Lab & pathology prices at PeaceHealth United General Medical Center
Sedro-Woolley, WA · every code in this section with a posted price and a Medicare benchmark.
627 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) | $170.30 | $262 | 4.4× |
| Acth stimulation panel adrenal insufficiency (80400) | $96.20 | $148 | 2.9× |
| Activated protein c resistance (85307) | $193.05 | $297 | 12.6× |
| Acute hepatitis panel (80074) | $141.70 | $218 | 3.0× |
| Acylcarnitine Plasma (82017) | $79.95 | $123 | 4.7× |
| Adamts13 activity (85397) | $129.35 | $199 | 4.2× |
| Adrenocorticotropic hormone (82024) | $178.75 | $275 | 4.6× |
| Afp maternal serum (82105) | $73.78 | $113.50 | 4.4× |
| Agglutinins febrile ea antigen (86000) | $61.10 | $94 | 8.8× |
| Albumin body fluid (82042) | $55.25 | $85 | 7.1× |
| Albumin serum (82040) | $52.65 | $81 | 10.6× |
| Aldolase (82085) | $74.10 | $114 | 7.6× |
| Aldosterone urine (82088) | $130.98 | $201.50 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $107.25 | $165 | 7.3× |
| Allergen peanut (86003) | $1,569.75 | $2,415 | 300.7× |
| Allergen specific igg (86001) | $26 | $40 | 3.3× |
| Allg Spec Ige Recomb Ea (86008) | $34.45 | $53 | 1.9× |
| Alpha-1-antitrypsin, total (82103) | $40.95 | $63 | 3.0× |
| Alt (sgpt) (84460) | $55.25 | $85 | 10.4× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $206.05 | $317 | 12.2× |
| Amylase urine (82150) | $63.05 | $97 | 9.7× |
| Ana titer (86039) | $35.10 | $54 | 3.1× |
| Angiotensin i enzyme test (82164) | $69.55 | $107 | 4.8× |
| Antibody aspergillus (86606) | $29.90 | $46 | 2.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $82.55 | $127 | 5.3× |
| Antibody coxiella burnetii q fever (86638) | $43.55 | $67 | 3.6× |
| Antibody cytomegalovirus cmv (86644) | $111.80 | $172 | 7.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $55.25 | $85 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $76.70 | $118 | 6.3× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $85.15 | $131 | 6.2× |
| Antibody HIV-2 (86702) | $32.50 | $50 | 2.4× |
| Antibody identification (86870) | $180.70 | $278 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $478.40 | $736 | 31.8× |
| Antibody john cunningham virus (86711) | $51.35 | $79 | 3.0× |
| Antibody mumps (86735) | $71.50 | $110 | 5.5× |
| Antibody Protozoa Nes (86753) | $55.25 | $85 | 4.5× |
| Antibody screen (86850) | $171.60 | $264 | 17.6× |
| Antibody treponema pallidum (86780) | $79.30 | $122 | 6.0× |
| Antibody; Coccidioides (86635) | $24.05 | $37 | 2.1× |
| Antigen typing (86905) | $635.70 | $978 | 166.0× |
| Antinuclear antibodies (86038) | $70.20 | $108 | 5.8× |
| Antistreptolysin o titer (86060) | $53.95 | $83 | 7.4× |
| Antithrombin iii activity (85300) | $198.25 | $305 | 16.7× |
| APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known… (81202) | $637 | $980 | 2.3× |
| Apc gene dup/delet variants (81203) | $455 | $700 | 2.3× |
| Apc gene full sequence (81201) | $1,774.50 | $2,730 | 2.3× |
| Apolipoprotein each (82172) | $116.35 | $179 | 5.5× |
| Aspergillus ag eia (87305) | $190.45 | $293 | 15.9× |
| Assay Lipoprotein Pla2 (83698) | $100.75 | $155 | 2.2× |
| Assay Nephelometry Not Spec (83883) | $119.92 | $184.50 | 8.8× |
| Assay of 5-hiaa (83497) | $79.30 | $122 | 6.1× |
| Assay of ammonia (82140) | $135.85 | $209 | 9.3× |
| Assay of androstenedione (82157) | $105.30 | $162 | 3.6× |
| Assay of c-peptide (84681) | $110.50 | $170 | 5.3× |
| Assay of ceruloplasmin (82390) | $72.80 | $112 | 6.8× |
| Assay of citrate (82507) | $97.50 | $150 | 3.5× |
| Assay of cpk in blood (82552) | $31.20 | $48 | 2.3× |
| Assay of cyclosporine (80158) | $149.50 | $230 | 8.3× |
| Assay of erythropoietin (82668) | $109.20 | $168 | 5.8× |
| Assay of ferritin (82728) | $68.90 | $106 | 5.1× |
| Assay of g6pd enzyme (82955) | $98.15 | $151 | 10.1× |
| Assay of gammaglobulin igm (82784) | $156 | $240 | 16.8× |
| Assay of gastrin (82941) | $174.85 | $269 | 9.9× |
| Assay of gentamicin (80170) | $122.85 | $189 | 7.5× |
| Assay of homocystine (83090) | $98.80 | $152 | 5.5× |
| Assay of lactic acid (83605) | $112.45 | $173 | 9.7× |
| Assay of lipoprotein(a) (83695) | $32.50 | $50 | 2.3× |
| Assay of metanephrines (83835) | $165.10 | $254 | 9.7× |
| Assay of osteocalcin (83937) | $122.20 | $188 | 4.1× |
| Assay of phenobarbital (80184) | $113.75 | $175 | 7.4× |
| Assay of prealbumin (84134) | $117.65 | $181 | 8.1× |
| Assay of proinsulin (84206) | $76.05 | $117 | 2.8× |
| Assay of prolactin (84146) | $88.08 | $135.50 | 4.5× |
| Assay of serotonin (84260) | $168.35 | $259 | 5.4× |
| Assay of tacrolimus (80197) | $104.65 | $161 | 7.6× |
| Assay of topiramate (80201) | $113.42 | $174.50 | 9.5× |
| Assay of urine vma (84585) | $37.05 | $57 | 2.4× |
| Assay of vitamin k (84597) | $147.55 | $227 | 10.8× |
| Ast (sgot) (84450) | $55.25 | $85 | 10.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $200.20 | $308 | 1.1× |
| B cells total count (86355) | $126.10 | $194 | 3.3× |
| Bartonella antibody (86611) | $49.40 | $76 | 4.9× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $476.45 | $733 | 2.2× |
| Bcr/abl1 gene major bp (81206) | $451.42 | $694.50 | 2.8× |
| Bcr/abl1 gene minor bp (81207) | $365.95 | $563 | 2.5× |
| Beta 2 glycoprotein 1 igm (86146) | $179.40 | $276 | 7.0× |
| Beta hydroxybutyrate (82010) | $18.85 | $29 | 2.3× |
| Beta lactamase (87185) | $65 | $100 | 13.7× |
| Beta-2 microglobulin (82232) | $45.50 | $70 | 2.8× |
| Bilirubin direct (82248) | $61.10 | $94 | 12.2× |
| Bilirubin total (82247) | $62.40 | $96 | 12.4× |
| Bl Smear W/Diff Wbc Count (85007) | $25.35 | $39 | 6.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $20.80 | $32 | 6.1× |
| Bld Typing Serologic Rh Phnt (86906) | $119.92 | $184.50 | 15.5× |
| Blood Count Automated Differential Wbc Count (85004) | $19.50 | $30 | 3.0× |
| Blood gas (82803) | $121.55 | $187 | 4.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.20 | $88 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39.65 | $61 | 9.1× |
| Blood Sulfhemoglobin Assay (83060) | $98.80 | $152 | 11.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $115.38 | $177.50 | 18.2× |
| Blood typing abo (86900) | $48.75 | $75 | 16.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $83.85 | $129 | 5.1× |
| Blood typing serologic rh (d) (86901) | $40.95 | $63 | 13.7× |
| Body fluid cell count (89051) | $76.70 | $118 | 13.7× |
| Body fluid cell count (89050) | $83.20 | $128 | 17.6× |
| Braf gene (81210) | $156.65 | $241 | 0.9× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,001 | $1,540 | 2.3× |
| Brca1 gene analysis known familial variant (81215) | $853.45 | $1,313 | 2.3× |
| Brca1&2 seq & full dup/del (81162) | $2,372.50 | $3,650 | 1.3× |
| Brca2 gene analysis full sequence analysis (81216) | $421.20 | $648 | 2.3× |
| Brca2 gene analysis known familial variant (81217) | $853.45 | $1,313 | 2.3× |
| Breath Alcohol Test (82075) | $94.25 | $145 | 3.1× |
| Brucella antibody (86622) | $63.05 | $97 | 7.1× |
| C diff amplified probe (87493) | $267.80 | $412 | 7.2× |
| C-reactive protein (86140) | $51.35 | $79 | 9.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $33.80 | $52 | 2.6× |
| Ca 125 (86304) | $97.82 | $150.50 | 4.7× |
| Ca 19-9 (86301) | $97.50 | $150 | 4.7× |
| Ca 27 29 (86300) | $70.20 | $108 | 3.4× |
| Calcitonin (82308) | $108.55 | $167 | 4.1× |
| Calcium ionized (82330) | $87.75 | $135 | 6.4× |
| Calcium total (82310) | $64.35 | $99 | 12.5× |
| Calcium urine (82340) | $64.35 | $99 | 10.7× |
| Calculus spectroscopy (82365) | $113.75 | $175 | 8.8× |
| Calprotectin, fecal (83993) | $378.30 | $582 | 19.3× |
| Calr gene com variants (81219) | $360.10 | $554 | 3.0× |
| Candida antibody (86628) | $68.25 | $105 | 5.7× |
| Carbamazepine free (80157) | $61.75 | $95 | 4.7× |
| Carbamazepine total (80156) | $109.85 | $169 | 7.5× |
| Carbon dioxide (82374) | $62.40 | $96 | 12.8× |
| Carboxyhemoglobin (82375) | $84.50 | $130 | 6.9× |
| Carcinoembryonic antigen (82378) | $43.55 | $67 | 2.3× |
| Cardiolipin ab igg (86147) | $192.08 | $295.50 | 7.5× |
| Carnitine (82379) | $106.60 | $164 | 6.3× |
| Catecholamines fraction plasma (82384) | $137.15 | $211 | 5.4× |
| Cell enumeration & id (86152) | $727.35 | $1,119 | 2.9× |
| Chemiluminescent assay (82397) | $99.45 | $153 | 7.0× |
| Chlamydia antibody (86631) | $39.65 | $61 | 3.4× |
| Chlamydia Igm Antibody (86632) | $40.30 | $62 | 3.2× |
| Chloride blood (82435) | $46.80 | $72 | 10.2× |
| Chloride urine (82436) | $50.05 | $77 | 8.7× |
| Cholesterol HDL (83718) | $28.60 | $44 | 3.5× |
| Cholesterol total (82465) | $40.30 | $62 | 9.3× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $133.25 | $205 | 5.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $183.95 | $283 | 5.5× |
| Chromogranin a (86316) | $118.95 | $183 | 5.7× |
| Chromosome analysis 20-25 cells (88264) | $195 | $300 | 1.3× |
| Chromosome Analysis 5 (88261) | $237.25 | $365 | 0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $163.15 | $251 | 4.6× |
| Ckmb (82553) | $134.55 | $207 | 11.6× |
| Clot Factor VIII Multimetric (85247) | $242.45 | $373 | 10.6× |
| Clot factor viii vw antigen (85246) | $170.95 | $263 | 7.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $114.40 | $176 | 6.4× |
| Clot factor xiii fibrin stab (85290) | $91.65 | $141 | 5.6× |
| Clotting Inhibitors Protein S Free (85306) | $238.55 | $367 | 15.6× |
| Cmv ab igm (86645) | $35.10 | $54 | 2.1× |
| Cmv PCR (87496) | $202.80 | $312 | 5.8× |
| Cns DNA amp probe type 12-25 (87483) | $836.22 | $1,286.50 | 2.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $133.25 | $205 | 5.5× |
| Cold agglutinin titer (86157) | $46.48 | $71.50 | 5.8× |
| Collagen cross links (82523) | $82.55 | $127 | 4.4× |
| Comparative anal str markers patient&comp spec (81265) | $637 | $980 | 2.7× |
| Compatibility test antiglob (86922) | $240.82 | $370.50 | 1.3× |
| Compatibility Test Incubate (86921) | $284.70 | $438 | 1.5× |
| Complement c3 (86160) | $131.62 | $202.50 | 11.0× |
| Complement total (ch50) (86162) | $143 | $220 | 7.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $57.20 | $88 | 4.8× |
| Concentration Infectious Agent (87015) | $57.20 | $88 | 8.6× |
| Coombs direct (86880) | $50.70 | $78 | 9.4× |
| Copper urine (82525) | $63.70 | $98 | 5.1× |
| Cortisol free (82530) | $79.30 | $122 | 4.7× |
| Cortisol total (82533) | $102.70 | $158 | 6.3× |
| Creatine kinase total (82550) | $119.92 | $184.50 | 18.4× |
| Creatinine blood (82565) | $104.65 | $161 | 20.4× |
| Creatinine clearance (82575) | $86.45 | $133 | 9.1× |
| Creatinine other source (82570) | $54.60 | $84 | 10.5× |
| Crossmatch immediate spin (86920) | $147.55 | $227 | 0.8× |
| Cryoglobulin (82595) | $22.10 | $34 | 3.4× |
| Crystals body fluid (89060) | $74.75 | $115 | 10.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $69.55 | $107 | 8.6× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $851.50 | $1,310 | 3.9× |
| Culture Aerobic Identify (87077) | $89.05 | $137 | 11.0× |
| Culture aerobic quant other (87071) | $68.25 | $105 | 6.9× |
| Culture afb (87116) | $84.50 | $130 | 7.8× |
| Culture anaerobic (87075) | $212.55 | $327 | 22.4× |
| Culture blood (87040) | $220.35 | $339 | 21.4× |
| Culture fungus id yeast (87106) | $40.30 | $62 | 3.9× |
| Culture fungus other (87102) | $107.25 | $165 | 12.8× |
| Culture genital (87070) | $109.85 | $169 | 12.7× |
| Culture screen only (87081) | $61.10 | $94 | 9.2× |
| Culture stool (87045) | $72.80 | $112 | 7.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $49.40 | $76 | 9.5× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $66.30 | $102 | 1.9× |
| Culture urine (87086) | $75.40 | $116 | 9.3× |
| Culture virus (87252) | $244.40 | $376 | 9.4× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $257.40 | $396 | 2.2× |
| Cyclic Citrullinated Peptide (86200) | $116.35 | $179 | 9.0× |
| Cyp2c19 gene com variants (81225) | $633.10 | $974 | 2.2× |
| Cyp2c9 gene com variants (81227) | $380.25 | $585 | 2.2× |
| Cyp2d6 gene com variants (81226) | $980.20 | $1,508 | 2.2× |
| Cystatin c (82610) | $40.95 | $63 | 2.2× |
| Cysticercosis Antibody (86682) | $60.45 | $93 | 4.6× |
| Cytogenetics 100-300 (88275) | $267.15 | $411 | 5.2× |
| Cytogenetics DNA probe (88271) | $388.05 | $597 | 18.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $461.50 | $710 | 10.8× |
| Cytopath cell enhance tech (88112) | $89.70 | $138 | 1.5× |
| Cytopath Smear Other Source (88160) | $98.80 | $152 | 3.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $92.30 | $142 | 3.5× |
| Cytp concentration smears & interpretation (88108) | $172.90 | $266 | 4.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $250.90 | $386 | 4.3× |
| Cytp fna eval dx 1st each site (88172) | $95.55 | $147 | 0.5× |
| Deoxyribonuclease antibody (86215) | $81.90 | $126 | 6.2× |
| Detect agnt mult DNA ampli (87801) | $195 | $300 | 2.8× |
| Dhea-sulfate (82627) | $102.70 | $158 | 4.6× |
| Digoxin (80162) | $115.70 | $178 | 8.7× |
| Dihydrotestosterone (82642) | $42.25 | $65 | 1.4× |
| Dilantin (80185) | $102.70 | $158 | 7.8× |
| Diphtheria antitoxoid (86648) | $66.30 | $102 | 4.4× |
| Dipropylacetic acid free (80165) | $32.50 | $50 | 2.4× |
| Dmd dup/delet analysis (81161) | $635.05 | $977 | 2.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $106.60 | $164 | 7.8× |
| Drug Assay Infliximab (80230) | $78.65 | $121 | 2.0× |
| Drug Assay Lacosamide (80235) | $35.10 | $54 | 1.3× |
| Drug assay voriconazole (80285) | $35.10 | $54 | 1.3× |
| Drug quant nes (80299) | $55.25 | $85 | 3.0× |
| Drug screen quant zonisamide (80203) | $55.58 | $85.50 | 4.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $120.25 | $185 | 9.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $114.40 | $176 | 8.6× |
| Drug Scrn Quan Levetiracetam (80177) | $134.55 | $207 | 10.2× |
| Drug test prsmv chem anlyzr (80307) | $153.40 | $236 | 2.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $75.40 | $116 | 6.0× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $43.55 | $67 | 2.5× |
| E test (87181) | $34.45 | $53 | 7.3× |
| Ebv viral capsid (86665) | $173.55 | $267 | 9.6× |
| Electrolyte panel (80051) | $70.85 | $109 | 10.1× |
| Electronic crossmatch (86923) | $92.95 | $143 | 0.5× |
| Enterovirus Pcr (87498) | $321.10 | $494 | 9.2× |
| Eosinophil count (85048) | $22.10 | $34 | 8.7× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $191.75 | $295 | 12.5× |
| Estradiol (82670) | $105.30 | $162 | 3.8× |
| Estriol serum (82677) | $109.85 | $169 | 4.5× |
| Estrogens total (82672) | $111.15 | $171 | 5.1× |
| Ethylene glycol (82693) | $83.20 | $128 | 5.6× |
| Everolimus (80169) | $72.80 | $112 | 5.3× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $113.75 | $175 | 3.5× |
| F2 gene analysis 20210g >a variant (81240) | $143 | $220 | 2.2× |
| F5 gene analysis, leiden variant (81241) | $180.05 | $277 | 2.5× |
| Factor ii activity (85210) | $38.35 | $59 | 3.0× |
| Factor inhibitor test (85335) | $172.90 | $266 | 13.4× |
| Factor ix activity (85250) | $113.75 | $175 | 6.0× |
| Factor v activity (85220) | $102.05 | $157 | 5.8× |
| Factor vii assay (85230) | $282.10 | $434 | 15.8× |
| Factor viii ahg (85240) | $158.60 | $244 | 8.9× |
| Factor xi assay (85270) | $109.85 | $169 | 6.1× |
| Factor xii assay (85280) | $96.85 | $149 | 5.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $89.70 | $138 | 5.2× |
| Fecal fat qual (82705) | $16.90 | $26 | 3.3× |
| Fibrin degradation products (85362) | $43.55 | $67 | 6.3× |
| Fibrin Degradation Quant (85379) | $162.50 | $250 | 16.0× |
| Fibrinogen activity (85384) | $80.60 | $124 | 8.3× |
| Flow cytometry first marker (88184) | $157.95 | $243 | 0.4× |
| Flt3 gene analysis (81245) | $360.10 | $554 | 2.2× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) | $180.70 | $278 | 2.2× |
| Fluorescent Antibody Screen (86255) | $797.55 | $1,227 | 66.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $224.90 | $346 | 18.7× |
| Folate serum (82746) | $113.10 | $174 | 7.7× |
| Folic acid rbc (82747) | $106.60 | $164 | 6.0× |
| Follicle Stimulating Hormone (83001) | $66.30 | $102 | 3.6× |
| Fresh frozen plasma thawing each unit (86927) | $186.55 | $287 | 1.0× |
| Frozen Section (88331) | $329.55 | $507 | 1.7× |
| Fructosamine (82985) | $48.10 | $74 | 2.9× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $180.05 | $277 | 17.4× |
| Gabapentin (80171) | $65.65 | $101 | 3.0× |
| Gammaglobulin ige (82785) | $94.25 | $145 | 5.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $26 | $40 | 2.7× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,409.85 | $2,169 | 1.9× |
| Ggt (82977) | $59.80 | $92 | 8.3× |
| Giardia antigen eia stool (87329) | $91.65 | $141 | 7.7× |
| Giardia lamblia antibody (86674) | $97.50 | $150 | 6.6× |
| Glucose (82947) | $44.20 | $68 | 11.2× |
| Glucose body fluid (82945) | $46.80 | $72 | 11.9× |
| Growth hormone (83003) | $40.30 | $62 | 2.4× |
| Haptoglobin (83010) | $106.60 | $164 | 8.5× |
| Hcg qualitative (84703) | $92.30 | $142 | 12.3× |
| Hcg quant (84702) | $76.70 | $118 | 5.1× |
| Heavy metal quant each (83018) | $89.05 | $137 | 4.1× |
| Hematocrit (85014) | $38.02 | $58.50 | 16.0× |
| Hematocrit spun (85013) | $18.85 | $29 | 2.7× |
| Hemoglobin (85018) | $38.02 | $58.50 | 16.0× |
| Hemoglobin a1c (83036) | $35.75 | $55 | 3.7× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $84.50 | $130 | 4.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $90.35 | $139 | 11.7× |
| Hemoglobin plasma (83051) | $79.30 | $122 | 10.8× |
| Heparin assay (85520) | $161.20 | $248 | 12.3× |
| Hepatitis a antibody total (86708) | $96.20 | $148 | 7.8× |
| Hepatitis a igm (86709) | $100.10 | $154 | 8.9× |
| Hepatitis b core ab igm (86705) | $83.20 | $128 | 7.1× |
| Hepatitis b core antibody total (86704) | $82.55 | $127 | 6.9× |
| Hepatitis B Surface Ab (86706) | $74.10 | $114 | 6.9× |
| Hepatitis B Surface Antigen (87340) | $61.10 | $94 | 5.9× |
| Hepatitis be antibody (86707) | $65 | $100 | 5.6× |
| Hepatitis Be Antigen (87350) | $53.62 | $82.50 | 4.7× |
| Hepatitis c antibody (86803) | $81.90 | $126 | 5.7× |
| Hepatitis C Genotype (87902) | $864.50 | $1,330 | 3.4× |
| Hepatitis delta ab (86692) | $50.70 | $78 | 3.0× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $760.50 | $1,170 | 0.6× |
| Herpes simplex type i (86695) | $78.65 | $121 | 6.0× |
| Herpes simplex type ii (86696) | $86.45 | $133 | 4.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $57.20 | $88 | 11.0× |
| Hexagonal phospholipid (85598) | $83.20 | $128 | 4.6× |
| Hfe gene (81256) | $250.25 | $385 | 3.8× |
| Histamine plasma (83088) | $68.25 | $105 | 2.3× |
| HIV confirmation (86689) | $57.20 | $88 | 3.0× |
| HIV-1 antibody (86701) | $120.90 | $186 | 13.6× |
| HIV-1 p24 antigen (87390) | $52 | $80 | 2.2× |
| HIV-2 probe&revrse trnscripj (87538) | $104 | $160 | 3.0× |
| Hla class i high defin qual (86832) | $772.85 | $1,189 | 2.4× |
| Hla Class I Typing High Resolution Complete (81379) | $993.85 | $1,529 | 3.0× |
| Hla class i typing high resolution one allele or allele group (81381) | $272.35 | $419 | 1.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $653.90 | $1,006 | 1.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $330.20 | $508 | 2.6× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,190.80 | $1,832 | 3.0× |
| Hla class ii typing high resolution one locus ea (81382) | $312.65 | $481 | 2.5× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $271.70 | $418 | 2.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $213.20 | $328 | 2.9× |
| Hla i typing 1 locus hr (81380) | $524.55 | $807 | 3.0× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,023.10 | $1,574 | 3.0× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $713.05 | $1,097 | 1.8× |
| Hla ii typing 1 allele hr (81383) | $323.05 | $497 | 3.0× |
| Hla ii typing 1 locus lr (81376) | $308.75 | $475 | 2.5× |
| Hla ii typing ag equiv lr (81375) | $649.35 | $999 | 2.9× |
| Hla-b27 (86812) | $203.45 | $313 | 7.9× |
| Homogenization tissue (87176) | $85.80 | $132 | 14.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $209.95 | $323 | 6.0× |
| Htt gene analysis detect abnormal alleles (81271) | $276.25 | $425 | 2.0× |
| Human epididymis protein 4 (86305) | $98.80 | $152 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $98.80 | $152 | 3.6× |
| Iaad ia clostridium difficile toxin (87324) | $76.05 | $117 | 6.3× |
| Iaad ia cryptosporidium (87328) | $38.35 | $59 | 2.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $51.35 | $79 | 2.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $145.60 | $224 | 10.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $194.35 | $299 | 14.0× |
| Iaad ia shiga-like toxin (87427) | $41.92 | $64.50 | 3.5× |
| Iaad Ia Streptococcus Group A (87430) | $65.65 | $101 | 3.9× |
| Iaadiadoo not otherwise specified (87899) | $298.35 | $459 | 18.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $55.25 | $85 | 3.6× |
| Iadna candida species amplified probe tq (87481) | $50.70 | $78 | 1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $133.90 | $206 | 3.8× |
| Iadna hepatitis b virus quantification (87517) | $232.70 | $358 | 5.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $349.70 | $538 | 8.2× |
| Iadna herpes virus-6 amplified probe tq (87532) | $110.50 | $170 | 3.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $278.20 | $428 | 7.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $419.25 | $645 | 4.9× |
| Iadna human papillomavirus high-risk types (87624) | $124.15 | $191 | 3.5× |
| Iadna mycobacteria avium-intraclre amp prb (87561) | $126.42 | $194.50 | 3.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $475.80 | $732 | 9.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $202.15 | $311 | 5.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $160.55 | $247 | 4.6× |
| Iadna nos amplified probe tq each organism (87798) | $258.05 | $397 | 7.4× |
| Iadna nos quantification each organism (87799) | $369.85 | $569 | 8.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $133.90 | $206 | 3.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $398.45 | $613 | 1.5× |
| If cryptosporidium antigen (87272) | $35.75 | $55 | 3.0× |
| Igg subclasses (82787) | $50.05 | $77 | 6.2× |
| Igh gene rearrange amp meth (81261) | $500.50 | $770 | 2.5× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $129.35 | $199 | 1.9× |
| Igvh somatic hypermutation (81263) | $926.25 | $1,425 | 3.1× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $299.65 | $461 | 0.8× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $58.50 | $90 | 2.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $49.40 | $76 | 3.3× |
| Immunoassay nonantibody (83516) | $74.75 | $115 | 6.5× |
| Immunofixation (86334) | $175.50 | $270 | 7.9× |
| Immunofixation urine (86335) | $175.50 | $270 | 6.0× |
| Immunoglobulin light chains free each (83521) | $90.35 | $139 | 5.2× |
| Immunohistochemistry (88342) | $222.95 | $343 | 1.2× |
| Indirect coombs (86885) | $57.85 | $89 | 10.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $52 | $80 | 2.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $59.15 | $91 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $59.15 | $91 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) | $127.40 | $196 | 2.2× |
| Influenza DNA amp probe (87502) | $202.15 | $311 | 2.1× |
| Inhibin a (86336) | $89.70 | $138 | 5.8× |
| Inhibin b (83520) | $113.75 | $175 | 6.6× |
| Insitu hybridization auto (88367) | $1,033.50 | $1,590 | 2.6× |
| Insulin antibodies (86337) | $85.15 | $131 | 4.0× |
| Insulin free (83527) | $28.60 | $44 | 2.2× |
| Insulin total (83525) | $100.10 | $154 | 8.8× |
| Intrinsic factor antibody (86340) | $103.35 | $159 | 6.9× |
| Iron (83540) | $63.05 | $97 | 9.7× |
| Iron binding capacity (83550) | $87.75 | $135 | 10.0× |
| Irradiation Blood Product Each Unit (86945) | $109.20 | $168 | 2.6× |
| Islet cell antibody (86341) | $384.80 | $592 | 16.3× |
| Jak2 gene analysis (81270) | $273 | $420 | 3.0× |
| Jak2 targeted sequence analysis (81279) | $241.15 | $371 | 1.3× |
| Kras gene analysis (81275) | $439.40 | $676 | 2.3× |
| Lactoferrin fecal qual (83630) | $68.25 | $105 | 3.5× |
| Ldh body fluid (83615) | $39.65 | $61 | 6.6× |
| Ldh isoenzymes (83625) | $44.85 | $69 | 3.5× |
| LDL cholesterol direct (83721) | $46.15 | $71 | 4.4× |
| Lead (83655) | $28.60 | $44 | 2.4× |
| Legionella antigen urine (87449) | $77.35 | $119 | 6.5× |
| Level ii surg pathology grossµscopic exam (88302) | $169.65 | $261 | 4.1× |
| Level v surg pathology grossµscopic exam (88307) | $549.90 | $846 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $765.05 | $1,177 | 0.9× |
| Lh (83002) | $80.60 | $124 | 4.4× |
| Lipase (83690) | $66.95 | $103 | 9.7× |
| Lipopro bld electrophoretic (83700) | $28.60 | $44 | 2.5× |
| Lipoprotein Bld Hr Fraction (83701) | $73.45 | $113 | 2.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $79.95 | $123 | 2.3× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $34.45 | $53 | 2.7× |
| Listeria ab (86609) | $42.25 | $65 | 3.3× |
| Lithium (80178) | $55.25 | $85 | 8.4× |
| Lyme disease antibody (86618) | $101.40 | $156 | 6.0× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $398.45 | $613 | 2.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $310.05 | $477 | 1.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $309.08 | $475.50 | 1.6× |
| Magnesium (83735) | $64.35 | $99 | 9.6× |
| Malaria smear (87207) | $60.78 | $93.50 | 10.1× |
| Manual cell count each (85032) | $13 | $20 | 3.0× |
| Metabolic Panel Ionized Ca (80047) | $71.50 | $110 | 5.2× |
| Methemoglobin (83050) | $83.20 | $128 | 10.1× |
| Methylmalonic acid serum (83921) | $176.15 | $271 | 8.3× |
| Mgmt methylation analysis (81287) | $283.40 | $436 | 2.3× |
| Microalbumin urine (82043) | $166.40 | $256 | 28.8× |
| Microsatellite instability (81301) | $857.35 | $1,319 | 2.5× |
| Microsomal antibodies (86376) | $33.15 | $51 | 2.3× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $414.05 | $637 | 2.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,402.70 | $2,158 | 2.1× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $562.25 | $865 | 1.7× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $437.45 | $673 | 2.3× |
| Molecular pathology procedure level 2 (81401) | $312 | $480 | 2.3× |
| Molecular pathology procedure level 7 (81406) | $643.50 | $990 | 2.3× |
| Mononuclear cell antigen (86356) | $80.60 | $124 | 3.0× |
| Mopath procedure level 1 (81400) | $152.10 | $234 | 2.4× |
| Mopath procedure level 3 (81402) | $341.90 | $526 | 2.3× |
| Mopath procedure level 4 (81403) | $328.25 | $505 | 1.8× |
| Mopath procedure level 5 (81404) | $625.30 | $962 | 2.3× |
| Mopath procedure level 6 (81405) | $685.75 | $1,055 | 2.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $300.95 | $463 | 1.6× |
| Mrsa PCR (87641) | $208.65 | $321 | 5.9× |
| MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch… (81296) | $768.30 | $1,182 | 2.3× |
| Msh2 gene analysis duplication/deletion variants (81297) | $485.55 | $747 | 2.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $868.40 | $1,336 | 2.3× |
| Msh6 gene analysis duplication/deletion varia (81300) | $541.45 | $833 | 2.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $625.30 | $962 | 1.0× |
| Msh6 Gene Analysis Known Familial Variants (81299) | $700.70 | $1,078 | 2.3× |
| Mtb PCR (87556) | $182 | $280 | 4.4× |
| Mthfr Gene Analysis Common Variants (81291) | $204.75 | $315 | 3.1× |
| Muramidase (85549) | $26 | $40 | 1.4× |
| Mycobacteric identification (87118) | $50.70 | $78 | 3.5× |
| Mycophenolic acid (80180) | $66.95 | $103 | 3.7× |
| Mycoplasma antibody (86738) | $83.20 | $128 | 6.3× |
| Myelin basic protein csf (83873) | $83.20 | $128 | 4.8× |
| Myoglobin urine (83874) | $72.80 | $112 | 5.6× |
| Natriuretic peptide (83880) | $291.20 | $448 | 7.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $93.60 | $144 | 1.3× |
| Nk cells total count (86357) | $129.35 | $199 | 3.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $532.35 | $819 | 2.2× |
| Nuclear antigen antibody (86235) | $100.75 | $155 | 5.6× |
| Occult blood gastric (82271) | $45.50 | $70 | 8.6× |
| Occult blood stool (82272) | $26 | $40 | 6.1× |
| Oligoclonal bands (83916) | $75.40 | $116 | 2.8× |
| Osmolality serum (83930) | $83.85 | $129 | 12.7× |
| Osmolality urine (83935) | $83.85 | $129 | 12.3× |
| Ova and parasite direct-id lca (87177) | $45.50 | $70 | 5.1× |
| Pancreatic elastase, fecal (82656) | $63.70 | $98 | 5.5× |
| Pancreatic polypeptide (83519) | $161.85 | $249 | 8.8× |
| Particle Agglutination Screen Each Antibody (86403) | $77.35 | $119 | 6.7× |
| Parvovirus antibody (86747) | $99.45 | $153 | 6.6× |
| Path Clin Consltj Mod 21-40 (80504) | $84.50 | $130 | 0.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $547.95 | $843 | 0.6× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $126.75 | $195 | 0.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $42.25 | $65 | 0.7× |
| Ph body fluid (83986) | $44.20 | $68 | 12.3× |
| Ph urine (81003) | $37.70 | $58 | 16.8× |
| Phenytoin free (80186) | $66.30 | $102 | 4.8× |
| Phosphatase alkaline (84075) | $21.45 | $33 | 4.1× |
| Phosphorus blood (84100) | $81.90 | $126 | 17.3× |
| Phosphorus urine (84105) | $17.55 | $27 | 3.0× |
| Platelet aggregation (85576) | $138.45 | $213 | 5.6× |
| Platelet count automated (85049) | $39 | $60 | 8.7× |
| Platelet neutralization (85597) | $40.30 | $62 | 2.2× |
| Pml/raralpha com breakpoints (81315) | $618.15 | $951 | 3.0× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $936.65 | $1,441 | 4.5× |
| Pms2 gene analysis duplication/deletion variants (81319) | $481.65 | $741 | 2.4× |
| Pms2 gene analysis full sequence (81317) | $1,696.50 | $2,610 | 2.5× |
| Pms2 gene analysis known familial variants (81318) | $401.05 | $617 | 1.2× |
| Pooling blood platelets (86965) | $185.25 | $285 | 1.0× |
| Porphobilinogen urine quant (84110) | $74.10 | $114 | 8.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $35.75 | $55 | 2.4× |
| Potassium (84132) | $38.35 | $59 | 8.1× |
| Potassium urine (84133) | $39.65 | $61 | 8.4× |
| Pregnancy associated plasma protein-a (84163) | $85.80 | $132 | 5.7× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $850.85 | $1,309 | 4.5× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $280.80 | $432 | 1.5× |
| Pretx serum rbc antibody identification dilution (86976) | $55.90 | $86 | 1.7× |
| Primidone (80188) | $66.30 | $102 | 4.0× |
| Procalcitonin (pct) (84145) | $196.95 | $303 | 7.2× |
| Progesterone (84144) | $111.15 | $171 | 5.3× |
| Protein body fluid (84157) | $129.35 | $199 | 32.3× |
| Protein c activity (85303) | $238.55 | $367 | 17.2× |
| Protein electrophoresis serum (84165) | $42.90 | $66 | 4.0× |
| Protein Electrophoresis Urine (84166) | $109.85 | $169 | 6.2× |
| Protein s total (85305) | $108.55 | $167 | 9.3× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $42.90 | $66 | 2.0× |
| Protein total serum (84155) | $48.75 | $75 | 13.3× |
| Protein urine (84156) | $72.15 | $111 | 19.7× |
| Protein Western Blot (84182) | $270.72 | $416.50 | 9.3× |
| Protein westrn blot i&r blood/other fluid (84181) | $100.75 | $155 | 5.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $22.75 | $35 | 5.8× |
| PSA free (84154) | $180.05 | $277 | 9.8× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $512.85 | $789 | 1.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,304.55 | $2,007 | 2.2× |
| Pten gene analysis known familial variant (81322) | $126.10 | $194 | 2.7× |
| Pth intact (83970) | $246.35 | $379 | 6.0× |
| Rbc (85041) | $22.10 | $34 | 7.3× |
| Rbc antibody elution (86860) | $314.60 | $484 | 1.7× |
| Rbc pretreatment serum (86978) | $316.55 | $487 | 4.8× |
| Rbc pretx incubatj w/chemicl (86970) | $88.40 | $136 | 1.3× |
| Renin activity plasma (84244) | $89.70 | $138 | 4.1× |
| Resp virus 12-25 targets (87633) | $400.40 | $616 | 1.0× |
| Resp virus 3-5 targets (87631) | $278.20 | $428 | 2.0× |
| Reticulocyte count auto (85045) | $52 | $80 | 13.0× |
| Rheumatoid factor quant (86431) | $54.60 | $84 | 9.6× |
| Rickettsia antibody (86757) | $101.40 | $156 | 5.2× |
| Ristocetin cofactor (85245) | $142.35 | $219 | 6.2× |
| Rotavirus ag eia (87425) | $85.15 | $131 | 7.1× |
| Rpr Titer (86593) | $20.15 | $31 | 4.6× |
| Rsv (87807) | $49.40 | $76 | 3.8× |
| Rubella antibody (86762) | $58.50 | $90 | 4.1× |
| Rubeola Antibody Igg (86765) | $35.10 | $54 | 2.7× |
| Russell viper venom time diluted (85613) | $126.75 | $195 | 13.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $66.95 | $103 | 1.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $54.60 | $84 | 1.3× |
| Sars-cov-2 covid19 w/optic (87811) | $36.40 | $56 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $108.55 | $167 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $195 | $300 | 1.4× |
| Sedimentation rate auto (85652) | $20.80 | $32 | 7.7× |
| Selenium (84255) | $92.95 | $143 | 3.6× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $44.85 | $69 | 3.7× |
| Sensitivity kb (87184) | $47.45 | $73 | 6.3× |
| Sensitivity mic (87186) | $63.05 | $97 | 7.3× |
| SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Facility (81327) | $236.60 | $364 | 1.2× |
| Serotonin Release Assay (86022) | $283.40 | $436 | 15.4× |
| Sex hormone binding globulin (84270) | $143 | $220 | 6.6× |
| Sickling of rbc reduction (85660) | $63.70 | $98 | 11.6× |
| Sirolimus (rapamycin) (80195) | $124.80 | $192 | 9.1× |
| Smear acid fast (87206) | $81.90 | $126 | 15.2× |
| Smear complex stain (87209) | $53.95 | $83 | 3.0× |
| Smear gram stain (87205) | $49.40 | $76 | 11.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45.50 | $70 | 7.8× |
| Sodium (84295) | $38.35 | $59 | 8.0× |
| Sodium urine (84300) | $39.65 | $61 | 7.8× |
| Soluble transferrin receptor (84238) | $99.45 | $153 | 2.7× |
| Somatomedin (84305) | $100.75 | $155 | 4.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $288.60 | $444 | 1.9× |
| Special stains group 1 (88312) | $198.90 | $306 | 3.4× |
| Spectrophotometry (84311) | $66.95 | $103 | 8.3× |
| Splitting blood/blood products each unit (86985) | $185.25 | $285 | 1.0× |
| Stool Culture, Addl Pathogens (87046) | $91.65 | $141 | 9.7× |
| Strep b DNA amp probe (87653) | $160.55 | $247 | 4.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $138.45 | $213 | 1.5× |
| Surg path level 1 (88300) | $70.20 | $108 | 2.2× |
| Surg path level iii (88304) | $196.95 | $303 | 3.4× |
| Surgical pathology level IV (88305) | $499.20 | $768 | 8.6× |
| T Cell Absolute Count (86361) | $91.65 | $141 | 3.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $164.45 | $253 | 3.5× |
| T cells total count (86359) | $145.60 | $224 | 3.9× |
| T3 free (84481) | $113.10 | $174 | 6.7× |
| T3 reverse (84482) | $81.25 | $125 | 5.2× |
| T3 total (84480) | $102.05 | $157 | 7.2× |
| T3 uptake (84479) | $62.40 | $96 | 9.6× |
| T4 free (84439) | $60.45 | $93 | 6.7× |
| T4 total (84436) | $57.20 | $88 | 8.3× |
| Tb ag response t-cell susp (86481) | $204.75 | $315 | 2.0× |
| Tb intradermal test (86580) | $250.23 | $384.97 | 7.8× |
| Tb test, cell immun measure (86480) | $122.20 | $188 | 2.0× |
| Testosterone free (84402) | $116.35 | $179 | 4.6× |
| Testosterone total (84403) | $186.55 | $287 | 7.2× |
| Tetanus antibody (86774) | $37.70 | $58 | 2.5× |
| Theophylline (80198) | $112.45 | $173 | 8.0× |
| Thiopurine methyltransferase (84433) | $136.50 | $210 | 6.2× |
| Thrombin time plasma (85670) | $24.05 | $37 | 4.2× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $53.30 | $82 | 8.2× |
| Thyroglobulin (84432) | $87.75 | $135 | 5.5× |
| Thyroglobulin antibody (86800) | $86.45 | $133 | 5.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $204.75 | $315 | 4.0× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $45.50 | $70 | 10.7× |
| Tissue culture bone marrow (88237) | $278.20 | $428 | 1.9× |
| Tobramycin peak (80200) | $111.15 | $171 | 6.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $99.45 | $153 | 5.0× |
| Toxoplasma ab igm (86778) | $81.25 | $125 | 5.6× |
| Toxoplasma antibody igg (86777) | $63.70 | $98 | 4.4× |
| Tpmt gene com variants (81335) | $243.75 | $375 | 1.4× |
| Transferrin (84466) | $71.50 | $110 | 5.6× |
| Trb@ gene rearrange dirprobe (81341) | $146.90 | $226 | 3.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $618.80 | $952 | 3.0× |
| Trg gene rearrangement analysis (81342) | $596.70 | $918 | 3.0× |
| Triglycerides (84478) | $57.85 | $89 | 10.1× |
| Troponin (84484) | $253.50 | $390 | 20.3× |
| Unlisted reproductive medicine lab procedure (89398) | $95.55 | $147 | 1.6× |
| Urea nitrogen (84520) | $52.65 | $81 | 13.3× |
| Urea nitrogen urine (84540) | $22.10 | $34 | 4.0× |
| Uric acid blood (84550) | $53.30 | $82 | 11.8× |
| Urinalysis auto w/scope (81001) | $32.50 | $50 | 10.3× |
| Urinalysis Microscopic Only (81015) | $14.30 | $22 | 4.7× |
| Urine Bacteria Culture (87088) | $65 | $100 | 8.0× |
| Urine pregnancy test (81025) | $39.65 | $61 | 4.6× |
| Valproic acid (80164) | $79.95 | $123 | 5.9× |
| Vancomycin trough (80202) | $162.50 | $250 | 12.0× |
| Varicella-zoster antibody (86787) | $107.90 | $166 | 8.4× |
| Vdrl csf (86592) | $53.95 | $83 | 12.6× |
| Virus antibody nos (86790) | $90.35 | $139 | 7.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $141.05 | $217 | 4.2× |
| Virus inoculation, shell via (87254) | $98.80 | $152 | 5.1× |
| Viscosity serum (85810) | $53.30 | $82 | 4.6× |
| Vitamin A (84590) | $63.05 | $97 | 5.4× |
| Vitamin b-12 (82607) | $79.95 | $123 | 5.3× |
| Vitamin b1 (thiamine) (84425) | $96.85 | $149 | 4.6× |
| Vitamin b2 (84252) | $115.05 | $177 | 5.7× |
| Vitamin b3 niacin (84591) | $145.60 | $224 | 8.5× |
| Vitamin b6 (84207) | $52.65 | $81 | 1.9× |
| Vitamin c (82180) | $43.55 | $67 | 4.4× |
| Vitamin D 25-Hydroxy (82306) | $117 | $180 | 4.0× |
| Vitamin e serum (84446) | $78.65 | $121 | 5.5× |
| Vkorc1 gene (81355) | $200.85 | $309 | 2.3× |
| Zinc (84630) | $98.80 | $152 | 8.7× |