Lab & pathology prices at Noxubee General Hospital
Macon, MS · every code in this section with a posted price and a Medicare benchmark.
469 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) | $221.25 | $295 | 5.7× |
| 17-Hydroxycorticosteroids (83491) | $67.50 | $90 | 3.8× |
| 5 Hiaa (83497) | $82.50 | $110 | 6.4× |
| 5 Nucleotidase (83915) | $87 | $116 | 7.8× |
| Activated protein c resistance (85307) | $79.50 | $106 | 5.2× |
| Acute hepatitis panel (80074) | $279.75 | $373 | 5.9× |
| Afb culture (87116) | $119.25 | $159 | 11.0× |
| Agglutinins febrile (86000) | $11.25 | $15 | 1.6× |
| Albumin Fluid (82042) | $8.25 | $11 | 1.1× |
| Albumin serum (82040) | $27 | $36 | 5.5× |
| Aldolase (82085) | $52.50 | $70 | 5.4× |
| Aldosterone urine (82088) | $174.75 | $233 | 4.3× |
| Alkaline phosphatase isoenzymes (84080) | $86.25 | $115 | 5.8× |
| Allergen specific ige (86003) | $27.75 | $37 | 5.3× |
| Allg Spec Ige Recomb Ea (86008) | $57.75 | $77 | 3.2× |
| Alpha-1-antitrypsin, total (82103) | $65.25 | $87 | 4.9× |
| Alpha-fetoprotein, serum (82105) | $70.50 | $94 | 4.2× |
| Alt (sgpt) (84460) | $42 | $56 | 7.9× |
| Amikacin trough (80150) | $87.75 | $117 | 5.8× |
| Amino Acids, Single Quantitation (82131) | $168.75 | $225 | 7.3× |
| Ammonia (82140) | $71.25 | $95 | 4.9× |
| Amylase urine (82150) | $40.88 | $54.50 | 6.3× |
| Angiotensin i enzyme test (82164) | $72 | $96 | 4.9× |
| Antibody aspergillus (86606) | $65.25 | $87 | 4.3× |
| Antibody coxiella burnetii q fever (86638) | $37.50 | $50 | 3.1× |
| Antibody cytomegalovirus cmv (86644) | $84 | $112 | 5.8× |
| Antibody cytomegalovirus cmv igm (86645) | $84 | $112 | 5.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $78.75 | $105 | 6.0× |
| Antibody helicobacter pylori (86677) | $87.75 | $117 | 5.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72 | $96 | 5.0× |
| Antibody herpes smplx type 1 (86695) | $81.75 | $109 | 6.2× |
| Antibody identification (86870) | $168.75 | $225 | 0.5× |
| Antibody mumps (86735) | $66.75 | $89 | 5.1× |
| Antibody rubeola (86765) | $70.50 | $94 | 5.5× |
| Antibody screen (86850) | $77.25 | $103 | 7.9× |
| Antibody treponema pallidum (86780) | $56.25 | $75 | 4.2× |
| Antibody; Coccidioides (86635) | $37.50 | $50 | 3.3× |
| Antigen typing (86905) | $123.75 | $165 | 32.3× |
| Antinuclear antibodies (86038) | $48.75 | $65 | 4.0× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $45 | $60 | 7.8× |
| Antistreptolysin o titer (86060) | $41.25 | $55 | 5.7× |
| Antithrombin iii activity (85300) | $116.25 | $155 | 9.8× |
| Antithrombin iii antigen (85301) | $100.50 | $134 | 9.3× |
| Apolipoprotein b (82172) | $18.75 | $25 | 0.9× |
| Arsenic Urine (82175) | $114 | $152 | 6.0× |
| Assay free hydroxyproline (83500) | $146.25 | $195 | 6.5× |
| Assay Nephelometry Not Spec (83883) | $95.25 | $127 | 7.0× |
| Assay of acth (82024) | $81 | $108 | 2.1× |
| Assay of blood chloride (82435) | $27 | $36 | 5.9× |
| Assay of c-peptide (84681) | $75 | $100 | 3.6× |
| Assay of calcitonin (82308) | $158.25 | $211 | 5.9× |
| Assay of ceruloplasmin (82390) | $74.25 | $99 | 6.9× |
| Assay of creatine (82540) | $39 | $52 | 8.4× |
| Assay of cyclosporine (80158) | $127.50 | $170 | 7.1× |
| Assay of erythropoietin (82668) | $101.25 | $135 | 5.4× |
| Assay of ferritin (82728) | $59.25 | $79 | 4.3× |
| Assay of g6pd enzyme (82955) | $56.25 | $75 | 5.8× |
| Assay of gammaglobulin igm (82784) | $40.50 | $54 | 4.4× |
| Assay of gastrin (82941) | $72.75 | $97 | 4.1× |
| Assay of gentamicin (80170) | $81 | $108 | 4.9× |
| Assay of homocystine (83090) | $86.62 | $115.50 | 4.8× |
| Assay of ketogenic steroids (83582) | $75 | $100 | 4.8× |
| Assay of lipoprotein(a) (83695) | $81 | $108 | 5.7× |
| Assay of manganese (83785) | $82.50 | $110 | 3.1× |
| Assay of metanephrines (83835) | $168.75 | $225 | 10.0× |
| Assay of osteocalcin (83937) | $129.75 | $173 | 4.3× |
| Assay of parathormone (83970) | $123 | $164 | 3.0× |
| Assay of phenobarbital (80184) | $58.50 | $78 | 3.8× |
| Assay of phosphatase acid total (84060) | $39 | $52 | 5.1× |
| Assay of prealbumin (84134) | $74.25 | $99 | 5.1× |
| Assay of prostate specific antigen complexed (84152) | $105.75 | $141 | 5.8× |
| Assay of selenium (84255) | $115.50 | $154 | 4.5× |
| Assay of serotonin (84260) | $225 | $300 | 7.3× |
| Assay of somatomedin (84305) | $177 | $236 | 8.3× |
| Assay of tacrolimus (80197) | $150.75 | $201 | 11.0× |
| Assay of urine vma (84585) | $70.50 | $94 | 4.5× |
| Assay of volatiles (84600) | $37.50 | $50 | 2.2× |
| Assay Ph Body Fluid Nos (83986) | $48 | $64 | 13.4× |
| Ast (sgot) (84450) | $38.25 | $51 | 7.4× |
| Automated rbc count (85041) | $10.50 | $14 | 3.5× |
| Bartonella antibody (86611) | $195 | $260 | 19.2× |
| Bcr/abl1 gene major bp (81206) | $169.50 | $226 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $169.50 | $226 | 1.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $67.12 | $89.50 | 2.6× |
| Beta hydroxybutyrate (82010) | $74.25 | $99 | 9.1× |
| Beta-2 microglobulin (82232) | $94.50 | $126 | 5.8× |
| Bile acids, total (82239) | $62.25 | $83 | 3.6× |
| Bilirubin direct (82248) | $28.12 | $37.50 | 5.6× |
| Bilirubin total (82247) | $28.12 | $37.50 | 5.6× |
| Bl Smear W/Diff Wbc Count (85007) | $35.25 | $47 | 9.3× |
| Bleeding time (85002) | $30 | $40 | 6.2× |
| Blood count reticulocyte automated (85045) | $31.50 | $42 | 7.9× |
| Blood gases (82803) | $108.75 | $145 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $15 | $20 | 0.9× |
| Blood typing abo (86900) | $48.75 | $65 | 16.3× |
| Blood typing serologic rh (d) (86901) | $48.75 | $65 | 16.3× |
| Blood typing serologic rh phenotyping complete (86906) | $148.50 | $198 | 19.2× |
| Body fluid cell count (89051) | $52.50 | $70 | 9.4× |
| Body fluid cell count (89050) | $28.12 | $37.50 | 6.0× |
| C-reactive protein (86140) | $45 | $60 | 8.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $53.25 | $71 | 4.1× |
| Ca 125 (86304) | $111 | $148 | 5.3× |
| Ca 19-9 (86301) | $108 | $144 | 5.2× |
| Ca 27 29 (86300) | $99.75 | $133 | 4.8× |
| Calcium ionized (82330) | $41.62 | $55.50 | 3.0× |
| Calcium total (82310) | $27 | $36 | 5.2× |
| Calcium urine (82340) | $33.75 | $45 | 5.6× |
| Calculus Qualitative Analysis (82355) | $56.25 | $75 | 4.9× |
| Calculus Quantitative Chemical (82360) | $63.75 | $85 | 5.0× |
| Calprotectin, fecal (83993) | $225 | $300 | 11.5× |
| Carbamazepine (tegretol) total (80156) | $88.50 | $118 | 6.1× |
| Carbon dioxide (82374) | $27 | $36 | 5.5× |
| Carboxyhemoglobin Quantitative (82375) | $80.25 | $107 | 6.5× |
| Carcinoembryonic antigen (82378) | $81 | $108 | 4.3× |
| Cardiolipin ab igg (86147) | $79.50 | $106 | 3.1× |
| Carnitine (82379) | $171 | $228 | 10.1× |
| Carotene (82380) | $80.25 | $107 | 8.7× |
| Catecholamines fraction plasma (82384) | $54.75 | $73 | 2.2× |
| Catecholamines Total Urine (82382) | $112.50 | $150 | 4.1× |
| Cd4 absolute count (86361) | $102 | $136 | 3.8× |
| Chemiluminescent assay (82397) | $112.50 | $150 | 8.0× |
| Chloride other source (82438) | $27 | $36 | 5.4× |
| Chloride urine (82436) | $27 | $36 | 4.7× |
| Cholesterol total (82465) | $36 | $48 | 8.3× |
| Cholinesterase rbc (82482) | $67.50 | $90 | 6.9× |
| Cholinesterase serum (82480) | $67.50 | $90 | 8.6× |
| Chromium urine (82495) | $71.25 | $95 | 3.5× |
| Chromogranin a (86316) | $80.62 | $107.50 | 3.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $92.25 | $123 | 2.6× |
| Citrate (82507) | $151.50 | $202 | 5.4× |
| Ck isoenzymes (82552) | $45 | $60 | 3.4× |
| Ckmb (82553) | $76.50 | $102 | 6.6× |
| Clot factor viii vw antigen (85246) | $182.25 | $243 | 7.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $123.75 | $165 | 6.9× |
| Clot retraction (85170) | $18 | $24 | 1.1× |
| Clotting time (85345) | $30 | $40 | 6.4× |
| Clozapine level (80159) | $105.75 | $141 | 5.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $114.75 | $153 | 4.8× |
| Cold agglutinin screen (86156) | $64.12 | $85.50 | 7.9× |
| Cold agglutinin titer (86157) | $150.75 | $201 | 18.7× |
| Collagen cross links (82523) | $211.50 | $282 | 11.3× |
| Compatibility test antiglob (86922) | $61.50 | $82 | 0.4× |
| Compatibility Test Incubate (86921) | $60.75 | $81 | 0.4× |
| Complement c3 (86160) | $78.75 | $105 | 6.6× |
| Complement total ch50 (86162) | $161.25 | $215 | 7.9× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $172.50 | $230 | 14.4× |
| Concentration Infectious Agent (87015) | $48.75 | $65 | 7.3× |
| Coombs direct (86880) | $48.75 | $65 | 9.0× |
| Copper urine (82525) | $58.12 | $77.50 | 4.7× |
| Cortisol free (82530) | $132.75 | $177 | 7.9× |
| Cortisol total (82533) | $93.75 | $125 | 5.8× |
| Creatine kinase total (82550) | $36.75 | $49 | 5.6× |
| Creatinine blood (82565) | $25.12 | $33.50 | 4.9× |
| Creatinine clearance (82575) | $63.75 | $85 | 6.7× |
| Creatinine other source (82570) | $36 | $48 | 6.9× |
| Crossmatch immediate spin (86920) | $48 | $64 | 0.3× |
| Cryoglobulin (82595) | $73.88 | $98.50 | 11.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $13.50 | $18 | 1.7× |
| Culture Aerobic Identify (87077) | $33.75 | $45 | 4.2× |
| Culture aerobic quant other (87071) | $75 | $100 | 7.6× |
| Culture anaerobic (87075) | $91.88 | $122.50 | 9.7× |
| Culture blood (87040) | $61.50 | $82 | 6.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $77.25 | $103 | 10.0× |
| Culture fungus id yeast (87106) | $48.20 | $64.26 | 4.7× |
| Culture genital (87070) | $63 | $84 | 7.3× |
| Culture screen only (87081) | $54.38 | $72.50 | 8.2× |
| Culture stool (87045) | $54 | $72 | 5.7× |
| Culture urine (87086) | $35.25 | $47 | 4.4× |
| Culture urine id ea isolate (87088) | $63 | $84 | 7.8× |
| Cyclic amp (82030) | $11.25 | $15 | 0.4× |
| Cyclic Citrullinated Peptide (86200) | $75.75 | $101 | 5.8× |
| Cyp2c19 gene com variants (81225) | $245.25 | $327 | 0.8× |
| Cystatin c (82610) | $152.25 | $203 | 8.2× |
| Cytogenetics DNA probe (88271) | $112.50 | $150 | 5.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $330 | $440 | 7.7× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $25.50 | $34 | 1.4× |
| D-Dimer (85379) | $174.75 | $233 | 17.2× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $66 | $88 | 1.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $48.75 | $65 | 2.9× |
| Detect agnt mult DNA ampli (87801) | $217.50 | $290 | 3.1× |
| Dhea (82626) | $164.25 | $219 | 6.5× |
| Dhea sulfate (82627) | $112.50 | $150 | 5.1× |
| Digoxin (80162) | $56.25 | $75 | 4.2× |
| Dilantin (80185) | $71.25 | $95 | 5.4× |
| Dna Antibody Single Stranded (86226) | $78 | $104 | 6.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $75 | $100 | 5.5× |
| Drug Assay Infliximab (80230) | $450 | $600 | 11.7× |
| Drug Screen Quant Gabapentin (80171) | $120 | $160 | 5.5× |
| Drug Scrn Quan Levetiracetam (80177) | $101.25 | $135 | 7.6× |
| Drug test prsmv chem anlyzr (80307) | $40.12 | $53.50 | 0.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $86.25 | $115 | 6.8× |
| Ebv viral capsid (86665) | $78.75 | $105 | 4.3× |
| Echinococcus ab igg (86682) | $98.25 | $131 | 7.6× |
| Electrolyte panel (80051) | $168.75 | $225 | 24.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $60 | $80 | 1.0× |
| Endomysial antibody iga (86255) | $120 | $160 | 10.0× |
| Enterovirus antibody (86658) | $26.25 | $35 | 2.0× |
| Enterovirus Pcr (87498) | $288 | $384 | 8.2× |
| Enzyme cell activity (82657) | $351.75 | $469 | 15.9× |
| Eosinophil count (85048) | $14.25 | $19 | 5.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $78.75 | $105 | 5.2× |
| Estradiol (82670) | $130.50 | $174 | 4.7× |
| Estriol (82677) | $76.50 | $102 | 3.2× |
| Estrogens total (82672) | $120 | $160 | 5.5× |
| Estrone (82679) | $151.50 | $202 | 6.1× |
| Everolimus (80169) | $205.59 | $274.12 | 15.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $63.75 | $85 | 8.7× |
| F2 gene analysis 20210g >a variant (81240) | $174.75 | $233 | 2.7× |
| F5 gene (81241) | $247.50 | $330 | 3.4× |
| Factor ii activity (85210) | $123.75 | $165 | 9.5× |
| Factor ix activity (85250) | $126.75 | $169 | 6.7× |
| Factor v activity (85220) | $159.75 | $213 | 9.1× |
| Factor vii assay (85230) | $101.62 | $135.50 | 5.7× |
| Factor viii ahg (85240) | $161.25 | $215 | 9.0× |
| Factor xi assay (85270) | $126.75 | $169 | 7.1× |
| Factor xii assay (85280) | $126.75 | $169 | 6.6× |
| Fecal fat qual (82705) | $74.25 | $99 | 14.6× |
| Fecal fat quant (82710) | $113.25 | $151 | 6.7× |
| Fibrin degradation products (85362) | $75 | $100 | 10.9× |
| Fibrinogen activity (85384) | $67.50 | $90 | 6.9× |
| Flow cytometry first marker (88184) | $101.25 | $135 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $60.75 | $81 | 5.0× |
| Folate serum (82746) | $67.50 | $90 | 4.6× |
| Folic acid rbc (82747) | $112.50 | $150 | 6.4× |
| Follicle Stimulating Hormone (83001) | $78.75 | $105 | 4.2× |
| Fractionation ketosteroids (83593) | $101.25 | $135 | 3.6× |
| Fresh frozen plasma thawing each unit (86927) | $45 | $60 | 0.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $108 | $144 | 10.5× |
| G6pd Screen (82960) | $67.50 | $90 | 11.2× |
| Gammaglobulin ige (82785) | $78 | $104 | 4.7× |
| Gastric Occult Blood (82271) | $7.50 | $10 | 1.4× |
| Ggt (82977) | $27 | $36 | 3.8× |
| Giardia antigen eia stool (87329) | $81 | $108 | 6.8× |
| Glucose (82947) | $27 | $36 | 6.9× |
| Glucose body fluid (82945) | $45.38 | $60.50 | 11.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $24.75 | $33 | 6.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $102.75 | $137 | 8.0× |
| Growth hormone (83003) | $77.25 | $103 | 4.6× |
| Haptoglobin (83010) | $67.50 | $90 | 5.4× |
| Hcg qualitative (84703) | $30 | $40 | 4.0× |
| Hcg quant (84702) | $75.75 | $101 | 5.0× |
| Hdl Cholesterol (83718) | $45 | $60 | 5.5× |
| Heavy metal quant each (83018) | $87.38 | $116.50 | 4.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $135 | $180 | 6.4× |
| Hematocrit (85014) | $8.25 | $11 | 3.5× |
| Hemoglobin (85018) | $13.50 | $18 | 5.7× |
| Hemoglobin a1c (83036) | $49.50 | $66 | 5.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $90 | $120 | 5.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $78.75 | $105 | 9.6× |
| Heparin assay (85520) | $234 | $312 | 17.9× |
| Hepatitis a antibody total (86708) | $56.62 | $75.50 | 4.6× |
| Hepatitis a igm (86709) | $71.25 | $95 | 6.3× |
| Hepatitis b core ab igm (86705) | $72.75 | $97 | 6.2× |
| Hepatitis b core antibody total (86704) | $72 | $96 | 6.0× |
| Hepatitis B Surface Ab (86706) | $65.25 | $87 | 6.1× |
| Hepatitis B Surface Antigen (87340) | $55.50 | $74 | 5.4× |
| Hepatitis be antibody (86707) | $42 | $56 | 3.6× |
| Hepatitis Be Antigen (87350) | $42 | $56 | 3.6× |
| Hepatitis c antibody (86803) | $80.25 | $107 | 5.6× |
| Hepatitis C Genotype (87902) | $337.50 | $450 | 1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $306.38 | $408.50 | 8.7× |
| Herpes culture (87252) | $215.25 | $287 | 8.3× |
| Herpes simplex type 2 (86696) | $96.75 | $129 | 5.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $48 | $64 | 9.3× |
| Heterophile antibody titer (86309) | $65.25 | $87 | 10.1× |
| Histoplasma antibody (86698) | $68.25 | $91 | 4.9× |
| Histoplasma antigen urine (87385) | $104.25 | $139 | 7.9× |
| HIV-1 antibody (86701) | $234 | $312 | 26.3× |
| Hla b 27 disease association lc (81374) | $153 | $204 | 2.1× |
| Hla-b27 (86812) | $112.50 | $150 | 4.4× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $243 | $324 | 3.6× |
| Hpylori Drug Administration (83014) | $30 | $40 | 3.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $135 | $180 | 3.8× |
| Hydroxyprogesterone 17-d (83498) | $110.25 | $147 | 4.1× |
| Hydroxyproline total (83505) | $186 | $248 | 7.7× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $71.25 | $95 | 3.9× |
| Iaad ia clostridium difficile toxin (87324) | $90 | $120 | 7.5× |
| Iaad ia cryptosporidium (87328) | $117 | $156 | 8.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $126 | $168 | 5.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $159 | $212 | 11.1× |
| Iaad ia rotavirus (87425) | $101.25 | $135 | 8.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $93.75 | $125 | 2.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $72 | $96 | 6.0× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $442.50 | $590 | 12.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $483 | $644 | 11.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $352.50 | $470 | 4.1× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $235.50 | $314 | 5.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $92.25 | $123 | 2.6× |
| Iadna nos amplified probe tq each organism (87798) | $126.75 | $169 | 3.6× |
| Iadna nos quantification each organism (87799) | $356.81 | $475.75 | 8.3× |
| Igg subclasses (82787) | $94.50 | $126 | 11.8× |
| Immunfix e-phorsis/urine/csf (86335) | $152.25 | $203 | 5.2× |
| Immunoassay analyte qual/semiqual single step (83518) | $60.75 | $81 | 6.3× |
| Immunoassay nonantibody (83516) | $89.25 | $119 | 7.7× |
| Immunodiffusion not elsewhere specified (86329) | $71.25 | $95 | 5.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $116.25 | $155 | 5.0× |
| Immunofixj Electrophoresis Serum (86334) | $63.75 | $85 | 2.9× |
| India ink prep (87210) | $31.50 | $42 | 5.4× |
| Inhibin b (83520) | $124.50 | $166 | 7.2× |
| Insulin antibodies (86337) | $133.50 | $178 | 6.2× |
| Insulin total (83525) | $49.50 | $66 | 4.3× |
| Intrinsic factor antibody (86340) | $108.75 | $145 | 7.2× |
| Iron (83540) | $37.50 | $50 | 5.8× |
| Iron binding capacity (83550) | $28.50 | $38 | 3.3× |
| Islet cell antibody (86341) | $161.25 | $215 | 6.8× |
| Lactic acid (83605) | $74.25 | $99 | 6.4× |
| Ldh (83615) | $37.50 | $50 | 6.2× |
| Ldh isoenzymes (83625) | $36 | $48 | 2.8× |
| LDL cholesterol direct (83721) | $69.75 | $93 | 6.6× |
| Lead (83655) | $55.50 | $74 | 4.6× |
| Legionella antibody (86713) | $111 | $148 | 7.3× |
| Legionella antigen urine (87449) | $90 | $120 | 7.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $44.25 | $59 | 10.4× |
| Lh (83002) | $78.75 | $105 | 4.3× |
| Lidocaine level (80176) | $63.75 | $85 | 4.3× |
| Lipase (83690) | $40.50 | $54 | 5.9× |
| Lipopro bld electrophoretic (83700) | $60 | $80 | 5.3× |
| Lipoprotein Bld Hr Fraction (83701) | $148.50 | $198 | 4.4× |
| Lithium (80178) | $48 | $64 | 7.3× |
| Lyme disease antibody (86618) | $102 | $136 | 6.0× |
| Lyme disease antibody confirm (86617) | $288 | $384 | 18.6× |
| Magnesium (83735) | $37.12 | $49.50 | 5.5× |
| Malaria smear (87207) | $88.50 | $118 | 14.8× |
| Manual cell count each (85032) | $27 | $36 | 6.3× |
| Manual Diff Wbc Count B-Coat (85009) | $18 | $24 | 3.6× |
| Mass spectrometry qual/quan (83789) | $55.50 | $74 | 2.3× |
| Mercury (83825) | $105.75 | $141 | 6.5× |
| Metabolic Panel Ionized Ca (80047) | $14.25 | $19 | 1.0× |
| Methotrexate (80299) | $74.25 | $99 | 4.0× |
| Methylmalonic acid serum (83921) | $187.50 | $250 | 8.8× |
| Microalbumin urine (82043) | $60.75 | $81 | 10.5× |
| Microbe Suscept Mycobacteri (87190) | $112.50 | $150 | 15.4× |
| Microsomal antibodies (86376) | $72.38 | $96.50 | 5.0× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $112.50 | $150 | 2.2× |
| Molecular pathology procedure level 2 (81401) | $444.38 | $592.50 | 3.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $871.50 | $1,162 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $292.50 | $390 | 4.5× |
| Muramidase (85549) | $88.50 | $118 | 4.7× |
| Mycophenolic acid (80180) | $113.03 | $150.71 | 6.3× |
| Myoglobin urine (83874) | $99 | $132 | 7.7× |
| Natriuretic peptide (83880) | $133.50 | $178 | 3.4× |
| Nmr Lipoprofile (83704) | $60 | $80 | 1.8× |
| Nuclear antigen antibody (86235) | $93 | $124 | 5.2× |
| Osmolality serum (83930) | $49.50 | $66 | 7.5× |
| Osmolality urine (83935) | $49.50 | $66 | 7.3× |
| Ova and parasite direct-id lca (87177) | $60.38 | $80.50 | 6.8× |
| Oxalate urine (83945) | $66.75 | $89 | 4.6× |
| Pancreatic elastase fecal (82656) | $220.50 | $294 | 19.1× |
| Pancreatic polypeptide (83519) | $135.75 | $181 | 7.4× |
| Parvovirus antibody (86747) | $77.25 | $103 | 5.1× |
| Pertussis dfa (87265) | $88.50 | $118 | 7.4× |
| Phenylalanine (84030) | $102 | $136 | 18.5× |
| Phenytoin free (80186) | $120 | $160 | 8.7× |
| Phosphatase acid prostatic (84066) | $66.75 | $89 | 6.9× |
| Phosphatase alkaline (84075) | $33 | $44 | 6.4× |
| Phospholipid Neutralization Hexagonal (85598) | $108.75 | $145 | 6.0× |
| Phosphorus blood (84100) | $27 | $36 | 5.7× |
| Phosphorus urine (84105) | $30.75 | $41 | 5.3× |
| Pinworm exam (87172) | $6.75 | $9 | 1.6× |
| Platelet count (85049) | $42 | $56 | 9.4× |
| Porphobilinogen Urine Qual (84106) | $45 | $60 | 7.7× |
| Porphobilinogen urine quant (84110) | $76.50 | $102 | 9.1× |
| Porphyrins qn & fraction urine (84120) | $45.75 | $61 | 3.1× |
| Potassium (84132) | $27 | $36 | 5.7× |
| Potassium urine (84133) | $30.75 | $41 | 6.5× |
| Procalcitonin (pct) (84145) | $293.62 | $391.50 | 10.8× |
| Progesterone (84144) | $99.75 | $133 | 4.8× |
| Prolactin (84146) | $112.50 | $150 | 5.8× |
| Protein body fluid (84157) | $34.50 | $46 | 8.6× |
| Protein c activity (85303) | $133.12 | $177.50 | 9.6× |
| Protein c antigen (85302) | $105.38 | $140.50 | 8.8× |
| Protein electrophoresis serum (84165) | $46.12 | $61.50 | 4.3× |
| Protein Electrophoresis Urine (84166) | $114 | $152 | 6.4× |
| Protein S Functional (85306) | $148.88 | $198.50 | 9.7× |
| Protein s total (85305) | $153.75 | $205 | 13.2× |
| Protein Total Serum (84155) | $27 | $36 | 7.4× |
| Protein urine (84156) | $19.88 | $26.50 | 5.4× |
| PSA free (84154) | $46.50 | $62 | 2.5× |
| Quantiferon tb gold (86480) | $67.50 | $90 | 1.1× |
| Quinidine (80194) | $58.50 | $78 | 4.0× |
| Rbc antibody elution (86860) | $187.50 | $250 | 1.3× |
| Rbc osmotic fragility (85555) | $22.50 | $30 | 3.0× |
| Rbc pretx incubatj w/chemicl (86970) | $61.50 | $82 | 1.2× |
| Reagent strip/blood glucose (82948) | $17.25 | $23 | 3.4× |
| Renin activity plasma (84244) | $103.50 | $138 | 4.7× |
| Rheumatoid factor quant (86431) | $34.50 | $46 | 6.1× |
| Rickettsia antibody (86757) | $108.75 | $145 | 5.6× |
| Rpr Titer (86593) | $11.25 | $15 | 2.6× |
| Rsv (87807) | $60.75 | $81 | 4.6× |
| Rubella antibody (86762) | $52.50 | $70 | 3.6× |
| Russell viper venom time diluted (85613) | $86.25 | $115 | 9.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $176.25 | $235 | 3.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $56.25 | $75 | 1.3× |
| Sed rate automated (85652) | $26.25 | $35 | 9.7× |
| Sensitivity mic (87186) | $29.25 | $39 | 3.4× |
| Serotonin Release Assay (86022) | $130.50 | $174 | 7.1× |
| Sex chromatin id barr bodies (88130) | $67.50 | $90 | 3.8× |
| Sex hormone binding globulin (84270) | $84.75 | $113 | 3.9× |
| Sickle cell screen (85660) | $43.88 | $58.50 | 8.0× |
| Smear acid fast (87206) | $49.50 | $66 | 9.2× |
| Smear complex stain (87209) | $18.75 | $25 | 1.0× |
| Smear gram stain (87205) | $36.75 | $49 | 8.6× |
| Sodium (84295) | $27 | $36 | 5.6× |
| Sodium other source (84302) | $75.75 | $101 | 15.6× |
| Sodium urine (84300) | $27 | $36 | 5.3× |
| Special stains group 1 (88312) | $123.75 | $165 | 2.8× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $31.50 | $42 | 0.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $46.50 | $62 | 4.9× |
| Strep a assay w/optic (87880) | $44.25 | $59 | 2.7× |
| Sugars single quant (84378) | $67.50 | $90 | 5.9× |
| Sulfate urine (84392) | $11.25 | $15 | 2.0× |
| Susceptibility study antimicrobial disk method (87184) | $33.75 | $45 | 4.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $240 | $320 | 5.1× |
| T3 free (84481) | $139.50 | $186 | 8.2× |
| T3 reverse (84482) | $177 | $236 | 11.2× |
| T3 total (84480) | $112.12 | $149.50 | 7.9× |
| T3 uptake (84479) | $33 | $44 | 5.1× |
| T4 Free (84439) | $75.75 | $101 | 8.4× |
| T4 total (84436) | $37.50 | $50 | 5.5× |
| T4-neonatal (84437) | $31.50 | $42 | 4.9× |
| Tb intradermal test (86580) | $16.50 | $22 | 0.7× |
| Testosterone free (84402) | $143.25 | $191 | 5.6× |
| Testosterone total (84403) | $116.25 | $155 | 4.5× |
| Theophylline (80198) | $75.75 | $101 | 5.4× |
| Thrombin time plasma (85670) | $91.88 | $122.50 | 15.9× |
| Thromboplastin Inhibition Tissue (85705) | $116.25 | $155 | 12.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $79.50 | $106 | 12.3× |
| Thyroglobulin (84432) | $37.50 | $50 | 2.3× |
| Thyroglobulin Ab (86800) | $82.50 | $110 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $243 | $324 | 4.8× |
| Thyroxine binding globulin (84442) | $81.75 | $109 | 5.5× |
| Topiramate (80201) | $101.25 | $135 | 8.5× |
| Toxoplasma ab igm (86778) | $63.75 | $85 | 4.4× |
| Toxoplasma antibody igg (86777) | $68.25 | $91 | 4.7× |
| Transferrin (84466) | $63 | $84 | 4.9× |
| Triglycerides (84478) | $36 | $48 | 6.3× |
| Troponin (84484) | $81.75 | $109 | 6.6× |
| Urea nitrogen (84520) | $27 | $36 | 6.8× |
| Urea nitrogen urine (84540) | $33.75 | $45 | 6.1× |
| Uric acid blood (84550) | $35.25 | $47 | 7.8× |
| Uric acid other source (84560) | $30.75 | $41 | 6.1× |
| Urinalysis microscopic only (81015) | $18 | $24 | 5.9× |
| Urinalysis w/microscopic (81001) | $39 | $52 | 12.3× |
| Urine pregnancy test (81025) | $30 | $40 | 3.5× |
| Urine volume measurement (81050) | $7.50 | $10 | 2.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $24 | $32 | 10.7× |
| Urobilinogen (84578) | $22.50 | $30 | 5.0× |
| Valproic acid level (80164) | $88.50 | $118 | 6.5× |
| Vancomycin trough (80202) | $83.25 | $111 | 6.1× |
| Varicella-zoster antibody (86787) | $84.75 | $113 | 6.6× |
| Vasopressin (84588) | $195 | $260 | 5.7× |
| Vdrl csf (86592) | $29.25 | $39 | 6.9× |
| Virus antibody nos (86790) | $112.50 | $150 | 8.7× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $112.50 | $150 | 3.3× |
| Virus inoculation, shell via (87254) | $37.50 | $50 | 1.9× |
| Vitamin A (84590) | $79.12 | $105.50 | 6.8× |
| Vitamin b-12 (82607) | $67.50 | $90 | 4.5× |
| Vitamin b1 (thiamine) (84425) | $78.75 | $105 | 3.7× |
| Vitamin b6 (84207) | $151.50 | $202 | 5.4× |
| Vitamin C (82180) | $68.25 | $91 | 6.9× |
| Vitamin D 25-Hydroxy (82306) | $221.25 | $295 | 7.5× |
| Vitamin e serum (84446) | $76.50 | $102 | 5.4× |
| Vldl cholesterol level (83719) | $18.75 | $25 | 1.5× |
| Von willebrand factor activity (85245) | $144 | $192 | 6.3× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $56.25 | $75 | 6.5× |
| West nile virus ab, igm (86788) | $75 | $100 | 4.5× |
| West nile virus antibody (86789) | $75 | $100 | 5.2× |
| Xylose Absorption Test (84620) | $78 | $104 | 6.0× |
| Zinc (84630) | $86.25 | $115 | 7.6× |