Lab & pathology prices at Newman Memorial Hospital
Shattuck, OK · every code in this section with a posted price and a Medicare benchmark.
387 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) | $193.60 | $242 | 5.0× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $48 | $60 | 2.6× |
| Acetylcholine receptor binding antibody (86041) | $48 | $60 | 2.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $48 | $60 | 4.0× |
| Actin smooth muscle antibody each (86015) | $32 | $40 | 2.7× |
| Acute hepatitis panel (80074) | $151.20 | $189 | 3.2× |
| Afb culture (87116) | $180.80 | $226 | 16.7× |
| Albumin serum (82040) | $34.40 | $43 | 6.9× |
| Aldolase (82085) | $64.80 | $81 | 6.7× |
| Aldosterone urine (82088) | $139.20 | $174 | 3.4× |
| Alkaline phosphatase isoenzymes (84080) | $64.80 | $81 | 4.4× |
| Allergen specific ige (86003) | $48 | $60 | 9.2× |
| Allg Spec Ige Recomb Ea (86008) | $54.40 | $68 | 3.0× |
| Alpha-1-antitrypsin, total (82103) | $64.80 | $81 | 4.8× |
| Alpha-fetoprotein, serum (82105) | $61.20 | $76.50 | 3.6× |
| Alt (sgpt) (84460) | $34.40 | $43 | 6.5× |
| Aminolevulinic acid (ala) (82135) | $192.72 | $240.90 | 11.7× |
| Ammonia (82140) | $59.60 | $74.50 | 4.1× |
| Amylase urine (82150) | $64.80 | $81 | 10.0× |
| Ana Titer (86039) | $48 | $60 | 4.3× |
| Angiotensin i enzyme test (82164) | $4.39 | $5.49 | 0.3× |
| Anti-phosphatidylserine antibody (86148) | $54.40 | $68 | 3.4× |
| Antibody Absorption (86978) | $81.60 | $102 | 1.4× |
| Antibody cytomegalovirus cmv (86644) | $92.80 | $116 | 6.4× |
| Antibody cytomegalovirus cmv igm (86645) | $92.80 | $116 | 5.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $90.40 | $113 | 6.9× |
| Antibody herpes smplx type 1 (86695) | $80.80 | $101 | 6.1× |
| Antibody HIV-2 (86702) | $56 | $70 | 4.1× |
| Antibody identification (86870) | $691.20 | $864 | 2.0× |
| Antibody mumps (86735) | $56 | $70 | 4.3× |
| Antibody Protozoa Nes (86753) | $215.04 | $268.80 | 17.4× |
| Antibody rubeola (86765) | $56 | $70 | 4.3× |
| Antibody screen (86850) | $56.40 | $70.50 | 5.8× |
| Antibody treponema pallidum (86780) | $80.80 | $101 | 6.1× |
| Antibody; Coccidioides (86635) | $304.92 | $381.15 | 26.6× |
| Antigen typing (86905) | $64.80 | $81 | 16.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $365.60 | $457 | 70.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $48 | $60 | 4.0× |
| Antinuclear antibodies (86038) | $56 | $70 | 4.6× |
| Antithrombin iii activity (85300) | $72 | $90 | 6.1× |
| Apolipoprotein b (82172) | $32.68 | $40.85 | 1.5× |
| Aquaporin-4 Antb Elisa (86051) | $48 | $60 | 4.2× |
| Arsenic Urine (82175) | $96 | $120 | 5.1× |
| Assay Lipoprotein Pla2 (83698) | $165.60 | $207 | 3.6× |
| Assay myeloperoxidase (83876) | $165.60 | $207 | 3.3× |
| Assay of acth (82024) | $139.20 | $174 | 3.6× |
| Assay of anti-mullerian hormone (82166) | $54.40 | $68 | 1.4× |
| Assay of c-peptide (84681) | $67.20 | $84 | 3.2× |
| Assay of ceruloplasmin (82390) | $64.80 | $81 | 6.0× |
| Assay of ferritin (82728) | $64.80 | $81 | 4.8× |
| Assay of gammaglobulin igm (82784) | $76.80 | $96 | 8.3× |
| Assay of homocystine (83090) | $139.20 | $174 | 7.8× |
| Assay of lipoprotein(a) (83695) | $54.40 | $68 | 3.8× |
| Assay of metanephrines (83835) | $71.96 | $89.95 | 4.2× |
| Assay of parathormone (83970) | $139.20 | $174 | 3.4× |
| Assay of prealbumin (84134) | $64.80 | $81 | 4.4× |
| Assay of selenium (84255) | $54.40 | $68 | 2.1× |
| Assay of somatomedin (84305) | $216 | $270 | 10.2× |
| Assay of tacrolimus (80197) | $84 | $105 | 6.1× |
| Assay of vitamin k (84597) | $65.60 | $82 | 4.8× |
| Assay Ph Body Fluid Nos (83986) | $28.80 | $36 | 8.0× |
| Ast (sgot) (84450) | $34.40 | $43 | 6.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $54.40 | $68 | 2.1× |
| Beta hydroxybutyrate (82010) | $54.40 | $68 | 6.7× |
| Bilirubin direct (82248) | $34.40 | $43 | 6.9× |
| Bilirubin total (82247) | $34.40 | $43 | 6.9× |
| Bl Smear W/Diff Wbc Count (85007) | $47.20 | $59 | 12.4× |
| Blood count reticulocyte automated (85045) | $48 | $60 | 12.0× |
| Blood gases w/02 saturation (82805) | $222.40 | $278 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54.40 | $68 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $34.40 | $43 | 7.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $691.20 | $864 | 108.9× |
| Blood typing abo (86900) | $142.40 | $178 | 47.6× |
| Blood typing serologic rh (d) (86901) | $92 | $115 | 30.8× |
| Body fluid cell count (89051) | $148.80 | $186 | 26.6× |
| Bordetella antibody (86615) | $134.40 | $168 | 10.2× |
| Brca1&2 seq & full dup/del (81162) | $2,081.60 | $2,602 | 1.1× |
| C diff amplified probe (87493) | $48 | $60 | 1.3× |
| C-reactive protein (86140) | $56 | $70 | 10.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $56 | $70 | 4.3× |
| Ca 125 (86304) | $164 | $205 | 7.9× |
| Ca 19-9 (86301) | $180.80 | $226 | 8.7× |
| Calcium ionized (82330) | $54.40 | $68 | 4.0× |
| Calcium total (82310) | $34.40 | $43 | 6.7× |
| Calcium urine (82340) | $48.80 | $61 | 8.1× |
| Calculus Spectroscopy (82365) | $82.32 | $102.90 | 6.4× |
| Calprotectin, fecal (83993) | $144.40 | $180.50 | 7.4× |
| Calr gene com variants (81219) | $498.40 | $623 | 4.1× |
| Carbamazepine (tegretol) total (80156) | $84 | $105 | 5.8× |
| Carcinoembryonic antigen (82378) | $64.80 | $81 | 3.4× |
| Cardiolipin ab igg (86147) | $80 | $100 | 3.1× |
| Catecholamines fraction plasma (82384) | $149.60 | $187 | 5.9× |
| Cftr gene com variants (81220) | $507.20 | $634 | 0.9× |
| Chemiluminescent assay (82397) | $56 | $70 | 4.0× |
| Chloride urine (82436) | $34.40 | $43 | 6.0× |
| Cholesterol total (82465) | $34.40 | $43 | 7.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $48 | $60 | 1.4× |
| Citrate (82507) | $56 | $70 | 2.0× |
| Ckmb (82553) | $64.80 | $81 | 5.6× |
| Clot factor viii vw antigen (85246) | $68.80 | $86 | 3.0× |
| Cmv PCR (87496) | $370.40 | $463 | 10.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $168.80 | $211 | 7.0× |
| Compatibility test antiglob (86922) | $250.40 | $313 | 1.5× |
| Complement c3 (86160) | $124 | $155 | 10.3× |
| Coombs direct (86880) | $86.80 | $108.50 | 16.1× |
| Copper urine (82525) | $80.80 | $101 | 6.5× |
| Cortisol free (82530) | $148.68 | $185.85 | 8.9× |
| Cortisol total (82533) | $132.40 | $165.50 | 8.1× |
| Creatine kinase total (82550) | $34.40 | $43 | 5.3× |
| Creatinine blood (82565) | $34.40 | $43 | 6.7× |
| Creatinine clearance (82575) | $64.80 | $81 | 6.8× |
| Creatinine other source (82570) | $34.40 | $43 | 6.6× |
| Crossmatch immediate spin (86920) | $365.60 | $457 | 2.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $50.40 | $63 | 6.2× |
| Culture Aerobic Identify (87077) | $44.80 | $56 | 5.5× |
| Culture anaerobic (87075) | $50.40 | $63 | 5.3× |
| Culture blood (87040) | $160 | $200 | 15.5× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $50.40 | $63 | 6.5× |
| Culture fungus other (87102) | $44 | $55 | 5.2× |
| Culture genital (87070) | $46.40 | $58 | 5.4× |
| Culture screen only (87081) | $50.40 | $63 | 7.6× |
| Culture stool (87045) | $50.40 | $63 | 5.3× |
| Culture urine (87086) | $50.40 | $63 | 6.2× |
| Culture urine id ea isolate (87088) | $50.40 | $63 | 6.2× |
| Cyclic Citrullinated Peptide (86200) | $56 | $70 | 4.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $155.20 | $194 | 3.6× |
| Cytopath cell enhance tech (88112) | $82.21 | $102.76 | 1.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $84 | $105 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $132 | $165 | 2.6× |
| Cytp fna eval dx 1st each site (88172) | $365.60 | $457 | 2.2× |
| D-Dimer (85379) | $81.60 | $102 | 8.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $56.80 | $71 | 3.4× |
| Detect agnt mult DNA ampli (87801) | $44 | $55 | 0.6× |
| Dhea (82626) | $81.60 | $102 | 3.2× |
| Dhea sulfate (82627) | $139.20 | $174 | 6.3× |
| Digoxin (80162) | $84 | $105 | 6.3× |
| Dilantin (80185) | $84 | $105 | 6.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $56 | $70 | 4.1× |
| Drug assay adalimumab (80145) | $62.40 | $78 | 1.6× |
| Drug Assay Infliximab (80230) | $168 | $210 | 4.4× |
| Drug assay itraconazole (80189) | $688.80 | $861 | 25.4× |
| Drug assay vedolizumab (80280) | $92 | $115 | 2.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $71.20 | $89 | 5.4× |
| Drug Scrn Quan Levetiracetam (80177) | $71.36 | $89.20 | 5.4× |
| Drug scrn quant oxcarbazepin (80183) | $71.20 | $89 | 5.4× |
| Drug test prsmv chem anlyzr (80307) | $199.20 | $249 | 3.2× |
| Ebv viral capsid (86665) | $92.80 | $116 | 5.1× |
| Ehrlichia antibody (86666) | $95.20 | $119 | 9.4× |
| Elastase pancreatic fecal quantitative (82653) | $246.96 | $308.70 | 10.8× |
| Electrolyte panel (80051) | $61.60 | $77 | 8.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $29.60 | $37 | 2.4× |
| Endomysial antibody iga (86255) | $70.40 | $88 | 5.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $80 | $100 | 5.2× |
| Estradiol (82670) | $139.20 | $174 | 5.0× |
| Estriol (82677) | $123.20 | $154 | 5.1× |
| Estrogens total (82672) | $139.20 | $174 | 6.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $165.60 | $207 | 1.7× |
| F2 gene analysis 20210g >a variant (81240) | $1,455.80 | $1,819.75 | 22.2× |
| F5 gene (81241) | $508 | $635 | 6.9× |
| Factor viii ahg (85240) | $68.80 | $86 | 3.8× |
| Fetal chrmoml aneuploidy (81420) | $507.20 | $634 | 0.7× |
| Fibrinogen activity (85384) | $28.80 | $36 | 3.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $92.80 | $116 | 7.7× |
| Folate serum (82746) | $64.80 | $81 | 4.4× |
| Follicle Stimulating Hormone (83001) | $137.60 | $172 | 7.4× |
| Gammaglobulin ige (82785) | $48 | $60 | 2.9× |
| Ggt (82977) | $34.40 | $43 | 4.8× |
| Giardia antigen eia stool (87329) | $56 | $70 | 4.7× |
| Gliadin antibody each immunoglobulin class (86258) | $28 | $35 | 2.3× |
| Glucose (82947) | $34.40 | $43 | 8.8× |
| Glucose Blood Test (82962) | $30.40 | $38 | 9.3× |
| Glucose body fluid (82945) | $28.80 | $36 | 7.3× |
| Glucose post dose (82950) | $31.60 | $39.50 | 6.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $64.80 | $81 | 16.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $59.60 | $74.50 | 4.6× |
| Growth hormone (83003) | $139.20 | $174 | 8.4× |
| Haptoglobin (83010) | $54.40 | $68 | 4.3× |
| Hcg qualitative (84703) | $76 | $95 | 10.1× |
| Hcg quant (84702) | $98.80 | $123.50 | 6.6× |
| Hdl Cholesterol (83718) | $64.80 | $81 | 7.9× |
| Heavy metal quant each (83018) | $47.66 | $59.57 | 2.2× |
| Hematocrit (85014) | $44.80 | $56 | 18.9× |
| Hemoglobin (85018) | $42.40 | $53 | 17.9× |
| Hemoglobin a1c (83036) | $57.60 | $72 | 5.9× |
| Hepatitis a antibody total (86708) | $89.60 | $112 | 7.2× |
| Hepatitis a igm (86709) | $56 | $70 | 5.0× |
| Hepatitis b core ab igm (86705) | $56 | $70 | 4.8× |
| Hepatitis b core antibody total (86704) | $56 | $70 | 4.6× |
| Hepatitis B Surface Ab (86706) | $56 | $70 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $56 | $70 | 5.4× |
| Hepatitis c antibody (86803) | $86.40 | $108 | 6.1× |
| Hepatitis C Genotype (87902) | $570.40 | $713 | 2.2× |
| Herpes simplex type 2 (86696) | $48.80 | $61 | 2.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $56 | $70 | 10.8× |
| Histoplasma antigen urine (87385) | $48 | $60 | 3.6× |
| HIV-1 antibody (86701) | $48 | $60 | 5.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $56 | $70 | 4.1× |
| HIV-2 probe&revrse trnscripj (87538) | $155.20 | $194 | 4.4× |
| Hla b 27 disease association lc (81374) | $171.20 | $214 | 2.3× |
| Hla ii low resolution one antigen equivalent ea (81377) | $508 | $635 | 5.4× |
| Hpv types 16 & 18 only (87625) | $155.20 | $194 | 3.8× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $168 | $210 | 2.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $280 | $350 | 8.0× |
| Hydroxychloroquine (80220) | $200 | $250 | 10.7× |
| Hydroxyprogesterone 17-d (83498) | $123.20 | $154 | 4.5× |
| Iaad ia clostridium difficile toxin (87324) | $56 | $70 | 4.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $76.80 | $96 | 3.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $56 | $70 | 3.9× |
| Iaad ia rotavirus (87425) | $48 | $60 | 4.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $95.20 | $119 | 2.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $56 | $70 | 4.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $155.20 | $194 | 4.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $155.20 | $194 | 2.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $152 | $190 | 3.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $155.20 | $194 | 4.4× |
| Iadna human papillomavirus high-risk types (87624) | $156 | $195 | 4.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $257.88 | $322.35 | 6.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $168 | $210 | 4.8× |
| Iadna nos amplified probe tq each organism (87798) | $156 | $195 | 4.4× |
| Iadna nos quantification each organism (87799) | $431.20 | $539 | 10.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $155.20 | $194 | 4.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $405.20 | $506.50 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $79.20 | $99 | 2.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $10.37 | $12.96 | 0.7× |
| Immunoassay nonantibody (83516) | $48 | $60 | 4.2× |
| Immunofixj Electrophoresis Serum (86334) | $79.20 | $99 | 3.5× |
| Immunoglobulin light chains free each (83521) | $71.60 | $89.50 | 4.1× |
| Immunohistochemistry (88342) | $365.60 | $457 | 2.2× |
| India ink prep (87210) | $50.40 | $63 | 8.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $48 | $60 | 0.7× |
| Infectious agent enzymatic activity to detect organism (87905) | $155.20 | $194 | 12.7× |
| Influenza DNA amp probe (87502) | $252.80 | $316 | 2.6× |
| Inhibin a (86336) | $49.60 | $62 | 3.2× |
| Inhibin b (83520) | $48 | $60 | 2.8× |
| Insulin antibodies (86337) | $151.07 | $188.84 | 7.1× |
| Insulin free (83527) | $104.80 | $131 | 8.1× |
| Insulin total (83525) | $104.80 | $131 | 9.2× |
| Iron (83540) | $34.40 | $43 | 5.3× |
| Iron binding capacity (83550) | $64.80 | $81 | 7.4× |
| Irradiation of blood product (86945) | $89.60 | $112 | 2.5× |
| Islet cell antibody (86341) | $80 | $100 | 3.4× |
| Jak2 gene analysis (81270) | $453.60 | $567 | 4.9× |
| Lactic acid (83605) | $64.80 | $81 | 5.6× |
| Lactoferrin Fecal Quantitative (83631) | $152 | $190 | 7.7× |
| Ldh (83615) | $34.80 | $43.50 | 5.8× |
| LDL cholesterol direct (83721) | $57.60 | $72 | 5.5× |
| Lead (83655) | $81.60 | $102 | 6.7× |
| Legionella antigen urine (87449) | $56 | $70 | 4.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $48 | $60 | 11.2× |
| Level v surg pathology grossµscopic exam (88307) | $691.20 | $864 | 2.0× |
| Level vi surg pathology grossµscopic exam (88309) | $1,407.20 | $1,759 | 1.8× |
| Lh (83002) | $139.20 | $174 | 7.5× |
| Lipase (83690) | $34.40 | $43 | 5.0× |
| Listeria ab (86609) | $76 | $95 | 5.9× |
| Lithium (80178) | $84 | $105 | 12.7× |
| Lyme disease antibody (86618) | $92.80 | $116 | 5.4× |
| Lyme disease antibody confirm (86617) | $112 | $140 | 7.2× |
| Macroscopic exam arthropod (87168) | $42.40 | $53 | 9.9× |
| Macroscopic exam parasite (87169) | $48.72 | $60.90 | 11.3× |
| Magnesium (83735) | $30.40 | $38 | 4.5× |
| Mass spectrometry qual/quan (83789) | $28.80 | $36 | 1.2× |
| Mercury (83825) | $96 | $120 | 5.9× |
| Methotrexate (80299) | $205.88 | $257.35 | 11.0× |
| Methylmalonic acid serum (83921) | $128.80 | $161 | 6.1× |
| Microalbumin urine (82043) | $17.60 | $22 | 3.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $132 | $165 | 2.6× |
| Microsomal antibodies (86376) | $92.80 | $116 | 6.4× |
| Mitochondrial antibody each (86381) | $12 | $15 | 0.5× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $48 | $60 | 4.0× |
| Molecular pathology procedure level 2 (81401) | $160 | $200 | 1.2× |
| Molecular pathology procedure level 7 (81406) | $507.20 | $634 | 1.8× |
| Mopath procedure level 5 (81404) | $507.20 | $634 | 1.8× |
| Mopath procedure level 6 (81405) | $507.20 | $634 | 1.7× |
| Mopath procedure level 8 (81407) | $507.20 | $634 | 0.6× |
| Mopath procedure level 9 (81408) | $507.20 | $634 | 0.3× |
| Mpl gene analysis common variants (81338) | $453.60 | $567 | 3.0× |
| Mrsa amp probe (87641) | $156 | $195 | 4.4× |
| Mthfr Gene Analysis Common Variants (81291) | $507.20 | $634 | 7.8× |
| Mycoplasma genitalium PCR (87563) | $155.20 | $194 | 4.4× |
| Myoglobin urine (83874) | $54.40 | $68 | 4.2× |
| Natriuretic peptide (83880) | $193.60 | $242 | 4.9× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $266.28 | $332.85 | 3.7× |
| Nuclear antigen antibody (86235) | $117.60 | $147 | 6.6× |
| Occult blood stool (82272) | $34.40 | $43 | 8.1× |
| Osmolality urine (83935) | $28 | $35 | 4.1× |
| Ova and parasite direct-id lca (87177) | $50.40 | $63 | 5.7× |
| Oxalate urine (83945) | $28.80 | $36 | 2.0× |
| Phospholipid Neutralization Hexagonal (85598) | $68.80 | $86 | 3.8× |
| Phosphorus blood (84100) | $34.40 | $43 | 7.3× |
| Phosphorus urine (84105) | $34.40 | $43 | 6.0× |
| Platelet count (85049) | $48 | $60 | 10.7× |
| Porphyrins qn & fraction urine (84120) | $99.12 | $123.90 | 6.7× |
| Potassium (84132) | $34.40 | $43 | 7.2× |
| Potassium urine (84133) | $34.40 | $43 | 7.3× |
| Pregnenolone (84140) | $24.80 | $31 | 1.2× |
| Procalcitonin (pct) (84145) | $263.76 | $329.70 | 9.7× |
| Progesterone (84144) | $104.80 | $131 | 5.0× |
| Prolactin (84146) | $139.20 | $174 | 7.2× |
| Protein body fluid (84157) | $17.12 | $21.40 | 4.3× |
| Protein c activity (85303) | $72 | $90 | 5.2× |
| Protein electrophoresis serum (84165) | $64.80 | $81 | 6.0× |
| Protein Electrophoresis Urine (84166) | $80 | $100 | 4.5× |
| Protein S Functional (85306) | $72 | $90 | 4.7× |
| Protein Total Serum (84155) | $31.60 | $39.50 | 8.6× |
| Protein urine (84156) | $34.40 | $43 | 9.4× |
| PSA free (84154) | $64.80 | $81 | 3.5× |
| Quantiferon tb gold (86480) | $215.20 | $269 | 3.5× |
| Rbc antibody elution (86860) | $365.60 | $457 | 2.2× |
| Rbc pretx incubatj w/chemicl (86970) | $260.80 | $326 | 4.6× |
| Renin activity plasma (84244) | $139.20 | $174 | 6.3× |
| Respiratory Virus (86756) | $82.40 | $103 | 5.2× |
| Rheumatoid factor quant (86431) | $56 | $70 | 9.9× |
| Rickettsia antibody (86757) | $92.80 | $116 | 4.8× |
| Rsv (87807) | $50.40 | $63 | 3.8× |
| Rubella antibody (86762) | $48 | $60 | 3.3× |
| Russell viper venom time diluted (85613) | $68.80 | $86 | 7.2× |
| Salicylate (80179) | $84 | $105 | 4.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $84 | $105 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $48 | $60 | 1.1× |
| Sed rate automated (85652) | $47.20 | $59 | 17.5× |
| Semen analysis w/count (89310) | $132 | $165 | 15.3× |
| Sensitivity mic (87186) | $50.40 | $63 | 5.8× |
| Serotonin Release Assay (86022) | $48 | $60 | 2.6× |
| Sex hormone binding globulin (84270) | $88 | $110 | 4.0× |
| Sickle cell screen (85660) | $68.80 | $86 | 12.5× |
| Sirolimus (rapamycin) (80195) | $84 | $105 | 6.1× |
| Smear acid fast (87206) | $50.40 | $63 | 9.4× |
| Smear complex stain (87209) | $160 | $200 | 8.9× |
| Smear gram stain (87205) | $50.40 | $63 | 11.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $508 | $635 | 3.7× |
| Sodium (84295) | $34.40 | $43 | 7.2× |
| Sodium urine (84300) | $34.40 | $43 | 6.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $132 | $165 | 1.0× |
| Special stains group 1 (88312) | $132 | $165 | 2.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $50.40 | $63 | 5.3× |
| Strep a assay w/optic (87880) | $47.60 | $59.50 | 2.9× |
| Sulfate urine (84392) | $28.80 | $36 | 5.2× |
| Surg path level iii (88304) | $132 | $165 | 2.6× |
| Surgical pathology level IV (88305) | $132 | $165 | 2.6× |
| T3 free (84481) | $104.80 | $131 | 6.2× |
| T3 reverse (84482) | $118.40 | $148 | 7.5× |
| T3 total (84480) | $111.20 | $139 | 7.8× |
| T4 Free (84439) | $92.80 | $116 | 10.3× |
| T4 total (84436) | $66.56 | $83.20 | 9.7× |
| Tb intradermal test (86580) | $59.90 | $74.88 | 2.2× |
| Test for urine cystines (82615) | $56 | $70 | 5.9× |
| Testosterone bioavailable (84410) | $118.40 | $148 | 2.3× |
| Testosterone free (84402) | $139.20 | $174 | 5.5× |
| Testosterone total (84403) | $139.20 | $174 | 5.4× |
| Thrombin time plasma (85670) | $24 | $30 | 4.2× |
| Thromboplastin Inhibition Tissue (85705) | $24 | $30 | 2.5× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $26.40 | $33 | 4.1× |
| Thyroglobulin Ab (86800) | $118.40 | $148 | 7.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $197.60 | $247 | 3.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $32 | $40 | 2.8× |
| Topiramate (80201) | $24 | $30 | 2.0× |
| Transferrin (84466) | $54.40 | $68 | 4.3× |
| Triglycerides (84478) | $34.40 | $43 | 6.0× |
| Troponin (84484) | $64.80 | $81 | 5.2× |
| Urea nitrogen (84520) | $34.40 | $43 | 8.7× |
| Urea nitrogen urine (84540) | $28.80 | $36 | 5.2× |
| Uric acid blood (84550) | $34.40 | $43 | 7.6× |
| Uric acid other source (84560) | $28.80 | $36 | 5.7× |
| Urinalysis microscopic only (81015) | $20.80 | $26 | 6.8× |
| Urinalysis w/microscopic (81001) | $18.40 | $23 | 5.8× |
| Urine pregnancy test (81025) | $31.20 | $39 | 3.6× |
| Urine volume measurement (81050) | $20.80 | $26 | 5.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $14.40 | $18 | 6.4× |
| Valproic acid level (80164) | $84 | $105 | 6.2× |
| Vancomycin trough (80202) | $84 | $105 | 6.2× |
| Varicella-zoster antibody (86787) | $56 | $70 | 4.3× |
| Vasopressin (84588) | $118.40 | $148 | 3.5× |
| Vdrl csf (86592) | $48.80 | $61 | 11.4× |
| Virus antibody nos (86790) | $195.20 | $244 | 15.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $22.40 | $28 | 0.7× |
| Vitamin A (84590) | $83.20 | $104 | 7.2× |
| Vitamin b-12 (82607) | $104.80 | $131 | 6.9× |
| Vitamin b-2 (riboflavin) (84252) | $56 | $70 | 2.8× |
| Vitamin b1 (thiamine) (84425) | $55.20 | $69 | 2.6× |
| Vitamin b6 (84207) | $56 | $70 | 2.0× |
| Vitamin C (82180) | $56 | $70 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $166.40 | $208 | 5.6× |
| Vitamin e serum (84446) | $65.60 | $82 | 4.6× |
| Von willebrand factor activity (85245) | $72 | $90 | 3.1× |
| West nile virus ab, igm (86788) | $92.80 | $116 | 5.5× |
| West nile virus antibody (86789) | $92.80 | $116 | 6.4× |
| Zinc (84630) | $95.20 | $119 | 8.4× |