Lab & pathology prices at Jefferson Healthcare
Port Townsend, WA · every code in this section with a posted price and a Medicare benchmark.
564 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) | $169.60 | $212 | 4.4× |
| Acetaminophen level (80143) | $179.20 | $224 | 9.6× |
| Acetone serum qual (82009) | $67.20 | $84 | 14.9× |
| Acetylcholine receptor binding antibody (86041) | $82.40 | $103 | 4.5× |
| Acetylcholine receptor blocking antibody (86042) | $165.60 | $207 | 9.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $82.40 | $103 | 6.8× |
| Acth stimulation panel adrenal insufficiency (80400) | $136.80 | $171 | 4.2× |
| Actin smooth muscle antibody each (86015) | $64.80 | $81 | 5.4× |
| Activated protein c resistance (85307) | $160.80 | $201 | 10.5× |
| Acute hepatitis panel (80074) | $288 | $360 | 6.0× |
| Adrenocorticotropic hormone (82024) | $183.20 | $229 | 4.7× |
| Afp maternal serum (82105) | $90 | $112.50 | 5.4× |
| Albumin body fluid (82042) | $49.60 | $62 | 6.4× |
| Albumin serum (82040) | $41.20 | $51.50 | 8.3× |
| Aldolase (82085) | $60 | $75 | 6.2× |
| Aldosterone urine (82088) | $171.20 | $214 | 4.2× |
| Alk phos heat stable (84078) | $38.40 | $48 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $104.40 | $130.50 | 7.1× |
| Allergen peanut (86003) | $16 | $20 | 3.1× |
| Allg Spec Ige Recomb Ea (86008) | $28.80 | $36 | 1.6× |
| Alpha-1-antitrypsin phenotype (82104) | $100.80 | $126 | 7.0× |
| Alpha-1-antitrypsin, total (82103) | $78 | $97.50 | 5.8× |
| Alt (sgpt) (84460) | $50.80 | $63.50 | 9.6× |
| Aluminum (82108) | $120.80 | $151 | 4.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $124.80 | $156 | 7.4× |
| Amylase urine (82150) | $69.60 | $87 | 10.7× |
| Ana titer (86039) | $32.40 | $40.50 | 2.9× |
| Angiotensin i enzyme test (82164) | $83.60 | $104.50 | 5.7× |
| Anti-phosphatidylserine antibody (86148) | $83.20 | $104 | 5.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $45.60 | $57 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $92 | $115 | 6.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $46.40 | $58 | 3.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $44 | $55 | 3.6× |
| Antibody helicobacter pylori (86677) | $83.20 | $104 | 4.9× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $90.40 | $113 | 6.6× |
| Antibody HIV-2 (86702) | $116 | $145 | 8.6× |
| Antibody identification (86870) | $350.40 | $438 | 0.9× |
| Antibody identification leukocyte antibodies (86021) | $146.40 | $183 | 9.7× |
| Antibody john cunningham virus (86711) | $1,090.40 | $1,363 | 64.6× |
| Antibody mumps (86735) | $46.80 | $58.50 | 3.6× |
| Antibody screen (86850) | $105.60 | $132 | 10.8× |
| Antibody treponema pallidum (86780) | $8.80 | $11 | 0.7× |
| Antibody; Coccidioides (86635) | $84 | $105 | 7.3× |
| Antigen typing (86905) | $296 | $370 | 77.3× |
| Antinuclear antibodies (86038) | $88.80 | $111 | 7.3× |
| Antistreptolysin o titer (86060) | $59.20 | $74 | 8.1× |
| Antithrombin iii activity (85300) | $120 | $150 | 10.1× |
| Apolipoprotein each (82172) | $24.80 | $31 | 1.2× |
| Arsenic Urine (82175) | $112 | $140 | 5.9× |
| Assay direct measurement free estradiol (82681) | $73.60 | $92 | 2.6× |
| Assay Lipoprotein Pla2 (83698) | $38.40 | $48 | 0.8× |
| Assay Nephelometry Not Spec (83883) | $96.40 | $120.50 | 7.1× |
| Assay of 5-hiaa (83497) | $80 | $100 | 6.2× |
| Assay of ammonia (82140) | $136.80 | $171 | 9.4× |
| Assay of androstenedione (82157) | $123.20 | $154 | 4.2× |
| Assay of anti-mullerian hormone (82166) | $128.80 | $161 | 3.3× |
| Assay of c-peptide (84681) | $96 | $120 | 4.6× |
| Assay of ceruloplasmin (82390) | $77.60 | $97 | 7.2× |
| Assay of cpk in blood (82552) | $112.80 | $141 | 8.4× |
| Assay of creatine (82540) | $173.60 | $217 | 37.4× |
| Assay of cyclosporine (80158) | $143.20 | $179 | 7.9× |
| Assay of erythropoietin (82668) | $100 | $125 | 5.3× |
| Assay of estrone (82679) | $106.40 | $133 | 4.3× |
| Assay of ferritin (82728) | $152 | $190 | 11.2× |
| Assay of g6pd enzyme (82955) | $66.40 | $83 | 6.8× |
| Assay of gammaglobulin igm (82784) | $63.20 | $79 | 6.8× |
| Assay of gastrin (82941) | $95.20 | $119 | 5.4× |
| Assay of gentamicin (80170) | $156.80 | $196 | 9.6× |
| Assay of homocystine (83090) | $137.60 | $172 | 7.7× |
| Assay of lactic acid (83605) | $129.60 | $162 | 11.2× |
| Assay of lipoprotein(a) (83695) | $52.80 | $66 | 3.7× |
| Assay of manganese (83785) | $104 | $130 | 3.9× |
| Assay of metanephrines (83835) | $150.80 | $188.50 | 8.9× |
| Assay of phenobarbital (80184) | $103.20 | $129 | 6.7× |
| Assay of prealbumin (84134) | $80 | $100 | 5.5× |
| Assay of proinsulin (84206) | $109.60 | $137 | 4.1× |
| Assay of prolactin (84146) | $82.40 | $103 | 4.3× |
| Assay of serotonin (84260) | $192 | $240 | 6.2× |
| Assay of tacrolimus (80197) | $100 | $125 | 7.3× |
| Assay of topiramate (80201) | $116 | $145 | 9.7× |
| Assay of vitamin k (84597) | $19.20 | $24 | 1.4× |
| Assay Phosphatase Acid Prostatic (84066) | $64 | $80 | 6.6× |
| Assay spec xcp ur&breath ia (82077) | $180 | $225 | 10.4× |
| Ast (sgot) (84450) | $45.60 | $57 | 8.8× |
| Asy carbamazepin 10,11-epxid (80161) | $75.20 | $94 | 4.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $688.80 | $861 | 3.6× |
| Bartonella antibody (86611) | $58.40 | $73 | 5.7× |
| Bcr/abl1 gene major bp (81206) | $569.60 | $712 | 3.5× |
| Bcr/abl1 gene minor bp (81207) | $323.20 | $404 | 2.2× |
| Beta 2 glycoprotein 1 igm (86146) | $95.20 | $119 | 3.7× |
| Beta hydroxybutyrate (82010) | $36.80 | $46 | 4.5× |
| Beta lactamase (87185) | $48 | $60 | 10.1× |
| Beta-2 microglobulin (82232) | $88.80 | $111 | 5.5× |
| Bile acids, total (82239) | $20.80 | $26 | 1.2× |
| Bilirubin direct (82248) | $41.20 | $51.50 | 8.2× |
| Bilirubin total (82247) | $44.80 | $56 | 8.9× |
| Bilirubin total transcutaneous (88720) | $34.40 | $43 | 6.9× |
| Bl Smear W/Diff Wbc Count (85007) | $38.40 | $48 | 10.1× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $239.20 | $299 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $250.40 | $313 | 32.3× |
| Bleeding time (85002) | $63.20 | $79 | 13.1× |
| Blood gas (82803) | $198.40 | $248 | 7.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $88 | $110 | 5.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36 | $45 | 8.2× |
| Blood Ph (82800) | $60.80 | $76 | 5.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $296.80 | $371 | 46.7× |
| Blood typing abo (86900) | $115.20 | $144 | 38.5× |
| Blood typing serologic rh (d) (86901) | $68 | $85 | 22.7× |
| Body fluid cell count (89051) | $73.60 | $92 | 13.1× |
| Body fluid cell count (89050) | $73.60 | $92 | 15.6× |
| Brca1&2 seq & full dup/del (81162) | $2,756.80 | $3,446 | 1.5× |
| Breath Alcohol Test (82075) | $108.80 | $136 | 3.6× |
| C diff amplified probe (87493) | $182 | $227.50 | 4.9× |
| C-reactive protein (86140) | $63.20 | $79 | 12.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $49.20 | $61.50 | 3.8× |
| Ca 125 (86304) | $135.20 | $169 | 6.5× |
| Ca 19-9 (86301) | $110.40 | $138 | 5.3× |
| Ca 27 29 (86300) | $102 | $127.50 | 4.9× |
| Cadmium level (82300) | $101.20 | $126.50 | 4.3× |
| Calcitonin (82308) | $112 | $140 | 4.2× |
| Calcium ionized (82330) | $76 | $95 | 5.6× |
| Calcium total (82310) | $40 | $50 | 7.8× |
| Calcium urine (82340) | $60.80 | $76 | 10.1× |
| Calculus Quantitative Chemical (82360) | $84 | $105 | 6.5× |
| Calculus spectroscopy (82365) | $107.20 | $134 | 8.3× |
| Calculus; qualitative analysis Facility (82355) | $40 | $50 | 3.5× |
| Calprotectin, fecal (83993) | $206.40 | $258 | 10.5× |
| Carbamazepine total (80156) | $58.40 | $73 | 4.0× |
| Carbon dioxide (82374) | $32.80 | $41 | 6.7× |
| Carboxyhemoglobin (82375) | $130.40 | $163 | 10.6× |
| Carcinoembryonic antigen (82378) | $148.80 | $186 | 7.8× |
| Cardiolipin ab igg (86147) | $112.40 | $140.50 | 4.4× |
| Carnitine (82379) | $162 | $202.50 | 9.6× |
| Catecholamines fraction plasma (82384) | $112.40 | $140.50 | 4.5× |
| Cell marker study (88182) | $358.40 | $448 | 6.2× |
| Cftr gene com variants (81220) | $524.80 | $656 | 0.9× |
| Chemiluminescent assay (82397) | $94.40 | $118 | 6.7× |
| Chlamydia antibody (86631) | $57.60 | $72 | 4.9× |
| Chloride feces (82438) | $23.20 | $29 | 4.6× |
| Chloride urine (82436) | $64.80 | $81 | 11.3× |
| Cholesterol HDL (83718) | $47.20 | $59 | 5.8× |
| Cholesterol total (82465) | $36.80 | $46 | 8.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $22.40 | $28 | 0.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $144.80 | $181 | 4.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $663.20 | $829 | 5.3× |
| Chromium urine (82495) | $106.40 | $133 | 5.2× |
| Chromogranin a (86316) | $184.80 | $231 | 8.9× |
| Chromosome analysis 20-25 cells (88264) | $421.60 | $527 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $88 | $110 | 2.5× |
| Ckmb (82553) | $173.60 | $217 | 15.0× |
| Clot Factor VIII Multimetric (85247) | $179.20 | $224 | 7.8× |
| Clot factor viii vw antigen (85246) | $144.40 | $180.50 | 6.3× |
| Clotting Inhibitors Protein S Free (85306) | $162.40 | $203 | 10.6× |
| Clozapine level (80159) | $77.60 | $97 | 3.9× |
| Cmv ab igm (86645) | $133.60 | $167 | 7.9× |
| Cmv PCR (87496) | $308 | $385 | 8.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $118.40 | $148 | 4.9× |
| Cold agglutinin titer (86157) | $55.20 | $69 | 6.8× |
| Collagen cross links (82523) | $103.20 | $129 | 5.5× |
| Compatibility test antiglob (86922) | $196.80 | $246 | 1.0× |
| Compatibility Test Incubate (86921) | $296.80 | $371 | 1.6× |
| Complement c3 (86160) | $70 | $87.50 | 5.8× |
| Complement total (ch50) (86162) | $145.60 | $182 | 7.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $84 | $105 | 7.0× |
| Concentration Infectious Agent (87015) | $48.80 | $61 | 7.3× |
| Coombs direct (86880) | $101.60 | $127 | 18.8× |
| Copper urine (82525) | $73.60 | $92 | 5.9× |
| Cortisol free (82530) | $112 | $140 | 6.7× |
| Cortisol total (82533) | $115.60 | $144.50 | 7.1× |
| Creatine kinase total (82550) | $62.40 | $78 | 9.6× |
| Creatinine blood (82565) | $46.40 | $58 | 9.1× |
| Creatinine clearance (82575) | $83.20 | $104 | 8.8× |
| Creatinine other source (82570) | $44 | $55 | 8.5× |
| Crossmatch immediate spin (86920) | $165.60 | $207 | 0.9× |
| Cryoglobulin (82595) | $54.40 | $68 | 8.4× |
| Crystals body fluid (89060) | $71.60 | $89.50 | 9.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $74.40 | $93 | 9.2× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $269.60 | $337 | 1.2× |
| Culture Aerobic Identify (87077) | $75.20 | $94 | 9.3× |
| Culture afb (87116) | $79.60 | $99.50 | 7.4× |
| Culture anaerobic (87075) | $107.20 | $134 | 11.3× |
| Culture blood (87040) | $94 | $117.50 | 9.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $90.40 | $113 | 11.7× |
| Culture fungus blood (87103) | $92 | $115 | 4.5× |
| Culture fungus id yeast (87106) | $74.80 | $93.50 | 7.2× |
| Culture fungus other (87102) | $88.80 | $111 | 10.6× |
| Culture genital (87070) | $103.20 | $129 | 12.0× |
| Culture screen only (87081) | $85.60 | $107 | 12.9× |
| Culture stool (87045) | $77.20 | $96.50 | 8.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $52 | $65 | 10.0× |
| Culture typing other methods (87158) | $129.60 | $162 | 16.7× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $66.40 | $83 | 1.9× |
| Culture urine (87086) | $79.20 | $99 | 9.8× |
| Culture virus (87252) | $150.40 | $188 | 5.8× |
| Cyclic Citrullinated Peptide (86200) | $64.40 | $80.50 | 5.0× |
| Cyp2d6 gene com variants (81226) | $1,034.40 | $1,293 | 2.3× |
| Cystatin c (82610) | $72.40 | $90.50 | 3.9× |
| Cytogenetics 100-300 (88275) | $222.40 | $278 | 4.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $389.60 | $487 | 9.1× |
| Cytopath cell enhance tech (88112) | $167.60 | $209.50 | 2.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $108 | $135 | 2.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $128 | $160 | 4.8× |
| Cytp concentration smears & interpretation (88108) | $228.80 | $286 | 5.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $236.80 | $296 | 4.1× |
| Cytp fna eval dx 1st each site (88172) | $213.60 | $267 | 1.1× |
| Deoxyribonuclease antibody (86215) | $101.60 | $127 | 7.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $108 | $135 | 6.5× |
| Detect agnt mult DNA ampli (87801) | $256.80 | $321 | 3.7× |
| Dgp antibody each ig class (86258) | $36.80 | $46 | 3.1× |
| Dhea (82626) | $150 | $187.50 | 5.9× |
| Dhea-sulfate (82627) | $109.60 | $137 | 4.9× |
| Digoxin (80162) | $97.60 | $122 | 7.3× |
| Dilantin (80185) | $110.40 | $138 | 8.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $112 | $140 | 8.2× |
| DNA/RNA direct probe (87149) | $150.40 | $188 | 7.5× |
| Drug Assay Amiodarone (80151) | $84 | $105 | 4.5× |
| Drug assay felbamate (80167) | $46.40 | $58 | 2.5× |
| Drug assay flecainide (80181) | $96 | $120 | 5.2× |
| Drug assay itraconazole (80189) | $73.60 | $92 | 2.7× |
| Drug Assay Lacosamide (80235) | $73.60 | $92 | 2.7× |
| Drug assay leflunomide (80193) | $140.80 | $176 | 3.7× |
| Drug assay methotrexate (80204) | $95.20 | $119 | 2.5× |
| Drug quant nes (80299) | $131.20 | $164 | 7.0× |
| Drug screen quant zonisamide (80203) | $40.80 | $51 | 3.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $18.40 | $23 | 1.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $124.80 | $156 | 9.4× |
| Drug Scrn Quan Levetiracetam (80177) | $101.60 | $127 | 7.7× |
| Drug test prsmv chem anlyzr (80307) | $245.60 | $307 | 4.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $59.20 | $74 | 4.7× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $108.80 | $136 | 6.3× |
| E test (87181) | $72.80 | $91 | 15.3× |
| Ebv viral capsid (86665) | $92.80 | $116 | 5.1× |
| Egfr Gene Analysis Common Variants (81235) | $984.80 | $1,231 | 3.0× |
| Elastase pancreatic fecal quantitative (82653) | $137.60 | $172 | 6.0× |
| Electrolyte panel (80051) | $42.40 | $53 | 6.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $74.40 | $93 | 6.2× |
| Enterovirus Pcr (87498) | $336.80 | $421 | 9.6× |
| Eosinophil count (85048) | $46.40 | $58 | 18.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $79.20 | $99 | 5.2× |
| Estradiol (82670) | $131.20 | $164 | 4.7× |
| Estriol serum (82677) | $75.20 | $94 | 3.1× |
| Estrogens total (82672) | $140.80 | $176 | 6.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $203.20 | $254 | 2.1× |
| Everolimus (80169) | $168 | $210 | 12.2× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $39.20 | $49 | 1.2× |
| F2 gene analysis 20210g >a variant (81240) | $279.20 | $349 | 4.3× |
| F5 gene analysis, leiden variant (81241) | $274.40 | $343 | 3.7× |
| Factor inhibitor test (85335) | $136 | $170 | 10.6× |
| Factor ix activity (85250) | $239.20 | $299 | 12.6× |
| Factor v activity (85220) | $152.80 | $191 | 8.7× |
| Factor viii ahg (85240) | $114 | $142.50 | 6.4× |
| Fecal fat qual (82705) | $55.20 | $69 | 10.8× |
| Fecal fat quant (82710) | $110.40 | $138 | 6.6× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $2,298.80 | $2,873.50 | 3.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $205.60 | $257 | 1.3× |
| Fetal fibronectin (82731) | $553.60 | $692 | 8.6× |
| Fibrin Degradation Quant (85379) | $163.20 | $204 | 16.0× |
| Fibrinogen activity (85384) | $113.60 | $142 | 11.7× |
| Flow cytometry first marker (88184) | $332.80 | $416 | 0.8× |
| Fluorescent Antibody Screen (86255) | $144.40 | $180.50 | 12.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $73.60 | $92 | 6.1× |
| Fmr1 gene detection (81243) | $554.40 | $693 | 9.7× |
| Folate serum (82746) | $112 | $140 | 7.6× |
| Folic acid rbc (82747) | $97.60 | $122 | 5.5× |
| Follicle Stimulating Hormone (83001) | $114.40 | $143 | 6.2× |
| Fresh frozen plasma thawing each unit (86927) | $148.80 | $186 | 0.8× |
| Frozen blood each unit thawing (86931) | $192 | $240 | 1.0× |
| Frozen Section (88331) | $261.60 | $327 | 1.4× |
| Fructosamine (82985) | $59.20 | $74 | 3.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $76 | $95 | 7.4× |
| Gabapentin (80171) | $93.60 | $117 | 4.3× |
| Galactose (82760) | $80.80 | $101 | 7.2× |
| Gammaglobulin ige (82785) | $97.60 | $122 | 5.9× |
| Gardner vag DNA dir probe (87510) | $72.80 | $91 | 3.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $61.60 | $77 | 6.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $232.80 | $291 | 3.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,810.40 | $6,013 | 1.6× |
| Ggt (82977) | $54.80 | $68.50 | 7.6× |
| Giardia antigen eia stool (87329) | $86.40 | $108 | 7.2× |
| Glucose (82947) | $38.40 | $48 | 9.8× |
| Glucose Blood Test (82962) | $32 | $40 | 9.8× |
| Glucose body fluid (82945) | $50.80 | $63.50 | 12.9× |
| Glucose post dose (82950) | $45.60 | $57 | 9.6× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $35.20 | $44 | 9.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $73.60 | $92 | 5.7× |
| H pylori breath test (83013) | $344 | $430 | 5.1× |
| Haptoglobin (83010) | $106.40 | $133 | 8.5× |
| Hcg qualitative (84703) | $97.60 | $122 | 13.0× |
| Hcg quant (84702) | $123.20 | $154 | 8.2× |
| Heavy metal quant each (83018) | $116.80 | $146 | 5.3× |
| Hematocrit (85014) | $38.40 | $48 | 16.2× |
| Hemoglobin (85018) | $37.60 | $47 | 15.9× |
| Hemoglobin a1c (83036) | $78 | $97.50 | 8.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $130.40 | $163 | 7.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $35.60 | $44.50 | 4.6× |
| Heparin assay (85520) | $128.80 | $161 | 9.8× |
| Hepatitis a antibody total (86708) | $70.40 | $88 | 5.7× |
| Hepatitis a igm (86709) | $79.20 | $99 | 7.0× |
| Hepatitis b core ab igm (86705) | $74.40 | $93 | 6.3× |
| Hepatitis b core antibody total (86704) | $71.20 | $89 | 5.9× |
| Hepatitis B Surface Ab (86706) | $38 | $47.50 | 3.5× |
| Hepatitis B Surface Antigen (87340) | $76 | $95 | 7.4× |
| Hepatitis Be Antigen (87350) | $93.60 | $117 | 8.1× |
| Hepatitis c antibody (86803) | $72.80 | $91 | 5.1× |
| Hepatitis C Genotype (87902) | $1,196.80 | $1,496 | 4.6× |
| Herpes simplex type i (86695) | $78.40 | $98 | 5.9× |
| Herpes simplex type ii (86696) | $101.60 | $127 | 5.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $68 | $85 | 13.1× |
| Hexagonal phospholipid (85598) | $135.60 | $169.50 | 7.5× |
| Hfe gene (81256) | $277.60 | $347 | 4.2× |
| Histoplasma antibody (86698) | $51.20 | $64 | 3.7× |
| HIV confirmation (86689) | $100.80 | $126 | 5.2× |
| HIV-1 antibody (86701) | $72.80 | $91 | 8.2× |
| HIV-1 integrase genotype (87906) | $628.80 | $786 | 4.9× |
| Hla class i high defin qual (86832) | $320 | $400 | 1.0× |
| Hla class ii high defin qual (86833) | $1,059.20 | $1,324 | 3.3× |
| Hla ii typing 1 locus lr (81376) | $301.60 | $377 | 2.5× |
| Hla-b27 (86812) | $144.80 | $181 | 5.6× |
| Hpv low-risk types (87623) | $49.60 | $62 | 1.4× |
| Hpylori Drug Administration (83014) | $44.80 | $56 | 5.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $194 | $242.50 | 5.5× |
| Human epididymis protein 4 (86305) | $168.80 | $211 | 8.1× |
| Hydroxyprogesterone 17-d (83498) | $128.80 | $161 | 4.7× |
| Iaad ia clostridium difficile toxin (87324) | $112.80 | $141 | 9.4× |
| Iaad Ia Cryptococcus Neoformans (87327) | $107.20 | $134 | 8.0× |
| Iaad ia cryptosporidium (87328) | $123.20 | $154 | 8.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $104 | $130 | 10.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $112.80 | $141 | 4.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $121.60 | $152 | 8.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $71.20 | $89 | 5.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $20 | $25 | 1.7× |
| Iaad Ia Streptococcus Group A (87430) | $84 | $105 | 5.0× |
| Iaadiadoo not otherwise specified (87899) | $44 | $55 | 2.7× |
| Iadna candida species amplified probe tq (87481) | $106.40 | $133 | 3.0× |
| Iadna Candida Species Direct Probe Tq (87480) | $72.80 | $91 | 3.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $76 | $95 | 2.2× |
| Iadna hepatitis b virus quantification (87517) | $459.20 | $574 | 10.7× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $224 | $280 | 6.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $318 | $397.50 | 7.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $268 | $335 | 7.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $386.80 | $483.50 | 4.5× |
| Iadna human papillomavirus high-risk types (87624) | $50.40 | $63 | 1.4× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $136 | $170 | 3.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $76 | $95 | 2.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $88.40 | $110.50 | 2.5× |
| Iadna nos amplified probe tq each organism (87798) | $181.20 | $226.50 | 5.2× |
| Iadna nos quantification each organism (87799) | $359.20 | $449 | 8.4× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $352 | $440 | 1.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $113.60 | $142 | 3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,127.60 | $1,409.50 | 2.7× |
| Igg subclasses (82787) | $46 | $57.50 | 5.7× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $343.20 | $429 | 0.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $82 | $102.50 | 5.5× |
| Immunoassay nonantibody (83516) | $71.20 | $89 | 6.2× |
| Immunofixation (86334) | $124.40 | $155.50 | 5.6× |
| Immunofixation urine (86335) | $121.60 | $152 | 4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $248 | $310 | 1.3× |
| Immunoglobulin light chains free each (83521) | $54 | $67.50 | 3.1× |
| Immunohistochemistry (88342) | $250.40 | $313 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $60.80 | $76 | 5.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) | $18.40 | $23 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $88.80 | $111 | 2.5× |
| Influenza a/b ag eia (87400) | $104 | $130 | 7.4× |
| Influenza DNA amp probe (87502) | $178.40 | $223 | 1.9× |
| Inhibin a (86336) | $83.20 | $104 | 5.3× |
| Inhibin b (83520) | $146 | $182.50 | 8.5× |
| Insitu hybridization auto (88367) | $296.80 | $371 | 0.7× |
| Insulin antibodies (86337) | $165.60 | $207 | 7.7× |
| Insulin total (83525) | $72 | $90 | 6.3× |
| Intrinsic factor antibody (86340) | $16 | $20 | 1.1× |
| Iron (83540) | $51.20 | $64 | 7.9× |
| Iron binding capacity (83550) | $64.80 | $81 | 7.4× |
| Islet cell antibody (86341) | $144 | $180 | 6.1× |
| Jak2 gene analysis (81270) | $260 | $325 | 2.8× |
| Lactoferrin fecal qual (83630) | $113.60 | $142 | 5.8× |
| Lactoferrin Fecal Quantitative (83631) | $304.80 | $381 | 15.5× |
| Ldh body fluid (83615) | $49.60 | $62 | 8.2× |
| LDL cholesterol direct (83721) | $66 | $82.50 | 6.3× |
| Lead (83655) | $72 | $90 | 5.9× |
| Legion pneumo, DNA, amp prob (87541) | $44 | $55 | 1.3× |
| Legionella antigen urine (87449) | $14.40 | $18 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $168.80 | $211 | 4.1× |
| Level v surg pathology grossµscopic exam (88307) | $465.60 | $582 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $752.80 | $941 | 0.8× |
| Lh (83002) | $110.40 | $138 | 6.0× |
| Lipase (83690) | $106 | $132.50 | 15.4× |
| Lipoprotein Bld Hr Fraction (83701) | $72.80 | $91 | 2.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $50.40 | $63 | 1.5× |
| Lithium (80178) | $72.80 | $91 | 11.0× |
| Lyme disease antibody (86618) | $80.80 | $101 | 4.7× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $576 | $720 | 3.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $300 | $375 | 1.6× |
| Macroscopic exam parasite (87169) | $64.80 | $81 | 15.0× |
| Magnesium (83735) | $49.60 | $62 | 7.4× |
| Malaria smear (87207) | $58.40 | $73 | 9.7× |
| Manual reticulocyte count (85044) | $47.20 | $59 | 11.0× |
| Mass spectrometry qual/quan (83789) | $198.40 | $248 | 8.2× |
| Mercury urine (83825) | $122.40 | $153 | 7.5× |
| Methemoglobin (83050) | $68 | $85 | 8.3× |
| Methylmalonic acid serum (83921) | $151.60 | $189.50 | 7.1× |
| Microalbumin urine (82043) | $52 | $65 | 9.0× |
| Microsatellite instability (81301) | $626.40 | $783 | 1.8× |
| Microsomal antibodies (86376) | $79.20 | $99 | 5.4× |
| Mitochondrial antibody each (86381) | $76.80 | $96 | 3.0× |
| Mrsa PCR (87641) | $216 | $270 | 6.2× |
| Mtb PCR (87556) | $229.60 | $287 | 5.5× |
| Mthfr Gene Analysis Common Variants (81291) | $361.60 | $452 | 5.5× |
| Muscle-specific kinase (musk) antibody (86366) | $980 | $1,225 | 53.3× |
| Mycophenolic acid (80180) | $115.20 | $144 | 6.4× |
| Mycoplasma antibody (86738) | $66.40 | $83 | 5.0× |
| Mycoplasma culture (87109) | $111.20 | $139 | 7.2× |
| Myoglobin urine (83874) | $90.40 | $113 | 7.0× |
| Natriuretic peptide (83880) | $177.60 | $222 | 4.5× |
| Nfct ds bv&vaginitis DNA alg (81515) | $230.40 | $288 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $248 | $310 | 3.4× |
| Nk cells total count (86357) | $142.40 | $178 | 3.8× |
| Nuclear antigen antibody (86235) | $96 | $120 | 5.4× |
| Occult blood gastric (82271) | $51.20 | $64 | 9.6× |
| Occult blood stool (82272) | $36.80 | $46 | 8.7× |
| Osmolality serum (83930) | $69.60 | $87 | 10.5× |
| Osmolality urine (83935) | $8 | $10 | 1.2× |
| Ova and parasite direct-id lca (87177) | $48 | $60 | 5.4× |
| Pancreatic elastase, fecal (82656) | $123.20 | $154 | 10.7× |
| Pancreatic polypeptide (83519) | $222.80 | $278.50 | 12.1× |
| Particle Agglutination Screen Each Antibody (86403) | $68 | $85 | 5.9× |
| Parvovirus antibody (86747) | $80 | $100 | 5.3× |
| Ph body fluid (83986) | $49.20 | $61.50 | 13.7× |
| Ph urine (81003) | $28.80 | $36 | 12.8× |
| Phenylalanine (84030) | $35.20 | $44 | 6.4× |
| Phenytoin free (80186) | $92.80 | $116 | 6.7× |
| Phosphatase alkaline (84075) | $44.80 | $56 | 8.6× |
| Phosphorus blood (84100) | $40 | $50 | 8.4× |
| Phosphorus urine (84105) | $38.40 | $48 | 6.6× |
| Pinworm exam (87172) | $34.40 | $43 | 8.1× |
| Platelet aggregation (85576) | $143.20 | $179 | 5.7× |
| Platelet count automated (85049) | $37.20 | $46.50 | 8.3× |
| Platelet neutralization (85597) | $89.60 | $112 | 5.0× |
| Potassium (84132) | $48 | $60 | 10.1× |
| Potassium urine (84133) | $60 | $75 | 12.7× |
| Pregnenolone (84140) | $140.80 | $176 | 6.8× |
| Primidone (80188) | $94.40 | $118 | 5.7× |
| Procalcitonin (pct) (84145) | $92.80 | $116 | 3.4× |
| Progesterone (84144) | $85.60 | $107 | 4.1× |
| Protein body fluid (84157) | $72.80 | $91 | 18.2× |
| Protein c activity (85303) | $155.60 | $194.50 | 11.2× |
| Protein electrophoresis serum (84165) | $84 | $105 | 7.8× |
| Protein Electrophoresis Urine (84166) | $126 | $157.50 | 7.1× |
| Protein total serum (84155) | $38.40 | $48 | 10.5× |
| Protein urine (84156) | $43.20 | $54 | 11.8× |
| Protein Western Blot (84182) | $192 | $240 | 6.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $196 | $245 | 11.5× |
| Protoporphyrin rbc quantitative (84202) | $53.60 | $67 | 3.7× |
| PSA free (84154) | $104.80 | $131 | 5.7× |
| Pth intact (83970) | $219.20 | $274 | 5.3× |
| Quinidine (80194) | $192 | $240 | 13.2× |
| Rbc (85041) | $37.60 | $47 | 12.5× |
| Rbc antibody elution (86860) | $209.60 | $262 | 1.1× |
| Rbc pretreatment serum (86978) | $449.60 | $562 | 6.8× |
| Rbc pretx incubatj w/chemicl (86970) | $115.20 | $144 | 1.8× |
| Reagent strip/blood glucose (82948) | $28.80 | $36 | 5.7× |
| Renin activity plasma (84244) | $74.40 | $93 | 3.4× |
| Resp virus 12-25 targets (87633) | $813.60 | $1,017 | 2.0× |
| Rheumatoid Factor Qual (86430) | $69.60 | $87 | 11.3× |
| Rheumatoid factor quant (86431) | $58.40 | $73 | 10.3× |
| Ristocetin cofactor (85245) | $145.60 | $182 | 6.3× |
| Rotavirus ag eia (87425) | $80.80 | $101 | 6.7× |
| Rubella antibody (86762) | $27.20 | $34 | 1.9× |
| Rubeola Antibody Igg (86765) | $44 | $55 | 3.4× |
| Rufinamide (80210) | $66.40 | $83 | 2.4× |
| Russell viper venom time diluted (85613) | $76.40 | $95.50 | 8.0× |
| Salicylate Level (80179) | $171.20 | $214 | 9.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $216.80 | $271 | 4.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $112 | $140 | 2.7× |
| Sars-cov-2 covid19 w/optic (87811) | $39.20 | $49 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $142.40 | $178 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $128 | $160 | 0.9× |
| Sedimentation rate auto (85652) | $51.20 | $64 | 19.0× |
| Selenium (84255) | $37.60 | $47 | 1.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $81.60 | $102 | 8.3× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $5.60 | $7 | 0.5× |
| Sensitivity kb (87184) | $71.20 | $89 | 9.5× |
| Sensitivity mic (87186) | $76.40 | $95.50 | 8.8× |
| Serotonin Release Assay (86022) | $219.20 | $274 | 11.9× |
| Serum bactericidal titer (87197) | $164 | $205 | 10.9× |
| Sex hormone binding globulin (84270) | $94.40 | $118 | 4.3× |
| Sirolimus (rapamycin) (80195) | $108 | $135 | 7.9× |
| Smear acid fast (87206) | $56 | $70 | 10.4× |
| Smear complex stain (87209) | $105.60 | $132 | 5.9× |
| Smear gram stain (87205) | $49.60 | $62 | 11.6× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $380 | $475 | 2.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $53.20 | $66.50 | 9.1× |
| Sodium (84295) | $35.20 | $44 | 7.3× |
| Sodium urine (84300) | $46.40 | $58 | 9.2× |
| Somatomedin (84305) | $148 | $185 | 7.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $196 | $245 | 1.3× |
| Special stains group 1 (88312) | $176 | $220 | 3.0× |
| Specific gravity body fluid (84315) | $19.20 | $24 | 5.9× |
| Staph a DNA amp probe (87640) | $200.80 | $251 | 5.7× |
| Stool Culture, Addl Pathogens (87046) | $61.60 | $77 | 6.5× |
| Strep a assay w/optic (87880) | $59.20 | $74 | 3.6× |
| Strep a DNA amp probe (87651) | $53.60 | $67 | 1.5× |
| Strep b DNA amp probe (87653) | $131.20 | $164 | 3.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $81.60 | $102 | 14.8× |
| Sugars single quant (84378) | $152.80 | $191 | 13.3× |
| Surg path level 1 (88300) | $90.40 | $113 | 2.8× |
| Surg path level iii (88304) | $208.80 | $261 | 3.6× |
| Surgical pathology level IV (88305) | $231.20 | $289 | 4.0× |
| T Cell Absolute Count (86361) | $108.80 | $136 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $184 | $230 | 3.9× |
| T3 free (84481) | $87.20 | $109 | 5.1× |
| T3 reverse (84482) | $119.20 | $149 | 7.6× |
| T3 total (84480) | $80.80 | $101 | 5.7× |
| T3 uptake (84479) | $52.80 | $66 | 8.2× |
| T4 free (84439) | $82.80 | $103.50 | 9.2× |
| T4 total (84436) | $57.20 | $71.50 | 8.3× |
| Tb ag response t-cell susp (86481) | $319.20 | $399 | 3.2× |
| Tb intradermal test (86580) | $35.20 | $44 | 1.1× |
| Tb test, cell immun measure (86480) | $136 | $170 | 2.2× |
| Testosterone free (84402) | $57.20 | $71.50 | 2.2× |
| Testosterone total (84403) | $70.26 | $87.83 | 2.7× |
| Theophylline (80198) | $101.60 | $127 | 7.2× |
| Thin prep pap (88142) | $67.20 | $84 | 3.3× |
| Thrombin time plasma (85670) | $66.40 | $83 | 11.5× |
| Thyroglobulin (84432) | $119.20 | $149 | 7.4× |
| Thyroglobulin antibody (86800) | $76.80 | $96 | 4.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $292.80 | $366 | 5.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $58.40 | $73 | 13.7× |
| Tissue culture bone marrow (88237) | $503.20 | $629 | 3.5× |
| Tissue culture lymphocyte (88230) | $584 | $730 | 5.0× |
| Tissue transglutaminase ab iga (86364) | $72.80 | $91 | 6.3× |
| Touch prep (88161) | $99.20 | $124 | 3.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $136.80 | $171 | 6.9× |
| Toxoplasma antibody igg (86777) | $67.20 | $84 | 4.7× |
| Transferrin (84466) | $76.80 | $96 | 6.0× |
| Trichomonas vagin dir probe (87660) | $72.80 | $91 | 3.6× |
| Triglycerides (84478) | $48.80 | $61 | 8.5× |
| Troponin (84484) | $146.40 | $183 | 11.7× |
| Urea nitrogen (84520) | $38.40 | $48 | 9.7× |
| Uric acid blood (84550) | $44.80 | $56 | 9.9× |
| Uric acid other source (84560) | $41.60 | $52 | 8.2× |
| Urinalysis auto w/scope (81001) | $44.40 | $55.50 | 14.0× |
| Urinalysis Microscopic Only (81015) | $32.80 | $41 | 10.8× |
| Urine Bacteria Culture (87088) | $79.20 | $99 | 9.8× |
| Urine pregnancy test (81025) | $62.40 | $78 | 7.2× |
| Urine volume measurement (81050) | $24.40 | $30.50 | 6.7× |
| Valproic acid (80164) | $104.80 | $131 | 7.7× |
| Vancomycin trough (80202) | $132 | $165 | 9.7× |
| Varicella-zoster antibody (86787) | $68 | $85 | 5.3× |
| Vasoactive intestinal peptide (vip) (84586) | $218.40 | $273 | 6.2× |
| Vdrl csf (86592) | $40.40 | $50.50 | 9.5× |
| Virus antibody nos (86790) | $96.80 | $121 | 7.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $196 | $245 | 5.8× |
| Virus inoculation, shell via (87254) | $108.80 | $136 | 5.6× |
| Viscosity serum (85810) | $68.80 | $86 | 5.9× |
| Vitamin A (84590) | $104 | $130 | 9.0× |
| Vitamin b-12 (82607) | $96.80 | $121 | 6.4× |
| Vitamin b1 (thiamine) (84425) | $121.60 | $152 | 5.7× |
| Vitamin b2 (84252) | $66.40 | $83 | 3.3× |
| Vitamin b6 (84207) | $129.60 | $162 | 4.6× |
| Vitamin c (82180) | $87.20 | $109 | 8.8× |
| Vitamin D 25-Hydroxy (82306) | $87.60 | $109.50 | 3.0× |
| Vitamin e serum (84446) | $117.60 | $147 | 8.3× |
| Zinc (84630) | $85.60 | $107 | 7.5× |