Lab & pathology prices at LaSalle General Hospital
Jena, LA · every code in this section with a posted price and a Medicare benchmark.
451 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) | $295.20 | $492 | 7.7× |
| 5 Hiaa (83497) | $113.40 | $189 | 8.8× |
| 5 Nucleotidase (83915) | $45 | $75 | 4.0× |
| Actinomyces antibody (86602) | $36 | $60 | 3.5× |
| Activated protein c resistance (85307) | $30 | $50 | 2.0× |
| Acute hepatitis panel (80074) | $212.40 | $354 | 4.5× |
| Acylcarnitine Plasma (82017) | $144.60 | $241 | 8.6× |
| Adenovirus antibody (86603) | $91.20 | $152 | 7.1× |
| Afb culture (87116) | $75 | $125 | 6.9× |
| Albumin serum (82040) | $21.60 | $36 | 4.4× |
| Aldolase (82085) | $88.80 | $148 | 9.1× |
| Aldosterone urine (82088) | $199.20 | $332 | 4.9× |
| Alkaline phosphatase isoenzymes (84080) | $21 | $35 | 1.4× |
| Allergen specific ige (86003) | $37.20 | $62 | 7.1× |
| Allg Spec Ige Recomb Ea (86008) | $39 | $65 | 2.2× |
| Alpha-1-antitrypsin, total (82103) | $116.40 | $194 | 8.7× |
| Alpha-Fetoprotein L3 (82107) | $274.80 | $458 | 4.3× |
| Alpha-fetoprotein, serum (82105) | $147 | $245 | 8.8× |
| Alt (sgpt) (84460) | $36 | $60 | 6.8× |
| Amikacin trough (80150) | $123.60 | $206 | 8.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $261.60 | $436 | 15.5× |
| Amino Acids, Single Quantitation (82131) | $24 | $40 | 1.0× |
| Ammonia (82140) | $127.80 | $213 | 8.8× |
| Amylase urine (82150) | $48 | $80 | 7.4× |
| Angiotensin i enzyme test (82164) | $136.80 | $228 | 9.4× |
| Antibody aspergillus (86606) | $91.20 | $152 | 6.1× |
| Antibody cytomegalovirus cmv (86644) | $96.60 | $161 | 6.7× |
| Antibody cytomegalovirus cmv igm (86645) | $103.20 | $172 | 6.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $96.60 | $161 | 7.4× |
| Antibody helicobacter pylori (86677) | $115.20 | $192 | 6.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $99 | $165 | 6.9× |
| Antibody herpes smplx type 1 (86695) | $54 | $90 | 4.1× |
| Antibody identification (86870) | $114 | $190 | 0.4× |
| Antibody mumps (86735) | $21 | $35 | 1.6× |
| Antibody rubeola (86765) | $80.40 | $134 | 6.2× |
| Antibody screen (86850) | $182.40 | $304 | 18.7× |
| Antibody treponema pallidum (86780) | $113.40 | $189 | 8.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $69 | $115 | 5.7× |
| Antinuclear antibodies (86038) | $50.40 | $84 | 4.2× |
| Antistreptolysin o titer (86060) | $41.40 | $69 | 5.7× |
| Antithrombin iii activity (85300) | $90 | $150 | 7.6× |
| Antithrombin iii antigen (85301) | $21 | $35 | 1.9× |
| Apolipoprotein b (82172) | $106.80 | $178 | 5.1× |
| Arsenic Urine (82175) | $33 | $55 | 1.7× |
| Assay Lipoprotein Pla2 (83698) | $150 | $250 | 3.2× |
| Assay Nephelometry Not Spec (83883) | $97.80 | $163 | 7.2× |
| Assay of 17-hydroxypregnenolone (84143) | $45 | $75 | 2.0× |
| Assay of acth (82024) | $273.60 | $456 | 7.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $60.60 | $101 | 3.5× |
| Assay of androstenedione (82157) | $43.80 | $73 | 1.5× |
| Assay of blood chloride (82435) | $38.40 | $64 | 8.3× |
| Assay of c-peptide (84681) | $166.20 | $277 | 8.0× |
| Assay of calcitonin (82308) | $104.40 | $174 | 3.9× |
| Assay of ceruloplasmin (82390) | $96.60 | $161 | 9.0× |
| Assay of cyclosporine (80158) | $149.40 | $249 | 8.3× |
| Assay of erythropoietin (82668) | $143.40 | $239 | 7.6× |
| Assay of ethosuximide (80168) | $48 | $80 | 2.9× |
| Assay of ferritin (82728) | $67.20 | $112 | 4.9× |
| Assay of g6pd enzyme (82955) | $83.40 | $139 | 8.6× |
| Assay of gammaglobulin igm (82784) | $76.80 | $128 | 8.3× |
| Assay of gastrin (82941) | $131.40 | $219 | 7.5× |
| Assay of gentamicin (80170) | $83.40 | $139 | 5.1× |
| Assay of homocystine (83090) | $57 | $95 | 3.2× |
| Assay of lipoprotein(a) (83695) | $45 | $75 | 3.1× |
| Assay of manganese (83785) | $133.20 | $222 | 5.0× |
| Assay of metanephrines (83835) | $192.60 | $321 | 11.4× |
| Assay of osteocalcin (83937) | $45 | $75 | 1.5× |
| Assay of parathormone (83970) | $142.80 | $238 | 3.5× |
| Assay of phenobarbital (80184) | $116.40 | $194 | 7.6× |
| Assay of prealbumin (84134) | $103.20 | $172 | 7.1× |
| Assay of proinsulin (84206) | $172.80 | $288 | 6.5× |
| Assay of selenium (84255) | $136.20 | $227 | 5.3× |
| Assay of serotonin (84260) | $90 | $150 | 2.9× |
| Assay of somatomedin (84305) | $150 | $250 | 7.1× |
| Assay of tacrolimus (80197) | $177 | $295 | 12.9× |
| Assay of transcortin (84449) | $45 | $75 | 2.5× |
| Assay of urine vma (84585) | $145.20 | $242 | 9.4× |
| Assay of vitamin k (84597) | $96 | $160 | 7.0× |
| Assay Ph Body Fluid Nos (83986) | $24.60 | $41 | 6.9× |
| Ast (sgot) (84450) | $34.20 | $57 | 6.6× |
| Automated rbc count (85041) | $21 | $35 | 7.0× |
| B cells total count (86355) | $90 | $150 | 2.4× |
| Bartonella antibody (86611) | $28.20 | $47 | 2.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $111.30 | $185.50 | 4.4× |
| Beta hydroxybutyrate (82010) | $18 | $30 | 2.2× |
| Beta-2 microglobulin (82232) | $54 | $90 | 3.3× |
| Bile acids, total (82239) | $21 | $35 | 1.2× |
| Bilirubin direct (82248) | $25.20 | $42 | 5.0× |
| Bilirubin total (82247) | $24.60 | $41 | 4.9× |
| Bl Smear W/Diff Wbc Count (85007) | $25.20 | $42 | 6.6× |
| Blastomyces antibody (86612) | $48 | $80 | 3.7× |
| Blood count reticulocyte automated (85045) | $3 | $5 | 0.8× |
| Blood gases (82803) | $96.60 | $161 | 3.7× |
| Blood typing abo (86900) | $48 | $80 | 16.1× |
| Blood typing serologic rh (d) (86901) | $48 | $80 | 16.1× |
| Body fluid cell count (89051) | $49.20 | $82 | 8.8× |
| Bordetella antibody (86615) | $117 | $195 | 8.9× |
| Brucella antibody (86622) | $57 | $95 | 6.4× |
| C diff amplified probe (87493) | $54 | $90 | 1.4× |
| C-reactive protein (86140) | $40.80 | $68 | 7.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $81.60 | $136 | 6.3× |
| C1q binding assay (86332) | $105 | $175 | 4.3× |
| Ca 27 29 (86300) | $143.40 | $239 | 6.9× |
| Cadmium level (82300) | $176.40 | $294 | 7.5× |
| Caffeine (80155) | $21 | $35 | 0.5× |
| Calcium ionized (82330) | $104.40 | $174 | 7.6× |
| Calcium total (82310) | $39 | $65 | 7.6× |
| Calcium urine (82340) | $51 | $85 | 8.5× |
| Calculus Spectroscopy (82365) | $42.60 | $71 | 3.3× |
| Calprotectin, fecal (83993) | $104.40 | $174 | 5.3× |
| Carbamazepine (tegretol) total (80156) | $116.40 | $194 | 8.0× |
| Carboxyhemoglobin Quantitative (82375) | $18 | $30 | 1.5× |
| Carcinoembryonic antigen (82378) | $140.40 | $234 | 7.4× |
| Cardiolipin ab igg (86147) | $147.60 | $246 | 5.8× |
| Carnitine (82379) | $130.80 | $218 | 7.8× |
| Carotene (82380) | $21 | $35 | 2.3× |
| Catecholamines fraction plasma (82384) | $109.80 | $183 | 4.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $225 | $375 | 1.7× |
| Cftr gene full sequence (81223) | $501 | $835 | 1.0× |
| Chemiluminescent assay (82397) | $75 | $125 | 5.3× |
| Chloride urine (82436) | $31.80 | $53 | 5.5× |
| Cholesterol total (82465) | $28.80 | $48 | 6.6× |
| Chromium urine (82495) | $54 | $90 | 2.7× |
| Chromogranin a (86316) | $123.60 | $206 | 5.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $57.60 | $96 | 1.6× |
| Citrate (82507) | $156 | $260 | 5.6× |
| Ck isoenzymes (82552) | $87 | $145 | 6.5× |
| Ckmb (82553) | $80.40 | $134 | 7.0× |
| Clot factor viii vw antigen (85246) | $219 | $365 | 9.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $45 | $75 | 2.5× |
| Clozapine level (80159) | $30 | $50 | 1.5× |
| Cmv PCR (87496) | $198.60 | $331 | 5.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $123 | $205 | 5.1× |
| Cold agglutinin titer (86157) | $21 | $35 | 2.6× |
| Collagen cross links (82523) | $182.40 | $304 | 9.8× |
| Complement c3 (86160) | $55.80 | $93 | 4.6× |
| Complement total ch50 (86162) | $149.40 | $249 | 7.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $30 | $50 | 2.5× |
| Concentration Infectious Agent (87015) | $40.80 | $68 | 6.1× |
| Coombs direct (86880) | $46.25 | $77.08 | 8.6× |
| Copper urine (82525) | $118.20 | $197 | 9.5× |
| Cortisol free (82530) | $131.40 | $219 | 7.9× |
| Cortisol total (82533) | $26.42 | $44.04 | 1.6× |
| Creatine kinase total (82550) | $48 | $80 | 7.4× |
| Creatinine blood (82565) | $30.60 | $51 | 6.0× |
| Creatinine clearance (82575) | $85.20 | $142 | 9.0× |
| Creatinine other source (82570) | $51 | $85 | 9.8× |
| Crossmatch immediate spin (86920) | $76.80 | $128 | 0.5× |
| Cryoglobulin (82595) | $45 | $75 | 7.0× |
| Cryptococcus antibody (86641) | $75 | $125 | 5.2× |
| Culture Aerobic Identify (87077) | $50.40 | $84 | 6.2× |
| Culture anaerobic (87075) | $61.80 | $103 | 6.5× |
| Culture blood (87040) | $81.60 | $136 | 7.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $49.20 | $82 | 6.4× |
| Culture fungus id yeast (87106) | $65.40 | $109 | 6.3× |
| Culture genital (87070) | $76.80 | $128 | 8.9× |
| Culture screen only (87081) | $43.80 | $73 | 6.6× |
| Culture stool (87045) | $61.80 | $103 | 6.5× |
| Culture urine (87086) | $52.85 | $88.09 | 6.5× |
| Cyanide (82600) | $51 | $85 | 2.6× |
| Cyclic Citrullinated Peptide (86200) | $72.60 | $121 | 5.6× |
| Cyp2c19 gene com variants (81225) | $501 | $835 | 1.7× |
| Cystatin c (82610) | $102 | $170 | 5.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $57 | $95 | 1.3× |
| Cytopath cell enhance tech (88112) | $78 | $130 | 1.7× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $49.20 | $82 | 2.7× |
| D-Dimer (85379) | $73.80 | $123 | 7.2× |
| Deoxyribonuclease antibody (86215) | $21.60 | $36 | 1.6× |
| Detect agnt mult DNA ampli (87801) | $147 | $245 | 2.1× |
| Dhea sulfate (82627) | $157.20 | $262 | 7.1× |
| Digoxin (80162) | $83.40 | $139 | 6.3× |
| Dihydrotestosterone (82642) | $118.80 | $198 | 4.1× |
| Dilantin (80185) | $87 | $145 | 6.6× |
| Dipropylacetic acid free (80165) | $48 | $80 | 3.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $90 | $150 | 6.6× |
| Dna/Rna Amplified Probe (87150) | $192 | $320 | 5.5× |
| Drug assay adalimumab (80145) | $21 | $35 | 0.5× |
| Drug Assay Infliximab (80230) | $118.20 | $197 | 3.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $161.40 | $269 | 12.2× |
| Drug scrn quant oxcarbazepin (80183) | $161.40 | $269 | 12.2× |
| Drug test prsmv chem anlyzr (80307) | $92.40 | $154 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $63 | $105 | 5.0× |
| Ebv viral capsid (86665) | $115.20 | $192 | 6.4× |
| Echinococcus ab igg (86682) | $108.90 | $181.50 | 8.4× |
| Electrolyte panel (80051) | $46.25 | $77.08 | 6.6× |
| Endomysial antibody iga (86255) | $104.40 | $174 | 8.7× |
| Enterovirus Pcr (87498) | $57.60 | $96 | 1.6× |
| Enzyme cell activity (82657) | $87 | $145 | 3.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $102 | $170 | 6.7× |
| Estradiol (82670) | $208.80 | $348 | 7.5× |
| Estriol (82677) | $123 | $205 | 5.1× |
| Estrogens total (82672) | $144.60 | $241 | 6.7× |
| Estrone (82679) | $156 | $260 | 6.3× |
| F2 gene analysis 20210g >a variant (81240) | $160.80 | $268 | 2.4× |
| F5 gene (81241) | $57 | $95 | 0.8× |
| Factor ix activity (85250) | $48 | $80 | 2.5× |
| Factor viii ahg (85240) | $165 | $275 | 9.2× |
| Factor xi assay (85270) | $118.80 | $198 | 6.6× |
| Factor xii assay (85280) | $126 | $210 | 6.5× |
| Fecal fat qual (82705) | $37.20 | $62 | 7.3× |
| Fibrinogen activity (85384) | $60.60 | $101 | 6.2× |
| Flow cytometry first marker (88184) | $171 | $285 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $96.60 | $161 | 8.0× |
| Folate serum (82746) | $103.20 | $172 | 7.0× |
| Folic acid rbc (82747) | $152.40 | $254 | 8.6× |
| Follicle Stimulating Hormone (83001) | $131.40 | $219 | 7.1× |
| Fructosamine (82985) | $45 | $75 | 2.7× |
| Gammaglobulin ige (82785) | $104.40 | $174 | 6.3× |
| Gastric Occult Blood (82271) | $27 | $45 | 5.1× |
| Ggt (82977) | $35.40 | $59 | 4.9× |
| Glucose (82947) | $30.60 | $51 | 7.8× |
| Glucose Blood Test (82962) | $23.10 | $38.50 | 7.0× |
| Glucose body fluid (82945) | $38.40 | $64 | 9.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $26.42 | $44.04 | 6.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $71.40 | $119 | 5.5× |
| Growth hormone (83003) | $24 | $40 | 1.4× |
| Haptoglobin (83010) | $116.40 | $194 | 9.3× |
| Hcg qualitative (84703) | $65.40 | $109 | 8.7× |
| Hcg quant (84702) | $100.20 | $167 | 6.7× |
| Heavy metal quant each (83018) | $75 | $125 | 3.4× |
| Hematocrit (85014) | $19.82 | $33.03 | 8.4× |
| Hemoglobin (85018) | $19.20 | $32 | 8.1× |
| Hemoglobin a1c (83036) | $98.12 | $163.54 | 10.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $121.20 | $202 | 6.7× |
| Hemoglobin electrophoresis (83020) | $36 | $60 | 2.8× |
| Heparin assay (85520) | $105 | $175 | 8.0× |
| Hepatitis a antibody total (86708) | $85.20 | $142 | 6.9× |
| Hepatitis a igm (86709) | $73.80 | $123 | 6.6× |
| Hepatitis b core ab igm (86705) | $75 | $125 | 6.4× |
| Hepatitis b core antibody total (86704) | $18.60 | $31 | 1.5× |
| Hepatitis B Surface Ab (86706) | $76.80 | $128 | 7.2× |
| Hepatitis B Surface Antigen (87340) | $72.60 | $121 | 7.0× |
| Hepatitis be antibody (86707) | $45.60 | $76 | 3.9× |
| Hepatitis Be Antigen (87350) | $182.40 | $304 | 15.8× |
| Hepatitis c antibody (86803) | $92.40 | $154 | 6.5× |
| Hepatitis C Genotype (87902) | $190.20 | $317 | 0.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $190.20 | $317 | 5.4× |
| Herpes culture (87252) | $75 | $125 | 2.9× |
| Herpes simplex type 2 (86696) | $54 | $90 | 2.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $38.40 | $64 | 7.4× |
| Hfe gene (81256) | $213.60 | $356 | 3.3× |
| Histoplasma antibody (86698) | $90 | $150 | 6.5× |
| Hla-b27 (86812) | $143.40 | $239 | 5.6× |
| Hpv types 16 & 18 only (87625) | $57.60 | $96 | 1.4× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $90 | $150 | 1.3× |
| Hpylori Drug Administration (83014) | $75 | $125 | 9.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $57.60 | $96 | 1.6× |
| Hydroxychloroquine (80220) | $87 | $145 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $156 | $260 | 5.7× |
| Iaad ia cryptosporidium (87328) | $80.40 | $134 | 5.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $90 | $150 | 3.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $100.20 | $167 | 7.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $72.60 | $121 | 5.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $48 | $80 | 4.0× |
| Iaadi inffluenza a virus (87276) | $43.80 | $73 | 2.7× |
| Iaadi influenza b virus (87275) | $43.80 | $73 | 3.6× |
| Iaadiadoo not otherwise specified (87899) | $82.20 | $137 | 5.1× |
| Iadna candida species amplified probe tq (87481) | $57.60 | $96 | 1.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $93 | $155 | 2.7× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $57.60 | $96 | 1.6× |
| Iadna hepatitis b virus quantification (87517) | $231 | $385 | 5.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $213.90 | $356.50 | 5.0× |
| Iadna herpes virus-6 amplified probe tq (87532) | $150 | $250 | 4.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $202.80 | $338 | 5.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $539.40 | $899 | 6.3× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $75 | $125 | 1.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $120 | $200 | 3.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $57.60 | $96 | 1.6× |
| Iadna nos amplified probe tq each organism (87798) | $57.60 | $96 | 1.6× |
| Iadna nos quantification each organism (87799) | $301.20 | $502 | 7.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $117 | $195 | 3.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $375 | $625 | 0.9× |
| Igg subclasses (82787) | $133.20 | $222 | 16.6× |
| Immunfix e-phorsis/urine/csf (86335) | $68.40 | $114 | 2.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $80.40 | $134 | 5.4× |
| Immunoassay nonantibody (83516) | $67.20 | $112 | 5.8× |
| Immunodiffusion Ouchterlony (86331) | $27 | $45 | 2.3× |
| Immunofixj Electrophoresis Serum (86334) | $175.80 | $293 | 7.9× |
| India ink prep (87210) | $28.80 | $48 | 4.9× |
| Influenza DNA amp prob 1+ (87501) | $210 | $350 | 4.1× |
| Influenza DNA amp probe (87502) | $117 | $195 | 1.2× |
| Inhibin a (86336) | $94.20 | $157 | 6.0× |
| Inhibin b (83520) | $138 | $230 | 8.0× |
| Insulin antibodies (86337) | $121.20 | $202 | 5.7× |
| Insulin total (83525) | $80.40 | $134 | 7.0× |
| Interleukin 6 (83529) | $93 | $155 | 5.4× |
| Intrinsic factor antibody (86340) | $24 | $40 | 1.6× |
| Iron (83540) | $45.60 | $76 | 7.0× |
| Iron binding capacity (83550) | $68.40 | $114 | 7.8× |
| Islet cell antibody (86341) | $127.80 | $213 | 5.4× |
| Jak2 gene analysis (81270) | $298.20 | $497 | 3.3× |
| Lactic acid (83605) | $113.40 | $189 | 9.8× |
| Ldh (83615) | $37.20 | $62 | 6.2× |
| LDL cholesterol direct (83721) | $48 | $80 | 4.6× |
| Lead (83655) | $100.20 | $167 | 8.3× |
| Legionella antibody (86713) | $106.80 | $178 | 7.0× |
| Legionella antigen urine (87449) | $48 | $80 | 4.0× |
| Leptospira antibody (86720) | $69 | $115 | 4.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $41.40 | $69 | 9.7× |
| Level v surg pathology grossµscopic exam (88307) | $78 | $130 | 0.2× |
| Lh (83002) | $131.40 | $219 | 7.1× |
| Lipase (83690) | $67.80 | $113 | 9.8× |
| Listeria ab (86609) | $70.80 | $118 | 5.5× |
| Lithium (80178) | $64.80 | $108 | 9.8× |
| Lyme disease antibody (86618) | $150 | $250 | 8.8× |
| Macroscopic exam arthropod (87168) | $31.80 | $53 | 7.4× |
| Macroscopic exam parasite (87169) | $31.80 | $53 | 7.4× |
| Magnesium (83735) | $55.20 | $92 | 8.2× |
| Malaria smear (87207) | $57 | $95 | 9.5× |
| Manual cell count each (85032) | $21 | $35 | 4.9× |
| Mass spectrometry qual/quan (83789) | $30 | $50 | 1.2× |
| Mercury (83825) | $30 | $50 | 1.8× |
| Methotrexate (80299) | $161.40 | $269 | 8.7× |
| Methylmalonic acid serum (83921) | $240 | $400 | 11.3× |
| Microalbumin urine (82043) | $71.40 | $119 | 12.4× |
| Microsomal antibodies (86376) | $104.40 | $174 | 7.2× |
| Mitochondrial antibody each (86381) | $67.20 | $112 | 2.6× |
| Molecular pathology procedure level 2 (81401) | $84 | $140 | 0.6× |
| Molecular pathology procedure level 7 (81406) | $174 | $290 | 0.6× |
| Mononuclear cell antigen (86356) | $36 | $60 | 1.3× |
| Mthfr Gene Analysis Common Variants (81291) | $298.20 | $497 | 4.6× |
| Muramidase (85549) | $87 | $145 | 4.6× |
| Mycoplasma antibody (86738) | $90 | $150 | 6.8× |
| Mycoplasma culture (87109) | $81 | $135 | 5.3× |
| Myoglobin urine (83874) | $108.60 | $181 | 8.4× |
| Natriuretic peptide (83880) | $57 | $95 | 1.5× |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) | $57.60 | $96 | 2.0× |
| Niacin (84591) | $39 | $65 | 2.3× |
| Nk cells total count (86357) | $150 | $250 | 4.0× |
| Nmr Lipoprofile (83704) | $150 | $250 | 4.4× |
| Nuclear antigen antibody (86235) | $60.60 | $101 | 3.4× |
| Occult blood stool (82272) | $28.20 | $47 | 6.7× |
| Osmolality serum (83930) | $48 | $80 | 7.3× |
| Osmolality urine (83935) | $15.60 | $26 | 2.3× |
| Ova and parasite direct-id lca (87177) | $60.60 | $101 | 6.8× |
| Oxalate urine (83945) | $87 | $145 | 6.0× |
| Pancreatic elastase fecal (82656) | $150 | $250 | 13.0× |
| Pancreatic polypeptide (83519) | $127.50 | $212.50 | 6.9× |
| Parvovirus antibody (86747) | $96.60 | $161 | 6.4× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $114.60 | $191 | 2.4× |
| Phenytoin free (80186) | $103.20 | $172 | 7.5× |
| Phosphatase alkaline (84075) | $28.80 | $48 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $50 | 1.7× |
| Phosphorus blood (84100) | $35.40 | $59 | 7.5× |
| Phosphorus urine (84105) | $36 | $60 | 6.2× |
| Platelet count (85049) | $30.60 | $51 | 6.8× |
| Porphobilinogen urine quant (84110) | $61.80 | $103 | 7.3× |
| Potassium (84132) | $33.04 | $55.06 | 6.9× |
| Potassium urine (84133) | $31.80 | $53 | 6.7× |
| Pregnenolone (84140) | $105 | $175 | 5.1× |
| Primidone (80188) | $106.80 | $178 | 6.4× |
| Procalcitonin (pct) (84145) | $115.20 | $192 | 4.2× |
| Progesterone (84144) | $120.60 | $201 | 5.8× |
| Prolactin (84146) | $126.60 | $211 | 6.5× |
| Protein body fluid (84157) | $28.20 | $47 | 7.1× |
| Protein c antigen (85302) | $118.20 | $197 | 9.8× |
| Protein electrophoresis serum (84165) | $91.80 | $153 | 8.5× |
| Protein Electrophoresis Urine (84166) | $108.60 | $181 | 6.1× |
| Protein S Functional (85306) | $112.20 | $187 | 7.3× |
| Protein s total (85305) | $118.20 | $197 | 10.2× |
| Protein Total Serum (84155) | $28.20 | $47 | 7.7× |
| Protein urine (84156) | $46.25 | $77.08 | 12.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $150 | $250 | 8.8× |
| PSA free (84154) | $94.20 | $157 | 5.1× |
| Quantiferon tb gold (86480) | $75 | $125 | 1.2× |
| Renin activity plasma (84244) | $171.60 | $286 | 7.8× |
| Respiratory viral panel PCR (87633) | $300 | $500 | 0.7× |
| Rheumatoid factor quant (86431) | $52.85 | $88.09 | 9.3× |
| Rickettsia antibody (86757) | $121.20 | $202 | 6.3× |
| Rotavirus (86759) | $87 | $145 | 4.8× |
| Rubella antibody (86762) | $100.20 | $167 | 7.0× |
| Russell viper venom time diluted (85613) | $74.40 | $124 | 7.8× |
| Saccharomyces ab iga (86671) | $69 | $115 | 5.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $84 | $140 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $102 | $170 | 2.4× |
| Sars-cov-2 covid19 w/optic (87811) | $48.75 | $81.25 | 1.2× |
| Sedimentation rate (85651) | $30.60 | $51 | 7.2× |
| Sensitivity mic (87186) | $52.85 | $88.09 | 6.1× |
| Serotonin Release Assay (86022) | $48 | $80 | 2.6× |
| Serpina1 gene (81332) | $132.60 | $221 | 3.0× |
| Sex hormone binding globulin (84270) | $149.40 | $249 | 6.9× |
| Sickle cell screen (85660) | $42.60 | $71 | 7.7× |
| Sirolimus (rapamycin) (80195) | $120.60 | $201 | 8.8× |
| Smear acid fast (87206) | $42.60 | $71 | 7.9× |
| Smear complex stain (87209) | $75 | $125 | 4.2× |
| Smear gram stain (87205) | $35.40 | $59 | 8.3× |
| Sodium (84295) | $25.20 | $42 | 5.2× |
| Sodium urine (84300) | $34.20 | $57 | 6.8× |
| Soluble transferrin receptor (84238) | $121.50 | $202.50 | 3.3× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $102 | $170 | 0.7× |
| Staph aureus amplified probe (87640) | $57.60 | $96 | 1.6× |
| Stem cells total count (86367) | $63 | $105 | 0.8× |
| Stool Cultr Aerobic Bact Ea (87046) | $61.80 | $103 | 6.5× |
| Strep a assay w/optic (87880) | $33.04 | $55.06 | 2.0× |
| Strep a DNA amp probe (87651) | $57.60 | $96 | 1.6× |
| Strep b DNA amp probe (87653) | $57.60 | $96 | 1.6× |
| Sugars Multiple Qual (84377) | $24 | $40 | 4.4× |
| Surgical pathology level IV (88305) | $78 | $130 | 1.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $288 | $480 | 6.1× |
| T cells, total count (86359) | $129 | $215 | 3.4× |
| T3 free (84481) | $83.40 | $139 | 4.9× |
| T3 reverse (84482) | $197.40 | $329 | 12.5× |
| T3 total (84480) | $115.20 | $192 | 8.1× |
| T3 uptake (84479) | $51 | $85 | 7.9× |
| T4 Free (84439) | $78.60 | $131 | 8.7× |
| T4 total (84436) | $49.20 | $82 | 7.2× |
| Tb intradermal test (86580) | $18 | $30 | 0.7× |
| Test for acetone/ketones (82009) | $24.60 | $41 | 5.4× |
| Testosterone free (84402) | $85.80 | $143 | 3.4× |
| Testosterone total (84403) | $42.60 | $71 | 1.7× |
| Theophylline (80198) | $116.40 | $194 | 8.2× |
| Thrombin time plasma (85670) | $42 | $70 | 7.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $49.80 | $83 | 7.7× |
| Thromboxane urine (84431) | $87.60 | $146 | 2.5× |
| Thyroglobulin (84432) | $75 | $125 | 4.7× |
| Thyroglobulin Ab (86800) | $113.40 | $189 | 7.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $169.20 | $282 | 3.3× |
| Tobramycin peak (80200) | $129.60 | $216 | 8.0× |
| Topiramate (80201) | $100.20 | $167 | 8.4× |
| Toxin or antitoxin assay (87230) | $138 | $230 | 7.0× |
| Toxoplasma ab igm (86778) | $91.80 | $153 | 6.4× |
| Toxoplasma antibody igg (86777) | $88.80 | $148 | 6.2× |
| Transferrin (84466) | $103.20 | $172 | 8.1× |
| Triglycerides (84478) | $30.60 | $51 | 5.3× |
| Troponin (84484) | $87 | $145 | 7.0× |
| Urea nitrogen (84520) | $26.42 | $44.04 | 6.7× |
| Urea nitrogen urine (84540) | $34.20 | $57 | 6.2× |
| Uric acid blood (84550) | $34.20 | $57 | 7.6× |
| Uric acid other source (84560) | $41.40 | $69 | 8.1× |
| Urinalysis w/microscopic (81001) | $34.20 | $57 | 10.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $8.40 | $14 | 3.7× |
| Valproic acid level (80164) | $57 | $95 | 4.2× |
| Vancomycin trough (80202) | $100.20 | $167 | 7.4× |
| Varicella-zoster antibody (86787) | $78.60 | $131 | 6.1× |
| Vasoactive intestinal peptide (vip) (84586) | $52.20 | $87 | 1.5× |
| Vasopressin (84588) | $54 | $90 | 1.6× |
| Vdrl csf (86592) | $60.60 | $101 | 14.2× |
| Virus antibody nos (86790) | $81.60 | $136 | 6.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $57 | $95 | 1.7× |
| Virus inoculation, shell via (87254) | $100.20 | $167 | 5.1× |
| Vitamin A (84590) | $135 | $225 | 11.6× |
| Vitamin b-12 (82607) | $118.20 | $197 | 7.8× |
| Vitamin b-2 (riboflavin) (84252) | $105.60 | $176 | 5.2× |
| Vitamin b1 (thiamine) (84425) | $138 | $230 | 6.5× |
| Vitamin b6 (84207) | $172.80 | $288 | 6.1× |
| Vitamin C (82180) | $106.80 | $178 | 10.8× |
| Vitamin D 25-Hydroxy (82306) | $105 | $175 | 3.5× |
| Vitamin e serum (84446) | $97.20 | $162 | 6.9× |
| Voltage-gated calcium channel antibody each (86596) | $67.20 | $112 | 5.6× |
| Von willebrand factor activity (85245) | $212.40 | $354 | 9.3× |
| Zinc (84630) | $90.60 | $151 | 8.0× |