Lab & pathology prices at Jennie M Melham Memorial Medical Center
Broken Bow, NE · every code in this section with a posted price and a Medicare benchmark.
520 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) | $142.53 | $142.53 | 3.7× |
| 5 Hiaa (83497) | $95 | $95 | 7.4× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $108.85 | $108.85 | 5.9× |
| Acetylcholine receptor binding antibody (86041) | $108.85 | $108.85 | 5.9× |
| Actinomyces antibody (86602) | $211.15 | $211.15 | 20.7× |
| Acute hepatitis panel (80074) | $316.90 | $316.90 | 6.7× |
| Acylcarnitine Plasma (82017) | $324.75 | $324.75 | 19.3× |
| Adamts13 activity (85397) | $368.51 | $368.51 | 11.9× |
| Afb culture (87116) | $214.93 | $214.93 | 19.9× |
| Albumin Fluid (82042) | $76.75 | $76.75 | 9.9× |
| Albumin serum (82040) | $40.18 | $40.18 | 8.1× |
| Aldolase (82085) | $70 | $70 | 7.2× |
| Aldosterone urine (82088) | $259.09 | $259.09 | 6.4× |
| Alkaline phosphatase isoenzymes (84080) | $140.43 | $140.43 | 9.5× |
| Allerg sp igg quan or semiquan (86001) | $39.44 | $39.44 | 5.0× |
| Allergen specific ige (86003) | $50 | $50 | 9.6× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $13.25 | $13.25 | 1.7× |
| Alpha-1-antitrypsin phenotype (82104) | $52.34 | $52.34 | 3.6× |
| Alpha-1-antitrypsin, total (82103) | $90 | $90 | 6.7× |
| Alpha-fetoprotein, serum (82105) | $102.71 | $102.71 | 6.1× |
| Alt (sgpt) (84460) | $40.72 | $40.72 | 7.7× |
| Amikacin trough (80150) | $75 | $75 | 5.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $375 | $375 | 22.2× |
| Amino Acids, Single Quantitation (82131) | $300 | $300 | 13.1× |
| Ammonia (82140) | $150.43 | $150.43 | 10.3× |
| Amylase urine (82150) | $92.29 | $92.29 | 14.2× |
| Angiotensin i enzyme test (82164) | $72.29 | $72.29 | 5.0× |
| Anti-phosphatidylserine antibody (86148) | $114.32 | $114.32 | 7.1× |
| Antibody Absorption (86978) | $212.50 | $212.50 | 3.5× |
| Antibody aspergillus (86606) | $13.25 | $13.25 | 0.9× |
| Antibody coxiella burnetii q fever (86638) | $166.76 | $166.76 | 13.8× |
| Antibody cytomegalovirus cmv (86644) | $83.25 | $83.25 | 5.8× |
| Antibody cytomegalovirus cmv igm (86645) | $75 | $75 | 4.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $66.25 | $66.25 | 5.0× |
| Antibody helicobacter pylori (86677) | $45.50 | $45.50 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $60.64 | $60.64 | 4.2× |
| Antibody herpes smplx type 1 (86695) | $54.88 | $54.88 | 4.2× |
| Antibody identification (86870) | $413.02 | $413.02 | 1.1× |
| Antibody identification leukocyte antibodies (86021) | $100 | $100 | 6.6× |
| Antibody influenza virus (86710) | $119.25 | $119.25 | 8.8× |
| Antibody mumps (86735) | $33.25 | $33.25 | 2.5× |
| Antibody rubeola (86765) | $33.25 | $33.25 | 2.6× |
| Antibody screen (86850) | $144.94 | $144.94 | 14.8× |
| Antibody treponema pallidum (86780) | $50.13 | $50.13 | 3.8× |
| Antibody; Coccidioides (86635) | $61.04 | $61.04 | 5.3× |
| Antigen typing (86905) | $368.85 | $368.85 | 96.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $38 | $38 | 3.2× |
| Antinuclear antibodies (86038) | $100.53 | $100.53 | 8.3× |
| Antistreptolysin o titer (86060) | $82.25 | $82.25 | 11.3× |
| Antithrombin iii activity (85300) | $104.67 | $104.67 | 8.8× |
| Antithrombin iii antigen (85301) | $177.92 | $177.92 | 16.5× |
| Apolipoprotein b (82172) | $55.65 | $55.65 | 2.6× |
| Aquaporin-4 antibody flow cytometry each (86053) | $451.46 | $451.46 | 12.0× |
| Arsenic Urine (82175) | $201 | $201 | 10.6× |
| Assay Nephelometry Not Spec (83883) | $202.44 | $202.44 | 14.9× |
| Assay of acth (82024) | $171.60 | $171.60 | 4.4× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $206.22 | $206.22 | 11.9× |
| Assay of androstenedione (82157) | $115.50 | $115.50 | 3.9× |
| Assay of blood chloride (82435) | $21 | $21 | 4.6× |
| Assay of c-peptide (84681) | $87 | $87 | 4.2× |
| Assay of ceruloplasmin (82390) | $47.25 | $47.25 | 4.4× |
| Assay of cyclosporine (80158) | $84 | $84 | 4.7× |
| Assay of erythropoietin (82668) | $134.91 | $134.91 | 7.2× |
| Assay of ferritin (82728) | $40 | $40 | 2.9× |
| Assay of g6pd enzyme (82955) | $72 | $72 | 7.4× |
| Assay of gammaglobulin igm (82784) | $152.11 | $152.11 | 16.4× |
| Assay of gastrin (82941) | $109.25 | $109.25 | 6.2× |
| Assay of gentamicin (80170) | $100.50 | $100.50 | 6.1× |
| Assay of homocystine (83090) | $221.37 | $221.37 | 12.4× |
| Assay of lipoprotein(a) (83695) | $113.51 | $113.51 | 7.9× |
| Assay of manganese (83785) | $140.26 | $140.26 | 5.3× |
| Assay of metanephrines (83835) | $259.37 | $259.37 | 15.3× |
| Assay of parathormone (83970) | $237.21 | $237.21 | 5.7× |
| Assay of phenobarbital (80184) | $138.25 | $138.25 | 9.0× |
| Assay of phosphatase acid total (84060) | $73.25 | $73.25 | 9.6× |
| Assay of prealbumin (84134) | $132.86 | $132.86 | 9.1× |
| Assay of proinsulin (84206) | $71.92 | $71.92 | 2.7× |
| Assay of serotonin (84260) | $198 | $198 | 6.4× |
| Assay of somatomedin (84305) | $177.68 | $177.68 | 8.4× |
| Assay of tacrolimus (80197) | $162.50 | $162.50 | 11.8× |
| Assay of vitamin k (84597) | $167.76 | $167.76 | 12.2× |
| Assay Ph Body Fluid Nos (83986) | $54 | $54 | 15.1× |
| Ast (sgot) (84450) | $40.05 | $40.05 | 7.7× |
| B cells total count (86355) | $203.16 | $203.16 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $812 | $812 | 5.0× |
| Bcr/abl1 gene minor bp (81207) | $261.12 | $261.12 | 1.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $210.04 | $210.04 | 8.3× |
| Beta hydroxybutyrate (82010) | $87.75 | $87.75 | 10.7× |
| Beta Lactamase (87185) | $8.83 | $8.83 | 1.9× |
| Beta-2 microglobulin (82232) | $139.16 | $139.16 | 8.6× |
| Bile acids, total (82239) | $43.60 | $43.60 | 2.5× |
| Bilirubin direct (82248) | $46.72 | $46.72 | 9.3× |
| Bilirubin total (82247) | $39.20 | $39.20 | 7.8× |
| Biotinidase ea specimen (82261) | $49.50 | $49.50 | 2.9× |
| Bl Smear W/Diff Wbc Count (85007) | $39.37 | $39.37 | 10.4× |
| Blastomyces antibody (86612) | $13.25 | $13.25 | 1.0× |
| Bleeding time (85002) | $75 | $75 | 15.6× |
| Blood gases (82803) | $281.38 | $281.38 | 10.8× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $31.50 | $31.50 | 3.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $41.58 | $41.58 | 9.5× |
| Blood Ph - Ph Venous (82800) | $130.11 | $130.11 | 11.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $142.61 | $142.61 | 22.5× |
| Blood typing abo (86900) | $90.84 | $90.84 | 30.4× |
| Blood typing serologic rh (d) (86901) | $78.21 | $78.21 | 26.2× |
| Body fluid cell count (89051) | $150.68 | $150.68 | 26.9× |
| Body fluid cell count (89050) | $32.25 | $32.25 | 6.8× |
| Bone Marrow Smear Interpretation (85097) | $35.75 | $35.75 | 0.0× |
| Bordetella antibody (86615) | $289.14 | $289.14 | 21.9× |
| Braf gene (81210) | $602.66 | $602.66 | 3.4× |
| Breath Alcohol Test (82075) | $65 | $65 | 2.2× |
| C diff amplified probe (87493) | $281.09 | $281.09 | 7.5× |
| C-reactive protein (86140) | $107.88 | $107.88 | 20.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $62.25 | $62.25 | 4.8× |
| Ca 125 (86304) | $142.18 | $142.18 | 6.8× |
| Ca 19-9 (86301) | $78.75 | $78.75 | 3.8× |
| Ca 27 29 (86300) | $171.98 | $171.98 | 8.3× |
| Cadmium level (82300) | $63 | $63 | 2.7× |
| Calcium ionized (82330) | $90 | $90 | 6.6× |
| Calcium total (82310) | $49.62 | $49.62 | 9.6× |
| Calcium urine (82340) | $78.02 | $78.02 | 12.9× |
| Calculus Quantitative Chemical (82360) | $134.08 | $134.08 | 10.4× |
| Calprotectin, fecal (83993) | $429.48 | $429.48 | 21.9× |
| Calr gene com variants (81219) | $448 | $448 | 3.7× |
| Carbamazepine (tegretol) total (80156) | $131.29 | $131.29 | 9.0× |
| Carbon dioxide (82374) | $12.75 | $12.75 | 2.6× |
| Carboxyhemoglobin Quantitative (82375) | $52.75 | $52.75 | 4.3× |
| Carcinoembryonic antigen (82378) | $142.21 | $142.21 | 7.5× |
| Cardiolipin ab igg (86147) | $288.29 | $288.29 | 11.3× |
| Carnitine (82379) | $236 | $236 | 14.0× |
| Carotene (82380) | $82.75 | $82.75 | 9.0× |
| Catecholamines fraction plasma (82384) | $159.50 | $159.50 | 6.3× |
| Cd4 absolute count (86361) | $100.45 | $100.45 | 3.8× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $765.73 | $765.73 | 5.6× |
| Cftr gene com variants (81220) | $240 | $240 | 0.4× |
| Chemiluminescent assay (82397) | $174.61 | $174.61 | 12.4× |
| Chloride other source (82438) | $47.25 | $47.25 | 9.5× |
| Chloride urine (82436) | $87.57 | $87.57 | 15.2× |
| Cholesterol total (82465) | $30.25 | $30.25 | 7.0× |
| Cholinesterase serum (82480) | $86 | $86 | 10.9× |
| Chrmsm analysis addl cells counted each study (88285) | $91.50 | $91.50 | 3.4× |
| Chromium urine (82495) | $62.80 | $62.80 | 3.1× |
| Chromogranin a (86316) | $125.30 | $125.30 | 6.0× |
| Chromosome Analysis 5 (88261) | $600 | $600 | 2.3× |
| Chromosome karyotype study (88280) | $236 | $236 | 7.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $120.35 | $120.35 | 3.4× |
| Citrate (82507) | $221.25 | $221.25 | 8.0× |
| Ck isoenzymes (82552) | $106.50 | $106.50 | 8.0× |
| Ckmb (82553) | $180 | $180 | 15.6× |
| Clot factor viii vw antigen (85246) | $386.50 | $386.50 | 16.8× |
| Clotting time (85345) | $34.75 | $34.75 | 7.4× |
| Clozapine level (80159) | $157.50 | $157.50 | 7.8× |
| Cmv PCR (87496) | $115 | $115 | 3.3× |
| Cns DNA amp probe type 12-25 (87483) | $616 | $616 | 1.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $250 | $250 | 10.4× |
| Cold agglutinin screen (86156) | $79.50 | $79.50 | 9.9× |
| Collagen cross links (82523) | $266.61 | $266.61 | 14.3× |
| Compatibility test antiglob (86922) | $370.20 | $370.20 | 2.1× |
| Compatibility Test Incubate (86921) | $30.75 | $30.75 | 0.2× |
| Complement c3 (86160) | $134.55 | $134.55 | 11.2× |
| Complement total ch50 (86162) | $75.50 | $75.50 | 3.7× |
| Concentration Infectious Agent (87015) | $59.64 | $59.64 | 8.9× |
| Coombs direct (86880) | $152.77 | $152.77 | 28.3× |
| Copper urine (82525) | $106.38 | $106.38 | 8.6× |
| Cortisol free (82530) | $141.75 | $141.75 | 8.5× |
| Cortisol total (82533) | $150.59 | $150.59 | 9.2× |
| Creatine kinase total (82550) | $93.05 | $93.05 | 14.3× |
| Creatinine blood (82565) | $49.92 | $49.92 | 9.8× |
| Creatinine clearance (82575) | $105.75 | $105.75 | 11.2× |
| Creatinine other source (82570) | $35 | $35 | 6.8× |
| Crossmatch immediate spin (86920) | $137.25 | $137.25 | 0.8× |
| Cryoglobulin (82595) | $43.42 | $43.42 | 6.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $111.30 | $111.30 | 13.8× |
| Culture Aerobic Identify (87077) | $97.92 | $97.92 | 12.1× |
| Culture anaerobic (87075) | $152.09 | $152.09 | 16.1× |
| Culture blood (87040) | $355.48 | $355.48 | 34.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $42 | $42 | 5.4× |
| Culture fungus id yeast (87106) | $26.45 | $26.45 | 2.6× |
| Culture fungus other (87102) | $237.14 | $237.14 | 28.2× |
| Culture genital (87070) | $114.95 | $114.95 | 13.3× |
| Culture screen only (87081) | $64.21 | $64.21 | 9.7× |
| Culture stool (87045) | $105.86 | $105.86 | 11.2× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $657.78 | $657.78 | 3.0× |
| Culture typing if ea antiserum (87140) | $48 | $48 | 8.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $67.90 | $67.90 | 13.1× |
| Culture urine (87086) | $91.37 | $91.37 | 11.3× |
| Culture urine id ea isolate (87088) | $95.41 | $95.41 | 11.8× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $75 | $75 | 0.7× |
| Cyclic Citrullinated Peptide (86200) | $105.62 | $105.62 | 8.2× |
| Cystatin c (82610) | $43.17 | $43.17 | 2.3× |
| Cytogenetics DNA probe (88271) | $157.25 | $157.25 | 7.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $472.18 | $472.18 | 11.0× |
| Cytopath cell enhance tech (88112) | $80 | $80 | 1.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $52 | $52 | 1.3× |
| Cytp concentration smears & interpretation (88108) | $207.21 | $207.21 | 5.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $271.06 | $271.06 | 5.0× |
| D-Dimer (85379) | $196.71 | $196.71 | 19.3× |
| Dhea (82626) | $149.47 | $149.47 | 5.9× |
| Dhea sulfate (82627) | $145.45 | $145.45 | 6.5× |
| Digoxin (80162) | $114.89 | $114.89 | 8.7× |
| Dilantin (80185) | $120.02 | $120.02 | 9.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $85.78 | $85.78 | 6.2× |
| Dna/Rna Amplified Probe (87150) | $814 | $814 | 23.2× |
| DNA/RNA direct probe (87149) | $129.36 | $129.36 | 6.5× |
| Drug Assay Infliximab (80230) | $353.39 | $353.39 | 9.2× |
| Drug assay itraconazole (80189) | $157.87 | $157.87 | 5.8× |
| Drug assay posaconazole (80187) | $140.64 | $140.64 | 5.2× |
| Drug assay vedolizumab (80280) | $237.22 | $237.22 | 6.2× |
| Drug assay voriconazole (80285) | $185.90 | $185.90 | 6.9× |
| Drug Screen Quant Gabapentin (80171) | $170.75 | $170.75 | 7.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $149.37 | $149.37 | 11.3× |
| Drug Scrn Quan Levetiracetam (80177) | $191.17 | $191.17 | 14.4× |
| Drug scrn quant oxcarbazepin (80183) | $158.82 | $158.82 | 12.0× |
| Drug test prsmv chem anlyzr (80307) | $267.50 | $267.50 | 4.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $182.86 | $182.86 | 14.5× |
| Ebv viral capsid (86665) | $66.25 | $66.25 | 3.7× |
| Elastase pancreatic fecal quantitative (82653) | $243.20 | $243.20 | 10.6× |
| Electrolyte panel (80051) | $109.69 | $109.69 | 15.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.75 | $108.75 | 9.0× |
| Endomysial antibody iga (86255) | $303.75 | $303.75 | 25.2× |
| Enzyme cell activity (82657) | $250 | $250 | 11.3× |
| Eosinophil count (85048) | $38.25 | $38.25 | 15.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $66.25 | $66.25 | 4.3× |
| Estradiol (82670) | $151.64 | $151.64 | 5.4× |
| Estriol (82677) | $88.98 | $88.98 | 3.7× |
| Estrogen fractionated (82671) | $100.39 | $100.39 | 3.1× |
| Estrogen receptor analysis (84233) | $113.25 | $113.25 | 1.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $65 | $65 | 8.9× |
| F2 gene analysis 20210g >a variant (81240) | $224.72 | $224.72 | 3.4× |
| F5 gene (81241) | $350 | $350 | 4.8× |
| Factor viii ahg (85240) | $100.64 | $100.64 | 5.6× |
| Factor viii related antigen (85244) | $100.64 | $100.64 | 4.9× |
| Factor viii vw multimetric (85247) | $373.75 | $373.75 | 16.3× |
| Fat stain (89125) | $123.50 | $123.50 | 21.0× |
| Fecal fat qual (82705) | $70.88 | $70.88 | 13.9× |
| Fetal bleed screen (85461) | $105.26 | $105.26 | 11.2× |
| Fetal fibronectin (82731) | $433.25 | $433.25 | 6.7× |
| Fetal hemoglobin, chemical (83030) | $61 | $61 | 5.7× |
| Fetal lung maturity fluorescence polarization (83663) | $124.50 | $124.50 | 6.6× |
| Fibrinogen activity (85384) | $136.99 | $136.99 | 14.1× |
| Flow cytometry first marker (88184) | $388.19 | $388.19 | 1.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $130.28 | $130.28 | 10.8× |
| Folate serum (82746) | $120.97 | $120.97 | 8.2× |
| Follicle Stimulating Hormone (83001) | $132.72 | $132.72 | 7.1× |
| Fructosamine (82985) | $68.93 | $68.93 | 4.1× |
| Ftl cgen abnor four anal (81511) | $190.58 | $190.58 | 1.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $59 | $59 | 5.7× |
| Galactose transferase test (82776) | $33.75 | $33.75 | 2.9× |
| Gammaglobulin ige (82785) | $145.66 | $145.66 | 8.8× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,672 | $1,672 | 2.2× |
| Ggt (82977) | $81.78 | $81.78 | 11.4× |
| Giardia antigen eia stool (87329) | $88.53 | $88.53 | 7.4× |
| Giardia lamblia antibody (86674) | $112.25 | $112.25 | 7.6× |
| Gliadin antibody each immunoglobulin class (86258) | $115.50 | $115.50 | 9.6× |
| Glucose (82947) | $45.41 | $45.41 | 11.6× |
| Glucose body fluid (82945) | $47.25 | $47.25 | 12.0× |
| Glucose post dose (82950) | $51 | $51 | 10.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $51.32 | $51.32 | 13.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $152.90 | $152.90 | 11.9× |
| Glycosylated hb home device (83037) | $72.52 | $72.52 | 7.5× |
| Growth hormone (83003) | $76.50 | $76.50 | 4.6× |
| Haptoglobin (83010) | $116.78 | $116.78 | 9.3× |
| Hcg quant (84702) | $144.66 | $144.66 | 9.6× |
| Hdl Cholesterol (83718) | $66.50 | $66.50 | 8.1× |
| Heavy metal quant each (83018) | $71.60 | $71.60 | 3.3× |
| Hematocrit (85014) | $46.40 | $46.40 | 19.6× |
| Hemoglobin (85018) | $44.77 | $44.77 | 18.9× |
| Hemoglobin a1c (83036) | $64.50 | $64.50 | 6.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $61 | $61 | 3.4× |
| Hemoglobin electrophoresis (83020) | $91.10 | $91.10 | 7.1× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $134.75 | $134.75 | 17.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $98 | $98 | 12.0× |
| Heparin assay (85520) | $162 | $162 | 12.4× |
| Hepatitis a antibody total (86708) | $84 | $84 | 6.8× |
| Hepatitis b core ab igm (86705) | $90 | $90 | 7.6× |
| Hepatitis b core antibody total (86704) | $102.34 | $102.34 | 8.5× |
| Hepatitis B Surface Ab (86706) | $91.26 | $91.26 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $71.19 | $71.19 | 6.9× |
| Hepatitis be antibody (86707) | $70.16 | $70.16 | 6.1× |
| Hepatitis Be Antigen (87350) | $117.62 | $117.62 | 10.2× |
| Hepatitis c antibody (86803) | $101.93 | $101.93 | 7.1× |
| Herpes culture (87252) | $131.50 | $131.50 | 5.0× |
| Herpes simplex type 2 (86696) | $54.88 | $54.88 | 2.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $87.35 | $87.35 | 16.9× |
| Hfe gene (81256) | $348.91 | $348.91 | 5.3× |
| Histoplasma antibody (86698) | $13.25 | $13.25 | 1.0× |
| Histoplasma antigen urine (87385) | $293.51 | $293.51 | 22.2× |
| HIV-1 genotype (87901) | $237.50 | $237.50 | 0.9× |
| HIV-1 integrase genotype (87906) | $237.50 | $237.50 | 1.8× |
| Hla b 27 disease association lc (81374) | $440 | $440 | 5.9× |
| Hla ii typing 1 allele hr (81383) | $275.26 | $275.26 | 2.5× |
| Hla-b27 (86812) | $123 | $123 | 4.8× |
| Homogenization tissue (87176) | $53.82 | $53.82 | 9.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $115 | $115 | 3.3× |
| Hydroxyprogesterone 17-d (83498) | $131.34 | $131.34 | 4.8× |
| Iaad ia clostridium difficile toxin (87324) | $51.50 | $51.50 | 4.3× |
| Iaad ia cryptosporidium (87328) | $84.77 | $84.77 | 6.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $97.96 | $97.96 | 4.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $172.46 | $172.46 | 12.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $231.78 | $231.78 | 16.7× |
| Iaad ia rotavirus (87425) | $101 | $101 | 8.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $153.67 | $153.67 | 4.3× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $74.14 | $74.14 | 6.2× |
| Iaadi herpes smplx virus type 2 (87273) | $60.39 | $60.39 | 5.0× |
| Iaadi inffluenza a virus (87276) | $53.78 | $53.78 | 3.3× |
| Iaadi influenza b virus (87275) | $61 | $61 | 5.0× |
| Iaadiadoo not otherwise specified (87899) | $119.50 | $119.50 | 7.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $50 | $50 | 1.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $220.17 | $220.17 | 9.7× |
| Iadna hepatitis b virus quantification (87517) | $168 | $168 | 3.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $323.59 | $323.59 | 7.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $115 | $115 | 3.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $426.25 | $426.25 | 5.0× |
| Iadna human papillomavirus high-risk types (87624) | $134.03 | $134.03 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $50 | $50 | 1.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $112.60 | $112.60 | 3.2× |
| Iadna nos amplified probe tq each organism (87798) | $50 | $50 | 1.4× |
| Iadna nos quantification each organism (87799) | $185 | $185 | 4.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $826.64 | $826.64 | 2.0× |
| Igg subclasses (82787) | $222.21 | $222.21 | 27.7× |
| Igh gene rearrange amp meth (81261) | $726 | $726 | 3.7× |
| Igvh somatic hypermutation (81263) | $1,134.38 | $1,134.38 | 3.9× |
| Immunfix e-phorsis/urine/csf (86335) | $58 | $58 | 2.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $84.26 | $84.26 | 5.6× |
| Immunoassay nonantibody (83516) | $59 | $59 | 5.1× |
| Immunodiffusion Ouchterlony (86331) | $13.25 | $13.25 | 1.1× |
| Immunofixj Electrophoresis Serum (86334) | $199.45 | $199.45 | 8.9× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $60.39 | $60.39 | 5.0× |
| Immunoglobulin light chains free each (83521) | $120 | $120 | 6.9× |
| Immunohistochemistry (88342) | $409.94 | $409.94 | 2.3× |
| India ink prep (87210) | $72.08 | $72.08 | 12.4× |
| Influenza a/b ag eia (87400) | $243.56 | $243.56 | 17.2× |
| Inhibin a (86336) | $26.79 | $26.79 | 1.7× |
| Inhibin b (83520) | $331.18 | $331.18 | 19.2× |
| Insitu hybridization (fish) (88365) | $107.81 | $107.81 | 0.6× |
| Insulin total (83525) | $89.46 | $89.46 | 7.8× |
| Iron (83540) | $40 | $40 | 6.2× |
| Iron binding capacity (83550) | $40 | $40 | 4.6× |
| Islet cell antibody (86341) | $297 | $297 | 12.6× |
| Jak2 gene analysis (81270) | $560 | $560 | 6.1× |
| Lactic acid (83605) | $164.75 | $164.75 | 14.2× |
| Lactoferrin fecal qualitative (83630) | $67.25 | $67.25 | 3.4× |
| Ldh (83615) | $59.29 | $59.29 | 9.8× |
| Ldh isoenzymes (83625) | $28.75 | $28.75 | 2.2× |
| LDL cholesterol direct (83721) | $65.27 | $65.27 | 6.2× |
| Lead (83655) | $88.09 | $88.09 | 7.3× |
| Legionella antigen urine (87449) | $51.50 | $51.50 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) | $196.78 | $196.78 | 5.1× |
| Level v surg pathology grossµscopic exam (88307) | $810.70 | $810.70 | 2.2× |
| Level vi surg pathology grossµscopic exam (88309) | $327 | $327 | 0.4× |
| Lh (83002) | $125.92 | $125.92 | 6.8× |
| Lipase (83690) | $134.87 | $134.87 | 19.6× |
| Listeria ab (86609) | $205 | $205 | 15.9× |
| Lithium (80178) | $86 | $86 | 13.0× |
| Lyme disease antibody (86618) | $194.63 | $194.63 | 11.4× |
| Lyme disease antibody confirm (86617) | $200.21 | $200.21 | 12.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $645 | $645 | 3.6× |
| Magnesium (83735) | $97.77 | $97.77 | 14.6× |
| Malaria smear (87207) | $44.10 | $44.10 | 7.4× |
| Mass spectrometry qual/quan (83789) | $520 | $520 | 21.6× |
| Mercury (83825) | $109.90 | $109.90 | 6.8× |
| Methotrexate (80299) | $190.55 | $190.55 | 10.2× |
| Methylmalonic acid serum (83921) | $188.12 | $188.12 | 8.9× |
| Microalbumin urine (82043) | $82.28 | $82.28 | 14.2× |
| Microbe suscept macrobroth (87188) | $149.64 | $149.64 | 22.5× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $208.80 | $208.80 | 3.9× |
| Microsomal antibodies (86376) | $94.58 | $94.58 | 6.5× |
| Mitochondrial antibody each (86381) | $68.60 | $68.60 | 2.7× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $288.40 | $288.40 | 23.9× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $217.50 | $217.50 | 4.2× |
| Molecular pathology procedure level 2 (81401) | $194.80 | $194.80 | 1.4× |
| Mononuclear cell antigen (86356) | $88 | $88 | 3.3× |
| Mopath procedure level 4 (81403) | $803.86 | $803.86 | 4.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $792 | $792 | 4.3× |
| Mrsa amp probe (87641) | $354.24 | $354.24 | 10.1× |
| Mthfr Gene Analysis Common Variants (81291) | $130.56 | $130.56 | 2.0× |
| Muscle-specific kinase (musk) antibody (86366) | $986.34 | $986.34 | 53.6× |
| Mycoplasma antibody (86738) | $133.26 | $133.26 | 10.1× |
| Myelin basic protein csf (83873) | $103.25 | $103.25 | 6.0× |
| Myoglobin urine (83874) | $61 | $61 | 4.7× |
| Nasal smear for eosinophils (89190) | $33.46 | $33.46 | 5.8× |
| Natriuretic peptide (83880) | $303.90 | $303.90 | 7.7× |
| Niacin (84591) | $181.50 | $181.50 | 10.6× |
| Nk cells total count (86357) | $210.93 | $210.93 | 5.6× |
| Nmr Lipoprofile (83704) | $86 | $86 | 2.5× |
| Nuclear antigen antibody (86235) | $186.72 | $186.72 | 10.4× |
| Oligoclonal bands (83916) | $145.47 | $145.47 | 5.3× |
| Organic Acids Total Quantitative Each Specimen (83918) | $374.54 | $374.54 | 15.9× |
| Osmolality serum (83930) | $93.75 | $93.75 | 14.2× |
| Osmolality urine (83935) | $93.52 | $93.52 | 13.7× |
| Ova and parasite direct-id lca (87177) | $29.41 | $29.41 | 3.3× |
| Oxalate urine (83945) | $131.20 | $131.20 | 9.1× |
| Pancreatic polypeptide (83519) | $452.82 | $452.82 | 24.6× |
| Particle Agglutination Screen Each Antibody (86403) | $67.17 | $67.17 | 5.8× |
| Parvovirus antibody (86747) | $41.54 | $41.54 | 2.8× |
| Phenotype Infect Agent Drug (87900) | $237.50 | $237.50 | 1.8× |
| Phenylalanine (84030) | $40 | $40 | 7.3× |
| Phosphatase alkaline (84075) | $29.06 | $29.06 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $215 | $215 | 12.0× |
| Phosphorus blood (84100) | $69.35 | $69.35 | 14.6× |
| Phosphorus urine (84105) | $89.31 | $89.31 | 15.5× |
| Platelet count (85049) | $42.75 | $42.75 | 9.5× |
| Platelet neutralization (85597) | $135 | $135 | 7.5× |
| Pml/raralpha com breakpoints (81315) | $571.20 | $571.20 | 2.8× |
| Porphyrins urine qual (84119) | $47.25 | $47.25 | 3.5× |
| Potassium (84132) | $53.71 | $53.71 | 11.3× |
| Potassium urine (84133) | $85.82 | $85.82 | 18.1× |
| Pregnenolone (84140) | $266.42 | $266.42 | 12.9× |
| Primidone (80188) | $95.50 | $95.50 | 5.8× |
| Procalcitonin (pct) (84145) | $262.99 | $262.99 | 9.7× |
| Progesterone (84144) | $131.66 | $131.66 | 6.3× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $113.25 | $113.25 | 1.7× |
| Prolactin (84146) | $142.48 | $142.48 | 7.4× |
| Prostaglandin Ea (84150) | $103.60 | $103.60 | 2.5× |
| Protein body fluid (84157) | $57.25 | $57.25 | 14.3× |
| Protein c activity (85303) | $124.85 | $124.85 | 9.0× |
| Protein c antigen (85302) | $226.78 | $226.78 | 18.9× |
| Protein electrophoresis serum (84165) | $33 | $33 | 3.1× |
| Protein Electrophoresis Urine (84166) | $60 | $60 | 3.4× |
| Protein S Functional (85306) | $206.30 | $206.30 | 13.5× |
| Protein s total (85305) | $62.43 | $62.43 | 5.4× |
| Protein Total Serum (84155) | $37.87 | $37.87 | 10.3× |
| Protein urine (84156) | $18.14 | $18.14 | 4.9× |
| Protein Western Blot (84182) | $84.88 | $84.88 | 2.9× |
| PSA free (84154) | $10 | $10 | 0.5× |
| Quantiferon tb gold (86480) | $209.36 | $209.36 | 3.4× |
| Quinidine (80194) | $126.50 | $126.50 | 8.7× |
| Rbc antibody elution (86860) | $139.50 | $139.50 | 0.8× |
| Ref consult prep elsewhere (88321) | $250 | $250 | 6.4× |
| Renin activity plasma (84244) | $172.87 | $172.87 | 7.9× |
| Respiratory viral panel PCR (87633) | $425 | $425 | 1.0× |
| Reticulated platelet assay (85055) | $51 | $51 | 1.4× |
| Reticulocyte Count (85046) | $43.47 | $43.47 | 7.8× |
| Rheumatoid factor quant (86431) | $66.78 | $66.78 | 11.8× |
| Rickettsia antibody (86757) | $132.50 | $132.50 | 6.8× |
| Rpr Titer (86593) | $44.50 | $44.50 | 10.1× |
| Rubella antibody (86762) | $40.66 | $40.66 | 2.8× |
| Russell viper venom time diluted (85613) | $40 | $40 | 4.2× |
| Saccharomyces ab iga (86671) | $179.63 | $179.63 | 14.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.50 | $157.50 | 3.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $112 | $112 | 2.7× |
| Sed rate automated (85652) | $43.21 | $43.21 | 16.0× |
| Sedimentation rate (85651) | $56.16 | $56.16 | 13.2× |
| Semen analysis complete (89320) | $100.50 | $100.50 | 8.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $73 | $73 | 6.1× |
| Semen analysis w/count (89310) | $98.50 | $98.50 | 11.4× |
| Sensitivity mic (87186) | $124.92 | $124.92 | 14.4× |
| Serotonin Release Assay (86022) | $243.50 | $243.50 | 13.3× |
| Sex hormone binding globulin (84270) | $104.91 | $104.91 | 4.8× |
| Smear acid fast (87206) | $100.89 | $100.89 | 18.7× |
| Smear complex stain (87209) | $58.80 | $58.80 | 3.3× |
| Smear gram stain (87205) | $63.94 | $63.94 | 15.0× |
| Sodium (84295) | $54.08 | $54.08 | 11.2× |
| Sodium urine (84300) | $53.03 | $53.03 | 10.5× |
| Soluble transferrin receptor (84238) | $86.37 | $86.37 | 2.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $230.78 | $230.78 | 1.7× |
| Special stains group 1 (88312) | $319.14 | $319.14 | 5.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $111.54 | $111.54 | 11.8× |
| Strep a assay w/optic (87880) | $84.49 | $84.49 | 5.1× |
| Strep b DNA amp probe (87653) | $123.50 | $123.50 | 3.5× |
| Sulfate urine (84392) | $87.57 | $87.57 | 16.0× |
| Surg path level iii (88304) | $228.10 | $228.10 | 4.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $84.46 | $84.46 | 2.8× |
| Surgical pathology level IV (88305) | $299.26 | $299.26 | 5.5× |
| Susceptibility study antimicrobial disk method (87184) | $106.72 | $106.72 | 14.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $216 | $216 | 4.6× |
| T cells, total count (86359) | $151.04 | $151.04 | 4.0× |
| T3 free (84481) | $123.85 | $123.85 | 7.3× |
| T3 reverse (84482) | $134.65 | $134.65 | 8.5× |
| T3 total (84480) | $119.21 | $119.21 | 8.4× |
| T3 uptake (84479) | $64 | $64 | 9.9× |
| T4 Free (84439) | $89.83 | $89.83 | 10.0× |
| T4 total (84436) | $76.24 | $76.24 | 11.1× |
| T4-neonatal (84437) | $27 | $27 | 4.2× |
| Tb intradermal test (86580) | $57.07 | $57.07 | 1.9× |
| Testosterone free (84402) | $179.75 | $179.75 | 7.1× |
| Testosterone total (84403) | $122.32 | $122.32 | 4.7× |
| Theophylline (80198) | $103.50 | $103.50 | 7.3× |
| Thin prep pap (88142) | $78.45 | $78.45 | 3.9× |
| Thrombin time plasma (85670) | $16.98 | $16.98 | 2.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $77 | $77 | 11.9× |
| Thyroglobulin (84432) | $135 | $135 | 8.4× |
| Thyroglobulin Ab (86800) | $100.49 | $100.49 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $175 | $175 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $90.67 | $90.67 | 7.9× |
| Tissue culture bone marrow (88237) | $619 | $619 | 4.3× |
| Tobramycin peak (80200) | $87 | $87 | 5.4× |
| Topiramate (80201) | $225.75 | $225.75 | 18.9× |
| Toxoplasma ab igm (86778) | $116.25 | $116.25 | 8.1× |
| Transferrin (84466) | $87.75 | $87.75 | 6.9× |
| Trg gene rearrangement analysis (81342) | $690 | $690 | 3.4× |
| Triglycerides (84478) | $51.68 | $51.68 | 9.0× |
| Troponin (84484) | $194.50 | $194.50 | 15.6× |
| Troponin i qualitative (84512) | $132.40 | $132.40 | 13.1× |
| Tyrosine (84510) | $40 | $40 | 3.8× |
| Urea nitrogen (84520) | $44.11 | $44.11 | 11.2× |
| Urea nitrogen urine (84540) | $17.98 | $17.98 | 3.2× |
| Uric acid blood (84550) | $44.25 | $44.25 | 9.8× |
| Uric acid other source (84560) | $49.25 | $49.25 | 9.7× |
| Urinalysis microscopic only (81015) | $32.74 | $32.74 | 10.7× |
| Urine pregnancy test (81025) | $90 | $90 | 10.5× |
| Urine volume measurement (81050) | $25 | $25 | 6.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $71.87 | $71.87 | 31.9× |
| Valproic acid level (80164) | $152.13 | $152.13 | 11.2× |
| Vancomycin trough (80202) | $168.02 | $168.02 | 12.4× |
| Varicella-zoster antibody (86787) | $58.75 | $58.75 | 4.6× |
| Vasopressin (84588) | $168.50 | $168.50 | 5.0× |
| Vdrl csf (86592) | $25 | $25 | 5.9× |
| Virus inoculate tissue addl (87253) | $45 | $45 | 2.2× |
| Viscosity serum (85810) | $84.46 | $84.46 | 7.2× |
| Vitamin A (84590) | $78.75 | $78.75 | 6.8× |
| Vitamin b-12 (82607) | $117.41 | $117.41 | 7.8× |
| Vitamin b1 (thiamine) (84425) | $161.74 | $161.74 | 7.6× |
| Vitamin b6 (84207) | $165 | $165 | 5.9× |
| Vitamin C (82180) | $99.77 | $99.77 | 10.1× |
| Vitamin D 25-Hydroxy (82306) | $145.28 | $145.28 | 4.9× |
| Vitamin e serum (84446) | $81.84 | $81.84 | 5.8× |
| Von willebrand factor activity (85245) | $159.50 | $159.50 | 7.0× |
| West nile virus ab, igm (86788) | $104.50 | $104.50 | 6.2× |
| West nile virus antibody (86789) | $108 | $108 | 7.5× |
| Zinc (84630) | $74.12 | $74.12 | 6.5× |