Lab & pathology prices at Mount San Rafael Hospital

Trinidad, CO · every code in this section with a posted price and a Medicare benchmark.

627 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $179
5 Hiaa (83497) $336
5 Nucleotidase (83915) $161
Abl1 gene (81170) $2,288
Acetylcholine receptor binding antibody (86041) $988.25
Acetylcholinesterase (82013) $603
Acth stimulation panel adrenal (80400) $565
Actin smooth muscle antibody each (86015) $34.25
Activated protein c resistance (85307) $207
Acute hepatitis panel (80074) $1,432.50
Afb culture (87116) $173.50
Agglutinins febrile (86000) $244
Albumin Fluid (82042) $13.50
Albumin serum (82040) $95
Aldolase (82085) $11.50
Aldosterone urine (82088) $67
Alk phos heat stable (84078) $91.50
Alkaline phosphatase isoenzymes (84080) $197
Allerg sp igg quan or semiquan (86001) $106
Allergen specific ige (86003) $19
Allergen specific ige; qualitative, multiallergen screen (86005) $121.50
Alpha-1-antitrypsin phenotype (82104) $54.50
Alpha-1-antitrypsin, total (82103) $273.75
Alpha-Fetoprotein L3 (82107) $707.50
Alpha-fetoprotein, serum (82105) $138.75
Alt (sgpt) (84460) $118.50
Aluminum (82108) $2,750.50
Amikacin trough (80150) $172.50
Amino acids 6/> amino acids quantitative ea spe (82139) $971.50
Amino Acids Quant 2-5 (82136) $412
Amino Acids, Single Quantitation (82131) $266
Ammonia (82140) $152.75
Amylase urine (82150) $107.50
Ana Titer (86039) $384
Angiotensin i enzyme test (82164) $184.75
Anti-phosphatidylserine antibody (86148) $1,261.50
Antibody aspergillus (86606) $214.50
Antibody coxiella burnetii q fever (86638) $1,066.75
Antibody cytomegalovirus cmv (86644) $69
Antibody cytomegalovirus cmv igm (86645) $86.50
Antibody Encephalitis Eastern Equine (86652) $127
Antibody Encephalitis St. Louis (86653) $127
Antibody epstein-barr eb virus early antigen ea (86663) $145
Antibody helicobacter pylori (86677) $307.75
Antibody Herpes Smplx Non-Specific Type Test (86694) $476
Antibody herpes smplx type 1 (86695) $107.25
Antibody HIV-2 (86702) $507
Antibody identification (86870) $451
Antibody identification leukocyte antibodies (86021) $262
Antibody Listeria Monocytogenes (86723) $650.50
Antibody mumps (86735) $65
Antibody neisseria meningitidis (86741) $1,360
Antibody Protozoa Nes (86753) $78.50
Antibody rubeola (86765) $90
Antibody screen (86850) $229.75
Antibody treponema pallidum (86780) $40.50
Antibody; Coccidioides (86635) $316
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $247.25
Antinuclear antibodies (86038) $136
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $93
Antistreptolysin o titer (86060) $20.50
Antithrombin iii activity (85300) $207
Apolipoprotein b (82172) $150.25
Aquaporin-4 Antb Elisa (86051) $3,735.50
Arsenic Urine (82175) $214
Aspa gene analysis common variants (81200) $712
Assay Lipoprotein Pla2 (83698) $165.50
Assay myeloperoxidase (83876) $367
Assay Nephelometry Not Spec (83883) $169.50
Assay of acth (82024) $61
Assay of blood chloride (82435) $69
Assay of blood fatty acids (82725) $138.75
Assay of c-peptide (84681) $126
Assay of calcitonin (82308) $70.50
Assay of ceruloplasmin (82390) $23.50
Assay of creatine (82540) $97
Assay of cyclosporine (80158) $68
Assay of erythropoietin (82668) $187.50
Assay of ethosuximide (80168) $53.50
Assay of ferritin (82728) $95.25
Assay of g6pd enzyme (82955) $95
Assay of gammaglobulin igm (82784) $90.50
Assay of gastrin (82941) $26.50
Assay of gentamicin (80170) $331
Assay of homocystine (83090) $165.50
Assay of homovanillic acid (83150) $499
Assay of ketogenic steroids (83582) $146.50
Assay of lipoprotein(a) (83695) $97
Assay of manganese (83785) $441
Assay of metanephrines (83835) $169.50
Assay of parathormone (83970) $210
Assay of phenobarbital (80184) $56
Assay of phosphatase acid total (84060) $108.50
Assay of prealbumin (84134) $19
Assay of proinsulin (84206) $1,026.50
Assay of prostate specific antigen complexed (84152) $68
Assay of pyruvate (84210) $5.50
Assay of selenium (84255) $572
Assay of serotonin (84260) $154.50
Assay of somatomedin (84305) $73.50
Assay of tacrolimus (80197) $254
Assay of urine vma (84585) $63
Assay of vitamin k (84597) $544
Assay of volatiles (84600) $307
Assay Ph Body Fluid Nos (83986) $112
Ast (sgot) (84450) $95
B cells total count (86355) $742
Bartonella antibody (86611) $75
Bcr/abl1 gene major bp (81206) $1,935.25
Beta 2 Glycoprotein I Antibody,Ea (86146) $139
Beta hydroxybutyrate (82010) $456.50
Beta Lactamase (87185) $135
Beta-2 microglobulin (82232) $272.75
Bile acids, total (82239) $76
Bilirubin direct (82248) $94
Bilirubin total (82247) $84
Bl Smear W/Diff Wbc Count (85007) $118.50
Blastomyces antibody (86612) $388.50
Bleeding time (85002) $120.50
Blood count reticulocyte automated (85045) $51
Blood gases (82803) $529.25
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $325
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $25
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $320.75
Blood typing abo (86900) $102
Blood typing serologic rh (d) (86901) $101
Body fluid cell count (89051) $202.50
Bordetella antibody (86615) $545
Brca1 gene analysis known familial variant (81215) $1,821.50
Brca1&2 seq & full dup/del (81162) $11,931
Brucella antibody (86622) $46
C diff amplified probe (87493) $337
C-reactive protein (86140) $161
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $39.50
Ca 125 (86304) $286.50
Ca 19-9 (86301) $139
Ca 27 29 (86300) $67
Cadmium level (82300) $260.50
Calcium ionized (82330) $199
Calcium total (82310) $123
Calcium urine (82340) $53.75
Calculus Quantitative Chemical (82360) $56
Calculus Spectroscopy (82365) $163.50
California encephalitis ab (86651) $127
Calprotectin, fecal (83993) $855
Calr gene com variants (81219) $2,327
Candida antibody (86628) $694
Candida DNA dir probe (87480) $369.50
Carb deficient transferrin (82373) $869
Carbamazepine (tegretol) total (80156) $154.50
Carbamazepine free (80157) $143
Carbon dioxide (82374) $65
Carboxyhemoglobin Quantitative (82375) $280.75
Carcinoembryonic antigen (82378) $19
Cardiolipin ab igg (86147) $116
Carnitine (82379) $258
Carotene (82380) $162
Catecholamines fraction plasma (82384) $118.50
Cd4 absolute count (86361) $111
Cellular Function Assay Stimul&Detect Biomarker (86352) $376.75
Cftr gene com variants (81220) $5,641.50
Chemiluminescent assay (82397) $575.75
Chlamydia antibody (86631) $225
Chloride urine (82436) $101.50
Cholesterol total (82465) $90.50
Cholinesterase serum (82480) $145.50
Chrmsm count 15-20 cll 2karyotyp banding (88262) $1,159.50
Chromium urine (82495) $495.50
Chromogranin a (86316) $886.50
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $184.50
Citrate (82507) $600.75
Ck isoenzymes (82552) $28
Ckmb (82553) $338.50
Clot factor viii vw antigen (85246) $336
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $336
Clot retraction (85170) $74
Clozapine level (80159) $144
Cmv PCR (87496) $607.50
Cns DNA amp probe type 12-25 (87483) $1,434.75
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $218.50
Cold agglutinin screen (86156) $120.50
Cold agglutinin titer (86157) $21.50
Collagen cross links (82523) $558
Compatibility test antiglob (86922) $178
Complement c3 (86160) $195
Complement total ch50 (86162) $257
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $504
Comprehensive review of data (88325) $72
Concentration Infectious Agent (87015) $321.25
Coombs direct (86880) $1,603.50
Copper urine (82525) $151.75
Cortisol free (82530) $59.50
Cortisol total (82533) $217.50
Creatine kinase total (82550) $116.50
Creatinine blood (82565) $68
Creatinine clearance (82575) $208
Creatinine other source (82570) $67.75
Cryofibrinogen (82585) $10
Cryoglobulin (82595) $25.50
Culture Aerobic Identify (87077) $53.25
Culture anaerobic (87075) $83
Culture blood (87040) $384
Culture chlamydia (87110) $44.50
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $53.50
Culture fungus blood (87103) $382.50
Culture fungus id yeast (87106) $82
Culture fungus other (87102) $97
Culture genital (87070) $173.50
Culture screen only (87081) $160.75
Culture stool (87045) $165.50
Culture typing id bld pthgn&resist typing 6+trgt (87154) $1,133
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $17.50
Culture urine (87086) $140
Culture urine id ea isolate (87088) $168
Cyanide (82600) $397.50
Cyclic Citrullinated Peptide (86200) $159.25
Cyp2c9 gene com variants (81227) $1,926
Cystatin c (82610) $201
Cytogenetics DNA probe (88271) $2,380.50
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $389.50
Cytopath cell enhance tech (88112) $245
Cytopath Smear Other Source (88160) $150.50
Cytp concentration smears & interpretation (88108) $236.50
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $459
Cytp Slides C/V Mnl Scr Under Phys (88150) $71
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $343.25
D-Dimer (85379) $195
Deoxyribonuclease antibody (86215) $117.50
Detect Agent, Mult Orgs, Dna, Dir (87800) $145.50
Dhea (82626) $215.25
Dhea sulfate (82627) $63
Digoxin (80162) $146.50
Digoxin free (80163) $146.50
Dihydrotestosterone (82642) $454.50
Dilantin (80185) $162.50
Dipropylacetic acid free (80165) $91.50
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $165.50
DNA/RNA direct probe (87149) $382.50
Dpyd gene common variants (81232) $1,544
Drug Assay Amiodarone (80151) $118
Drug Assay Infliximab (80230) $1,759.50
Drug screen quant zonisamide (80203) $403
Drug Screen Quantitative Lamotrigine (80175) $50.50
Drug scrn quant oxcarbazepin (80183) $37
Drug test prsmv chem anlyzr (80307) $253.50
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $75
Ebv viral capsid (86665) $69
Echinococcus ab igg (86682) $255
Ehrlichia antibody (86666) $453.50
Electrolyte panel (80051) $100.75
Encephalitis Western Equine (86654) $127
Endomysial antibody iga (86255) $226.25
Entamoeba histolytica antigen (87337) $65
Enterovirus antibody (86658) $1,097.25
Enterovirus Pcr (87498) $694
Enzyme cell activity (82657) $955.25
Enzyme histochemistry (88319) $1,016
Eosinophil count (85048) $53.50
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $238.50
Estradiol (82670) $178
Estriol (82677) $165.50
Estrogens total (82672) $32
Estrone (82679) $50.50
Ethylene glycol (82693) $65
Everolimus (80169) $277
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $83.25
F2 gene analysis 20210g >a variant (81240) $1,129
F5 gene (81241) $1,388
Factor ii activity (85210) $222.50
Factor inhibitor test (85335) $181.50
Factor ix activity (85250) $1,021.50
Factor v activity (85220) $207
Factor vii assay (85230) $211
Factor viii ahg (85240) $260
Factor viii vw multimetric (85247) $152.75
Factor xi assay (85270) $822.50
Factor xii assay (85280) $822.50
Fat stain (89125) $29
Fecal fat qual (82705) $41.50
Fecal fat quant (82710) $262
Fetal chrmoml aneuploidy (81420) $3,953.75
Fibrinogen activity (85384) $162
Fibrinogen antigen (85385) $322.50
Fibrinolytic Plasminogen (85415) $822.50
Flow cytometry first marker (88184) $3,082.25
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $184.50
Folate serum (82746) $186.50
Folic acid rbc (82747) $190.50
Follicle Stimulating Hormone (83001) $168
Francisella Tularensis (86668) $816
Fresh frozen plasma thawing each unit (86927) $314.50
Fructosamine (82985) $31
Gammaglobulin ige (82785) $144
Gardner vag DNA dir probe (87510) $237
Gastric Occult Blood (82271) $36.25
Gba Gene (81251) $82
Ggt (82977) $122
Giardia antigen eia stool (87329) $119.75
Giardia lamblia antibody (86674) $609
Glucose (82947) $101
Glucose Blood Test (82962) $29.75
Glucose body fluid (82945) $76
Glucose post dose (82950) $171.50
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $77
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $364.50
Gonadotropin releasing hormone (83727) $736.50
Growth hormone (83003) $397.50
Growth Hormone Antibody (86277) $397.50
Haloperidol (haldol) (80173) $409.75
Haptoglobin (83010) $113.50
Hba1/hba2 gene (81257) $1,495.50
Hbb Full Gene Sequence (81364) $2,845.50
Hcg qualitative (84703) $181.50
Hcg quant (84702) $307
Hdl Cholesterol (83718) $97
Heavy metal quant each (83018) $372.50
Hematocrit (85014) $57
Hematocrit spun (85013) $30.75
Hemoglobin (85018) $56
Hemoglobin a1c (83036) $25.50
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $201
Hemoglobin electrophoresis (83020) $123
Hemoglobin Methemoglobin Quantitative (83050) $39.50
Hemoglobin plasma (83051) $42.50
Hemosiderin urine (83070) $181.50
Heparin assay (85520) $548.50
Hepatitis a antibody total (86708) $66.50
Hepatitis a igm (86709) $171.50
Hepatitis b core ab igm (86705) $51.50
Hepatitis b core antibody total (86704) $75
Hepatitis B Surface Ab (86706) $314.50
Hepatitis B Surface Antigen (87340) $84.50
Hepatitis b virus genotyping (87912) $1,261.50
Hepatitis be antibody (86707) $327
Hepatitis Be Antigen (87350) $13.50
Hepatitis c antibody (86803) $463.50
Hepatitis C Genotype (87902) $2,335
Hepatitis C Probe&Rvrs Trnsc (87521) $459
Hepatitis delta ab (86692) $261.50
Herpes culture (87252) $279.75
Herpes simplex type 2 (86696) $143
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $56
Hfe gene (81256) $433
Histamine plasma (83088) $1,182
Histoplasma antibody (86698) $95
HIV confirmation (86689) $802.50
HIV-1 antibody (86701) $182.50
HIV-1 genotype (87901) $1,367.50
HIV-1 integrase genotype (87906) $897.50
Hiv-1/Hiv-2 1 Result Antbdy (86703) $111.25
HIV-2 probe&revrse trnscripj (87538) $776
Hla b 27 disease association lc (81374) $94
Hla class i typing high resolution complete (81379) $1,638
Hla class i typing high resolution one allele or allele group (81381) $959.75
Hla class i&ii antibody qual (86828) $806.25
Hla class ii typing high resolution one locus ea (81382) $2,271
Hla ii low resolution one antigen equivalent ea (81377) $590.50
Hla ii typing 1 locus lr (81376) $727.50
Hla typing dr/dq (86817) $421
Hla-b27 (86812) $208
Homogenization tissue (87176) $228.50
Hpv types 16 & 18 only (87625) $301
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $630
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $320.50
Htlv-i antibody (86687) $235.50
Htlv-ii antibody (86688) $235.50
Htt gene analysis detect abnormal alleles (81271) $1,353
Hydroxyprogesterone 17-d (83498) $217.75
Iaad ia clostridium difficile toxin (87324) $211
Iaad ia cryptosporidium (87328) $201
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $139.50
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $926.50
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $299.50
Iaad ia rotavirus (87425) $548.50
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $169.50
Iaadiadoo not otherwise specified (87899) $337
Iadna borrelia burgdorferi amplified probe tq (87476) $308
Iadna hepatitis b virus quantification (87517) $1,437.50
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $706.50
Iadna HIV-1 quant & reverse transcription (87536) $776
Iadna human papillomavirus high-risk types (87624) $128.50
Iadna mycobacteria tuberculosis amp prb (87556) $388.50
Iadna neisseria gonorrhoeae amplified probe tq (87591) $82
Iadna nos amplified probe tq each organism (87798) $891.50
Iadna nos quantification each organism (87799) $855
Iadna trichomonas vaginalis amplified probe tech (87661) $470.50
Iadna-DNA/RNA probe tq 12-25 (87507) $1,236.50
Iadna-DNA/RNA probe tq 6-11 (87506) $1,986
Igg subclasses (82787) $484.75
Immunfix e-phorsis/urine/csf (86335) $317.50
Immunoassay infectious agent antibody quan nos (86317) $309.75
Immunoassay nonantibody (83516) $345
Immunodiffusion Ouchterlony (86331) $165.50
Immunofixj Electrophoresis Serum (86334) $285.50
Immunofluorescence per spec 1st singl antb stain (88346) $589.50
Immunoglobulin light chains free each (83521) $549
Immunohistochemistry (88342) $292.50
India ink prep (87210) $26.50
Influenza a/b ag eia (87400) $169.50
Inhibin a (86336) $162.75
Inhibin b (83520) $535
Insitu hybridization (fish) (88365) $639.50
Insulin antibodies (86337) $304.50
Insulin free (83527) $56
Insulin total (83525) $18
Intraop cyto path consult 1 (88333) $1,056.50
Intrinsic factor antibody (86340) $163.50
Iron (83540) $67.50
Iron binding capacity (83550) $194.50
Islet cell antibody (86341) $626.50
Jak2 gene analysis (81270) $1,008.50
Jak2 Targeted Sequence Analysis (81279) $2,116
Ketosteroids 17; total (83586) $146.50
Koh Prep (87220) $26.50
Lactic acid (83605) $169.50
Lactoferrin Fecal Quantitative (83631) $177.75
Ldh (83615) $14
Ldh isoenzymes (83625) $78.50
LDL cholesterol direct (83721) $78.50
Lead (83655) $37
Legionella antibody (86713) $472
Legionella antigen urine (87449) $107.50
Legionella pneumophila dfa (87278) $206
Leptospira antibody (86720) $133
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $93
Level ii surg pathology gross&microscopic exam (88302) $209
Level v surg pathology gross&microscopic exam (88307) $683.50
Level vi surg pathology gross&microscopic exam (88309) $790
Lh (83002) $19
Lipase (83690) $122.25
Lipopro bld electrophoretic (83700) $195
Lipoprotein Bld Hr Fraction (83701) $471
Listeria ab (86609) $1,570.50
Lithium (80178) $19
Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) $1,583
Lyme disease antibody (86618) $145.50
Lyme disease antibody confirm (86617) $437
M/phmtrc alys tumor imhchem ea antibody manual (88360) $817.50
Macroscopic exam arthropod (87168) $68
Macroscopic exam parasite (87169) $23.50
Magnesium (83735) $74.75
Malaria smear (87207) $75
Manual reticulocyte count (85044) $82
Mass spectrometry qual/quan (83789) $263
Mcg interphase insitu 25 (88274) $1,158.50
Mercury (83825) $92.50
Methotrexate (80299) $269
Methylmalonic acid serum (83921) $83
Microalbumin urine (82043) $43.50
Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) $947
Microsomal antibodies (86376) $55.50
Mog-igg1 antibody cell-based imfluor assay each (86362) $3,173.50
Molecular pathology procedure level 2 (81401) $1,419.50
Mopath procedure level 1 (81400) $822.50
Mopath procedure level 5 (81404) $5,503.50
Mopath procedure level 9 (81408) $12,800
Mpl gene analysis common variants (81338) $2,392.25
Mthfr Gene Analysis Common Variants (81291) $403
Mucin synovial fluid ropes test (83872) $39.50
Muramidase (85549) $104.50
Mycobacterium avium complex and m.abscessus complex rt-PCR (viracor) - iadna mycobacteria species quantification (87552) $434
Mycophenolic acid (80180) $342
Mycoplasma antibody (86738) $42.50
Mycoplasma culture (87109) $76.50
Mycoplasma genitalium PCR (87563) $291
Myoglobin urine (83874) $230.50
Nasal smear for eosinophils (89190) $95
Natriuretic peptide (83880) $555.50
Neutralization test, viral (86382) $291
Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) $544
Niacin (84591) $362.50
Nickel level (83885) $184.50
Nk cells total count (86357) $95
Nmr Lipoprofile (83704) $377.75
Nuclear antigen antibody (86235) $157.50
Occult blood stool (82272) $32
Oligoclonal bands (83916) $127
Onco (ovarian) biochemical assay two proteins (81500) $1,119.50
Organic Acids Total Quantitative Each Specimen (83918) $1,598
Osmolality serum (83930) $132
Osmolality urine (83935) $28
Ova and parasite direct-id lca (87177) $170.50
Oxalate urine (83945) $474
Pancreatic elastase fecal (82656) $287.50
Pancreatic polypeptide (83519) $360.50
Particle Agglutination Screen Each Antibody (86403) $140
Parvovirus antibody (86747) $204.25
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $1,671.50
Pertussis dfa (87265) $128
Phenotype Infect Agent Drug (87900) $2,038.25
Phenylalanine (84030) $161
Phenytoin free (80186) $73.50
Phosphatase acid prostatic (84066) $162
Phosphatase alkaline (84075) $95
Phospholipid Neutralization Hexagonal (85598) $2,990
Phosphorus blood (84100) $45
Phosphorus urine (84105) $138
Pinworm exam (87172) $82
Plasminogen (85420) $285.50
Platelet aggregation (85576) $50.50
Platelet count (85049) $95
Porphobilinogen urine quant (84110) $46
Porphyrins qn & fraction urine (84120) $181.50
Potassium (84132) $82
Potassium urine (84133) $121.75
Pregnenolone (84140) $343
Primidone (80188) $111.50
Procalcitonin (pct) (84145) $675
Progesterone (84144) $18
Prolactin (84146) $62.25
Prostaglandin Ea (84150) $1,100.50
Protein body fluid (84157) $12.50
Protein c activity (85303) $184.50
Protein c antigen (85302) $26.50
Protein electrophoresis serum (84165) $182.50
Protein Electrophoresis Urine (84166) $54.50
Protein S Functional (85306) $253
Protein s total (85305) $371
Protein Total Serum (84155) $90.50
Protein urine (84156) $150.75
Protoporphyrin rbc quantitative (84202) $116.50
PSA free (84154) $323.50
Pyruvate kinase (84220) $393
Quantiferon tb gold (86480) $273
Rbc antibody elution (86860) $304.50
Reagent strip/blood glucose (82948) $37.50
Reducing substances, stool (84376) $218.50
Renin activity plasma (84244) $257
Reptilase test (85635) $1,123.25
Respiratory viral panel PCR (87633) $714
Rheumatoid Factor Qual (86430) $109.50
Rheumatoid factor quant (86431) $87.25
Rickettsia antibody (86757) $73.75
Rpr Titer (86593) $25.50
Rubella antibody (86762) $13.50
Russell viper venom time diluted (85613) $208
Saccharomyces ab iga (86671) $113
Salicylate (80179) $89
Sars-Cov-2 Covid-19 Amp Prb (87635) $250
Sars-Cov-2 Covid-19 Antibody (86769) $281.75
Sedimentation rate (85651) $95
Semen analysis complete (89320) $213
Semen Analysis Presence and/or Motility of Sperm (89300) $135
Sensitivity mic (87186) $201.50
Serpina1 gene (81332) $1,119
Sex hormone binding globulin (84270) $91.50
Sickle cell screen (85660) $30
Sirolimus (rapamycin) (80195) $88.50
Smear acid fast (87206) $117.50
Smear gram stain (87205) $60.25
Sodium (84295) $78.50
Sodium urine (84300) $74
Soluble transferrin receptor (84238) $395
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $238.50
Special stains group 1 (88312) $248.50
Stool Cultr Aerobic Bact Ea (87046) $248.50
Strep a assay w/optic (87880) $119.50
Sugars Multiple Qual (84377) $170.50
Sugars single quant (84378) $500
Surg path level iii (88304) $390.50
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $290
Surgical pathology level IV (88305) $299.50
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $219.50
T cells, total count (86359) $1,369.50
T3 free (84481) $140.50
T3 reverse (84482) $194
T3 total (84480) $200.75
T3 uptake (84479) $163.50
T4 Free (84439) $48
T4 total (84436) $64
Tb intradermal test (86580) $41.50
Testosterone bioavailable (84410) $266
Testosterone free (84402) $741.50
Testosterone total (84403) $162
Tetanus antibody (86774) $418.50
Theophylline (80198) $196
Thin prep pap (88142) $243
Thrombin time plasma (85670) $143.25
Thyroglobulin (84432) $165.75
Thyroglobulin Ab (86800) $49.50
Thyroid Stimulating Immunoglobulin (84445) $203
Thyroxine binding globulin (84442) $84
Tiss Trnsgltmnase Ea Ig Clas (86364) $43.50
Tissue Culture Lymphocyte (88230) $993.50
Tobramycin peak (80200) $342
Topiramate (80201) $417.50
Toxoplasma antibody igg (86777) $53.50
Transferrin (84466) $127
Trb@ Rearrangement Anal Amplification Method (81340) $1,765.50
Trichinella antibody (86784) $384
Triglycerides (84478) $77.25
Troponin (84484) $286.50
Troponin i qualitative (84512) $224
Trypsin feces quantitative 24-hr collection (84490) $291
Urea nitrogen (84520) $78.50
Urea Nitrogen Clearance (84545) $25.50
Uric acid blood (84550) $67
Uric acid other source (84560) $117.50
Urinalysis microscopic only (81015) $74
Urinalysis qual/semiquant except immunoassays (81005) $42.50
Urinalysis w/microscopic (81001) $101
Urine pregnancy test (81025) $126
Urine volume measurement (81050) $113
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $50.50
Urobilinogen (84578) $28
Valproic acid level (80164) $177.50
Vancomycin trough (80202) $334.50
Varicella-zoster antibody (86787) $76
Vasoactive intestinal peptide (vip) (84586) $422
Vasopressin (84588) $127
Vdrl csf (86592) $12.50
Virus antibody nos (86790) $493.50
Virus id non-immunologic oth/thn cytopathic (87255) $86.50
Virus inoculation, shell via (87254) $330
Viscosity serum (85810) $52.50
Vitamin A (84590) $429.50
Vitamin b-12 (82607) $72.50
Vitamin b-2 (riboflavin) (84252) $118.50
Vitamin b1 (thiamine) (84425) $85.50
Vitamin b6 (84207) $78.50
Vitamin C (82180) $59.50
Vitamin D 25-Hydroxy (82306) $182.50
Vitamin e serum (84446) $48
Von willebrand factor activity (85245) $476
West nile virus ab, igm (86788) $191.25
West nile virus antibody (86789) $133
Zinc (84630) $457.50