Lab & pathology prices at Niobrara County Hospital District
Lusk, WY · every code in this section with a posted price and a Medicare benchmark.
438 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) | $408 | $510 | 10.6× |
| 17-Hydroxycorticosteroids (83491) | $88.80 | $111 | 5.0× |
| 5 Hiaa (83497) | $72.80 | $91 | 5.6× |
| Acetaminophen level (80143) | $147.70 | $184.62 | 7.9× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $240.80 | $301 | 13.1× |
| Activated protein c resistance (85307) | $124 | $155 | 8.1× |
| Acute hepatitis panel (80074) | $292 | $365 | 6.1× |
| Adenovirus ag, if (87260) | $78.40 | $98 | 5.4× |
| Afb culture (87116) | $110.40 | $138 | 10.2× |
| Albumin Fluid (82042) | $46.40 | $58 | 6.0× |
| Albumin serum (82040) | $55.89 | $69.86 | 11.3× |
| Aldolase (82085) | $84 | $105 | 8.7× |
| Aldosterone urine (82088) | $182.40 | $228 | 4.5× |
| Alkaline phosphatase isoenzymes (84080) | $83.20 | $104 | 5.6× |
| Allerg sp igg quan or semiquan (86001) | $53.20 | $66.50 | 6.8× |
| Allergen specific ige (86003) | $169.05 | $211.32 | 32.4× |
| Alpha-1-antitrypsin phenotype (82104) | $99.20 | $124 | 6.9× |
| Alpha-1-antitrypsin, total (82103) | $99.20 | $124 | 7.4× |
| Alpha-fetoprotein, serum (82105) | $115.20 | $144 | 6.9× |
| Alt (sgpt) (84460) | $76.09 | $95.11 | 14.4× |
| Aluminum (82108) | $99.20 | $124 | 3.9× |
| Ammonia (82140) | $113.60 | $142 | 7.8× |
| Amylase urine (82150) | $81.46 | $101.82 | 12.6× |
| Ana Titer (86039) | $83.20 | $104 | 7.5× |
| Angiotensin i enzyme test (82164) | $91.20 | $114 | 6.2× |
| Antibody aspergillus (86606) | $102.40 | $128 | 6.8× |
| Antibody coxiella burnetii q fever (86638) | $94.40 | $118 | 7.8× |
| Antibody cytomegalovirus cmv (86644) | $90.40 | $113 | 6.3× |
| Antibody cytomegalovirus cmv igm (86645) | $96 | $120 | 5.7× |
| Antibody Detection Nos If (87299) | $86.40 | $108 | 5.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $76.80 | $96 | 5.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $153.60 | $192 | 10.7× |
| Antibody herpes smplx type 1 (86695) | $100.80 | $126 | 7.6× |
| Antibody HIV-2 (86702) | $76.80 | $96 | 5.7× |
| Antibody identification (86870) | $193.60 | $242 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $139.20 | $174 | 9.2× |
| Antibody Listeria Monocytogenes (86723) | $19.20 | $24 | 1.5× |
| Antibody mumps (86735) | $76.80 | $96 | 5.9× |
| Antibody rubeola (86765) | $80 | $100 | 6.2× |
| Antibody screen (86850) | $86.40 | $108 | 8.8× |
| Antibody treponema pallidum (86780) | $24 | $30 | 1.8× |
| Antibody; Coccidioides (86635) | $80.80 | $101 | 7.0× |
| Antigen typing (86905) | $48 | $60 | 12.5× |
| Antinuclear antibodies (86038) | $60 | $75 | 5.0× |
| Antistreptolysin o titer (86060) | $59.20 | $74 | 8.1× |
| Antithrombin iii antigen (85301) | $122.40 | $153 | 11.3× |
| Apolipoprotein b (82172) | $120 | $150 | 5.7× |
| Arsenic Urine (82175) | $82.40 | $103 | 4.3× |
| Aspergillus ag eia (87305) | $43.20 | $54 | 3.6× |
| Assay Nephelometry Not Spec (83883) | $171.20 | $214 | 12.6× |
| Assay of acth (82024) | $168 | $210 | 4.4× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $149.86 | $187.33 | 8.7× |
| Assay of androstenedione (82157) | $116.80 | $146 | 4.0× |
| Assay of blood chloride (82435) | $69.43 | $86.79 | 15.1× |
| Assay of c-peptide (84681) | $91.20 | $114 | 4.4× |
| Assay of calcitonin (82308) | $132 | $165 | 4.9× |
| Assay of ceruloplasmin (82390) | $72.80 | $91 | 6.8× |
| Assay of cyclosporine (80158) | $145.60 | $182 | 8.1× |
| Assay of erythropoietin (82668) | $104.80 | $131 | 5.6× |
| Assay of ethosuximide (80168) | $115.20 | $144 | 7.1× |
| Assay of ferritin (82728) | $104.80 | $131 | 7.7× |
| Assay of gammaglobulin igm (82784) | $88 | $110 | 9.5× |
| Assay of gastrin (82941) | $77.20 | $96.50 | 4.4× |
| Assay of gentamicin (80170) | $131.20 | $164 | 8.0× |
| Assay of homocystine (83090) | $123.20 | $154 | 6.9× |
| Assay of homovanillic acid (83150) | $80.80 | $101 | 3.6× |
| Assay of lipoprotein(a) (83695) | $52.80 | $66 | 3.7× |
| Assay of metanephrines (83835) | $183.20 | $229 | 10.8× |
| Assay of parathormone (83970) | $96.80 | $121 | 2.3× |
| Assay of phenobarbital (80184) | $116.80 | $146 | 7.6× |
| Assay of prealbumin (84134) | $86.40 | $108 | 5.9× |
| Assay of proinsulin (84206) | $88 | $110 | 3.3× |
| Assay of prostate specific antigen complexed (84152) | $113.60 | $142 | 6.2× |
| Assay of serotonin (84260) | $130.40 | $163 | 4.2× |
| Assay of somatomedin (84305) | $137.60 | $172 | 6.5× |
| Assay of tacrolimus (80197) | $165.60 | $207 | 12.1× |
| Assay of urine vma (84585) | $87.20 | $109 | 5.6× |
| Assay of vitamin k (84597) | $167.20 | $209 | 12.2× |
| Assay Ph Body Fluid Nos (83986) | $37.60 | $47 | 10.5× |
| Ast (sgot) (84450) | $69.09 | $86.36 | 13.3× |
| Automated rbc count (85041) | $24 | $30 | 7.9× |
| Bartonella antibody (86611) | $284.80 | $356 | 28.0× |
| Beta hydroxybutyrate (82010) | $59.20 | $74 | 7.2× |
| Beta Lactamase (87185) | $70.40 | $88 | 14.8× |
| Beta-2 microglobulin (82232) | $130.40 | $163 | 8.1× |
| Bilirubin direct (82248) | $64.38 | $80.47 | 12.8× |
| Bilirubin total (82247) | $54.91 | $68.64 | 10.9× |
| Bl Smear W/Diff Wbc Count (85007) | $37.60 | $47 | 9.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $27.20 | $34 | 7.9× |
| Blood count reticulocyte automated (85045) | $49.60 | $62 | 12.4× |
| Blood gases (82803) | $127.46 | $159.33 | 4.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $40.40 | $50.50 | 9.2× |
| Blood typing abo (86900) | $302.40 | $378 | 101.1× |
| Blood typing serologic rh (d) (86901) | $91.20 | $114 | 30.5× |
| Body fluid cell count (89051) | $72.80 | $91 | 13.0× |
| Body fluid cell count (89050) | $88.80 | $111 | 18.8× |
| Brucella antibody (86622) | $90.40 | $113 | 10.1× |
| C diff amplified probe (87493) | $114.40 | $143 | 3.1× |
| C-reactive protein (86140) | $72 | $90 | 13.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $23.20 | $29 | 1.8× |
| Ca 125 (86304) | $137.60 | $172 | 6.6× |
| Ca 19-9 (86301) | $117.60 | $147 | 5.7× |
| Ca 27 29 (86300) | $141.60 | $177 | 6.8× |
| Cadmium level (82300) | $163.20 | $204 | 6.9× |
| Calcium ionized (82330) | $91.20 | $114 | 6.7× |
| Calcium total (82310) | $80.48 | $100.60 | 15.6× |
| Calcium urine (82340) | $46 | $57.50 | 7.6× |
| Calculus Spectroscopy (82365) | $89.60 | $112 | 6.9× |
| Calprotectin, fecal (83993) | $192 | $240 | 9.8× |
| Carbamazepine (tegretol) total (80156) | $124.80 | $156 | 8.6× |
| Carbon dioxide (82374) | $64.26 | $80.33 | 13.2× |
| Carboxyhemoglobin Quantitative (82375) | $94.40 | $118 | 7.7× |
| Carcinoembryonic antigen (82378) | $128.80 | $161 | 6.8× |
| Cardiolipin ab igg (86147) | $184.40 | $230.50 | 7.2× |
| Catecholamines fraction plasma (82384) | $140 | $175 | 5.5× |
| Catecholamines organic nitrogen blood level (82383) | $175.20 | $219 | 6.0× |
| Cd4 absolute count (86361) | $148.40 | $185.50 | 5.5× |
| Cftr gene com variants (81220) | $904 | $1,130 | 1.6× |
| Chlamydia antibody (86631) | $59.20 | $74 | 5.0× |
| Chlamydia Igm Antibody (86632) | $51.20 | $64 | 4.0× |
| Chloride other source (82438) | $61.60 | $77 | 12.3× |
| Chloride urine (82436) | $49.60 | $62 | 8.6× |
| Cholesterol total (82465) | $57.64 | $72.05 | 13.3× |
| Chromogranin a (86316) | $148 | $185 | 7.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $120 | $150 | 3.4× |
| Citrate (82507) | $192 | $240 | 6.9× |
| Ck isoenzymes (82552) | $80.80 | $101 | 6.0× |
| Ckmb (82553) | $108.80 | $136 | 9.4× |
| Clot factor viii vw antigen (85246) | $272 | $340 | 11.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $111.20 | $139 | 4.6× |
| Compatibility test antiglob (86922) | $402.72 | $503.40 | 2.3× |
| Complement c3 (86160) | $68 | $85 | 5.7× |
| Complement total ch50 (86162) | $128.80 | $161 | 6.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $99.20 | $124 | 8.3× |
| Concentration Infectious Agent (87015) | $39.20 | $49 | 5.9× |
| Coombs direct (86880) | $93.60 | $117 | 17.4× |
| Copper urine (82525) | $81.60 | $102 | 6.6× |
| Cortisol free (82530) | $109.60 | $137 | 6.6× |
| Cortisol total (82533) | $94 | $117.50 | 5.8× |
| Creatine kinase total (82550) | $37.60 | $47 | 5.8× |
| Creatinine blood (82565) | $57.81 | $72.26 | 11.3× |
| Creatinine clearance (82575) | $98.40 | $123 | 10.4× |
| Creatinine other source (82570) | $28 | $35 | 5.4× |
| Crossmatch immediate spin (86920) | $402.72 | $503.40 | 2.3× |
| Cryofibrinogen (82585) | $71.20 | $89 | 5.0× |
| Cryoglobulin (82595) | $66.40 | $83 | 10.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $72.80 | $91 | 9.0× |
| Culture Aerobic Identify (87077) | $57.60 | $72 | 7.1× |
| Culture anaerobic (87075) | $126.40 | $158 | 13.3× |
| Culture Bacteria Anaerobic (87073) | $145.60 | $182 | 15.1× |
| Culture blood (87040) | $109.20 | $136.50 | 10.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $83.20 | $104 | 10.8× |
| Culture fungus blood (87103) | $112.80 | $141 | 5.5× |
| Culture fungus id yeast (87106) | $72.80 | $91 | 7.1× |
| Culture fungus other (87102) | $108.40 | $135.50 | 12.9× |
| Culture genital (87070) | $80 | $100 | 9.3× |
| Culture screen only (87081) | $85.20 | $106.50 | 12.9× |
| Culture stool (87045) | $102.40 | $128 | 10.8× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $800 | $1,000 | 3.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32 | $40 | 6.2× |
| Culture urine (87086) | $84 | $105 | 10.4× |
| Culture urine id ea isolate (87088) | $84 | $105 | 10.4× |
| Cyclic Citrullinated Peptide (86200) | $100 | $125 | 7.7× |
| Cyp2c19 gene com variants (81225) | $796 | $995 | 2.7× |
| Cystatin c (82610) | $200.80 | $251 | 10.8× |
| Cytogenetics DNA probe (88271) | $120 | $150 | 5.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $442.40 | $553 | 10.3× |
| Cytopath cell enhance tech (88112) | $152 | $190 | 2.9× |
| Cytp concentration smears & interpretation (88108) | $232 | $290 | 6.1× |
| D-Dimer (85379) | $159.24 | $199.05 | 15.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $86.26 | $107.82 | 5.2× |
| Detection test by immunoassay technique for cytomegalovirus (87332) | $75.20 | $94 | 6.3× |
| Dhea (82626) | $133.60 | $167 | 5.3× |
| Dhea sulfate (82627) | $131.20 | $164 | 5.9× |
| Digoxin (80162) | $108 | $135 | 8.1× |
| Dihydrotestosterone (82642) | $201.60 | $252 | 6.9× |
| Dilantin (80185) | $116.80 | $146 | 8.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $96 | $120 | 7.0× |
| Dna/Rna Amplified Probe (87150) | $94.74 | $118.43 | 2.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $119.20 | $149 | 9.0× |
| Drug Scrn Quan Levetiracetam (80177) | $156.80 | $196 | 11.8× |
| Drug scrn quant oxcarbazepin (80183) | $125.60 | $157 | 9.5× |
| Drug test prsmv chem anlyzr (80307) | $175.20 | $219 | 2.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $300 | $375 | 23.8× |
| Ebv viral capsid (86665) | $90.40 | $113 | 5.0× |
| Ehrlichia antibody (86666) | $106.40 | $133 | 10.5× |
| Elastase pancreatic fecal quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $78.39 | $97.99 | 11.2× |
| Endomysial antibody iga (86255) | $105.60 | $132 | 8.8× |
| Entamoeba histolytica antigen (87337) | $56 | $70 | 4.7× |
| Eosinophil count (85048) | $34.40 | $43 | 13.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $76.80 | $96 | 5.0× |
| Estradiol (82670) | $155.20 | $194 | 5.6× |
| Estrogen fractionated (82671) | $109.60 | $137 | 3.4× |
| Estrone (82679) | $161.20 | $201.50 | 6.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $61.60 | $77 | 8.4× |
| F5 gene (81241) | $218.40 | $273 | 3.0× |
| Factor v activity (85220) | $90.40 | $113 | 5.1× |
| Factor viii ahg (85240) | $166.40 | $208 | 9.3× |
| Factor viii vw multimetric (85247) | $182.40 | $228 | 8.0× |
| Fecal fat qual (82705) | $49.60 | $62 | 9.7× |
| Fecal fat quant (82710) | $125.60 | $157 | 7.5× |
| Fetal chrmoml aneuploidy (81420) | $2,049.60 | $2,562 | 2.7× |
| Flow cytometry first marker (88184) | $415.60 | $519.50 | 1.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $89.60 | $112 | 7.4× |
| Fmr1 gene detection (81243) | $443.20 | $554 | 7.8× |
| Folate serum (82746) | $36 | $45 | 2.4× |
| Follicle Stimulating Hormone (83001) | $125.60 | $157 | 6.8× |
| Francisella Tularensis (86668) | $128 | $160 | 9.0× |
| Fructosamine (82985) | $128.80 | $161 | 7.7× |
| Ftl cgen abnor four anal (81511) | $82.40 | $103 | 0.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $70.40 | $88 | 6.8× |
| Gammaglobulin ige (82785) | $98.40 | $123 | 6.0× |
| Gastric Occult Blood (82271) | $44 | $55 | 8.3× |
| Ggt (82977) | $30.40 | $38 | 4.2× |
| Giardia antigen eia stool (87329) | $82.40 | $103 | 6.9× |
| Gliadin antibody each immunoglobulin class (86258) | $104 | $130 | 8.6× |
| Glucose (82947) | $63.02 | $78.78 | 16.0× |
| Glucose Blood Test (82962) | $32.80 | $41 | 10.0× |
| Glucose body fluid (82945) | $41.20 | $51.50 | 10.5× |
| Glucose post dose (82950) | $63.20 | $79 | 13.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $35.20 | $44 | 9.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $110.40 | $138 | 8.6× |
| Growth hormone (83003) | $89.60 | $112 | 5.4× |
| Haptoglobin (83010) | $91.20 | $114 | 7.2× |
| Hcg qualitative (84703) | $89.60 | $112 | 11.9× |
| Hcg quant (84702) | $141.60 | $177 | 9.4× |
| Hdl Cholesterol (83718) | $67.52 | $84.40 | 8.2× |
| Hematocrit (85014) | $34.22 | $42.78 | 14.4× |
| Hemoglobin (85018) | $31.05 | $38.81 | 13.1× |
| Hemoglobin a1c (83036) | $82.96 | $103.70 | 8.5× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $126.40 | $158 | 7.0× |
| Hemoglobin electrophoresis (83020) | $600 | $750 | 46.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $27.20 | $34 | 3.3× |
| Heparin assay (85520) | $121.60 | $152 | 9.3× |
| Hepatitis a antibody total (86708) | $76.80 | $96 | 6.2× |
| Hepatitis a igm (86709) | $92.80 | $116 | 8.2× |
| Hepatitis b core antibody total (86704) | $84 | $105 | 7.0× |
| Hepatitis B Surface Ab (86706) | $84 | $105 | 7.8× |
| Hepatitis B Surface Antigen (87340) | $80 | $100 | 7.7× |
| Hepatitis be antibody (86707) | $84 | $105 | 7.3× |
| Hepatitis Be Antigen (87350) | $85.60 | $107 | 7.4× |
| Hepatitis c ab confirm (86804) | $191.20 | $239 | 12.3× |
| Hepatitis c antibody (86803) | $108 | $135 | 7.6× |
| Hepatitis C Genotype (87902) | $712 | $890 | 2.8× |
| Herpes culture (87252) | $161.60 | $202 | 6.2× |
| Herpes simplex type 2 (86696) | $100.80 | $126 | 5.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $65.60 | $82 | 12.7× |
| Hfe gene (81256) | $376 | $470 | 5.8× |
| Histamine plasma (83088) | $140 | $175 | 4.7× |
| HIV confirmation (86689) | $134.40 | $168 | 6.9× |
| HIV-1 antibody (86701) | $26.40 | $33 | 3.0× |
| HIV-1 genotype (87901) | $695.20 | $869 | 2.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $98.40 | $123 | 7.2× |
| Hla b 27 disease association lc (81374) | $130.40 | $163 | 1.8× |
| Hla class i typing high resolution one allele or allele group (81381) | $458.40 | $573 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $149.60 | $187 | 1.2× |
| Hla-b27 (86812) | $130.40 | $163 | 5.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $180.80 | $226 | 5.2× |
| Human epididymis protein 4 (86305) | $34.40 | $43 | 1.7× |
| Hydroxyprogesterone 17-d (83498) | $107.20 | $134 | 3.9× |
| Iaad ia clostridium difficile toxin (87324) | $112 | $140 | 9.3× |
| Iaad ia cryptosporidium (87328) | $72 | $90 | 5.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $119.20 | $149 | 8.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $113.60 | $142 | 8.2× |
| Iaad ia rotavirus (87425) | $89.60 | $112 | 7.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $76 | $95 | 2.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $86.40 | $108 | 7.2× |
| Iaadi inffluenza a virus (87276) | $78.40 | $98 | 4.9× |
| Iaadi influenza b virus (87275) | $78.40 | $98 | 6.4× |
| Iaadi respiratory synctial virus (87280) | $78.40 | $98 | 5.8× |
| Iaadiadoo not otherwise specified (87899) | $42.40 | $53 | 2.6× |
| Iadna hepatitis b virus quantification (87517) | $148 | $185 | 3.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $328.80 | $411 | 7.7× |
| Iadna herpes virus-6 amplified probe tq (87532) | $276.80 | $346 | 7.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $240 | $300 | 6.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $347.20 | $434 | 4.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $120 | $150 | 3.4× |
| Iadna nos amplified probe tq each organism (87798) | $135.20 | $169 | 3.9× |
| Iadna nos quantification each organism (87799) | $130.40 | $163 | 3.0× |
| Igg subclasses (82787) | $252 | $315 | 31.4× |
| Immunfix e-phorsis/urine/csf (86335) | $198.40 | $248 | 6.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $116.80 | $146 | 7.8× |
| Immunoassay nonantibody (83516) | $131.20 | $164 | 11.4× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $26.40 | $33 | 1.7× |
| Immunofixj Electrophoresis Serum (86334) | $126.40 | $158 | 5.7× |
| India ink prep (87210) | $52.80 | $66 | 9.1× |
| Influenza a/b ag eia (87400) | $59.60 | $74.50 | 4.2× |
| Inhibin a (86336) | $80 | $100 | 5.1× |
| Inhibin b (83520) | $198.40 | $248 | 11.5× |
| Insulin antibodies (86337) | $192 | $240 | 9.0× |
| Insulin free (83527) | $109.60 | $137 | 8.5× |
| Insulin total (83525) | $80 | $100 | 7.0× |
| Iron (83540) | $63.20 | $79 | 9.8× |
| Iron binding capacity (83550) | $60.80 | $76 | 7.0× |
| Islet cell antibody (86341) | $96.80 | $121 | 4.1× |
| Jak2 gene analysis (81270) | $2,044.80 | $2,556 | 22.3× |
| Koh Prep (87220) | $47.20 | $59 | 11.1× |
| Lactic acid (83605) | $130.67 | $163.34 | 11.3× |
| Lactoferrin fecal qualitative (83630) | $76.80 | $96 | 3.9× |
| Ldh (83615) | $25.60 | $32 | 4.2× |
| LDL cholesterol direct (83721) | $58.40 | $73 | 5.6× |
| Lead (83655) | $68 | $85 | 5.6× |
| Legionella antibody (86713) | $76 | $95 | 5.0× |
| Legionella antigen urine (87449) | $79.60 | $99.50 | 6.6× |
| Leptospira antibody (86720) | $91.20 | $114 | 5.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $48 | $60 | 11.2× |
| Lh (83002) | $124.80 | $156 | 6.7× |
| Lipase (83690) | $93.72 | $117.15 | 13.6× |
| Lipopro bld electrophoretic (83700) | $72 | $90 | 6.4× |
| Lithium (80178) | $72 | $90 | 10.9× |
| Lyme disease antibody (86618) | $160.80 | $201 | 9.4× |
| Magnesium (83735) | $52 | $65 | 7.8× |
| Mercury (83825) | $76.80 | $96 | 4.7× |
| Metabolic Panel Ionized Ca (80047) | $118.40 | $148 | 8.6× |
| Methotrexate (80299) | $126.40 | $158 | 6.8× |
| Methylmalonic acid serum (83921) | $188 | $235 | 8.9× |
| Microalbumin urine (82043) | $64.80 | $81 | 11.2× |
| Microbe susceptible diffuse (87181) | $38.40 | $48 | 8.1× |
| Microsomal antibodies (86376) | $83.60 | $104.50 | 5.7× |
| Mrsa amp probe (87641) | $142.40 | $178 | 4.1× |
| Mthfr Gene Analysis Common Variants (81291) | $219.20 | $274 | 3.4× |
| Mycoplasma antibody (86738) | $92.80 | $116 | 7.0× |
| Myoglobin urine (83874) | $102.40 | $128 | 7.9× |
| Natriuretic peptide (83880) | $186.95 | $233.68 | 4.8× |
| Neutralization test, viral (86382) | $136 | $170 | 8.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $710.40 | $888 | 2.7× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $332 | $415 | 4.6× |
| Niacin (84591) | $140 | $175 | 8.2× |
| Nmr Lipoprofile (83704) | $187.20 | $234 | 5.5× |
| Nuclear antigen antibody (86235) | $140 | $175 | 7.8× |
| Occult blood stool (82272) | $41.20 | $51.50 | 9.7× |
| Osmolality serum (83930) | $71.20 | $89 | 10.8× |
| Osmolality urine (83935) | $68.80 | $86 | 10.1× |
| Ova and parasite direct-id lca (87177) | $153.60 | $192 | 17.3× |
| Pancreatic polypeptide (83519) | $240.80 | $301 | 13.1× |
| Parainfluenza ag if (87279) | $78.40 | $98 | 4.8× |
| Parvovirus antibody (86747) | $93.20 | $116.50 | 6.2× |
| Phosphatase alkaline (84075) | $60.81 | $76.01 | 11.7× |
| Phosphorus blood (84100) | $50.92 | $63.64 | 10.7× |
| Phosphorus urine (84105) | $44.80 | $56 | 7.8× |
| Platelet count (85049) | $48 | $60 | 10.7× |
| Pml/raralpha com breakpoints (81315) | $861.60 | $1,077 | 4.2× |
| Porphobilinogen urine quant (84110) | $40.80 | $51 | 4.8× |
| Potassium (84132) | $55.29 | $69.11 | 11.6× |
| Potassium urine (84133) | $49.60 | $62 | 10.5× |
| Pregnenolone (84140) | $99.20 | $124 | 4.8× |
| Primidone (80188) | $118.40 | $148 | 7.1× |
| Procalcitonin (pct) (84145) | $120.80 | $151 | 4.4× |
| Progesterone (84144) | $120 | $150 | 5.8× |
| Prolactin (84146) | $139.20 | $174 | 7.2× |
| Protein body fluid (84157) | $52 | $65 | 13.0× |
| Protein c activity (85303) | $161.60 | $202 | 11.7× |
| Protein electrophoresis serum (84165) | $72.80 | $91 | 6.8× |
| Protein Electrophoresis Urine (84166) | $93.60 | $117 | 5.2× |
| Protein S Functional (85306) | $140 | $175 | 9.1× |
| Protein total by refractometry any source (84160) | $27.20 | $34 | 4.8× |
| Protein Total Serum (84155) | $71.67 | $89.59 | 19.5× |
| Protein urine (84156) | $45.20 | $56.50 | 12.3× |
| PSA free (84154) | $94.40 | $118 | 5.1× |
| Quantiferon tb gold (86480) | $206.40 | $258 | 3.3× |
| Reagent strip/blood glucose (82948) | $47.60 | $59.50 | 9.4× |
| Renin activity plasma (84244) | $128.80 | $161 | 5.9× |
| Respiratory viral panel PCR (87633) | $667.20 | $834 | 1.6× |
| Rheumatoid factor quant (86431) | $59.20 | $74 | 10.4× |
| Rickettsia antibody (86757) | $83.20 | $104 | 4.3× |
| Rotavirus (86759) | $110.40 | $138 | 6.1× |
| Rubella antibody (86762) | $74.40 | $93 | 5.2× |
| Russell viper venom time diluted (85613) | $120.80 | $151 | 12.6× |
| Saccharomyces ab iga (86671) | $96 | $120 | 7.8× |
| Salicylate (80179) | $107.20 | $134 | 5.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $103.60 | $129.50 | 2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $236 | $295 | 5.6× |
| Sed rate automated (85652) | $58.22 | $72.77 | 21.6× |
| Sedimentation rate (85651) | $47.20 | $59 | 11.1× |
| Semen analysis sperm presence&/motility sprm (89321) | $64.80 | $81 | 5.4× |
| Sensitivity mic (87186) | $73.60 | $92 | 8.5× |
| Sex hormone binding globulin (84270) | $116 | $145 | 5.3× |
| Sickle cell screen (85660) | $80.80 | $101 | 14.7× |
| Sirolimus (rapamycin) (80195) | $133.60 | $167 | 9.7× |
| Smear acid fast (87206) | $51.20 | $64 | 9.5× |
| Smear complex stain (87209) | $68.80 | $86 | 3.8× |
| Smear gram stain (87205) | $38.40 | $48 | 9.0× |
| Sodium (84295) | $51.68 | $64.60 | 10.7× |
| Sodium other source (84302) | $44.80 | $56 | 9.2× |
| Sodium urine (84300) | $51.20 | $64 | 10.1× |
| Spectrophotometry (84311) | $29.60 | $37 | 3.7× |
| Stool Cultr Aerobic Bact Ea (87046) | $48 | $60 | 5.1× |
| Strep a assay w/optic (87880) | $56 | $70 | 3.4× |
| Susceptibility study antimicrobial disk method (87184) | $62.40 | $78 | 8.3× |
| T cells, total count (86359) | $105.60 | $132 | 2.8× |
| T3 free (84481) | $120.80 | $151 | 7.1× |
| T3 reverse (84482) | $103.20 | $129 | 6.5× |
| T3 total (84480) | $103.20 | $129 | 7.3× |
| T3 uptake (84479) | $64.80 | $81 | 10.0× |
| T4 Free (84439) | $91.20 | $114 | 10.1× |
| T4 total (84436) | $68.80 | $86 | 10.0× |
| Tau phosphorylated each (84393) | $348.08 | $435.10 | 2.7× |
| Tb intradermal test (86580) | $60.84 | $76.05 | 2.1× |
| Testosterone free (84402) | $145.60 | $182 | 5.7× |
| Testosterone total (84403) | $72.80 | $91 | 2.8× |
| Theophylline (80198) | $107.20 | $134 | 7.6× |
| Thyroglobulin (84432) | $109.60 | $137 | 6.8× |
| Thyroglobulin Ab (86800) | $80.80 | $101 | 5.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $408.80 | $511 | 8.0× |
| Thyroxine binding globulin (84442) | $84 | $105 | 5.7× |
| Tissue Culture Lymphocyte (88230) | $371.20 | $464 | 3.2× |
| Topiramate (80201) | $115.20 | $144 | 9.7× |
| Transferrin (84466) | $88.40 | $110.50 | 6.9× |
| Triglycerides (84478) | $83.30 | $104.12 | 14.5× |
| Troponin (84484) | $181.60 | $227 | 14.6× |
| Urea nitrogen (84520) | $65.21 | $81.51 | 16.5× |
| Urea nitrogen urine (84540) | $48 | $60 | 8.6× |
| Uric acid blood (84550) | $68.80 | $86 | 15.2× |
| Uric acid other source (84560) | $48.80 | $61 | 9.6× |
| Urinalysis microscopic only (81015) | $33.60 | $42 | 11.0× |
| Urinalysis qual/semiquant except immunoassays (81005) | $12.80 | $16 | 5.9× |
| Urinalysis w/microscopic (81001) | $56.17 | $70.21 | 17.7× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) | $48.80 | $61 | 1.6× |
| Urine pregnancy test (81025) | $37.60 | $47 | 4.4× |
| Urine volume measurement (81050) | $20.80 | $26 | 5.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $39.20 | $49 | 17.4× |
| Valproic acid level (80164) | $119.20 | $149 | 8.8× |
| Vancomycin trough (80202) | $132 | $165 | 9.7× |
| Varicella-zoster antibody (86787) | $73.60 | $92 | 5.7× |
| Vasopressin (84588) | $224.40 | $280.50 | 6.6× |
| Vdrl csf (86592) | $48.80 | $61 | 11.4× |
| Vitamin A (84590) | $83.60 | $104.50 | 7.2× |
| Vitamin b-12 (82607) | $104.80 | $131 | 6.9× |
| Vitamin b1 (thiamine) (84425) | $320 | $400 | 15.1× |
| Vitamin b6 (84207) | $106.40 | $133 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $156 | $195 | 5.3× |
| Vitamin e serum (84446) | $73.60 | $92 | 5.2× |
| Von willebrand factor activity (85245) | $139.20 | $174 | 6.1× |
| West nile virus ab, igm (86788) | $85.60 | $107 | 5.1× |
| West nile virus antibody (86789) | $88.80 | $111 | 6.2× |
| Xylose Absorption Test (84620) | $68.80 | $86 | 5.3× |
| Zinc (84630) | $70.40 | $88 | 6.2× |