Lab & pathology prices at Mahnomen Health
Mahnomen, MN · every code in this section with a posted price and a Medicare benchmark.
461 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) | $407.70 | $453 | 10.6× |
| Acetaminophen level (80143) | $87.30 | $97 | 4.7× |
| Acetone serum qual (82009) | $85.50 | $95 | 18.9× |
| Acetylcholine receptor binding antibody (86041) | $189.90 | $211 | 10.3× |
| Actin smooth muscle antibody each (86015) | $153.90 | $171 | 12.8× |
| Acute hepatitis panel (80074) | $411.30 | $457 | 8.6× |
| Acylcarnitine Plasma (82017) | $489.60 | $544 | 29.0× |
| Adrenocorticotropic hormone (82024) | $612.90 | $681 | 15.9× |
| Afp maternal serum (82105) | $184.50 | $205 | 11.0× |
| Albumin serum (82040) | $83.70 | $93 | 16.9× |
| Aldolase (82085) | $102.60 | $114 | 10.6× |
| Aldosterone urine (82088) | $675 | $750 | 16.6× |
| Alkaline phosphatase isoenzymes (84080) | $287.10 | $319 | 19.4× |
| Allergen peanut (86003) | $133.20 | $148 | 25.5× |
| Allergen specific igg (86001) | $111.60 | $124 | 14.3× |
| Alpha-1-antitrypsin phenotype (82104) | $117.90 | $131 | 8.2× |
| Alpha-1-antitrypsin, total (82103) | $202.50 | $225 | 15.1× |
| Alt (sgpt) (84460) | $113.85 | $126.50 | 21.5× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $1,529.10 | $1,699 | 90.6× |
| Amylase urine (82150) | $147.15 | $163.50 | 22.7× |
| Ana titer (86039) | $267.30 | $297 | 24.0× |
| Angiotensin i enzyme test (82164) | $91.80 | $102 | 6.3× |
| Antibody aspergillus (86606) | $214.20 | $238 | 14.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $167.40 | $186 | 10.8× |
| Antibody cytomegalovirus cmv (86644) | $187.20 | $208 | 13.0× |
| Antibody helicobacter pylori (86677) | $231.30 | $257 | 13.7× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $146.70 | $163 | 10.7× |
| Antibody HIV-2 (86702) | $146.70 | $163 | 10.9× |
| Antibody identification (86870) | $304.20 | $338 | 0.8× |
| Antibody identification leukocyte antibodies (86021) | $539.10 | $599 | 35.8× |
| Antibody mumps (86735) | $260.10 | $289 | 19.9× |
| Antibody Protozoa Nes (86753) | $194.40 | $216 | 15.7× |
| Antibody screen (86850) | $160.20 | $178 | 16.4× |
| Antibody treponema pallidum (86780) | $155.70 | $173 | 11.8× |
| Antibody; Coccidioides (86635) | $129.60 | $144 | 11.3× |
| Antigen typing (86905) | $258.30 | $287 | 67.4× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $192.60 | $214 | 16.0× |
| Antinuclear antibodies (86038) | $128.70 | $143 | 10.6× |
| Antistreptolysin o titer (86060) | $35.10 | $39 | 4.8× |
| Antithrombin iii activity (85300) | $187.20 | $208 | 15.8× |
| Antithrombin iii antigen (85301) | $441.90 | $491 | 40.9× |
| Apolipoprotein each (82172) | $153.90 | $171 | 7.3× |
| Arsenic Urine (82175) | $165.60 | $184 | 8.7× |
| Aspergillus ag eia (87305) | $341.55 | $379.50 | 28.5× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $431.10 | $479 | 8.4× |
| Assay direct measurement free estradiol (82681) | $220.50 | $245 | 7.9× |
| Assay Nephelometry Not Spec (83883) | $320.40 | $356 | 23.6× |
| Assay of 5-hiaa (83497) | $204.30 | $227 | 15.8× |
| Assay of ammonia (82140) | $194.85 | $216.50 | 13.4× |
| Assay of c-peptide (84681) | $287.10 | $319 | 13.8× |
| Assay of ceruloplasmin (82390) | $146.70 | $163 | 13.7× |
| Assay of citrate (82507) | $221.40 | $246 | 8.0× |
| Assay of cyclosporine (80158) | $200.70 | $223 | 11.1× |
| Assay of erythropoietin (82668) | $324.90 | $361 | 17.3× |
| Assay of estrone (82679) | $192.60 | $214 | 7.7× |
| Assay of ethosuximide (80168) | $242.55 | $269.50 | 14.8× |
| Assay of ferritin (82728) | $244.80 | $272 | 18.0× |
| Assay of g6pd enzyme (82955) | $239.40 | $266 | 24.7× |
| Assay of gammaglobulin igm (82784) | $128.70 | $143 | 13.8× |
| Assay of gentamicin (80170) | $209.70 | $233 | 12.8× |
| Assay of homocystine (83090) | $176.40 | $196 | 9.8× |
| Assay of lactic acid (83605) | $193.95 | $215.50 | 16.8× |
| Assay of lipoprotein(a) (83695) | $267.30 | $297 | 18.7× |
| Assay of metanephrines (83835) | $321.30 | $357 | 19.0× |
| Assay of phenobarbital (80184) | $164.70 | $183 | 10.8× |
| Assay of prealbumin (84134) | $169.20 | $188 | 11.6× |
| Assay of proinsulin (84206) | $318.60 | $354 | 11.9× |
| Assay of prolactin (84146) | $196.20 | $218 | 10.1× |
| Assay of pyruvate (84210) | $337.50 | $375 | 23.3× |
| Assay of serotonin (84260) | $196.20 | $218 | 6.3× |
| Assay of tacrolimus (80197) | $226.80 | $252 | 16.5× |
| Assay of topiramate (80201) | $252.90 | $281 | 21.2× |
| Assay of urine vma (84585) | $279 | $310 | 18.0× |
| Assay of vasopressin anti-diuretic hormone (84588) | $316.80 | $352 | 9.3× |
| Assay of volatiles (84600) | $54.90 | $61 | 3.2× |
| Assay spec xcp ur&breath ia (82077) | $136.80 | $152 | 7.9× |
| Ast (sgot) (84450) | $111.60 | $124 | 21.5× |
| B cells total count (86355) | $319.50 | $355 | 8.5× |
| Bartonella antibody (86611) | $71.10 | $79 | 7.0× |
| Bcr/abl1 gene major bp (81206) | $1,116 | $1,240 | 6.8× |
| Beta 2 glycoprotein 1 igm (86146) | $207 | $230 | 8.1× |
| Beta hydroxybutyrate (82010) | $96.30 | $107 | 11.8× |
| Beta-2 microglobulin (82232) | $262.80 | $292 | 16.2× |
| Bile acids, total (82239) | $127.80 | $142 | 7.5× |
| Bilirubin direct (82248) | $118.80 | $132 | 23.7× |
| Bilirubin total (82247) | $118.80 | $132 | 23.7× |
| Bl Smear W/Diff Wbc Count (85007) | $76.50 | $85 | 20.1× |
| Blastomyces antibody (86612) | $93.60 | $104 | 7.3× |
| Blood Count Automated Differential Wbc Count (85004) | $72 | $80 | 11.1× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $102.60 | $114 | 18.4× |
| Blood gas (82803) | $363.60 | $404 | 13.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81.90 | $91 | 5.1× |
| Blood Ph (82800) | $159.30 | $177 | 14.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $235.80 | $262 | 37.1× |
| Blood typing abo (86900) | $101.70 | $113 | 34.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $113.40 | $126 | 6.9× |
| Blood typing serologic rh (d) (86901) | $81.90 | $91 | 27.4× |
| Body fluid cell count (89051) | $27.90 | $31 | 5.0× |
| C diff amplified probe (87493) | $188.10 | $209 | 5.0× |
| C-reactive protein (86140) | $236.70 | $263 | 45.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $178.20 | $198 | 13.8× |
| Ca 125 (86304) | $219.15 | $243.50 | 10.5× |
| Ca 19-9 (86301) | $317.70 | $353 | 15.3× |
| Ca 27 29 (86300) | $260.10 | $289 | 12.5× |
| Cadmium level (82300) | $246.60 | $274 | 10.4× |
| Caffeine (80155) | $314.10 | $349 | 8.1× |
| Calcium ionized (82330) | $179.10 | $199 | 13.1× |
| Calcium total (82310) | $107.10 | $119 | 20.8× |
| Calcium urine (82340) | $89.55 | $99.50 | 14.9× |
| Calculus spectroscopy (82365) | $170.10 | $189 | 13.2× |
| Calprotectin, fecal (83993) | $485.10 | $539 | 24.7× |
| Candida antibody (86628) | $166.50 | $185 | 13.9× |
| Carbamazepine total (80156) | $76.50 | $85 | 5.3× |
| Carbon dioxide (82374) | $111.60 | $124 | 22.9× |
| Carboxyhemoglobin (82375) | $144.90 | $161 | 11.8× |
| Carcinoembryonic antigen (82378) | $190.35 | $211.50 | 10.0× |
| Cardiolipin ab igg (86147) | $450.90 | $501 | 17.7× |
| Catecholamines fraction plasma (82384) | $353.70 | $393 | 14.0× |
| Chemiluminescent assay (82397) | $377.10 | $419 | 26.7× |
| Chloride blood (82435) | $95.40 | $106 | 20.7× |
| Chloride urine (82436) | $89.55 | $99.50 | 15.6× |
| Cholesterol HDL (83718) | $148.05 | $164.50 | 18.1× |
| Cholesterol total (82465) | $129.15 | $143.50 | 29.7× |
| Chromogranin a (86316) | $203.85 | $226.50 | 9.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $178.20 | $198 | 5.1× |
| Ckmb (82553) | $225.90 | $251 | 19.6× |
| Clot factor viii vw antigen (85246) | $498.60 | $554 | 21.7× |
| Clotting Inhibitors Protein S Free (85306) | $514.80 | $572 | 33.6× |
| Clozapine level (80159) | $186.30 | $207 | 9.2× |
| Cmv ab igm (86645) | $135 | $150 | 8.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $560.70 | $623 | 23.3× |
| Cold agglutinin titer (86157) | $135 | $150 | 16.7× |
| Compatibility test antiglob (86922) | $204.30 | $227 | 1.2× |
| Complement c3 (86160) | $212.40 | $236 | 17.7× |
| Complement total (ch50) (86162) | $272.70 | $303 | 13.4× |
| Concentration Infectious Agent (87015) | $83.70 | $93 | 12.5× |
| Coombs direct (86880) | $140.40 | $156 | 26.0× |
| Copper urine (82525) | $178.65 | $198.50 | 14.4× |
| Cortisol free (82530) | $279 | $310 | 16.7× |
| Cortisol total (82533) | $197.10 | $219 | 12.1× |
| Creatine kinase total (82550) | $137.70 | $153 | 21.2× |
| Creatinine blood (82565) | $116.10 | $129 | 22.7× |
| Creatinine clearance (82575) | $150.30 | $167 | 15.9× |
| Creatinine other source (82570) | $106.20 | $118 | 20.5× |
| Crossmatch immediate spin (86920) | $176.40 | $196 | 1.0× |
| Cryofibrinogen (82585) | $187.20 | $208 | 13.2× |
| Cryoglobulin (82595) | $148.50 | $165 | 23.0× |
| Crystals body fluid (89060) | $99 | $110 | 13.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $287.10 | $319 | 35.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $1,694.70 | $1,883 | 7.8× |
| Culture Aerobic Identify (87077) | $127.80 | $142 | 15.8× |
| Culture afb (87116) | $134.55 | $149.50 | 12.5× |
| Culture blood (87040) | $209.70 | $233 | 20.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $153.90 | $171 | 20.0× |
| Culture fungus blood (87103) | $188.10 | $209 | 9.2× |
| Culture fungus id yeast (87106) | $156.60 | $174 | 15.2× |
| Culture fungus other (87102) | $287.10 | $319 | 34.1× |
| Culture genital (87070) | $136.80 | $152 | 15.9× |
| Culture screen only (87081) | $104.40 | $116 | 15.7× |
| Culture stool (87045) | $106.20 | $118 | 11.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $48.60 | $54 | 9.4× |
| Culture urine (87086) | $131.40 | $146 | 16.3× |
| Culture virus (87252) | $573.30 | $637 | 22.0× |
| Cyanide (82600) | $264.60 | $294 | 13.6× |
| Cyclic Citrullinated Peptide (86200) | $200.70 | $223 | 15.5× |
| Cystatin c (82610) | $269.10 | $299 | 14.5× |
| Cysticercosis Antibody (86682) | $155.70 | $173 | 12.0× |
| Cytogenetics 10-30 (88273) | $726.30 | $807 | 20.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $628.20 | $698 | 14.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $291.60 | $324 | 11.0× |
| Cytp concentration smears & interpretation (88108) | $461.70 | $513 | 12.0× |
| D-Dimer (85378) | $193.50 | $215 | 19.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $83.70 | $93 | 5.1× |
| Detect agnt mult DNA ampli (87801) | $446.40 | $496 | 6.4× |
| Dgp antibody each ig class (86258) | $153.90 | $171 | 12.8× |
| Dhea-sulfate (82627) | $214.20 | $238 | 9.6× |
| Digoxin (80162) | $219.60 | $244 | 16.5× |
| Dilantin (80185) | $194.85 | $216.50 | 14.7× |
| Dipropylacetic acid free (80165) | $216.90 | $241 | 16.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $152.55 | $169.50 | 11.1× |
| DNA/RNA direct probe (87149) | $172.80 | $192 | 8.6× |
| Drug assay adalimumab (80145) | $582.30 | $647 | 15.1× |
| Drug Assay Lacosamide (80235) | $208.80 | $232 | 7.7× |
| Drug assay vedolizumab (80280) | $670.50 | $745 | 17.4× |
| Drug quant nes (80299) | $245.70 | $273 | 13.2× |
| Drug screen quant zonisamide (80203) | $186.30 | $207 | 14.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $188.10 | $209 | 14.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $186.30 | $207 | 14.1× |
| Drug Scrn Quan Levetiracetam (80177) | $72.90 | $81 | 5.5× |
| Drug test prsmv chem anlyzr (80307) | $275.85 | $306.50 | 4.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $569.70 | $633 | 45.2× |
| E test (87181) | $72 | $80 | 15.2× |
| Ebv viral capsid (86665) | $202.50 | $225 | 11.2× |
| Ehrlichia antibody (86666) | $242.10 | $269 | 23.8× |
| Electrolyte panel (80051) | $177.30 | $197 | 25.3× |
| Eosinophil count (85048) | $63 | $70 | 24.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $157.95 | $175.50 | 10.3× |
| Estradiol (82670) | $220.50 | $245 | 7.9× |
| Estriol serum (82677) | $248.40 | $276 | 10.3× |
| Estrogens fractionated (82671) | $279.90 | $311 | 8.7× |
| F2 gene analysis 20210g >a variant (81240) | $644.40 | $716 | 9.8× |
| F5 gene analysis, leiden variant (81241) | $383.40 | $426 | 5.2× |
| Factor viii ahg (85240) | $531 | $590 | 29.7× |
| Fecal fat qual (82705) | $131.40 | $146 | 25.8× |
| Fecal fat quant (82710) | $328.50 | $365 | 19.6× |
| Fibrin Degradation Quant (85379) | $225 | $250 | 22.1× |
| Fibrinogen activity (85384) | $141.30 | $157 | 14.5× |
| Flow cytometry first marker (88184) | $549 | $610 | 1.5× |
| Fluorescent Antibody Screen (86255) | $204.30 | $227 | 17.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $461.70 | $513 | 38.3× |
| Folate serum (82746) | $227.70 | $253 | 15.5× |
| Folic acid rbc (82747) | $225 | $250 | 12.7× |
| Follicle Stimulating Hormone (83001) | $187.20 | $208 | 10.1× |
| Francisella tularensis (86668) | $337.50 | $375 | 23.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $85.50 | $95 | 8.3× |
| Gabapentin (80171) | $196.20 | $218 | 9.1× |
| Gammaglobulin ige (82785) | $169.20 | $188 | 10.3× |
| Ggt (82977) | $137.70 | $153 | 19.1× |
| Giardia antigen eia stool (87329) | $135.90 | $151 | 11.3× |
| Glucose (82947) | $95.40 | $106 | 24.3× |
| Glucose post dose (82950) | $61.20 | $68 | 12.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $286.20 | $318 | 73.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $220.50 | $245 | 17.1× |
| Growth hormone (83003) | $252 | $280 | 15.1× |
| H pylori breath test (83013) | $367.20 | $408 | 5.5× |
| Haptoglobin (83010) | $152.10 | $169 | 12.1× |
| Hba1/hba2 gene dup/del vrnts (81269) | $1,318.50 | $1,465 | 6.5× |
| Hcg qualitative (84703) | $141.30 | $157 | 18.8× |
| Hcg quant (84702) | $200.70 | $223 | 13.3× |
| Hematocrit (85014) | $63 | $70 | 26.6× |
| Hemoglobin (85018) | $59.40 | $66 | 25.1× |
| Hemoglobin a1c (83036) | $146.70 | $163 | 15.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $263.70 | $293 | 14.6× |
| Hemoglobin electrophoresis (83020) | $258.30 | $287 | 20.1× |
| Hemoglobin plasma (83051) | $146.70 | $163 | 20.1× |
| Heparin assay (85520) | $351.90 | $391 | 26.9× |
| Hepatitis a antibody total (86708) | $157.50 | $175 | 12.7× |
| Hepatitis a igm (86709) | $260.10 | $289 | 23.1× |
| Hepatitis b core ab igm (86705) | $96.30 | $107 | 8.2× |
| Hepatitis b core antibody total (86704) | $63 | $70 | 5.2× |
| Hepatitis B Surface Ab (86706) | $91.80 | $102 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $125.10 | $139 | 12.1× |
| Hepatitis Be Antigen (87350) | $260.10 | $289 | 22.6× |
| Hepatitis c antibody (86803) | $138.60 | $154 | 9.7× |
| Hepatitis C Genotype (87902) | $1,284.30 | $1,427 | 5.0× |
| Herpes simplex type i (86695) | $233.10 | $259 | 17.7× |
| Herpes simplex type ii (86696) | $251.10 | $279 | 13.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $88.20 | $98 | 17.0× |
| Hexagonal phospholipid (85598) | $306 | $340 | 17.0× |
| Hfe gene (81256) | $549 | $610 | 8.4× |
| Histamine plasma (83088) | $225 | $250 | 7.6× |
| Histoplasma antibody (86698) | $99.90 | $111 | 7.2× |
| HIV-1 antibody (86701) | $146.70 | $163 | 16.5× |
| Hla class i high defin qual (86832) | $845.10 | $939 | 2.6× |
| Hla class ii high defin qual (86833) | $1,154.70 | $1,283 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $652.50 | $725 | 8.8× |
| Hla ii typing 1 locus lr (81376) | $423.90 | $471 | 3.5× |
| Hla-b27 (86812) | $169.20 | $188 | 6.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $327.60 | $364 | 9.3× |
| Hydroxyprogesterone 17-d (83498) | $225 | $250 | 8.3× |
| Iaad ia clostridium difficile toxin (87324) | $247.50 | $275 | 20.7× |
| Iaad Ia Cryptococcus Neoformans (87327) | $113.40 | $126 | 8.5× |
| Iaad ia cryptosporidium (87328) | $192.60 | $214 | 13.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $225 | $250 | 21.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $146.70 | $163 | 6.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $304.20 | $338 | 21.2× |
| Iaad ia shiga-like toxin (87427) | $101.70 | $113 | 8.5× |
| Iaadiadoo not otherwise specified (87899) | $212.85 | $236.50 | 13.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $521.55 | $579.50 | 14.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $286.20 | $318 | 8.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $246.60 | $274 | 3.5× |
| Iadna hepatitis b virus quantification (87517) | $610.20 | $678 | 14.2× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $477 | $530 | 13.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $678.15 | $753.50 | 15.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,270.80 | $1,412 | 36.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $556.20 | $618 | 6.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $286.20 | $318 | 8.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $423.90 | $471 | 12.1× |
| Iadna nos amplified probe tq each organism (87798) | $504 | $560 | 14.4× |
| Iadna nos quantification each organism (87799) | $632.70 | $703 | 14.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $259.65 | $288.50 | 7.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $2,325.60 | $2,584 | 5.6× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $1,354.50 | $1,505 | 5.2× |
| Igg subclasses (82787) | $73.80 | $82 | 9.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $175.50 | $195 | 11.7× |
| Immunoassay nonantibody (83516) | $219.60 | $244 | 19.0× |
| Immunodiffusion Ouchterlony (86331) | $102.15 | $113.50 | 8.5× |
| Immunofixation (86334) | $209.70 | $233 | 9.4× |
| Immunofixation urine (86335) | $219.60 | $244 | 7.5× |
| Immunoglobulin light chains free each (83521) | $186.30 | $207 | 10.8× |
| Influenza a/b ag eia (87400) | $216 | $240 | 15.3× |
| Influenza DNA amp probe (87502) | $359.10 | $399 | 3.7× |
| Inhibin b (83520) | $272.70 | $303 | 15.8× |
| Insulin total (83525) | $198 | $220 | 17.3× |
| Intrinsic factor antibody (86340) | $286.20 | $318 | 19.0× |
| Iron (83540) | $133.20 | $148 | 20.6× |
| Iron binding capacity (83550) | $112.50 | $125 | 12.9× |
| Islet cell antibody (86341) | $548.10 | $609 | 23.3× |
| Jak2 gene analysis (81270) | $888.75 | $987.50 | 9.7× |
| Lactoferrin fecal qual (83630) | $152.10 | $169 | 7.7× |
| Ldh body fluid (83615) | $113.40 | $126 | 18.8× |
| Ldh isoenzymes (83625) | $146.70 | $163 | 11.5× |
| LDL cholesterol direct (83721) | $93.60 | $104 | 8.9× |
| Lead (83655) | $112.50 | $125 | 9.3× |
| Legionella antigen urine (87449) | $80.10 | $89 | 6.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $72.90 | $81 | 17.1× |
| Lh (83002) | $163.35 | $181.50 | 8.8× |
| Lipase (83690) | $119.70 | $133 | 17.4× |
| Lipopro bld electrophoretic (83700) | $153.90 | $171 | 13.7× |
| Listeria ab (86609) | $93.60 | $104 | 7.3× |
| Lithium (80178) | $127.80 | $142 | 19.3× |
| Lyme disease antibody (86618) | $189.90 | $211 | 11.2× |
| Macroscopic exam parasite (87169) | $207.90 | $231 | 48.2× |
| Magnesium (83735) | $131.40 | $146 | 19.6× |
| Malaria smear (87207) | $136.80 | $152 | 22.8× |
| Manual reticulocyte count (85044) | $161.10 | $179 | 37.4× |
| Mass spectrometry qual/quan (83789) | $264.60 | $294 | 11.0× |
| Mercury urine (83825) | $160.20 | $178 | 9.9× |
| Metabolic Panel Ionized Ca (80047) | $196.20 | $218 | 14.3× |
| Methylmalonic acid serum (83921) | $433.80 | $482 | 20.5× |
| Microalbumin urine (82043) | $104.40 | $116 | 18.1× |
| Microsomal antibodies (86376) | $234.90 | $261 | 16.1× |
| Mitochondrial antibody each (86381) | $252 | $280 | 9.9× |
| Mrsa PCR (87641) | $172.35 | $191.50 | 4.9× |
| Mtb PCR (87556) | $524.70 | $583 | 12.6× |
| Muramidase (85549) | $148.50 | $165 | 7.9× |
| Muscle-specific kinase (musk) antibody (86366) | $1,440 | $1,600 | 78.3× |
| Mycophenolic acid (80180) | $186.30 | $207 | 10.3× |
| Mycoplasma antibody (86738) | $106.20 | $118 | 8.0× |
| Nasal smear for eosinophils (89190) | $78.30 | $87 | 13.5× |
| Natriuretic peptide (83880) | $372.60 | $414 | 9.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $720 | $800 | 5.6× |
| Nk cells total count (86357) | $314.55 | $349.50 | 8.3× |
| Nuclear antigen antibody (86235) | $180.90 | $201 | 10.1× |
| Occult blood gastric (82271) | $45.90 | $51 | 8.6× |
| Occult blood stool (82272) | $50.40 | $56 | 11.9× |
| Organic Acids Qualitative Each Specimen (83919) | $266.40 | $296 | 16.2× |
| Osmolality serum (83930) | $76.50 | $85 | 11.6× |
| Osmolality urine (83935) | $96.75 | $107.50 | 14.2× |
| Ova 1 (81503) | $80.10 | $89 | 0.1× |
| Ova and parasite direct-id lca (87177) | $75.15 | $83.50 | 8.4× |
| Oxalate urine (83945) | $170.10 | $189 | 11.8× |
| Parvovirus antibody (86747) | $277.20 | $308 | 18.4× |
| Ph body fluid (83986) | $48.60 | $54 | 13.6× |
| Ph urine (81003) | $61.20 | $68 | 27.2× |
| Phenytoin free (80186) | $156.15 | $173.50 | 11.3× |
| Phosphatase alkaline (84075) | $101.70 | $113 | 19.6× |
| Phosphorus blood (84100) | $107.10 | $119 | 22.6× |
| Phosphorus urine (84105) | $72 | $80 | 12.5× |
| Pinworm exam (87172) | $56.70 | $63 | 13.3× |
| Platelet aggregation (85576) | $162.90 | $181 | 6.5× |
| Platelet count automated (85049) | $72.90 | $81 | 16.3× |
| Potassium (84132) | $93.60 | $104 | 19.7× |
| Potassium urine (84133) | $63 | $70 | 13.3× |
| Primidone (80188) | $164.70 | $183 | 9.9× |
| Procalcitonin (pct) (84145) | $283.50 | $315 | 10.4× |
| Progesterone (84144) | $167.40 | $186 | 8.0× |
| Protein body fluid (84157) | $83.70 | $93 | 20.9× |
| Protein c activity (85303) | $357.30 | $397 | 25.8× |
| Protein electrophoresis serum (84165) | $131.40 | $146 | 12.2× |
| Protein Electrophoresis Urine (84166) | $230.85 | $256.50 | 12.9× |
| Protein s total (85305) | $277.20 | $308 | 23.9× |
| Protein total serum (84155) | $88.20 | $98 | 24.0× |
| Protein urine (84156) | $81.90 | $91 | 22.3× |
| PSA free (84154) | $162 | $180 | 8.8× |
| Pth intact (83970) | $419.40 | $466 | 10.2× |
| Rbc antibody elution (86860) | $212.40 | $236 | 1.2× |
| Renin activity plasma (84244) | $253.35 | $281.50 | 11.5× |
| Resp virus 12-25 targets (87633) | $1,122.30 | $1,247 | 2.7× |
| Resp virus 3-5 targets (87631) | $938.70 | $1,043 | 6.6× |
| Reticulocyte count auto (85045) | $83.70 | $93 | 21.0× |
| Rheumatoid Factor Qual (86430) | $107.10 | $119 | 17.4× |
| Rheumatoid factor quant (86431) | $65.70 | $73 | 11.6× |
| Ristocetin cofactor (85245) | $321.30 | $357 | 14.0× |
| Rotavirus ag eia (87425) | $167.40 | $186 | 14.0× |
| Rpr Titer (86593) | $356.40 | $396 | 81.0× |
| Rsv (87807) | $180.90 | $201 | 13.8× |
| Rubella antibody (86762) | $126 | $140 | 8.8× |
| Rubeola Antibody Igg (86765) | $306 | $340 | 23.8× |
| Russell viper venom time (includes venom); undiluted Facility (85612) | $96.30 | $107 | 5.5× |
| Russell viper venom time diluted (85613) | $157.50 | $175 | 16.4× |
| Rx metab gen seq alys pnl 6 (81418) | $450.90 | $501 | 0.5× |
| Salicylate Level (80179) | $291.60 | $324 | 15.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $306 | $340 | 6.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $291.60 | $324 | 6.9× |
| Sarscov2 & inf a&b amp prb (87636) | $495.90 | $551 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $540 | $600 | 3.8× |
| Sedimentation rate (85651) | $72 | $80 | 16.9× |
| Sedimentation rate auto (85652) | $58.50 | $65 | 21.7× |
| Selenium (84255) | $337.50 | $375 | 13.2× |
| Sensitivity mic (87186) | $135.90 | $151 | 15.7× |
| Sex hormone binding globulin (84270) | $198 | $220 | 9.1× |
| Sickling of rbc reduction (85660) | $90.90 | $101 | 16.5× |
| Sirolimus (rapamycin) (80195) | $252 | $280 | 18.4× |
| Smear acid fast (87206) | $111.60 | $124 | 20.7× |
| Smear complex stain (87209) | $103.05 | $114.50 | 5.7× |
| Smear gram stain (87205) | $81.90 | $91 | 19.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $82.80 | $92 | 14.2× |
| Sodium (84295) | $93.60 | $104 | 19.5× |
| Sodium urine (84300) | $88.20 | $98 | 17.4× |
| Somatomedin (84305) | $264.60 | $294 | 12.4× |
| Specimen fat stain (89125) | $24.30 | $27 | 4.1× |
| Spectrophotometry (84311) | $231.30 | $257 | 28.6× |
| Staph a DNA amp probe (87640) | $171 | $190 | 4.9× |
| Stool Culture, Addl Pathogens (87046) | $61.20 | $68 | 6.5× |
| Strep a assay w/optic (87880) | $123.30 | $137 | 7.5× |
| Strep a DNA amp probe (87651) | $234.90 | $261 | 6.7× |
| Strep b DNA amp probe (87653) | $234.90 | $261 | 6.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $117 | $130 | 21.3× |
| Sulfate urine (84392) | $63 | $70 | 11.5× |
| Surgical pathology level IV (88305) | $72 | $80 | 1.3× |
| T Cell Absolute Count (86361) | $193.50 | $215 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $391.50 | $435 | 8.3× |
| T cells total count (86359) | $317.25 | $352.50 | 8.4× |
| T3 free (84481) | $184.50 | $205 | 10.9× |
| T3 total (84480) | $189.90 | $211 | 13.4× |
| T4 free (84439) | $136.35 | $151.50 | 15.1× |
| T4 total (84436) | $92.70 | $103 | 13.5× |
| Tb ag response t-cell susp (86481) | $299.70 | $333 | 3.0× |
| Tb test, cell immun measure (86480) | $400.50 | $445 | 6.5× |
| Testosterone free (84402) | $140.40 | $156 | 5.5× |
| Testosterone total (84403) | $322.65 | $358.50 | 12.5× |
| Theophylline (80198) | $173.25 | $192.50 | 12.3× |
| Thiopurine methyltransferase (84433) | $515.70 | $573 | 23.3× |
| Thrombin time plasma (85670) | $107.10 | $119 | 18.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $128.70 | $143 | 19.9× |
| Thyroglobulin (84432) | $279 | $310 | 17.4× |
| Thyroglobulin antibody (86800) | $211.95 | $235.50 | 13.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $340.20 | $378 | 6.7× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $88.20 | $98 | 20.7× |
| Tissue transglutaminase ab iga (86364) | $122.40 | $136 | 10.6× |
| Toxoplasma ab igm (86778) | $117.90 | $131 | 8.2× |
| Toxoplasma antibody igg (86777) | $162 | $180 | 11.3× |
| Transferrin (84466) | $141.30 | $157 | 11.1× |
| Triglycerides (84478) | $129.15 | $143.50 | 22.5× |
| Troponin (84484) | $200.70 | $223 | 16.1× |
| Urea nitrogen (84520) | $93.60 | $104 | 23.7× |
| Urea nitrogen urine (84540) | $72.90 | $81 | 13.1× |
| Uric acid blood (84550) | $92.70 | $103 | 20.5× |
| Uric acid other source (84560) | $63 | $70 | 12.4× |
| Urinalysis auto w/scope (81001) | $87.30 | $97 | 27.5× |
| Urinalysis Microscopic Only (81015) | $18 | $20 | 5.9× |
| Urine Albumin Semiquantitative (82044) | $69.30 | $77 | 11.1× |
| Urine Bacteria Culture (87088) | $111.15 | $123.50 | 13.7× |
| Urine pregnancy test (81025) | $106.20 | $118 | 12.3× |
| Valproic acid (80164) | $200.70 | $223 | 14.8× |
| Vancomycin trough (80202) | $237.60 | $264 | 17.5× |
| Varicella-zoster antibody (86787) | $333.45 | $370.50 | 25.9× |
| Vasoactive intestinal peptide (vip) (84586) | $465.30 | $517 | 13.2× |
| Vdrl csf (86592) | $87.30 | $97 | 20.4× |
| Very long chain fatty acids (82726) | $612.90 | $681 | 31.0× |
| Virus antibody nos (86790) | $180 | $200 | 14.0× |
| Virus inoculate tissue addl (87253) | $352.80 | $392 | 17.5× |
| Vitamin A (84590) | $270.90 | $301 | 23.3× |
| Vitamin b-12 (82607) | $198 | $220 | 13.1× |
| Vitamin b1 (thiamine) (84425) | $244.80 | $272 | 11.5× |
| Vitamin b6 (84207) | $404.10 | $449 | 14.4× |
| Vitamin D 25-Hydroxy (82306) | $289.35 | $321.50 | 9.8× |
| Vitamin e serum (84446) | $236.70 | $263 | 16.7× |
| West nile virus igm (86788) | $138.60 | $154 | 8.2× |
| Zinc (84630) | $152.10 | $169 | 13.4× |