 26.8× |
| Staph aureus amplified probe (87640) | $86 | $95 | 2.5× |
| Stool Cultr Aerobic Bact Ea (87046) | $59.50 | $66 | 6.3× |
| Strep a assay w/optic (87880) | $57 | $63.50 | 3.4× |
| Strep a DNA amp probe (87651) | $138 | $153 | 3.9× |
| Strep b DNA amp probe (87653) | $86 | $95 | 2.5× |
| Surg path level iii (88304) | $148 | $164 | 2.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $71 | $79 | 2.4× |
| Surgical pathology level IV (88305) | $191 | $212 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $124 | $138 | 2.6× |
| T cells, total count (86359) | $115 | $128 | 3.0× |
| T3 free (84481) | $193.50 | $215 | 11.4× |
| T3 total (84480) | $111.50 | $123.50 | 7.9× |
| T3 uptake (84479) | $84 | $93 | 13.0× |
| T4 Free (84439) | $71 | $79 | 7.9× |
| T4 total (84436) | $54.50 | $60.50 | 7.9× |
| T4-neonatal (84437) | $36 | $40 | 5.6× |
| Tau phosphorylated each (84393) | $1,242 | $1,380 | 9.6× |
| Tb ag response t-cell susp (86481) | $253 | $281 | 2.5× |
| Test for acetone/ketones (82009) | $59 | $66 | 13.1× |
| Testosterone free (84402) | $177 | $197 | 6.9× |
| Testosterone total (84403) | $163 | $181 | 6.3× |
| Theophylline (80198) | $131 | $145 | 9.3× |
| Thin prep pap (88142) | $219 | $243 | 10.8× |
| Thrombin time plasma (85670) | $88 | $98 | 15.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $103 | $114 | 15.9× |
| Thyroglobulin Ab (86800) | $119 | $132 | 7.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $339.50 | $377 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $131 | $146 | 11.4× |
| Tissue Culture Lymphocyte (88230) | $501 | $557 | 4.3× |
| Tobramycin peak (80200) | $142 | $158 | 8.8× |
| Transferrin (84466) | $98 | $109 | 7.7× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) | $439 | $488 | 2.0× |
| Trichinella antibody (86784) | $225 | $250 | 17.9× |
| Triglycerides (84478) | $47.50 | $53 | 8.3× |
| Troponin (84484) | $217 | $241 | 17.4× |
| Urea nitrogen (84520) | $78.50 | $87 | 19.9× |
| Uric acid blood (84550) | $50.50 | $56.50 | 11.2× |
| Uric acid other source (84560) | $47 | $52 | 9.3× |
| Urinalysis microscopic only (81015) | $28 | $31 | 9.2× |
| Urine microalbumin (protein) analysis (82044) | $59 | $66 | 9.5× |
| Urine pregnancy test (81025) | $68.50 | $76 | 8.0× |
| Urine volume measurement (81050) | $14 | $16 | 3.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $25 | $27.50 | 11.1× |
| Urobilinogen (84578) | $10 | $11 | 2.2× |
| Valproic acid level (80164) | $128.50 | $143 | 9.5× |
| Vancomycin trough (80202) | $185 | $206 | 13.7× |
| Varicella-zoster antibody (86787) | $145 | $161 | 11.3× |
| Vasopressin (84588) | $255 | $283 | 7.5× |
| Vdrl csf (86592) | $39.50 | $43.50 | 9.3× |
| Virus antibody nos (86790) | $384 | $427 | 29.8× |
| Viscosity serum (85810) | $170 | $189 | 14.6× |
| Vitamin A (84590) | $151 | $168 | 13.0× |
| Vitamin b-12 (82607) | $105 | $116.50 | 7.0× |
| Vitamin b1 (thiamine) (84425) | $211 | $234.50 | 9.9× |
| Vitamin b6 (84207) | $212 | $235 | 7.5× |
| Vitamin C (82180) | $52 | $58 | 5.3× |
| Vitamin D 25-Hydroxy (82306) | $172 | $191 | 5.8× |
| Vitamin e serum (84446) | $176 | $196 | 12.4× |
| Von willebrand factor activity (85245) | $225 | $250 | 9.8× |
| West nile virus ab, igm (86788) | $133 | $147.50 | 7.9× |
| West nile virus antibody (86789) | $132 | $146.50 | 9.2× |
| Zinc (84630) | $98 | $109 | 8.6× |