Lab & pathology prices at Monadnock Community Hospital
Peterborough, NH · every code in this section with a posted price and a Medicare benchmark.
528 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) | $343.61 | $572.68 | 8.9× |
| 5 Nucleotidase (83915) | $45.11 | $75.19 | 4.0× |
| Acetone serum qual (82009) | $22.25 | $37.08 | 4.9× |
| Acetylcholine receptor binding antibody (86041) | $84 | $140 | 4.6× |
| Acetylcholine receptor blocking antibody (86042) | $84 | $140 | 4.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $84 | $140 | 7.0× |
| Actin smooth muscle antibody each (86015) | $56.40 | $94 | 4.7× |
| Activated protein c resistance (85307) | $51.60 | $86 | 3.4× |
| Acute hepatitis panel (80074) | $292.20 | $487 | 6.1× |
| Adrenocorticotropic hormone (82024) | $196.52 | $327.54 | 5.1× |
| Afp maternal serum (82105) | $83.43 | $139.05 | 5.0× |
| Albumin body fluid (82042) | $17.30 | $28.84 | 2.2× |
| Albumin serum (82040) | $47.59 | $79.31 | 9.6× |
| Aldolase (82085) | $53.15 | $88.58 | 5.5× |
| Aldosterone urine (82088) | $161.30 | $268.83 | 4.0× |
| Alkaline phosphatase isoenzymes (84080) | $49.44 | $82.40 | 3.3× |
| Allergen peanut (86003) | $31.20 | $52 | 6.0× |
| Alpha-1-antitrypsin, total (82103) | $76.63 | $127.72 | 5.7× |
| Alt (sgpt) (84460) | $78.49 | $130.81 | 14.8× |
| Amylase urine (82150) | $81.58 | $135.96 | 12.6× |
| Ana titer (86039) | $69 | $115 | 6.2× |
| Angiotensin i enzyme test (82164) | $85.28 | $142.14 | 5.8× |
| Anti-phosphatidylserine antibody (86148) | $145.80 | $243 | 9.1× |
| Antibody aspergillus (86606) | $83.40 | $139 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $172.20 | $287 | 11.1× |
| Antibody coxiella burnetii q fever (86638) | $73.20 | $122 | 6.0× |
| Antibody cytomegalovirus cmv (86644) | $111.60 | $186 | 7.8× |
| Antibody Encephalitis Eastern Equine (86652) | $112.20 | $187 | 8.5× |
| Antibody encephalitis st. louis (86653) | $75.60 | $126 | 5.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $54.60 | $91 | 4.5× |
| Antibody haemophilus influenza (86684) | $54 | $90 | 3.4× |
| Antibody helicobacter pylori (86677) | $178.20 | $297 | 10.6× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $63 | $105 | 4.6× |
| Antibody HIV-2 (86702) | $78 | $130 | 5.8× |
| Antibody identification (86870) | $64.80 | $108 | 0.2× |
| Antibody identification leukocyte antibodies (86021) | $79.20 | $132 | 5.3× |
| Antibody john cunningham virus (86711) | $1,384.20 | $2,307 | 82.0× |
| Antibody mumps (86735) | $85.80 | $143 | 6.6× |
| Antibody Protozoa Nes (86753) | $54 | $90 | 4.4× |
| Antibody screen (86850) | $50.40 | $84 | 5.2× |
| Antibody treponema pallidum (86780) | $111.60 | $186 | 8.4× |
| Antibody; Coccidioides (86635) | $76.80 | $128 | 6.7× |
| Antigen typing (86905) | $56.70 | $94.50 | 14.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $79.20 | $132 | 6.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $79.20 | $132 | 6.6× |
| Antinuclear antibodies (86038) | $121.20 | $202 | 10.0× |
| Antistreptolysin o titer (86060) | $50.40 | $84 | 6.9× |
| Antithrombin iii activity (85300) | $42.60 | $71 | 3.6× |
| Apolipoprotein each (82172) | $64.27 | $107.12 | 3.0× |
| Arsenic Urine (82175) | $92.70 | $154.50 | 4.9× |
| Assay Nephelometry Not Spec (83883) | $54.38 | $90.64 | 4.0× |
| Assay of 5-hiaa (83497) | $63.04 | $105.06 | 4.9× |
| Assay of ammonia (82140) | $49.75 | $82.92 | 3.4× |
| Assay of androstenedione (82157) | $233.60 | $389.34 | 8.0× |
| Assay of anti-mullerian hormone (82166) | $55 | $91.67 | 1.4× |
| Assay of c-peptide (84681) | $100.12 | $166.86 | 4.8× |
| Assay of ceruloplasmin (82390) | $59.95 | $99.91 | 5.6× |
| Assay of citrate (82507) | $59.95 | $99.91 | 2.2× |
| Assay of cpk in blood (82552) | $54.38 | $90.64 | 4.1× |
| Assay of cyclosporine (80158) | $19.80 | $33 | 1.1× |
| Assay of erythropoietin (82668) | $78.49 | $130.81 | 4.2× |
| Assay of estrone (82679) | $106.30 | $177.16 | 4.3× |
| Assay of ethosuximide (80168) | $64.80 | $108 | 4.0× |
| Assay of ferritin (82728) | $88.37 | $147.29 | 6.5× |
| Assay of g6pd enzyme (82955) | $37.08 | $61.80 | 3.8× |
| Assay of gammaglobulin igm (82784) | $35.84 | $59.74 | 3.9× |
| Assay of gastrin (82941) | $72.31 | $120.51 | 4.1× |
| Assay of gentamicin (80170) | $66.60 | $111 | 4.1× |
| Assay of homocystine (83090) | $129.78 | $216.30 | 7.2× |
| Assay of lactic acid (83605) | $46.97 | $78.28 | 4.1× |
| Assay of lipoprotein(a) (83695) | $150.17 | $250.29 | 10.5× |
| Assay of manganese (83785) | $87.76 | $146.26 | 3.3× |
| Assay of metanephrines (83835) | $88.37 | $147.29 | 5.2× |
| Assay of phenobarbital (80184) | $59.40 | $99 | 3.9× |
| Assay of prealbumin (84134) | $41.41 | $69.01 | 2.8× |
| Assay of proinsulin (84206) | $107.53 | $179.22 | 4.0× |
| Assay of prolactin (84146) | $114.95 | $191.58 | 5.9× |
| Assay of serotonin (84260) | $124.84 | $208.06 | 4.0× |
| Assay of tacrolimus (80197) | $57.60 | $96 | 4.2× |
| Assay of topiramate (80201) | $124.80 | $208 | 10.5× |
| Assay of urine vma (84585) | $85.28 | $142.14 | 5.5× |
| Ast (sgot) (84450) | $78.49 | $130.81 | 15.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $225.60 | $376 | 1.2× |
| B cells total count (86355) | $161.40 | $269 | 4.3× |
| Bartonella antibody (86611) | $54.60 | $91 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $629.40 | $1,049 | 3.8× |
| Bcr/abl1 gene minor bp (81207) | $540.60 | $901 | 3.7× |
| Beta 2 glycoprotein 1 igm (86146) | $78 | $130 | 3.1× |
| Beta hydroxybutyrate (82010) | $34.61 | $57.68 | 4.2× |
| Beta lactamase (87185) | $5.40 | $9 | 1.1× |
| Beta-2 microglobulin (82232) | $91.46 | $152.44 | 5.7× |
| Bilirubin direct (82248) | $61.80 | $103 | 12.3× |
| Bilirubin total (82247) | $40.79 | $67.98 | 8.1× |
| Bilirubin total transcutaneous (88720) | $39.55 | $65.92 | 7.9× |
| Bl Smear W/Diff Wbc Count (85007) | $30.60 | $51 | 8.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $12.60 | $21 | 3.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $196.80 | $328 | 1.1× |
| Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated… (86079) | $99 | $165 | 1.8× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $36.60 | $61 | 6.6× |
| Blood gas (82803) | $131.63 | $219.39 | 5.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $46.20 | $77 | 2.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18 | $30 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $120.50 | $200.83 | 19.0× |
| Blood typing abo (86900) | $31.80 | $53 | 10.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $34.20 | $57 | 2.1× |
| Blood typing serologic rh (d) (86901) | $29.40 | $49 | 9.8× |
| Body fluid cell count (89051) | $73.20 | $122 | 13.1× |
| Body fluid cell count (89050) | $46.80 | $78 | 9.9× |
| Bone Marrow Smear Interpretation (85097) | $102.60 | $171 | 0.1× |
| Brucella antibody (86622) | $64.20 | $107 | 7.2× |
| C diff amplified probe (87493) | $145.80 | $243 | 3.9× |
| C-reactive protein (86140) | $84 | $140 | 16.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $70.20 | $117 | 5.4× |
| Ca 125 (86304) | $228 | $380 | 11.0× |
| Ca 19-9 (86301) | $209.40 | $349 | 10.1× |
| Ca 27 29 (86300) | $235.20 | $392 | 11.3× |
| Cadmium level (82300) | $76.01 | $126.69 | 3.2× |
| Calcitonin (82308) | $40.79 | $67.98 | 1.5× |
| Calcium ionized (82330) | $82.81 | $138.02 | 6.1× |
| Calcium total (82310) | $54.38 | $90.64 | 10.5× |
| Calcium urine (82340) | $42.33 | $70.56 | 7.0× |
| Calculus spectroscopy (82365) | $102.59 | $170.98 | 8.0× |
| Calprotectin, fecal (83993) | $110 | $183.34 | 5.6× |
| Carbamazepine total (80156) | $102 | $170 | 7.0× |
| Carbon dioxide (82374) | $53.15 | $88.58 | 10.9× |
| Carboxyhemoglobin (82375) | $29.05 | $48.41 | 2.4× |
| Carcinoembryonic antigen (82378) | $59.33 | $98.88 | 3.1× |
| Cardiolipin ab igg (86147) | $78 | $130 | 3.1× |
| Carnitine (82379) | $210.12 | $350.20 | 12.5× |
| Catecholamines fraction plasma (82384) | $82.19 | $136.99 | 3.3× |
| Cell marker study (88182) | $351.60 | $586 | 6.3× |
| Cftr gene com variants (81220) | $2,129.40 | $3,549 | 3.8× |
| Chemiluminescent assay (82397) | $55 | $91.67 | 3.9× |
| Chloride blood (82435) | $53.15 | $88.58 | 11.6× |
| Chloride urine (82436) | $16.69 | $27.81 | 2.9× |
| Cholesterol HDL (83718) | $31.52 | $52.53 | 3.8× |
| Cholesterol total (82465) | $53.15 | $88.58 | 12.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $364.80 | $608 | 2.9× |
| Chromium urine (82495) | $80.96 | $134.93 | 4.0× |
| Chromogranin a (86316) | $118.80 | $198 | 5.7× |
| Chromosome analysis 20-25 cells (88264) | $531 | $885 | 3.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $151.20 | $252 | 4.3× |
| Ckmb (82553) | $86.52 | $144.20 | 7.5× |
| Clot Factor VIII Multimetric (85247) | $98.40 | $164 | 4.3× |
| Clot factor viii vw antigen (85246) | $88.80 | $148 | 3.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $57 | $95 | 3.2× |
| Clotting Inhibitors Protein S Free (85306) | $50.40 | $84 | 3.3× |
| Clozapine level (80159) | $55.80 | $93 | 2.8× |
| Cmv ab igm (86645) | $64.20 | $107 | 3.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $66.74 | $111.24 | 2.8× |
| Cold agglutinin screen (86156) | $30 | $50 | 3.7× |
| Cold agglutinin titer (86157) | $70.20 | $117 | 8.7× |
| Collagen cross links (82523) | $54.38 | $90.64 | 2.9× |
| Compatibility test antiglob (86922) | $54 | $90 | 0.3× |
| Complement c3 (86160) | $97.80 | $163 | 8.2× |
| Complement total (ch50) (86162) | $193.80 | $323 | 9.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $70.20 | $117 | 5.9× |
| Concentration Infectious Agent (87015) | $44.40 | $74 | 6.6× |
| Coombs direct (86880) | $30.60 | $51 | 5.7× |
| Copper urine (82525) | $62.42 | $104.03 | 5.0× |
| Cortisol free (82530) | $69.22 | $115.36 | 4.1× |
| Cortisol total (82533) | $80.34 | $133.90 | 4.9× |
| Creatine kinase total (82550) | $68.60 | $114.33 | 10.5× |
| Creatinine blood (82565) | $61.80 | $103 | 12.1× |
| Creatinine clearance (82575) | $118.66 | $197.76 | 12.5× |
| Creatinine other source (82570) | $41.40 | $69.01 | 8.0× |
| Crossmatch immediate spin (86920) | $40.20 | $67 | 0.2× |
| Cryoglobulin (82595) | $58.71 | $97.85 | 9.1× |
| Crystals body fluid (89060) | $42.60 | $71 | 5.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $57.60 | $96 | 7.1× |
| Culture Aerobic Identify (87077) | $49.20 | $82 | 6.1× |
| Culture afb (87116) | $164.40 | $274 | 15.2× |
| Culture anaerobic (87075) | $41.40 | $69 | 4.4× |
| Culture blood (87040) | $204.60 | $341 | 19.8× |
| Culture chlamydia (87110) | $159.60 | $266 | 8.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $116.40 | $194 | 15.1× |
| Culture fungus blood (87103) | $226.20 | $377 | 11.1× |
| Culture fungus id yeast (87106) | $98.40 | $164 | 9.5× |
| Culture fungus other (87102) | $147.60 | $246 | 17.6× |
| Culture genital (87070) | $153 | $255 | 17.7× |
| Culture screen only (87081) | $30.60 | $51 | 4.6× |
| Culture stool (87045) | $153.60 | $256 | 16.3× |
| Culture typing if ea antiserum (87140) | $34.20 | $57 | 6.1× |
| Culture urine (87086) | $134.40 | $224 | 16.7× |
| Culture virus (87252) | $211.80 | $353 | 8.1× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $20.40 | $34 | 0.8× |
| Cyclic Citrullinated Peptide (86200) | $94.80 | $158 | 7.3× |
| Cytogenetics DNA probe (88271) | $111 | $185 | 5.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $395.40 | $659 | 9.2× |
| Cytopath cell enhance tech (88112) | $110.40 | $184 | 2.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $59.40 | $99 | 1.5× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $113.40 | $189 | 4.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $113.40 | $189 | 4.3× |
| Cytp concentration smears & interpretation (88108) | $72 | $120 | 1.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $90.60 | $151 | 1.6× |
| Cytp fna eval dx 1st each site (88172) | $415.20 | $692 | 2.3× |
| Deoxyribonuclease antibody (86215) | $75.60 | $126 | 5.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $22.34 | $37.23 | 1.3× |
| Detect agnt mult DNA ampli (87801) | $330 | $550 | 4.7× |
| Dgp antibody each ig class (86258) | $56.40 | $94 | 4.7× |
| Dhea (82626) | $173.66 | $289.43 | 6.9× |
| Dhea-sulfate (82627) | $93.94 | $156.56 | 4.2× |
| Digoxin (80162) | $86.40 | $144 | 6.5× |
| Dilantin (80185) | $72.60 | $121 | 5.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $110.40 | $184 | 8.0× |
| DNA/RNA direct probe (87149) | $88.80 | $148 | 4.4× |
| Drug Assay Amiodarone (80151) | $16.20 | $27 | 0.9× |
| Drug assay felbamate (80167) | $16.20 | $27 | 0.9× |
| Drug Assay Lacosamide (80235) | $16.20 | $27 | 0.6× |
| Drug quant nes (80299) | $90 | $150 | 4.8× |
| Drug screen quant zonisamide (80203) | $16.20 | $27 | 1.2× |
| Drug Scrn Quan Levetiracetam (80177) | $15.60 | $26 | 1.2× |
| Drug test prsmv chem anlyzr (80307) | $93.60 | $156 | 1.5× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $93.60 | $156 | 5.5× |
| E test (87181) | $5.40 | $9 | 1.1× |
| Ebv viral capsid (86665) | $115.20 | $192 | 6.4× |
| Egfr Gene Analysis Common Variants (81235) | $858.60 | $1,431 | 2.6× |
| Elastase pancreatic fecal quantitative (82653) | $46.35 | $77.25 | 2.0× |
| Electrolyte panel (80051) | $37.80 | $63 | 5.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $70.20 | $117 | 5.8× |
| Enterovirus Pcr (87498) | $364.80 | $608 | 10.4× |
| Eosinophil count (85048) | $34.20 | $57 | 13.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $115.20 | $192 | 7.5× |
| Estradiol (82670) | $134.72 | $224.54 | 4.8× |
| Estriol serum (82677) | $85.90 | $143.17 | 3.6× |
| Estrogens total (82672) | $101.35 | $168.92 | 4.7× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $95.17 | $158.62 | 1.0× |
| F2 gene analysis 20210g >a variant (81240) | $418.80 | $698 | 6.4× |
| F5 gene analysis, leiden variant (81241) | $426 | $710 | 5.8× |
| Factor viii ahg (85240) | $88.80 | $148 | 5.0× |
| Fecal fat qual (82705) | $20.39 | $33.99 | 4.0× |
| Fetal bleed screen (85461) | $36.60 | $61 | 3.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $327 | $545 | 2.1× |
| Fetal fibronectin (82731) | $324.76 | $541.26 | 5.0× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) | $98.88 | $164.80 | 4.5× |
| Fibrin Degradation Quant (85379) | $60 | $100 | 5.9× |
| Fibrinogen activity (85384) | $36.60 | $61 | 3.8× |
| Flow cytometry first marker (88184) | $351.60 | $586 | 0.9× |
| Fluorescent Antibody Screen (86255) | $190.80 | $318 | 15.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $70.50 | $117.50 | 5.9× |
| Folate serum (82746) | $82.81 | $138.02 | 5.6× |
| Folic acid rbc (82747) | $114.95 | $191.58 | 6.5× |
| Follicle Stimulating Hormone (83001) | $104.44 | $174.07 | 5.6× |
| Fresh frozen plasma thawing each unit (86927) | $23.40 | $39 | 0.1× |
| Frozen Section (88331) | $311.40 | $519 | 1.7× |
| Fructosamine (82985) | $109.39 | $182.31 | 6.5× |
| Gabapentin (80171) | $16.20 | $27 | 0.7× |
| Gammaglobulin ige (82785) | $62.42 | $104.03 | 3.8× |
| Gardner vag DNA dir probe (87510) | $106.80 | $178 | 5.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $127.31 | $212.18 | 1.6× |
| Ggt (82977) | $78.49 | $130.81 | 10.9× |
| Giardia antigen eia stool (87329) | $138.60 | $231 | 11.6× |
| Glucose (82947) | $53.15 | $88.58 | 13.5× |
| Glucose Blood Test (82962) | $12 | $20 | 3.7× |
| Glucose body fluid (82945) | $50.37 | $83.94 | 12.8× |
| Glucose post dose (82950) | $73.54 | $122.57 | 15.5× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $17.30 | $28.84 | 4.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $317.03 | $528.39 | 24.6× |
| Growth hormone (83003) | $135.96 | $226.60 | 8.2× |
| Haptoglobin (83010) | $46.97 | $78.28 | 3.7× |
| Hcg qualitative (84703) | $21.63 | $36.05 | 2.9× |
| Hcg quant (84702) | $98.26 | $163.77 | 6.5× |
| Heavy metal quant each (83018) | $72.31 | $120.51 | 3.3× |
| Hematocrit (85014) | $22.20 | $37 | 9.4× |
| Hematocrit spun (85013) | $10.20 | $17 | 1.5× |
| Hemoglobin (85018) | $13.80 | $23 | 5.8× |
| Hemoglobin (Hgb), quantitative, transcutaneous Facility (88738) | $15 | $25 | 3.0× |
| Hemoglobin a1c (83036) | $35.23 | $58.71 | 3.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $78.49 | $130.81 | 4.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $133.20 | $222 | 17.2× |
| Hemoglobin plasma (83051) | $21.01 | $35.02 | 2.9× |
| Hemolysins and agglutinins; incubated Facility (86941) | $80.40 | $134 | 6.6× |
| Hemolysins/agglutinins auto screen (86940) | $42 | $70 | 4.8× |
| Heparin assay (85520) | $61.50 | $102.50 | 4.7× |
| Hepatitis a antibody total (86708) | $62.40 | $104 | 5.0× |
| Hepatitis a igm (86709) | $73.20 | $122 | 6.5× |
| Hepatitis b core ab igm (86705) | $58.80 | $98 | 5.0× |
| Hepatitis b core antibody total (86704) | $63 | $105 | 5.2× |
| Hepatitis B Surface Ab (86706) | $56.40 | $94 | 5.3× |
| Hepatitis B Surface Antigen (87340) | $103.80 | $173 | 10.0× |
| Hepatitis be antibody (86707) | $63 | $105 | 5.4× |
| Hepatitis Be Antigen (87350) | $69.60 | $116 | 6.0× |
| Hepatitis c antibody (86803) | $149.40 | $249 | 10.5× |
| Hepatitis C Genotype (87902) | $525 | $875 | 2.0× |
| Herpes simplex type i (86695) | $82.80 | $138 | 6.3× |
| Herpes simplex type ii (86696) | $110.40 | $184 | 5.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $62.40 | $104 | 12.0× |
| Hexagonal phospholipid (85598) | $48 | $80 | 2.7× |
| Hfe gene (81256) | $447.60 | $746 | 6.8× |
| Histoplasma antibody (86698) | $75.60 | $126 | 5.5× |
| HIV-1 antibody (86701) | $62.40 | $104 | 7.0× |
| Hla-b27 (86812) | $181.80 | $303 | 7.0× |
| Homogenization tissue (87176) | $11.40 | $19 | 1.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $174 | $290 | 5.0× |
| Hydroxyprogesterone 17-d (83498) | $213.21 | $355.35 | 7.8× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $26.40 | $44 | 0.6× |
| Iaad ia clostridium difficile toxin (87324) | $150.60 | $251 | 12.6× |
| Iaad ia cryptosporidium (87328) | $138.60 | $231 | 10.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $98.40 | $164 | 4.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $94.80 | $158 | 6.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $110.40 | $184 | 7.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $204.60 | $341 | 5.8× |
| Iaad Ia Streptococcus Group A (87430) | $66.60 | $111 | 4.0× |
| Iaadi Legionella Pneumophila (87278) | $203.40 | $339 | 13.0× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $138 | $230 | 8.6× |
| Iaadiadoo not otherwise specified (87899) | $81.60 | $136 | 5.1× |
| Iadna Candida Species Direct Probe Tq (87480) | $106.80 | $178 | 5.3× |
| Iadna hepatitis b virus quantification (87517) | $289.20 | $482 | 6.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $646.20 | $1,077 | 15.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $116.40 | $194 | 3.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $354.60 | $591 | 4.2× |
| Iadna human papillomavirus high-risk types (87624) | $282 | $470 | 8.0× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $144 | $240 | 3.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $151.20 | $252 | 4.3× |
| Iadna nos amplified probe tq each organism (87798) | $166.20 | $277 | 4.7× |
| Iadna nos quantification each organism (87799) | $247.80 | $413 | 5.8× |
| If varicella-zoster antigen (87290) | $69.60 | $116 | 5.2× |
| Igg subclasses (82787) | $20.39 | $33.99 | 2.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $153.60 | $256 | 10.2× |
| Immunoassay nonantibody (83516) | $46.35 | $77.25 | 4.0× |
| Immunodiffusion Ouchterlony (86331) | $33 | $55 | 2.8× |
| Immunofixation (86334) | $97.80 | $163 | 4.4× |
| Immunofixation urine (86335) | $166.20 | $277 | 5.7× |
| Immunoglobulin light chains free each (83521) | $54.38 | $90.64 | 3.1× |
| Immunohistochemistry (88342) | $247.20 | $412 | 1.4× |
| In situ hybridization (88365) | $431.40 | $719 | 2.4× |
| Indirect coombs (86885) | $5.40 | $9 | 0.9× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) | $98.40 | $164 | 8.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) | $77.40 | $129 | 2.8× |
| Influenza a/b ag eia (87400) | $66.60 | $111 | 4.7× |
| Inhibin a (86336) | $94.80 | $158 | 6.1× |
| Inhibin b (83520) | $144.92 | $241.54 | 8.4× |
| Insitu hybridization manual (88368) | $843 | $1,405 | 2.2× |
| Insulin total (83525) | $101.35 | $168.92 | 8.9× |
| Intrinsic factor antibody (86340) | $107.40 | $179 | 7.1× |
| Iron (83540) | $78.49 | $130.81 | 12.1× |
| Iron binding capacity (83550) | $33.99 | $56.65 | 3.9× |
| Irradiation Blood Product Each Unit (86945) | $96 | $160 | 2.4× |
| Islet cell antibody (86341) | $126.60 | $211 | 5.4× |
| Jak2 gene analysis (81270) | $447 | $745 | 4.9× |
| Kras gene analysis (81275) | $514.80 | $858 | 2.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $87 | $145 | 0.5× |
| Lactoferrin fecal qual (83630) | $85.28 | $142.14 | 4.3× |
| Ldh body fluid (83615) | $68.60 | $114.33 | 11.4× |
| LDL cholesterol direct (83721) | $64.27 | $107.12 | 6.1× |
| Lead (83655) | $44.40 | $74 | 3.7× |
| Legionella antigen urine (87449) | $189.60 | $316 | 15.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $25.20 | $42 | 5.9× |
| Level ii surg pathology grossµscopic exam (88302) | $66.60 | $111 | 1.7× |
| Level v surg pathology grossµscopic exam (88307) | $1,005.60 | $1,676 | 2.6× |
| Level vi surg pathology grossµscopic exam (88309) | $275.40 | $459 | 0.3× |
| Lh (83002) | $109.39 | $182.31 | 5.9× |
| Lipase (83690) | $41.41 | $69.01 | 6.0× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $60.56 | $100.94 | 1.8× |
| Listeria ab (86609) | $75.60 | $126 | 5.9× |
| Lithium (80178) | $57.60 | $96 | 8.7× |
| Lyme disease antibody (86618) | $163.20 | $272 | 9.6× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $577.20 | $962 | 3.2× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $840 | $1,400 | 4.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $351 | $585 | 1.9× |
| Macroscopic exam parasite (87169) | $28.20 | $47 | 6.5× |
| Magnesium (83735) | $58.71 | $97.85 | 8.8× |
| Malaria smear (87207) | $167.40 | $279 | 27.9× |
| Manual reticulocyte count (85044) | $30.60 | $51 | 7.1× |
| Mass spectrometry qual/quan (83789) | $218.15 | $363.59 | 9.0× |
| Mercury urine (83825) | $102.59 | $170.98 | 6.3× |
| Methylmalonic acid serum (83921) | $71.07 | $118.45 | 3.4× |
| Microalbumin urine (82043) | $86.52 | $144.20 | 15.0× |
| Microsomal antibodies (86376) | $119.40 | $199 | 8.2× |
| Mitochondrial antibody each (86381) | $70.20 | $117 | 2.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $177.60 | $296 | 4.2× |
| Molecular pathology procedure level 2 (81401) | $584.40 | $974 | 4.3× |
| Mopath procedure level 5 (81404) | $520.80 | $868 | 1.9× |
| Mrsa PCR (87641) | $112.80 | $188 | 3.2× |
| Mtb PCR (87556) | $178.80 | $298 | 4.3× |
| Mthfr Gene Analysis Common Variants (81291) | $672.60 | $1,121 | 10.3× |
| Muscle-specific kinase (musk) antibody (86366) | $819.60 | $1,366 | 44.5× |
| Mycoplasma antibody (86738) | $104.40 | $174 | 7.9× |
| Mycoplasma culture (87109) | $69.60 | $116 | 4.5× |
| Myelin basic protein csf (83873) | $83.43 | $139.05 | 4.9× |
| Myoglobin urine (83874) | $151.41 | $252.35 | 11.7× |
| Nasal smear for eosinophils (89190) | $41.40 | $69 | 7.2× |
| Natriuretic peptide (83880) | $165.62 | $276.04 | 4.2× |
| Neutralization Test Viral (86382) | $47.40 | $79 | 2.8× |
| Nuclear antigen antibody (86235) | $97.80 | $163 | 5.5× |
| Occult blood gastric (82271) | $17.30 | $28.84 | 3.3× |
| Occult blood stool (82272) | $17.35 | $28.92 | 4.1× |
| Oligoclonal bands (83916) | $88.99 | $148.32 | 3.2× |
| Osmolality serum (83930) | $45.73 | $76.22 | 6.9× |
| Osmolality urine (83935) | $41.41 | $69.01 | 6.1× |
| Ova and parasite direct-id lca (87177) | $111 | $185 | 12.5× |
| Oxalate urine (83945) | $37.08 | $61.80 | 2.6× |
| Pancreatic elastase, fecal (82656) | $46.35 | $77.25 | 4.0× |
| Pancreatic polypeptide (83519) | $76.63 | $127.72 | 4.2× |
| Particle Agglutination Screen Each Antibody (86403) | $37.20 | $62 | 3.2× |
| Parvovirus antibody (86747) | $198.60 | $331 | 13.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $408.60 | $681 | 0.5× |
| Ph body fluid (83986) | $14.52 | $24.20 | 4.1× |
| Ph urine (81003) | $22.80 | $38 | 10.1× |
| Phenylalanine (84030) | $82.19 | $136.99 | 14.9× |
| Phenytoin free (80186) | $57.60 | $96 | 4.2× |
| Phosphatase alkaline (84075) | $78.49 | $130.81 | 15.2× |
| Phosphorus blood (84100) | $61.80 | $103 | 13.0× |
| Phosphorus urine (84105) | $31.21 | $52.02 | 5.4× |
| Pinworm exam (87172) | $49.80 | $83 | 11.7× |
| Platelet aggregation (85576) | $75 | $125 | 3.0× |
| Platelet count automated (85049) | $27 | $45 | 6.0× |
| Platelet neutralization (85597) | $43.20 | $72 | 2.4× |
| Potassium (84132) | $47.59 | $79.31 | 10.0× |
| Potassium urine (84133) | $23.48 | $39.14 | 5.0× |
| Pregnenolone (84140) | $102.59 | $170.98 | 5.0× |
| Primidone (80188) | $49.20 | $82 | 3.0× |
| Procalcitonin (pct) (84145) | $76.01 | $126.69 | 2.8× |
| Progesterone (84144) | $88.37 | $147.29 | 4.2× |
| Protein body fluid (84157) | $88.99 | $148.32 | 22.2× |
| Protein c activity (85303) | $153 | $255 | 11.1× |
| Protein c antigen (85302) | $153 | $255 | 12.7× |
| Protein electrophoresis serum (84165) | $67.98 | $113.30 | 6.3× |
| Protein Electrophoresis Urine (84166) | $76.63 | $127.72 | 4.3× |
| Protein s total (85305) | $86.40 | $144 | 7.4× |
| Protein total serum (84155) | $88.99 | $148.32 | 24.2× |
| Protein urine (84156) | $88.99 | $148.32 | 24.2× |
| Protein westrn blot i&r blood/other fluid (84181) | $112.48 | $187.46 | 6.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $15.60 | $26 | 4.0× |
| Protoporphyrin rbc quantitative (84202) | $40.79 | $67.98 | 2.8× |
| PSA free (84154) | $78.49 | $130.81 | 4.3× |
| Pth intact (83970) | $185.40 | $309 | 4.5× |
| Reagent strip/blood glucose (82948) | $21.63 | $36.05 | 4.3× |
| Renin activity plasma (84244) | $158.21 | $263.68 | 7.2× |
| Rheumatoid Factor Qual (86430) | $85.80 | $143 | 14.0× |
| Rheumatoid factor quant (86431) | $19.80 | $33 | 3.5× |
| Rickettsia antibody (86757) | $64.80 | $108 | 3.3× |
| Ristocetin cofactor (85245) | $88.80 | $148 | 3.9× |
| Rpr Titer (86593) | $18 | $30 | 4.1× |
| Rubella antibody (86762) | $77.40 | $129 | 5.4× |
| Rubeola Antibody Igg (86765) | $134.40 | $224 | 10.4× |
| Rufinamide (80210) | $16.20 | $27 | 0.6× |
| Russell viper venom time diluted (85613) | $52.80 | $88 | 5.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $182.40 | $304 | 3.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $215.40 | $359 | 5.1× |
| Sedimentation rate (85651) | $34.80 | $58 | 8.1× |
| Sedimentation rate auto (85652) | $34.80 | $58 | 12.9× |
| Selenium (84255) | $107.53 | $179.22 | 4.2× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $41.40 | $69 | 3.4× |
| Sensitivity kb (87184) | $28.80 | $48 | 3.9× |
| Sensitivity mic (87186) | $49.80 | $83 | 5.8× |
| Serotonin Release Assay (86022) | $284.40 | $474 | 15.5× |
| Sex hormone binding globulin (84270) | $91.46 | $152.44 | 4.2× |
| Sickling of rbc reduction (85660) | $19.20 | $32 | 3.5× |
| Sirolimus (rapamycin) (80195) | $70.80 | $118 | 5.2× |
| Smear acid fast (87206) | $46.80 | $78 | 8.7× |
| Smear complex stain (87209) | $167.40 | $279 | 9.3× |
| Smear gram stain (87205) | $41.40 | $69 | 9.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $77.40 | $129 | 13.3× |
| Sodium (84295) | $54.38 | $90.64 | 11.3× |
| Sodium urine (84300) | $28.12 | $46.86 | 5.6× |
| Somatomedin (84305) | $81.58 | $135.96 | 3.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $253.80 | $423 | 1.8× |
| Special stains group 1 (88312) | $318.60 | $531 | 5.7× |
| Spectrophotometry (84311) | $25.96 | $43.26 | 3.2× |
| Sputum specimen collection (89220) | $34.80 | $58 | 0.2× |
| Staph a DNA amp probe (87640) | $112.80 | $188 | 3.2× |
| Stool Culture, Addl Pathogens (87046) | $36.60 | $61 | 3.9× |
| Strep a assay w/optic (87880) | $35.40 | $59 | 2.1× |
| Sugars Single Qualitative, Each Specimen (84376) | $22.25 | $37.08 | 4.0× |
| Sulfate urine (84392) | $14.21 | $23.69 | 2.6× |
| Surg path level 1 (88300) | $36.60 | $61 | 1.2× |
| Surg path level iii (88304) | $154.20 | $257 | 2.8× |
| Surgical pathology level IV (88305) | $154.20 | $257 | 2.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $19.20 | $32 | 2.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $176.40 | $294 | 3.8× |
| T3 free (84481) | $148.94 | $248.23 | 8.8× |
| T3 reverse (84482) | $61.80 | $103 | 3.9× |
| T3 total (84480) | $106.30 | $177.16 | 7.5× |
| T3 uptake (84479) | $58.71 | $97.85 | 9.1× |
| T4 free (84439) | $82.81 | $138.02 | 9.2× |
| T4 total (84436) | $64.27 | $107.12 | 9.4× |
| Tb ag response t-cell susp (86481) | $117.60 | $196 | 1.2× |
| Tb intradermal test (86580) | $29.70 | $49.50 | 1.0× |
| Tb test, cell immun measure (86480) | $117.60 | $196 | 1.9× |
| Testosterone free (84402) | $140.29 | $233.81 | 5.5× |
| Testosterone total (84403) | $140.29 | $233.81 | 5.4× |
| Tetanus antibody (86774) | $54.60 | $91 | 3.7× |
| Theophylline (80198) | $86.40 | $144 | 6.1× |
| Thin prep pap (88142) | $82.20 | $137 | 4.1× |
| Thrombin time plasma (85670) | $33.60 | $56 | 5.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $21 | $35 | 3.2× |
| Thyroglobulin (84432) | $54.38 | $90.64 | 3.4× |
| Thyroglobulin antibody (86800) | $63 | $105 | 4.0× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $350.41 | $584.01 | 6.9× |
| Tissue culture bone marrow (88237) | $537 | $895 | 3.7× |
| Tissue culture lymphocyte (88230) | $219.60 | $366 | 1.9× |
| Tissue transglutaminase ab iga (86364) | $56.40 | $94 | 4.9× |
| Toxoplasma ab igm (86778) | $126 | $210 | 8.7× |
| Tpmt gene com variants (81335) | $541.20 | $902 | 3.1× |
| Transferrin (84466) | $54.38 | $90.64 | 4.3× |
| Trichomonas vagin dir probe (87660) | $106.80 | $178 | 5.3× |
| Triglycerides (84478) | $66.13 | $110.21 | 11.5× |
| Troponin (84484) | $164.39 | $273.98 | 13.2× |
| Tumor immunohistochem/comput (88361) | $744.60 | $1,241 | 1.9× |
| Urea nitrogen (84520) | $17.30 | $28.84 | 4.4× |
| Urea nitrogen urine (84540) | $43.88 | $73.13 | 7.9× |
| Uric acid blood (84550) | $61.80 | $103 | 13.7× |
| Uric acid other source (84560) | $41.10 | $68.50 | 8.1× |
| Urinalysis (81005) | $19.20 | $32 | 8.8× |
| Urinalysis auto w/scope (81001) | $33.60 | $56 | 10.6× |
| Urinalysis Microscopic Only (81015) | $9.60 | $16 | 3.1× |
| Urine pregnancy test (81025) | $22.20 | $37 | 2.6× |
| Urine volume measurement (81050) | $15 | $25 | 4.1× |
| Valproic acid (80164) | $69.60 | $116 | 5.1× |
| Vancomycin trough (80202) | $60.60 | $101 | 4.5× |
| Varicella-zoster antibody (86787) | $141 | $235 | 10.9× |
| Vdrl csf (86592) | $38.40 | $64 | 9.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $125.40 | $209 | 3.7× |
| Virus inoculation, shell via (87254) | $125.40 | $209 | 6.4× |
| Viscosity serum (85810) | $51.60 | $86 | 4.4× |
| Vitamin A (84590) | $105.06 | $175.10 | 9.0× |
| Vitamin b-12 (82607) | $61.18 | $101.97 | 4.1× |
| Vitamin b1 (thiamine) (84425) | $88.99 | $148.32 | 4.2× |
| Vitamin b2 (84252) | $85.28 | $142.14 | 4.2× |
| Vitamin b3 niacin (84591) | $147.70 | $246.17 | 8.7× |
| Vitamin b6 (84207) | $113.71 | $189.52 | 4.0× |
| Vitamin c (82180) | $40.79 | $67.98 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $142.76 | $237.93 | 4.8× |
| Vitamin e serum (84446) | $31.52 | $52.53 | 2.2× |
| West nile virus igm (86788) | $99.60 | $166 | 5.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $420 | $700 | 8.2× |
| Zinc (84630) | $85.28 | $142.14 | 7.5× |