| 1 25 Dihydroxy includes fractions if performed (82652) |
$240 |
$240 |
6.2× |
| Acute hepatitis panel (80074) |
$784 |
$784 |
16.5× |
| Albumin serum (82040) |
$83 |
$83 |
16.8× |
| Allergen peanut (86003) |
$87 |
$87 |
16.7× |
| Alt (sgpt) (84460) |
$88 |
$88 |
16.6× |
| Amylase urine (82150) |
$114 |
$114 |
17.6× |
| Angiotensin i enzyme test (82164) |
$235 |
$235 |
16.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$226 |
$226 |
17.2× |
| Antibody helicobacter pylori (86677) |
$233 |
$233 |
13.8× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$146 |
$146 |
10.6× |
| Antibody identification leukocyte antibodies (86021) |
$655 |
$655 |
43.5× |
| Antibody influenza virus (86710) |
$43.50 |
$43.50 |
3.2× |
| Antibody mumps (86735) |
$335 |
$335 |
25.7× |
| Antibody screen (86850) |
$224 |
$224 |
22.9× |
| Antinuclear antibodies (86038) |
$195 |
$195 |
16.1× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$96 |
$96 |
16.6× |
| Assay of ammonia (82140) |
$104 |
$104 |
7.1× |
| Assay of cpk in blood (82552) |
$225 |
$225 |
16.8× |
| Assay of ferritin (82728) |
$153 |
$153 |
11.2× |
| Assay of gammaglobulin igm (82784) |
$158 |
$158 |
17.0× |
| Assay of gentamicin (80170) |
$138 |
$138 |
8.4× |
| Assay of lactic acid (83605) |
$126 |
$126 |
10.9× |
| Assay of phenobarbital (80184) |
$138 |
$138 |
9.0× |
| Assay of prealbumin (84134) |
$34 |
$34 |
2.3× |
| Assay of prolactin (84146) |
$117 |
$117 |
6.0× |
| Ast (sgot) (84450) |
$62 |
$62 |
12.0× |
| Beta lactamase (87185) |
$55 |
$55 |
11.6× |
| Bilirubin direct (82248) |
$84 |
$84 |
16.7× |
| Bilirubin total (82247) |
$89 |
$89 |
17.7× |
| Bl Smear W/Diff Wbc Count (85007) |
$107 |
$107 |
28.2× |
| Bleeding time (85002) |
$121 |
$121 |
25.1× |
| Blood Count Automated Differential Wbc Count (85004) |
$117 |
$117 |
18.1× |
| Blood gas (82803) |
$350.50 |
$350.50 |
13.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$71 |
$71 |
4.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$16 |
$16 |
3.7× |
| Body fluid cell count (89051) |
$37 |
$37 |
6.6× |
| Breath Alcohol Test (82075) |
$30 |
$30 |
1.0× |
| C diff amplified probe (87493) |
$579 |
$579 |
15.5× |
| C-reactive protein (86140) |
$60.50 |
$60.50 |
11.7× |
| Ca 125 (86304) |
$46 |
$46 |
2.2× |
| Calcium ionized (82330) |
$73 |
$73 |
5.3× |
| Calcium total (82310) |
$88 |
$88 |
17.1× |
| Carbamazepine total (80156) |
$233 |
$233 |
16.0× |
| Carbon dioxide (82374) |
$66 |
$66 |
13.5× |
| Carcinoembryonic antigen (82378) |
$121 |
$121 |
6.4× |
| Chloride blood (82435) |
$79 |
$79 |
17.2× |
| Cholesterol HDL (83718) |
$31 |
$31 |
3.8× |
| Cholesterol total (82465) |
$73 |
$73 |
16.8× |
| Chromogranin a (86316) |
$353 |
$353 |
17.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$134.50 |
$134.50 |
3.8× |
| Ckmb (82553) |
$191 |
$191 |
16.5× |
| Cmv ab igm (86645) |
$139 |
$139 |
8.2× |
| Complement total (ch50) (86162) |
$137 |
$137 |
6.7× |
| Concentration Infectious Agent (87015) |
$109 |
$109 |
16.3× |
| Cortisol total (82533) |
$66 |
$66 |
4.0× |
| Creatine kinase total (82550) |
$111 |
$111 |
17.1× |
| Creatinine blood (82565) |
$76 |
$76 |
14.8× |
| Creatinine other source (82570) |
$96 |
$96 |
18.5× |
| Crystals body fluid (89060) |
$30 |
$30 |
4.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$138 |
$138 |
17.1× |
| Culture Aerobic Identify (87077) |
$138 |
$138 |
17.1× |
| Culture afb (87116) |
$218 |
$218 |
20.2× |
| Culture anaerobic (87075) |
$188 |
$188 |
19.9× |
| Culture blood (87040) |
$181 |
$181 |
17.5× |
| Culture fungus other (87102) |
$212.50 |
$212.50 |
25.3× |
| Culture genital (87070) |
$183 |
$183 |
21.2× |
| Culture screen only (87081) |
$218 |
$218 |
32.9× |
| Culture stool (87045) |
$23 |
$23 |
2.4× |
| Culture typing if ea antiserum (87140) |
$50 |
$50 |
9.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$105 |
$105 |
20.3× |
| Culture urine (87086) |
$142 |
$142 |
17.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$450 |
$450 |
31.4× |
| Cytopath cell enhance tech (88112) |
$107 |
$107 |
2.0× |
| Cytopath Smear Other Source (88160) |
$95.50 |
$95.50 |
3.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) |
$41 |
$41 |
1.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$99 |
$99 |
3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$180 |
$180 |
3.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$37 |
$37 |
2.2× |
| Digoxin (80162) |
$228 |
$228 |
17.2× |
| Dilantin (80185) |
$138 |
$138 |
10.4× |
| Drug quant nes (80299) |
$96 |
$96 |
5.2× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$42.50 |
$42.50 |
3.4× |
| E test (87181) |
$20 |
$20 |
4.2× |
| Ebv viral capsid (86665) |
$233 |
$233 |
12.8× |
| Electrolyte panel (80051) |
$125 |
$125 |
17.8× |
| Eosinophil count (85048) |
$97 |
$97 |
38.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$233 |
$233 |
15.2× |
| Estradiol (82670) |
$196 |
$196 |
7.0× |
| Factor ix activity (85250) |
$317 |
$317 |
16.6× |
| Factor viii ahg (85240) |
$111 |
$111 |
6.2× |
| Factor xi assay (85270) |
$296 |
$296 |
16.5× |
| Fibrin Degradation Quant (85379) |
$152 |
$152 |
14.9× |
| Fibrinogen activity (85384) |
$239 |
$239 |
24.6× |
| Flow cytometry first marker (88184) |
$385 |
$385 |
1.0× |
| Fluorescent Antibody Screen (86255) |
$195 |
$195 |
16.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$195 |
$195 |
16.2× |
| Folate serum (82746) |
$165 |
$165 |
11.2× |
| Follicle Stimulating Hormone (83001) |
$298 |
$298 |
16.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$139 |
$139 |
13.5× |
| Gammaglobulin ige (82785) |
$263 |
$263 |
16.0× |
| Ggt (82977) |
$125 |
$125 |
17.4× |
| Giardia antigen eia stool (87329) |
$34 |
$34 |
2.8× |
| Glucose (82947) |
$56 |
$56 |
14.2× |
| Glucose Blood Test (82962) |
$15 |
$15 |
4.6× |
| Glucose body fluid (82945) |
$34 |
$34 |
8.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$66 |
$66 |
16.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$206 |
$206 |
16.0× |
| Hcg qualitative (84703) |
$120 |
$120 |
16.0× |
| Hcg quant (84702) |
$175 |
$175 |
11.6× |
| Hematocrit (85014) |
$54 |
$54 |
22.8× |
| Hematocrit spun (85013) |
$147 |
$147 |
21.0× |
| Hemoglobin (85018) |
$64 |
$64 |
27.0× |
| Hemoglobin a1c (83036) |
$28 |
$28 |
2.9× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) |
$123.50 |
$123.50 |
12.7× |
| Hepatitis a antibody total (86708) |
$207 |
$207 |
16.7× |
| Hepatitis a igm (86709) |
$192 |
$192 |
17.1× |
| Hepatitis b core ab igm (86705) |
$198 |
$198 |
16.8× |
| Hepatitis b core antibody total (86704) |
$202 |
$202 |
16.8× |
| Hepatitis B Surface Ab (86706) |
$59 |
$59 |
5.5× |
| Hepatitis B Surface Antigen (87340) |
$32 |
$32 |
3.1× |
| Hepatitis be antibody (86707) |
$57.50 |
$57.50 |
5.0× |
| Hepatitis c antibody (86803) |
$26 |
$26 |
1.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$81 |
$81 |
15.6× |
| HIV-1 antibody (86701) |
$59 |
$59 |
6.6× |
| HIV-1 p24 antigen (87390) |
$163 |
$163 |
6.8× |
| Homogenization tissue (87176) |
$42 |
$42 |
7.1× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$151 |
$151 |
3.3× |
| Iaad ia clostridium difficile toxin (87324) |
$55 |
$55 |
4.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$118 |
$118 |
3.3× |
| Iaadiadoo not otherwise specified (87899) |
$39 |
$39 |
2.4× |
| Iadna candida species amplified probe tq (87481) |
$134.50 |
$134.50 |
3.8× |
| Iadna human papillomavirus high-risk types (87624) |
$121 |
$121 |
3.4× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$132.50 |
$132.50 |
3.3× |
| Iadna mycobacteria avium-intraclre amp prb (87561) |
$66 |
$66 |
1.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$121 |
$121 |
3.4× |
| Iadna nos amplified probe tq each organism (87798) |
$124.50 |
$124.50 |
3.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$134.50 |
$134.50 |
3.8× |
| Igg subclasses (82787) |
$130 |
$130 |
16.2× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) |
$1,062 |
$1,062 |
2.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$34 |
$34 |
2.3× |
| Immunoassay nonantibody (83516) |
$184 |
$184 |
16.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$348 |
$348 |
2.0× |
| Immunohistochemistry (88342) |
$189 |
$189 |
1.1× |
| In situ hybridization (88365) |
$258 |
$258 |
1.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
$154 |
$154 |
2.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
$318 |
$318 |
12.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
$318 |
$318 |
14.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) |
$134.50 |
$134.50 |
3.8× |
| Inhibin b (83520) |
$215 |
$215 |
12.4× |
| Insitu hybridization manual (88368) |
$385 |
$385 |
1.0× |
| Iron (83540) |
$75 |
$75 |
11.6× |
| Iron binding capacity (83550) |
$99 |
$99 |
11.3× |
| Ldh body fluid (83615) |
$20 |
$20 |
3.3× |
| Ldh isoenzymes (83625) |
$35 |
$35 |
2.7× |
| LDL cholesterol direct (83721) |
$26 |
$26 |
2.5× |
| Lead (83655) |
$247 |
$247 |
20.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$20 |
$20 |
4.7× |
| Level ii surg pathology grossµscopic exam (88302) |
$86 |
$86 |
2.2× |
| Level v surg pathology grossµscopic exam (88307) |
$647 |
$647 |
1.7× |
| Level vi surg pathology grossµscopic exam (88309) |
$633 |
$633 |
0.8× |
| Lh (83002) |
$297 |
$297 |
16.0× |
| Lipase (83690) |
$54.50 |
$54.50 |
7.9× |
| Lithium (80178) |
$115 |
$115 |
17.4× |
| Lyme disease antibody (86618) |
$233 |
$233 |
13.7× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$323 |
$323 |
1.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$529 |
$529 |
3.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$541 |
$541 |
3.1× |
| Magnesium (83735) |
$110 |
$110 |
16.4× |
| Manual Diff Wbc Count B-Coat (85009) |
$125 |
$125 |
24.7× |
| Metabolic Panel Ionized Ca (80047) |
$549.50 |
$549.50 |
40.0× |
| Mycoplasma genitalium PCR (87563) |
$118 |
$118 |
3.4× |
| Myoglobin urine (83874) |
$214 |
$214 |
16.6× |
| Natriuretic peptide (83880) |
$264 |
$264 |
6.7× |
| Occult blood stool (82272) |
$26 |
$26 |
6.1× |
| Osmolality serum (83930) |
$87 |
$87 |
13.2× |
| Osmolality urine (83935) |
$87 |
$87 |
12.8× |
| Ova and parasite direct-id lca (87177) |
$35 |
$35 |
3.9× |
| Ph urine (81003) |
$30 |
$30 |
13.3× |
| Phenotype Infect Agent Drug (87900) |
$194 |
$194 |
1.5× |
| Phosphatase alkaline (84075) |
$44 |
$44 |
8.5× |
| Phosphorus blood (84100) |
$107 |
$107 |
22.6× |
| Platelet aggregation (85576) |
$105 |
$105 |
4.2× |
| Platelet count automated (85049) |
$225 |
$225 |
50.2× |
| Potassium (84132) |
$92 |
$92 |
19.3× |
| Progesterone (84144) |
$333 |
$333 |
16.0× |
| Protein body fluid (84157) |
$34 |
$34 |
8.5× |
| Protein electrophoresis serum (84165) |
$181 |
$181 |
16.9× |
| Protein total serum (84155) |
$59 |
$59 |
16.1× |
| Protein urine (84156) |
$79 |
$79 |
21.5× |
| PSA free (84154) |
$163 |
$163 |
8.9× |
| Pth intact (83970) |
$87 |
$87 |
2.1× |
| Rbc (85041) |
$59 |
$59 |
19.5× |
| Reagent strip/blood glucose (82948) |
$19.50 |
$19.50 |
3.9× |
| Reticulocyte count auto (85045) |
$38 |
$38 |
9.5× |
| Rheumatoid Factor Qual (86430) |
$93 |
$93 |
15.1× |
| Rheumatoid factor quant (86431) |
$93 |
$93 |
16.4× |
| Rotavirus ag eia (87425) |
$35 |
$35 |
2.9× |
| Rsv (87807) |
$45 |
$45 |
3.4× |
| Rubella antibody (86762) |
$42 |
$42 |
2.9× |
| Rubeola Antibody Igg (86765) |
$168 |
$168 |
13.0× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) |
$27 |
$27 |
4.1× |
| Sedimentation rate (85651) |
$83 |
$83 |
19.4× |
| Sedimentation rate auto (85652) |
$36 |
$36 |
13.3× |
| Sensitivity kb (87184) |
$114 |
$114 |
15.2× |
| Sensitivity mic (87186) |
$123 |
$123 |
14.2× |
| Sickling of rbc reduction (85660) |
$89 |
$89 |
16.2× |
| Smear acid fast (87206) |
$88 |
$88 |
16.3× |
| Smear complex stain (87209) |
$38 |
$38 |
2.1× |
| Smear gram stain (87205) |
$113 |
$113 |
26.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$37 |
$37 |
6.4× |
| Sodium (84295) |
$79 |
$79 |
16.4× |
| Sodium urine (84300) |
$79 |
$79 |
15.6× |
| Soluble transferrin receptor (84238) |
$224 |
$224 |
6.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$120 |
$120 |
0.9× |
| Special stains group 1 (88312) |
$175.50 |
$175.50 |
3.3× |
| Stool Culture, Addl Pathogens (87046) |
$19 |
$19 |
2.0× |
| Strep a assay w/optic (87880) |
$55 |
$55 |
3.3× |
| Strep a DNA amp probe (87651) |
$97 |
$97 |
2.8× |
| Surg path level 1 (88300) |
$86 |
$86 |
2.9× |
| Surg path level iii (88304) |
$175.50 |
$175.50 |
3.3× |
| Surgical pathology level IV (88305) |
$175.50 |
$175.50 |
3.3× |
| T3 total (84480) |
$175 |
$175 |
12.3× |
| T3 uptake (84479) |
$101 |
$101 |
15.6× |
| T4 free (84439) |
$117 |
$117 |
13.0× |
| T4 total (84436) |
$125 |
$125 |
18.2× |
| Tb intradermal test (86580) |
$25 |
$25 |
0.8× |
| Tb test, cell immun measure (86480) |
$114 |
$114 |
1.8× |
| Testosterone free (84402) |
$224 |
$224 |
8.8× |
| Testosterone total (84403) |
$180 |
$180 |
7.0× |
| Thin prep pap (88142) |
$38 |
$38 |
1.9× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$73 |
$73 |
17.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$302 |
$302 |
15.3× |
| Toxoplasma ab igm (86778) |
$231 |
$231 |
16.0× |
| Transferrin (84466) |
$213 |
$213 |
16.7× |
| Triglycerides (84478) |
$66 |
$66 |
11.5× |
| Troponin (84484) |
$114 |
$114 |
9.1× |
| Troponin, qualitative Facility (84512) |
$129 |
$129 |
12.8× |
| Urea nitrogen (84520) |
$96 |
$96 |
24.3× |
| Uric acid blood (84550) |
$56 |
$56 |
12.4× |
| Urinalysis auto w/scope (81001) |
$40 |
$40 |
12.6× |
| Urinalysis Microscopic Only (81015) |
$82 |
$82 |
26.9× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
$41 |
$41 |
1.4× |
| Urine Bacteria Culture (87088) |
$180 |
$180 |
22.2× |
| Urine pregnancy test (81025) |
$57.50 |
$57.50 |
6.7× |
| Vancomycin trough (80202) |
$190 |
$190 |
14.0× |
| Varicella-zoster antibody (86787) |
$138.50 |
$138.50 |
10.8× |
| Vdrl csf (86592) |
$73 |
$73 |
17.1× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) |
$261 |
$261 |
13.3× |
| Vitamin b-12 (82607) |
$167 |
$167 |
11.1× |
| Vitamin D 25-Hydroxy (82306) |
$58 |
$58 |
2.0× |