Lab & pathology prices at Hermann Area District Hospital
Hermann, MO · every code in this section with a posted price and a Medicare benchmark.
360 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) | $124.80 | $208 | 3.2× |
| 5 Hiaa (83497) | $67.50 | $112.50 | 5.2× |
| Acute hepatitis panel (80074) | $147.60 | $246 | 3.1× |
| Adenovirus ag, if (87260) | $34.50 | $57.50 | 2.4× |
| Afb culture (87116) | $75.90 | $126.50 | 7.0× |
| Agglutinins febrile (86000) | $111.90 | $186.50 | 16.0× |
| Albumin Fluid (82042) | $14.70 | $24.50 | 1.9× |
| Albumin serum (82040) | $27.30 | $45.50 | 5.5× |
| Aldolase (82085) | $29.70 | $49.50 | 3.1× |
| Aldosterone urine (82088) | $126 | $210 | 3.1× |
| Allerg sp igg quan or semiquan (86001) | $29.70 | $49.50 | 3.8× |
| Allergen specific ige (86003) | $19.80 | $33 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $171.30 | $285.50 | 11.8× |
| Alpha-fetoprotein, serum (82105) | $82.80 | $138 | 4.9× |
| Alt (sgpt) (84460) | $27.30 | $45.50 | 5.2× |
| Ammonia (82140) | $64.20 | $107 | 4.4× |
| Amylase urine (82150) | $43.80 | $73 | 6.8× |
| Ana Titer (86039) | $47.10 | $78.50 | 4.2× |
| Angiotensin i enzyme test (82164) | $45 | $75 | 3.1× |
| Anti-phosphatidylserine antibody (86148) | $73.50 | $122.50 | 4.6× |
| Antibody Absorption (86978) | $140.40 | $234 | 2.4× |
| Antibody aspergillus (86606) | $51.30 | $85.50 | 3.4× |
| Antibody cytomegalovirus cmv (86644) | $204.60 | $341 | 14.2× |
| Antibody cytomegalovirus cmv igm (86645) | $156.45 | $260.75 | 9.3× |
| Antibody herpes smplx type 1 (86695) | $41.40 | $69 | 3.1× |
| Antibody identification (86870) | $162.15 | $270.25 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $148.80 | $248 | 9.9× |
| Antibody mumps (86735) | $100.35 | $167.25 | 7.7× |
| Antibody Protozoa Nes (86753) | $173.70 | $289.50 | 14.0× |
| Antibody rubeola (86765) | $191.70 | $319.50 | 14.9× |
| Antibody screen (86850) | $30 | $50 | 3.1× |
| Antigen typing (86905) | $101.40 | $169 | 26.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $112.50 | $187.50 | 21.7× |
| Antinuclear antibodies (86038) | $57 | $95 | 4.7× |
| Antistreptolysin o titer (86060) | $54.30 | $90.50 | 7.4× |
| Antithrombin iii antigen (85301) | $142.80 | $238 | 13.2× |
| Assay Nephelometry Not Spec (83883) | $184.80 | $308 | 13.6× |
| Assay of acth (82024) | $120 | $200 | 3.1× |
| Assay of blood chloride (82435) | $51.30 | $85.50 | 11.2× |
| Assay of c-peptide (84681) | $75.30 | $125.50 | 3.6× |
| Assay of ceruloplasmin (82390) | $33.30 | $55.50 | 3.1× |
| Assay of cyclosporine (80158) | $189 | $315 | 10.5× |
| Assay of erythropoietin (82668) | $82.80 | $138 | 4.4× |
| Assay of ferritin (82728) | $61.20 | $102 | 4.5× |
| Assay of gammaglobulin igm (82784) | $57 | $95 | 6.1× |
| Assay of gastrin (82941) | $96.90 | $161.50 | 5.5× |
| Assay of gentamicin (80170) | $77.40 | $129 | 4.7× |
| Assay of homocystine (83090) | $85.20 | $142 | 4.8× |
| Assay of lipoprotein(a) (83695) | $53.70 | $89.50 | 3.8× |
| Assay of parathormone (83970) | $127.20 | $212 | 3.1× |
| Assay of phenobarbital (80184) | $47.70 | $79.50 | 3.1× |
| Assay of serotonin (84260) | $118.80 | $198 | 3.8× |
| Assay of tacrolimus (80197) | $230.40 | $384 | 16.8× |
| Ast (sgot) (84450) | $27.30 | $45.50 | 5.3× |
| Bartonella antibody (86611) | $268.20 | $447 | 26.3× |
| Bcr/abl1 gene major bp (81206) | $472.80 | $788 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $472.80 | $788 | 3.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $79.20 | $132 | 3.1× |
| Beta Lactamase (87185) | $15.60 | $26 | 3.3× |
| Beta-2 microglobulin (82232) | $50.10 | $83.50 | 3.1× |
| Bilirubin direct (82248) | $42.60 | $71 | 8.5× |
| Bilirubin total (82247) | $25.20 | $42 | 5.0× |
| Bl Smear W/Diff Wbc Count (85007) | $30.90 | $51.50 | 8.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $19.20 | $32 | 5.6× |
| Blood count reticulocyte automated (85045) | $39 | $65 | 9.8× |
| Blood gases (82803) | $77.40 | $129 | 3.0× |
| Blood gases w/02 saturation (82805) | $21.60 | $36 | 0.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $46.65 | $77.75 | 2.9× |
| Blood typing abo (86900) | $43.35 | $72.25 | 14.5× |
| Blood typing serologic rh (d) (86901) | $29.40 | $49 | 9.8× |
| Blood typing serologic rh phenotyping complete (86906) | $128.40 | $214 | 16.6× |
| Body fluid cell count (89051) | $49.20 | $82 | 8.8× |
| Body fluid cell count (89050) | $39 | $65 | 8.3× |
| Brucella antibody (86622) | $171 | $285 | 19.1× |
| C-reactive protein (86140) | $44.40 | $74 | 8.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $80.40 | $134 | 6.2× |
| Ca 125 (86304) | $73.50 | $122.50 | 3.5× |
| Ca 19-9 (86301) | $73.50 | $122.50 | 3.5× |
| Ca 27 29 (86300) | $73.50 | $122.50 | 3.5× |
| Calcium ionized (82330) | $48.30 | $80.50 | 3.5× |
| Calcium total (82310) | $25.05 | $41.75 | 4.9× |
| Calcium urine (82340) | $24 | $40 | 4.0× |
| Calculus Spectroscopy (82365) | $100.80 | $168 | 7.8× |
| Calprotectin, fecal (83993) | $300.90 | $501.50 | 15.3× |
| Calr gene com variants (81219) | $991.20 | $1,652 | 8.1× |
| Candida DNA dir probe (87480) | $127.20 | $212 | 6.3× |
| Carbamazepine (tegretol) total (80156) | $48.30 | $80.50 | 3.3× |
| Carbon dioxide (82374) | $48.30 | $80.50 | 9.9× |
| Carboxyhemoglobin Quantitative (82375) | $77.40 | $129 | 6.3× |
| Carcinoembryonic antigen (82378) | $66 | $110 | 3.5× |
| Cardiolipin ab igg (86147) | $79.20 | $132 | 3.1× |
| Carotene (82380) | $38.40 | $64 | 4.2× |
| Catecholamines fraction plasma (82384) | $81.60 | $136 | 3.2× |
| Cd4 absolute count (86361) | $223.20 | $372 | 8.3× |
| Cftr gene com variants (81220) | $388.20 | $647 | 0.7× |
| Chloride urine (82436) | $39 | $65 | 6.8× |
| Cholesterol total (82465) | $33.30 | $55.50 | 7.7× |
| Chromogranin a (86316) | $61.20 | $102 | 2.9× |
| Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) | $327.30 | $545.50 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $216.90 | $361.50 | 6.2× |
| Citrate (82507) | $362.10 | $603.50 | 13.0× |
| Ck isoenzymes (82552) | $78 | $130 | 5.8× |
| Ckmb (82553) | $36.60 | $61 | 3.2× |
| Clot factor viii vw antigen (85246) | $221.10 | $368.50 | 9.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $51.90 | $86.50 | 2.2× |
| Cold agglutinin screen (86156) | $108.30 | $180.50 | 13.4× |
| Cold agglutinin titer (86157) | $171.90 | $286.50 | 21.3× |
| Compatibility test antiglob (86922) | $86.40 | $144 | 0.5× |
| Complement c3 (86160) | $66.15 | $110.25 | 5.5× |
| Complement total ch50 (86162) | $65.40 | $109 | 3.2× |
| Concentration Infectious Agent (87015) | $121.80 | $203 | 18.2× |
| Coombs direct (86880) | $41.70 | $69.50 | 7.7× |
| Coombs Test Indirect Qual (86885) | $29.70 | $49.50 | 5.2× |
| Copper urine (82525) | $34.50 | $57.50 | 2.8× |
| Cortisol free (82530) | $183.60 | $306 | 11.0× |
| Cortisol total (82533) | $63 | $105 | 3.9× |
| Creatine kinase total (82550) | $38.40 | $64 | 5.9× |
| Creatinine blood (82565) | $34.50 | $57.50 | 6.7× |
| Creatinine clearance (82575) | $48.30 | $80.50 | 5.1× |
| Creatinine other source (82570) | $29.40 | $49 | 5.7× |
| Culture Aerobic Identify (87077) | $29.70 | $49.50 | 3.7× |
| Culture anaerobic (87075) | $47.70 | $79.50 | 5.0× |
| Culture blood (87040) | $59.40 | $99 | 5.8× |
| Culture genital (87070) | $56.10 | $93.50 | 6.5× |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) | $938.70 | $1,564.50 | 5.5× |
| Culture screen only (87081) | $24 | $40 | 3.6× |
| Culture stool (87045) | $29.10 | $48.50 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $21.60 | $36 | 4.2× |
| Culture urine (87086) | $47.70 | $79.50 | 5.9× |
| Culture urine id ea isolate (87088) | $47.70 | $79.50 | 5.9× |
| Cyclic Citrullinated Peptide (86200) | $159.30 | $265.50 | 12.3× |
| Cystatin c (82610) | $233.10 | $388.50 | 12.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $658.20 | $1,097 | 15.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $166.20 | $277 | 4.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $81.60 | $136 | 3.1× |
| D-Dimer (85378) | $65.40 | $109 | 6.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $49.95 | $83.25 | 3.0× |
| Dhea sulfate (82627) | $68.70 | $114.50 | 3.1× |
| Digoxin (80162) | $51.30 | $85.50 | 3.9× |
| Dilantin (80185) | $42.60 | $71 | 3.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $44.40 | $74 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $41.40 | $69 | 3.1× |
| Drug Scrn Quan Levetiracetam (80177) | $141 | $235 | 10.6× |
| Drug test prsmv chem anlyzr (80307) | $364.95 | $608.25 | 5.9× |
| Ebv viral capsid (86665) | $51.90 | $86.50 | 2.9× |
| Ehrlichia antibody (86666) | $56.10 | $93.50 | 5.5× |
| Electrolyte panel (80051) | $34.50 | $57.50 | 4.9× |
| Endomysial antibody iga (86255) | $97.65 | $162.75 | 8.1× |
| Estradiol (82670) | $159.30 | $265.50 | 5.7× |
| Estrogens total (82672) | $150.30 | $250.50 | 6.9× |
| Estrone (82679) | $113.10 | $188.50 | 4.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $55.50 | $92.50 | 7.6× |
| F5 gene (81241) | $366.60 | $611 | 5.0× |
| Factor v activity (85220) | $294.30 | $490.50 | 16.7× |
| Factor viii ahg (85240) | $221.10 | $368.50 | 12.4× |
| Fecal fat qual (82705) | $53.70 | $89.50 | 10.5× |
| Fecal fat quant (82710) | $236.10 | $393.50 | 14.1× |
| Fibrinogen activity (85384) | $91.50 | $152.50 | 9.4× |
| Flow cytometry first marker (88184) | $147.60 | $246 | 0.4× |
| Folate serum (82746) | $63 | $105 | 4.3× |
| Follicle Stimulating Hormone (83001) | $96.90 | $161.50 | 5.2× |
| Fresh frozen plasma thawing each unit (86927) | $22.80 | $38 | 0.1× |
| Frozen blood each unit thawing (86931) | $204.60 | $341 | 1.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $47.70 | $79.50 | 4.6× |
| Gammaglobulin ige (82785) | $50.70 | $84.50 | 3.1× |
| Gardner vag DNA dir probe (87510) | $127.20 | $212 | 6.3× |
| Gastric Occult Blood (82271) | $24.60 | $41 | 4.6× |
| Ggt (82977) | $43.80 | $73 | 6.1× |
| Giardia antigen eia stool (87329) | $78.60 | $131 | 6.6× |
| Glucose (82947) | $25.65 | $42.75 | 6.5× |
| Glucose body fluid (82945) | $22.20 | $37 | 5.6× |
| Glucose post dose (82950) | $53.70 | $89.50 | 11.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $42 | $70 | 10.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $127.20 | $212 | 9.9× |
| Haptoglobin (83010) | $39 | $65 | 3.1× |
| Hcg quant (84702) | $90.90 | $151.50 | 6.0× |
| Hdl Cholesterol (83718) | $33.75 | $56.25 | 4.1× |
| Hematocrit (85014) | $36.60 | $61 | 15.4× |
| Hemoglobin (85018) | $19.20 | $32 | 8.1× |
| Hemoglobin a1c (83036) | $64.20 | $107 | 6.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $48.30 | $80.50 | 2.7× |
| Hemolysins And Agglutinins Incubated (86941) | $140.40 | $234 | 11.6× |
| Hemolysins/agglutinins auto screen (86940) | $140.40 | $234 | 16.0× |
| Hepatitis a antibody total (86708) | $58.20 | $97 | 4.7× |
| Hepatitis a igm (86709) | $34.50 | $57.50 | 3.1× |
| Hepatitis b core ab igm (86705) | $37.80 | $63 | 3.2× |
| Hepatitis b core antibody total (86704) | $37.80 | $63 | 3.1× |
| Hepatitis B Surface Antigen (87340) | $78.60 | $131 | 7.6× |
| Hepatitis c antibody (86803) | $149.55 | $249.25 | 10.5× |
| Herpes simplex type 2 (86696) | $60.60 | $101 | 3.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $41.40 | $69 | 8.0× |
| Hfe gene (81256) | $388.20 | $647 | 5.9× |
| HIV-1 antibody (86701) | $27.30 | $45.50 | 3.1× |
| Hla b 27 disease association lc (81374) | $517.20 | $862 | 7.0× |
| Hla-b27 (86812) | $336.30 | $560.50 | 13.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $51 | $85 | 1.5× |
| Iaad ia clostridium difficile toxin (87324) | $75.45 | $125.75 | 6.3× |
| Iaad ia cryptosporidium (87328) | $143.40 | $239 | 10.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $72.90 | $121.50 | 7.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $101.40 | $169 | 4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $181.80 | $303 | 12.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $69.45 | $115.75 | 2.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $29.70 | $49.50 | 2.5× |
| Iaadi inffluenza a virus (87276) | $34.50 | $57.50 | 2.1× |
| Iaadi influenza b virus (87275) | $34.50 | $57.50 | 2.8× |
| Iaadi respiratory synctial virus (87280) | $34.50 | $57.50 | 2.6× |
| Iadna hepatitis b virus quantification (87517) | $267 | $445 | 6.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $462.30 | $770.50 | 10.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $461.70 | $769.50 | 5.4× |
| Iadna human papillomavirus high-risk types (87624) | $109.50 | $182.50 | 3.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $216.90 | $361.50 | 6.2× |
| Iadna nos quantification each organism (87799) | $660.60 | $1,101 | 15.4× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $270.60 | $451 | 1.0× |
| If varicella-zoster antigen (87290) | $68.10 | $113.50 | 5.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $56.10 | $93.50 | 3.7× |
| Immunoassay nonantibody (83516) | $130.05 | $216.75 | 11.3× |
| Immunofixj Electrophoresis Serum (86334) | $100.80 | $168 | 4.5× |
| Immunohisto Antibody Slide (88344) | $221.10 | $368.50 | 0.6× |
| Immunohistochemistry (88342) | $247.80 | $413 | 1.5× |
| India ink prep (87210) | $33.90 | $56.50 | 5.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) | $58.80 | $98 | 2.9× |
| Influenza a/b ag eia (87400) | $37.80 | $63 | 2.7× |
| Inhibin b (83520) | $163.05 | $271.75 | 9.4× |
| Insulin free (83527) | $204.60 | $341 | 15.8× |
| Insulin total (83525) | $147.60 | $246 | 12.9× |
| Iron (83540) | $26.55 | $44.25 | 4.1× |
| Iron binding capacity (83550) | $23.25 | $38.75 | 2.7× |
| Irradiation of blood product (86945) | $108.30 | $180.50 | 2.9× |
| Jak2 gene analysis (81270) | $490.80 | $818 | 5.4× |
| Koh Prep (87220) | $15.60 | $26 | 3.7× |
| Lactic acid (83605) | $77.40 | $129 | 6.7× |
| Lactoferrin Fecal Quantitative (83631) | $398.10 | $663.50 | 20.3× |
| Ldh (83615) | $37.20 | $62 | 6.2× |
| LDL cholesterol direct (83721) | $22.80 | $38 | 2.2× |
| Lead (83655) | $82.80 | $138 | 6.8× |
| Legionella antibody (86713) | $197.70 | $329.50 | 12.9× |
| Legionella antigen urine (87449) | $50.70 | $84.50 | 4.2× |
| Level ii surg pathology grossµscopic exam (88302) | $78.60 | $131 | 2.1× |
| Level v surg pathology grossµscopic exam (88307) | $598.80 | $998 | 1.7× |
| Level vi surg pathology grossµscopic exam (88309) | $913.50 | $1,522.50 | 1.1× |
| Lh (83002) | $100.20 | $167 | 5.4× |
| Lipase (83690) | $48.30 | $80.50 | 7.0× |
| Lithium (80178) | $57.60 | $96 | 8.7× |
| Lyme disease antibody (86618) | $113.70 | $189.50 | 6.7× |
| Lyme disease antibody confirm (86617) | $48.30 | $80.50 | 3.1× |
| Magnesium (83735) | $39 | $65 | 5.8× |
| Mercury (83825) | $48.30 | $80.50 | 3.0× |
| Methotrexate (80299) | $176.06 | $293.44 | 9.4× |
| Methylmalonic acid serum (83921) | $140.40 | $234 | 6.6× |
| Microalbumin urine (82043) | $28.80 | $48 | 5.0× |
| Microsomal antibodies (86376) | $45 | $75 | 3.1× |
| Mucin synovial fluid ropes test (83872) | $43.20 | $72 | 7.4× |
| Mycoplasma antibody (86738) | $45 | $75 | 3.4× |
| Myoglobin urine (83874) | $40.80 | $68 | 3.2× |
| Natriuretic peptide (83880) | $105 | $175 | 2.7× |
| Niacin (84591) | $333 | $555 | 19.5× |
| Nuclear antigen antibody (86235) | $97.50 | $162.50 | 5.4× |
| Osmolality urine (83935) | $58.20 | $97 | 8.5× |
| Ova and parasite direct-id lca (87177) | $67.50 | $112.50 | 7.6× |
| Oxalate urine (83945) | $57.60 | $96 | 4.0× |
| Parainfluenza ag if (87279) | $34.50 | $57.50 | 2.1× |
| Parvovirus antibody (86747) | $45.75 | $76.25 | 3.0× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $76.50 | $127.50 | 1.1× |
| Phenytoin free (80186) | $52.50 | $87.50 | 3.8× |
| Phosphatase alkaline (84075) | $60.90 | $101.50 | 11.8× |
| Phosphorus blood (84100) | $27.30 | $45.50 | 5.8× |
| Phosphorus urine (84105) | $57.60 | $96 | 10.0× |
| Platelet count (85049) | $36.60 | $61 | 8.2× |
| Platelet neutralization (85597) | $63 | $105 | 3.5× |
| Potassium (84132) | $27.30 | $45.50 | 5.7× |
| Potassium urine (84133) | $53.70 | $89.50 | 11.4× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $43.20 | $72 | 0.3× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $108.30 | $180.50 | 0.6× |
| Pretx serum rbc antibody identification dilution (86976) | $64.80 | $108 | 2.2× |
| Procalcitonin (pct) (84145) | $205.80 | $343 | 7.6× |
| Progesterone (84144) | $93.90 | $156.50 | 4.5× |
| Prolactin (84146) | $91.50 | $152.50 | 4.7× |
| Protein body fluid (84157) | $18.45 | $30.75 | 4.6× |
| Protein c activity (85303) | $196.50 | $327.50 | 14.2× |
| Protein c antigen (85302) | $314.70 | $524.50 | 26.2× |
| Protein Electrophoresis Urine (84166) | $73.50 | $122.50 | 4.1× |
| Protein S Functional (85306) | $196.50 | $327.50 | 12.8× |
| Protein Total Serum (84155) | $22.35 | $37.25 | 6.1× |
| Protein urine (84156) | $73.50 | $122.50 | 20.0× |
| PSA free (84154) | $57 | $95 | 3.1× |
| Quantiferon tb gold (86480) | $94.50 | $157.50 | 1.5× |
| Rbc antibody elution (86860) | $150.30 | $250.50 | 0.9× |
| Rbc pretx incubatj w/chemicl (86970) | $108.30 | $180.50 | 1.8× |
| Rbc serum pretx incubj drugs (86975) | $376.50 | $627.50 | 0.8× |
| Reagent strip/blood glucose (82948) | $30.90 | $51.50 | 6.1× |
| Ref consult prep elsewhere (88321) | $206.40 | $344 | 5.5× |
| Renin activity plasma (84244) | $113.70 | $189.50 | 5.2× |
| Reticulocyte separation (86972) | $258.30 | $430.50 | 1.5× |
| Rheumatoid Factor Qual (86430) | $41.40 | $69 | 6.7× |
| Rheumatoid factor quant (86431) | $85.95 | $143.25 | 15.2× |
| Rickettsia antibody (86757) | $142.80 | $238 | 7.4× |
| Rpr Titer (86593) | $9.30 | $15.50 | 2.1× |
| Rsv (87807) | $67.50 | $112.50 | 5.2× |
| Rubella antibody (86762) | $54.45 | $90.75 | 3.8× |
| Russell viper venom time diluted (85613) | $49.05 | $81.75 | 5.1× |
| Saccharomyces ab iga (86671) | $148.80 | $248 | 12.1× |
| Salmonella antibody (86768) | $199.50 | $332.50 | 15.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $154.50 | $257.50 | 1.1× |
| Sed rate automated (85652) | $22.20 | $37 | 8.2× |
| Sedimentation rate (85651) | $22.20 | $37 | 5.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $37.80 | $63 | 3.1× |
| Sensitivity mic (87186) | $47.70 | $79.50 | 5.5× |
| Smear acid fast (87206) | $51.30 | $85.50 | 9.5× |
| Smear gram stain (87205) | $29.10 | $48.50 | 6.8× |
| Sodium (84295) | $27.30 | $45.50 | 5.7× |
| Sodium urine (84300) | $38.40 | $64 | 7.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $123.90 | $206.50 | 0.9× |
| Special stains group 1 (88312) | $219.90 | $366.50 | 4.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $29.10 | $48.50 | 3.1× |
| Strep a assay w/optic (87880) | $42.60 | $71 | 2.6× |
| Strep a DNA amp probe (87651) | $56.40 | $94 | 1.6× |
| Surg path level iii (88304) | $121.20 | $202 | 2.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $48.90 | $81.50 | 1.7× |
| Surgical pathology level IV (88305) | $159.30 | $265.50 | 3.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $159.30 | $265.50 | 3.4× |
| T3 free (84481) | $109.05 | $181.75 | 6.4× |
| T3 reverse (84482) | $118.80 | $198 | 7.5× |
| T3 total (84480) | $90 | $150 | 6.3× |
| T3 uptake (84479) | $39 | $65 | 6.0× |
| T4 Free (84439) | $94.50 | $157.50 | 10.5× |
| T4 total (84436) | $63.60 | $106 | 9.3× |
| Tb intradermal test (86580) | $21 | $35 | 0.7× |
| Testosterone free (84402) | $79.20 | $132 | 3.1× |
| Testosterone total (84403) | $124.20 | $207 | 4.8× |
| Thyroglobulin (84432) | $78.60 | $131 | 4.9× |
| Thyroglobulin Ab (86800) | $65.40 | $109 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $660 | $1,100 | 13.0× |
| Thyroxine binding globulin (84442) | $66.60 | $111 | 4.5× |
| Topiramate (80201) | $65.40 | $109 | 5.5× |
| Transferrin (84466) | $55.50 | $92.50 | 4.3× |
| Trichomonas vagin dir probe (87660) | $127.20 | $212 | 6.3× |
| Triglycerides (84478) | $30.90 | $51.50 | 5.4× |
| Troponin (84484) | $100.80 | $168 | 8.1× |
| Urea nitrogen (84520) | $27.30 | $45.50 | 6.9× |
| Urea nitrogen urine (84540) | $22.80 | $38 | 4.1× |
| Uric acid blood (84550) | $27.30 | $45.50 | 6.0× |
| Uric acid other source (84560) | $57.60 | $96 | 11.3× |
| Urinalysis microscopic only (81015) | $25.05 | $41.75 | 8.2× |
| Urinalysis w/microscopic (81001) | $86.40 | $144 | 27.3× |
| Urine pregnancy test (81025) | $34.50 | $57.50 | 4.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $41.40 | $69 | 18.4× |
| Valproic acid level (80164) | $70.50 | $117.50 | 5.2× |
| Vancomycin trough (80202) | $82.80 | $138 | 6.1× |
| Varicella-zoster antibody (86787) | $40.80 | $68 | 3.2× |
| Vasopressin (84588) | $127.80 | $213 | 3.8× |
| Vdrl csf (86592) | $48.90 | $81.50 | 11.5× |
| Virus inoculation, shell via (87254) | $275.70 | $459.50 | 14.1× |
| Vitamin b-12 (82607) | $68.70 | $114.50 | 4.6× |
| Vitamin b-2 (riboflavin) (84252) | $219.90 | $366.50 | 10.9× |
| Vitamin b1 (thiamine) (84425) | $66.60 | $111 | 3.1× |
| Vitamin b6 (84207) | $87.90 | $146.50 | 3.1× |
| Vitamin D 25-Hydroxy (82306) | $145.80 | $243 | 4.9× |
| Vitamin e serum (84446) | $48.30 | $80.50 | 3.4× |
| Von willebrand factor activity (85245) | $294.30 | $490.50 | 12.8× |
| Zinc (84630) | $35.10 | $58.50 | 3.1× |