Lab & pathology prices at Newton Wellesley Hospital
Newton, MA · every code in this section with a posted price and a Medicare benchmark.
522 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) | $243.75 | $325 | 6.3× |
| Acetaminophen level (80143) | $89.25 | $119 | 4.8× |
| Acetylcholine receptor binding antibody (86041) | $117.75 | $157 | 6.4× |
| Acetylcholine receptor blocking antibody (86042) | $117.75 | $157 | 6.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $78 | $104 | 6.5× |
| Acth stimulation panel adrenal insufficiency (80400) | $283.50 | $378 | 8.7× |
| Actin smooth muscle antibody each (86015) | $73.50 | $98 | 6.1× |
| Activated protein c resistance (85307) | $93.75 | $125 | 6.1× |
| Acute hepatitis panel (80074) | $299.25 | $399 | 6.3× |
| Acylcarnitine Plasma (82017) | $84.75 | $113 | 5.0× |
| Adamts13 activity (85397) | $201.75 | $269 | 6.5× |
| Adrenocorticotropic hormone (82024) | $244.50 | $326 | 6.3× |
| Afp maternal serum (82105) | $103.50 | $138 | 6.2× |
| Albumin body fluid (82042) | $39.75 | $53 | 5.1× |
| Albumin serum (82040) | $31.50 | $42 | 6.4× |
| Aldolase (82085) | $59.25 | $79 | 6.1× |
| Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone… (80408) | $1,153.50 | $1,538 | 9.2× |
| Aldosterone urine (82088) | $255.75 | $341 | 6.3× |
| Alkaline phosphatase isoenzymes (84080) | $90 | $120 | 6.1× |
| Allergen peanut (86003) | $46.50 | $62 | 8.9× |
| Allergen specific igg (86001) | $45.75 | $61 | 5.9× |
| Allg Spec Ige Recomb Ea (86008) | $67.50 | $90 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $89.25 | $119 | 6.2× |
| Alpha-1-antitrypsin, total (82103) | $84 | $112 | 6.3× |
| Alt (sgpt) (84460) | $33 | $44 | 6.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $106.50 | $142 | 4.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $70.50 | $94 | 4.2× |
| Aminolevulinic acid (ala) (82135) | $143.25 | $191 | 8.7× |
| Amylase urine (82150) | $44.25 | $59 | 6.8× |
| Ana titer (86039) | $75.75 | $101 | 6.8× |
| Angiotensin i enzyme test (82164) | $91.50 | $122 | 6.3× |
| Antibody aspergillus (86606) | $72 | $96 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $136.50 | $182 | 8.8× |
| Antibody cytomegalovirus cmv (86644) | $90.75 | $121 | 6.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $60.75 | $81 | 4.6× |
| Antibody haemophilus influenza (86684) | $62.25 | $83 | 3.9× |
| Antibody identification (86870) | $172.50 | $230 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $96.75 | $129 | 6.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $107.25 | $143 | 8.6× |
| Antibody leishmania (86717) | $78.75 | $105 | 6.4× |
| Antibody mumps (86735) | $114.75 | $153 | 8.8× |
| Antibody Protozoa Nes (86753) | $80.25 | $107 | 6.5× |
| Antibody screen (86850) | $111.75 | $149 | 11.4× |
| Antibody treponema pallidum (86780) | $115.50 | $154 | 8.7× |
| Antibody; Coccidioides (86635) | $86.25 | $115 | 7.5× |
| Antigen typing (86905) | $104.25 | $139 | 27.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $131.25 | $175 | 25.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $76.50 | $102 | 6.3× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $76.50 | $102 | 6.3× |
| Antinuclear antibodies (86038) | $75.75 | $101 | 6.3× |
| Antistreptolysin o titer (86060) | $48 | $64 | 6.6× |
| Antithrombin iii activity (85300) | $84.75 | $113 | 7.2× |
| Antithrombin iii antigen (85301) | $71.25 | $95 | 6.6× |
| Apolipoprotein each (82172) | $96.75 | $129 | 4.6× |
| Aquaporin-4 antibody flow cytometry each (86053) | $75 | $100 | 2.0× |
| Arsenic Urine (82175) | $88.50 | $118 | 4.7× |
| Aspergillus ag eia (87305) | $86.25 | $115 | 7.2× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $319.50 | $426 | 6.2× |
| Assay direct measurement free estradiol (82681) | $174.75 | $233 | 6.3× |
| Assay Lipoprotein Pla2 (83698) | $296.25 | $395 | 6.4× |
| Assay Nephelometry Not Spec (83883) | $103.50 | $138 | 7.6× |
| Assay neurofilament light chain (83884) | $897.75 | $1,197 | 7.7× |
| Assay of 17-hydroxypregnenolone (84143) | $135 | $180 | 5.9× |
| Assay of 5-hiaa (83497) | $80.25 | $107 | 6.2× |
| Assay of ammonia (82140) | $93 | $124 | 6.4× |
| Assay of androstenedione (82157) | $180 | $240 | 6.1× |
| Assay of anti-mullerian hormone (82166) | $248.25 | $331 | 6.4× |
| Assay of biotinidase (82261) | $90.75 | $121 | 5.4× |
| Assay of c-peptide (84681) | $182.25 | $243 | 8.8× |
| Assay of ceruloplasmin (82390) | $69.75 | $93 | 6.5× |
| Assay of erythropoietin (82668) | $117 | $156 | 6.2× |
| Assay of estrone (82679) | $154.50 | $206 | 6.2× |
| Assay of ferritin (82728) | $117 | $156 | 8.6× |
| Assay of gammaglobulin igm (82784) | $48.75 | $65 | 5.2× |
| Assay of gastrin (82941) | $111 | $148 | 6.3× |
| Assay of homocystine (83090) | $147 | $196 | 8.2× |
| Assay of lactic acid (83605) | $79.50 | $106 | 6.9× |
| Assay of lipoprotein(a) (83695) | $113.25 | $151 | 7.9× |
| Assay of manganese (83785) | $217.50 | $290 | 8.2× |
| Assay of metanephrines (83835) | $107.25 | $143 | 6.3× |
| Assay of osteocalcin (83937) | $184.50 | $246 | 6.2× |
| Assay of phenobarbital (80184) | $81 | $108 | 5.3× |
| Assay of prealbumin (84134) | $94.50 | $126 | 6.5× |
| Assay of proinsulin (84206) | $117 | $156 | 4.4× |
| Assay of prolactin (84146) | $168.75 | $225 | 8.7× |
| Assay of pyruvate (84210) | $69 | $92 | 4.8× |
| Assay of serotonin (84260) | $194.25 | $259 | 6.3× |
| Assay of tacrolimus (80197) | $73.50 | $98 | 5.4× |
| Assay of topiramate (80201) | $75.75 | $101 | 6.4× |
| Assay of urine vma (84585) | $96.75 | $129 | 6.2× |
| Assay of vasopressin anti-diuretic hormone (84588) | $221.25 | $295 | 6.5× |
| Assay of vitamin k (84597) | $116.25 | $155 | 8.5× |
| Ast (sgot) (84450) | $33 | $44 | 6.4× |
| B cells total count (86355) | $141 | $188 | 3.7× |
| Bartonella antibody (86611) | $61.50 | $82 | 6.0× |
| Bcr/abl1 gene major bp (81206) | $613.50 | $818 | 3.7× |
| Beta 2 glycoprotein 1 igm (86146) | $97.50 | $130 | 3.8× |
| Beta hydroxybutyrate (82010) | $61.50 | $82 | 7.5× |
| Beta-2 microglobulin (82232) | $101.25 | $135 | 6.3× |
| Bile acids, total (82239) | $108.75 | $145 | 6.4× |
| Bilirubin direct (82248) | $32.25 | $43 | 6.4× |
| Bilirubin total (82247) | $38.25 | $51 | 7.6× |
| Bl Smear W/Diff Wbc Count (85007) | $25.50 | $34 | 6.7× |
| Blood gas (82803) | $153 | $204 | 5.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $129.75 | $173 | 8.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $125.25 | $167 | 19.7× |
| Blood typing abo (86900) | $70.50 | $94 | 23.6× |
| Blood typing serologic rh (d) (86901) | $60 | $80 | 20.1× |
| Body fluid cell count (89051) | $47.25 | $63 | 8.4× |
| Borrelia Antibody (86619) | $114.75 | $153 | 8.6× |
| C diff amplified probe (87493) | $166.50 | $222 | 4.5× |
| C-reactive protein (86140) | $45.75 | $61 | 8.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $80.25 | $107 | 6.2× |
| Ca 125 (86304) | $183.75 | $245 | 8.8× |
| Ca 19-9 (86301) | $96.75 | $129 | 4.6× |
| Ca 27 29 (86300) | $130.50 | $174 | 6.3× |
| Cadmium level (82300) | $144 | $192 | 6.1× |
| Calcitonin (82308) | $165.75 | $221 | 6.2× |
| Calcium ionized (82330) | $114.75 | $153 | 8.4× |
| Calcium total (82310) | $45 | $60 | 8.7× |
| Calcium urine (82340) | $53.25 | $71 | 8.8× |
| Calculus spectroscopy (82365) | $112.50 | $150 | 8.7× |
| Calprotectin, fecal (83993) | $170.25 | $227 | 8.7× |
| Calr gene com variants (81219) | $500.25 | $667 | 4.1× |
| Carb deficient transferrin (82373) | $162 | $216 | 9.0× |
| Carbamazepine total (80156) | $90 | $120 | 6.2× |
| Carboxyhemoglobin (82375) | $75 | $100 | 6.1× |
| Carcinoembryonic antigen (82378) | $119.25 | $159 | 6.3× |
| Cardiolipin ab igg (86147) | $98.25 | $131 | 3.9× |
| Carnitine (82379) | $90 | $120 | 5.3× |
| Carotene (82380) | $54.75 | $73 | 5.9× |
| Catecholamines fraction plasma (82384) | $156 | $208 | 6.2× |
| Chemiluminescent assay (82397) | $90 | $120 | 6.4× |
| Chloride urine (82436) | $35.25 | $47 | 6.1× |
| Cholesterol HDL (83718) | $51 | $68 | 6.2× |
| Cholesterol total (82465) | $27 | $36 | 6.2× |
| Cholinesterase serum (82480) | $70.50 | $94 | 9.0× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $477.75 | $637 | 9.3× |
| Chromium urine (82495) | $124.50 | $166 | 6.1× |
| Chromogranin a (86316) | $129.75 | $173 | 6.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $159 | $212 | 4.5× |
| Clot factor viii vw antigen (85246) | $141 | $188 | 6.1× |
| Clotting Inhibitors Protein S Free (85306) | $101.25 | $135 | 6.6× |
| Clozapine level (80159) | $113.25 | $151 | 5.6× |
| Cmv ab igm (86645) | $91.50 | $122 | 5.4× |
| Cmv PCR (87496) | $183.75 | $245 | 5.2× |
| Cns DNA amp probe type 12-25 (87483) | $1,970.25 | $2,627 | 4.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $165.75 | $221 | 6.9× |
| Cold agglutinin titer (86157) | $55.50 | $74 | 6.9× |
| Collagen cross links (82523) | $113.25 | $151 | 6.1× |
| Compatibility test antiglob (86922) | $162.75 | $217 | 0.8× |
| Complement c3 (86160) | $107.25 | $143 | 8.9× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $74.25 | $99 | 6.2× |
| Coombs direct (86880) | $51 | $68 | 9.5× |
| Copper urine (82525) | $77.25 | $103 | 6.2× |
| Cortisol free (82530) | $72 | $96 | 4.3× |
| Cortisol total (82533) | $142.50 | $190 | 8.7× |
| Creatine kinase total (82550) | $45 | $60 | 6.9× |
| Creatinine blood (82565) | $33 | $44 | 6.4× |
| Creatinine clearance (82575) | $56.25 | $75 | 5.9× |
| Creatinine other source (82570) | $45.75 | $61 | 8.8× |
| Crossmatch immediate spin (86920) | $164.25 | $219 | 0.8× |
| Cryofibrinogen (82585) | $51.75 | $69 | 3.7× |
| Cryoglobulin (82595) | $43.50 | $58 | 6.7× |
| Crystals body fluid (89060) | $45.75 | $61 | 6.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $44.25 | $59 | 5.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $1,368.75 | $1,825 | 6.3× |
| Culture Aerobic Identify (87077) | $45.75 | $61 | 5.7× |
| Culture afb (87116) | $79.50 | $106 | 7.4× |
| Culture anaerobic (87075) | $71.25 | $95 | 7.5× |
| Culture blood (87040) | $78 | $104 | 7.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $69.75 | $93 | 9.0× |
| Culture fungus blood (87103) | $102 | $136 | 5.0× |
| Culture fungus id yeast (87106) | $91.50 | $122 | 8.9× |
| Culture fungus other (87102) | $72 | $96 | 8.6× |
| Culture genital (87070) | $75 | $100 | 8.7× |
| Culture screen only (87081) | $56.25 | $75 | 8.5× |
| Culture stool (87045) | $78 | $104 | 8.3× |
| Culture urine (87086) | $71.25 | $95 | 8.8× |
| Cyclic Citrullinated Peptide (86200) | $79.50 | $106 | 6.1× |
| Cystatin c (82610) | $72 | $96 | 3.9× |
| Cysticercosis Antibody (86682) | $86.25 | $115 | 6.6× |
| Cytogenetics 100-300 (88275) | $352.50 | $470 | 6.9× |
| Cytogenetics DNA probe (88271) | $186 | $248 | 8.7× |
| Cytogenom const microarray copy number&snp var (81229) | $1,837.50 | $2,450 | 1.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $238.50 | $318 | 5.6× |
| Cytopath cell enhance tech (88112) | $270.75 | $361 | 4.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $234 | $312 | 8.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $207.75 | $277 | 3.3× |
| Cytp fna eval dx 1st each site (88172) | $207.75 | $277 | 1.0× |
| Deoxyribonuclease antibody (86215) | $83.25 | $111 | 6.3× |
| Dgp antibody each ig class (86258) | $73.50 | $98 | 6.1× |
| Dhea (82626) | $155.25 | $207 | 6.1× |
| Dhea-sulfate (82627) | $136.50 | $182 | 6.1× |
| Digoxin (80162) | $102.75 | $137 | 7.7× |
| Dihydrotestosterone (82642) | $142.50 | $190 | 4.9× |
| Dilantin (80185) | $83.25 | $111 | 6.3× |
| Dipropylacetic acid free (80165) | $90.75 | $121 | 6.7× |
| Dpyd gene common variants (81232) | $1,095 | $1,460 | 6.3× |
| Drug assay adalimumab (80145) | $172.50 | $230 | 4.5× |
| Drug assay felbamate (80167) | $116.25 | $155 | 6.2× |
| Drug Assay Infliximab (80230) | $172.50 | $230 | 4.5× |
| Drug Assay Lacosamide (80235) | $100.50 | $134 | 3.7× |
| Drug assay posaconazole (80187) | $168.75 | $225 | 6.2× |
| Drug assay vedolizumab (80280) | $169.50 | $226 | 4.4× |
| Drug quant nes (80299) | $140.25 | $187 | 7.5× |
| Drug screen quant zonisamide (80203) | $79.50 | $106 | 6.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $113.25 | $151 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $83.25 | $111 | 6.3× |
| Drug Scrn Quan Levetiracetam (80177) | $112.50 | $150 | 8.5× |
| Drug test prsmv chem anlyzr (80307) | $319.50 | $426 | 5.1× |
| E test (87181) | $32.25 | $43 | 6.8× |
| Ebv viral capsid (86665) | $90.75 | $121 | 5.0× |
| Ehrlichia antibody (86666) | $60 | $80 | 5.9× |
| Elastase pancreatic fecal quantitative (82653) | $143.25 | $191 | 6.2× |
| Electrolyte panel (80051) | $45.75 | $61 | 6.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $76.50 | $102 | 6.3× |
| Enterovirus Pcr (87498) | $219 | $292 | 6.2× |
| Enzyme cell activity (82657) | $129.75 | $173 | 5.9× |
| Eosinophil count (85048) | $18 | $24 | 7.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $90.75 | $121 | 5.9× |
| Estradiol (82670) | $244.50 | $326 | 8.8× |
| Estriol serum (82677) | $114 | $152 | 4.7× |
| Estrogens fractionated (82671) | $198.75 | $265 | 6.2× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $513 | $684 | 5.2× |
| F2 gene analysis 20210g >a variant (81240) | $138 | $184 | 2.1× |
| F5 gene analysis, leiden variant (81241) | $231.75 | $309 | 3.2× |
| Factor ii activity (85210) | $111.75 | $149 | 8.6× |
| Factor ix activity (85250) | $164.25 | $219 | 8.6× |
| Factor v activity (85220) | $114.75 | $153 | 6.5× |
| Factor vii assay (85230) | $142.50 | $190 | 8.0× |
| Factor viii ahg (85240) | $114.75 | $153 | 6.4× |
| Factor xi assay (85270) | $117.75 | $157 | 6.6× |
| Factor xii assay (85280) | $165.75 | $221 | 8.6× |
| Fatty acids free (82725) | $93 | $124 | 5.0× |
| Fecal fat quant (82710) | $105 | $140 | 6.3× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $557.25 | $743 | 10.0× |
| Fetal fibronectin (82731) | $408 | $544 | 6.3× |
| Fibrin Degradation Quant (85379) | $89.25 | $119 | 8.8× |
| Fibrinogen activity (85384) | $54.75 | $73 | 5.6× |
| Flow cytometry first marker (88184) | $151.50 | $202 | 0.4× |
| Fluorescent Antibody Screen (86255) | $60 | $80 | 5.0× |
| Folate serum (82746) | $93 | $124 | 6.3× |
| Follicle Stimulating Hormone (83001) | $163.50 | $218 | 8.8× |
| Frozen Section (88331) | $215.25 | $287 | 1.1× |
| Fructosamine (82985) | $90.75 | $121 | 5.4× |
| G6pd Screen (82960) | $50.25 | $67 | 8.3× |
| Galectin-3 serum (82777) | $117.75 | $157 | 2.7× |
| Gammaglobulin ige (82785) | $102 | $136 | 6.2× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $2,730 | $3,640 | 4.6× |
| Ggt (82977) | $45 | $60 | 6.3× |
| Giardia antigen eia stool (87329) | $54 | $72 | 4.5× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $464.25 | $619 | 9.2× |
| Glucose (82947) | $31.50 | $42 | 8.0× |
| Glucose Blood Test (82962) | $20.25 | $27 | 6.2× |
| Glucose body fluid (82945) | $27 | $36 | 6.9× |
| Glucose post dose (82950) | $29.25 | $39 | 6.2× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $25.50 | $34 | 6.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $79.50 | $106 | 6.2× |
| Growth hormone (83003) | $103.50 | $138 | 6.2× |
| H pylri clrthmcn rst amp prb (87513) | $696 | $928 | 19.8× |
| Haptoglobin (83010) | $85.50 | $114 | 6.8× |
| Hcg quant (84702) | $130.50 | $174 | 8.7× |
| Heavy metal quant each (83018) | $137.25 | $183 | 6.3× |
| Hematocrit (85014) | $19.50 | $26 | 8.2× |
| Hemoglobin (85018) | $20.25 | $27 | 8.5× |
| Hemoglobin a1c (83036) | $84 | $112 | 8.7× |
| Hemoglobin electrophoresis (83020) | $79.50 | $106 | 6.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $51.75 | $69 | 6.7× |
| Heparin assay (85520) | $111.75 | $149 | 8.5× |
| Heparin neutralization (85525) | $105 | $140 | 8.9× |
| Hepatitis a antibody total (86708) | $99.75 | $133 | 8.1× |
| Hepatitis a igm (86709) | $99 | $132 | 8.8× |
| Hepatitis b core ab igm (86705) | $75.75 | $101 | 6.4× |
| Hepatitis b core antibody total (86704) | $104.25 | $139 | 8.7× |
| Hepatitis B Surface Ab (86706) | $91.50 | $122 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $64.50 | $86 | 6.2× |
| Hepatitis be antibody (86707) | $72 | $96 | 6.2× |
| Hepatitis Be Antigen (87350) | $72 | $96 | 6.2× |
| Hepatitis c antibody (86803) | $78 | $104 | 5.5× |
| Hepatitis C Genotype (87902) | $976.50 | $1,302 | 3.8× |
| Hepatitis delta ab (86692) | $103.50 | $138 | 6.0× |
| Herpes simplex type i (86695) | $81.75 | $109 | 6.2× |
| Herpes simplex type ii (86696) | $119.25 | $159 | 6.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $34.50 | $46 | 6.7× |
| Hfe gene (81256) | $337.50 | $450 | 5.2× |
| Histamine plasma (83088) | $183 | $244 | 6.2× |
| Histoplasma antibody (86698) | $83.25 | $111 | 6.0× |
| Hla class i typing high resolution one allele or allele group (81381) | $525 | $700 | 3.1× |
| Hla ii typing 1 locus lr (81376) | $738.75 | $985 | 6.0× |
| Hla-b27 (86812) | $158.25 | $211 | 6.1× |
| Homovanillic acid urine (83150) | $111.75 | $149 | 5.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $169.50 | $226 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $168 | $224 | 6.2× |
| Iaad ia clostridium difficile toxin (87324) | $77.25 | $103 | 6.4× |
| Iaad ia cryptosporidium (87328) | $60 | $80 | 4.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $200.25 | $267 | 8.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $102 | $136 | 7.1× |
| Iaad ia shiga-like toxin (87427) | $73.50 | $98 | 6.1× |
| Iaadiadoo not otherwise specified (87899) | $107.62 | $143.50 | 6.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $225.75 | $301 | 6.4× |
| Iadna babesia microti amplified probe technique (87469) | $225.75 | $301 | 6.4× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $182.25 | $243 | 5.2× |
| Iadna candida species amplified probe tq (87481) | $225.75 | $301 | 6.4× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $225.75 | $301 | 6.4× |
| Iadna hepatitis b virus quantification (87517) | $267 | $356 | 6.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $375.75 | $501 | 8.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $489 | $652 | 5.7× |
| Iadna human papillomavirus high-risk types (87624) | $227.25 | $303 | 6.5× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $159 | $212 | 3.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $179.25 | $239 | 5.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $159 | $212 | 4.5× |
| Iadna nos amplified probe tq each organism (87798) | $173.25 | $231 | 4.9× |
| Iadna nos quantification each organism (87799) | $294 | $392 | 6.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $167.25 | $223 | 4.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $1,943.25 | $2,591 | 7.4× |
| Igg subclasses (82787) | $43.50 | $58 | 5.4× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $389.25 | $519 | 0.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $133.50 | $178 | 8.9× |
| Immunoassay nonantibody (83516) | $104.25 | $139 | 9.0× |
| Immunodiffusion Ouchterlony (86331) | $97.50 | $130 | 8.1× |
| Immunofixation (86334) | $139.50 | $186 | 6.2× |
| Immunofixation urine (86335) | $196.50 | $262 | 6.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $279.75 | $373 | 1.4× |
| Immunoglobulin light chains free each (83521) | $108.75 | $145 | 6.3× |
| Immunohistochemistry (88342) | $263.25 | $351 | 1.3× |
| In situ hybridization (88365) | $462.75 | $617 | 2.3× |
| Indirect coombs (86885) | $60 | $80 | 10.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) | $274.50 | $366 | 5.3× |
| Inhibin a (86336) | $96 | $128 | 6.2× |
| Inhibin b (83520) | $116.25 | $155 | 6.7× |
| Insitu hybridization manual (88368) | $658.50 | $878 | 1.5× |
| Insulin antibodies (86337) | $140.25 | $187 | 6.6× |
| Insulin total (83525) | $72 | $96 | 6.3× |
| Interleukin 6 (83529) | $108.75 | $145 | 6.3× |
| Intrinsic factor antibody (86340) | $93 | $124 | 6.2× |
| Iron (83540) | $44.25 | $59 | 6.8× |
| Iron binding capacity (83550) | $53.25 | $71 | 6.1× |
| Islet cell antibody (86341) | $93 | $124 | 3.9× |
| Jak2 gene analysis (81270) | $355.50 | $474 | 3.9× |
| Kit gene analys d816 variant (81273) | $453.75 | $605 | 3.6× |
| Lactoferrin fecal qual (83630) | $128.25 | $171 | 6.5× |
| Ldh body fluid (83615) | $45 | $60 | 7.5× |
| LDL cholesterol direct (83721) | $54 | $72 | 5.1× |
| Lead (83655) | $105.75 | $141 | 8.7× |
| Legionella antigen urine (87449) | $84 | $112 | 7.0× |
| Leptospira antibody (86720) | $74.25 | $99 | 4.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $25.50 | $34 | 6.0× |
| Level ii surg pathology grossµscopic exam (88302) | $101.25 | $135 | 2.3× |
| Level v surg pathology grossµscopic exam (88307) | $609 | $812 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $911.25 | $1,215 | 0.9× |
| Lh (83002) | $163.50 | $218 | 8.8× |
| Lipase (83690) | $60.75 | $81 | 8.8× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $276 | $368 | 8.1× |
| Lithium (80178) | $57 | $76 | 8.6× |
| Lyme disease antibody (86618) | $126.75 | $169 | 7.4× |
| Lymphocyte transformation (86353) | $432 | $576 | 8.8× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $734.25 | $979 | 3.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $294 | $392 | 1.4× |
| Magnesium (83735) | $47.25 | $63 | 7.1× |
| Malaria smear (87207) | $43.50 | $58 | 7.3× |
| Mass spectrometry qual/quan (83789) | $116.25 | $155 | 4.8× |
| Mercury urine (83825) | $101.25 | $135 | 6.2× |
| Methylmalonic acid serum (83921) | $143.25 | $191 | 6.8× |
| Microalbumin urine (82043) | $34.50 | $46 | 6.0× |
| Microsomal antibodies (86376) | $89.25 | $119 | 6.1× |
| Mitochondrial antibody each (86381) | $159 | $212 | 6.2× |
| Mog-igg1 antibody flow cytometry each (86363) | $76.50 | $102 | 2.0× |
| Mononuclear cell antigen (86356) | $78 | $104 | 2.9× |
| Mopath procedure level 5 (81404) | $1,365.75 | $1,821 | 5.0× |
| Mopath procedure level 6 (81405) | $2,738.25 | $3,651 | 9.1× |
| Mrsa PCR (87641) | $139.50 | $186 | 4.0× |
| Muramidase (85549) | $115.50 | $154 | 6.2× |
| Muscle-specific kinase (musk) antibody (86366) | $117.75 | $157 | 6.4× |
| Mycoplasma antibody (86738) | $70.50 | $94 | 5.3× |
| Myoglobin urine (83874) | $112.50 | $150 | 8.7× |
| Natriuretic peptide (83880) | $290.25 | $387 | 7.4× |
| Neutralization Test Viral (86382) | $103.50 | $138 | 6.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $1,136.25 | $1,515 | 8.9× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $384.75 | $513 | 2.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $223.50 | $298 | 3.1× |
| Nk cells total count (86357) | $101.25 | $135 | 2.7× |
| Nuclear antigen antibody (86235) | $133.50 | $178 | 7.4× |
| Occult blood stool (82272) | $27.75 | $37 | 6.6× |
| Oligoclonal bands (83916) | $131.25 | $175 | 4.8× |
| Organic Acids Qualitative Each Specimen (83919) | $133.50 | $178 | 8.1× |
| Organic acids total quantitative each specimen (83918) | $132.75 | $177 | 5.6× |
| Orthopoxvirus Amp Prb Each (87593) | $219.75 | $293 | 4.3× |
| Osmolality serum (83930) | $47.25 | $63 | 7.1× |
| Osmolality urine (83935) | $48.75 | $65 | 7.1× |
| Ova and parasite direct-id lca (87177) | $75.75 | $101 | 8.5× |
| Pancreatic polypeptide (83519) | $84.75 | $113 | 4.6× |
| Particle Agglutination Screen Each Antibody (86403) | $77.25 | $103 | 6.7× |
| Parvovirus antibody (86747) | $60.75 | $81 | 4.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $195.75 | $261 | 0.2× |
| Pathology Consultation During Surgery (88329) | $87 | $116 | 1.2× |
| Ph urine (81003) | $23.25 | $31 | 10.3× |
| Phosphatase alkaline (84075) | $34.50 | $46 | 6.7× |
| Phosphorus blood (84100) | $34.50 | $46 | 7.3× |
| Phosphorus urine (84105) | $32.25 | $43 | 5.6× |
| Pinworm exam (87172) | $30 | $40 | 7.0× |
| Platelet aggregation (85576) | $188.25 | $251 | 7.6× |
| Platelet count automated (85049) | $39.75 | $53 | 8.9× |
| Platelet neutralization (85597) | $72 | $96 | 4.0× |
| Porphobilinogen urine quant (84110) | $59.25 | $79 | 7.0× |
| Potassium (84132) | $33 | $44 | 6.9× |
| Potassium urine (84133) | $32.25 | $43 | 6.8× |
| Pregnancy associated plasma protein-a (84163) | $90.75 | $121 | 6.0× |
| Pregnenolone (84140) | $126 | $168 | 6.1× |
| Procalcitonin (pct) (84145) | $138 | $184 | 5.1× |
| Progesterone (84144) | $130.50 | $174 | 6.3× |
| Prostaglandin Ea (84150) | $219.75 | $293 | 5.3× |
| Protein body fluid (84157) | $30.75 | $41 | 7.7× |
| Protein c activity (85303) | $107.25 | $143 | 7.7× |
| Protein c antigen (85302) | $102 | $136 | 8.5× |
| Protein electrophoresis serum (84165) | $69 | $92 | 6.4× |
| Protein Electrophoresis Urine (84166) | $117.75 | $157 | 6.6× |
| Protein s total (85305) | $74.25 | $99 | 6.4× |
| Protein total serum (84155) | $23.25 | $31 | 6.3× |
| Protein urine (84156) | $31.50 | $42 | 8.6× |
| PSA free (84154) | $114 | $152 | 6.2× |
| Pth intact (83970) | $255.75 | $341 | 6.2× |
| Rbc pretreatment serum (86978) | $137.25 | $183 | 1.9× |
| Renin activity plasma (84244) | $137.25 | $183 | 6.2× |
| Resp virus 12-25 targets (87633) | $2,452.50 | $3,270 | 5.9× |
| Resp virus 3-5 targets (87631) | $600 | $800 | 4.2× |
| Reticulocyte count auto (85045) | $31.50 | $42 | 7.9× |
| Rheumatoid factor quant (86431) | $49.50 | $66 | 8.7× |
| Rickettsia antibody (86757) | $105.75 | $141 | 5.5× |
| Ristocetin cofactor (85245) | $141.75 | $189 | 6.2× |
| Rpr Titer (86593) | $33.75 | $45 | 7.7× |
| Rsv (87807) | $72.75 | $97 | 5.6× |
| Rubella antibody (86762) | $88.50 | $118 | 6.2× |
| Rubeola Antibody Igg (86765) | $113.25 | $151 | 8.8× |
| Russell viper venom time diluted (85613) | $53.25 | $71 | 5.6× |
| Salicylate Level (80179) | $88.50 | $118 | 4.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $112.50 | $150 | 2.2× |
| Sarscov2 & inf a&b amp prb (87636) | $268.50 | $358 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $358.50 | $478 | 2.5× |
| Sedimentation rate auto (85652) | $24.75 | $33 | 9.2× |
| Selenium (84255) | $160.50 | $214 | 6.3× |
| Semen analysis complete (89322) | $136.50 | $182 | 8.8× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $105 | $140 | 8.7× |
| Sensitivity kb (87184) | $49.50 | $66 | 6.6× |
| Sensitivity mic (87186) | $62.25 | $83 | 7.2× |
| Serotonin Release Assay (86022) | $155.25 | $207 | 8.5× |
| Sex hormone binding globulin (84270) | $133.50 | $178 | 6.1× |
| Sickling of rbc reduction (85660) | $33.75 | $45 | 6.1× |
| Smear complex stain (87209) | $83.25 | $111 | 4.6× |
| Smear gram stain (87205) | $30.75 | $41 | 7.2× |
| Sodium (84295) | $33.75 | $45 | 7.0× |
| Sodium urine (84300) | $33.75 | $45 | 6.7× |
| Somatomedin (84305) | $147.75 | $197 | 6.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $153.75 | $205 | 1.0× |
| Special stains group 1 (88312) | $263.25 | $351 | 4.2× |
| Spectrophotometry (84311) | $57.75 | $77 | 7.1× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $438.75 | $585 | 7.0× |
| Staph a DNA amp probe (87640) | $165.75 | $221 | 4.7× |
| Stool Culture, Addl Pathogens (87046) | $57 | $76 | 6.0× |
| Strep a assay w/optic (87880) | $102 | $136 | 6.2× |
| Strep b DNA amp probe (87653) | $225.75 | $301 | 6.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $77.25 | $103 | 0.8× |
| Sugars Single Qualitative, Each Specimen (84376) | $49.50 | $66 | 9.0× |
| Surg path level 1 (88300) | $93.75 | $125 | 2.7× |
| Surg path level iii (88304) | $269.25 | $359 | 4.3× |
| Surgical pathology level IV (88305) | $264 | $352 | 4.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $155.25 | $207 | 3.3× |
| T cells total count (86359) | $142.50 | $190 | 3.8× |
| T3 free (84481) | $106.50 | $142 | 6.3× |
| T3 reverse (84482) | $131.25 | $175 | 8.3× |
| T3 total (84480) | $88.50 | $118 | 6.2× |
| T4 free (84439) | $77.25 | $103 | 8.6× |
| T4 total (84436) | $44.25 | $59 | 6.4× |
| Tau phosphorylated each (84393) | $540 | $720 | 4.2× |
| Tb ag response t-cell susp (86481) | $546.75 | $729 | 5.5× |
| Testosterone free (84402) | $222.75 | $297 | 8.7× |
| Testosterone total (84403) | $158.25 | $211 | 6.1× |
| Theophylline (80198) | $87.75 | $117 | 6.2× |
| Thin prep pap (88142) | $123.75 | $165 | 6.1× |
| Thiopurine methyltransferase (84433) | $141.75 | $189 | 6.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $56.25 | $75 | 8.7× |
| Thyroglobulin (84432) | $99.75 | $133 | 6.2× |
| Thyroglobulin antibody (86800) | $90.75 | $121 | 5.7× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $317.25 | $423 | 6.2× |
| Thyroxine binding globulin (84442) | $93 | $124 | 6.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $32.25 | $43 | 7.6× |
| Tissue culture lymphocyte (88230) | $371.25 | $495 | 3.2× |
| Tissue transglutaminase ab iga (86364) | $73.50 | $98 | 6.4× |
| Toxoplasma ab igm (86778) | $90.75 | $121 | 6.3× |
| Toxoplasma antibody igg (86777) | $90.75 | $121 | 6.3× |
| Transferrin (84466) | $81 | $108 | 6.3× |
| Trichomonas vagin dir probe (87660) | $88.50 | $118 | 4.4× |
| Triglycerides (84478) | $36.75 | $49 | 6.4× |
| Troponin (84484) | $82.50 | $110 | 6.6× |
| Urea nitrogen (84520) | $24.75 | $33 | 6.3× |
| Uric acid blood (84550) | $42 | $56 | 9.3× |
| Uric acid other source (84560) | $33 | $44 | 6.5× |
| Urinalysis auto w/scope (81001) | $27.75 | $37 | 8.8× |
| Urinalysis Microscopic Only (81015) | $26.25 | $35 | 8.6× |
| Urine pregnancy test (81025) | $54.75 | $73 | 6.4× |
| Urine volume measurement (81050) | $26.25 | $35 | 7.2× |
| Valproic acid (80164) | $121.50 | $162 | 9.0× |
| Vancomycin trough (80202) | $111.75 | $149 | 8.3× |
| Varicella-zoster antibody (86787) | $113.25 | $151 | 8.8× |
| Vasoactive intestinal peptide (vip) (84586) | $133.50 | $178 | 3.8× |
| Vdrl csf (86592) | $27.75 | $37 | 6.5× |
| Very long chain fatty acids (82726) | $156 | $208 | 7.9× |
| Virus antibody nos (86790) | $62.25 | $83 | 4.8× |
| Vitamin A (84590) | $102.75 | $137 | 8.9× |
| Vitamin b-12 (82607) | $129.75 | $173 | 8.6× |
| Vitamin b1 (thiamine) (84425) | $132.75 | $177 | 6.3× |
| Vitamin b2 (84252) | $123.75 | $165 | 6.1× |
| Vitamin b6 (84207) | $171 | $228 | 6.1× |
| Vitamin c (82180) | $63 | $84 | 6.4× |
| Vitamin D 25-Hydroxy (82306) | $261.75 | $349 | 8.8× |
| Vitamin e serum (84446) | $90 | $120 | 6.3× |
| Voltage-gated calcium channel antibody each (86596) | $114.75 | $153 | 9.5× |
| West nile virus antibody (86789) | $102 | $136 | 7.1× |
| West nile virus igm (86788) | $123 | $164 | 7.3× |
| Zika Virus Dna/Rna Amp Probe (87662) | $390 | $520 | 7.6× |
| Zika Virus Igm Antibody (86794) | $131.25 | $175 | 7.8× |
| Zinc (84630) | $72 | $96 | 6.3× |