Lab & pathology prices at Phelps Memorial Health Center
Holdrege, NE · every code in this section with a posted price and a Medicare benchmark.
557 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) | $99.90 | $111 | 2.6× |
| 5 Hiaa (83497) | $165.60 | $184 | 12.8× |
| Abl1 gene (81170) | $1,935.90 | $2,151 | 6.5× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $35.10 | $39 | 1.9× |
| Acetylcholine receptor binding antibody (86041) | $35.10 | $39 | 1.9× |
| Actin smooth muscle antibody each (86015) | $87.30 | $97 | 7.2× |
| Acute hepatitis panel (80074) | $121.50 | $135 | 2.6× |
| Afb culture (87116) | $181.80 | $202 | 16.8× |
| Agglutinins febrile (86000) | $204.30 | $227 | 29.3× |
| Albumin Fluid (82042) | $20.70 | $23 | 2.7× |
| Albumin serum (82040) | $14.40 | $16 | 2.9× |
| Aldolase (82085) | $124.20 | $138 | 12.8× |
| Aldosterone urine (82088) | $105.30 | $117 | 2.6× |
| Alkaline phosphatase isoenzymes (84080) | $147.60 | $164 | 10.0× |
| Allergen specific ige (86003) | $15.30 | $17 | 2.9× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $31.50 | $35 | 4.0× |
| Allg Spec Ige Recomb Ea (86008) | $428.40 | $476 | 23.9× |
| Alpha-1-antitrypsin phenotype (82104) | $38.70 | $43 | 2.7× |
| Alpha-1-antitrypsin, total (82103) | $35.10 | $39 | 2.6× |
| Alpha-fetoprotein, serum (82105) | $43.20 | $48 | 2.6× |
| Alt (sgpt) (84460) | $15.30 | $17 | 2.9× |
| Amikacin trough (80150) | $139.50 | $155 | 9.3× |
| Amino Acids, Single Quantitation (82131) | $63 | $70 | 2.7× |
| Aminolevulinic acid (ala) (82135) | $316.80 | $352 | 19.3× |
| Ammonia (82140) | $38.70 | $43 | 2.7× |
| Amylase urine (82150) | $60.75 | $67.50 | 9.4× |
| Ana Titer (86039) | $29.70 | $33 | 2.7× |
| Angiotensin i enzyme test (82164) | $38.70 | $43 | 2.7× |
| Antibody Absorption (86978) | $163.80 | $182 | 2.7× |
| Antibody aspergillus (86606) | $45.45 | $50.50 | 3.0× |
| Antibody cytomegalovirus cmv (86644) | $37.80 | $42 | 2.6× |
| Antibody cytomegalovirus cmv igm (86645) | $43.20 | $48 | 2.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $35.10 | $39 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $37.80 | $42 | 2.6× |
| Antibody herpes smplx type 1 (86695) | $35.10 | $39 | 2.7× |
| Antibody hla class ii semiquantitative panel (86835) | $867.60 | $964 | 2.7× |
| Antibody identification (86870) | $109.80 | $122 | 0.3× |
| Antibody influenza virus (86710) | $133.20 | $148 | 9.8× |
| Antibody john cunningham virus (86711) | $127.80 | $142 | 7.6× |
| Antibody mumps (86735) | $35.10 | $39 | 2.7× |
| Antibody Protozoa Nes (86753) | $97.20 | $108 | 7.8× |
| Antibody rubeola (86765) | $35.10 | $39 | 2.7× |
| Antibody screen (86850) | $25.20 | $28 | 2.6× |
| Antibody treponema pallidum (86780) | $35.10 | $39 | 2.7× |
| Antibody; Coccidioides (86635) | $25.20 | $28 | 2.2× |
| Antigen typing (86905) | $169.20 | $188 | 44.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $109.80 | $122 | 21.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $49.50 | $55 | 4.1× |
| Antinuclear antibodies (86038) | $32.40 | $36 | 2.7× |
| Antistreptolysin o titer (86060) | $19.80 | $22 | 2.7× |
| Antithrombin iii activity (85300) | $32.40 | $36 | 2.7× |
| Apolipoprotein b (82172) | $54.90 | $61 | 2.6× |
| Arsenic Urine (82175) | $50.40 | $56 | 2.7× |
| Aspergillus ag eia (87305) | $479.70 | $533 | 40.0× |
| Assay Lipoprotein Pla2 (83698) | $206.10 | $229 | 4.5× |
| Assay Nephelometry Not Spec (83883) | $36 | $40 | 2.6× |
| Assay of 17-hydroxypregnenolone (84143) | $207 | $230 | 9.1× |
| Assay of acth (82024) | $99.90 | $111 | 2.6× |
| Assay of androstenedione (82157) | $75.60 | $84 | 2.6× |
| Assay of anti-mullerian hormone (82166) | $211.50 | $235 | 5.5× |
| Assay of c-peptide (84681) | $54 | $60 | 2.6× |
| Assay of calcitonin (82308) | $177.30 | $197 | 6.6× |
| Assay of ceruloplasmin (82390) | $28.80 | $32 | 2.7× |
| Assay of erythropoietin (82668) | $49.50 | $55 | 2.6× |
| Assay of ethosuximide (80168) | $233.10 | $259 | 14.3× |
| Assay of ferritin (82728) | $36 | $40 | 2.6× |
| Assay of gammaglobulin igm (82784) | $23.40 | $26 | 2.5× |
| Assay of gastrin (82941) | $139.50 | $155 | 7.9× |
| Assay of gentamicin (80170) | $216 | $240 | 13.2× |
| Assay of homocystine (83090) | $45.90 | $51 | 2.6× |
| Assay of lipoprotein(a) (83695) | $28.80 | $32 | 2.0× |
| Assay of manganese (83785) | $287.10 | $319 | 10.8× |
| Assay of metanephrines (83835) | $43.20 | $48 | 2.6× |
| Assay of osteocalcin (83937) | $260.10 | $289 | 8.7× |
| Assay of parathormone (83970) | $106.20 | $118 | 2.6× |
| Assay of phenobarbital (80184) | $40.50 | $45 | 2.6× |
| Assay of prealbumin (84134) | $38.70 | $43 | 2.7× |
| Assay of proinsulin (84206) | $68.40 | $76 | 2.6× |
| Assay of prostate specific antigen complexed (84152) | $32.40 | $36 | 1.8× |
| Assay of selenium (84255) | $222.30 | $247 | 8.7× |
| Assay of somatomedin (84305) | $186.75 | $207.50 | 8.8× |
| Assay of tacrolimus (80197) | $36 | $40 | 2.6× |
| Assay of urine vma (84585) | $186.30 | $207 | 12.0× |
| Assay Ph Body Fluid Nos (83986) | $64.80 | $72 | 18.1× |
| Ast (sgot) (84450) | $15.30 | $17 | 3.0× |
| Automated rbc count (85041) | $52.20 | $58 | 17.3× |
| B cells total count (86355) | $87.30 | $97 | 2.3× |
| Bartonella antibody (86611) | $98.10 | $109 | 9.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $66.60 | $74 | 2.6× |
| Beta hydroxybutyrate (82010) | $21.60 | $24 | 2.6× |
| Beta-2 microglobulin (82232) | $165.60 | $184 | 10.2× |
| Bile acids, total (82239) | $44.10 | $49 | 2.6× |
| Bilirubin direct (82248) | $14.40 | $16 | 2.9× |
| Bilirubin total (82247) | $14.40 | $16 | 2.9× |
| Biotinidase ea specimen (82261) | $43.20 | $48 | 2.6× |
| Bl Smear W/Diff Wbc Count (85007) | $11.70 | $13 | 3.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $10.80 | $12 | 3.1× |
| Blastomyces antibody (86612) | $35.10 | $39 | 2.7× |
| Blood count reticulocyte automated (85045) | $11.70 | $13 | 2.9× |
| Blood gases (82803) | $171.45 | $190.50 | 6.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.50 | $15 | 3.1× |
| Blood Ph - Ph Venous (82800) | $132.30 | $147 | 12.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $239.40 | $266 | 37.7× |
| Blood typing abo (86900) | $9 | $10 | 3.0× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $113.40 | $126 | 6.9× |
| Blood typing serologic rh (d) (86901) | $9 | $10 | 3.0× |
| Blood typing serologic rh phenotyping complete (86906) | $152.10 | $169 | 19.6× |
| Body fluid cell count (89051) | $15.30 | $17 | 2.7× |
| Body fluid cell count (89050) | $76.50 | $85 | 16.2× |
| Bordetella antibody (86615) | $35.10 | $39 | 2.7× |
| Breath Alcohol Test (82075) | $78.30 | $87 | 2.6× |
| C diff amplified probe (87493) | $233.10 | $259 | 6.3× |
| C-reactive protein (86140) | $15.30 | $17 | 3.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $35.10 | $39 | 2.7× |
| Ca 125 (86304) | $54 | $60 | 2.6× |
| Ca 19-9 (86301) | $54 | $60 | 2.6× |
| Ca 27 29 (86300) | $54 | $60 | 2.6× |
| Cadmium level (82300) | $61.20 | $68 | 2.6× |
| Calcium ionized (82330) | $36 | $40 | 2.6× |
| Calcium total (82310) | $15.30 | $17 | 3.0× |
| Calcium urine (82340) | $16.20 | $18 | 2.7× |
| Calculus analysis (82370) | $147.60 | $164 | 11.8× |
| Calculus Quantitative Chemical (82360) | $35.10 | $39 | 2.7× |
| Calprotectin, fecal (83993) | $51.30 | $57 | 2.6× |
| Carbamazepine (tegretol) total (80156) | $38.70 | $43 | 2.7× |
| Carbamazepine free (80157) | $28.80 | $32 | 2.2× |
| Carbon dioxide (82374) | $70.20 | $78 | 14.4× |
| Carboxyhemoglobin Quantitative (82375) | $34.20 | $38 | 2.8× |
| Carcinoembryonic antigen (82378) | $240.30 | $267 | 12.7× |
| Cardiolipin ab igg (86147) | $66.60 | $74 | 2.6× |
| Carotene (82380) | $145.80 | $162 | 15.8× |
| Catecholamines fraction plasma (82384) | $65.70 | $73 | 2.6× |
| Chemiluminescent assay (82397) | $37.80 | $42 | 2.7× |
| Chloride other source (82438) | $58.50 | $65 | 11.7× |
| Chloride urine (82436) | $91.80 | $102 | 16.0× |
| Cholesterol total (82465) | $45.90 | $51 | 10.6× |
| Chrmsm analysis addl cells counted each study (88285) | $252 | $280 | 9.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $318.60 | $354 | 2.5× |
| Chromium urine (82495) | $130.50 | $145 | 6.4× |
| Chromogranin a (86316) | $250.20 | $278 | 12.0× |
| Chromosome analysis 20-25 cells (88264) | $430.20 | $478 | 3.0× |
| Chromosome Analysis 5 (88261) | $767.70 | $853 | 2.9× |
| Chromosome karyotype study (88280) | $86.40 | $96 | 2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $90 | $100 | 2.6× |
| Citrate (82507) | $200.70 | $223 | 7.2× |
| Ck isoenzymes (82552) | $154.80 | $172 | 11.6× |
| Ckmb (82553) | $31.50 | $35 | 2.7× |
| Clot factor viii vw antigen (85246) | $48.60 | $54 | 2.1× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $318.60 | $354 | 17.8× |
| Cmv PCR (87496) | $383.40 | $426 | 10.9× |
| Cns DNA amp probe type 12-25 (87483) | $1,737 | $1,930 | 4.2× |
| Coagulation time activated (85347) | $112.50 | $125 | 26.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $45.90 | $51 | 1.9× |
| Cold agglutinin titer (86157) | $135 | $150 | 16.7× |
| Collagen cross links (82523) | $361.80 | $402 | 19.4× |
| Compatibility test antiglob (86922) | $323.40 | $359.33 | 1.8× |
| Compatibility Test Incubate (86921) | $56.70 | $63 | 0.3× |
| Complement c3 (86160) | $32.40 | $36 | 2.7× |
| Complement total ch50 (86162) | $53.10 | $59 | 2.6× |
| Concentration Infectious Agent (87015) | $62.10 | $69 | 9.3× |
| Coombs direct (86880) | $15.30 | $17 | 2.8× |
| Coombs Test Indirect Qual (86885) | $15.30 | $17 | 2.7× |
| Copper urine (82525) | $34.20 | $38 | 2.8× |
| Cortisol free (82530) | $224.10 | $249 | 13.4× |
| Cortisol total (82533) | $42.30 | $47 | 2.6× |
| Creatine kinase total (82550) | $17.10 | $19 | 2.6× |
| Creatinine blood (82565) | $15.30 | $17 | 3.0× |
| Creatinine clearance (82575) | $124.20 | $138 | 13.1× |
| Creatinine other source (82570) | $53.55 | $59.50 | 10.3× |
| Crossmatch immediate spin (86920) | $63 | $70 | 0.4× |
| Cryoglobulin (82595) | $111.60 | $124 | 17.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $21.60 | $24 | 2.7× |
| Culture Aerobic Identify (87077) | $21.60 | $24 | 2.7× |
| Culture anaerobic (87075) | $23.40 | $26 | 2.5× |
| Culture blood (87040) | $27.90 | $31 | 2.7× |
| Culture chlamydia (87110) | $242.10 | $269 | 12.4× |
| Culture fungus blood (87103) | $199.80 | $222 | 9.8× |
| Culture fungus id yeast (87106) | $149.40 | $166 | 14.5× |
| Culture fungus other (87102) | $172.80 | $192 | 20.5× |
| Culture genital (87070) | $75.91 | $84.34 | 8.8× |
| Culture screen only (87081) | $17.10 | $19 | 2.6× |
| Culture stool (87045) | $23.40 | $26 | 2.5× |
| Culture typing if ea antiserum (87140) | $15.30 | $17 | 2.7× |
| Culture urine (87086) | $21.60 | $24 | 2.7× |
| Culture urine id ea isolate (87088) | $21.60 | $24 | 2.7× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $348.30 | $387 | 3.0× |
| Cyclic Citrullinated Peptide (86200) | $35.10 | $39 | 2.7× |
| Cystatin c (82610) | $105.30 | $117 | 5.7× |
| Cytogenetics DNA probe (88271) | $557.10 | $619 | 26.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $109.80 | $122 | 2.6× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $260.10 | $289 | 6.7× |
| Cytopath Smear Other Source (88160) | $111.60 | $124 | 3.7× |
| Cytp concentration smears & interpretation (88108) | $155.70 | $173 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $216 | $240 | 4.0× |
| D-Dimer (85379) | $144.90 | $161 | 14.2× |
| Deoxycortisol (82634) | $186.30 | $207 | 6.4× |
| Detect agnt mult DNA ampli (87801) | $545.40 | $606 | 7.8× |
| Dhea sulfate (82627) | $58.50 | $65 | 2.6× |
| Digoxin (80162) | $35.10 | $39 | 2.6× |
| Dilantin (80185) | $35.10 | $39 | 2.6× |
| Dipropylacetic acid free (80165) | $36 | $40 | 2.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $36 | $40 | 2.6× |
| Dpyd gene common variants (81232) | $608.40 | $676 | 3.5× |
| Drug assay adalimumab (80145) | $243 | $270 | 6.3× |
| Drug Assay Infliximab (80230) | $370.80 | $412 | 9.6× |
| Drug Assay Lacosamide (80235) | $57.60 | $64 | 2.1× |
| Drug assay posaconazole (80187) | $327.60 | $364 | 12.1× |
| Drug assay voriconazole (80285) | $207 | $230 | 7.6× |
| Drug Screen Quant Gabapentin (80171) | $222.30 | $247 | 10.3× |
| Drug screen quant zonisamide (80203) | $36.90 | $41 | 2.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $35.10 | $39 | 2.6× |
| Drug Scrn Quan Levetiracetam (80177) | $35.10 | $39 | 2.6× |
| Drug scrn quant oxcarbazepin (80183) | $35.10 | $39 | 2.6× |
| Drug test prsmv chem anlyzr (80307) | $486 | $540 | 7.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $34.20 | $38 | 2.7× |
| Ebv viral capsid (86665) | $46.80 | $52 | 2.6× |
| Elastase pancreatic fecal quantitative (82653) | $46.80 | $52 | 2.0× |
| Electrolyte panel (80051) | $87.75 | $97.50 | 12.5× |
| Electronic crossmatch (86923) | $51.30 | $57 | 0.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.90 | $121 | 9.0× |
| Endomysial antibody iga (86255) | $76.50 | $85 | 6.3× |
| Entamoeba histolytica antigen (87337) | $171.90 | $191 | 14.3× |
| Enterovirus antibody (86658) | $35.10 | $39 | 2.7× |
| Enzyme cell activity (82657) | $57.60 | $64 | 2.6× |
| Eosinophil count (85048) | $51.30 | $57 | 20.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $40.50 | $45 | 2.6× |
| Estradiol (82670) | $72 | $80 | 2.6× |
| Estriol (82677) | $62.10 | $69 | 2.6× |
| Estrogen fractionated (82671) | $83.70 | $93 | 2.6× |
| Estrogens total (82672) | $56.70 | $63 | 2.6× |
| Ethylene glycol (82693) | $171 | $190 | 11.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $249.30 | $277 | 2.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $78.30 | $87 | 10.7× |
| F2 gene analysis 20210g >a variant (81240) | $169.20 | $188 | 2.6× |
| F5 gene (81241) | $186.30 | $207 | 2.5× |
| Factor ix activity (85250) | $342 | $380 | 18.0× |
| Factor vii assay (85230) | $37.80 | $42 | 2.1× |
| Factor viii ahg (85240) | $45 | $50 | 2.5× |
| Factor viii vw multimetric (85247) | $517.50 | $575 | 22.6× |
| Fat stain (89125) | $9 | $10 | 1.5× |
| Fecal fat qual (82705) | $12.60 | $14 | 2.5× |
| Fecal fat quant (82710) | $43.20 | $48 | 2.6× |
| Fetal bleed screen (85461) | $166.50 | $185 | 17.8× |
| Fetal fibronectin (82731) | $846 | $940 | 13.1× |
| Fetal hemoglobin, chemical (83030) | $81 | $90 | 7.5× |
| Fibrin degradation products (85362) | $265.50 | $295 | 38.5× |
| Fibrinogen activity (85384) | $25.20 | $28 | 2.6× |
| Flow cytometry first marker (88184) | $171.90 | $191 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $76.50 | $85 | 6.3× |
| Folate serum (82746) | $38.70 | $43 | 2.6× |
| Folic acid rbc (82747) | $212.40 | $236 | 12.0× |
| Follicle Stimulating Hormone (83001) | $48.60 | $54 | 2.6× |
| Fresh frozen plasma thawing each unit (86927) | $55.80 | $62 | 0.3× |
| Fructosamine (82985) | $166.50 | $185 | 9.9× |
| Ftl cgen abnor four anal (81511) | $267.30 | $297 | 1.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $115.20 | $128 | 11.2× |
| Galactose (82760) | $61.20 | $68 | 5.5× |
| Galactose transferase test (82776) | $31.50 | $35 | 2.7× |
| Gammaglobulin ige (82785) | $43.20 | $48 | 2.6× |
| Gastric Occult Blood (82271) | $62.10 | $69 | 11.7× |
| Ggt (82977) | $18.90 | $21 | 2.6× |
| Giardia antigen eia stool (87329) | $37.80 | $42 | 3.2× |
| Gliadin antibody each immunoglobulin class (86258) | $32.40 | $36 | 2.7× |
| Glucose (82947) | $11.70 | $13 | 3.0× |
| Glucose Blood Test (82962) | $9.90 | $11 | 3.0× |
| Glucose body fluid (82945) | $77.40 | $86 | 19.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $11.70 | $13 | 3.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $35.10 | $39 | 2.7× |
| Glutathione (82978) | $456.30 | $507 | 29.5× |
| Growth hormone (83003) | $43.20 | $48 | 2.6× |
| Haptoglobin (83010) | $34.20 | $38 | 2.7× |
| Hcg qualitative (84703) | $19.80 | $22 | 2.6× |
| Hcg quant (84702) | $39.60 | $44 | 2.6× |
| Hdl Cholesterol (83718) | $21.60 | $24 | 2.6× |
| Heavy metal quant each (83018) | $57.60 | $64 | 2.6× |
| Hematocrit (85014) | $7.20 | $8 | 3.0× |
| Hematocrit spun (85013) | $68.40 | $76 | 9.8× |
| Hemoglobin (85018) | $7.20 | $8 | 3.0× |
| Hemoglobin a1c (83036) | $25.20 | $28 | 2.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $46.80 | $52 | 2.6× |
| Hemoglobin electrophoresis (83020) | $90 | $100 | 7.0× |
| Hemoglobin plasma (83051) | $19.80 | $22 | 2.7× |
| Hemosiderin urine (83070) | $117 | $130 | 24.6× |
| Heparin assay (85520) | $35.10 | $39 | 2.7× |
| Heparin neutralization (85525) | $30.60 | $34 | 2.6× |
| Hepatitis a antibody total (86708) | $32.40 | $36 | 2.6× |
| Hepatitis a igm (86709) | $30.60 | $34 | 2.7× |
| Hepatitis b core ab igm (86705) | $31.50 | $35 | 2.7× |
| Hepatitis b core antibody total (86704) | $32.40 | $36 | 2.7× |
| Hepatitis B Surface Ab (86706) | $28.80 | $32 | 2.7× |
| Hepatitis B Surface Antigen (87340) | $27.90 | $31 | 2.7× |
| Hepatitis be antibody (86707) | $31.50 | $35 | 2.7× |
| Hepatitis Be Antigen (87350) | $144.90 | $161 | 12.6× |
| Hepatitis c ab confirm (86804) | $342 | $380 | 22.1× |
| Hepatitis c antibody (86803) | $37.80 | $42 | 2.6× |
| Hepatitis C Genotype (87902) | $926.10 | $1,029 | 3.6× |
| Hepatitis delta ab (86692) | $44.10 | $49 | 2.6× |
| Herpes culture (87252) | $67.50 | $75 | 2.6× |
| Herpes simplex type 2 (86696) | $50.40 | $56 | 2.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $15.30 | $17 | 3.0× |
| Heterophile antibody titer (86309) | $62.10 | $69 | 9.6× |
| Hfe gene (81256) | $167.40 | $186 | 2.6× |
| Histoplasma antibody (86698) | $37.80 | $42 | 2.7× |
| Histoplasma antigen urine (87385) | $35.10 | $39 | 2.6× |
| HIV confirmation (86689) | $42.30 | $47 | 2.2× |
| HIV-1 antibody (86701) | $25.20 | $28 | 2.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $36 | $40 | 2.6× |
| Hla b 27 disease association lc (81374) | $189.90 | $211 | 2.6× |
| Hla class i high defin qual (86832) | $578.25 | $642.50 | 1.8× |
| Hla class i semiquant panel (86834) | $959.40 | $1,066 | 2.7× |
| Hla class ii high defin qual (86833) | $873.90 | $971 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $581.40 | $646 | 4.8× |
| Homogenization tissue (87176) | $15.30 | $17 | 2.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $172.80 | $192 | 2.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $307.80 | $342 | 8.8× |
| Hydroxychloroquine (80220) | $721.80 | $802 | 38.7× |
| Hydroxyprogesterone 17-d (83498) | $70.20 | $78 | 2.6× |
| Iaad ia clostridium difficile toxin (87324) | $32.40 | $36 | 2.7× |
| Iaad ia cryptosporidium (87328) | $36.90 | $41 | 2.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $62.10 | $69 | 2.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $138.60 | $154 | 9.6× |
| Iaad ia rotavirus (87425) | $178.20 | $198 | 14.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $32.40 | $36 | 2.7× |
| Iaad Ia Streptococcus Group A (87430) | $43.20 | $48 | 2.6× |
| Iaadiadoo not otherwise specified (87899) | $42.30 | $47 | 2.6× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $86.40 | $96 | 2.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $90 | $100 | 2.6× |
| Iadna hepatitis b virus quantification (87517) | $348.30 | $387 | 8.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $109.80 | $122 | 2.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $503.10 | $559 | 14.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $226.80 | $252 | 2.7× |
| Iadna human papillomavirus high-risk types (87624) | $90 | $100 | 2.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $90 | $100 | 2.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $90 | $100 | 2.6× |
| Iadna nos amplified probe tq each organism (87798) | $90 | $100 | 2.6× |
| Iadna nos quantification each organism (87799) | $110.70 | $123 | 2.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $90 | $100 | 2.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,059.30 | $1,177 | 2.5× |
| Igg subclasses (82787) | $21.60 | $24 | 2.7× |
| Igh gene rearrange amp meth (81261) | $485.10 | $539 | 2.5× |
| Immunfix e-phorsis/urine/csf (86335) | $120.60 | $134 | 4.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $39.60 | $44 | 2.6× |
| Immunoassay nonantibody (83516) | $146.70 | $163 | 12.7× |
| Immunodiffusion Ouchterlony (86331) | $40.50 | $45 | 3.4× |
| Immunofixj Electrophoresis Serum (86334) | $103.50 | $115 | 4.6× |
| Immunoglobulin assay (86023) | $293.40 | $326 | 23.5× |
| Immunoglobulin light chains free each (83521) | $45.90 | $51 | 2.7× |
| Immunohisto Antibody Slide (88344) | $189 | $210 | 0.5× |
| Immunohistochemistry (88342) | $234 | $260 | 1.3× |
| India ink prep (87210) | $15.30 | $17 | 2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $159.30 | $177 | 2.3× |
| Influenza DNA amp probe (87502) | $144 | $160 | 1.5× |
| Inhibin a (86336) | $41.40 | $46 | 2.7× |
| Inhibin b (83520) | $138.60 | $154 | 8.0× |
| Insitu hybridization (fish) (88365) | $348.30 | $387 | 2.0× |
| Insitu hybridization auto (88367) | $588.60 | $654 | 1.6× |
| Insulin antibodies (86337) | $55.80 | $62 | 2.6× |
| Insulin free (83527) | $27.90 | $31 | 2.2× |
| Insulin total (83525) | $30.60 | $34 | 2.7× |
| Interleukin 6 (83529) | $306.90 | $341 | 17.8× |
| Intrinsic factor antibody (86340) | $126 | $140 | 8.4× |
| Iron (83540) | $17.10 | $19 | 2.6× |
| Iron binding capacity (83550) | $23.40 | $26 | 2.7× |
| Irradiation of blood product (86945) | $129.60 | $144 | 3.3× |
| Islet cell antibody (86341) | $61.20 | $68 | 2.6× |
| Jak2 gene analysis (81270) | $234 | $260 | 2.6× |
| Koh Prep (87220) | $12.60 | $14 | 3.0× |
| Lactic acid (83605) | $89.55 | $99.50 | 7.7× |
| Lactoferrin fecal qualitative (83630) | $54.90 | $61 | 2.8× |
| Ldh (83615) | $53.10 | $59 | 8.8× |
| LDL cholesterol direct (83721) | $99 | $110 | 9.4× |
| Lead (83655) | $32.40 | $36 | 2.7× |
| Legionella antigen urine (87449) | $32.40 | $36 | 2.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $12.60 | $14 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $78.30 | $87 | 2.0× |
| Level v surg pathology grossµscopic exam (88307) | $491.40 | $546 | 1.3× |
| Level vi surg pathology grossµscopic exam (88309) | $534.60 | $594 | 0.6× |
| Lh (83002) | $48.60 | $54 | 2.6× |
| Lipase (83690) | $18 | $20 | 2.6× |
| Lithium (80178) | $17.10 | $19 | 2.6× |
| Lyme disease antibody (86618) | $44.10 | $49 | 2.6× |
| Lyme disease antibody confirm (86617) | $41.40 | $46 | 2.7× |
| Lymphocyte transformation (86353) | $446.40 | $496 | 9.1× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $747.90 | $831 | 4.2× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $993.60 | $1,104 | 5.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $277.20 | $308 | 1.6× |
| Magnesium (83735) | $18 | $20 | 2.7× |
| Malaria smear (87207) | $266.40 | $296 | 44.5× |
| Manual reticulocyte count (85044) | $64.80 | $72 | 15.0× |
| Mass spectrometry qual/quan (83789) | $366.30 | $407 | 15.2× |
| Mercury (83825) | $42.30 | $47 | 2.6× |
| Methotrexate (80299) | $172.80 | $192 | 9.3× |
| Methylmalonic acid serum (83921) | $54.90 | $61 | 2.6× |
| Microalbumin urine (82043) | $15.30 | $17 | 2.6× |
| Microbe suscept macrobroth (87188) | $57.60 | $64 | 8.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $105.30 | $117 | 1.9× |
| Microsomal antibodies (86376) | $38.70 | $43 | 2.7× |
| Mitochondrial antibody each (86381) | $15.30 | $17 | 0.6× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $674.10 | $749 | 55.9× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $563.40 | $626 | 11.0× |
| Molecular pathology procedure level 2 (81401) | $490.50 | $545 | 3.6× |
| Mononuclear cell antigen (86356) | $117.45 | $130.50 | 4.4× |
| Mopath procedure level 4 (81403) | $709.20 | $788 | 3.8× |
| Muramidase (85549) | $133.20 | $148 | 7.1× |
| Mycoplasma antibody (86738) | $145.80 | $162 | 11.0× |
| Myoglobin urine (83874) | $35.10 | $39 | 2.7× |
| Nasal smear for eosinophils (89190) | $63.90 | $71 | 11.0× |
| Natriuretic peptide (83880) | $100.80 | $112 | 2.6× |
| Neutralization test, viral (86382) | $276.30 | $307 | 16.3× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $507.60 | $564 | 7.0× |
| Niacin (84591) | $32.40 | $36 | 1.9× |
| Nk cells total count (86357) | $87.30 | $97 | 2.3× |
| Nuclear antigen antibody (86235) | $45.90 | $51 | 2.6× |
| Obstetric panel (80081) | $191.70 | $213 | 2.6× |
| Occult blood stool (82272) | $12.60 | $14 | 3.0× |
| Oligoclonal bands (83916) | $202.50 | $225 | 7.4× |
| Osmolality serum (83930) | $17.10 | $19 | 2.6× |
| Osmolality urine (83935) | $18 | $20 | 2.6× |
| Ova and parasite direct-id lca (87177) | $23.40 | $26 | 2.6× |
| Oxalate urine (83945) | $143.10 | $159 | 9.9× |
| Pancreatic polypeptide (83519) | $48.60 | $54 | 2.6× |
| Particle Agglutination Screen Each Antibody (86403) | $31.50 | $35 | 2.7× |
| Parvovirus antibody (86747) | $146.70 | $163 | 9.8× |
| Phenylalanine (84030) | $162 | $180 | 29.5× |
| Phenytoin free (80186) | $36 | $40 | 2.6× |
| Phosphatase alkaline (84075) | $15.30 | $17 | 3.0× |
| Phospholipid Neutralization Hexagonal (85598) | $224.10 | $249 | 12.5× |
| Phosphorus blood (84100) | $14.40 | $16 | 3.0× |
| Phosphorus urine (84105) | $76.50 | $85 | 13.2× |
| Plasminogen (85420) | $17.10 | $19 | 2.6× |
| Platelet count (85049) | $68.40 | $76 | 15.3× |
| Porphobilinogen urine quant (84110) | $157.50 | $175 | 18.7× |
| Porphyrins qn & fraction urine (84120) | $270.90 | $301 | 18.4× |
| Potassium (84132) | $14.40 | $16 | 3.0× |
| Potassium urine (84133) | $14.40 | $16 | 3.0× |
| Pregnenolone (84140) | $180 | $200 | 8.7× |
| Primidone (80188) | $35.10 | $39 | 2.1× |
| Procalcitonin (pct) (84145) | $70.20 | $78 | 2.6× |
| Progesterone (84144) | $54 | $60 | 2.6× |
| Prolactin (84146) | $50.40 | $56 | 2.6× |
| Prostaglandin Ea (84150) | $549 | $610 | 13.1× |
| Protein body fluid (84157) | $68.40 | $76 | 17.1× |
| Protein c activity (85303) | $36.90 | $41 | 2.7× |
| Protein c antigen (85302) | $32.40 | $36 | 2.7× |
| Protein electrophoresis serum (84165) | $72.90 | $81 | 6.8× |
| Protein Electrophoresis Urine (84166) | $90 | $100 | 5.0× |
| Protein S Functional (85306) | $40.50 | $45 | 2.6× |
| Protein s total (85305) | $31.50 | $35 | 2.7× |
| Protein Total Serum (84155) | $10.80 | $12 | 2.9× |
| Protein urine (84156) | $10.80 | $12 | 2.9× |
| Protein Western Blot (84182) | $43.20 | $48 | 1.5× |
| PSA free (84154) | $48.60 | $54 | 2.6× |
| Quantiferon tb gold (86480) | $157.50 | $175 | 2.5× |
| Rbc antibody elution (86860) | $195.30 | $217 | 1.1× |
| Rbc pretx incubatj w/chemicl (86970) | $137.70 | $153 | 2.2× |
| Rbc serum pretx incubj drugs (86975) | $334.80 | $372 | 0.7× |
| Renin activity plasma (84244) | $57.60 | $64 | 2.6× |
| Resp virus 3-5 targets (87631) | $364.50 | $405 | 2.6× |
| Respiratory viral panel PCR (87633) | $1,063.80 | $1,182 | 2.6× |
| Respiratory Virus (86756) | $41.40 | $46 | 2.6× |
| Reticulated platelet assay (85055) | $158.40 | $176 | 4.4× |
| Reticulocyte Count (85046) | $15.30 | $17 | 2.7× |
| Reticulocyte separation (86972) | $224.10 | $249 | 1.3× |
| Rheumatoid factor quant (86431) | $15.30 | $17 | 2.7× |
| Rickettsia antibody (86757) | $50.40 | $56 | 2.6× |
| Rsv (87807) | $35.10 | $39 | 2.7× |
| Rubella antibody (86762) | $37.80 | $42 | 2.6× |
| Russell viper venom time diluted (85613) | $25.20 | $28 | 2.6× |
| Saccharomyces ab iga (86671) | $34.20 | $38 | 2.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $131.40 | $146 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $108.90 | $121 | 2.6× |
| Sars-cov-2 covid19 w/optic (87811) | $107.10 | $119 | 2.6× |
| Sedimentation rate (85651) | $12.60 | $14 | 3.0× |
| Semen analysis (89322) | $41.40 | $46 | 2.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $32.40 | $36 | 2.7× |
| Semen analysis w/count (89310) | $257.40 | $286 | 29.9× |
| Sensitivity mic (87186) | $23.40 | $26 | 2.7× |
| Serotonin Release Assay (86022) | $645.30 | $717 | 35.1× |
| Sex hormone binding globulin (84270) | $56.70 | $63 | 2.6× |
| Sickle cell screen (85660) | $15.30 | $17 | 2.8× |
| Smear acid fast (87206) | $85.50 | $95 | 15.9× |
| Smear complex stain (87209) | $45.90 | $51 | 2.6× |
| Smear gram stain (87205) | $12.60 | $14 | 3.0× |
| Sodium (84295) | $14.40 | $16 | 3.0× |
| Sodium other source (84302) | $135.90 | $151 | 28.0× |
| Sodium urine (84300) | $15.30 | $17 | 3.0× |
| Soluble transferrin receptor (84238) | $93.60 | $104 | 2.6× |
| Somatostatin (84307) | $949.50 | $1,055 | 51.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $270 | $300 | 2.0× |
| Special stains group 1 (88312) | $273.60 | $304 | 5.1× |
| Specific gravity body fluid (84315) | $67.50 | $75 | 20.6× |
| Spectrophotometry (84311) | $240.30 | $267 | 29.7× |
| Stool Cultr Aerobic Bact Ea (87046) | $23.40 | $26 | 2.5× |
| Strep a assay w/optic (87880) | $43.20 | $48 | 2.6× |
| Sulfate urine (84392) | $106.20 | $118 | 19.3× |
| Surg path level iii (88304) | $101.70 | $113 | 1.9× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $38.70 | $43 | 1.3× |
| Surgical pathology level IV (88305) | $173.70 | $193 | 3.2× |
| Susceptibility study antimicrobial disk method (87184) | $19.80 | $22 | 2.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $109.80 | $122 | 2.3× |
| T cells, total count (86359) | $87.30 | $97 | 2.3× |
| T3 free (84481) | $43.20 | $48 | 2.6× |
| T3 reverse (84482) | $41.40 | $46 | 2.6× |
| T3 total (84480) | $37.80 | $42 | 2.7× |
| T4 Free (84439) | $23.40 | $26 | 2.6× |
| T4 total (84436) | $18 | $20 | 2.6× |
| T4-neonatal (84437) | $17.10 | $19 | 2.6× |
| Tb intradermal test (86580) | $24.30 | $27 | 0.8× |
| Test for acetone/ketones (82009) | $14.40 | $16 | 3.2× |
| Testosterone free (84402) | $189 | $210 | 7.4× |
| Testosterone total (84403) | $66.60 | $74 | 2.6× |
| Theophylline (80198) | $147.60 | $164 | 10.4× |
| Thin prep pap (88142) | $53.10 | $59 | 2.6× |
| Thrombin time plasma (85670) | $15.30 | $17 | 2.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $17.10 | $19 | 2.6× |
| Thyroglobulin (84432) | $42.30 | $47 | 2.6× |
| Thyroglobulin Ab (86800) | $41.40 | $46 | 2.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $131.40 | $146 | 2.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $62.10 | $69 | 5.4× |
| Tissue Culture Lymphocyte (88230) | $297 | $330 | 2.5× |
| Tobramycin peak (80200) | $173.70 | $193 | 10.8× |
| Toxoplasma ab igm (86778) | $128.70 | $143 | 8.9× |
| Toxoplasma antibody igg (86777) | $80.10 | $89 | 5.6× |
| Transferrin (84466) | $34.20 | $38 | 2.7× |
| Trg gene rearrangement analysis (81342) | $501.30 | $557 | 2.5× |
| Triglycerides (84478) | $15.30 | $17 | 2.7× |
| Troponin (84484) | $34.20 | $38 | 2.7× |
| Unlisted transfusion medicine procedure (86999) | $223.65 | $248.50 | 7.4× |
| Urea nitrogen (84520) | $11.70 | $13 | 3.0× |
| Urea nitrogen urine (84540) | $15.30 | $17 | 2.8× |
| Uric acid blood (84550) | $13.50 | $15 | 3.0× |
| Uric acid other source (84560) | $89.10 | $99 | 17.5× |
| Urinalysis microscopic only (81015) | $9 | $10 | 3.0× |
| Urinalysis w/microscopic (81001) | $9.90 | $11 | 3.1× |
| Urine pregnancy test (81025) | $22.50 | $25 | 2.6× |
| Urine volume measurement (81050) | $10.80 | $12 | 3.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $7.20 | $8 | 3.2× |
| Valproic acid level (80164) | $36 | $40 | 2.7× |
| Vancomycin trough (80202) | $36 | $40 | 2.7× |
| Varicella-zoster antibody (86787) | $35.10 | $39 | 2.7× |
| Vasoactive intestinal peptide (vip) (84586) | $97.20 | $108 | 2.8× |
| Vdrl csf (86592) | $12.60 | $14 | 3.0× |
| Very long chain fatty acids (82726) | $602.10 | $669 | 30.5× |
| Virus antibody nos (86790) | $179.10 | $199 | 13.9× |
| Viscosity serum (85810) | $155.70 | $173 | 13.3× |
| Vitamin A (84590) | $31.50 | $35 | 2.7× |
| Vitamin b-12 (82607) | $40.50 | $45 | 2.7× |
| Vitamin b-2 (riboflavin) (84252) | $42.30 | $47 | 2.1× |
| Vitamin b1 (thiamine) (84425) | $55.80 | $62 | 2.6× |
| Vitamin b6 (84207) | $72.90 | $81 | 2.6× |
| Vitamin C (82180) | $27 | $30 | 2.7× |
| Vitamin D 25-Hydroxy (82306) | $62.10 | $69 | 2.1× |
| Vitamin e serum (84446) | $37.80 | $42 | 2.7× |
| Von willebrand factor activity (85245) | $48.60 | $54 | 2.1× |
| West nile virus ab, igm (86788) | $43.20 | $48 | 2.6× |
| West nile virus antibody (86789) | $37.80 | $42 | 2.6× |
| Zinc (84630) | $30.60 | $34 | 2.7× |