Lab & pathology prices at Hansford County Hospital
Spearman, TX · every code in this section with a posted price and a Medicare benchmark.
486 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) | $104 | $138.50 | 2.7× |
| 17-Hydroxycorticosteroids (83491) | $56 | $75 | 3.1× |
| 5 Hiaa (83497) | $111 | $148 | 8.6× |
| 5 Nucleotidase (83915) | $36 | $48 | 3.2× |
| Acetaminophen level (80143) | $49 | $65 | 2.6× |
| Acetylcholinesterase (82013) | $28 | $37 | 2.3× |
| Acute hepatitis panel (80074) | $285 | $380 | 6.0× |
| Adenovirus ag, if (87260) | $39 | $52 | 2.7× |
| Afb culture (87116) | $47 | $63 | 4.4× |
| Agglutinins febrile (86000) | $23 | $30 | 3.3× |
| Albumin Fluid (82042) | $18 | $24 | 2.3× |
| Albumin serum (82040) | $21 | $28 | 4.2× |
| Aldolase (82085) | $32 | $42 | 3.3× |
| Aldosterone urine (82088) | $110 | $147 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $96.50 | $128.50 | 6.5× |
| Allergen specific ige (86003) | $38 | $50 | 7.3× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $56 | $74 | 7.0× |
| Alpha-1-antitrypsin phenotype (82104) | $47 | $63 | 3.3× |
| Alpha-1-antitrypsin, total (82103) | $106 | $141 | 7.9× |
| Alpha-fetoprotein, serum (82105) | $54 | $72 | 3.2× |
| Alt (sgpt) (84460) | $23 | $30 | 4.3× |
| Aluminum (82108) | $225 | $300 | 8.8× |
| Amikacin trough (80150) | $50 | $66 | 3.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $225 | $300 | 13.3× |
| Ammonia (82140) | $47 | $63 | 3.2× |
| Amylase urine (82150) | $30 | $40 | 4.6× |
| Ana Titer (86039) | $94 | $125 | 8.4× |
| Angiotensin i enzyme test (82164) | $64 | $85 | 4.4× |
| Anti-phosphatidylserine antibody (86148) | $109 | $145 | 6.8× |
| Antibody aspergillus (86606) | $75 | $100 | 5.0× |
| Antibody coxiella burnetii q fever (86638) | $140 | $186.50 | 11.6× |
| Antibody cytomegalovirus cmv (86644) | $47 | $63 | 3.3× |
| Antibody cytomegalovirus cmv igm (86645) | $38 | $51 | 2.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $43 | $57 | 3.3× |
| Antibody haemophilus influenza (86684) | $52 | $69 | 3.3× |
| Antibody helicobacter pylori (86677) | $104 | $139 | 6.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $50.50 | $67 | 3.5× |
| Antibody herpes smplx type 1 (86695) | $139 | $185 | 10.5× |
| Antibody identification (86870) | $669 | $892 | 1.9× |
| Antibody identification leukocyte antibodies (86021) | $68 | $90 | 4.5× |
| Antibody influenza virus (86710) | $77 | $103 | 5.7× |
| Antibody mumps (86735) | $63 | $84 | 4.8× |
| Antibody rubeola (86765) | $41 | $54 | 3.2× |
| Antibody screen (86850) | $122 | $162 | 12.5× |
| Antibody treponema pallidum (86780) | $172 | $229.50 | 13.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $167 | $222 | 13.9× |
| Antinuclear antibodies (86038) | $41 | $54 | 3.4× |
| Antistreptolysin o titer (86060) | $25 | $33 | 3.4× |
| Antithrombin iii activity (85300) | $101 | $135 | 8.5× |
| Antithrombin iii antigen (85301) | $135 | $180 | 12.5× |
| Apolipoprotein b (82172) | $79 | $105 | 3.7× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $1,232 | $1,643 | 102.2× |
| Arsenic Urine (82175) | $191 | $255 | 10.1× |
| Assay galactose transferase (82775) | $168 | $224 | 8.0× |
| Assay Nephelometry Not Spec (83883) | $338 | $450 | 24.9× |
| Assay of acth (82024) | $122 | $162 | 3.2× |
| Assay of androstenedione (82157) | $92 | $123 | 3.1× |
| Assay of blood chloride (82435) | $16 | $21 | 3.5× |
| Assay of c-peptide (84681) | $68 | $90 | 3.3× |
| Assay of calcitonin (82308) | $86 | $114 | 3.2× |
| Assay of ceruloplasmin (82390) | $75.50 | $100.50 | 7.0× |
| Assay of corticosterone (82528) | $144 | $192 | 6.4× |
| Assay of cyclosporine (80158) | $79 | $105 | 4.4× |
| Assay of erythropoietin (82668) | $94 | $125 | 5.0× |
| Assay of ethosuximide (80168) | $52 | $69 | 3.2× |
| Assay of ferritin (82728) | $45 | $60 | 3.3× |
| Assay of g6pd enzyme (82955) | $29 | $39 | 3.0× |
| Assay of gammaglobulin igm (82784) | $29 | $39 | 3.1× |
| Assay of gastrin (82941) | $69 | $92 | 3.9× |
| Assay of gentamicin (80170) | $52 | $69 | 3.2× |
| Assay of glucagon (82943) | $109 | $145 | 7.6× |
| Assay of homocystine (83090) | $64 | $85 | 3.6× |
| Assay of homovanillic acid (83150) | $34 | $45 | 1.5× |
| Assay of metanephrines (83835) | $106 | $141.50 | 6.3× |
| Assay of osteocalcin (83937) | $89 | $118 | 3.0× |
| Assay of parathormone (83970) | $131 | $174 | 3.2× |
| Assay of phenobarbital (80184) | $51 | $68 | 3.3× |
| Assay of phosphatase acid total (84060) | $25 | $33 | 3.3× |
| Assay of prealbumin (84134) | $33 | $44 | 2.3× |
| Assay of procainamide (80190) | $135 | $180 | 2.3× |
| Assay of proinsulin (84206) | $108 | $144 | 4.0× |
| Assay of selenium (84255) | $113 | $150 | 4.4× |
| Assay of serotonin (84260) | $121 | $161 | 3.9× |
| Assay of somatomedin (84305) | $173 | $230 | 8.1× |
| Assay of tacrolimus (80197) | $82 | $109 | 6.0× |
| Assay of urine vma (84585) | $50 | $66 | 3.2× |
| Assay of vitamin k (84597) | $105 | $140 | 7.7× |
| Assay Ph Body Fluid Nos (83986) | $11 | $15 | 3.1× |
| Ast (sgot) (84450) | $34 | $45 | 6.6× |
| Automated rbc count (85041) | $11 | $15 | 3.6× |
| Bartonella antibody (86611) | $98 | $130 | 9.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $57 | $76 | 2.2× |
| Beta hydroxybutyrate (82010) | $267 | $356 | 32.7× |
| Beta-2 microglobulin (82232) | $52 | $69 | 3.2× |
| Bilirubin direct (82248) | $18 | $24 | 3.6× |
| Bilirubin total (82247) | $23 | $30 | 4.6× |
| Bl Smear W/Diff Wbc Count (85007) | $15 | $20 | 3.9× |
| Bleeding time (85002) | $16 | $21 | 3.3× |
| Blood count reticulocyte automated (85045) | $14 | $18 | 3.5× |
| Blood gases (82803) | $120 | $160 | 4.6× |
| Blood gases w/02 saturation (82805) | $176 | $234 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $17 | $22.50 | 3.9× |
| Blood Ph - Ph Venous (82800) | $27 | $36 | 2.5× |
| Blood typing abo (86900) | $259 | $345 | 86.6× |
| Blood typing serologic rh (d) (86901) | $78 | $104 | 26.1× |
| Body fluid cell count (89051) | $18 | $24 | 3.2× |
| Bordetella antibody (86615) | $461 | $615 | 35.0× |
| Brca1 Brca2 Gene Analysis Full Sequence Analysis (81163) | $3,030 | $4,040 | 6.5× |
| Brucella antibody (86622) | $57 | $76 | 6.4× |
| C diff amplified probe (87493) | $107 | $143 | 2.9× |
| C-reactive protein (86140) | $23 | $30 | 4.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $60 | $80 | 4.6× |
| Ca 125 (86304) | $68 | $90 | 3.3× |
| Ca 19-9 (86301) | $106 | $141.50 | 5.1× |
| Ca 27 29 (86300) | $68 | $90 | 3.3× |
| Cadmium level (82300) | $74 | $99 | 3.1× |
| Calcium ionized (82330) | $45 | $60 | 3.3× |
| Calcium total (82310) | $18 | $24 | 3.5× |
| Calcium urine (82340) | $34 | $45 | 5.6× |
| Calculus Qualitative Analysis (82355) | $38 | $51 | 3.3× |
| Calculus Spectroscopy (82365) | $43 | $57 | 3.3× |
| Calprotectin, fecal (83993) | $525 | $700 | 26.7× |
| Carbamazepine (tegretol) total (80156) | $47 | $63 | 3.2× |
| Carbamazepine free (80157) | $43 | $57 | 3.2× |
| Carbon dioxide (82374) | $11 | $15 | 2.3× |
| Carboxyhemoglobin Quantitative (82375) | $88.50 | $117.50 | 7.2× |
| Carcinoembryonic antigen (82378) | $61 | $81 | 3.2× |
| Cardiolipin ab igg (86147) | $58 | $77 | 2.3× |
| Catecholamines fraction plasma (82384) | $122 | $163 | 4.8× |
| Catecholamines organic nitrogen blood level (82383) | $81 | $108 | 2.8× |
| Catecholamines Total Urine (82382) | $76 | $101 | 2.8× |
| Cd4 absolute count (86361) | $127.50 | $169.50 | 4.8× |
| Cell marker study (88182) | $221 | $294 | 4.2× |
| Cftr gene com variants (81220) | $1,253 | $1,670 | 2.3× |
| Chemiluminescent assay (82397) | $128 | $171 | 9.1× |
| Chlamydia antibody (86631) | $44 | $58 | 3.7× |
| Chlamydia Igm Antibody (86632) | $44 | $58 | 3.5× |
| Chloride urine (82436) | $52 | $69 | 9.0× |
| Cholesterol total (82465) | $38 | $50 | 8.7× |
| Cholinesterase serum (82480) | $27 | $36 | 3.4× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $164 | $219 | 3.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $282 | $376 | 2.2× |
| Chromium urine (82495) | $59 | $78 | 2.9× |
| Citrate (82507) | $88 | $117 | 3.2× |
| Ck isoenzymes (82552) | $43 | $57 | 3.2× |
| Ckmb (82553) | $104 | $139 | 9.0× |
| Clot factor viii vw antigen (85246) | $131 | $175 | 5.7× |
| Clotting time (85345) | $16 | $21 | 3.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $180 | $240 | 7.5× |
| Cold agglutinin titer (86157) | $122 | $162 | 15.1× |
| Collagen cross links (82523) | $102 | $135.50 | 5.5× |
| Compatibility test antiglob (86922) | $343 | $457 | 2.0× |
| Compatibility Test Incubate (86921) | $343 | $457 | 2.0× |
| Complement c3 (86160) | $95 | $127 | 7.9× |
| Complement total ch50 (86162) | $61 | $81 | 3.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $128 | $171 | 10.7× |
| Concentration Infectious Agent (87015) | $29 | $39 | 4.3× |
| Coombs direct (86880) | $128 | $170 | 23.7× |
| Copper urine (82525) | $90.50 | $120 | 7.3× |
| Cortisol free (82530) | $86 | $114 | 5.1× |
| Cortisol total (82533) | $52 | $69 | 3.2× |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) | $27 | $36 | 2.3× |
| Creatine kinase total (82550) | $44 | $58 | 6.8× |
| Creatinine blood (82565) | $18 | $24 | 3.5× |
| Creatinine clearance (82575) | $32 | $42 | 3.4× |
| Creatinine other source (82570) | $25 | $33 | 4.8× |
| Crossmatch immediate spin (86920) | $343 | $457 | 2.0× |
| Cryoglobulin (82595) | $23 | $30 | 3.6× |
| Cryptococcal Antigen (87327) | $38 | $51 | 2.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $27 | $36 | 3.3× |
| Culture anaerobic (87075) | $32 | $42 | 3.4× |
| Culture blood (87040) | $45 | $60 | 4.4× |
| Culture chlamydia (87110) | $63 | $84 | 3.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $25 | $33 | 3.2× |
| Culture fungus blood (87103) | $47 | $62 | 2.3× |
| Culture genital (87070) | $38 | $50 | 4.4× |
| Culture herpes (87250) | $63 | $84 | 3.2× |
| Culture screen only (87081) | $77.50 | $103 | 11.7× |
| Culture stool (87045) | $32 | $42 | 3.4× |
| Culture typing if ea antiserum (87140) | $410 | $547 | 73.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18 | $24 | 3.5× |
| Culture urine id ea isolate (87088) | $26 | $34.50 | 3.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $138 | $184 | 9.6× |
| Cyclic Citrullinated Peptide (86200) | $66 | $88 | 5.1× |
| Cyp2c19 gene com variants (81225) | $656 | $874 | 2.3× |
| Cystatin c (82610) | $258 | $344 | 13.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $641 | $855 | 15.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) | $5 | $6 | 0.3× |
| D-Dimer (85378) | $90 | $120 | 9.3× |
| Deoxycortisol (82634) | $420 | $560 | 14.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $38 | $50 | 2.3× |
| Detect agnt mult DNA ampli (87801) | $216 | $288 | 3.1× |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) | $80 | $107 | 6.0× |
| Dhea (82626) | $81 | $108 | 3.2× |
| Dhea sulfate (82627) | $72 | $96 | 3.2× |
| Digoxin (80162) | $43 | $57 | 3.2× |
| Dilantin (80185) | $43 | $57 | 3.2× |
| Diphtheria antitoxoid (86648) | $191 | $255 | 12.6× |
| Dipropylacetic acid free (80165) | $75 | $100 | 5.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $69 | $92 | 5.0× |
| DNA/RNA direct probe (87149) | $46 | $61 | 2.3× |
| Drug test prsmv chem anlyzr (80307) | $79.50 | $105.50 | 1.3× |
| Ebv viral capsid (86665) | $74.50 | $99 | 4.1× |
| Ehrlichia antibody (86666) | $394 | $525 | 38.7× |
| Electrolyte panel (80051) | $23 | $30 | 3.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $101 | $134 | 8.4× |
| Endomysial antibody iga (86255) | $79 | $105 | 6.6× |
| Enterovirus antibody (86658) | $30 | $40 | 2.3× |
| Eosinophil count (85048) | $15 | $20 | 5.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $41 | $55 | 2.7× |
| Estradiol (82670) | $90 | $120 | 3.2× |
| Estriol (82677) | $167.50 | $223.50 | 6.9× |
| Estrogen receptor analysis (84233) | $203 | $270 | 2.3× |
| Ethylene glycol (82693) | $47 | $63 | 3.2× |
| Everolimus (80169) | $320 | $426 | 23.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $23 | $30 | 3.1× |
| F2 gene analysis 20210g >a variant (81240) | $293 | $390 | 4.5× |
| F5 gene (81241) | $191 | $255 | 2.6× |
| Factor ix activity (85250) | $67 | $89 | 3.5× |
| Factor v activity (85220) | $158 | $210 | 9.0× |
| Factor viii ahg (85240) | $131 | $175 | 7.3× |
| Factor viii vw multimetric (85247) | $331 | $441 | 14.4× |
| Fecal fat qual (82705) | $18 | $24 | 3.5× |
| Fecal fat quant (82710) | $54 | $72 | 3.2× |
| Fibrin degradation products (85362) | $23 | $30 | 3.3× |
| Fibrinogen activity (85384) | $27 | $36 | 2.8× |
| Folate serum (82746) | $47 | $63 | 3.2× |
| Folic acid rbc (82747) | $56 | $75 | 3.2× |
| Follicle Stimulating Hormone (83001) | $59 | $78 | 3.2× |
| Fractionation ketosteroids (83593) | $70 | $93 | 2.5× |
| Fructosamine (82985) | $57 | $76 | 3.4× |
| Galectin-3 serum (82777) | $413 | $550 | 9.3× |
| Gammaglobulin ige (82785) | $300 | $400 | 18.2× |
| Gardner Vag Dna Quant (87512) | $170 | $226 | 4.1× |
| Gastric Occult Blood (82271) | $19 | $25 | 3.6× |
| Ggt (82977) | $25 | $33 | 3.5× |
| Giardia antigen eia stool (87329) | $104 | $138 | 8.7× |
| Giardia lamblia antibody (86674) | $338 | $450 | 23.0× |
| Glucose (82947) | $19 | $25 | 4.8× |
| Glucose Blood Test (82962) | $41 | $55 | 12.5× |
| Glucose body fluid (82945) | $19 | $25 | 4.8× |
| Glucose post dose (82950) | $16 | $21 | 3.4× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $14 | $18 | 3.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $41 | $54 | 3.2× |
| Glutathione (82978) | $98 | $130 | 6.3× |
| Growth hormone (83003) | $75 | $100 | 4.5× |
| Growth stimulation expressed gene 2 (83006) | $349 | $465 | 4.6× |
| Haptoglobin (83010) | $45 | $60 | 3.6× |
| Hcg quant (84702) | $38 | $50 | 2.5× |
| Heavy metal quant each (83018) | $152.50 | $203.50 | 6.9× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $61 | $81 | 2.9× |
| Hematocrit (85014) | $12 | $16 | 5.1× |
| Hemoglobin (85018) | $12 | $16 | 5.1× |
| Hemoglobin a1c (83036) | $48 | $64 | 4.9× |
| Hemoglobin electrophoresis (83020) | $41 | $54 | 3.2× |
| Hemolysins And Agglutinins Incubated (86941) | $93 | $124 | 7.7× |
| Hemosiderin urine (83070) | $53 | $70 | 11.2× |
| Heparin assay (85520) | $322 | $429 | 24.6× |
| Hepatitis a antibody total (86708) | $41 | $54 | 3.3× |
| Hepatitis a igm (86709) | $36 | $48 | 3.2× |
| Hepatitis b core ab igm (86705) | $38 | $51 | 3.2× |
| Hepatitis b core antibody total (86704) | $38 | $51 | 3.2× |
| Hepatitis B Surface Ab (86706) | $36 | $48 | 3.4× |
| Hepatitis B Surface Antigen (87340) | $34 | $45 | 3.3× |
| Hepatitis be antibody (86707) | $38 | $51 | 3.3× |
| Hepatitis Be Antigen (87350) | $38 | $51 | 3.3× |
| Hepatitis c ab confirm (86804) | $221 | $294 | 14.3× |
| Hepatitis c antibody (86803) | $89 | $118 | 6.2× |
| Hepatitis C Genotype (87902) | $579 | $772 | 2.2× |
| Herpes culture (87252) | $83 | $111 | 3.2× |
| Herpes simplex type 2 (86696) | $227 | $303 | 11.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $26 | $35 | 5.0× |
| Hfe gene (81256) | $315 | $420 | 4.8× |
| HIV confirmation (86689) | $63 | $84 | 3.3× |
| HIV-1 antibody (86701) | $30.50 | $40.50 | 3.4× |
| Hla-b27 (86812) | $144.50 | $193 | 5.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $180 | $240 | 2.7× |
| Hsv Dna Quant (87530) | $443 | $590 | 10.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $353 | $471 | 10.1× |
| Hydroxyprogesterone 17-d (83498) | $86 | $114 | 3.2× |
| Hydroxyproline total (83505) | $77 | $102 | 3.2× |
| Iaad ia clostridium difficile toxin (87324) | $27 | $36 | 2.3× |
| Iaad ia cryptosporidium (87328) | $97 | $129 | 7.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $82 | $109 | 7.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $203 | $270 | 8.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $84 | $112 | 5.8× |
| Iaad ia rotavirus (87425) | $43 | $57 | 3.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $94 | $125 | 2.7× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $72 | 3.2× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) | $38 | $51 | 3.2× |
| Iaadiadoo not otherwise specified (87899) | $90 | $120 | 5.6× |
| Iadna candida species amplified probe tq (87481) | $170 | $226 | 4.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $107 | $143 | 3.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $113 | $150 | 3.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $266 | $354 | 6.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $140 | $186 | 4.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $268 | $357 | 3.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $479 | $638.50 | 13.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $113 | $150 | 3.2× |
| Iadna nos amplified probe tq each organism (87798) | $546 | $727.50 | 15.6× |
| Iadna nos quantification each organism (87799) | $345 | $460 | 8.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $109 | $145 | 3.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,275 | $1,700 | 3.1× |
| If cryptosporidium antigen (87272) | $104 | $138 | 8.7× |
| If varicella-zoster antigen (87290) | $135 | $180 | 10.1× |
| Igg subclasses (82787) | $38 | $50 | 4.7× |
| Immunfix e-phorsis/urine/csf (86335) | $164 | $219 | 5.6× |
| Immunoassay infectious agent antibody quan nos (86317) | $161 | $215 | 10.7× |
| Immunoassay nonantibody (83516) | $59 | $78 | 5.1× |
| Immunodiffusion Ouchterlony (86331) | $64 | $85 | 5.3× |
| Immunofixj Electrophoresis Serum (86334) | $76 | $101.50 | 3.4× |
| India ink prep (87210) | $14 | $18 | 2.4× |
| Influenza a/b ag eia (87400) | $65 | $87 | 4.6× |
| Inhibin a (86336) | $50 | $66 | 3.2× |
| Inhibin b (83520) | $107 | $142.50 | 6.2× |
| Insulin antibodies (86337) | $107 | $142 | 5.0× |
| Insulin total (83525) | $62 | $83 | 5.4× |
| Intrinsic factor (stomach protein) level (83528) | $62 | $83 | 3.1× |
| Intrinsic factor antibody (86340) | $89 | $119 | 5.9× |
| Iron (83540) | $23 | $30 | 3.6× |
| Iron binding capacity (83550) | $29 | $39 | 3.3× |
| Islet cell antibody (86341) | $257.50 | $343.50 | 10.9× |
| Jak2 gene analysis (81270) | $434 | $579 | 4.7× |
| Koh Prep (87220) | $34 | $45 | 8.0× |
| Lactic acid (83605) | $74 | $99 | 6.4× |
| Lactoferrin fecal qualitative (83630) | $293 | $390 | 14.9× |
| Lactoferrin Fecal Quantitative (83631) | $225 | $300 | 11.5× |
| Ldh (83615) | $20 | $27 | 3.3× |
| Ldh isoenzymes (83625) | $41 | $54 | 3.2× |
| LDL cholesterol direct (83721) | $41 | $55 | 3.9× |
| Lead (83655) | $115 | $153 | 9.5× |
| Legionella antigen urine (87449) | $73.50 | $98 | 6.1× |
| Lh (83002) | $59 | $78 | 3.2× |
| Lipase (83690) | $23 | $30 | 3.3× |
| Listeria ab (86609) | $68 | $90 | 5.3× |
| Lithium (80178) | $23 | $30 | 3.5× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) | $968 | $1,290 | 5.5× |
| Lyme disease antibody (86618) | $119 | $159 | 7.0× |
| Lyme disease antibody confirm (86617) | $108 | $144 | 7.0× |
| Lymphocyte transformation (86353) | $220 | $293 | 4.5× |
| Magnesium (83735) | $35 | $46 | 5.2× |
| Malaria smear (87207) | $59 | $78.50 | 9.8× |
| Mercury (83825) | $128 | $171 | 7.9× |
| Methemoglobin Qualitative (83045) | $15 | $20 | 2.3× |
| Methotrexate (80299) | $159 | $212 | 8.5× |
| Methylmalonic acid serum (83921) | $112 | $149 | 5.3× |
| Microalbumin urine (82043) | $53 | $71 | 9.2× |
| Microsomal antibodies (86376) | $33 | $44 | 2.3× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $1,256 | $1,674 | 104.2× |
| Molecular pathology procedure level 2 (81401) | $1,159 | $1,545 | 8.5× |
| Mrsa amp probe (87641) | $244 | $325 | 7.0× |
| Muramidase (85549) | $144 | $192 | 7.7× |
| Mycophenolic acid (80180) | $65 | $87 | 3.6× |
| Mycoplasma antibody (86738) | $43 | $57 | 3.2× |
| Mycoplasma culture (87109) | $34 | $45 | 2.2× |
| Myelin basic protein csf (83873) | $56 | $75 | 3.3× |
| Myoglobin urine (83874) | $78.50 | $104.50 | 6.1× |
| Nasal smear for eosinophils (89190) | $16 | $21 | 2.8× |
| Natriuretic peptide (83880) | $119 | $158 | 3.0× |
| Neutralization test, viral (86382) | $355.50 | $474 | 21.0× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $716 | $954 | 9.9× |
| Nickel level (83885) | $279 | $372 | 11.4× |
| Nuclear antigen antibody (86235) | $59 | $78 | 3.3× |
| Obstetric panel (80081) | $225 | $300 | 3.0× |
| Oligoclonal bands (83916) | $65 | $87 | 2.4× |
| Organic Acids Total Quantitative Each Specimen (83918) | $312 | $416 | 13.2× |
| Osmolality serum (83930) | $137 | $182 | 20.7× |
| Osmolality urine (83935) | $106.50 | $141.50 | 15.6× |
| Ova and parasite direct-id lca (87177) | $45 | $60 | 5.1× |
| Oxalate urine (83945) | $36.50 | $48.50 | 2.5× |
| Pancreatic elastase fecal (82656) | $506 | $675 | 43.9× |
| Pancreatic polypeptide (83519) | $180 | $240 | 9.8× |
| Particle Agglutination Screen Each Antibody (86403) | $107 | $142 | 9.3× |
| Parvovirus antibody (86747) | $162 | $216 | 10.8× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $120 | $160 | 1.7× |
| Phenylalanine (84030) | $53 | $70 | 9.6× |
| Phenytoin free (80186) | $45 | $60 | 3.3× |
| Phosphatase alkaline (84075) | $23 | $30 | 4.4× |
| Phospholipid Neutralization Hexagonal (85598) | $114 | $152 | 6.3× |
| Phosphorus blood (84100) | $16 | $21 | 3.4× |
| Phosphorus urine (84105) | $14 | $18 | 2.4× |
| Platelet aggregation (85576) | $107 | $142.50 | 4.3× |
| Platelet count (85049) | $26 | $35 | 5.8× |
| Platelet neutralization (85597) | $41 | $54 | 2.3× |
| Porphyrins qn & fraction urine (84120) | $47 | $63 | 3.2× |
| Potassium (84132) | $16 | $21 | 3.4× |
| Potassium urine (84133) | $12 | $16 | 2.5× |
| Pregnenolone (84140) | $76 | $101 | 3.7× |
| Primidone (80188) | $56 | $75 | 3.4× |
| Procainamide napa (80192) | $54 | $72 | 3.2× |
| Procalcitonin (pct) (84145) | $518 | $690 | 19.0× |
| Progesterone (84144) | $68 | $90 | 3.3× |
| Prolactin (84146) | $223 | $297 | 11.5× |
| Protein body fluid (84157) | $30 | $40 | 7.5× |
| Protein c antigen (85302) | $123.50 | $164 | 10.3× |
| Protein electrophoresis serum (84165) | $24 | $32 | 2.2× |
| Protein S Functional (85306) | $397 | $529 | 25.9× |
| Protein s total (85305) | $209 | $278.50 | 18.0× |
| Protein Total Serum (84155) | $15 | $20 | 4.1× |
| Protein urine (84156) | $34.50 | $46 | 9.4× |
| PSA free (84154) | $89 | $118.50 | 4.8× |
| Quantiferon tb gold (86480) | $365 | $486 | 5.9× |
| Quinidine (80194) | $47 | $63 | 3.2× |
| Reducing substances, stool (84376) | $28 | $37 | 5.1× |
| Renin activity plasma (84244) | $70 | $93 | 3.2× |
| Respiratory viral panel PCR (87633) | $1,275 | $1,700 | 3.1× |
| Respiratory Virus (86756) | $36 | $48 | 2.3× |
| Rheumatoid Factor Qual (86430) | $27 | $36 | 4.4× |
| Rheumatoid factor quant (86431) | $18 | $24 | 3.2× |
| Rsv (87807) | $29.50 | $39 | 2.3× |
| Rubella antibody (86762) | $39.50 | $53 | 2.7× |
| Russell viper venom time diluted (85613) | $243 | $324 | 25.4× |
| Saccharomyces ab iga (86671) | $68 | $90 | 5.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $131 | $175 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $94 | $125 | 2.2× |
| Sedimentation rate (85651) | $23 | $30 | 5.4× |
| Semen analysis w/count (89310) | $20 | $26 | 2.3× |
| Sensitivity mic (87186) | $20 | $27 | 2.3× |
| Sept9 methylation analysis (81327) | $450 | $600 | 2.3× |
| Serotonin Release Assay (86022) | $88 | $117 | 4.8× |
| Sex hormone binding globulin (84270) | $75 | $100 | 3.5× |
| Sickle cell screen (85660) | $95 | $126 | 17.2× |
| Sirolimus (rapamycin) (80195) | $146 | $195 | 10.6× |
| Smear acid fast (87206) | $23 | $30 | 4.3× |
| Smear gram stain (87205) | $28 | $37 | 6.6× |
| Sodium (84295) | $16 | $21 | 3.3× |
| Sodium other source (84302) | $118.50 | $157.50 | 24.4× |
| Sodium urine (84300) | $23 | $30 | 4.5× |
| Spectrophotometry (84311) | $185 | $246 | 22.8× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $343 | $457 | 2.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $129 | $172 | 13.7× |
| Strep a assay w/optic (87880) | $33 | $43.50 | 2.0× |
| Strep a DNA amp probe (87651) | $107 | $143 | 3.0× |
| Strep b DNA amp probe (87653) | $79 | $105 | 2.3× |
| Sulfate urine (84392) | $81 | $108 | 14.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $338 | $450.50 | 7.2× |
| T3 free (84481) | $92 | $123 | 5.4× |
| T3 reverse (84482) | $67.50 | $90 | 4.3× |
| T3 total (84480) | $45 | $60 | 3.2× |
| T3 uptake (84479) | $23 | $30 | 3.6× |
| T4 Free (84439) | $52 | $69 | 5.8× |
| T4 total (84436) | $23 | $30 | 3.3× |
| Tb intradermal test (86580) | $38 | $51 | 1.3× |
| Test for acetone/ketones (82009) | $16 | $21 | 3.5× |
| Testosterone free (84402) | $81 | $108 | 3.2× |
| Testosterone total (84403) | $83 | $111 | 3.2× |
| Tetanus antibody (86774) | $117.50 | $156.50 | 7.9× |
| Theophylline (80198) | $45 | $60 | 3.2× |
| Thrombin time plasma (85670) | $20 | $27 | 3.5× |
| Thyroglobulin (84432) | $54 | $72 | 3.4× |
| Thyroglobulin Ab (86800) | $74 | $99 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $115 | $153 | 2.3× |
| Thyroxine binding globulin (84442) | $47 | $63 | 3.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $113 | $150 | 9.8× |
| Tissue Culture Lymphocyte (88230) | $387 | $515.50 | 3.3× |
| Tobramycin peak (80200) | $52 | $69 | 3.2× |
| Topiramate (80201) | $125 | $167 | 10.5× |
| Toxoplasma ab igm (86778) | $41 | $54 | 2.8× |
| Toxoplasma antibody igg (86777) | $47 | $63 | 3.3× |
| Transferrin (84466) | $29 | $39 | 2.3× |
| Triglycerides (84478) | $20 | $27 | 3.5× |
| Troponin (84484) | $104 | $139 | 8.3× |
| Urea nitrogen (84520) | $19 | $25 | 4.8× |
| Urea nitrogen urine (84540) | $13 | $17 | 2.3× |
| Uric acid blood (84550) | $16 | $21 | 3.5× |
| Uric acid other source (84560) | $11 | $15 | 2.2× |
| Urinalysis microscopic only (81015) | $130 | $173 | 42.6× |
| Urinalysis w/microscopic (81001) | $26 | $35 | 8.2× |
| Urine pregnancy test (81025) | $30 | $40 | 3.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $23 | $30 | 10.2× |
| Valproic acid level (80164) | $43 | $57 | 3.2× |
| Vancomycin trough (80202) | $43 | $57 | 3.2× |
| Varicella-zoster antibody (86787) | $29 | $39 | 2.3× |
| Vdrl csf (86592) | $19 | $25 | 4.4× |
| Virus antibody nos (86790) | $95 | $126 | 7.4× |
| Vitamin A (84590) | $45 | $60 | 3.9× |
| Vitamin b-12 (82607) | $64 | $85 | 4.2× |
| Vitamin b1 (thiamine) (84425) | $56 | $75 | 2.6× |
| Vitamin b6 (84207) | $70 | $93 | 2.5× |
| Vitamin C (82180) | $206 | $275 | 20.8× |
| Vitamin D 25-Hydroxy (82306) | $124 | $165 | 4.2× |
| Vitamin e serum (84446) | $56 | $75 | 3.9× |
| Von willebrand factor activity (85245) | $131 | $175 | 5.7× |
| West nile virus ab, igm (86788) | $86 | $115 | 5.1× |
| West nile virus antibody (86789) | $74 | $99 | 5.1× |
| Zinc (84630) | $27 | $36 | 2.4× |