Lab & pathology prices at Providence Medical Center
Wayne, NE · every code in this section with a posted price and a Medicare benchmark.
379 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) | $259.35 | $273 | 6.7× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $220.40 | $232 | 12.0× |
| Acetylcholine receptor binding antibody (86041) | $213.75 | $225 | 11.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $213.75 | $225 | 17.7× |
| Acute hepatitis panel (80074) | $55.10 | $58 | 1.2× |
| Afb culture (87116) | $23.75 | $25 | 2.2× |
| Albumin Fluid (82042) | $20.90 | $22 | 2.7× |
| Albumin serum (82040) | $38 | $40 | 7.7× |
| Aldolase (82085) | $31.35 | $33 | 3.2× |
| Aldosterone urine (82088) | $194.28 | $204.50 | 4.8× |
| Allerg sp igg quan or semiquan (86001) | $58.90 | $62 | 7.5× |
| Allergen specific ige (86003) | $29.45 | $31 | 5.6× |
| Allg Spec Ige Recomb Ea (86008) | $6.65 | $7 | 0.4× |
| Alpha-1-antitrypsin, total (82103) | $34.20 | $36 | 2.5× |
| Alpha-fetoprotein, serum (82105) | $41.80 | $44 | 2.5× |
| Alt (sgpt) (84460) | $57.95 | $61 | 10.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $134.90 | $142 | 8.0× |
| Ammonia (82140) | $147.72 | $155.50 | 10.1× |
| Amylase urine (82150) | $95 | $100 | 14.7× |
| Ana Titer (86039) | $35.15 | $37 | 3.1× |
| Angiotensin i enzyme test (82164) | $40.38 | $42.50 | 2.8× |
| Antibody Absorption (86978) | $162.45 | $171 | 2.7× |
| Antibody aspergillus (86606) | $183.35 | $193 | 12.2× |
| Antibody identification (86870) | $343.42 | $361.50 | 0.9× |
| Antibody identification leukocyte antibodies (86021) | $23.75 | $25 | 1.6× |
| Antibody mumps (86735) | $49.69 | $52.30 | 3.8× |
| Antibody rubeola (86765) | $76 | $80 | 5.9× |
| Antibody screen (86850) | $218.98 | $230.50 | 22.4× |
| Antibody treponema pallidum (86780) | $31.35 | $33 | 2.4× |
| Antibody; Coccidioides (86635) | $59.85 | $63 | 5.2× |
| Antigen typing (86905) | $328.70 | $346 | 85.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $111.15 | $117 | 21.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $48.45 | $51 | 4.0× |
| Antinuclear antibodies (86038) | $28.50 | $30 | 2.4× |
| Antistreptolysin o titer (86060) | $29.92 | $31.50 | 4.1× |
| Antithrombin iii activity (85300) | $26.60 | $28 | 2.2× |
| Arsenic Urine (82175) | $86.45 | $91 | 4.6× |
| Aspergillus ag eia (87305) | $106.40 | $112 | 8.9× |
| Assay Nephelometry Not Spec (83883) | $105.45 | $111 | 7.8× |
| Assay of acth (82024) | $48.45 | $51 | 1.3× |
| Assay of blood chloride (82435) | $43.70 | $46 | 9.5× |
| Assay of c-peptide (84681) | $85.50 | $90 | 4.1× |
| Assay of ceruloplasmin (82390) | $30.40 | $32 | 2.8× |
| Assay of cyclosporine (80158) | $55.10 | $58 | 3.1× |
| Assay of erythropoietin (82668) | $42.75 | $45 | 2.3× |
| Assay of ferritin (82728) | $141.08 | $148.50 | 10.4× |
| Assay of gammaglobulin igm (82784) | $31.35 | $33 | 3.4× |
| Assay of gentamicin (80170) | $162.45 | $171 | 9.9× |
| Assay of homocystine (83090) | $43.70 | $46 | 2.4× |
| Assay of manganese (83785) | $65.55 | $69 | 2.5× |
| Assay of metanephrines (83835) | $106.40 | $112 | 6.3× |
| Assay of parathormone (83970) | $55.10 | $58 | 1.3× |
| Assay of phenobarbital (80184) | $31.35 | $33 | 2.0× |
| Assay of prealbumin (84134) | $27.55 | $29 | 1.9× |
| Assay of selenium (84255) | $63.65 | $67 | 2.5× |
| Assay of somatomedin (84305) | $41.80 | $44 | 2.0× |
| Assay of tacrolimus (80197) | $63.65 | $67 | 4.6× |
| Assay Ph Body Fluid Nos (83986) | $19.95 | $21 | 5.6× |
| Assay Thiopurine S-Methyltransferase (84433) | $250.80 | $264 | 11.3× |
| Ast (sgot) (84450) | $57 | $60 | 11.0× |
| B cells total count (86355) | $24.70 | $26 | 0.7× |
| Bcr/abl1 gene major bp (81206) | $343.90 | $362 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $103.55 | $109 | 0.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $83.60 | $88 | 3.3× |
| Beta Lactamase (87185) | $7.60 | $8 | 1.6× |
| Beta-2 microglobulin (82232) | $34.20 | $36 | 2.1× |
| Bilirubin direct (82248) | $71.25 | $75 | 14.2× |
| Bilirubin total (82247) | $101.18 | $106.50 | 20.2× |
| Biotinidase ea specimen (82261) | $56.05 | $59 | 3.3× |
| Bl Smear W/Diff Wbc Count (85007) | $47.50 | $50 | 12.5× |
| Blastomyces antibody (86612) | $157.70 | $166 | 12.2× |
| Blood count reticulocyte automated (85045) | $54.62 | $57.50 | 13.7× |
| Blood gases (82803) | $226.10 | $238 | 8.7× |
| Blood Ph - Ph Venous (82800) | $90.25 | $95 | 8.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $488.30 | $514 | 76.9× |
| Blood typing abo (86900) | $173.85 | $183 | 58.1× |
| Blood typing serologic rh (d) (86901) | $47.50 | $50 | 15.9× |
| Body fluid cell count (89051) | $27.55 | $29 | 4.9× |
| Bone Marrow Smear Interpretation (85097) | $8.55 | $9 | 0.0× |
| Bordetella antibody (86615) | $213.75 | $225 | 16.2× |
| C diff amplified probe (87493) | $366.70 | $386 | 9.8× |
| C-reactive protein (86140) | $102.60 | $108 | 19.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $32.30 | $34 | 2.5× |
| Ca 125 (86304) | $34.68 | $36.50 | 1.7× |
| Ca 19-9 (86301) | $44.18 | $46.50 | 2.1× |
| Ca 27 29 (86300) | $43.70 | $46 | 2.1× |
| Cadmium level (82300) | $38.95 | $41 | 1.6× |
| Calcium ionized (82330) | $143.45 | $151 | 10.5× |
| Calcium total (82310) | $56.05 | $59 | 10.9× |
| Calculus analysis (82370) | $123.50 | $130 | 9.9× |
| Calculus Quantitative Chemical (82360) | $243.20 | $256 | 18.9× |
| Calprotectin, fecal (83993) | $254.60 | $268 | 13.0× |
| Calr gene com variants (81219) | $441.75 | $465 | 3.6× |
| Carbamazepine (tegretol) total (80156) | $15.20 | $16 | 1.0× |
| Carbon dioxide (82374) | $43.70 | $46 | 9.0× |
| Carboxyhemoglobin Quantitative (82375) | $74.58 | $78.50 | 6.1× |
| Carcinoembryonic antigen (82378) | $28.98 | $30.50 | 1.5× |
| Cardiolipin ab igg (86147) | $40.38 | $42.50 | 1.6× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $180.98 | $190.50 | 1.3× |
| Chloride urine (82436) | $28.50 | $30 | 5.0× |
| Cholesterol total (82465) | $25.65 | $27 | 5.9× |
| Chromium urine (82495) | $62.70 | $66 | 3.1× |
| Chromogranin a (86316) | $122.55 | $129 | 5.9× |
| Chromosome analysis 20-25 cells (88264) | $291.65 | $307 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $122.55 | $129 | 3.5× |
| Ckmb (82553) | $160.08 | $168.50 | 13.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $33.25 | $35 | 1.4× |
| Compatibility test antiglob (86922) | $213.75 | $225 | 1.2× |
| Compatibility Test Incubate (86921) | $209.95 | $221 | 1.2× |
| Complement c3 (86160) | $33.25 | $35 | 2.8× |
| Complement total ch50 (86162) | $84.55 | $89 | 4.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $19 | $20 | 1.6× |
| Concentration Infectious Agent (87015) | $20.42 | $21.50 | 3.1× |
| Coombs direct (86880) | $119.70 | $126 | 22.2× |
| Copper urine (82525) | $77.90 | $82 | 6.3× |
| Cortisol free (82530) | $56.05 | $59 | 3.4× |
| Cortisol total (82533) | $33.25 | $35 | 2.0× |
| Creatine kinase total (82550) | $78.38 | $82.50 | 12.0× |
| Creatinine blood (82565) | $71.25 | $75 | 13.9× |
| Creatinine clearance (82575) | $127.30 | $134 | 13.5× |
| Creatinine other source (82570) | $72.20 | $76 | 13.9× |
| Crossmatch immediate spin (86920) | $283.10 | $298 | 1.6× |
| Cryoglobulin (82595) | $48.45 | $51 | 7.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $20.90 | $22 | 2.6× |
| Culture Aerobic Identify (87077) | $17.10 | $18 | 2.1× |
| Culture anaerobic (87075) | $28.50 | $30 | 3.0× |
| Culture blood (87040) | $25.18 | $26.50 | 2.4× |
| Culture fungus id yeast (87106) | $25.65 | $27 | 2.5× |
| Culture fungus other (87102) | $34.20 | $36 | 4.1× |
| Culture genital (87070) | $36.10 | $38 | 4.2× |
| Culture screen only (87081) | $34.20 | $36 | 5.2× |
| Culture stool (87045) | $23.75 | $25 | 2.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $66.50 | $70 | 12.8× |
| Culture urine (87086) | $40.38 | $42.50 | 5.0× |
| Culture urine id ea isolate (87088) | $2.85 | $3 | 0.4× |
| Cyclic Citrullinated Peptide (86200) | $101.18 | $106.50 | 7.8× |
| Cytogenetics DNA probe (88271) | $425.60 | $448 | 19.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $124.92 | $131.50 | 2.9× |
| Cytopath cell enhance tech (88112) | $85.50 | $90 | 1.6× |
| Cytopath Smear Other Source (88160) | $71.25 | $75 | 2.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $139.65 | $147 | 5.2× |
| Cytp concentration smears & interpretation (88108) | $117.80 | $124 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $73.15 | $77 | 1.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $423.70 | $446 | 2.4× |
| D-Dimer (85379) | $154.85 | $163 | 15.2× |
| Dhea (82626) | $41.80 | $44 | 1.7× |
| Dhea sulfate (82627) | $100.70 | $106 | 4.5× |
| Digoxin (80162) | $138.70 | $146 | 10.4× |
| Dilantin (80185) | $35.15 | $37 | 2.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $27.08 | $28.50 | 2.0× |
| Dna/Rna Amplified Probe (87150) | $75.05 | $79 | 2.1× |
| Drug Assay Infliximab (80230) | $216.60 | $228 | 5.6× |
| Drug assay voriconazole (80285) | $172.90 | $182 | 6.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $45.60 | $48 | 3.4× |
| Drug Scrn Quan Levetiracetam (80177) | $63.65 | $67 | 4.8× |
| Drug scrn quant oxcarbazepin (80183) | $57 | $60 | 4.3× |
| Drug test prsmv chem anlyzr (80307) | $209 | $220 | 3.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $76 | $80 | 6.0× |
| Ebv viral capsid (86665) | $34.20 | $36 | 1.9× |
| Elastase pancreatic fecal quantitative (82653) | $287.85 | $303 | 12.5× |
| Electrolyte panel (80051) | $93.10 | $98 | 13.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $72.20 | $76 | 6.0× |
| Endomysial antibody iga (86255) | $57 | $60 | 4.7× |
| Eosinophil count (85048) | $40.85 | $43 | 16.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $34.20 | $36 | 2.2× |
| Estradiol (82670) | $45.12 | $47.50 | 1.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $248.42 | $261.50 | 2.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $28.50 | $30 | 3.9× |
| F2 gene analysis 20210g >a variant (81240) | $214.70 | $226 | 3.3× |
| F5 gene (81241) | $271.70 | $286 | 3.7× |
| Factor ii activity (85210) | $50.35 | $53 | 3.9× |
| Factor v activity (85220) | $70.30 | $74 | 4.0× |
| Fetal bleed screen (85461) | $16.15 | $17 | 1.7× |
| Fetal fibronectin (82731) | $254.12 | $267.50 | 3.9× |
| Fibrin degradation products (85362) | $34.20 | $36 | 5.0× |
| Fibrinogen activity (85384) | $34.20 | $36 | 3.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $53.20 | $56 | 3.4× |
| Flow cytometry first marker (88184) | $496.85 | $523 | 1.3× |
| Folate serum (82746) | $24.70 | $26 | 1.7× |
| Follicle Stimulating Hormone (83001) | $30.88 | $32.50 | 1.7× |
| Frozen Section (88331) | $239.40 | $252 | 1.4× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $112.10 | $118 | 10.9× |
| Galactose transferase test (82776) | $94.05 | $99 | 8.0× |
| Gammaglobulin ige (82785) | $85.50 | $90 | 5.2× |
| Gastric Occult Blood (82271) | $43.70 | $46 | 8.2× |
| Ggt (82977) | $19 | $20 | 2.6× |
| Giardia antigen eia stool (87329) | $76.48 | $80.50 | 6.4× |
| Glucose (82947) | $56.05 | $59 | 14.3× |
| Glucose body fluid (82945) | $26.60 | $28 | 6.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $38.95 | $41 | 9.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $127.30 | $134 | 9.9× |
| Haptoglobin (83010) | $66.50 | $70 | 5.3× |
| Hcg qualitative (84703) | $59.85 | $63 | 8.0× |
| Hcg quant (84702) | $55.10 | $58 | 3.7× |
| Heavy metal quant each (83018) | $95 | $100 | 4.3× |
| Hematocrit (85014) | $38.95 | $41 | 16.4× |
| Hemoglobin (85018) | $40.85 | $43 | 17.2× |
| Hemoglobin a1c (83036) | $100.70 | $106 | 10.4× |
| Hemoglobin electrophoresis (83020) | $127.30 | $134 | 9.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $152.95 | $161 | 19.8× |
| Hepatitis a igm (86709) | $31.35 | $33 | 2.8× |
| Hepatitis b core ab igm (86705) | $31.35 | $33 | 2.7× |
| Hepatitis b core antibody total (86704) | $28.98 | $30.50 | 2.4× |
| Hepatitis B Surface Ab (86706) | $32.30 | $34 | 3.0× |
| Hepatitis B Surface Antigen (87340) | $26.60 | $28 | 2.6× |
| Hepatitis c antibody (86803) | $28.50 | $30 | 2.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $44.65 | $47 | 8.6× |
| Histoplasma antibody (86698) | $58.90 | $62 | 4.3× |
| Histoplasma antigen urine (87385) | $127.30 | $134 | 9.6× |
| Hla-b27 (86812) | $41.80 | $44 | 1.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $167.20 | $176 | 2.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $114 | $120 | 3.2× |
| Hydroxyprogesterone 17-d (83498) | $28.50 | $30 | 1.0× |
| Iaad ia cryptosporidium (87328) | $96.42 | $101.50 | 7.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $77.90 | $82 | 3.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $65.55 | $69 | 4.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $216.60 | $228 | 15.6× |
| Iaad ia rotavirus (87425) | $85.50 | $90 | 7.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $74.10 | $78 | 6.2× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $39.90 | $42 | 1.2× |
| Iaadiadoo not otherwise specified (87899) | $129.20 | $136 | 8.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $46.55 | $49 | 1.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $306.85 | $323 | 8.7× |
| Iadna human papillomavirus high-risk types (87624) | $213.75 | $225 | 6.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $46.55 | $49 | 1.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $119.70 | $126 | 3.4× |
| Iadna nos amplified probe tq each organism (87798) | $120.65 | $127 | 3.4× |
| Iadna nos quantification each organism (87799) | $165.30 | $174 | 3.9× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $462.65 | $487 | 1.8× |
| Immunfix e-phorsis/urine/csf (86335) | $67.45 | $71 | 2.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $34.20 | $36 | 2.3× |
| Immunoassay nonantibody (83516) | $75.52 | $79.50 | 6.6× |
| Immunodiffusion Ouchterlony (86331) | $100.70 | $106 | 8.4× |
| Immunofixj Electrophoresis Serum (86334) | $59.38 | $62.50 | 2.7× |
| Immunoglobulin light chains free each (83521) | $88.35 | $93 | 5.1× |
| Immunohisto Antibody Slide (88344) | $1,311.95 | $1,381 | 3.5× |
| Immunohistochemistry (88342) | $160.55 | $169 | 0.9× |
| India ink prep (87210) | $52.25 | $55 | 9.0× |
| Influenza a/b ag eia (87400) | $166.25 | $175 | 11.8× |
| Inhibin b (83520) | $208.05 | $219 | 12.0× |
| Insulin free (83527) | $23.75 | $25 | 1.8× |
| Insulin total (83525) | $26.60 | $28 | 2.3× |
| Iron (83540) | $70.30 | $74 | 10.9× |
| Iron binding capacity (83550) | $90.25 | $95 | 10.3× |
| Lactic acid (83605) | $107.82 | $113.50 | 9.3× |
| Lactoferrin fecal qualitative (83630) | $62.22 | $65.50 | 3.2× |
| Ldh (83615) | $64.60 | $68 | 10.7× |
| Lead (83655) | $56.52 | $59.50 | 4.7× |
| Legionella antigen urine (87449) | $134.90 | $142 | 11.3× |
| Leukocyte histamine release test (86343) | $108.78 | $114.50 | 8.7× |
| Level ii surg pathology grossµscopic exam (88302) | $40.85 | $43 | 1.1× |
| Level v surg pathology grossµscopic exam (88307) | $488.30 | $514 | 1.3× |
| Level vi surg pathology grossµscopic exam (88309) | $43.70 | $46 | 0.1× |
| Lh (83002) | $28.02 | $29.50 | 1.5× |
| Lipase (83690) | $100.70 | $106 | 14.6× |
| Lithium (80178) | $18.52 | $19.50 | 2.8× |
| Lyme disease antibody (86618) | $38 | $40 | 2.2× |
| Lyme disease antibody confirm (86617) | $82.65 | $87 | 5.3× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $344.85 | $363 | 0.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $437 | $460 | 2.5× |
| Magnesium (83735) | $73.15 | $77 | 10.9× |
| Mass spectrometry qual/quan (83789) | $84.55 | $89 | 3.5× |
| Metabolic Panel Ionized Ca (80047) | $122.55 | $129 | 8.9× |
| Methotrexate (80299) | $83.60 | $88 | 4.5× |
| Methylmalonic acid serum (83921) | $57 | $60 | 2.7× |
| Microalbumin urine (82043) | $28.50 | $30 | 4.9× |
| Microbe susceptible diffuse (87181) | $54.15 | $57 | 11.4× |
| Microsomal antibodies (86376) | $114 | $120 | 7.8× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $805.12 | $847.50 | 66.8× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $295.45 | $311 | 5.8× |
| Mrsa amp probe (87641) | $239.40 | $252 | 6.8× |
| Muscle-specific kinase (musk) antibody (86366) | $1,011.75 | $1,065 | 55.0× |
| Myelin basic protein csf (83873) | $38 | $40 | 2.2× |
| Myoglobin urine (83874) | $134.42 | $141.50 | 10.4× |
| Natriuretic peptide (83880) | $348.65 | $367 | 8.9× |
| Nk cells total count (86357) | $41.80 | $44 | 1.1× |
| Nuclear antigen antibody (86235) | $35.15 | $37 | 2.0× |
| Occult blood stool (82272) | $49.40 | $52 | 11.7× |
| Oligoclonal bands (83916) | $38.95 | $41 | 1.4× |
| Osmolality serum (83930) | $31.35 | $33 | 4.7× |
| Osmolality urine (83935) | $34.20 | $36 | 5.0× |
| Ova and parasite direct-id lca (87177) | $85.98 | $90.50 | 9.7× |
| Pancreatic polypeptide (83519) | $123.02 | $129.50 | 6.7× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $69.35 | $73 | 1.0× |
| Phenylalanine (84030) | $88.35 | $93 | 16.1× |
| Phosphatase alkaline (84075) | $51.30 | $54 | 9.9× |
| Phospholipid Neutralization Hexagonal (85598) | $63.65 | $67 | 3.5× |
| Phosphorus blood (84100) | $52.25 | $55 | 11.0× |
| Platelet count (85049) | $56.05 | $59 | 12.5× |
| Platelet neutralization (85597) | $62.70 | $66 | 3.5× |
| Potassium (84132) | $51.30 | $54 | 10.8× |
| Potassium urine (84133) | $29.45 | $31 | 6.2× |
| Procalcitonin (pct) (84145) | $398.05 | $419 | 14.6× |
| Progesterone (84144) | $34.20 | $36 | 1.6× |
| Prolactin (84146) | $32.30 | $34 | 1.7× |
| Protein body fluid (84157) | $27.55 | $29 | 6.9× |
| Protein c activity (85303) | $50.35 | $53 | 3.6× |
| Protein c antigen (85302) | $47.50 | $50 | 4.0× |
| Protein electrophoresis serum (84165) | $23.75 | $25 | 2.2× |
| Protein Electrophoresis Urine (84166) | $28.50 | $30 | 1.6× |
| Protein S Functional (85306) | $45.60 | $48 | 3.0× |
| Protein Total Serum (84155) | $59.38 | $62.50 | 16.2× |
| Protein urine (84156) | $53.20 | $56 | 14.5× |
| PSA free (84154) | $27.55 | $29 | 1.5× |
| Quantiferon tb gold (86480) | $74.10 | $78 | 1.2× |
| Rbc antibody elution (86860) | $181.45 | $191 | 1.0× |
| Ref consult prep elsewhere (88321) | $266 | $280 | 6.9× |
| Renin activity plasma (84244) | $41.80 | $44 | 1.9× |
| Reptilase test (85635) | $90.25 | $95 | 9.2× |
| Respiratory viral panel PCR (87633) | $352.45 | $371 | 0.8× |
| Rheumatoid factor quant (86431) | $31.35 | $33 | 5.5× |
| Rickettsia antibody (86757) | $29.45 | $31 | 1.5× |
| Rubella antibody (86762) | $16.15 | $17 | 1.1× |
| Russell viper venom time diluted (85613) | $32.30 | $34 | 3.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $132.05 | $139 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $58.90 | $62 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $345.80 | $364 | 2.4× |
| Sed rate automated (85652) | $43.70 | $46 | 16.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $127.30 | $134 | 10.6× |
| Sensitivity mic (87186) | $58.42 | $61.50 | 6.8× |
| Sex hormone binding globulin (84270) | $40.85 | $43 | 1.9× |
| Smear acid fast (87206) | $26.60 | $28 | 4.9× |
| Smear gram stain (87205) | $8.55 | $9 | 2.0× |
| Sodium (84295) | $53.20 | $56 | 11.1× |
| Sodium urine (84300) | $26.60 | $28 | 5.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $82.65 | $87 | 0.6× |
| Special stains group 1 (88312) | $73.15 | $77 | 1.4× |
| Spectrophotometry (84311) | $38 | $40 | 4.7× |
| Staph aureus amplified probe (87640) | $56.05 | $59 | 1.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $67.45 | $71 | 7.1× |
| Strep a assay w/optic (87880) | $139.65 | $147 | 8.4× |
| Surg path level iii (88304) | $52.25 | $55 | 1.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $40.85 | $43 | 1.4× |
| Surgical pathology level IV (88305) | $52.25 | $55 | 1.0× |
| Susceptibility study antimicrobial disk method (87184) | $17.10 | $18 | 2.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $22.80 | $24 | 0.5× |
| T cells, total count (86359) | $22.80 | $24 | 0.6× |
| T3 free (84481) | $30.88 | $32.50 | 1.8× |
| T3 reverse (84482) | $34.20 | $36 | 2.2× |
| T3 total (84480) | $19.48 | $20.50 | 1.4× |
| T3 uptake (84479) | $74.10 | $78 | 11.5× |
| T4 Free (84439) | $97.85 | $103 | 10.8× |
| T4 total (84436) | $19.48 | $20.50 | 2.8× |
| T4-neonatal (84437) | $64.60 | $68 | 10.0× |
| Testosterone free (84402) | $49.40 | $52 | 1.9× |
| Testosterone total (84403) | $48.45 | $51 | 1.9× |
| Theophylline (80198) | $21.85 | $23 | 1.5× |
| Thrombin time plasma (85670) | $26.60 | $28 | 4.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $27.55 | $29 | 4.3× |
| Thyroglobulin (84432) | $37.05 | $39 | 2.3× |
| Thyroglobulin Ab (86800) | $65.08 | $68.50 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $74.10 | $78 | 1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $57.95 | $61 | 5.0× |
| Tissue culture bone marrow (88237) | $426.08 | $448.50 | 3.0× |
| Transferrin (84466) | $122.55 | $129 | 9.6× |
| Triglycerides (84478) | $55.58 | $58.50 | 9.7× |
| Troponin (84484) | $216.60 | $228 | 17.4× |
| Urea nitrogen (84520) | $57 | $60 | 14.4× |
| Uric acid blood (84550) | $64.60 | $68 | 14.3× |
| Urinalysis microscopic only (81015) | $27.55 | $29 | 9.0× |
| Urinalysis w/microscopic (81001) | $57 | $60 | 18.0× |
| Urine pregnancy test (81025) | $96.90 | $102 | 11.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $55.10 | $58 | 24.5× |
| Valproic acid level (80164) | $32.30 | $34 | 2.4× |
| Vancomycin trough (80202) | $145.35 | $153 | 10.7× |
| Vanomycin DNA amp probe (87500) | $244.15 | $257 | 7.0× |
| Varicella-zoster antibody (86787) | $38 | $40 | 3.0× |
| Vdrl csf (86592) | $32.30 | $34 | 7.6× |
| Virus antibody nos (86790) | $1,729 | $1,820 | 134.2× |
| Virus inoculate tissue addl (87253) | $75.05 | $79 | 3.7× |
| Vitamin A (84590) | $35.15 | $37 | 3.0× |
| Vitamin b-12 (82607) | $24.70 | $26 | 1.6× |
| Vitamin b1 (thiamine) (84425) | $44.65 | $47 | 2.1× |
| Vitamin b6 (84207) | $38 | $40 | 1.4× |
| Vitamin D 25-Hydroxy (82306) | $55.10 | $58 | 1.9× |
| Vitamin e serum (84446) | $38 | $40 | 2.7× |
| West nile virus ab, igm (86788) | $166.25 | $175 | 9.9× |
| West nile virus antibody (86789) | $63.65 | $67 | 4.4× |
| Zinc (84630) | $57.48 | $60.50 | 5.0× |