Lab & pathology prices at Prague Regional Memorial Hospital
Prague, OK · every code in this section with a posted price and a Medicare benchmark.
413 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) | $357 | $357 | 9.3× |
| 5 Hiaa (83497) | $242 | $242 | 18.8× |
| Acetaminophen level (80143) | $203 | $203 | 10.9× |
| Actin smooth muscle antibody each (86015) | $175 | $175 | 14.5× |
| Acute hepatitis panel (80074) | $429 | $429 | 9.0× |
| Albumin serum (82040) | $76 | $76 | 15.4× |
| Aldolase (82085) | $98 | $98 | 10.1× |
| Aldosterone urine (82088) | $367 | $367 | 9.0× |
| Allergen specific ige (86003) | $67 | $67 | 12.8× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $1,454.60 | $1,454.60 | 182.5× |
| Alpha-1-antitrypsin phenotype (82104) | $121 | $121 | 8.4× |
| Alpha-1-antitrypsin, total (82103) | $473 | $473 | 35.2× |
| Alpha-fetoprotein, serum (82105) | $152 | $152 | 9.1× |
| Alt (sgpt) (84460) | $76 | $76 | 14.3× |
| Amikacin trough (80150) | $174 | $174 | 11.5× |
| Amines vaginal fluid qual (82120) | $20 | $20 | 3.3× |
| Amino Acids, Single Quantitation (82131) | $79 | $79 | 3.4× |
| Ammonia (82140) | $133 | $133 | 9.1× |
| Amylase urine (82150) | $76 | $76 | 11.7× |
| Ana Titer (86039) | $75 | $75 | 6.7× |
| Angiotensin i enzyme test (82164) | $403 | $403 | 27.6× |
| Anti-phosphatidylserine antibody (86148) | $252 | $252 | 15.7× |
| Antibody aspergillus (86606) | $275 | $275 | 18.3× |
| Antibody cytomegalovirus cmv (86644) | $96 | $96 | 6.7× |
| Antibody cytomegalovirus cmv igm (86645) | $96 | $96 | 5.7× |
| Antibody helicobacter pylori (86677) | $392 | $392 | 23.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $65 | $65 | 4.5× |
| Antibody herpes smplx type 1 (86695) | $444 | $444 | 33.7× |
| Antibody identification leukocyte antibodies (86021) | $397 | $397 | 26.4× |
| Antibody john cunningham virus (86711) | $792 | $792 | 46.9× |
| Antibody mumps (86735) | $222 | $222 | 17.0× |
| Antibody Protozoa Nes (86753) | $47.69 | $47.69 | 3.8× |
| Antibody rubeola (86765) | $180 | $180 | 14.0× |
| Antibody screen (86850) | $162 | $162 | 16.6× |
| Antibody treponema pallidum (86780) | $95 | $95 | 7.2× |
| Antigen typing (86905) | $160 | $160 | 41.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $358 | $358 | 29.7× |
| Antinuclear antibodies (86038) | $143 | $143 | 11.8× |
| Antistreptolysin o titer (86060) | $86 | $86 | 11.8× |
| Antithrombin iii activity (85300) | $210 | $210 | 17.7× |
| Antithrombin iii antigen (85301) | $120 | $120 | 11.1× |
| Apolipoprotein b (82172) | $242 | $242 | 11.5× |
| Assay Lipoprotein Pla2 (83698) | $434 | $434 | 9.4× |
| Assay Nephelometry Not Spec (83883) | $157 | $157 | 11.5× |
| Assay of acth (82024) | $80 | $80 | 2.1× |
| Assay of androstenedione (82157) | $623 | $623 | 21.3× |
| Assay of c-peptide (84681) | $419 | $419 | 20.1× |
| Assay of calcitonin (82308) | $532 | $532 | 19.9× |
| Assay of ceruloplasmin (82390) | $113 | $113 | 10.5× |
| Assay of cyclosporine (80158) | $72.20 | $72.20 | 4.0× |
| Assay of erythropoietin (82668) | $312 | $312 | 16.6× |
| Assay of ferritin (82728) | $213 | $213 | 15.6× |
| Assay of g6pd enzyme (82955) | $117 | $117 | 12.1× |
| Assay of gammaglobulin igm (82784) | $83 | $83 | 8.9× |
| Assay of gentamicin (80170) | $168 | $168 | 10.3× |
| Assay of homocystine (83090) | $271 | $271 | 15.1× |
| Assay of metanephrines (83835) | $153 | $153 | 9.0× |
| Assay of parathormone (83970) | $184 | $184 | 4.5× |
| Assay of phenobarbital (80184) | $171 | $171 | 11.2× |
| Assay of prealbumin (84134) | $133 | $133 | 9.1× |
| Assay of proinsulin (84206) | $384 | $384 | 14.4× |
| Assay of prostate specific antigen complexed (84152) | $65 | $65 | 3.5× |
| Assay of somatomedin (84305) | $76 | $76 | 3.6× |
| Assay of tacrolimus (80197) | $165 | $165 | 12.0× |
| Assay of vitamin k (84597) | $574.55 | $574.55 | 41.9× |
| Assay Ph Body Fluid Nos (83986) | $30 | $30 | 8.4× |
| Ast (sgot) (84450) | $76 | $76 | 14.7× |
| Bartonella DNA amp probe (87471) | $160 | $160 | 4.6× |
| Bcr/abl1 gene major bp (81206) | $953 | $953 | 5.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $163 | $163 | 6.4× |
| Beta hydroxybutyrate (82010) | $441 | $441 | 54.0× |
| Beta-2 microglobulin (82232) | $53 | $53 | 3.3× |
| Bilirubin direct (82248) | $92 | $92 | 18.3× |
| Bilirubin total (82247) | $76 | $76 | 15.1× |
| Bl Smear W/Diff Wbc Count (85007) | $178 | $178 | 46.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $173 | $173 | 50.4× |
| Blood count reticulocyte automated (85045) | $26 | $26 | 6.5× |
| Blood gases (82803) | $252.50 | $252.50 | 9.7× |
| Blood gases w/02 saturation (82805) | $172 | $172 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50 | $50 | 11.4× |
| Blood Ph - Ph Venous (82800) | $87 | $87 | 7.9× |
| Blood typing abo (86900) | $151 | $151 | 50.5× |
| Blood typing serologic rh (d) (86901) | $324 | $324 | 108.4× |
| Body fluid cell count (89051) | $130 | $130 | 23.2× |
| Body fluid cell count (89050) | $71 | $71 | 15.0× |
| C diff amplified probe (87493) | $99.50 | $99.50 | 2.7× |
| C-reactive protein (86140) | $363 | $363 | 70.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $535 | $535 | 41.3× |
| Ca 125 (86304) | $248 | $248 | 11.9× |
| Ca 19-9 (86301) | $67 | $67 | 3.2× |
| Ca 27 29 (86300) | $442.50 | $442.50 | 21.3× |
| Calcium ionized (82330) | $123 | $123 | 9.0× |
| Calcium total (82310) | $76 | $76 | 14.7× |
| Calcium urine (82340) | $54 | $54 | 9.0× |
| Calculus Spectroscopy (82365) | $209 | $209 | 16.2× |
| Calprotectin, fecal (83993) | $587 | $587 | 29.9× |
| Calr gene com variants (81219) | $713.10 | $713.10 | 5.9× |
| Carbamazepine (tegretol) total (80156) | $194 | $194 | 13.3× |
| Carbon dioxide (82374) | $107 | $107 | 21.9× |
| Carboxyhemoglobin Quantitative (82375) | $65 | $65 | 5.3× |
| Carcinoembryonic antigen (82378) | $235 | $235 | 12.4× |
| Cardiolipin ab igg (86147) | $349 | $349 | 13.7× |
| Catecholamines fraction plasma (82384) | $290.50 | $290.50 | 11.5× |
| Cd4 absolute count (86361) | $109 | $109 | 4.1× |
| Chemiluminescent assay (82397) | $192 | $192 | 13.6× |
| Chloride urine (82436) | $76 | $76 | 13.2× |
| Cholesterol total (82465) | $76 | $76 | 17.5× |
| Chromium urine (82495) | $134 | $134 | 6.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $90 | $90 | 2.6× |
| Citrate (82507) | $124 | $124 | 4.5× |
| Ck isoenzymes (82552) | $162 | $162 | 12.1× |
| Ckmb (82553) | $174 | $174 | 15.1× |
| Clot factor viii vw antigen (85246) | $292 | $292 | 12.7× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $224 | $224 | 12.5× |
| Clozapine level (80159) | $247 | $247 | 12.3× |
| Cmv PCR (87496) | $160 | $160 | 4.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,000 | $1,000 | 2.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $175.50 | $175.50 | 7.3× |
| Compatibility test antiglob (86922) | $162 | $162 | 1.0× |
| Complement c3 (86160) | $52 | $52 | 4.3× |
| Complement total ch50 (86162) | $210 | $210 | 10.3× |
| Coombs direct (86880) | $535 | $535 | 99.3× |
| Copper urine (82525) | $600 | $600 | 48.3× |
| Cortisol free (82530) | $195 | $195 | 11.7× |
| Cortisol total (82533) | $178 | $178 | 10.9× |
| Creatine kinase total (82550) | $162 | $162 | 24.9× |
| Creatinine blood (82565) | $76 | $76 | 14.8× |
| Creatinine clearance (82575) | $160 | $160 | 16.9× |
| Creatinine other source (82570) | $162 | $162 | 31.3× |
| Crossmatch immediate spin (86920) | $243 | $243 | 1.5× |
| Cryoglobulin (82595) | $74 | $74 | 11.4× |
| Culture Aerobic Identify (87077) | $152 | $152 | 18.8× |
| Culture anaerobic (87075) | $257 | $257 | 27.1× |
| Culture blood (87040) | $246 | $246 | 23.8× |
| Culture fungus other (87102) | $120 | $120 | 14.3× |
| Culture genital (87070) | $183 | $183 | 21.2× |
| Culture screen only (87081) | $387 | $387 | 58.4× |
| Culture stool (87045) | $277 | $277 | 29.3× |
| Culture urine (87086) | $95 | $95 | 11.8× |
| Cyclic Citrullinated Peptide (86200) | $576 | $576 | 44.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $200 | $200 | 4.7× |
| Cytopath cell enhance tech (88112) | $549 | $549 | 11.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $105 | $105 | 3.9× |
| Cytp concentration smears & interpretation (88108) | $224.50 | $224.50 | 6.3× |
| D-Dimer (85379) | $530 | $530 | 52.1× |
| Deoxyribonuclease antibody (86215) | $108 | $108 | 8.2× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $291 | $291 | 6.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $73 | $73 | 4.4× |
| Detect agnt mult DNA ampli (87801) | $300 | $300 | 4.3× |
| Dhea (82626) | $129 | $129 | 5.1× |
| Dhea sulfate (82627) | $315 | $315 | 14.2× |
| Digoxin (80162) | $189 | $189 | 14.2× |
| Digoxin free (80163) | $183 | $183 | 13.8× |
| Dilantin (80185) | $189 | $189 | 14.3× |
| Dna Antibody Single Stranded (86226) | $162 | $162 | 13.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $75.19 | $75.19 | 5.5× |
| Drug screen quant zonisamide (80203) | $471 | $471 | 35.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $180 | $180 | 13.6× |
| Drug Scrn Quan Levetiracetam (80177) | $471 | $471 | 35.5× |
| Drug test prsmv chem anlyzr (80307) | $1,094.31 | $1,094.31 | 17.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $125 | $125 | 9.9× |
| Ebv viral capsid (86665) | $143 | $143 | 7.9× |
| Ehrlichia antibody (86666) | $244 | $244 | 24.0× |
| Electrolyte panel (80051) | $72 | $72 | 10.3× |
| Endomysial antibody iga (86255) | $162 | $162 | 13.4× |
| Enterovirus Pcr (87498) | $160 | $160 | 4.6× |
| Enzyme cell activity (82657) | $158 | $158 | 7.1× |
| Estradiol (82670) | $817 | $817 | 29.2× |
| Estrogens total (82672) | $164 | $164 | 7.6× |
| Estrone (82679) | $471 | $471 | 18.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $79 | $79 | 10.8× |
| F2 gene analysis 20210g >a variant (81240) | $342.60 | $342.60 | 5.2× |
| F5 gene (81241) | $342 | $342 | 4.7× |
| Factor ii activity (85210) | $224 | $224 | 17.3× |
| Factor ix activity (85250) | $311 | $311 | 16.3× |
| Factor v activity (85220) | $311 | $311 | 17.6× |
| Factor vii assay (85230) | $224 | $224 | 12.5× |
| Factor viii ahg (85240) | $311 | $311 | 17.4× |
| Factor xi assay (85270) | $224 | $224 | 12.5× |
| Factor xii assay (85280) | $267 | $267 | 13.8× |
| Fat stain (89125) | $15 | $15 | 2.6× |
| Fecal fat qual (82705) | $45 | $45 | 8.8× |
| Fibrinogen activity (85384) | $77 | $77 | 7.9× |
| Flow cytometry first marker (88184) | $160 | $160 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $126 | $126 | 10.5× |
| Folate serum (82746) | $201 | $201 | 13.7× |
| Follicle Stimulating Hormone (83001) | $280 | $280 | 15.1× |
| Francisella Tularensis (86668) | $163 | $163 | 11.5× |
| Fresh frozen plasma thawing each unit (86927) | $302 | $302 | 1.8× |
| Fructosamine (82985) | $157 | $157 | 9.4× |
| Gammaglobulin ige (82785) | $125 | $125 | 7.6× |
| Ggt (82977) | $42 | $42 | 5.8× |
| Giardia antigen eia stool (87329) | $54 | $54 | 4.5× |
| Gliadin antibody each immunoglobulin class (86258) | $57.65 | $57.65 | 4.8× |
| Glucose (82947) | $76 | $76 | 19.3× |
| Glucose Blood Test (82962) | $39 | $39 | 11.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $66 | $66 | 16.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $235 | $235 | 18.3× |
| Haptoglobin (83010) | $124 | $124 | 9.9× |
| Hcg qualitative (84703) | $184 | $184 | 24.5× |
| Hcg quant (84702) | $137 | $137 | 9.1× |
| Hdl Cholesterol (83718) | $92 | $92 | 11.2× |
| Heavy metal quant each (83018) | $142 | $142 | 6.5× |
| Hematocrit (85014) | $38 | $38 | 16.0× |
| Hemoglobin (85018) | $38 | $38 | 16.0× |
| Hemoglobin a1c (83036) | $124 | $124 | 12.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $108 | $108 | 6.0× |
| Heparin assay (85520) | $193.50 | $193.50 | 14.8× |
| Hepatitis a antibody total (86708) | $81 | $81 | 6.5× |
| Hepatitis b core ab igm (86705) | $42.25 | $42.25 | 3.6× |
| Hepatitis b core antibody total (86704) | $290 | $290 | 24.1× |
| Hepatitis B Surface Ab (86706) | $97 | $97 | 9.0× |
| Hepatitis B Surface Antigen (87340) | $165 | $165 | 16.0× |
| Hepatitis Be Antigen (87350) | $53.75 | $53.75 | 4.7× |
| Hepatitis c antibody (86803) | $143 | $143 | 10.0× |
| Hepatitis C Genotype (87902) | $2,317 | $2,317 | 9.0× |
| Hepatitis delta ab (86692) | $120 | $120 | 7.0× |
| Herpes culture (87252) | $501 | $501 | 19.2× |
| Herpes simplex type 2 (86696) | $444 | $444 | 22.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $76 | $76 | 14.7× |
| HIV-1 antibody (86701) | $252 | $252 | 28.3× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $290 | $290 | 21.2× |
| Hla ii typing 1 allele hr (81383) | $449.10 | $449.10 | 4.1× |
| Hla-b27 (86812) | $361 | $361 | 14.0× |
| Hpv types 16 & 18 only (87625) | $160 | $160 | 3.9× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $495.30 | $495.30 | 7.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $160 | $160 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $163 | $163 | 6.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $136 | $136 | 3.0× |
| Iaad ia cryptosporidium (87328) | $54 | $54 | 3.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $240 | $240 | 10.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $429 | $429 | 29.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $137 | $137 | 9.8× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $54 | 3.2× |
| Iaadi inffluenza a virus (87276) | $54 | $54 | 3.4× |
| Iaadi influenza b virus (87275) | $52 | $52 | 4.2× |
| Iaadi respiratory synctial virus (87280) | $94 | $94 | 7.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $50 | $50 | 3.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $187 | $187 | 5.3× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $160 | $160 | 4.6× |
| Iadna candida species amplified probe tq (87481) | $90 | $90 | 2.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $160 | $160 | 4.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $263 | $263 | 11.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $175 | $175 | 2.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $187 | $187 | 5.3× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $160 | $160 | 4.6× |
| Iadna hepatitis b virus quantification (87517) | $252 | $252 | 5.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $985 | $985 | 23.0× |
| Iadna herpes virus-6 amplified probe tq (87532) | $160 | $160 | 4.6× |
| Iadna human papillomavirus high-risk types (87624) | $292 | $292 | 8.3× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $160 | $160 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $160 | $160 | 4.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $160 | $160 | 4.6× |
| Iadna nos amplified probe tq each organism (87798) | $160 | $160 | 4.6× |
| Iadna nos quantification each organism (87799) | $200 | $200 | 4.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $160 | $160 | 4.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,000 | $1,000 | 2.4× |
| Igg subclasses (82787) | $129 | $129 | 16.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $324.50 | $324.50 | 21.6× |
| Immunoassay nonantibody (83516) | $290 | $290 | 25.2× |
| Immunodiffusion Ouchterlony (86331) | $275 | $275 | 23.0× |
| Immunofixj Electrophoresis Serum (86334) | $178 | $178 | 8.0× |
| Immunoglobulin light chains free each (83521) | $227.17 | $227.17 | 13.2× |
| Immunohistochemistry (88342) | $253.24 | $253.24 | 1.5× |
| India ink prep (87210) | $114 | $114 | 19.6× |
| Influenza DNA amp probe (87502) | $115 | $115 | 1.2× |
| Inhibin b (83520) | $271 | $271 | 15.7× |
| Insulin antibodies (86337) | $128.70 | $128.70 | 6.0× |
| Insulin total (83525) | $217 | $217 | 19.0× |
| Iron (83540) | $76 | $76 | 11.7× |
| Iron binding capacity (83550) | $137 | $137 | 15.7× |
| Islet cell antibody (86341) | $116 | $116 | 4.9× |
| Ketosteroids 17; total (83586) | $139.75 | $139.75 | 10.9× |
| Lactic acid (83605) | $491 | $491 | 42.4× |
| Lactoferrin fecal qualitative (83630) | $77 | $77 | 3.9× |
| Lactoferrin Fecal Quantitative (83631) | $346 | $346 | 17.6× |
| Ldh (83615) | $76 | $76 | 12.6× |
| LDL cholesterol direct (83721) | $104 | $104 | 9.9× |
| Lead (83655) | $121 | $121 | 10.0× |
| Legion pneumo, DNA, amp prob (87541) | $160 | $160 | 4.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $29 | $29 | 6.8× |
| Lh (83002) | $241 | $241 | 13.0× |
| Lipase (83690) | $122 | $122 | 17.7× |
| Listeria ab (86609) | $275 | $275 | 21.4× |
| Lithium (80178) | $61 | $61 | 9.2× |
| Lyme disease antibody (86618) | $217 | $217 | 12.7× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $160 | $160 | 4.6× |
| Magnesium (83735) | $230 | $230 | 34.3× |
| Mass spectrometry qual/quan (83789) | $180 | $180 | 7.5× |
| Methotrexate (80299) | $406 | $406 | 21.8× |
| Methylmalonic acid serum (83921) | $130 | $130 | 6.1× |
| Microalbumin urine (82043) | $76 | $76 | 13.1× |
| Microsomal antibodies (86376) | $212 | $212 | 14.6× |
| Mitochondrial antibody each (86381) | $127 | $127 | 5.0× |
| Mopath procedure level 3 (81402) | $597.75 | $597.75 | 4.0× |
| Mrsa amp probe (87641) | $200 | $200 | 5.7× |
| Mthfr Gene Analysis Common Variants (81291) | $230 | $230 | 3.5× |
| Muramidase (85549) | $533 | $533 | 28.4× |
| Mycoplasma antibody (86738) | $75 | $75 | 5.7× |
| Mycoplasma culture (87109) | $61.56 | $61.56 | 4.0× |
| Myoglobin urine (83874) | $127.51 | $127.51 | 9.9× |
| Natriuretic peptide (83880) | $301 | $301 | 7.7× |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) | $115 | $115 | 3.9× |
| Nfct ds bv&vaginitis DNA alg (81514) | $1,051.96 | $1,051.96 | 4.0× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $390 | $390 | 5.4× |
| Nuclear antigen antibody (86235) | $163 | $163 | 9.1× |
| Occult blood stool (82272) | $35 | $35 | 8.3× |
| Osmolality serum (83930) | $124 | $124 | 18.8× |
| Osmolality urine (83935) | $124 | $124 | 18.2× |
| Ova and parasite direct-id lca (87177) | $152 | $152 | 17.1× |
| Pancreatic elastase fecal (82656) | $525 | $525 | 45.5× |
| Pancreatic polypeptide (83519) | $197 | $197 | 10.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $173 | $173 | 3.5× |
| Phenylalanine (84030) | $21 | $21 | 3.8× |
| Phenytoin free (80186) | $40 | $40 | 2.9× |
| Phosphatase alkaline (84075) | $76 | $76 | 14.7× |
| Phosphorus blood (84100) | $76 | $76 | 16.0× |
| Potassium (84132) | $76 | $76 | 16.0× |
| Potassium urine (84133) | $76 | $76 | 16.1× |
| Procalcitonin (pct) (84145) | $236 | $236 | 8.7× |
| Progesterone (84144) | $306 | $306 | 14.7× |
| Prolactin (84146) | $367 | $367 | 18.9× |
| Protein c activity (85303) | $216 | $216 | 15.6× |
| Protein c antigen (85302) | $286 | $286 | 23.8× |
| Protein electrophoresis serum (84165) | $347 | $347 | 32.3× |
| Protein Electrophoresis Urine (84166) | $79 | $79 | 4.4× |
| Protein S Functional (85306) | $228 | $228 | 14.9× |
| Protein s total (85305) | $228 | $228 | 19.6× |
| Protein Total Serum (84155) | $96 | $96 | 26.2× |
| Protein urine (84156) | $65 | $65 | 17.7× |
| Protein Western Blot (84182) | $120 | $120 | 4.1× |
| PSA free (84154) | $289 | $289 | 15.7× |
| Quantiferon tb gold (86480) | $450.23 | $450.23 | 7.3× |
| Reagent strip/blood glucose (82948) | $17 | $17 | 3.4× |
| Renin activity plasma (84244) | $191 | $191 | 8.7× |
| Respiratory viral panel PCR (87633) | $1,000 | $1,000 | 2.4× |
| Reticulated platelet assay (85055) | $163 | $163 | 4.6× |
| Rheumatoid Factor Qual (86430) | $76 | $76 | 12.4× |
| Rheumatoid factor quant (86431) | $42 | $42 | 7.4× |
| Rickettsia antibody (86757) | $227 | $227 | 11.7× |
| Rpr Titer (86593) | $93 | $93 | 21.1× |
| Rsv (87807) | $137 | $137 | 10.5× |
| Rubella antibody (86762) | $152 | $152 | 10.6× |
| Russell viper venom time diluted (85613) | $123.50 | $123.50 | 12.9× |
| Russell Viper Venom Time Undiluted (85612) | $120 | $120 | 6.9× |
| Saccharomyces ab iga (86671) | $398 | $398 | 32.5× |
| Salicylate (80179) | $203 | $203 | 10.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $300 | $300 | 7.1× |
| Sed rate automated (85652) | $33 | $33 | 12.2× |
| Sensitivity mic (87186) | $58 | $58 | 6.7× |
| Serotonin Release Assay (86022) | $73.75 | $73.75 | 4.0× |
| Sex hormone binding globulin (84270) | $163 | $163 | 7.5× |
| Sickle cell screen (85660) | $27.55 | $27.55 | 5.0× |
| Smear gram stain (87205) | $59 | $59 | 13.8× |
| Sodium (84295) | $76 | $76 | 15.8× |
| Sodium urine (84300) | $72 | $72 | 14.2× |
| Staph aureus amplified probe (87640) | $160 | $160 | 4.6× |
| Strep a assay w/optic (87880) | $92 | $92 | 5.6× |
| Strep a DNA amp probe (87651) | $160 | $160 | 4.6× |
| Strep b DNA amp probe (87653) | $160 | $160 | 4.6× |
| Surgical pathology level IV (88305) | $324 | $324 | 6.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $329 | $329 | 7.0× |
| T cells, total count (86359) | $244 | $244 | 6.5× |
| T3 free (84481) | $150 | $150 | 8.9× |
| T3 reverse (84482) | $105 | $105 | 6.7× |
| T3 total (84480) | $162 | $162 | 11.4× |
| T3 uptake (84479) | $62 | $62 | 9.6× |
| T4 Free (84439) | $58 | $58 | 6.4× |
| T4 total (84436) | $58 | $58 | 8.4× |
| Test for acetone/ketones (82009) | $303 | $303 | 67.0× |
| Testosterone free (84402) | $145 | $145 | 5.7× |
| Testosterone total (84403) | $344 | $344 | 13.3× |
| Theophylline (80198) | $189 | $189 | 13.4× |
| Thin prep pap (88142) | $129 | $129 | 6.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $32 | $32 | 4.9× |
| Thyroglobulin (84432) | $145 | $145 | 9.0× |
| Thyroglobulin Ab (86800) | $280 | $280 | 17.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $335 | $335 | 6.6× |
| Thyroxine binding globulin (84442) | $314 | $314 | 21.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $57.65 | $57.65 | 5.0× |
| Touch prep (88161) | $164 | $164 | 5.9× |
| Toxin or antitoxin assay (87230) | $177 | $177 | 9.0× |
| Transferrin (84466) | $76 | $76 | 6.0× |
| Triglycerides (84478) | $162 | $162 | 28.2× |
| Troponin (84484) | $182 | $182 | 14.6× |
| Tyrosine (84510) | $79 | $79 | 7.4× |
| Urea nitrogen (84520) | $76 | $76 | 19.2× |
| Uric acid blood (84550) | $76 | $76 | 16.8× |
| Uric acid other source (84560) | $47 | $47 | 9.3× |
| Urinalysis microscopic only (81015) | $31 | $31 | 10.2× |
| Urinalysis w/microscopic (81001) | $76 | $76 | 24.0× |
| Urine pregnancy test (81025) | $76 | $76 | 8.8× |
| Urine volume measurement (81050) | $29 | $29 | 8.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $25 | $25 | 11.1× |
| Valproic acid level (80164) | $223 | $223 | 16.5× |
| Vancomycin trough (80202) | $498 | $498 | 36.8× |
| Vanomycin DNA amp probe (87500) | $150 | $150 | 4.3× |
| Varicella-zoster antibody (86787) | $267 | $267 | 20.7× |
| Vasopressin (84588) | $304 | $304 | 9.0× |
| Vdrl csf (86592) | $62 | $62 | 14.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $140 | $140 | 4.1× |
| Vitamin A (84590) | $58.05 | $58.05 | 5.0× |
| Vitamin b-12 (82607) | $194 | $194 | 12.9× |
| Vitamin b1 (thiamine) (84425) | $71 | $71 | 3.3× |
| Vitamin b6 (84207) | $598 | $598 | 21.3× |
| Vitamin C (82180) | $135 | $135 | 13.7× |
| Vitamin D 25-Hydroxy (82306) | $297 | $297 | 10.0× |
| Vitamin e serum (84446) | $70.90 | $70.90 | 5.0× |
| Voltage-gated calcium channel antibody each (86596) | $80 | $80 | 6.6× |
| Von willebrand factor activity (85245) | $224 | $224 | 9.8× |
| West nile virus ab, igm (86788) | $114 | $114 | 6.8× |
| West nile virus antibody (86789) | $114 | $114 | 7.9× |
| Zinc (84630) | $110 | $110 | 9.7× |