Lab & pathology prices at Montgomery General Hospital
Montgomery, WV · every code in this section with a posted price and a Medicare benchmark.
390 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) | $222.87 | $297.16 | 5.8× |
| Acetone serum qual (82009) | $33.60 | $44.81 | 7.4× |
| Acute hepatitis panel (80074) | $220.36 | $293.81 | 4.6× |
| Adenovirus Ag Ia (87301) | $59.29 | $79.05 | 4.9× |
| Adrenocorticotropic hormone (82024) | $179.61 | $239.48 | 4.7× |
| Afp maternal serum (82105) | $68.56 | $91.41 | 4.1× |
| Albumin serum (82040) | $27.42 | $36.57 | 5.5× |
| Aldolase (82085) | $68.75 | $91.67 | 7.1× |
| Aldosterone urine (82088) | $111.82 | $149.10 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $59.10 | $78.80 | 4.0× |
| Allergen peanut (86003) | $34.18 | $45.58 | 6.5× |
| Alpha-1-antitrypsin phenotype (82104) | $54.08 | $72.10 | 3.7× |
| Alpha-1-antitrypsin, total (82103) | $70.10 | $93.47 | 5.2× |
| Alt (sgpt) (84460) | $34.18 | $45.58 | 6.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $55.23 | $73.65 | 2.4× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $55.23 | $73.65 | 3.3× |
| Amylase urine (82150) | $54.27 | $72.36 | 8.4× |
| Angiotensin i enzyme test (82164) | $80.92 | $107.89 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $227.12 | $302.82 | 14.7× |
| Antibody cytomegalovirus cmv (86644) | $85.17 | $113.56 | 5.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $56.20 | $74.93 | 4.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $243.34 | $324.45 | 19.9× |
| Antibody helicobacter pylori (86677) | $97.72 | $130.30 | 5.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72.42 | $96.56 | 5.0× |
| Antibody HIV-2 (86702) | $70.10 | $93.47 | 5.2× |
| Antibody identification (86870) | $112.59 | $150.12 | 0.3× |
| Antibody mumps (86735) | $66.24 | $88.32 | 5.1× |
| Antibody screen (86850) | $39.98 | $53.30 | 4.1× |
| Antinuclear antibodies (86038) | $55.23 | $73.65 | 4.6× |
| Antistreptolysin o titer (86060) | $74.55 | $99.40 | 10.2× |
| Antithrombin iii activity (85300) | $161.84 | $215.79 | 13.7× |
| Apolipoprotein each (82172) | $162.23 | $216.30 | 7.7× |
| Arsenic Urine (82175) | $54.08 | $72.10 | 2.9× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $70.10 | $93.47 | 5.5× |
| Assay Nephelometry Not Spec (83883) | $202.78 | $270.38 | 14.9× |
| Assay of 5-hiaa (83497) | $80.53 | $107.38 | 6.2× |
| Assay of ammonia (82140) | $73.58 | $98.11 | 5.1× |
| Assay of androstenedione (82157) | $127.85 | $170.47 | 4.4× |
| Assay of c-peptide (84681) | $91.54 | $122.06 | 4.4× |
| Assay of ceruloplasmin (82390) | $49.83 | $66.44 | 4.6× |
| Assay of citrate (82507) | $151.22 | $201.62 | 5.4× |
| Assay of cyclosporine (80158) | $142.53 | $190.04 | 7.9× |
| Assay of erythropoietin (82668) | $84.20 | $112.27 | 4.5× |
| Assay of ethosuximide (80168) | $59.68 | $79.57 | 3.7× |
| Assay of ferritin (82728) | $66.24 | $88.32 | 4.9× |
| Assay of g6pd enzyme (82955) | $202.78 | $270.38 | 20.9× |
| Assay of gammaglobulin igm (82784) | $46.54 | $62.06 | 5.0× |
| Assay of gastrin (82941) | $75.51 | $100.68 | 4.3× |
| Assay of gentamicin (80170) | $89.03 | $118.71 | 5.4× |
| Assay of homocystine (83090) | $179.41 | $239.22 | 10.0× |
| Assay of lactic acid (83605) | $54.08 | $72.10 | 4.7× |
| Assay of lipoprotein(a) (83695) | $63.92 | $85.23 | 4.5× |
| Assay of metanephrines (83835) | $257.34 | $343.12 | 15.2× |
| Assay of phenobarbital (80184) | $77.83 | $103.77 | 5.1× |
| Assay of phosphatase acid total (84060) | $43.45 | $57.94 | 5.7× |
| Assay of prealbumin (84134) | $63.92 | $85.23 | 4.4× |
| Assay of proinsulin (84206) | $176.13 | $234.84 | 6.6× |
| Assay of prolactin (84146) | $96.95 | $129.27 | 5.0× |
| Assay of tacrolimus (80197) | $106.61 | $142.14 | 7.8× |
| Assay of topiramate (80201) | $132.29 | $176.39 | 11.1× |
| Assay of urine vma (84585) | $74.55 | $99.40 | 4.8× |
| Assay Phosphatase Acid Prostatic (84066) | $54.08 | $72.10 | 5.6× |
| Assay spec xcp ur&breath ia (82077) | $73.58 | $98.11 | 4.3× |
| Ast (sgot) (84450) | $34.18 | $45.58 | 6.6× |
| Bartonella antibody (86611) | $73 | $97.34 | 7.2× |
| Beta-2 microglobulin (82232) | $193.13 | $257.50 | 11.9× |
| Bilirubin direct (82248) | $45.96 | $61.29 | 9.2× |
| Bilirubin total (82247) | $45.96 | $61.29 | 9.2× |
| Blood Count Automated Differential Wbc Count (85004) | $39.40 | $52.53 | 6.1× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $65.28 | $87.04 | 11.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.94 | $17.25 | 3.0× |
| Blood Ph (82800) | $37.66 | $50.21 | 3.4× |
| Blood typing abo (86900) | $29.93 | $39.91 | 10.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $57.36 | $76.48 | 3.5× |
| Blood typing serologic rh (d) (86901) | $45.58 | $60.77 | 15.2× |
| Body fluid cell count (89051) | $64.31 | $85.75 | 11.5× |
| Body fluid cell count (89050) | $27.23 | $36.31 | 5.8× |
| Bone Marrow Smear Interpretation (85097) | $141.17 | $188.23 | 0.2× |
| Breath Alcohol Test (82075) | $30.90 | $41.20 | 1.0× |
| C-reactive protein (86140) | $33.41 | $44.55 | 6.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $71.07 | $94.76 | 5.5× |
| Ca 27 29 (86300) | $62.77 | $83.69 | 3.0× |
| Cadmium level (82300) | $54.08 | $72.10 | 2.3× |
| Calcium ionized (82330) | $66.63 | $88.84 | 4.9× |
| Calcium total (82310) | $40.17 | $53.56 | 7.8× |
| Calcium urine (82340) | $48.67 | $64.89 | 8.1× |
| Calculus Quantitative Chemical (82360) | $45.58 | $60.77 | 3.5× |
| Carbamazepine total (80156) | $77.83 | $103.77 | 5.3× |
| Carbon dioxide (82374) | $44.61 | $59.48 | 9.1× |
| Carboxyhemoglobin (82375) | $68.17 | $90.90 | 5.5× |
| Carcinoembryonic antigen (82378) | $77.64 | $103.52 | 4.1× |
| Cardiolipin ab igg (86147) | $97.91 | $130.55 | 3.8× |
| Catecholamines fraction plasma (82384) | $124.57 | $166.09 | 4.9× |
| Catecholamines Total Urine (82382) | $124.57 | $166.09 | 4.6× |
| Chloride blood (82435) | $29.93 | $39.91 | 6.5× |
| Chloride feces (82438) | $27.42 | $36.57 | 5.5× |
| Chloride urine (82436) | $37.85 | $50.47 | 6.6× |
| Cholesterol HDL (83718) | $55.81 | $74.42 | 6.8× |
| Cholesterol total (82465) | $43.26 | $57.68 | 9.9× |
| Chromogranin a (86316) | $91.54 | $122.06 | 4.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $64.70 | $86.26 | 1.8× |
| Ckmb (82553) | $102.36 | $136.48 | 8.9× |
| Clotting Inhibitors Protein S Free (85306) | $85.17 | $113.56 | 5.6× |
| Cmv ab igm (86645) | $85.17 | $113.56 | 5.1× |
| Compatibility test antiglob (86922) | $161.07 | $214.76 | 1.0× |
| Compatibility Test Incubate (86921) | $93.86 | $125.15 | 0.6× |
| Complement c3 (86160) | $70.10 | $93.47 | 5.8× |
| Complement total (ch50) (86162) | $107.57 | $143.43 | 5.3× |
| Concentration Infectious Agent (87015) | $20.28 | $27.04 | 3.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $80.92 | $107.89 | 2.3× |
| Coombs direct (86880) | $57.36 | $76.48 | 10.6× |
| Cortisol free (82530) | $85.17 | $113.56 | 5.1× |
| Cortisol total (82533) | $82.27 | $109.70 | 5.0× |
| Creatine kinase total (82550) | $34.57 | $46.09 | 5.3× |
| Creatinine blood (82565) | $37.66 | $50.21 | 7.4× |
| Creatinine clearance (82575) | $64.70 | $86.26 | 6.8× |
| Creatinine other source (82570) | $40.36 | $53.82 | 7.8× |
| Crossmatch immediate spin (86920) | $26.65 | $35.54 | 0.2× |
| Cryoglobulin (82595) | $85.17 | $113.56 | 13.2× |
| Crystals body fluid (89060) | $16.80 | $22.40 | 2.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $47.70 | $63.60 | 5.9× |
| Culture Aerobic Identify (87077) | $41.14 | $54.84 | 5.1× |
| Culture anaerobic (87075) | $60.64 | $80.86 | 6.4× |
| Culture Bacteria Anaerobic (87073) | $61.61 | $82.14 | 6.4× |
| Culture blood (87040) | $60.64 | $80.86 | 5.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $54.08 | $72.10 | 7.0× |
| Culture fungus blood (87103) | $56.20 | $74.93 | 2.7× |
| Culture fungus id yeast (87106) | $73.77 | $98.37 | 7.1× |
| Culture genital (87070) | $60.64 | $80.86 | 7.0× |
| Culture screen only (87081) | $48.67 | $64.89 | 7.3× |
| Culture stool (87045) | $56.78 | $75.71 | 6.0× |
| Culture typing if ea antiserum (87140) | $50.21 | $66.95 | 9.0× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $97.34 | $129.78 | 2.8× |
| Culture urine (87086) | $56.78 | $75.71 | 7.0× |
| Culture virus (87252) | $75.13 | $100.17 | 2.9× |
| Cyclic Citrullinated Peptide (86200) | $170.34 | $227.12 | 13.2× |
| Cystatin c (82610) | $283.89 | $378.53 | 15.3× |
| Cytopath cell enhance tech (88112) | $118.19 | $157.59 | 2.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $71.17 | $94.89 | 2.0× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) | $127.85 | $170.47 | 5.5× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $32.45 | $43.26 | 0.8× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) | $47.51 | $63.35 | 3.2× |
| Cytp concentration smears & interpretation (88108) | $70.40 | $93.86 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $149.38 | $199.18 | 3.0× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $20.28 | $27.04 | 1.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $63.92 | $85.23 | 3.9× |
| Dhea (82626) | $151.32 | $201.75 | 6.0× |
| Dhea-sulfate (82627) | $112.21 | $149.61 | 5.0× |
| Digoxin (80162) | $77.83 | $103.77 | 5.9× |
| Dilantin (80185) | $71.65 | $95.53 | 5.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $57.36 | $76.48 | 4.2× |
| Drug quant nes (80299) | $68.17 | $90.90 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $283.89 | $378.53 | 21.4× |
| Drug Screen Quantitative Lidocaine (80176) | $70.10 | $93.47 | 4.8× |
| Drug Scrn Quan Levetiracetam (80177) | $129.78 | $173.04 | 9.8× |
| Drug test prsmv chem anlyzr (80307) | $176.13 | $234.84 | 2.8× |
| Ebv viral capsid (86665) | $56.20 | $74.93 | 3.1× |
| Electrolyte panel (80051) | $59.29 | $79.05 | 8.5× |
| Enzyme cell activity (82657) | $413.67 | $551.57 | 18.7× |
| Eosinophil count (85048) | $33.60 | $44.81 | 13.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $56.20 | $74.93 | 3.7× |
| Estradiol (82670) | $140.02 | $186.69 | 5.0× |
| Estriol serum (82677) | $81.69 | $108.92 | 3.4× |
| Estrogens total (82672) | $119.16 | $158.88 | 5.5× |
| Everolimus (80169) | $356.90 | $475.86 | 26.0× |
| F5 gene analysis, leiden variant (81241) | $225.76 | $301.02 | 3.1× |
| Fecal fat qual (82705) | $68.17 | $90.90 | 13.4× |
| Fecal fat quant (82710) | $137.51 | $183.34 | 8.2× |
| Fetal screen (83030) | $48.28 | $64.38 | 4.5× |
| Fibrin degradation products (85362) | $54.08 | $72.10 | 7.8× |
| Fibrin Degradation Quant (85379) | $67.01 | $89.35 | 6.6× |
| Fibrinogen activity (85384) | $46.16 | $61.54 | 4.7× |
| Fluorescent Antibody Screen (86255) | $75.51 | $100.68 | 6.3× |
| Folate serum (82746) | $69.91 | $93.22 | 4.8× |
| Folic acid rbc (82747) | $131.13 | $174.84 | 7.4× |
| Follicle Stimulating Hormone (83001) | $84.59 | $112.79 | 4.6× |
| Forensic (investigation) examination of specimen (88125) | $55.81 | $74.42 | 1.1× |
| Fresh frozen plasma thawing each unit (86927) | $114.33 | $152.44 | 0.7× |
| Frozen Section (88331) | $180.28 | $240.38 | 1.1× |
| Fructosamine (82985) | $25.30 | $33.73 | 1.5× |
| Gammaglobulin ige (82785) | $54.08 | $72.10 | 3.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $68.17 | $90.90 | 0.9× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) | $21.44 | $28.58 | 3.2× |
| Ggt (82977) | $34.57 | $46.09 | 4.8× |
| Glucose (82947) | $33.02 | $44.03 | 8.4× |
| Glucose Blood Test (82962) | $16.42 | $21.89 | 5.0× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $20.28 | $27.04 | 5.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $53.69 | $71.59 | 4.2× |
| Growth hormone (83003) | $72.04 | $96.05 | 4.3× |
| Haptoglobin (83010) | $71.26 | $95.02 | 5.7× |
| Hcg qualitative (84703) | $44.03 | $58.71 | 5.9× |
| Hcg quant (84702) | $81.69 | $108.92 | 5.4× |
| Hematocrit (85014) | $18.73 | $24.98 | 7.9× |
| Hemoglobin (85018) | $18.73 | $24.98 | 7.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $52.53 | $70.04 | 2.9× |
| Hepatitis a antibody total (86708) | $55.23 | $73.65 | 4.5× |
| Hepatitis a igm (86709) | $64.70 | $86.26 | 5.7× |
| Hepatitis b core ab igm (86705) | $68.75 | $91.67 | 5.8× |
| Hepatitis b core antibody total (86704) | $55.23 | $73.65 | 4.6× |
| Hepatitis B Surface Ab (86706) | $64.70 | $86.26 | 6.0× |
| Hepatitis B Surface Antigen (87340) | $34.76 | $46.35 | 3.4× |
| Hepatitis be antibody (86707) | $59.29 | $79.05 | 5.1× |
| Hepatitis Be Antigen (87350) | $55.23 | $73.65 | 4.8× |
| Hepatitis c antibody (86803) | $66.24 | $88.32 | 4.6× |
| Hepatitis C Antibody Confirmatory Test (86804) | $193.13 | $257.50 | 12.5× |
| Hepatitis C Genotype (87902) | $919.28 | $1,225.70 | 3.6× |
| Hepatitis delta ab (86692) | $80.53 | $107.38 | 4.7× |
| Herpes simplex type i (86695) | $202.78 | $270.38 | 15.4× |
| Herpes simplex type ii (86696) | $202.78 | $270.38 | 10.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $43.26 | $57.68 | 8.4× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) | $37.66 | $50.21 | 2.8× |
| HIV-1 antibody (86701) | $70.10 | $93.47 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $326.57 | $435.43 | 4.4× |
| Hydroxycorticosteroids 17 (83491) | $100.23 | $133.64 | 5.6× |
| Hydroxyprogesterone 17-d (83498) | $103.90 | $138.54 | 3.8× |
| Iaad ia clostridium difficile toxin (87324) | $94.63 | $126.18 | 7.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $127.85 | $170.47 | 8.9× |
| Iaad ia shiga-like toxin (87427) | $35.34 | $47.12 | 2.9× |
| Iaad Ia Streptococcus Group A (87430) | $15.45 | $20.60 | 0.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $162.23 | $216.30 | 4.6× |
| Iadna hepatitis b virus quantification (87517) | $315.76 | $421.01 | 7.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $668.79 | $891.72 | 15.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $70.10 | $93.47 | 2.0× |
| Iadna human papillomavirus high-risk types (87624) | $162.23 | $216.30 | 4.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $162.23 | $216.30 | 4.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $64.70 | $86.26 | 1.8× |
| Iadna nos amplified probe tq each organism (87798) | $202.78 | $270.38 | 5.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $64.70 | $86.26 | 1.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $1,034.18 | $1,378.91 | 3.9× |
| Igg subclasses (82787) | $121.67 | $162.23 | 15.2× |
| Igh gene rearrange amp meth (81261) | $1,022.02 | $1,362.69 | 5.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $43.26 | $57.68 | 2.9× |
| Immunoassay nonantibody (83516) | $75.51 | $100.68 | 6.5× |
| Immunoelectrophoresis serum (86320) | $145.23 | $193.64 | 4.9× |
| Immunofixation (86334) | $118.20 | $157.59 | 5.3× |
| Immunofixation urine (86335) | $166.09 | $221.45 | 5.7× |
| Immunohistochemistry (88342) | $116.84 | $155.79 | 0.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $46.93 | $62.57 | 2.9× |
| Influenza DNA amp probe (87502) | $146.08 | $194.76 | 1.5× |
| Inhibin b (83520) | $63.92 | $85.23 | 3.7× |
| Insulin total (83525) | $59.29 | $79.05 | 5.2× |
| Intrinsic factor antibody (86340) | $106.61 | $142.14 | 7.1× |
| Iron (83540) | $56.01 | $74.68 | 8.7× |
| Iron binding capacity (83550) | $56.01 | $74.68 | 6.4× |
| Irradiation Blood Product Each Unit (86945) | $85.17 | $113.56 | 2.4× |
| Islet cell antibody (86341) | $193.13 | $257.50 | 8.2× |
| Ldh body fluid (83615) | $34.57 | $46.09 | 5.7× |
| Ldh isoenzymes (83625) | $60.06 | $80.08 | 4.7× |
| LDL cholesterol direct (83721) | $90.58 | $120.77 | 8.6× |
| Lead (83655) | $51.95 | $69.27 | 4.3× |
| Legionella antibody (86713) | $80.14 | $106.86 | 5.2× |
| Legionella antigen urine (87449) | $59.29 | $79.05 | 4.9× |
| Level ii surg pathology grossµscopic exam (88302) | $18.93 | $25.24 | 0.5× |
| Level v surg pathology grossµscopic exam (88307) | $221.51 | $295.35 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $261.78 | $349.04 | 0.3× |
| Lh (83002) | $84.01 | $112.01 | 4.5× |
| Lipase (83690) | $37.85 | $50.47 | 5.5× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $191.77 | $255.70 | 5.6× |
| Lithium (80178) | $41.33 | $55.11 | 6.3× |
| Lyme disease antibody (86618) | $134.22 | $178.96 | 7.9× |
| Magnesium (83735) | $49.44 | $65.92 | 7.4× |
| Manual cell count each (85032) | $16.61 | $22.15 | 3.9× |
| Manual Diff Wbc Count B-Coat (85009) | $24.52 | $32.70 | 4.8× |
| Mercury urine (83825) | $54.27 | $72.36 | 3.3× |
| Methylmalonic acid serum (83921) | $125.82 | $167.76 | 5.9× |
| Microalbumin urine (82043) | $50.41 | $67.21 | 8.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $133.74 | $178.32 | 2.7× |
| Microsomal antibodies (86376) | $80.53 | $107.38 | 5.5× |
| Morphometric analysis tumor (88358) | $116.84 | $155.79 | 0.7× |
| Mycobacteric identification (87118) | $57.94 | $77.25 | 4.0× |
| Mycoplasma antibody (86738) | $85.17 | $113.56 | 6.4× |
| Mycoplasma genitalium PCR (87563) | $64.70 | $86.26 | 1.8× |
| Myoglobin urine (83874) | $85.17 | $113.56 | 6.6× |
| Nasal smear for eosinophils (89190) | $11.59 | $15.45 | 2.0× |
| Natriuretic peptide (83880) | $121.28 | $161.71 | 3.1× |
| Nuclear antigen antibody (86235) | $63.92 | $85.23 | 3.6× |
| Occult blood gastric (82271) | $36.11 | $48.15 | 6.8× |
| Occult blood stool (82272) | $29.16 | $38.88 | 6.9× |
| Organic Acids Qualitative Each Specimen (83919) | $446.12 | $594.83 | 27.1× |
| Osmolality serum (83930) | $48.67 | $64.89 | 7.4× |
| Osmolality urine (83935) | $54.08 | $72.10 | 7.9× |
| Oxalate urine (83945) | $57.74 | $76.99 | 4.0× |
| Pancreatic elastase, fecal (82656) | $202.78 | $270.38 | 17.6× |
| Pancreatic polypeptide (83519) | $281 | $374.66 | 15.3× |
| Parvovirus antibody (86747) | $121.67 | $162.23 | 8.1× |
| Ph body fluid (83986) | $24.14 | $32.19 | 6.7× |
| Ph urine (81003) | $15.64 | $20.86 | 7.0× |
| Phenylalanine (84030) | $15.45 | $20.60 | 2.8× |
| Phosphatase alkaline (84075) | $34.18 | $45.58 | 6.6× |
| Phosphorus blood (84100) | $50.60 | $67.47 | 10.7× |
| Phosphorus urine (84105) | $25.30 | $33.73 | 4.4× |
| Platelet count automated (85049) | $43.26 | $57.68 | 9.7× |
| Pooling blood platelets (86965) | $216.30 | $288.40 | 1.3× |
| Potassium (84132) | $29.93 | $39.91 | 6.3× |
| Potassium urine (84133) | $37.85 | $50.47 | 8.0× |
| Primidone (80188) | $54.08 | $72.10 | 3.3× |
| Procainamide napa (80192) | $76.09 | $101.46 | 4.5× |
| Procalcitonin (pct) (84145) | $446.12 | $594.83 | 16.4× |
| Progesterone (84144) | $79.76 | $106.35 | 3.8× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $118.39 | $157.85 | 1.8× |
| Protein c antigen (85302) | $151.22 | $201.62 | 12.6× |
| Protein electrophoresis serum (84165) | $81.70 | $108.92 | 7.6× |
| Protein Electrophoresis Urine (84166) | $106.61 | $142.14 | 6.0× |
| Protein s total (85305) | $161.07 | $214.76 | 13.9× |
| Protein total serum (84155) | $48.67 | $64.89 | 13.3× |
| Protein urine (84156) | $48.67 | $64.89 | 13.3× |
| PSA free (84154) | $102.94 | $137.25 | 5.6× |
| Pth intact (83970) | $102.36 | $136.48 | 2.5× |
| Quinidine (80194) | $64.50 | $86.01 | 4.4× |
| Rbc (85041) | $21.24 | $28.33 | 7.0× |
| Receptor Assay Estrogen (84233) | $118.39 | $157.85 | 1.3× |
| Renin activity plasma (84244) | $102.16 | $136.22 | 4.6× |
| Resp virus 12-25 targets (87633) | $59.29 | $79.05 | 0.1× |
| Resp virus 3-5 targets (87631) | $354.10 | $472.12 | 2.5× |
| Reticulocyte count auto (85045) | $41.33 | $55.11 | 10.4× |
| Rheumatoid Factor Qual (86430) | $43.26 | $57.68 | 7.0× |
| Rheumatoid factor quant (86431) | $16.61 | $22.15 | 2.9× |
| Rickettsia antibody (86757) | $243.34 | $324.45 | 12.6× |
| Rotavirus (86759) | $104.48 | $139.31 | 5.7× |
| Rotavirus ag eia (87425) | $59.29 | $79.05 | 4.9× |
| Rpr Titer (86593) | $30.51 | $40.69 | 6.9× |
| Rubella antibody (86762) | $48.47 | $64.63 | 3.4× |
| Rubeola Antibody Igg (86765) | $54.08 | $72.10 | 4.2× |
| Russell viper venom time diluted (85613) | $52.14 | $69.53 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $115.88 | $154.50 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $46.93 | $62.57 | 1.1× |
| Sedimentation rate (85651) | $29.93 | $39.91 | 7.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $40.17 | $53.56 | 4.1× |
| Sensitivity mic (87186) | $40.17 | $53.56 | 4.6× |
| Serotonin Release Assay (86022) | $332.56 | $443.42 | 18.1× |
| Sickling of rbc reduction (85660) | $60.45 | $80.60 | 11.0× |
| Smear acid fast (87206) | $16.61 | $22.15 | 3.1× |
| Smear complex stain (87209) | $32.45 | $43.26 | 1.8× |
| Smear gram stain (87205) | $29.93 | $39.91 | 7.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18.93 | $25.24 | 3.3× |
| Sodium (84295) | $29.93 | $39.91 | 6.2× |
| Sodium urine (84300) | $37.85 | $50.47 | 7.5× |
| Somatomedin (84305) | $178.06 | $237.42 | 8.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $36.79 | $49.06 | 0.3× |
| Special stains group 1 (88312) | $53.60 | $71.46 | 1.1× |
| Strep a assay w/optic (87880) | $22.12 | $29.48 | 1.3× |
| Strep a DNA amp probe (87651) | $101.39 | $135.19 | 2.9× |
| Surg path level 1 (88300) | $37.95 | $50.60 | 1.4× |
| Surg path level iii (88304) | $30.71 | $40.94 | 0.6× |
| Surgical pathology level IV (88305) | $110.66 | $147.55 | 2.2× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) | $26.27 | $35.02 | 0.7× |
| T3 free (84481) | $180.38 | $240.51 | 10.6× |
| T3 total (84480) | $66.63 | $88.84 | 4.7× |
| T3 uptake (84479) | $49.83 | $66.44 | 7.7× |
| T4 free (84439) | $99.07 | $132.10 | 11.0× |
| T4 total (84436) | $49.83 | $66.44 | 7.3× |
| Tb intradermal test (86580) | $21.44 | $28.58 | 0.8× |
| Tb test, cell immun measure (86480) | $154.50 | $206 | 2.5× |
| Testosterone free (84402) | $129.01 | $172.01 | 5.1× |
| Testosterone total (84403) | $116.07 | $154.76 | 4.5× |
| Theophylline (80198) | $77.83 | $103.77 | 5.5× |
| Thrombin time plasma (85670) | $42.68 | $56.91 | 7.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $52.14 | $69.53 | 8.1× |
| Thyroglobulin (84432) | $129.01 | $172.01 | 8.0× |
| Thyroglobulin antibody (86800) | $70.10 | $93.47 | 4.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $421.79 | $562.38 | 8.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $39.59 | $52.79 | 9.3× |
| Tobramycin peak (80200) | $77.83 | $103.77 | 4.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $94.63 | $126.18 | 4.8× |
| Toxoplasma ab igm (86778) | $251.45 | $335.27 | 17.4× |
| Toxoplasma antibody igg (86777) | $251.45 | $335.27 | 17.5× |
| Transferrin (84466) | $60.64 | $80.86 | 4.8× |
| Triglycerides (84478) | $43.26 | $57.68 | 7.5× |
| Troponin (84484) | $107.57 | $143.43 | 8.6× |
| Tumor immunohistochem/comput (88361) | $213.02 | $284.02 | 0.6× |
| Urea nitrogen (84520) | $44.61 | $59.48 | 11.3× |
| Urea nitrogen urine (84540) | $25.30 | $33.73 | 4.6× |
| Uric acid blood (84550) | $51.76 | $69.01 | 11.5× |
| Uric acid other source (84560) | $22.98 | $30.64 | 4.5× |
| Urinalysis auto w/scope (81001) | $37.66 | $50.21 | 11.9× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $57.94 | $77.25 | 1.9× |
| Urine pregnancy test (81025) | $12.17 | $16.22 | 1.4× |
| Urine volume measurement (81050) | $11.20 | $14.94 | 3.1× |
| Valproic acid (80164) | $68.56 | $91.41 | 5.1× |
| Vancomycin trough (80202) | $161.07 | $214.76 | 11.9× |
| Varicella-zoster antibody (86787) | $75.51 | $100.68 | 5.9× |
| Vasoactive intestinal peptide (vip) (84586) | $194.67 | $259.56 | 5.5× |
| Vdrl csf (86592) | $36.11 | $48.15 | 8.5× |
| Virus inoculate tissue addl (87253) | $59.29 | $79.05 | 2.9× |
| Vitamin A (84590) | $106.61 | $142.14 | 9.2× |
| Vitamin b-12 (82607) | $72.81 | $97.08 | 4.8× |
| Vitamin b1 (thiamine) (84425) | $80.53 | $107.38 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $195.25 | $260.33 | 6.6× |
| Vitamin e serum (84446) | $206.84 | $275.78 | 14.6× |
| Zinc (84630) | $57.36 | $76.48 | 5.0× |