Lab & pathology prices at Rio Grande Hospital

Del Norte, CO · every code in this section with a posted price and a Medicare benchmark.

567 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
5-Hiaa (83497) $92.54 $123.39 7.2×
Acetone serum qual (82009) $32.51 $43.35 7.2×
Acetone, quantitative (82010) $81.81 $109.08 10.0×
Acth (82024) $244.32 $325.76 6.3×
Actin smooth muscle antibody each (86015) $95.09 $126.78 7.9×
Activated protein c resistance (85307) $161.15 $214.86 10.5×
Acute hepatitis panel (80074) $426.37 $568.49 9.0×
Acylcarnitines quantitative (82017) $192.23 $256.30 11.4×
Adenovirus antibody (86603) $27.87 $37.16 2.2×
Afb concentration (87015) $165.61 $220.81 24.8×
Afb culture (87116) $101.90 $135.87 9.4×
Afb smear (87206) $73.22 $97.63 13.6×
Albumin body fluid (82042) $34.82 $46.43 4.5×
Albumin serum (82040) $29.88 $39.84 6.0×
Aldolase (82085) $116.89 $155.85 12.0×
Aldosterone (82088) $123.91 $165.21 3.0×
Alkaline phosphatase (84075) $87 $116 16.8×
Alkaline phosphatase isoenzymes (84080) $66.80 $89.06 4.5×
Allergen profile perennial allergen (86003) $27.24 $36.32 5.2×
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $25.97 $34.62 1.4×
Alpha-1-antitrypsin (82103) $88.28 $117.70 6.6×
Alpha-1-antitrypsin phenotype (82104) $142.43 $189.90 9.8×
Alpha-fetoprotein serum (82105) $110.72 $147.63 6.6×
Alt (84460) $28.13 $37.50 5.3×
Aluminum (82108) $127.43 $169.91 5.0×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $607.39 $809.85 36.0×
Aminolevulinic acid delta (82135) $111.47 $148.62 6.8×
Ammonia (82140) $77.18 $102.90 5.3×
Amylase (82150) $39.67 $52.90 6.1×
Ana (86038) $73.82 $98.43 6.1×
Ana titer (86039) $29 $38.66 2.6×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $110.72 $147.63 8.4×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $98.82 $131.76 6.5×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $111.79 $149.05 6.2×
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $109.25 $145.66 6.9×
Androstenedione (82157) $252.22 $336.29 8.6×
Angiotensin converting enzyme (82164) $106.35 $141.80 7.3×
Anti-mitochondrial antibody (86255) $301.04 $401.38 25.0×
Anti-phosphatidylserine antibody (86148) $83.62 $111.49 5.2×
Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) $214.54 $286.05 17.2×
Antibody west nile virus igm (86788) $64.01 $85.35 3.8×
Antibody; Helicobacter pylori (86677) $123.91 $165.21 7.4×
Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) $99.49 $132.65 17.4×
Antineutrophil cytoplasmic antb screen ea antb (86036) $120.90 $161.20 10.0×
Antineutrophil cytoplasmic antb titer ea antb (86037) $114.59 $152.78 9.5×
Antistreptolysin o titer (86060) $62.41 $83.21 8.5×
Antithrombin iii activity (85300) $140.17 $186.89 11.8×
Apolipoprotein each (82172) $21.53 $28.70 1.0×
Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient (86051) $464.28 $619.04 40.3×
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $227.42 $303.23 18.9×
Arsenic (82175) $119.74 $159.66 6.3×
Aspergillus antibody (86606) $65.03 $86.70 4.3×
Aspergillus antigen (87305) $133.92 $178.56 11.2×
Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) $104.41 $139.21 8.2×
Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) $104.41 $139.21 5.8×
Assay of corticosterone (82528) $170.10 $226.80 7.6×
Assay of interleukin-6 (il-6) (83529) $238.48 $317.97 13.8×
Assay of nickel (83885) $80.26 $107.02 3.3×
Assay of vitamin b-2 (84252) $169.76 $226.34 8.4×
Assay of vitamin not otherwise specified (84591) $157.33 $209.77 9.2×
Ast (84450) $29.88 $39.84 5.8×
B cells total count (86355) $172.62 $230.16 4.6×
Bacterium antibody (86609) $37.42 $49.89 2.9×
Bartonella antibody (86611) $42.08 $56.10 4.1×
Basic metabolic panel calcium ionized (80047) $74.69 $99.59 5.4×
Bcr/abl1 gene major bp (81206) $370.38 $493.85 2.3×
Bcr/abl1 gene minor bp (81207) $131.75 $175.67 0.9×
Beta 2 glycoprotein i antibody (86146) $98.09 $130.78 3.9×
Beta lactamase (87185) $47.86 $63.81 10.1×
Beta-2 microglobulin (82232) $117.86 $157.14 7.3×
Bile acids total (82239) $70.65 $94.20 4.1×
Bilirubin direct (82248) $28.13 $37.50 5.6×
Bilirubin total (82247) $36.92 $49.22 7.4×
Blastomyces antibody (86612) $82.32 $109.76 6.4×
Blood count leukocyte wbc automated (85048) $14.94 $19.92 5.9×
Blood count reticulocyte automated (85045) $49.68 $66.24 12.5×
Blood count; automated differential WBC count Other Outpatient (85004) $19.84 $26.46 3.1×
Blood gases any combination (82803) $84.66 $112.88 3.2×
Blood gases w/o2 saturation (82805) $168.59 $224.78 2.1×
Blood typing rbc antigens (86905) $58.06 $77.42 15.2×
Blood typing serologic abo (86900) $57.13 $76.17 19.1×
Blood typing serologic rh (d) (86901) $27.24 $36.32 9.1×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $112.37 $149.82 17.7×
Blood unit compatibility test, incubation technique (86921) $29 $38.66 0.2×
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $44.82 $59.76 2.8×
Bordetella pertussis igm (86615) $206.52 $275.36 15.7×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $2,202.65 $2,936.86 1.2×
Brucella antibody (86622) $61.20 $81.60 6.9×
C diff amplified probe (87493) $92.28 $123.05 2.5×
C-peptide (84681) $146.13 $194.84 7.0×
C-reactive protein (86140) $58.01 $77.35 11.2×
C-reactive protein high sensitivity (86141) $58.01 $77.35 4.5×
C2 complement functional (86161) $87.01 $116.01 7.3×
Ca 125 (86304) $64.16 $85.54 3.1×
Ca 15-3 (86300) $64.16 $85.54 3.1×
Cadmium (82300) $141.11 $188.15 6.0×
Calcitonin (82308) $180.36 $240.48 6.7×
Calcium ionized (82330) $93 $123.99 6.8×
Calcium total (82310) $29.88 $39.84 5.8×
Calcium, random urine (82340) $45.34 $60.46 7.5×
Calprotectin fecal (83993) $208.28 $277.71 10.6×
Calr gene com variants (81219) $278.57 $371.42 2.3×
Cancer antigen 19-9 (86301) $152.05 $202.73 7.3×
Candida antibody (86628) $50.33 $67.11 4.2×
Candida DNA amp probe (87481) $81.98 $109.30 2.3×
Carbamazepine total (80156) $49.22 $65.63 3.4×
Carbamazepine, free (80157) $89.57 $119.43 6.8×
Carbohydrate deficient transferrin (82373) $70.23 $93.64 3.9×
Carbon dioxide (82374) $32.51 $43.35 6.7×
Carbon monoxide (82375) $83.16 $110.88 6.7×
Cardiolipin antibody ea ig class (86147) $114.47 $152.62 4.5×
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $198.45 $264.60 11.8×
Casein igg (86001) $45.41 $60.55 5.8×
Catecholamines fractionated (82384) $187.19 $249.58 7.4×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $294.82 $393.09 6.3×
Cea (82378) $116 $154.67 6.1×
Cebpa gene full sequence (81218) $262.42 $349.89 1.1×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $69.62 $92.82 12.4×
Ceruloplasmin (82390) $80.84 $107.79 7.5×
Cftr gene known fam variants (81221) $203.56 $271.41 2.1×
Chemiluminescent assay (82397) $189.16 $252.21 13.4×
Chlamydia culture (87110) $86.15 $114.86 4.4×
Chlamydia pneumoniae PCR (87486) $65.27 $87.03 1.9×
Chloride blood (82435) $29.88 $39.84 6.5×
Chloride urine (82436) $39.54 $52.72 6.9×
Cholesterol total (82465) $64.24 $85.65 14.8×
Chorionic gonadotropin test (84702) $125.84 $167.78 8.4×
Chromium (82495) $122.15 $162.87 6.0×
Chromogranin a (86316) $138.86 $185.14 6.7×
Citrate (82507) $118.78 $158.36 4.3×
Ck mb fraction (82553) $91.53 $122.04 7.9×
Clostridium ag eia (87324) $113.66 $151.54 9.5×
Clot inhibit prot s total (85305) $143.59 $191.45 12.4×
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $84.46 $112.61 3.7×
Cmv antibody (86644) $103.39 $137.85 7.2×
Coccidioides antibody (86635) $66.89 $89.18 5.8×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $45.26 $60.34 1.9×
Cold agglutinins titer (86157) $44.76 $59.68 5.6×
Collagen cross links (82523) $211.94 $282.58 11.3×
Complement antigen ea component (86160) $109.03 $145.37 9.1×
Complement total (ch50) (86162) $109.03 $145.37 5.4×
Copper (82525) $92.16 $122.88 7.4×
Cortisol free (82530) $88.76 $118.35 5.3×
Cortisol saliva (82533) $96.09 $128.12 5.9×
COVID-19 antibody (86769) $79.16 $105.54 1.9×
Coxsackie a9 virus antibody (86658) $29.91 $39.88 2.3×
Creatine kinase isoenzymes (82552) $130.94 $174.59 9.8×
Creatine kinase total (82550) $28.13 $37.50 4.3×
Creatinine (82565) $22.19 $29.58 4.3×
Creatinine clearance (82575) $58.01 $77.35 6.1×
Creatinine other source (82570) $45.70 $60.93 8.8×
Crossmatch ahg (86922) $47.21 $62.94 0.3×
Cryoglobulins (82595) $66.10 $88.12 10.2×
Cryptosporidium ag eia (87328) $106.34 $141.79 7.7×
Crystals fluid (89060) $114.48 $152.65 15.6×
Culture anaerobic (87075) $79.59 $106.12 8.4×
Culture blood (87040) $77.34 $103.12 7.5×
Culture fungus skin hair nail (87101) $77.04 $102.72 10.0×
Culture stool (87045) $44.76 $59.68 4.7×
Culture typing glc/hplc (87143) $43.88 $58.51 3.5×
Culture typing if ea antiserum (87140) $64.61 $86.15 11.6×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $27.24 $36.32 3.4×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $104.51 $139.34 12.9×
Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) $55.37 $73.83 5.7×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $37.16 $49.55 3.9×
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $25.24 $33.65 4.9×
Cyclic citrullinated peptide ab (86200) $116.89 $155.85 9.0×
Cyclosporine (80158) $219.60 $292.80 12.2×
Cyp2c19 gene analysis common variants (81225) $58.97 $78.63 0.2×
Cyp2c9 gene com variants (81227) $62.06 $82.75 0.4×
Cyp2d6 gene analysis common variants (81226) $61.05 $81.40 0.1×
CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2,… (81230) $48.59 $64.78 0.3×
Cyp3a5 gene common variants (81231) $58.57 $78.09 0.3×
Cystatin c (82610) $127.50 $170 6.9×
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $174.83 $233.11 13.4×
Cytomeg DNA amp probe (87496) $52.22 $69.62 1.5×
Cytomegalovirus antibody igm (86645) $102.70 $136.92 6.1×
Cytopath cell enhance tech (88112) $248.46 $331.28 4.5×
D-dimer quantitative (85379) $96.67 $128.89 9.5×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $93.36 $124.48 6.8×
Desoxycorticosterone (82633) $207 $276 6.7×
Dhea (82626) $223.90 $298.53 8.9×
Dhea sulfate (82627) $168.75 $225 7.6×
Digoxin (80162) $80.80 $107.73 6.1×
Dihydrotestosterone (82642) $179.30 $239.06 6.1×
Diphtheria antibody (86648) $115.10 $153.47 7.6×
Direct antiglobulin test (86880) $37.41 $49.88 6.9×
Dpyd gene analysis common variants (81232) $61.21 $81.61 0.4×
Drug assay adalimumab (80145) $257.96 $343.95 6.7×
Drug assay amiodarone (80151) $144.14 $192.19 7.7×
Drug screen quant everolimus (80169) $162.59 $216.79 11.8×
Drug screen quant levetiracetam (80177) $59.69 $79.59 4.5×
Drug screen quant mycophenolate (80180) $147.65 $196.87 8.2×
Drug test prsmv chem anlyzr (80307) $108.92 $145.23 1.8×
Drug test prsmv dir opt obs (80305) $141.93 $189.24 11.3×
Ear culture (87070) $79.59 $106.12 9.2×
Ehrlichia antibody (86666) $94.56 $126.08 9.3×
Elastase pancreatic fecal quantitative (82653) $274.10 $365.46 11.9×
Electrolytes panel (80051) $33.40 $44.53 4.8×
Endomysial antibody each immunoglobulin class (86231) $140.50 $187.34 11.6×
Enterovirus by PCR (87498) $52.22 $69.62 1.5×
Eosinophils urine (87205) $57.47 $76.63 13.5×
Erythropoietin (82668) $156.62 $208.83 8.3×
Estradiol (82670) $188.35 $251.13 6.7×
Estriol (82677) $123.40 $164.53 5.1×
Estrogen fractionated (82671) $477.61 $636.81 14.8×
Estrogens total (82672) $135.34 $180.45 6.2×
Estrone (82679) $184.37 $245.82 7.4×
Extractable nuclear antigen antibody any method (86235) $90.65 $120.86 5.1×
F2 gene analysis (81240) $189.24 $252.31 2.9×
F5 gene (81241) $328.17 $437.56 4.5×
Factor ii activity (85210) $174.89 $233.18 13.5×
Factor inhibitor test (85335) $185.22 $246.96 14.4×
Factor ix activity (85250) $179.29 $239.05 9.4×
Factor v activity (85220) $185.22 $246.96 10.5×
Factor vii activity (85230) $174.89 $233.18 9.8×
Factor viii activity (85240) $141.60 $188.80 7.9×
Factor viii vw antigen (85246) $84.46 $112.61 3.7×
Factor x (stuart-prower) (85260) $179.29 $239.05 10.0×
Fbrnlyc factors&inhibitors plsmng activator (85415) $142.07 $189.42 8.3×
Fecal fat qualitative (82705) $53.60 $71.47 10.5×
Ferritin (82728) $92.14 $122.85 6.8×
Fibrinogen antigen (85385) $41.39 $55.18 2.9×
Fibrinogen, activity (85384) $97.80 $130.39 10.1×
Flow cytometry first marker (88184) $243.55 $324.73 0.6×
Flt3 gene analysis (81246) $258.54 $344.72 3.1×
Flt3 gene analysis internal tandem dup variants (81245) $277.01 $369.34 1.7×
Folate serum (82746) $109.85 $146.47 7.5×
Folic acid rbc (82747) $154.02 $205.36 8.7×
Follicle stimulating hormone (fsh) (83001) $83.71 $111.62 4.5×
Fructosamine (82985) $89.53 $119.37 5.3×
Ftl cgen abnor four anal (81511) $567.47 $756.62 3.7×
Fungus isolation culture (87102) $119.13 $158.84 14.2×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)… (81247) $57.08 $76.11 0.3×
Galectin-3 (82777) $65.76 $87.68 1.5×
Gamma glutamyl transferase (82977) $36.03 $48.04 5.0×
Gammaglobulin ige (82785) $53.74 $71.66 3.3×
Gastrin (82941) $103.70 $138.27 5.9×
Genet virus isolate hsv (87255) $87.01 $116.01 2.6×
Genotype DNA/RNA HIV (87906) $390.15 $520.20 3.0×
Gentamicin (80170) $137.25 $183 8.4×
Giardia antigen (87329) $61.03 $81.38 5.1×
Gliadin antibody each immunoglobulin class (86258) $175.32 $233.76 14.5×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $13.18 $17.57 4.0×
Glucagon (82943) $142.40 $189.87 10.0×
Glucose Fasting (82947) $23.72 $31.63 6.0×
Glucose other fluid (82945) $42.46 $56.62 10.8×
Glucose post glucose dose (82950) $28.13 $37.50 5.9×
Glucose tolerance test (gtt) (82951) $82.80 $110.40 6.4×
Glucose-6-pd (82955) $85.27 $113.69 8.8×
Glycated hemoglobin (83036) $58.01 $77.35 6.0×
Glycosylated hb home device (83037) $63.35 $84.46 6.5×
Growth hormone (hgh) (83003) $103.70 $138.27 6.2×
Gtt-added samples (82952) $20.22 $26.96 5.2×
H pylori breath test (83013) $191.59 $255.45 2.8×
H pylori stool (87338) $317.90 $423.87 22.1×
Haptoglobin (83010) $85.27 $113.69 6.8×
Hba1/hba2 gene (81257) $536.09 $714.79 5.2×
Hcg ql (84703) $54.50 $72.66 7.2×
HDL cholesterol (83718) $50.09 $66.79 6.1×
Heavy metal quan each nes (83018) $149.41 $199.21 6.8×
Hematocrit (hct) (85014) $14.06 $18.75 5.9×
Hemoglobin (85018) $14.06 $18.75 5.9×
Hemoglobin fractj/quantj chromotography (83021) $126.69 $168.92 7.0×
Hep a ab total (86708) $90.89 $121.18 7.3×
Hepatitis a antibody igm (86709) $78.71 $104.95 7.0×
Hepatitis b core antibody igm (86705) $121.28 $161.71 10.3×
Hepatitis b core antibody total (86704) $84.52 $112.68 7.0×
Hepatitis b DNA quant (87517) $367.68 $490.23 8.6×
Hepatitis b surface ab (86706) $36.03 $48.04 3.4×
Hepatitis b surface antigen (87340) $66.80 $89.06 6.5×
Hepatitis be antibody (86707) $83.62 $111.49 7.2×
Hepatitis be antigen (87350) $83.62 $111.49 7.3×
Hepatitis c antibody (86803) $120.14 $160.19 8.4×
Hepatitis c genotype (87902) $611.60 $815.48 2.4×
Hepatitis c RNA quantitative (87522) $477.70 $636.93 11.2×
Hepatitis delta antibody (86692) $161.28 $215.04 9.4×
Herpes simplex virus by PCR (87529) $52.22 $69.62 1.5×
Heterophile antibody screen (86308) $37.30 $49.72 7.2×
Hexagonal phospholipid neutralization (85598) $127.53 $170.04 7.1×
Hfe gene (81256) $426.23 $568.30 6.5×
Hhv-6 DNA amp probe (87532) $60.32 $80.43 1.7×
Histamine (83088) $161.96 $215.95 5.5×
Histoplasma antibody (86698) $72.96 $97.28 5.3×
HIV-1 antibody (86701) $73.07 $97.42 8.2×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $101.06 $134.75 7.4×
HIV-2 antibody (86702) $121.77 $162.36 9.0×
Hla b27 (86812) $159.95 $213.26 6.2×
HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) $167.20 $222.94 2.2×
Hla i typing 1 allele hr (81381) $43.22 $57.62 0.3×
Hla ii typing 1 loc hr (81382) $81.18 $108.24 0.7×
Hla ii typing 1 locus lr (81376) $117.64 $156.86 1.0×
Homocysteine level (83090) $191.59 $255.45 10.7×
Hpv high-risk types (87624) $99.45 $132.60 2.8×
Htt gene analysis detect abnormal alleles (81271) $395.04 $526.72 2.9×
Iaad ia sarscov & influenza virus types a&b (87428) $117.05 $156.06 1.7×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $63.67 $84.89 1.2×
Ifnl3 gene (81283) $45.38 $60.51 0.6×
Igg subclass 1 (82787) $68.13 $90.84 8.5×
Igh vari regional mutation (81263) $486.44 $648.59 1.7×
Immunoassay analyte quantitative nos (83520) $156.06 $208.08 9.0×
Immunoassay infectious agent antibody quan nos (86317) $32.48 $43.30 2.2×
Immunodiffusion nes (86329) $108.22 $144.29 7.7×
Immunofixation electrophoresis (86334) $164.84 $219.78 7.4×
Immunofixation urine (86335) $293.22 $390.97 10.0×
Immunoglobulin d (82784) $58.30 $77.73 6.3×
Immunoglobulin light chains free each (83521) $134.21 $178.94 7.8×
Immunoperoxidase (88342) $39.80 $53.06 0.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $28.09 $37.45 2.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) $128.37 $171.16 9.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $108.97 $145.29 6.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) $58.52 $78.03 1.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $136.12 $181.49 8.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $113.36 $151.15 8.7×
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) $120.73 $160.97 10.1×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $260.04 $346.71 3.7×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Other Outpatient (87800) $49.22 $65.63 1.1×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $369.77 $493.02 8.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $77.34 $103.12 2.2×
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $367.92 $490.56 8.6×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) $81.98 $109.30 2.0×
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) $267.75 $357 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $258.45 $344.60 7.4×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $337.02 $449.36 4.0×
Influenza antibody (86710) $95.66 $127.54 7.1×
Influenza assay w/optic (87804) $47.38 $63.17 2.9×
Influenza DNA amp probe (87502) $182.86 $243.82 1.9×
Inhibin a (86336) $190.55 $254.06 12.2×
Insulin antibody (86337) $176.72 $235.62 8.3×
Insulin total (83525) $40.58 $54.10 3.6×
Intrinsic factor antibody (86340) $113.88 $151.84 7.6×
Iron (83540) $74.08 $98.76 11.4×
Iron binding capacity (83550) $103.92 $138.56 11.9×
Islet cell antibody (86341) $175.78 $234.37 7.5×
Jak2 gene (81270) $562.98 $750.64 6.1×
Koh prep (87220) $65.03 $86.70 15.2×
Lacosamide (80235) $159.95 $213.26 5.9×
Lactate (83605) $51.68 $68.91 4.5×
Lactate dehydrogenase (83615) $49.23 $65.64 8.2×
Lactoferrin fecal (qual) (83630) $70.31 $93.74 3.6×
Lactoferrin, fecal; quantitative Other Outpatient (83631) $214.54 $286.05 10.9×
Ldh isoenzymes (83625) $81.99 $109.32 6.4×
LDL direct (83721) $43.51 $58.01 4.1×
Lead (83655) $121.77 $162.36 10.1×
Legionella culture (87081) $43.07 $57.43 6.5×
Legionella urine antigen (87449) $160.99 $214.65 13.4×
Leptospira antibody (86720) $85.83 $114.44 5.3×
Leukocyte antibody id (86021) $146.15 $194.86 9.7×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $37.41 $49.88 0.7×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $63.67 $84.89 1.2×
Lipase (83690) $74.69 $99.59 10.8×
Lipoprotein (a) (83695) $25.54 $34.04 1.8×
Lipoprotein bld by nmr (83704) $51.65 $68.87 1.5×
Lipoprotein bld hr fraction (83701) $138.71 $184.94 4.1×
Lipoprotein, direct measurement; VLDL cholesterol Other Outpatient (83719) $32.75 $43.66 2.6×
Lipoprotein-associated phospholipase a2 (83698) $37.76 $50.34 0.8×
Lithium (80178) $77.16 $102.88 11.7×
Luteinizing hormone (lh) (83002) $83.71 $111.62 4.5×
Lyme disease antibody (86617) $89.74 $119.65 5.8×
Lyme disease antibody (86618) $121.81 $162.41 7.2×
M genitalium amp probe (87563) $84.08 $112.10 2.4×
Magnesium (83735) $55.21 $73.61 8.2×
Malaria smear (87207) $137.10 $182.80 22.9×
Manganese (83785) $175.35 $233.80 6.6×
Mercury (83825) $125 $166.67 7.7×
Metanephrines (83835) $295.28 $393.71 17.4×
Methemoglobin quant (83050) $81.99 $109.32 10.0×
Methylmalonic acid serum (83921) $210.10 $280.14 9.9×
Microalbumin urine (82043) $60.89 $81.18 10.5×
Mitochondrial antibody each (86381) $100.44 $133.92 3.9×
Mog-igg1 antb flo cytmtry ea (86363) $165.22 $220.29 4.4×
Molecular cytogenetics DNA probe each (88271) $513.73 $684.97 24.0×
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $157.50 $210 3.1×
Mononuclear cell antigen (86356) $158.43 $211.24 5.9×
Mopath procedure level 1 (81400) $207.77 $277.02 3.2×
Mopath procedure level 2 (81401) $399.62 $532.83 2.9×
Mopath procedure level 4 (81403) $382.97 $510.62 2.1×
Mopath procedure level 5 (81404) $800.62 $1,067.49 2.9×
Mopath procedure level 6 (81405) $450.12 $600.16 1.5×
Mopath procedure level 7 (81406) $510.09 $680.12 1.8×
Mopath procedure level 8 (81407) $390.15 $520.20 0.5×
Mrsa PCR (87641) $48.38 $64.50 1.4×
Mthfr gene (81291) $294.67 $392.89 4.5×
Mumps antibody (86735) $114.28 $152.37 8.8×
Muramidase (85549) $115.13 $153.50 6.1×
Mycoplasma antibody (86738) $81.56 $108.75 6.2×
Mycoplasma pneumoniae by PCR (87581) $64.94 $86.59 1.9×
Myelin associated glycoprotein (mag) antibody (83516) $96.21 $128.28 8.3×
Myoglobin (83874) $123.73 $164.97 9.6×
N.gonorrhoeae DNA amp prob (87591) $77.24 $102.98 2.2×
Natriuretic peptide (83880) $153.79 $205.05 3.9×
Nephelometry ea analyte (83883) $131.40 $175.20 9.7×
Nfct ds bv RNA vag flu alg (81513) $218.87 $291.83 1.5×
Nfct ds chrnc hcv 6 assays (81596) $304.43 $405.91 4.2×
Nk cells total count (86357) $101.70 $135.60 2.7×
Npm1 gene (81310) $262.57 $350.09 1.1×
Nucleotidase 5 (83915) $65.36 $87.15 5.9×
Occult blood other sources (82271) $21.96 $29.28 4.1×
Occult blood screening (82270) $26.10 $34.80 6.0×
Oligoclonal bands (83916) $125.78 $167.71 4.6×
Orthopoxvirus amp prb each (87593) $46.82 $62.42 0.9×
Osmolality urine (83935) $87.01 $116.01 12.8×
Ova and parasite exam (87177) $21.11 $28.15 2.4×
Oxalate urine (83945) $58.01 $77.35 4.0×
Pancreatic polypeptide (83519) $241.22 $321.63 13.1×
Parathyroid hormone (83970) $183.16 $244.21 4.4×
Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) $84.07 $112.09 7.3×
Parvovirus antibody (86747) $79.17 $105.56 5.3×
Pertussis by PCR (87798) $52.22 $69.62 1.5×
Ph body fluid (83986) $68.22 $90.96 19.1×
Phenobarbital (80184) $36.03 $48.04 2.4×
Phenotype infect agent drug (87900) $738.17 $984.22 5.7×
Phenytoin (dilantin) free (80186) $102.82 $137.09 7.5×
Phenytoin level total (80185) $57.13 $76.17 4.3×
Phosphorus (84100) $28.13 $37.50 5.9×
Phosphorus urine (84105) $43.62 $58.16 7.5×
Pinworm exam (87172) $41.40 $55.20 9.7×
Platelet count automated (85049) $36.03 $48.04 8.0×
Platelet neutralization (85597) $108.11 $144.15 6.0×
Porphobilinogen urine (84110) $71.46 $95.27 8.5×
Porphyrins total plasma (84311) $178.37 $237.82 22.0×
Porphyrins urine quantitation & fractionation (84120) $108.37 $144.49 7.4×
Potassium (84132) $69.56 $92.74 14.6×
Potassium urine (84133) $49.34 $65.79 10.4×
Prealbumin (84134) $78.23 $104.31 5.4×
Pregnenolone (84140) $116.10 $154.80 5.6×
Primidone (80188) $111.23 $148.31 6.7×
Procalcitonin (pct) (84145) $253.01 $337.35 9.3×
Progesterone (84144) $77.78 $103.71 3.7×
Proinsulin (84206) $193.59 $258.12 7.3×
Prolactin (84146) $243.53 $324.70 12.6×
Protein c activity (85303) $192.96 $257.28 13.9×
Protein c antigen (85302) $215.38 $287.17 17.9×
Protein electrophoresis serum (84165) $60.71 $80.95 5.7×
Protein electrophoresis urine (84166) $90.92 $121.23 5.1×
Protein s antigen, free (85306) $237.29 $316.38 15.5×
Protein total other source (84157) $52.47 $69.96 13.1×
Protein total serum (84155) $36.92 $49.22 10.1×
Protein total urine (84156) $39.54 $52.72 10.8×
Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) $198.98 $265.30 6.8×
Protozoa antibody nos (86753) $94.56 $126.08 7.6×
PSA free (84154) $174.01 $232.01 9.5×
Pyruvate (84210) $109.91 $146.55 7.6×
Q fever antibody (86638) $38.25 $51 3.2×
Rbc antibody elution (86860) $110.93 $147.90 0.6×
Rbc antibody identification (86870) $142.42 $189.88 0.4×
Rbc antibody screen (86850) $93.97 $125.29 9.6×
Receptor assay non-endocrine specify receptor (84238) $194.91 $259.88 5.3×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $58.80 $78.40 4.5×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $99.98 $133.30 5.2×
Renin (84244) $109.65 $146.20 5.0×
Resp virus 12-25 targets (87633) $430.75 $574.33 1.0×
Rh phenotyping complete (86906) $131.83 $175.77 17.0×
Rheumatoid factor (86430) $54.50 $72.66 8.9×
Rickettsia antibody (86757) $57.38 $76.50 3.0×
Ristocetin cofactor (85245) $84.46 $112.61 3.7×
Rl immediate spin crossmatch (86920) $27.24 $36.32 0.2×
Rotavirus ag eia (87425) $152.88 $203.84 12.8×
Rpr qual (86592) $42.59 $56.79 10.0×
Rpr titer (86593) $41.39 $55.18 9.4×
Rsv DNA/RNA amp probe (87634) $60.49 $80.65 0.9×
Rubella antibody (86762) $106.86 $142.48 7.4×
Rubeola antibody (86765) $100.06 $133.42 7.8×
Russell viper venom diluted (85613) $77.18 $102.90 8.1×
Salmonella typhi and paratyphi antibodies (86768) $246.95 $329.27 18.7×
Sedimentation rate rbc non-automated (85651) $35.15 $46.87 8.2×
Selenium (84255) $133.45 $177.93 5.2×
Semen analysis post vasectomy (89321) $75.31 $100.41 6.2×
Serotonin (84260) $230.26 $307.01 7.4×
Serpina1 gene (81332) $304.84 $406.45 7.0×
Sex hormone binding globulin (84270) $80.84 $107.79 3.7×
Shiga-like toxin ag eia (87427) $84.46 $112.61 7.1×
Sickle cell screen (85660) $39.15 $52.20 7.1×
Sirolimus (80195) $152.49 $203.32 11.1×
Skin test tuberculosis intradermal (86580) $22.85 $30.46 0.7×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $51.16 $68.21 0.3×
Smear wet mount (87210) $32.51 $43.35 5.6×
SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) $386.25 $515 2.8×
Sodium (84295) $22.85 $30.46 4.8×
Sodium urine (84300) $41.31 $55.08 8.2×
Somatomedin (84305) $181.91 $242.55 8.6×
Special stains group i (88312) $39.80 $53.06 0.7×
Staph a DNA amp probe (87640) $48.38 $64.50 1.4×
Stone analysis (82365) $89.92 $119.89 7.0×
Strep a ag ia (87430) $29.88 $39.84 1.8×
Strep a DNA amp probe (87651) $60.89 $81.18 1.7×
Strep b DNA amp probe (87653) $43.51 $58.01 1.2×
Sulfate urine (84392) $33.13 $44.17 6.0×
Surgical pathology consultation and report on referred slides prepared elsewhere (88321) $159.18 $212.24 4.0×
Susceptibility mic per plate (87186) $87.55 $116.73 10.1×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $46.37 $61.83 9.8×
T cells cd4 count (86361) $88.96 $118.62 3.3×
T3 free (84481) $54.50 $72.66 3.2×
T3 reverse (84482) $225.87 $301.16 14.3×
T3 uptake (84479) $41.48 $55.30 6.4×
T4 (thyroxine) total (84436) $47.56 $63.40 6.9×
Tacrolimus (80197) $203 $270.67 14.8×
Tb test cell immun measure (86480) $284.21 $378.94 4.6×
Testosterone free (84402) $234.07 $312.09 9.2×
Testosterone total (84403) $79.10 $105.47 3.1×
Tetanus antibody (86774) $115.54 $154.06 7.8×
Theophylline (80198) $65.58 $87.44 4.6×
Thiopurine drug metabolites (83789) $134.47 $179.29 5.6×
Thiopurine metabolites (80299) $116.97 $155.96 6.3×
Thiopurine methyltransferase, rbc (82657) $402.01 $536.01 18.1×
Thrombin time plasma (85670) $54.95 $73.27 9.5×
Thyroglobulin (84432) $136.74 $182.31 8.5×
Thyroglobulin antibody (86800) $43.06 $57.42 2.7×
Thyroid peroxidase antibody (86376) $65.06 $86.74 4.5×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $337.46 $449.95 6.6×
Thyroxine binding globulin (84442) $98.43 $131.24 6.7×
Thyroxine free (ft4) (84439) $126.99 $169.32 14.1×
Tissue culture lymphocyte (88230) $859.17 $1,145.56 7.4×
Tissue transglutaminase ea immunoglobulin class (86364) $142.11 $189.48 12.3×
Tobramycin (80200) $137.10 $182.80 8.5×
Topiramate (80201) $75.08 $100.11 6.3×
Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) $215.79 $287.72 10.9×
Toxoplasma antibody igg (86777) $103.19 $137.58 7.2×
Toxoplasma antibody igm (86778) $136.18 $181.57 9.5×
Tpmt gene com variants (81335) $260.69 $347.58 1.5×
Transferrin (84466) $70.58 $94.10 5.5×
Treponema pallidum antibody (86780) $74.61 $99.48 5.6×
Trichinella antibody (86784) $151.12 $201.49 12.0×
Trichomonas vaginalis amplif (87661) $93.44 $124.58 2.7×
Trichrome stain (87209) $43.94 $58.59 2.4×
Triglycerides (84478) $63.86 $85.15 11.1×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $86.12 $114.83 6.1×
Troponin t (84484) $58.01 $77.35 4.7×
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) $234.80 $313.06 2.3×
Tularemia antibody (86000) $136.96 $182.62 19.6×
Tyrosine (84510) $113.66 $151.54 10.7×
UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated… (81350) $37.96 $50.61 0.2×
Unlisted molecular pathology (81479) $377.74 $503.64
Urea nitrogen quantitative (84520) $28.13 $37.50 7.1×
Urea nitrogen urine (84540) $50.74 $67.64 9.1×
Uric acid blood (84550) $28.13 $37.50 6.2×
Uric acid other source (84560) $50.68 $67.58 10.0×
Urinalysis auto w/micro (81001) $49.22 $65.63 15.5×
Urinalysis volume measure (81050) $20.70 $27.60 5.7×
Urine bacteria culture (87088) $57.13 $76.17 7.1×
Urine Pregnancy Test POC (81025) $60.32 $80.43 7.0×
Valproic acid (80164) $57.24 $76.31 4.2×
Valproic acid (dipropylacetic acid); free (80165) $67.49 $89.99 5.0×
Vancomycin (80202) $90.52 $120.69 6.7×
Varicella zoster antibody igg (86787) $111.29 $148.39 8.6×
Vasoactive intestinal peptide (vip) (84586) $92.15 $122.87 2.6×
Viral culture non-respiratory (87252) $224.98 $299.97 8.6×
Virus antibody nos (86790) $95.80 $127.73 7.4×
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $139.36 $185.81 7.1×
Vitamin a (84590) $23.72 $31.63 2.0×
Vitamin b-12 (82607) $49.22 $65.63 3.3×
Vitamin b1 whole blood (84425) $140.20 $186.92 6.6×
Vitamin b6 (84207) $206.97 $275.96 7.4×
Vitamin c (82180) $83.62 $111.49 8.5×
Vitamin d 25 hydroxy (82306) $185.40 $247.20 6.3×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $326.93 $435.91 8.5×
Vitamin e (84446) $98.43 $131.24 6.9×
Vitamin k1 (84597) $262.67 $350.22 19.1×
Vkorc1 gene (81355) $51.27 $68.36 0.6×
Vma (84585) $111.79 $149.05 7.2×
Voltage-gated calcium channel antibody each (86596) $301.04 $401.38 25.0×
West nile virus antibody (86789) $63.38 $84.52 4.4×
White blood cell histamine (immune system chemical) release test (86343) $218.92 $291.88 17.6×
Yeast id (87106) $69 $92 6.7×
Z t cells total count (86359) $155.77 $207.70 4.1×
Zika virus DNA/RNA amp probe (87662) $439.21 $585.61 8.6×
Zinc (84630) $102.82 $137.09 9.0×