Lab & pathology prices at Melissa Memorial Hospital
Holyoke, CO · every code in this section with a posted price and a Medicare benchmark.
570 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) | $240 | $300 | 6.2× |
| 5 Hiaa (83497) | $57.60 | $72 | 4.5× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $162.40 | $203 | 8.8× |
| Acetylcholine receptor binding antibody (86041) | $90.40 | $113 | 4.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $162.40 | $203 | 13.5× |
| Activated protein c resistance (85307) | $150 | $187.50 | 9.8× |
| Acute hepatitis panel (80074) | $264 | $330 | 5.5× |
| Additional high resolution study (88289) | $131.20 | $164 | 3.8× |
| Adenovirus ag, if (87260) | $73.42 | $91.78 | 5.1× |
| Afb culture (87116) | $108 | $135 | 10.0× |
| Agglutinins febrile (86000) | $20.80 | $26 | 3.0× |
| Albumin Fluid (82042) | $12 | $15 | 1.5× |
| Albumin serum (82040) | $41.60 | $52 | 8.4× |
| Aldolase (82085) | $86.40 | $108 | 8.9× |
| Aldosterone urine (82088) | $187.60 | $234.50 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $20 | $25 | 1.4× |
| Allerg sp igg quan or semiquan (86001) | $72.45 | $90.56 | 9.3× |
| Allergen specific ige (86003) | $64 | $80 | 12.3× |
| Alpha-1-antitrypsin phenotype (82104) | $115.20 | $144 | 8.0× |
| Alpha-1-antitrypsin, total (82103) | $133.60 | $167 | 9.9× |
| Alpha-fetoprotein, serum (82105) | $84 | $105 | 5.0× |
| Alt (sgpt) (84460) | $41.60 | $52 | 7.8× |
| Amikacin trough (80150) | $110.40 | $138 | 7.3× |
| Amino acid screen urine (82128) | $70.40 | $88 | 5.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $212 | $265 | 12.6× |
| Amino Acids Quant 2-5 (82136) | $241.60 | $302 | 12.3× |
| Amino Acids, Single Quantitation (82131) | $318.40 | $398 | 13.9× |
| Aminolevulinic acid (ala) (82135) | $327.20 | $409 | 19.9× |
| Ammonia (82140) | $114.40 | $143 | 7.9× |
| Amylase urine (82150) | $98.40 | $123 | 15.2× |
| Ana Titer (86039) | $82.40 | $103 | 7.4× |
| Angiotensin i enzyme test (82164) | $119.20 | $149 | 8.2× |
| Anti-phosphatidylserine antibody (86148) | $189.20 | $236.50 | 11.8× |
| Antibody aspergillus (86606) | $130.40 | $163 | 8.7× |
| Antibody cytomegalovirus cmv (86644) | $76 | $95 | 5.3× |
| Antibody cytomegalovirus cmv igm (86645) | $119.20 | $149 | 7.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $52.80 | $66 | 4.0× |
| Antibody haemophilus influenza (86684) | $89.60 | $112 | 5.7× |
| Antibody helicobacter pylori (86677) | $95.20 | $119 | 5.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $78.40 | $98 | 5.4× |
| Antibody herpes smplx type 1 (86695) | $89.60 | $112 | 6.8× |
| Antibody identification (86870) | $226 | $282.50 | 0.6× |
| Antibody identification leukocyte antibodies (86021) | $82.40 | $103 | 5.5× |
| Antibody influenza virus (86710) | $54.40 | $68 | 4.0× |
| Antibody john cunningham virus (86711) | $1,635.60 | $2,044.50 | 96.8× |
| Antibody mumps (86735) | $94 | $117.50 | 7.2× |
| Antibody Protozoa Nes (86753) | $196.80 | $246 | 15.9× |
| Antibody rubeola (86765) | $76.80 | $96 | 6.0× |
| Antibody screen (86850) | $123.60 | $154.50 | 12.7× |
| Antibody treponema pallidum (86780) | $48.90 | $61.12 | 3.7× |
| Antibody; Coccidioides (86635) | $119.20 | $149 | 10.4× |
| Antigen typing (86905) | $130.40 | $163 | 34.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $104.80 | $131 | 20.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $47.40 | $59.25 | 3.9× |
| Antinuclear antibodies (86038) | $97.60 | $122 | 8.1× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $60 | $75 | 10.4× |
| Antistreptolysin o titer (86060) | $88.80 | $111 | 12.2× |
| Antithrombin iii activity (85300) | $157.20 | $196.50 | 13.3× |
| Antithrombin iii antigen (85301) | $76 | $95 | 7.0× |
| Apolipoprotein b (82172) | $121.20 | $151.50 | 5.7× |
| Arsenic Urine (82175) | $172 | $215 | 9.1× |
| Aspergillus ag eia (87305) | $126.24 | $157.80 | 10.5× |
| Assay Lipoprotein Pla2 (83698) | $76.40 | $95.50 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $185.60 | $232 | 13.6× |
| Assay of acth (82024) | $202.40 | $253 | 5.2× |
| Assay of androstenedione (82157) | $132 | $165 | 4.5× |
| Assay of blood chloride (82435) | $40.80 | $51 | 8.9× |
| Assay of c-peptide (84681) | $121.60 | $152 | 5.8× |
| Assay of calcitonin (82308) | $52 | $65 | 1.9× |
| Assay of ceruloplasmin (82390) | $74.40 | $93 | 6.9× |
| Assay of cyclosporine (80158) | $165.60 | $207 | 9.2× |
| Assay of erythropoietin (82668) | $148.80 | $186 | 7.9× |
| Assay of ferritin (82728) | $100.80 | $126 | 7.4× |
| Assay of gammaglobulin igm (82784) | $72 | $90 | 7.7× |
| Assay of gastrin (82941) | $125.60 | $157 | 7.1× |
| Assay of gentamicin (80170) | $164 | $205 | 10.0× |
| Assay of glucagon (82943) | $126.40 | $158 | 8.8× |
| Assay of homocystine (83090) | $104.80 | $131 | 5.8× |
| Assay of lipoprotein(a) (83695) | $90.40 | $113 | 6.3× |
| Assay of metanephrines (83835) | $166.40 | $208 | 9.8× |
| Assay of parathormone (83970) | $206.40 | $258 | 5.0× |
| Assay of phenobarbital (80184) | $105.60 | $132 | 6.9× |
| Assay of phosphatase acid total (84060) | $89.60 | $112 | 11.7× |
| Assay of prealbumin (84134) | $127.20 | $159 | 8.7× |
| Assay of proinsulin (84206) | $320.80 | $401 | 12.0× |
| Assay of selenium (84255) | $67.20 | $84 | 2.6× |
| Assay of serotonin (84260) | $200 | $250 | 6.5× |
| Assay of somatomedin (84305) | $193.60 | $242 | 9.1× |
| Assay of tacrolimus (80197) | $193.60 | $242 | 14.1× |
| Assay of urine vma (84585) | $160.80 | $201 | 10.4× |
| Assay of vitamin k (84597) | $291.20 | $364 | 21.2× |
| Assay of volatiles (84600) | $100.80 | $126 | 5.9× |
| Assay Ph Body Fluid Nos (83986) | $115.20 | $144 | 32.2× |
| Ast (sgot) (84450) | $41.60 | $52 | 8.0× |
| Bartonella antibody (86611) | $73.60 | $92 | 7.2× |
| Bcr/abl1 gene major bp (81206) | $900.80 | $1,126 | 5.5× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $88.80 | $111 | 3.5× |
| Beta hydroxybutyrate (82010) | $112.80 | $141 | 13.8× |
| Beta-2 microglobulin (82232) | $124 | $155 | 7.7× |
| Bilirubin direct (82248) | $34.40 | $43 | 6.9× |
| Bilirubin total (82247) | $42.40 | $53 | 8.4× |
| Bl Smear W/Diff Wbc Count (85007) | $56 | $70 | 14.7× |
| Blastomyces antibody (86612) | $476 | $595 | 36.9× |
| Bleeding time (85002) | $72 | $90 | 14.9× |
| Blood count reticulocyte automated (85045) | $24 | $30 | 6.0× |
| Blood gases (82803) | $496.80 | $621 | 19.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35.20 | $44 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32 | $40 | 7.3× |
| Blood Ph - Ph Venous (82800) | $83.20 | $104 | 7.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $130.40 | $163 | 20.5× |
| Blood typing abo (86900) | $56.80 | $71 | 19.0× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $118 | $147.50 | 7.2× |
| Blood typing serologic rh (d) (86901) | $56.80 | $71 | 19.0× |
| Blood typing serologic rh phenotyping complete (86906) | $172 | $215 | 22.2× |
| Body fluid cell count (89051) | $76 | $95 | 13.6× |
| Body fluid cell count (89050) | $69.60 | $87 | 14.7× |
| Bordetella antibody (86615) | $48.80 | $61 | 3.7× |
| Breath Alcohol Test (82075) | $24.80 | $31 | 0.8× |
| C diff amplified probe (87493) | $160 | $200 | 4.3× |
| C-reactive protein (86140) | $62.80 | $78.50 | 12.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $83.20 | $104 | 6.4× |
| C1q binding assay (86332) | $132.80 | $166 | 5.4× |
| Ca 125 (86304) | $136 | $170 | 6.5× |
| Ca 19-9 (86301) | $144 | $180 | 6.9× |
| Ca 27 29 (86300) | $142.40 | $178 | 6.8× |
| Cadmium level (82300) | $123.20 | $154 | 5.2× |
| Calcium ionized (82330) | $115.20 | $144 | 8.4× |
| Calcium total (82310) | $64.80 | $81 | 12.6× |
| Calcium urine (82340) | $108.52 | $135.65 | 18.0× |
| Calculus Spectroscopy (82365) | $120 | $150 | 9.3× |
| Calprotectin, fecal (83993) | $380.80 | $476 | 19.4× |
| Candida antibody (86628) | $97.20 | $121.50 | 8.1× |
| Carbamazepine (tegretol) total (80156) | $87.20 | $109 | 6.0× |
| Carbon dioxide (82374) | $23.20 | $29 | 4.8× |
| Carboxyhemoglobin Quantitative (82375) | $98.80 | $123.50 | 8.0× |
| Carcinoembryonic antigen (82378) | $138.40 | $173 | 7.3× |
| Cardiolipin ab igg (86147) | $107.20 | $134 | 4.2× |
| Catecholamines fraction plasma (82384) | $219.20 | $274 | 8.7× |
| Catecholamines Total Urine (82382) | $119.20 | $149 | 4.4× |
| Cell marker study (88182) | $341.60 | $427 | 6.2× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $456.80 | $571 | 3.4× |
| Cftr gene com variants (81220) | $340 | $425 | 0.6× |
| Chemiluminescent assay (82397) | $230.80 | $288.50 | 16.3× |
| Chlamydia antibody (86631) | $219.20 | $274 | 18.5× |
| Chlamydia Igm Antibody (86632) | $140 | $175 | 11.0× |
| Chlamydia trachomatis ag if (87270) | $24 | $30 | 2.0× |
| Chloride urine (82436) | $42.40 | $53 | 7.4× |
| Cholesterol total (82465) | $52.80 | $66 | 12.1× |
| Cholinesterase rbc (82482) | $128 | $160 | 13.0× |
| Cholinesterase serum (82480) | $115.20 | $144 | 14.6× |
| Chrmsm analysis addl cells counted each study (88285) | $225.60 | $282 | 8.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $646.40 | $808 | 5.2× |
| Chromium urine (82495) | $113.60 | $142 | 5.6× |
| Chromogenic substrate assay (85130) | $60.80 | $76 | 5.1× |
| Chromogranin a (86316) | $152 | $190 | 7.3× |
| Chromosome Analysis 5 (88261) | $310 | $387.50 | 1.2× |
| Chromosome karyotype study (88280) | $125.60 | $157 | 3.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $70.40 | $88 | 2.0× |
| Citrate (82507) | $125.60 | $157 | 4.5× |
| Ck isoenzymes (82552) | $96.80 | $121 | 7.2× |
| Ckmb (82553) | $163.20 | $204 | 14.1× |
| Clot factor viii vw antigen (85246) | $212.32 | $265.40 | 9.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $166.66 | $208.32 | 6.9× |
| Cold agglutinin titer (86157) | $95.20 | $119 | 11.8× |
| Collagen cross links (82523) | $130.40 | $163 | 7.0× |
| Compatibility test antiglob (86922) | $156.80 | $196 | 0.9× |
| Compatibility Test Incubate (86921) | $37.60 | $47 | 0.2× |
| Complement c3 (86160) | $119.60 | $149.50 | 10.0× |
| Complement total ch50 (86162) | $175.20 | $219 | 8.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $180.80 | $226 | 15.1× |
| Concentration Infectious Agent (87015) | $36 | $45 | 5.4× |
| Coombs direct (86880) | $82.40 | $103 | 15.3× |
| Coombs Test Indirect Qual (86885) | $111.20 | $139 | 19.4× |
| Copper urine (82525) | $20 | $25 | 1.6× |
| Cortisol free (82530) | $101.20 | $126.50 | 6.1× |
| Cortisol total (82533) | $136 | $170 | 8.3× |
| Creatine kinase total (82550) | $85.60 | $107 | 13.1× |
| Creatinine blood (82565) | $60.80 | $76 | 11.9× |
| Creatinine clearance (82575) | $82.40 | $103 | 8.7× |
| Creatinine other source (82570) | $70.40 | $88 | 13.6× |
| Crossmatch immediate spin (86920) | $198.40 | $248 | 1.1× |
| Cryofibrinogen (82585) | $49.60 | $62 | 3.5× |
| Cryoglobulin (82595) | $42.80 | $53.50 | 6.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $11.20 | $14 | 1.4× |
| Culture Aerobic Identify (87077) | $56.80 | $71 | 7.0× |
| Culture anaerobic (87075) | $90.40 | $113 | 9.5× |
| Culture blood (87040) | $190.40 | $238 | 18.4× |
| Culture chlamydia (87110) | $81.60 | $102 | 4.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $67.20 | $84 | 8.7× |
| Culture fungus other (87102) | $104.80 | $131 | 12.5× |
| Culture genital (87070) | $114.40 | $143 | 13.3× |
| Culture screen only (87081) | $75.60 | $94.50 | 11.4× |
| Culture stool (87045) | $120.80 | $151 | 12.8× |
| Culture typing if ea antiserum (87140) | $19.20 | $24 | 3.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $71.20 | $89 | 13.7× |
| Culture typing other methods (87158) | $356.80 | $446 | 46.1× |
| Culture urine (87086) | $85.60 | $107 | 10.6× |
| Culture urine id ea isolate (87088) | $69.60 | $87 | 8.6× |
| Cyanide (82600) | $154.40 | $193 | 8.0× |
| Cyclic Citrullinated Peptide (86200) | $98.40 | $123 | 7.6× |
| Cyp2c19 gene com variants (81225) | $48.50 | $60.63 | 0.2× |
| Cyp2c9 gene com variants (81227) | $48.50 | $60.63 | 0.3× |
| Cyp2d6 gene com variants (81226) | $453.05 | $566.32 | 1.0× |
| Cyp3a4 (81230) | $48.50 | $60.63 | 0.3× |
| Cyp3a5 (81231) | $48.50 | $60.63 | 0.3× |
| Cystatin c (82610) | $149.60 | $187 | 8.1× |
| Cytogenetics DNA probe (88271) | $76 | $95 | 3.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,440 | $1,800 | 1.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $310 | $387.50 | 7.2× |
| Cytopath cell enhance tech (88112) | $100 | $125 | 1.8× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $86.40 | $108 | 3.2× |
| Cytp concentration smears & interpretation (88108) | $73.60 | $92 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $167.20 | $209 | 3.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $312 | $390 | 1.7× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $69.60 | $87 | 3.8× |
| D-Dimer (85379) | $154.40 | $193 | 15.2× |
| Dhea (82626) | $179.20 | $224 | 7.1× |
| Dhea sulfate (82627) | $164.80 | $206 | 7.4× |
| Digoxin (80162) | $122.40 | $153 | 9.2× |
| Dihydrotestosterone (82642) | $54.61 | $68.26 | 1.9× |
| Dilantin (80185) | $118.40 | $148 | 8.9× |
| Diphtheria antitoxoid (86648) | $76 | $95 | 5.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $96 | $120 | 7.0× |
| Dpyd gene common variants (81232) | $48.50 | $60.63 | 0.3× |
| Drug screen quant zonisamide (80203) | $146 | $182.50 | 11.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $135.20 | $169 | 10.2× |
| Drug Scrn Quan Levetiracetam (80177) | $135.20 | $169 | 10.2× |
| Drug scrn quant oxcarbazepin (80183) | $174.40 | $218 | 13.2× |
| Drug test prsmv chem anlyzr (80307) | $131.12 | $163.90 | 2.1× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $168 | $210 | 9.8× |
| Ebv viral capsid (86665) | $72.80 | $91 | 4.0× |
| Echinococcus ab igg (86682) | $329.60 | $412 | 25.3× |
| Elastase pancreatic fecal quantitative (82653) | $338.40 | $423 | 14.7× |
| Electrolyte panel (80051) | $89.60 | $112 | 12.8× |
| Endomysial antibody iga (86255) | $136 | $170 | 11.3× |
| Enzyme cell activity (82657) | $223.20 | $279 | 10.1× |
| Eosinophil count (85048) | $34.40 | $43 | 13.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $63.20 | $79 | 4.1× |
| Estradiol (82670) | $149.60 | $187 | 5.4× |
| Estriol (82677) | $43.68 | $54.60 | 1.8× |
| Estrogen fractionated (82671) | $103.20 | $129 | 3.2× |
| Estrogen receptor analysis (84233) | $272 | $340 | 3.1× |
| Estrogens total (82672) | $70.40 | $88 | 3.2× |
| Estrone (82679) | $231.20 | $289 | 9.3× |
| Everolimus (80169) | $136.40 | $170.50 | 9.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $72 | $90 | 9.8× |
| F2 gene analysis 20210g >a variant (81240) | $302 | $377.50 | 4.6× |
| F5 gene (81241) | $404.80 | $506 | 5.5× |
| Factor ii activity (85210) | $84 | $105 | 6.5× |
| Factor vii assay (85230) | $262.40 | $328 | 14.7× |
| Factor viii ahg (85240) | $67.20 | $84 | 3.8× |
| Factor xii assay (85280) | $227.20 | $284 | 11.7× |
| Fat stain (89125) | $38.40 | $48 | 6.5× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $152 | $190 | 19.7× |
| Fecal fat qual (82705) | $63.20 | $79 | 12.4× |
| Fecal fat quant (82710) | $176.80 | $221 | 10.5× |
| Fetal chrmoml aneuploidy (81420) | $2,284.80 | $2,856 | 3.0× |
| Fetal fibronectin (82731) | $387.20 | $484 | 6.0× |
| Fetal hemoglobin, chemical (83030) | $70.40 | $88 | 6.6× |
| Fibrin degradation products (85362) | $18.40 | $23 | 2.7× |
| Fibrinogen activity (85384) | $72.80 | $91 | 7.5× |
| Fibrinogen antigen (85385) | $15.20 | $19 | 1.1× |
| Flow cytometry first marker (88184) | $240 | $300 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $154.40 | $193 | 12.8× |
| Fmr1 gene detection (81243) | $292.80 | $366 | 5.1× |
| Folate serum (82746) | $84 | $105 | 5.7× |
| Folic acid rbc (82747) | $128.80 | $161 | 7.3× |
| Follicle Stimulating Hormone (83001) | $111.20 | $139 | 6.0× |
| Fresh frozen plasma thawing each unit (86927) | $53.60 | $67 | 0.3× |
| Fructosamine (82985) | $40.80 | $51 | 2.4× |
| G6pd gene alys cmn variant (81247) | $48.50 | $60.63 | 0.3× |
| Galectin-3 serum (82777) | $114.54 | $143.18 | 2.6× |
| Gammaglobulin ige (82785) | $50.40 | $63 | 3.1× |
| Gardner Vag Dna Quant (87512) | $61.58 | $76.97 | 1.5× |
| Gastric Occult Blood (82271) | $44.80 | $56 | 8.4× |
| Ggt (82977) | $66.40 | $83 | 9.2× |
| Giardia antigen eia stool (87329) | $138.40 | $173 | 11.6× |
| Gliadin antibody each immunoglobulin class (86258) | $23.60 | $29.50 | 2.0× |
| Glucose (82947) | $34.40 | $43 | 8.8× |
| Glucose Blood Test (82962) | $18.80 | $23.50 | 5.7× |
| Glucose body fluid (82945) | $34.40 | $43 | 8.8× |
| Glucose post dose (82950) | $34.40 | $43 | 7.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $34.40 | $43 | 8.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $45.60 | $57 | 3.5× |
| Glycosylated hb home device (83037) | $17.60 | $22 | 1.8× |
| Growth hormone (83003) | $129.60 | $162 | 7.8× |
| Haptoglobin (83010) | $100 | $125 | 7.9× |
| Hcg qualitative (84703) | $157.60 | $197 | 21.0× |
| Hcg quant (84702) | $117.60 | $147 | 7.8× |
| Hdl Cholesterol (83718) | $62.40 | $78 | 7.6× |
| Heavy metal quant each (83018) | $84.40 | $105.50 | 3.8× |
| Hematocrit (85014) | $35.20 | $44 | 14.9× |
| Hematocrit spun (85013) | $64.80 | $81 | 9.3× |
| Hemoglobin (85018) | $33.60 | $42 | 14.2× |
| Hemoglobin a1c (83036) | $95.20 | $119 | 9.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $168.80 | $211 | 9.3× |
| Hemoglobin electrophoresis (83020) | $119.20 | $149 | 9.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $130.40 | $163 | 16.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $72.80 | $91 | 8.9× |
| Hemoglobin plasma (83051) | $76.80 | $96 | 10.5× |
| Heparin assay (85520) | $268 | $335 | 20.5× |
| Hepatitis a antibody total (86708) | $78.40 | $98 | 6.3× |
| Hepatitis a igm (86709) | $103.20 | $129 | 9.2× |
| Hepatitis b core ab igm (86705) | $86.40 | $108 | 7.3× |
| Hepatitis b core antibody total (86704) | $65.60 | $82 | 5.4× |
| Hepatitis B Surface Ab (86706) | $76 | $95 | 7.1× |
| Hepatitis B Surface Antigen (87340) | $70.40 | $88 | 6.8× |
| Hepatitis c ab confirm (86804) | $219.20 | $274 | 14.2× |
| Hepatitis c antibody (86803) | $102.40 | $128 | 7.2× |
| Hepatitis C Genotype (87902) | $587.50 | $734.38 | 2.3× |
| Herpes culture (87252) | $144 | $180 | 5.5× |
| Herpes simplex type 2 (86696) | $135.20 | $169 | 7.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $73.60 | $92 | 14.2× |
| Hfe gene (81256) | $373.60 | $467 | 5.7× |
| Hgb quant transcut carboxyhem (88740) | $14.40 | $18 | 1.5× |
| Histamine plasma (83088) | $114.24 | $142.80 | 3.9× |
| HIV confirmation (86689) | $188.80 | $236 | 9.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $82.40 | $103 | 6.0× |
| Hla b 27 disease association lc (81374) | $155.20 | $194 | 2.1× |
| Hla class i typing high resolution one allele or allele group (81381) | $194.05 | $242.56 | 1.1× |
| Hla class ii typing high resolution one locus ea (81382) | $200 | $250 | 1.6× |
| Hla-b27 (86812) | $384.80 | $481 | 14.9× |
| Hpv types 16 & 18 only (87625) | $152 | $190 | 3.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $232 | $290 | 3.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $294.40 | $368 | 8.4× |
| Hydroxyprogesterone 17-d (83498) | $121.60 | $152 | 4.5× |
| Iaad ia clostridium difficile toxin (87324) | $63.20 | $79 | 5.3× |
| Iaad ia cryptosporidium (87328) | $116.80 | $146 | 8.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $84.80 | $106 | 3.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $186.40 | $233 | 13.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $79.20 | $99 | 5.7× |
| Iaad ia rotavirus (87425) | $90.40 | $113 | 7.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $90.40 | $113 | 2.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $64 | $80 | 5.3× |
| Iaad Ia Streptococcus Group A (87430) | $58.40 | $73 | 3.5× |
| Iaadiadoo not otherwise specified (87899) | $127.20 | $159 | 7.9× |
| Iadna candida species amplified probe tq (87481) | $52.80 | $66 | 1.5× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $52.80 | $66 | 1.5× |
| Iadna hepatitis b virus quantification (87517) | $148 | $185 | 3.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $226.40 | $283 | 5.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $150 | $187.50 | 4.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $424.80 | $531 | 5.0× |
| Iadna human papillomavirus high-risk types (87624) | $155.20 | $194 | 4.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $436.80 | $546 | 10.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $70.40 | $88 | 2.0× |
| Iadna nos amplified probe tq each organism (87798) | $274.80 | $343.50 | 7.8× |
| Iadna nos quantification each organism (87799) | $315 | $393.75 | 7.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $95.20 | $119 | 2.7× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $946.80 | $1,183.50 | 3.6× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $48.50 | $60.63 | 0.7× |
| Igg subclasses (82787) | $84.80 | $106 | 10.6× |
| Immunfix e-phorsis/urine/csf (86335) | $107.20 | $134 | 3.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $173.60 | $217 | 11.6× |
| Immunoassay nonantibody (83516) | $120.80 | $151 | 10.5× |
| Immunofixj Electrophoresis Serum (86334) | $136 | $170 | 6.1× |
| Immunoglobulin light chains free each (83521) | $184 | $230 | 10.7× |
| Immunohistochemistry (88342) | $312.40 | $390.50 | 1.7× |
| India ink prep (87210) | $57.60 | $72 | 9.9× |
| Influenza a/b ag eia (87400) | $110.40 | $138 | 7.8× |
| Inhibin a (86336) | $62.40 | $78 | 4.0× |
| Inhibin b (83520) | $144.30 | $180.38 | 8.4× |
| Insulin antibodies (86337) | $380 | $475 | 17.7× |
| Insulin total (83525) | $85.60 | $107 | 7.5× |
| Iron (83540) | $48.80 | $61 | 7.5× |
| Iron binding capacity (83550) | $52 | $65 | 5.9× |
| Irradiation of blood product (86945) | $151.20 | $189 | 3.8× |
| Islet cell antibody (86341) | $106.91 | $133.64 | 4.5× |
| Jak2 gene analysis (81270) | $299.20 | $374 | 3.3× |
| Koh Prep (87220) | $40 | $50 | 9.4× |
| Lactic acid (83605) | $104 | $130 | 9.0× |
| Ldh (83615) | $35.20 | $44 | 5.8× |
| Ldh isoenzymes (83625) | $28.80 | $36 | 2.3× |
| LDL cholesterol direct (83721) | $84.80 | $106 | 8.1× |
| Lead (83655) | $70.80 | $88.50 | 5.8× |
| Legionella antibody (86713) | $177.60 | $222 | 11.6× |
| Legionella antigen urine (87449) | $106 | $132.50 | 8.8× |
| Leucine aminopeptidase (lap) (83670) | $242.40 | $303 | 24.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $50.40 | $63 | 11.8× |
| Leukocyte histamine release test (86343) | $306.40 | $383 | 24.6× |
| Level ii surg pathology grossµscopic exam (88302) | $135.20 | $169 | 3.4× |
| Level v surg pathology grossµscopic exam (88307) | $462.40 | $578 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $528.80 | $661 | 0.6× |
| Lh (83002) | $111.20 | $139 | 6.0× |
| Lipase (83690) | $112 | $140 | 16.3× |
| Listeria ab (86609) | $85.60 | $107 | 6.6× |
| Lithium (80178) | $38.40 | $48 | 5.8× |
| Lyme disease antibody (86618) | $100 | $125 | 5.9× |
| Lyme disease antibody confirm (86617) | $140.80 | $176 | 9.1× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $500.80 | $626 | 2.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $210.38 | $262.98 | 1.2× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $85.84 | $107.30 | 0.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $240 | $300 | 1.3× |
| Magnesium (83735) | $52.40 | $65.50 | 7.8× |
| Malaria smear (87207) | $73.60 | $92 | 12.3× |
| Manual reticulocyte count (85044) | $38.40 | $48 | 8.9× |
| Mass spectrometry qual/quan (83789) | $300.80 | $376 | 12.5× |
| Mcg interphase insitu 25 (88274) | $212.80 | $266 | 5.0× |
| Mercury (83825) | $161.20 | $201.50 | 9.9× |
| Metabolic Panel Ionized Ca (80047) | $133.60 | $167 | 9.7× |
| Methotrexate (80299) | $193 | $241.25 | 10.4× |
| Methylmalonic acid serum (83921) | $207.20 | $259 | 9.8× |
| Microalbumin urine (82043) | $110.40 | $138 | 19.1× |
| Microbe susceptible diffuse (87181) | $233.67 | $292.09 | 49.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $114.40 | $143 | 2.1× |
| Microsomal antibodies (86376) | $101.20 | $126.50 | 7.0× |
| Mitochondrial antibody each (86381) | $95.20 | $119 | 3.7× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $172 | $215 | 3.4× |
| Molecular pathology procedure level 2 (81401) | $529.60 | $662 | 3.9× |
| Mononuclear cell antigen (86356) | $169.20 | $211.50 | 6.3× |
| Mopath procedure level 1 (81400) | $48.50 | $60.63 | 0.8× |
| Mopath procedure level 5 (81404) | $748.80 | $936 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $48.50 | $60.63 | 0.7× |
| Mycophenolic acid (80180) | $148.08 | $185.10 | 8.2× |
| Mycoplasma antibody (86738) | $84.80 | $106 | 6.4× |
| Mycoplasma culture (87109) | $70.40 | $88 | 4.6× |
| Myoglobin urine (83874) | $60.68 | $75.85 | 4.7× |
| Nasal smear for eosinophils (89190) | $52.80 | $66 | 9.1× |
| Natriuretic peptide (83880) | $191.58 | $239.48 | 4.9× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $346.50 | $433.12 | 4.8× |
| Niacin (84591) | $212.80 | $266 | 12.5× |
| Nmr Lipoprofile (83704) | $76.18 | $95.23 | 2.2× |
| Nuclear antigen antibody (86235) | $108 | $135 | 6.0× |
| Nudt15 Gene Analysis Common Variants (81306) | $48.50 | $60.63 | 0.2× |
| Occult blood stool (82272) | $28.80 | $36 | 6.8× |
| Organic Acids Total Quantitative Each Specimen (83918) | $284.80 | $356 | 12.1× |
| Osmolality serum (83930) | $60.80 | $76 | 9.2× |
| Osmolality urine (83935) | $76 | $95 | 11.1× |
| Ova and parasite direct-id lca (87177) | $63.20 | $79 | 7.1× |
| Oxalate urine (83945) | $56 | $70 | 3.9× |
| Pancreatic polypeptide (83519) | $189.20 | $236.50 | 10.3× |
| Particle Agglutination Screen Each Antibody (86403) | $230.40 | $288 | 20.0× |
| Parvovirus antibody (86747) | $77.60 | $97 | 5.2× |
| Phenotype Infect Agent Drug (87900) | $308.70 | $385.87 | 2.4× |
| Phenylalanine (84030) | $100.80 | $126 | 18.3× |
| Phenytoin free (80186) | $115.20 | $144 | 8.4× |
| Phosphatase acid prostatic (84066) | $96 | $120 | 9.9× |
| Phosphatase alkaline (84075) | $40.97 | $51.21 | 7.9× |
| Phosphorus blood (84100) | $41.60 | $52 | 8.8× |
| Pinworm exam (87172) | $44 | $55 | 10.3× |
| Platelet count (85049) | $50.40 | $63 | 11.2× |
| Potassium (84132) | $34.40 | $43 | 7.2× |
| Potassium urine (84133) | $24 | $30 | 5.1× |
| Pregnenolone (84140) | $104 | $130 | 5.0× |
| Primidone (80188) | $80.80 | $101 | 4.9× |
| Procalcitonin (pct) (84145) | $231.20 | $289 | 8.5× |
| Progesterone (84144) | $115.20 | $144 | 5.5× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $272 | $340 | 4.2× |
| Prolactin (84146) | $136 | $170 | 7.0× |
| Protein body fluid (84157) | $71.60 | $89.50 | 17.9× |
| Protein c activity (85303) | $84.80 | $106 | 6.1× |
| Protein c antigen (85302) | $186.40 | $233 | 15.5× |
| Protein electrophoresis serum (84165) | $79.20 | $99 | 7.4× |
| Protein Electrophoresis Urine (84166) | $98.40 | $123 | 5.5× |
| Protein S Functional (85306) | $212.80 | $266 | 13.9× |
| Protein s total (85305) | $186.40 | $233 | 16.1× |
| Protein Total Serum (84155) | $48.80 | $61 | 13.3× |
| Protein urine (84156) | $39.20 | $49 | 10.7× |
| Protein westrn blot i&r blood/other fluid (84181) | $357.60 | $447 | 21.0× |
| Prothrombin time substitution (85611) | $40 | $50 | 10.2× |
| PSA free (84154) | $107.20 | $134 | 5.8× |
| Quantiferon tb gold (86480) | $249.60 | $312 | 4.0× |
| Rbc antibody elution (86860) | $137.60 | $172 | 0.8× |
| Rbc pretx incubatj w/chemicl (86970) | $87.20 | $109 | 1.4× |
| Renin activity plasma (84244) | $141.20 | $176.50 | 6.4× |
| Respiratory viral panel PCR (87633) | $801.60 | $1,002 | 1.9× |
| Reticulocyte Count (85046) | $52 | $65 | 9.3× |
| Reticulocyte separation (86972) | $151.20 | $189 | 0.8× |
| Rheumatoid Factor Qual (86430) | $56 | $70 | 9.1× |
| Rheumatoid factor quant (86431) | $57.60 | $72 | 10.2× |
| Rickettsia antibody (86757) | $144 | $180 | 7.4× |
| Rpr Titer (86593) | $76.80 | $96 | 17.5× |
| Rubella antibody (86762) | $82.40 | $103 | 5.7× |
| Russell viper venom time diluted (85613) | $64 | $80 | 6.7× |
| Russell Viper Venom Time Undiluted (85612) | $235.20 | $294 | 13.4× |
| Saccharomyces ab iga (86671) | $150.40 | $188 | 12.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $104 | $130 | 2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $84 | $105 | 2.0× |
| Sed rate automated (85652) | $56.80 | $71 | 21.0× |
| Sedimentation rate (85651) | $48.80 | $61 | 11.4× |
| Semen analysis complete (89320) | $117.60 | $147 | 9.6× |
| Semen analysis sperm presence&/motility sprm (89321) | $38.40 | $48 | 3.2× |
| Semen analysis w/count (89310) | $38.40 | $48 | 4.5× |
| Sensitivity mic (87186) | $104.80 | $131 | 12.1× |
| Serotonin Release Assay (86022) | $467.20 | $584 | 25.4× |
| Sex hormone binding globulin (84270) | $147.20 | $184 | 6.8× |
| Sickle cell screen (85660) | $34.18 | $42.72 | 6.2× |
| Sirolimus (rapamycin) (80195) | $81.60 | $102 | 5.9× |
| Slco1B1 Gene Analysis Common Variants (81328) | $48.50 | $60.63 | 0.3× |
| Smear acid fast (87206) | $79.60 | $99.50 | 14.8× |
| Smear complex stain (87209) | $72 | $90 | 4.0× |
| Smear gram stain (87205) | $63.20 | $79 | 14.8× |
| Smn1 gene analysis full gene sequence (81336) | $482.40 | $603 | 1.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $876.80 | $1,096 | 6.4× |
| Snrpn/ube3a gene (81331) | $434.40 | $543 | 8.5× |
| Sodium (84295) | $56.80 | $71 | 11.8× |
| Sodium other source (84302) | $89.60 | $112 | 18.4× |
| Sodium urine (84300) | $32 | $40 | 6.3× |
| Soluble transferrin receptor (84238) | $267.60 | $334.50 | 7.3× |
| Somatostatin (84307) | $141.12 | $176.40 | 7.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $118 | $147.50 | 0.8× |
| Special stains group 1 (88312) | $131.20 | $164 | 2.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $62.40 | $78 | 6.6× |
| Strep b DNA amp probe (87653) | $197.60 | $247 | 5.6× |
| Streptozyme (86590) | $113.60 | $142 | 9.0× |
| Surg path level iii (88304) | $126.40 | $158 | 2.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $59.20 | $74 | 1.9× |
| Surgical pathology level IV (88305) | $179.20 | $224 | 3.3× |
| Susceptibility study antimicrobial disk method (87184) | $12 | $15 | 1.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $147.20 | $184 | 3.1× |
| T cells, total count (86359) | $328.80 | $411 | 8.7× |
| T3 free (84481) | $162.40 | $203 | 9.6× |
| T3 reverse (84482) | $183.20 | $229 | 11.6× |
| T3 total (84480) | $70.40 | $88 | 5.0× |
| T3 uptake (84479) | $30.40 | $38 | 4.7× |
| T4 Free (84439) | $96.80 | $121 | 10.7× |
| T4 total (84436) | $54.40 | $68 | 7.9× |
| Tb ag response t-cell susp (86481) | $168 | $210 | 1.7× |
| Tb intradermal test (86580) | $51.20 | $64 | 1.7× |
| Test for acetone/ketones (82009) | $23.20 | $29 | 5.1× |
| Testosterone free (84402) | $136.80 | $171 | 5.4× |
| Testosterone total (84403) | $136.80 | $171 | 5.3× |
| Tetanus antibody (86774) | $91.20 | $114 | 6.2× |
| Theophylline (80198) | $114.40 | $143 | 8.1× |
| Thin prep pap (88142) | $60 | $75 | 3.0× |
| Thrombin time plasma (85670) | $35.20 | $44 | 6.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $168.80 | $211 | 26.1× |
| Thyroglobulin (84432) | $125.60 | $157 | 7.8× |
| Thyroglobulin Ab (86800) | $72 | $90 | 4.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $238.40 | $298 | 4.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $539.20 | $674 | 3.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $86 | $107.50 | 7.5× |
| Tissue culture bone marrow (88237) | $616 | $770 | 4.3× |
| Tissue Culture Lymphocyte (88230) | $336 | $420 | 2.9× |
| Tobramycin peak (80200) | $121.60 | $152 | 7.5× |
| Topiramate (80201) | $136.80 | $171 | 11.5× |
| Toxoplasma antibody igg (86777) | $23.52 | $29.40 | 1.6× |
| Tpmt gene com variants (81335) | $48.50 | $60.63 | 0.3× |
| Transferrin (84466) | $104 | $130 | 8.2× |
| Triglycerides (84478) | $42.80 | $53.50 | 7.5× |
| Troponin (84484) | $172 | $215 | 13.8× |
| Ugt1a1 gene analysis common variants (81350) | $48.50 | $60.63 | 0.2× |
| Urea nitrogen (84520) | $47.20 | $59 | 11.9× |
| Urea nitrogen urine (84540) | $26.40 | $33 | 4.7× |
| Uric acid blood (84550) | $19.20 | $24 | 4.2× |
| Uric acid other source (84560) | $52.80 | $66 | 10.4× |
| Urinalysis microscopic only (81015) | $31.20 | $39 | 10.2× |
| Urinalysis w/microscopic (81001) | $57.60 | $72 | 18.2× |
| Urine volume measurement (81050) | $36 | $45 | 9.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $39.20 | $49 | 17.4× |
| Valproic acid level (80164) | $84.80 | $106 | 6.3× |
| Vancomycin trough (80202) | $164.80 | $206 | 12.2× |
| Varicella-zoster antibody (86787) | $96.40 | $120.50 | 7.5× |
| Vasoactive intestinal peptide (vip) (84586) | $165.60 | $207 | 4.7× |
| Vdrl csf (86592) | $32.40 | $40.50 | 7.6× |
| Virus antibody nos (86790) | $177.20 | $221.50 | 13.8× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $36 | $45 | 1.1× |
| Vitamin A (84590) | $80.80 | $101 | 7.0× |
| Vitamin b-12 (82607) | $127.20 | $159 | 8.4× |
| Vitamin b-2 (riboflavin) (84252) | $305.60 | $382 | 15.1× |
| Vitamin b1 (thiamine) (84425) | $181.60 | $227 | 8.6× |
| Vitamin b6 (84207) | $224 | $280 | 8.0× |
| Vitamin C (82180) | $91.20 | $114 | 9.2× |
| Vitamin D 25-Hydroxy (82306) | $140.40 | $175.50 | 4.7× |
| Vitamin e serum (84446) | $111.20 | $139 | 7.8× |
| Vkorc1 gene (81355) | $48.50 | $60.63 | 0.5× |
| Von willebrand factor activity (85245) | $186.28 | $232.85 | 8.1× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $118.40 | $148 | 13.8× |
| West nile virus ab, igm (86788) | $101.60 | $127 | 6.0× |
| West nile virus antibody (86789) | $100.80 | $126 | 7.0× |
| Zinc (84630) | $103.20 | $129 | 9.1× |