Lab & pathology prices at Kit Carson County Memorial Hospital

Burlington, CO · every code in this section with a posted price and a Medicare benchmark.

590 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $214.50 $252.35 7.9×
17-Hydroxypregnenolone (84143) $58.24 $68.52 2.6×
5-Hiaa (83497) $121.81 $143.30 9.4×
Acetaminophen (80143) $554.55 $652.41 29.8×
Acetone, quantitative (82010) $77.07 $90.67 9.4×
Acetylcholine receptor binding antibody (86041) $335.32 $394.49 18.2×
Acetylcholn rcptr blckg antb (86042) $335.32 $394.49 18.2×
Acetylcholn rcptr modlg antb (86043) $291.87 $343.38 24.2×
Acth (82024) $234.16 $275.48 6.1×
Actin smooth muscle antibody each (86015) $190.29 $223.87 15.8×
Activated protein c resistance (85307) $204.99 $241.17 13.4×
Acute hepatitis panel (80074) $431.83 $508.04 9.1×
Acylcarnitines quantitative (82017) $599.72 $705.55 35.5×
Afb concentration (87015) $124.42 $146.38 18.6×
Afb culture (87116) $129.16 $151.95 12.0×
Afb smear (87206) $83.66 $98.42 15.5×
Albumin body fluid (82042) $42.29 $49.75 5.4×
Albumin serum (82040) $51.48 $60.56 10.4×
Alcohol (82077) $355.45 $418.18 20.6×
Aldolase (82085) $84.58 $99.50 8.7×
Aldosterone (82088) $346.80 $408 8.5×
Alkaline phosphatase (84075) $51.60 $60.70 10.0×
Alkaline phosphatase isoenzymes (84080) $37.76 $44.42 2.6×
Allergen profile perennial allergen (86003) $37.92 $44.61 7.3×
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $113.88 $133.98 6.4×
Alpha 2 antiplasmin (85410) $525.83 $618.62 68.2×
Alpha-1-antitrypsin (82103) $117.21 $137.90 8.7×
Alpha-1-antitrypsin phenotype (82104) $174.67 $205.49 12.1×
Alpha-fetoprotein serum (82105) $186.61 $219.54 11.1×
Alt (84460) $61.30 $72.12 11.6×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $43.07 $50.67 2.6×
Ammonia (82140) $127.78 $150.33 8.8×
Amylase (82150) $90.65 $106.65 14.0×
Ana (86038) $93.76 $110.31 7.8×
Ana titer (86039) $52.40 $61.65 4.7×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $114.45 $134.64 7.5×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $108.48 $127.62 6.0×
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $131.92 $155.20 8.3×
Analysis skeletal muscle (88355) $131.33 $154.50 0.7×
Androstenedione (82157) $74.77 $87.96 2.6×
Angiotensin converting enzyme (82164) $84.92 $99.91 5.8×
Anti-mitochondrial antibody (86255) $190.29 $223.87 15.8×
Anti-phosphatidylserine antibody (86148) $53.32 $62.73 3.3×
Antibody identification platelet antibodies (86022) $225.22 $264.97 12.3×
Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) $235.33 $276.86 18.9×
Antibody west nile virus igm (86788) $91.82 $108.02 5.4×
Antibody; Helicobacter pylori (86677) $106.99 $125.88 6.3×
Antineutrophil cytoplasmic antb screen ea antb (86036) $73.54 $86.52 6.1×
Antistreptolysin o screen (86063) $38.38 $45.15 6.7×
Antithrombin iii activity (85300) $180.09 $211.87 15.2×
Antithrombin iii antigen (85301) $247.77 $291.49 22.9×
Apolipoprotein each (82172) $44.63 $52.50 2.1×
Arsenic (82175) $123.18 $144.92 6.5×
Aspergillus antibody (86606) $43.78 $51.50 2.9×
Aspergillus antigen (87305) $213.27 $250.91 17.8×
Ast (84450) $65.68 $77.28 12.7×
B cells total count (86355) $78.56 $92.42 2.1×
Bacterium antibody (86609) $43.78 $51.50 3.4×
Bartonella antibody (86611) $22.28 $26.21 2.2×
Basic metabolic panel calcium ionized (80047) $196.99 $231.75 14.3×
Bcr/abl1 gene major bp (81206) $1,079.49 $1,269.99 6.6×
Bcr/abl1 gene minor bp (81207) $586.59 $690.10 4.0×
Beta 2 glycoprotein i antibody (86146) $128.70 $151.41 5.1×
Beta lactamase (87185) $44.12 $51.91 9.3×
Beta-2 microglobulin (82232) $108.48 $127.62 6.7×
Bilirubin direct (82248) $63.75 $75 12.7×
Bilirubin total (82247) $59.82 $70.38 11.9×
Biotinidase (82261) $13.70 $16.12 0.8×
Bld count smear mcrscp w/o mnl difrntl wbc count (85008) $6.25 $7.35 1.8×
Bleeding time (85002) $55.86 $65.72 11.6×
Blood count leukocyte wbc automated (85048) $29.30 $34.48 11.5×
Blood count reticulocyte automated (85045) $66.19 $77.87 16.6×
Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient (85032) $10.68 $12.56 2.5×
Blood count; manual differential WBC count, buffy coat Other Outpatient (85009) $35.85 $42.18 7.1×
Blood gases any combination (82803) $226.14 $266.05 8.7×
Blood gases ph only (82800) $144.33 $169.80 13.1×
Blood typing rbc antigens (86905) $255.65 $300.76 66.7×
Blood typing serologic abo (86900) $95.20 $112 31.8×
Blood typing serologic rh (d) (86901) $43.52 $51.19 14.6×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $143.45 $168.76 22.6×
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $77.22 $90.84 4.9×
Bordetella pertussis igm (86615) $41.37 $48.67 3.1×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $2,396.52 $2,819.44 1.3×
Breath alcohol test (82075) $80.55 $94.76 2.7×
Brucella antibody (86622) $136.05 $160.06 15.2×
C diff amplified probe (87493) $104.80 $123.29 2.8×
C-peptide (84681) $140.19 $164.93 6.7×
C-reactive protein (86140) $66.02 $77.68 12.7×
C-reactive protein high sensitivity (86141) $91.93 $108.15 7.1×
C2 complement functional (86161) $61.13 $71.92 5.1×
Ca 125 (86304) $172.89 $203.40 8.3×
Ca 15-3 (86300) $106.63 $125.45 5.1×
Calcitonin (82308) $68.42 $80.49 2.6×
Calcium ionized (82330) $120.23 $141.44 8.8×
Calcium total (82310) $64.35 $75.71 12.5×
Calcium, random urine (82340) $58.88 $69.27 9.8×
Calprotectin fecal (83993) $275.78 $324.45 14.0×
Calr gene com variants (81219) $345.10 $406 2.8×
Cancer antigen 19-9 (86301) $206.38 $242.80 9.9×
Candida DNA amp probe (87481) $141.89 $166.93 4.0×
Carbamazepine total (80156) $236.67 $278.43 16.2×
Carbon dioxide (82374) $31.26 $36.77 6.4×
Carbon monoxide (82375) $96.48 $113.50 7.8×
Cardiolipin antibody ea ig class (86147) $183.60 $216 7.2×
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $147.96 $174.07 8.8×
Casein igg (86001) $33.15 $39 4.2×
Catecholamines fractionated (82384) $199.08 $234.21 7.9×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $66.10 $77.77 1.4×
Cea (82378) $159.82 $188.02 8.4×
Cell count body fluid (89050) $79.15 $93.12 16.8×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $249.77 $293.85 44.6×
Ceruloplasmin (82390) $129.46 $152.30 12.1×
Cftr gene com variants (81220) $1,147.25 $1,349.71 2.1×
Chemiluminescent assay (82397) $189.37 $222.79 13.4×
Chg fresh frozen plasma thawing each unit (86927) $118.22 $139.08 0.7×
Chlamydia pneumoniae PCR (87486) $340.14 $400.16 9.7×
Chloride blood (82435) $31.26 $36.77 6.8×
Chloride urine (82436) $49.30 $58 8.6×
Cholesterol total (82465) $77.50 $91.18 17.8×
Chorionic gonadotropin test (84702) $132.38 $155.74 8.8×
Chromium (82495) $130.53 $153.57 6.4×
Chromogranin a (86316) $137.22 $161.42 6.6×
Chromosome analysis 15-20 cells (88262) $199.49 $234.69 1.6×
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $45.04 $52.99 1.3×
Citrate (82507) $38.61 $45.42 1.4×
Ck mb fraction (82553) $143.52 $168.84 12.4×
Clostridium ag eia (87324) $150.21 $176.72 12.5×
Clot inhibit prot s total (85305) $295.32 $347.43 25.4×
Clotting funct activity (85397) $427.46 $502.90 13.9×
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $279.46 $328.78 12.2×
Cmv antibody (86644) $148.92 $175.20 10.3×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $55.36 $65.13 2.3×
Collagen cross links (82523) $155.35 $182.77 8.3×
Complement antigen ea component (86160) $96.53 $113.56 8.0×
Complement total (ch50) (86162) $96.44 $113.45 4.7×
Coombs test indirect titer (86886) $100.66 $118.42 19.4×
Copper (82525) $58.36 $68.66 4.7×
Cortisol free (82530) $165.93 $195.21 9.9×
Cortisol saliva (82533) $133.30 $156.82 8.2×
COVID-19 antibody (86769) $96.53 $113.56 2.3×
Creatine kinase isoenzymes (82552) $29.77 $35.02 2.2×
Creatine kinase total (82550) $75.17 $88.43 11.5×
Creatine serum or plasma arup 2002340 (82540) $76.85 $90.41 16.6×
Creatinine (82565) $56.99 $67.05 11.1×
Creatinine clearance (82575) $99.97 $117.62 10.6×
Creatinine other source (82570) $35.85 $42.18 6.9×
Crossmatch ahg (86922) $133.30 $156.82 0.7×
Cryofibrinogen (82585) $29.75 $35 2.1×
Cryoglobulins (82595) $37.19 $43.75 5.7×
Cryptosporidium ag eia (87328) $167.77 $197.38 12.1×
Cryptosporidium ag if (87272) $81.81 $96.25 6.8×
Crystals fluid (89060) $101.18 $119.04 13.8×
Culture anaerobic (87075) $119.48 $140.57 12.6×
Culture blood (87040) $165.06 $194.19 16.0×
Culture fungus skin hair nail (87101) $94.68 $111.39 12.3×
Culture stool (87045) $74.92 $88.14 7.9×
Culture urine (87086) $97.88 $115.16 12.1×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $144.10 $169.53 17.8×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $146.28 $172.10 18.1×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $68.94 $81.11 7.3×
Cyclic citrullinated peptide ab (86200) $165.52 $194.72 12.8×
Cyclosporine (80158) $46.10 $54.24 2.6×
Cyp2c9 gene com variants (81227) $284.05 $334.18 1.6×
Cystatin c (82610) $171.60 $201.88 9.3×
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $28.48 $33.51 2.2×
Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) $2,665.90 $3,136.35 2.3×
Cytomeg DNA amp probe (87496) $308.87 $363.38 8.8×
Cytomegalovirus antibody igm (86645) $91.93 $108.15 5.5×
Cytopath cell enhance tech (88112) $316.06 $371.83 5.7×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $103.88 $122.21 5.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $82.74 $97.34 3.1×
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $131.33 $154.50 0.7×
Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) $56.99 $67.05 1.0×
Cytopathology, smears, any other source; preparation, screening and interpretation (88161) $34.02 $40.02 1.1×
Cytopathology, smears, any other source; screening and interpretation (88160) $55.16 $64.89 1.8×
Cytp eval fine needle aspirate interp & report (88173) $220.63 $259.56 4.0×
D-dimer quantitative (85379) $152.12 $178.96 14.9×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $142.49 $167.63 10.4×
Dhea (82626) $213.03 $250.62 8.4×
Dhea sulfate (82627) $186.20 $219.06 8.4×
Digoxin (80162) $114.46 $134.65 8.6×
Dihydrotestosterone (82642) $63.91 $75.19 2.2×
Diphtheria antibody (86648) $121.35 $142.76 8.0×
Direct antiglobulin test (86880) $68.03 $80.03 12.6×
DNA/RNA amplified probe (87150) $54.83 $64.50 1.6×
Dpyd gene analysis common variants (81232) $325.69 $383.16 1.9×
Drug assay adalimumab (80145) $127.50 $150 3.3×
Drug assay salicylate (80179) $588.34 $692.16 31.6×
Drug screen quant clozapine (80159) $46.10 $54.24 2.3×
Drug screen quant everolimus (80169) $231.13 $271.92 16.8×
Drug screen quant gabapentin (80171) $128.70 $151.41 5.9×
Drug screen quant levetiracetam (80177) $199.02 $234.14 15.0×
Drug screen quant zonisamide (80203) $155.84 $183.34 11.8×
Drug test prsmv chem anlyzr (80307) $255.14 $300.17 4.1×
Drug test prsmv dir opt obs (80305) $58.01 $68.25 4.6×
Drug test prsmv instrmnt (80306) $215.99 $254.10 12.6×
Ear culture (87070) $83.90 $98.70 9.7×
Ehrlichia antibody (86666) $22.28 $26.21 2.2×
Electrolytes panel (80051) $83.66 $98.42 11.9×
Electron microscopy diagnostic (88348) $575.20 $676.71 0.7×
Endomysial antibody each immunoglobulin class (86231) $136.58 $160.68 11.3×
Enterovirus by PCR (87498) $382.42 $449.90 10.9×
Enzyme histochemistry (88319) $575.20 $676.71 0.7×
Eosinophils urine (87205) $17.40 $20.47 4.1×
Erythropoietin (82668) $169.34 $199.23 9.0×
Estradiol (82670) $215.70 $253.76 7.7×
Estriol (82677) $64.88 $76.33 2.7×
Estrogen fractionated (82671) $456.88 $537.51 14.1×
Estrogens total (82672) $245.30 $288.58 11.3×
Estrone (82679) $239.89 $282.22 9.6×
Eval amniotic fluid protein (84112) $173.28 $203.86 1.8×
Extractable nuclear antigen antibody any method (86235) $89.17 $104.91 5.0×
F2 gene analysis (81240) $279.02 $328.25 4.2×
F5 gene (81241) $429.77 $505.61 5.9×
Factor ix activity (85250) $205.92 $242.26 10.8×
Factor v activity (85220) $317.11 $373.07 18.0×
Factor vii activity (85230) $45.72 $53.79 2.6×
Factor viii activity (85240) $186.16 $219 10.4×
Factor viii vw antigen (85246) $148.92 $175.20 6.5×
Factor xi activity (85270) $222.46 $261.72 12.4×
Fecal fat qualitative (82705) $10.91 $12.84 2.1×
Ferritin (82728) $92.84 $109.23 6.8×
Fetal chromosomal aneuploidy genomic seq analys (81420) $2,495.18 $2,935.50 3.3×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $159.77 $187.96 2.3×
Fetal fibronectin (82731) $394.46 $464.06 6.1×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $120.42 $141.68 15.6×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $40.44 $47.58 4.3×
Fibrinogen, activity (85384) $120.51 $141.78 12.4×
Flow cytometry first marker (88184) $373.23 $439.09 1.0×
Folate serum (82746) $105.76 $124.43 7.2×
Folic acid rbc (82747) $282.50 $332.35 16.0×
Follicle stimulating hormone (fsh) (83001) $131.48 $154.68 7.1×
Fructosamine (82985) $73.54 $86.52 4.4×
Fungus isolation culture (87102) $150.76 $177.36 17.9×
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $82.30 $96.82 6.7×
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $12.26 $14.42 1.0×
Gamma glutamyl transferase (82977) $97.44 $114.64 13.5×
Gammaglobulin ige (82785) $77.56 $91.24 4.7×
Gardnerella vaginalis amp probe (87511) $51.48 $60.56 1.5×
Gastrin (82941) $172.82 $203.32 9.8×
Genet virus isolate hsv (87255) $184.77 $217.38 5.5×
Genotype DNA HIV reverse t (87901) $974.61 $1,146.60 3.8×
Gentamicin (80170) $118.02 $138.84 7.2×
Giardia antigen (87329) $92.02 $108.26 7.7×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $40.45 $47.59 12.3×
Glucose Fasting (82947) $47.80 $56.24 12.2×
Glucose other fluid (82945) $68.37 $80.44 17.4×
Glucose post glucose dose (82950) $74.08 $87.15 15.6×
Glucose tolerance test (gtt) (82951) $91.64 $107.80 7.1×
Glucose-6-pd (82955) $21.89 $25.75 2.3×
Glutamate dehydrogenase Other Outpatient (82965) $40.45 $47.59 3.1×
Glutathione (82978) $44.63 $52.50 2.9×
Glycated hemoglobin (83036) $99.56 $117.13 10.3×
Growth hormone (hgh) (83003) $42.57 $50.08 2.6×
Gtt-added samples (82952) $68.85 $81 17.6×
H pylori breath test (83013) $333.50 $392.34 5.0×
H pylori stool (87338) $181.21 $213.19 12.6×
Haptoglobin (83010) $125.20 $147.29 10.0×
Hcg ql (84703) $86.94 $102.28 11.6×
HDL cholesterol (83718) $28.50 $33.53 3.5×
Heavy metal quan each nes (83018) $158.12 $186.02 7.2×
Hematocrit (hct) (85014) $27.58 $32.45 11.6×
Hematocrit spun (85013) $27.12 $31.90 3.9×
Hemoglobin (85018) $27.58 $32.45 11.6×
Hemoglobin electrophoresis (83020) $196.99 $231.75 15.3×
Hemoglobin fractj/quantj chromotography (83021) $46.10 $54.24 2.6×
Hemosiderin qual (83070) $89.17 $104.91 18.8×
Hep a ab total (86708) $92.80 $109.18 7.5×
Heparin assay (85520) $196.26 $230.90 15.0×
Hepatitis a antibody igm (86709) $130.54 $153.57 11.6×
Hepatitis b core antibody igm (86705) $149.98 $176.44 12.7×
Hepatitis b core antibody total (86704) $71.77 $84.44 6.0×
Hepatitis b surface ab (86706) $121.53 $142.98 11.3×
Hepatitis b surface antigen (87340) $126.89 $149.28 12.3×
Hepatitis be antigen (87350) $24.65 $29 2.1×
Hepatitis c antibody (86803) $133.97 $157.61 9.4×
Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) $283.02 $332.97 18.3×
Hepatitis c genotype (87902) $638.89 $751.64 2.5×
Hepatitis c RNA quantitative (87522) $617.25 $726.18 14.4×
Herpes simplex virus by PCR (87529) $341.45 $401.70 9.7×
Heterophile antibody screen (86308) $76.82 $90.38 14.8×
Hexagonal phospholipid neutralization (85598) $143.43 $168.74 8.0×
Hfe gene (81256) $398.13 $468.38 6.1×
Histamine (83088) $170 $200 5.8×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $125.20 $147.29 5.2×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $136.24 $160.28 9.9×
Hla b27 (86812) $254.64 $299.58 9.9×
Hla class i high defin qual (86832) $312.38 $367.50 1.0×
Hla class i typing high resolution complete (81379) $1,057.17 $1,243.73 3.2×
HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) $162.72 $191.43 2.2×
HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) $418.34 $492.16 3.3×
Hla class ii high defin qual (86833) $312.38 $367.50 1.0×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $695.90 $818.70 3.2×
Homocysteine level (83090) $292.55 $344.18 16.3×
Hpv high-risk types (87624) $141.57 $166.55 4.0×
Hpv low-risk types (87623) $89.59 $105.40 2.6×
Hpv types 16 & 18 only (87625) $93.18 $109.62 2.3×
Htt gene analysis detect abnormal alleles (81271) $314.86 $370.42 2.3×
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $133.88 $157.50 6.9×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $117.97 $138.79 2.3×
Igg subclass 1 (82787) $23.34 $27.45 2.9×
Igh vari regional mutation (81263) $712.62 $838.38 2.4×
Immune complex assay (86332) $54.24 $63.81 2.2×
Immunoassay analyte quantitative nos (83520) $201.71 $237.30 11.7×
Immunoassay infectious agent antibody quan nos (86317) $235.80 $277.41 15.7×
Immunodiffusion nes (86329) $124.10 $146 8.8×
Immunodiffusion ouchterlony (86331) $43.78 $51.50 3.7×
Immunofixation electrophoresis (86334) $203.39 $239.28 9.1×
Immunofixation urine (86335) $142.62 $167.79 4.9×
Immunofluor antb 1st stain (88346) $255.65 $300.76 1.4×
Immunoglobulin d (82784) $89.17 $104.91 9.6×
Immunoglobulin light chains free each (83521) $128.70 $151.41 7.5×
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $255.65 $300.76 0.7×
Immunoperoxidase (88342) $286.82 $337.43 1.6×
In situ hybridization 1st probe stain (88365) $131.33 $154.50 0.7×
In situ hybridization ea multiplex probe stain (88366) $255.65 $300.76 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $104.80 $123.29 7.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87301) $81.81 $96.25 6.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $48.72 $57.32 3.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $112.54 $132.40 8.6×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) $52.76 $62.07 1.3×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $153.65 $180.77 2.2×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $321.75 $378.53 7.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $115.83 $136.27 3.3×
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $344.96 $405.83 8.1×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) $321.75 $378.53 7.7×
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) $408 $480 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $293.25 $345 8.4×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) $221.34 $260.40 5.2×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) $116.75 $137.35 3.3×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $275.50 $324.12 3.2×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $186.61 $219.54 4.5×
Influenza assay w/optic (87804) $98.36 $115.72 5.9×
Influenza DNA amp probe (87502) $220.17 $259.02 2.3×
Inhibin a (86336) $66.65 $78.41 4.3×
Insulin antibody (86337) $58.84 $69.22 2.7×
Insulin free (83527) $53.98 $63.50 4.2×
Insulin total (83525) $123.18 $144.92 10.8×
Intrinsic factor antibody (86340) $143.40 $168.71 9.5×
Iron (83540) $116.15 $136.65 18.0×
Iron binding capacity (83550) $64.81 $76.24 7.4×
Irradiation of blood product, each unit (86945) $134.22 $157.90 3.4×
Islet cell antibody (86341) $63.04 $74.16 2.7×
Jak2 gene (81270) $583.74 $686.75 6.4×
John cunningham antibody (86711) $38.82 $45.67 2.3×
Koh prep (87220) $21.38 $25.15 5.0×
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $106.63 $125.45 2.7×
Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) $106.63 $125.45 2.7×
Lactate (83605) $136.24 $160.28 11.8×
Lactate dehydrogenase (83615) $63.75 $75 10.6×
Lactoferrin fecal (qual) (83630) $158.95 $187 8.1×
Lamotrigine (80175) $136.58 $160.68 10.3×
Ldh isoenzymes (83625) $68.21 $80.24 5.3×
LDL direct (83721) $55.16 $64.89 5.3×
Lead (83655) $81.82 $96.25 6.8×
Legionella culture (87081) $97.88 $115.16 14.8×
Legionella urine antigen (87449) $89.16 $104.90 7.4×
Leukocyte antibody id (86021) $171.90 $202.24 11.4×
Leukocyte assessment fecal (89055) $37.98 $44.68 8.9×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $82.66 $97.25 2.1×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $93.76 $110.32 1.7×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $72.62 $85.44 1.3×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $399.23 $469.68 1.1×
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $1,243.23 $1,462.62 1.5×
Lipase (83690) $96.96 $114.08 14.1×
Lipoprotein (a) (83695) $71.71 $84.36 5.0×
Lipoprotein bld by nmr (83704) $65.49 $77.05 1.9×
Lipoprotein bld hr fraction (83701) $183.86 $216.30 5.4×
Lipoprotein-associated phospholipase a2 (83698) $106.44 $125.22 2.3×
Lithium (80178) $87.28 $102.68 13.2×
Luteinizing hormone (lh) (83002) $141.06 $165.96 7.6×
Lyme disease antibody (86617) $133.16 $156.66 8.6×
Lyme disease antibody (86618) $117.34 $138.04 6.9×
M genitalium amp probe (87563) $76.81 $90.36 2.2×
M/phmtrc alys in situ hybridization ea probe mnl (88368) $255.65 $300.76 0.7×
M/phmtrc alys ishquant/semiq (88377) $133.30 $156.82 0.7×
Macroscopic exam arthropod (87168) $56.99 $67.05 13.3×
Macroscopic exam parasite (87169) $14.71 $17.30 3.4×
Magnesium (83735) $69.86 $82.19 10.4×
Malaria smear (87207) $17.01 $20.01 2.8×
Manual differential (85007) $32.17 $37.85 8.5×
Mercury (83825) $145.70 $171.42 9.0×
Metanephrines (83835) $268.43 $315.80 15.8×
Methylmalonic acid serum (83921) $237.63 $279.56 11.2×
Microalbumin urine (82043) $74.92 $88.14 13.0×
Microscopic genetic analysis of nerve tissue (88356) $80.89 $95.17 1.5×
Mold id (87107) $119.51 $140.60 11.6×
Molecular cytogenetics DNA probe each (88271) $86.41 $101.66 4.0×
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $86.41 $101.66 1.7×
Mononuclear cell antigen (86356) $96.05 $113 3.6×
Mopath procedure level 2 (81401) $614.99 $723.52 4.5×
Mopath procedure level 3 (81402) $345.49 $406.46 2.3×
Mopath procedure level 4 (81403) $407.11 $478.95 2.2×
Mopath procedure level 5 (81404) $360.92 $424.61 1.3×
Mopath procedure level 6 (81405) $360.92 $424.61 1.2×
Mopath procedure level 7 (81406) $360.92 $424.61 1.3×
Morphometric analysis tumor (88358) $131.33 $154.50 0.7×
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) $255.65 $300.76 0.7×
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) $187.54 $220.63 1.0×
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $131.33 $154.50 0.7×
Mthfr gene (81291) $304.78 $358.57 4.7×
Mumps antibody (86735) $126.40 $148.71 9.7×
Muramidase (85549) $68.29 $80.34 3.6×
Mycoplasma pneumoniae by PCR (87581) $323.13 $380.15 9.2×
Myelin associated glycoprotein (mag) antibody (83516) $158.12 $186.02 13.7×
Myelin basic protein (83873) $43.95 $51.70 2.6×
Myoglobin (83874) $77.96 $91.72 6.0×
N.gonorrhoeae DNA amp prob (87591) $174.67 $205.49 5.0×
Natriuretic peptide (83880) $195 $229.42 5.0×
Nephelometry ea analyte (83883) $166.26 $195.60 12.2×
Nerve teasing preparations (88362) $575.20 $676.71 0.7×
Neutralization test viral (86382) $69.16 $81.37 4.1×
Nfct ds bv RNA vag flu alg (81513) $181.90 $214 1.3×
Nfct ds chrnc hcv 6 assays (81596) $275.78 $324.45 3.8×
Nk cells total count (86357) $79.05 $93 2.1×
Obstetric panel includes HIV testing (80081) $148.16 $174.30 2.0×
Occult bld feces 1-3 tests (82272) $43.67 $51.38 10.3×
Occult blood other sources (82271) $35.24 $41.46 6.6×
Occult blood screening (82270) $27.23 $32.04 6.2×
Oligoclonal bands (83916) $62.93 $74.04 2.3×
Orthopoxvirus amp prb each (87593) $46.40 $54.59 0.9×
Osmolality serum (83930) $93.68 $110.21 14.2×
Osmolality urine (83935) $87.33 $102.74 12.8×
Osteocalcin (83937) $65.66 $77.25 2.2×
Ova and parasite exam (87177) $121.35 $142.76 13.6×
Oxalate urine (83945) $31.26 $36.77 2.2×
Palb2 gene full gene seq (81307) $888.41 $1,045.19 1.3×
Pancreatic polypeptide (83519) $195.35 $229.82 10.6×
Parathyroid hormone (83970) $224.08 $263.62 5.4×
Parvovirus antibody (86747) $160.87 $189.26 10.7×
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $255.65 $300.76 0.7×
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $575.20 $676.71 0.7×
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $131.33 $154.50 0.7×
Pertussis by PCR (87798) $152.83 $179.80 4.4×
Ph body fluid (83986) $50.56 $59.48 14.1×
Phenobarbital (80184) $149.84 $176.28 9.8×
Phenylalanine (84030) $8.93 $10.50 1.6×
Phenytoin (dilantin) free (80186) $113.53 $133.57 8.3×
Phenytoin level total (80185) $123.07 $144.79 9.3×
Phosphorus (84100) $69.50 $81.78 14.7×
Phosphorus urine (84105) $23.90 $28.12 4.1×
Pinworm exam (87172) $10.90 $12.82 2.6×
Platelet count automated (85049) $57.94 $68.16 12.9×
Platelet neutralization (85597) $118.98 $139.98 6.6×
Porphobilinogen urine (84110) $68.94 $81.11 8.2×
Porphyrins total plasma (84311) $18.62 $21.90 2.3×
Porphyrins urine quantitation & fractionation (84120) $37.56 $44.19 2.6×
Potassium (84132) $63.06 $74.18 13.2×
Potassium urine (84133) $29.88 $35.15 6.3×
Prealbumin (84134) $120.76 $142.07 8.3×
Pregnenolone (84140) $181.56 $213.60 8.8×
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86971) $382.59 $450.11 2.1×
Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) $193.05 $227.12 3.1×
Primidone (80188) $6.43 $7.57 0.4×
Procalcitonin (pct) (84145) $331.17 $389.61 12.2×
Progesterone (84144) $162.84 $191.58 7.8×
Proinsulin (84206) $229.82 $270.38 8.6×
Prolactin (84146) $159.36 $187.48 8.2×
Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) $36.69 $43.16 2.0×
Protein c activity (85303) $185.69 $218.46 13.4×
Protein c antigen (85302) $255.10 $300.12 21.2×
Protein electrophoresis serum (84165) $108.02 $127.08 10.1×
Protein electrophoresis urine (84166) $154.92 $182.26 8.7×
Protein s antigen, free (85306) $243.24 $286.16 15.9×
Protein total other source (84157) $85.22 $100.26 21.3×
Protein total serum (84155) $48.88 $57.51 13.3×
Protein total urine (84156) $70.74 $83.22 19.3×
Protein western blot (84181) $239.01 $281.19 14.0×
Protozoa antibody nos (86753) $42.90 $50.47 3.5×
PSA free (84154) $46.98 $55.27 2.6×
Pten gene dup/delet variant (81323) $393.98 $463.50 1.3×
Pten gene full sequence (81321) $787.95 $927 1.3×
Pyruvate kinase (84220) $20.66 $24.31 2.2×
Rbc antibody elution (86860) $134.22 $157.90 0.7×
Rbc antibody identification (86870) $251.92 $296.38 0.7×
Rbc antibody screen (86850) $78.14 $91.93 8.0×
Receptor assay non-endocrine specify receptor (84238) $77.72 $91.43 2.1×
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $177.88 $209.27 14.8×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $81.12 $95.43 6.1×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $76.74 $90.29 4.0×
Renin (84244) $81.53 $95.92 3.7×
Resp virus 6-11 targets (87632) $1,165.68 $1,371.39 5.3×
Rh phenotyping complete (86906) $62.05 $73 8.0×
Rheumatoid factor quant (86431) $69.40 $81.66 12.2×
Rickettsia antibody (86757) $133.88 $157.50 6.9×
Ristocetin cofactor (85245) $145.24 $170.88 6.3×
Rl immediate spin crossmatch (86920) $143.23 $168.50 0.8×
Rotavirus ag eia (87425) $105.36 $123.95 8.8×
Rpr qual (86592) $63.69 $74.92 14.9×
Rubella antibody (86762) $133.18 $156.68 9.3×
Rubeola antibody (86765) $205.92 $242.26 16.0×
Russell viper venom diluted (85613) $167.77 $197.38 17.5×
Sedimentation rate rbc automated (85652) $47.33 $55.68 17.5×
Selenium (84255) $133.30 $156.82 5.2×
Semen analysis post vasectomy (89321) $72.80 $85.64 6.0×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) $30.70 $36.11 3.1×
Serotonin (84260) $518.30 $609.76 16.7×
Sex hormone binding globulin (84270) $179.48 $211.15 8.3×
Shiga-like toxin ag eia (87427) $122.16 $143.71 10.2×
Sickle cell screen (85660) $15.63 $18.39 2.8×
Sirolimus (80195) $68 $80 5.0×
Smear wet mount (87210) $69.32 $81.55 11.9×
Sodium (84295) $60.86 $71.61 12.7×
Sodium other source (84302) $10.63 $12.51 2.2×
Sodium urine (84300) $51.94 $61.10 10.3×
Somatomedin (84305) $291.54 $342.99 13.7×
Somatostatin (84307) $40.01 $47.07 2.2×
Special stains group i (88312) $157.59 $185.40 2.9×
Special stains group ii (88313) $93.76 $110.31 0.7×
Stone analysis (82365) $151.18 $177.86 11.7×
Strep a assay w/optic (87880) $76.59 $90.11 4.6×
Strep a DNA amp probe (87651) $96.31 $113.30 2.7×
Strep b DNA amp probe (87653) $85.45 $100.53 2.4×
Sulfate urine (84392) $31.26 $36.77 5.7×
Surg path level 1 (88300) $28.30 $33.30 0.9×
Susceptibility mic per plate (87186) $72.62 $85.44 8.4×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $72.62 $85.44 15.3×
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $34.89 $41.05 4.7×
T cells cd4 count (86361) $91.01 $107.07 3.4×
T3 free (84481) $218.33 $256.86 12.9×
T3 reverse (84482) $269.57 $317.14 17.1×
T3 uptake (84479) $28.16 $33.12 4.4×
T4 (thyroxine) total (84436) $85.80 $100.94 12.5×
Tacrolimus (80197) $270.26 $317.96 19.7×
Tb test cell immun measure (86480) $363.33 $427.45 5.9×
Testosterone free (84402) $220.80 $259.76 8.7×
Testosterone total (84403) $172.79 $203.28 6.7×
Tetanus antibody (86774) $127.32 $149.79 8.6×
Theophylline (80198) $172.64 $203.10 12.2×
Thiopurine drug metabolites (83789) $110.31 $129.78 4.6×
Thiopurine metabolites (80299) $169.15 $199 9.1×
Thiopurine methyltransferase, rbc (82657) $456.88 $537.51 20.6×
Thrombin time plasma (85670) $91.93 $108.15 15.9×
Thyroglobulin (84432) $223.06 $262.42 13.9×
Thyroglobulin antibody (86800) $115.83 $136.27 7.3×
Thyroid peroxidase antibody (86376) $132.40 $155.76 9.1×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $483.26 $568.53 9.5×
Thyroxine binding globulin (84442) $15.10 $17.77 1.0×
Thyroxine free (ft4) (84439) $82.09 $96.58 9.1×
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $11.38 $13.39 1.8×
Tissue culture bone marrow (88237) $330.36 $388.66 2.3×
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $87.33 $102.74 0.6×
Tobramycin (80200) $50.56 $59.48 3.1×
Topiramate (80201) $26.09 $30.69 2.2×
Toxoplasma antibody igg (86777) $87.33 $102.74 6.1×
Toxoplasma antibody igm (86778) $87.33 $102.74 6.1×
Tp53 gene full gene sequence (81351) $842.91 $991.66 1.3×
Transferrin (84466) $151.35 $178.06 11.9×
Treponema pallidum antibody (86780) $98.36 $115.72 7.4×
Trichomonas vaginalis amplif (87661) $156.28 $183.86 4.5×
Trichrome stain (87209) $52.86 $62.18 2.9×
Triglycerides (84478) $75.38 $88.68 13.1×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $120.98 $142.32 8.5×
Troponin t (84484) $157.03 $184.74 12.6×
Tyrosine (84510) $26.57 $31.26 2.5×
Unlisted molecular pathology (81479) $34.43 $40.51
Urea nitrogen quantitative (84520) $58.30 $68.60 14.8×
Urea nitrogen urine (84540) $40.01 $47.07 7.2×
Uric acid blood (84550) $58.30 $68.60 12.9×
Uric acid other source (84560) $34.43 $40.50 6.8×
Urinalysis auto w/micro (81001) $41.37 $48.67 13.1×
Urinalysis microscopic only (81015) $28.84 $33.93 9.5×
Urinalysis volume measure (81050) $28.66 $33.72 7.9×
Urine bacteria culture (87088) $58.84 $69.22 7.3×
Urine Pregnancy Test POC (81025) $83.84 $98.63 9.7×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $22.98 $27.04 10.2×
Valproic acid (80164) $135.23 $159.09 10.0×
Vancomycin (80202) $199.99 $235.28 14.8×
Varicella zoster antibody igg (86787) $104.71 $123.19 8.1×
Vasoactive intestinal peptide (vip) (84586) $77.35 $91 2.2×
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $283.14 $333.10 8.3×
Viral culture non-respiratory (87252) $192.32 $226.26 7.4×
Virus antibody nos (86790) $64.55 $75.94 5.0×
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $55.51 $65.30 2.8×
Viscosity (85810) $95.61 $112.48 8.2×
Vitamin a (84590) $111.60 $131.30 9.6×
Vitamin b-12 (82607) $129.52 $152.38 8.6×
Vitamin b1 whole blood (84425) $229.74 $270.28 10.8×
Vitamin b6 (84207) $258.32 $303.90 9.2×
Vitamin c (82180) $25.74 $30.28 2.6×
Vitamin d 25 hydroxy (82306) $202.16 $237.83 6.8×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $353.70 $416.12 9.2×
Vitamin e (84446) $31.03 $36.51 2.2×
Vitamin k1 (84597) $30.03 $35.33 2.2×
Vma (84585) $149.84 $176.28 9.7×
Voriconazole (80285) $59.53 $70.04 2.2×
West nile virus antibody (86789) $140.61 $165.42 9.8×
Yeast id (87106) $187.54 $220.63 18.2×
Z t cells total count (86359) $78.56 $92.42 2.1×
Zinc (84630) $91.93 $108.15 8.1×