Lab & pathology prices at Riverside Smithfield Hospital
Smithfield, VA · every code in this section with a posted price and a Medicare benchmark.
655 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) | $128.87 | $257.73 | 3.3× |
| Acetaminophen level (80143) | $86.63 | $173.25 | 4.6× |
| Acetylcholine receptor binding antibody (86041) | $91.37 | $182.74 | 5.0× |
| Acetylcholine receptor blocking antibody (86042) | $45.38 | $90.75 | 2.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $91.37 | $182.74 | 7.6× |
| Acth stimulation panel adrenal insufficiency (80400) | $123.53 | $247.06 | 3.8× |
| Activated protein c resistance (85307) | $112.69 | $225.37 | 7.4× |
| Acute hepatitis panel (80074) | $159.12 | $318.23 | 3.3× |
| Adamts13 activity (85397) | $73.21 | $146.41 | 2.4× |
| Adrenocorticotropic hormone (82024) | $129.61 | $259.21 | 3.4× |
| Afp maternal serum (82105) | $101.95 | $203.89 | 6.1× |
| Agglutinins febrile ea antigen (86000) | $86.94 | $173.88 | 12.5× |
| Albumin body fluid (82042) | $30.94 | $61.88 | 4.0× |
| Albumin serum (82040) | $20.97 | $41.93 | 4.2× |
| Aldolase (82085) | $40.76 | $81.52 | 4.2× |
| Aldosterone urine (82088) | $136.13 | $272.25 | 3.3× |
| Alkaline phosphatase isoenzymes (84080) | $80.18 | $160.35 | 5.4× |
| Allergen peanut (86003) | $25.48 | $50.96 | 4.9× |
| Allergen spec ige qual multiallergen screen (86005) | $13.25 | $26.50 | 1.7× |
| Allg Spec Ige Recomb Ea (86008) | $32.30 | $64.60 | 1.8× |
| Alpha-1-antitrypsin phenotype (82104) | $51.47 | $102.93 | 3.6× |
| Alpha-1-antitrypsin, total (82103) | $62.85 | $125.70 | 4.7× |
| Alpha-Fetoprotein L3 (82107) | $196 | $391.99 | 3.0× |
| Alt (sgpt) (84460) | $29.54 | $59.08 | 5.6× |
| Aluminum (82108) | $84.10 | $168.19 | 3.3× |
| Amikacin trough (80150) | $50.22 | $100.43 | 3.3× |
| Amino Acids Quant 2-5 (82136) | $52.27 | $104.54 | 2.7× |
| Aminolevulinic acid (ala) (82135) | $50.82 | $101.64 | 3.1× |
| Amylase urine (82150) | $50.43 | $100.85 | 7.8× |
| Ana titer (86039) | $52.42 | $104.84 | 4.7× |
| Angiotensin i enzyme test (82164) | $62.78 | $125.55 | 4.3× |
| Antibody aspergillus (86606) | $50.22 | $100.43 | 3.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.03 | $104.06 | 3.4× |
| Antibody coxiella burnetii q fever (86638) | $40.54 | $81.07 | 3.3× |
| Antibody cytomegalovirus cmv (86644) | $49.40 | $98.78 | 3.4× |
| Antibody haemophilus influenza (86684) | $54.55 | $109.10 | 3.4× |
| Antibody helicobacter pylori (86677) | $71.30 | $142.59 | 4.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $49.15 | $98.30 | 3.4× |
| Antibody HIV-2 (86702) | $49.74 | $99.48 | 3.7× |
| Antibody identification (86870) | $185.48 | $370.95 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $54.45 | $108.89 | 3.6× |
| Antibody influenza virus (86710) | $45.38 | $90.75 | 3.3× |
| Antibody mumps (86735) | $43.56 | $87.12 | 3.3× |
| Antibody Protozoa Nes (86753) | $41.14 | $82.28 | 3.3× |
| Antibody screen (86850) | $36.30 | $72.60 | 3.7× |
| Antibody treponema pallidum (86780) | $41.31 | $82.62 | 3.1× |
| Antibody; Coccidioides (86635) | $38.12 | $76.23 | 3.3× |
| Antigen typing (86905) | $185.48 | $370.95 | 48.4× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $88.36 | $176.71 | 17.1× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $46.33 | $92.66 | 3.8× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $50.97 | $101.93 | 4.2× |
| Antinuclear antibodies (86038) | $61.65 | $123.30 | 5.1× |
| Antistreptolysin o titer (86060) | $31.35 | $62.70 | 4.3× |
| Antithrombin iii activity (85300) | $117.70 | $235.39 | 9.9× |
| Antithrombin iii antigen (85301) | $49.46 | $98.91 | 4.6× |
| Apolipoprotein each (82172) | $52.03 | $104.06 | 2.5× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $318.92 | $637.84 | 26.5× |
| Arsenic Urine (82175) | $72.80 | $145.61 | 3.8× |
| Aspergillus ag eia (87305) | $78.69 | $157.37 | 6.6× |
| Assay Nephelometry Not Spec (83883) | $55.73 | $111.45 | 4.1× |
| Assay neurofilament light chain (83884) | $142.50 | $285 | 1.2× |
| Assay of 5-hiaa (83497) | $43.54 | $87.08 | 3.4× |
| Assay of ammonia (82140) | $52.48 | $104.96 | 3.6× |
| Assay of androstenedione (82157) | $98.01 | $196.02 | 3.3× |
| Assay of anti-mullerian hormone (82166) | $55 | $110 | 1.4× |
| Assay of c-peptide (84681) | $95.18 | $190.35 | 4.6× |
| Assay of ceruloplasmin (82390) | $41.14 | $82.28 | 3.8× |
| Assay of citrate (82507) | $93.17 | $186.34 | 3.4× |
| Assay of cyclosporine (80158) | $60.50 | $121 | 3.4× |
| Assay of erythropoietin (82668) | $62.92 | $125.84 | 3.3× |
| Assay of estrone (82679) | $83.49 | $166.98 | 3.3× |
| Assay of ethosuximide (80168) | $54.45 | $108.90 | 3.3× |
| Assay of ferritin (82728) | $65.81 | $131.61 | 4.8× |
| Assay of g6pd enzyme (82955) | $38.51 | $77.02 | 4.0× |
| Assay of gammaglobulin igm (82784) | $45.19 | $90.38 | 4.9× |
| Assay of gastrin (82941) | $59.29 | $118.58 | 3.4× |
| Assay of gentamicin (80170) | $66.05 | $132.09 | 4.0× |
| Assay of homocystine (83090) | $91.92 | $183.84 | 5.1× |
| Assay of lactic acid (83605) | $53.55 | $107.10 | 4.6× |
| Assay of lipoprotein(a) (83695) | $55 | $110 | 3.8× |
| Assay of manganese (83785) | $117 | $234 | 4.4× |
| Assay of metanephrines (83835) | $82.56 | $165.12 | 4.9× |
| Assay of osteocalcin (83937) | $85.31 | $170.61 | 2.9× |
| Assay of phenobarbital (80184) | $74.42 | $148.84 | 4.9× |
| Assay of prealbumin (84134) | $49.01 | $98.01 | 3.4× |
| Assay of prolactin (84146) | $86.37 | $172.73 | 4.5× |
| Assay of pyruvate (84210) | $36.30 | $72.60 | 2.5× |
| Assay of serotonin (84260) | $89.19 | $178.37 | 2.9× |
| Assay of tacrolimus (80197) | $111.03 | $222.06 | 8.1× |
| Assay of topiramate (80201) | $71.31 | $142.62 | 6.0× |
| Assay of urine vma (84585) | $78.61 | $157.21 | 5.1× |
| Assay of vitamin k (84597) | $86.53 | $173.06 | 6.3× |
| Assay of volatiles (84600) | $61.12 | $122.23 | 3.6× |
| Assay Phosphatase Acid Prostatic (84066) | $32.07 | $64.13 | 3.3× |
| Assay spec xcp ur&breath ia (82077) | $78.38 | $156.75 | 4.5× |
| Ast (sgot) (84450) | $30.51 | $61.02 | 5.9× |
| B cells total count (86355) | $127.66 | $255.31 | 3.4× |
| Bartonella antibody (86611) | $33.88 | $67.76 | 3.3× |
| Bcr/abl1 gene major bp (81206) | $191.86 | $383.72 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $169.48 | $338.96 | 1.2× |
| Beta 2 glycoprotein 1 igm (86146) | $80.96 | $161.92 | 3.2× |
| Beta hydroxybutyrate (82010) | $39.10 | $78.18 | 4.8× |
| Beta-2 microglobulin (82232) | $53.85 | $107.69 | 3.3× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $233.50 | $467 | 1.8× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $233.50 | $467 | 1.8× |
| Bile acids, total (82239) | $57.48 | $114.95 | 3.4× |
| Bilirubin direct (82248) | $31.50 | $62.99 | 6.3× |
| Bilirubin total (82247) | $20.93 | $41.86 | 4.2× |
| Bilirubin total transcutaneous (88720) | $13.38 | $26.75 | 2.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $11.50 | $22.99 | 3.4× |
| Blastomyces antibody (86612) | $42.96 | $85.91 | 3.3× |
| Bld Typing Serologic Rh Phnt (86906) | $33.38 | $66.76 | 4.3× |
| Blood gas (82803) | $114.56 | $229.12 | 4.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22.29 | $44.58 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.11 | $30.22 | 3.4× |
| Blood Ph (82800) | $39.64 | $79.27 | 3.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $185.48 | $370.95 | 29.2× |
| Blood typing abo (86900) | $66.46 | $132.92 | 22.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $72.01 | $144.02 | 4.4× |
| Blood typing serologic rh (d) (86901) | $45.38 | $90.75 | 15.2× |
| Body fluid cell count (89051) | $31.23 | $62.46 | 5.6× |
| Body fluid cell count (89050) | $40.08 | $80.16 | 8.5× |
| Braf gene (81210) | $184.73 | $369.45 | 1.1× |
| Brca1&2 seq & full dup/del (81162) | $3,561.35 | $7,122.69 | 2.0× |
| Brucella antibody (86622) | $29.65 | $59.29 | 3.3× |
| C diff amplified probe (87493) | $102.61 | $205.22 | 2.8× |
| C-reactive protein (86140) | $38.33 | $76.65 | 7.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $45.89 | $91.77 | 3.5× |
| C1q binding assay (86332) | $81.68 | $163.35 | 3.4× |
| Ca 125 (86304) | $86.87 | $173.74 | 4.2× |
| Ca 19-9 (86301) | $75.87 | $151.74 | 3.6× |
| Ca 27 29 (86300) | $75.87 | $151.74 | 3.6× |
| Cadmium level (82300) | $77.44 | $154.88 | 3.3× |
| Calcitonin (82308) | $93.73 | $187.46 | 3.5× |
| Calcium ionized (82330) | $45.98 | $91.96 | 3.4× |
| Calcium total (82310) | $22.09 | $44.17 | 4.3× |
| Calcium urine (82340) | $31.41 | $62.81 | 5.2× |
| Calculus spectroscopy (82365) | $35.09 | $70.18 | 2.7× |
| Calprotectin, fecal (83993) | $77.39 | $154.77 | 3.9× |
| Calr gene com variants (81219) | $229.66 | $459.31 | 1.9× |
| Carbamazepine free (80157) | $37.33 | $74.66 | 2.8× |
| Carbamazepine total (80156) | $60.54 | $121.08 | 4.2× |
| Carbon dioxide (82374) | $18.34 | $36.68 | 3.8× |
| Carboxyhemoglobin (82375) | $41.14 | $82.28 | 3.3× |
| Carcinoembryonic antigen (82378) | $97.16 | $194.31 | 5.1× |
| Cardiolipin ab igg (86147) | $78.81 | $157.62 | 3.1× |
| Carnitine (82379) | $56.27 | $112.53 | 3.3× |
| Carotene (82380) | $66.92 | $133.83 | 7.3× |
| Catecholamines fraction plasma (82384) | $84.70 | $169.40 | 3.4× |
| Chemiluminescent assay (82397) | $81.78 | $163.54 | 5.8× |
| Chlamydia antibody (86631) | $43.85 | $87.70 | 3.7× |
| Chlamydia Igm Antibody (86632) | $42.35 | $84.70 | 3.3× |
| Chloride blood (82435) | $15.13 | $30.25 | 3.3× |
| Chloride feces (82438) | $47.02 | $94.04 | 9.4× |
| Chloride urine (82436) | $20.11 | $40.22 | 3.5× |
| Cholesterol HDL (83718) | $38.40 | $76.79 | 4.7× |
| Cholesterol total (82465) | $16.22 | $32.44 | 3.7× |
| Cholinesterase rbc (82482) | $71.50 | $143 | 7.3× |
| Cholinesterase serum (82480) | $26.62 | $53.24 | 3.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $408.75 | $817.50 | 3.3× |
| Chromium urine (82495) | $67.76 | $135.52 | 3.3× |
| Chromogranin a (86316) | $95.56 | $191.12 | 4.6× |
| Chromosome analysis 20-25 cells (88264) | $412.94 | $825.88 | 2.9× |
| Chromosome analysis 45 cells (88263) | $525.61 | $1,051.22 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $110.11 | $220.22 | 3.1× |
| Ckmb (82553) | $41.58 | $83.15 | 3.6× |
| Clot Factor VIII Multimetric (85247) | $80 | $160 | 3.5× |
| Clot factor viii vw antigen (85246) | $81.36 | $162.72 | 3.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $87.10 | $174.20 | 4.9× |
| Clotting Inhibitors Protein S Free (85306) | $95.16 | $190.32 | 6.2× |
| Clozapine level (80159) | $55.52 | $111.03 | 2.8× |
| Cmv ab igm (86645) | $59.02 | $118.04 | 3.5× |
| Cmv PCR (87496) | $149.87 | $299.73 | 4.3× |
| Cns DNA amp probe type 12-25 (87483) | $941.41 | $1,882.81 | 2.3× |
| Coagulation time activated (85347) | $24.15 | $48.29 | 5.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $126.82 | $253.64 | 5.3× |
| Cold agglutinin screen (86156) | $35.75 | $71.50 | 4.4× |
| Cold agglutinin titer (86157) | $40.49 | $80.97 | 5.0× |
| Collagen cross links (82523) | $72 | $143.99 | 3.9× |
| Compatibility test antiglob (86922) | $123.42 | $246.84 | 0.7× |
| Compatibility Test Incubate (86921) | $123.42 | $246.84 | 0.7× |
| Complement c3 (86160) | $40.49 | $80.97 | 3.4× |
| Complement total (ch50) (86162) | $59.38 | $118.76 | 2.9× |
| Concentration Infectious Agent (87015) | $20.87 | $41.74 | 3.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $192.59 | $385.18 | 5.3× |
| Coombs direct (86880) | $30.63 | $61.25 | 5.7× |
| Copper urine (82525) | $43.33 | $86.66 | 3.5× |
| Cortisol free (82530) | $55.66 | $111.32 | 3.3× |
| Cortisol total (82533) | $54.45 | $108.90 | 3.3× |
| Creatine kinase total (82550) | $21.78 | $43.56 | 3.3× |
| Creatinine blood (82565) | $16.94 | $33.88 | 3.3× |
| Creatinine clearance (82575) | $45 | $90 | 4.8× |
| Creatinine other source (82570) | $32.87 | $65.73 | 6.3× |
| Crossmatch immediate spin (86920) | $123.42 | $246.84 | 0.7× |
| Cryoglobulin (82595) | $31.92 | $63.82 | 4.9× |
| Crystals body fluid (89060) | $33.24 | $66.48 | 4.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $31.14 | $62.26 | 3.9× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $121.62 | $243.23 | 0.6× |
| Culture Aerobic Identify (87077) | $27.23 | $54.45 | 3.4× |
| Culture aerobic quant other (87071) | $23.63 | $47.25 | 2.4× |
| Culture afb (87116) | $53.19 | $106.38 | 4.9× |
| Culture anaerobic (87075) | $78.36 | $156.71 | 8.3× |
| Culture blood (87040) | $55 | $109.98 | 5.3× |
| Culture chlamydia (87110) | $44.17 | $88.33 | 2.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $56.61 | $113.22 | 7.3× |
| Culture fungus blood (87103) | $47.87 | $95.74 | 2.3× |
| Culture fungus id yeast (87106) | $23 | $45.98 | 2.2× |
| Culture fungus other (87102) | $56.61 | $113.22 | 6.7× |
| Culture genital (87070) | $54.34 | $108.67 | 6.3× |
| Culture screen only (87081) | $46.26 | $92.52 | 7.0× |
| Culture stool (87045) | $46.70 | $93.39 | 4.9× |
| Culture typing if ea antiserum (87140) | $22.80 | $45.60 | 4.1× |
| Culture urine (87086) | $37.01 | $74.02 | 4.6× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $63.45 | $126.90 | 0.6× |
| Cyanide (82600) | $64.74 | $129.47 | 3.3× |
| Cyclic Citrullinated Peptide (86200) | $65.79 | $131.58 | 5.1× |
| Cysticercosis Antibody (86682) | $43.92 | $87.85 | 3.4× |
| Cytogenetics 100-300 (88275) | $139.15 | $278.30 | 2.7× |
| Cytogenetics DNA probe (88271) | $80.24 | $160.48 | 3.7× |
| Cytogenom const microarray copy number&snp var (81229) | $567.51 | $1,135.02 | 0.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $111.29 | $222.57 | 2.6× |
| Cytopath cell enhance tech (88112) | $335.50 | $671 | 6.6× |
| Cytopath Fl Nongyn Filter (88106) | $47.43 | $94.85 | 1.7× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $49.01 | $98.01 | 1.3× |
| Cytopath Smear Other Source (88160) | $57.50 | $115 | 2.0× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $69.75 | $139.50 | 2.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $89.54 | $179.08 | 3.4× |
| Cytp concentration smears & interpretation (88108) | $71.39 | $142.78 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $121 | $242 | 2.4× |
| Cytp fna eval dx 1st each site (88172) | $88.36 | $176.71 | 0.5× |
| Deoxyribonuclease antibody (86215) | $49.92 | $99.84 | 3.8× |
| Detect agnt mult DNA ampli (87801) | $98.01 | $196.02 | 1.4× |
| Dgp antibody each ig class (86258) | $15.94 | $31.87 | 1.3× |
| Dhea (82626) | $157.60 | $315.19 | 6.2× |
| Dhea-sulfate (82627) | $98.32 | $196.64 | 4.4× |
| Digoxin (80162) | $44.17 | $88.33 | 3.3× |
| Dilantin (80185) | $51.69 | $103.37 | 3.9× |
| Diphtheria antitoxoid (86648) | $50.82 | $101.64 | 3.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $72.37 | $144.74 | 5.3× |
| Drug assay adalimumab (80145) | $101.64 | $203.28 | 2.6× |
| Drug Assay Amiodarone (80151) | $50.25 | $100.50 | 2.7× |
| Drug Assay Infliximab (80230) | $102.84 | $205.68 | 2.7× |
| Drug Assay Lacosamide (80235) | $88.11 | $176.21 | 3.3× |
| Drug assay methotrexate (80204) | $87.76 | $175.52 | 2.3× |
| Drug assay vedolizumab (80280) | $97.13 | $194.25 | 2.5× |
| Drug quant nes (80299) | $95.24 | $190.47 | 5.1× |
| Drug screen quant zonisamide (80203) | $36.50 | $73 | 2.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $39.72 | $79.44 | 3.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $102.42 | $204.83 | 7.7× |
| Drug Scrn Quan Levetiracetam (80177) | $81.84 | $163.67 | 6.2× |
| Drug test prsmv chem anlyzr (80307) | $95.91 | $191.81 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $25.89 | $51.78 | 2.1× |
| E test (87181) | $62.86 | $125.72 | 13.2× |
| Ebv viral capsid (86665) | $61.42 | $122.84 | 3.4× |
| Egfr Gene Analysis Common Variants (81235) | $472.78 | $945.55 | 1.5× |
| Ehrlichia antibody (86666) | $57.51 | $115.02 | 5.6× |
| Elastase pancreatic fecal quantitative (82653) | $112.50 | $225 | 4.9× |
| Electrolyte panel (80051) | $38.77 | $77.53 | 5.5× |
| Electron microscopy diagnostic (88348) | $649.77 | $1,299.54 | 0.8× |
| Electronic crossmatch (86923) | $129.03 | $258.06 | 0.8× |
| Enterovirus antibody (86658) | $43.56 | $87.12 | 3.3× |
| Enterovirus Pcr (87498) | $151.35 | $302.70 | 4.3× |
| Enzyme cell activity (82657) | $42.50 | $85 | 1.9× |
| Enzyme histochemistry (88319) | $421.20 | $842.39 | 0.5× |
| Eosinophil count (85048) | $36.82 | $73.64 | 14.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $53.27 | $106.53 | 3.5× |
| Estradiol (82670) | $83.31 | $166.62 | 3.0× |
| Estriol serum (82677) | $81.07 | $162.14 | 3.4× |
| Estrogens total (82672) | $16.49 | $32.98 | 0.8× |
| Ethylene glycol (82693) | $85.97 | $171.93 | 5.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $197.43 | $394.85 | 2.0× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $22.50 | $45 | 0.8× |
| Factor ii activity (85210) | $72.60 | $145.20 | 5.6× |
| Factor inhibitor test (85335) | $42.96 | $85.91 | 3.3× |
| Factor ix activity (85250) | $90.45 | $180.90 | 4.8× |
| Factor vii assay (85230) | $100.03 | $200.05 | 5.6× |
| Factor viii ahg (85240) | $59.90 | $119.79 | 3.3× |
| Factor xi assay (85270) | $59.90 | $119.79 | 3.3× |
| Factor xii assay (85280) | $53.12 | $106.24 | 2.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $161.37 | $322.73 | 9.4× |
| Fecal fat qual (82705) | $15.73 | $31.46 | 3.1× |
| Fecal fat quant (82710) | $54.30 | $108.59 | 3.2× |
| Fetal bleed screen (85461) | $22.39 | $44.77 | 2.4× |
| Fetal fibronectin (82731) | $228.28 | $456.56 | 3.5× |
| Fibrin Degradation Quant (85379) | $65.34 | $130.68 | 6.4× |
| Fibrinogen activity (85384) | $51.73 | $103.46 | 5.3× |
| Flow cytometry first marker (88184) | $185.48 | $370.95 | 0.5× |
| Fluorescent Antibody Screen (86255) | $65.10 | $130.20 | 5.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $406.89 | $813.77 | 33.8× |
| Folate serum (82746) | $51.47 | $102.94 | 3.5× |
| Folic acid rbc (82747) | $58.08 | $116.16 | 3.3× |
| Follicle Stimulating Hormone (83001) | $81.40 | $162.79 | 4.4× |
| Frozen Section (88331) | $88.36 | $176.71 | 0.5× |
| Fructosamine (82985) | $49.61 | $99.22 | 3.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $22.24 | $44.48 | 2.2× |
| Gabapentin (80171) | $44.99 | $89.97 | 2.1× |
| Gammaglobulin ige (82785) | $68.10 | $136.19 | 4.1× |
| Gardner vag DNA dir probe (87510) | $65.34 | $130.68 | 3.3× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,014.82 | $2,029.65 | 1.3× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,074.78 | $6,149.56 | 1.1× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $836.18 | $1,672.35 | 1.4× |
| Ggt (82977) | $58.20 | $116.39 | 8.1× |
| Giardia antigen eia stool (87329) | $41.75 | $83.49 | 3.5× |
| Glucagon (82943) | $47.80 | $95.59 | 3.3× |
| Glucose (82947) | $13.78 | $27.57 | 3.5× |
| Glucose Blood Test (82962) | $7.87 | $15.73 | 2.4× |
| Glucose body fluid (82945) | $27.58 | $55.15 | 7.0× |
| Glucose post dose (82950) | $23.30 | $46.59 | 4.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $17.50 | $35 | 4.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $55.63 | $111.25 | 4.3× |
| Growth hormone (83003) | $55.66 | $111.32 | 3.3× |
| H pylori breath test (83013) | $50 | $100 | 0.7× |
| H pylri clrthmcn rst amp prb (87513) | $149.80 | $299.60 | 4.3× |
| Haptoglobin (83010) | $42.35 | $84.70 | 3.4× |
| Hcg qualitative (84703) | $54.16 | $108.32 | 7.2× |
| Hcg quant (84702) | $104.84 | $209.67 | 7.0× |
| Hematocrit (85014) | $19.22 | $38.44 | 8.1× |
| Hemoglobin (85018) | $12.14 | $24.28 | 5.1× |
| Hemoglobin a1c (83036) | $53.93 | $107.86 | 5.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $60.50 | $121 | 3.3× |
| Hemoglobin electrophoresis (83020) | $66.66 | $133.33 | 5.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $85.89 | $171.78 | 11.1× |
| Hemoglobin plasma (83051) | $19.48 | $38.95 | 2.7× |
| Heparin assay (85520) | $87.02 | $174.04 | 6.6× |
| Hepatitis a antibody total (86708) | $55.09 | $110.18 | 4.4× |
| Hepatitis a igm (86709) | $38.35 | $76.69 | 3.4× |
| Hepatitis b core ab igm (86705) | $57.25 | $114.50 | 4.9× |
| Hepatitis b core antibody total (86704) | $71.84 | $143.67 | 6.0× |
| Hepatitis B Surface Ab (86706) | $45.91 | $91.82 | 4.3× |
| Hepatitis b surface ag quan (87467) | $149.89 | $299.77 | 5.9× |
| Hepatitis B Surface Antigen (87340) | $59.28 | $118.56 | 5.7× |
| Hepatitis be antibody (86707) | $39.43 | $78.85 | 3.4× |
| Hepatitis Be Antigen (87350) | $38.72 | $77.44 | 3.4× |
| Hepatitis c antibody (86803) | $61.12 | $122.24 | 4.3× |
| Hepatitis C Genotype (87902) | $770.17 | $1,540.33 | 3.0× |
| Hepatitis delta ab (86692) | $70.76 | $141.51 | 4.1× |
| Herpes simplex type i (86695) | $44.83 | $89.66 | 3.4× |
| Herpes simplex type ii (86696) | $65.32 | $130.62 | 3.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $19.11 | $38.22 | 3.7× |
| Hexagonal phospholipid (85598) | $23.19 | $46.37 | 1.3× |
| Histamine plasma (83088) | $120.75 | $241.50 | 4.1× |
| Histoplasma antibody (86698) | $44.83 | $89.66 | 3.3× |
| Histoplasma antigen urine (87385) | $61.11 | $122.21 | 4.6× |
| HIV confirmation (86689) | $65.32 | $130.62 | 3.4× |
| HIV-1 antibody (86701) | $29.65 | $59.29 | 3.3× |
| HIV-1 genotype (87901) | $770.17 | $1,540.33 | 3.0× |
| HIV-1 integrase genotype (87906) | $352.84 | $705.67 | 2.7× |
| HIV-2 probe&revrse trnscripj (87538) | $115.12 | $230.23 | 3.3× |
| Hla class i typing high resolution one allele or allele group (81381) | $301.53 | $603.06 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) | $110 | $220 | 0.9× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $383.86 | $767.72 | 4.1× |
| Hla ii typing 1 locus lr (81376) | $166.16 | $332.31 | 1.4× |
| Hla-b27 (86812) | $202.17 | $404.34 | 7.8× |
| Homogenization tissue (87176) | $25.20 | $50.39 | 4.3× |
| Hpylori Drug Administration (83014) | $26.02 | $52.03 | 3.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $110.11 | $220.22 | 3.1× |
| Human epididymis protein 4 (86305) | $156.95 | $313.90 | 7.5× |
| Hydroxyprogesterone 17-d (83498) | $97.30 | $194.59 | 3.6× |
| Iaad ia clostridium difficile toxin (87324) | $58.96 | $117.91 | 4.9× |
| Iaad ia cryptosporidium (87328) | $39.93 | $79.86 | 2.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $39.67 | $79.34 | 3.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $74.32 | $148.64 | 3.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $65.21 | $130.42 | 4.5× |
| Iaad ia shiga-like toxin (87427) | $39.93 | $79.86 | 3.3× |
| Iaad Ia Streptococcus Group A (87430) | $39.93 | $79.86 | 2.4× |
| Iaadiadoo not otherwise specified (87899) | $39.93 | $79.86 | 2.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $110.11 | $220.22 | 3.1× |
| Iadna babesia microti amplified probe technique (87469) | $137.10 | $274.20 | 3.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $147.90 | $295.79 | 4.2× |
| Iadna Candida Species Direct Probe Tq (87480) | $65.34 | $130.68 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $110.11 | $220.22 | 3.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $110.11 | $220.22 | 3.1× |
| Iadna hepatitis b virus quantification (87517) | $174.61 | $349.22 | 4.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $177.13 | $354.25 | 4.1× |
| Iadna HIV-1 quant & reverse transcription (87536) | $232.93 | $465.85 | 2.7× |
| Iadna human papillomavirus high-risk types (87624) | $92.47 | $184.94 | 2.6× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $92.47 | $184.94 | 2.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $110.11 | $220.22 | 3.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $110.11 | $220.22 | 3.1× |
| Iadna nos amplified probe tq each organism (87798) | $110.11 | $220.22 | 3.1× |
| Iadna nos quantification each organism (87799) | $197.57 | $395.13 | 4.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $146.86 | $293.72 | 4.2× |
| If cryptosporidium antigen (87272) | $39.93 | $79.86 | 3.3× |
| Igg subclasses (82787) | $74.29 | $148.57 | 9.3× |
| Igvh somatic hypermutation (81263) | $753.26 | $1,506.52 | 2.6× |
| Immunoassay infectious agent antibody quan nos (86317) | $55.02 | $110.04 | 3.7× |
| Immunoassay nonantibody (83516) | $38.72 | $77.44 | 3.4× |
| Immunodiffusion (86329) | $16.45 | $32.89 | 1.2× |
| Immunodiffusion Ouchterlony (86331) | $39.93 | $79.86 | 3.3× |
| Immunofixation (86334) | $49.93 | $99.85 | 2.2× |
| Immunofixation urine (86335) | $99.22 | $198.44 | 3.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $164.14 | $328.27 | 1.0× |
| Immunohistochemistry (88342) | $108.19 | $216.38 | 0.7× |
| In situ hybridization (88365) | $161.50 | $323 | 1.0× |
| In situ hybridization ea multiplex probe stain (88366) | $230.38 | $460.75 | 1.4× |
| Indirect coombs (86885) | $88.36 | $176.71 | 15.4× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) | $60.19 | $120.38 | 4.4× |
| Influenza a/b ag eia (87400) | $53.58 | $107.15 | 3.8× |
| Influenza DNA amp probe (87502) | $21.88 | $43.75 | 0.2× |
| Inhibin b (83520) | $43.56 | $87.12 | 2.5× |
| Insitu hybridization auto (88367) | $230.38 | $460.75 | 0.7× |
| Insitu hybridization manual (88368) | $314.60 | $629.20 | 0.9× |
| Insulin antibodies (86337) | $71.39 | $142.78 | 3.3× |
| Insulin free (83527) | $43.56 | $87.12 | 3.4× |
| Insulin total (83525) | $38.12 | $76.23 | 3.3× |
| Intrinsic factor antibody (86340) | $65.21 | $130.41 | 4.3× |
| Iron (83540) | $28.70 | $57.40 | 4.4× |
| Iron binding capacity (83550) | $33.25 | $66.50 | 3.8× |
| Islet cell antibody (86341) | $81.15 | $162.30 | 3.4× |
| Jak2 gene analysis (81270) | $107.27 | $214.53 | 1.2× |
| Kit gene targeted seq analys (81272) | $470 | $940 | 1.4× |
| Kras gene analysis (81275) | $422.83 | $845.66 | 2.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $273.35 | $546.69 | 1.4× |
| Lactoferrin fecal qual (83630) | $91.53 | $183.05 | 4.6× |
| Ldh body fluid (83615) | $32.50 | $65 | 5.4× |
| Ldh isoenzymes (83625) | $43.50 | $87 | 3.4× |
| LDL cholesterol direct (83721) | $38.84 | $77.67 | 3.7× |
| Lead (83655) | $43.09 | $86.18 | 3.6× |
| Legionella antibody (86713) | $51.43 | $102.85 | 3.4× |
| Legionella antigen urine (87449) | $100.94 | $201.87 | 8.4× |
| Leptospira antibody (86720) | $44.83 | $89.66 | 2.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $29.72 | $59.43 | 7.0× |
| Level ii surg pathology grossµscopic exam (88302) | $70 | $140 | 1.9× |
| Level v surg pathology grossµscopic exam (88307) | $205 | $410 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $421.20 | $842.39 | 0.5× |
| Lh (83002) | $79.90 | $159.80 | 4.3× |
| Lipase (83690) | $63.57 | $127.14 | 9.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $127.15 | $254.29 | 3.7× |
| Listeria ab (86609) | $42.96 | $85.91 | 3.3× |
| Lithium (80178) | $22.39 | $44.77 | 3.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $183.75 | $367.50 | 1.0× |
| Lyme disease antibody (86618) | $57.58 | $115.16 | 3.4× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $421.88 | $843.75 | 2.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $392.62 | $785.24 | 2.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $131.75 | $263.50 | 0.8× |
| Magnesium (83735) | $35.54 | $71.08 | 5.3× |
| Malaria smear (87207) | $37.40 | $74.80 | 6.2× |
| Manual cell count each (85032) | $54.05 | $108.10 | 12.5× |
| Manual reticulocyte count (85044) | $31.06 | $62.12 | 7.2× |
| Mercury urine (83825) | $71.91 | $143.81 | 4.4× |
| Metabolic Panel Ionized Ca (80047) | $145.97 | $291.93 | 10.6× |
| Methemoglobin (83050) | $24.47 | $48.94 | 3.0× |
| Methylmalonic acid serum (83921) | $89.46 | $178.91 | 4.2× |
| Mgmt methylation analysis (81287) | $172.66 | $345.32 | 1.4× |
| Microalbumin urine (82043) | $35.29 | $70.57 | 6.1× |
| Microsatellite instability (81301) | $725.49 | $1,450.98 | 2.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $75.50 | $151 | 1.5× |
| Microsomal antibodies (86376) | $68.61 | $137.22 | 4.7× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $557.28 | $1,114.55 | 2.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $305 | $610 | 25.3× |
| Molecular pathology procedure level 2 (81401) | $144.28 | $288.56 | 1.1× |
| Mopath procedure level 3 (81402) | $312.03 | $624.06 | 2.1× |
| Mopath procedure level 4 (81403) | $612.24 | $1,224.47 | 3.3× |
| Mopath procedure level 6 (81405) | $1,085.66 | $2,171.32 | 3.6× |
| Mtb PCR (87556) | $112.45 | $224.90 | 2.7× |
| Mtb rifampin rst amp prb tq (87564) | $168.39 | $336.77 | 2.2× |
| Mthfr Gene Analysis Common Variants (81291) | $102.63 | $205.25 | 1.6× |
| Muramidase (85549) | $77.25 | $154.50 | 4.1× |
| Muscle-specific kinase (musk) antibody (86366) | $430 | $860 | 23.4× |
| Mycobacteric identification (87118) | $26.70 | $53.40 | 1.8× |
| Mycoplasma antibody (86738) | $61.12 | $122.24 | 4.6× |
| Mycoplasma genitalium PCR (87563) | $156.67 | $313.33 | 4.5× |
| Myoglobin urine (83874) | $62.87 | $125.73 | 4.9× |
| Nasal smear for eosinophils (89190) | $15.25 | $30.50 | 2.6× |
| Natriuretic peptide (83880) | $117.01 | $234.02 | 3.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $154 | $308 | 2.1× |
| Nras gene variants exon 2&3 (81311) | $423.74 | $847.48 | 1.4× |
| Nuclear antigen antibody (86235) | $67.31 | $134.62 | 3.8× |
| Obstetric panel (80081) | $197.43 | $394.85 | 2.6× |
| Occult blood gastric (82271) | $10.89 | $21.78 | 2.0× |
| Occult blood stool (82272) | $12.09 | $24.18 | 2.9× |
| Oligoclonal bands (83916) | $70.28 | $140.56 | 2.6× |
| Oncoprotein dcp (83951) | $103 | $206 | 1.6× |
| Organic Acids Qualitative Each Specimen (83919) | $55.06 | $110.11 | 3.3× |
| Organic acids total quantitative each specimen (83918) | $114.85 | $229.70 | 4.9× |
| Orthopoxvirus Amp Prb Each (87593) | $23.50 | $47 | 0.5× |
| Osmolality serum (83930) | $31.66 | $63.31 | 4.8× |
| Osmolality urine (83935) | $22.99 | $45.98 | 3.4× |
| Ova and parasite direct-id lca (87177) | $29.65 | $59.29 | 3.3× |
| Oxalate urine (83945) | $38.72 | $77.44 | 2.7× |
| Pancreatic polypeptide (83519) | $91.37 | $182.74 | 5.0× |
| Particle Agglutination Screen Each Antibody (86403) | $52.69 | $105.38 | 4.6× |
| Parvovirus antibody (86747) | $50.22 | $100.43 | 3.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $421.20 | $842.39 | 0.5× |
| Pdgfra gene (81314) | $472.07 | $944.14 | 1.4× |
| Ph body fluid (83986) | $34.12 | $68.24 | 9.5× |
| Ph urine (81003) | $20.04 | $40.06 | 8.9× |
| Phenylalanine (84030) | $46.96 | $93.91 | 8.5× |
| Phenytoin free (80186) | $76.58 | $153.15 | 5.6× |
| Phosphatase alkaline (84075) | $32.02 | $64.04 | 6.2× |
| Phosphorus blood (84100) | $29.94 | $59.86 | 6.3× |
| Phosphorus urine (84105) | $29.44 | $58.88 | 5.1× |
| Pinworm exam (87172) | $14.52 | $29.04 | 3.4× |
| Plasminogen (85420) | $40.12 | $80.23 | 6.1× |
| Platelet aggregation (85576) | $26.23 | $52.46 | 1.1× |
| Platelet count automated (85049) | $15.13 | $30.25 | 3.4× |
| Platelet neutralization (85597) | $26.57 | $53.13 | 1.5× |
| Pneumcysts jirovecii amp prb (87594) | $119.59 | $239.18 | 3.4× |
| Pooling blood platelets (86965) | $181.50 | $363 | 1.1× |
| Porphobilinogen urine quant (84110) | $28.44 | $56.87 | 3.4× |
| Porphyrins feces qn (84126) | $49.61 | $99.22 | 1.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $49.01 | $98.01 | 3.3× |
| Potassium (84132) | $18.85 | $37.70 | 4.0× |
| Potassium urine (84133) | $17.18 | $34.35 | 3.6× |
| Pregnenolone (84140) | $68.97 | $137.94 | 3.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $181.50 | $363 | 1.1× |
| Pretx serum rbc antibody identification dilution (86976) | $181.50 | $363 | 6.4× |
| Primidone (80188) | $55.66 | $111.32 | 3.4× |
| Procalcitonin (pct) (84145) | $52.98 | $105.95 | 1.9× |
| Progesterone (84144) | $62.81 | $125.62 | 3.0× |
| Protein body fluid (84157) | $32.39 | $64.77 | 8.1× |
| Protein c activity (85303) | $113.94 | $227.88 | 8.2× |
| Protein c antigen (85302) | $120.83 | $241.65 | 10.1× |
| Protein electrophoresis serum (84165) | $32.64 | $65.26 | 3.0× |
| Protein Electrophoresis Urine (84166) | $63.30 | $126.60 | 3.6× |
| Protein s total (85305) | $82.64 | $165.27 | 7.1× |
| Protein total serum (84155) | $31.90 | $63.79 | 8.7× |
| Protein urine (84156) | $24.54 | $49.07 | 6.7× |
| Protein Western Blot (84182) | $45.43 | $90.85 | 1.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $91.10 | $182.20 | 5.3× |
| Protein, total, by refractometry, any source Facility (84160) | $17.55 | $35.09 | 3.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $52.78 | $105.56 | 13.4× |
| PSA free (84154) | $63.79 | $127.58 | 3.5× |
| Pth intact (83970) | $137.94 | $275.88 | 3.3× |
| Rbc (85041) | $10.29 | $20.57 | 3.4× |
| Rbc antibody elution (86860) | $95.97 | $191.94 | 0.6× |
| Rbc pretreatment serum (86978) | $181.50 | $363 | 3.2× |
| Rbc pretx incubatj w/chemicl (86970) | $181.50 | $363 | 3.2× |
| Reagent strip/blood glucose (82948) | $13.31 | $26.62 | 2.6× |
| Renin activity plasma (84244) | $73.81 | $147.62 | 3.4× |
| Reptilase test (85635) | $32.67 | $65.34 | 3.3× |
| Resp virus 3-5 targets (87631) | $28.44 | $56.88 | 0.2× |
| Respiratory Virus (86756) | $47.44 | $94.87 | 3.0× |
| Reticulocyte count auto (85045) | $25.72 | $51.44 | 6.4× |
| Reticulocyte separation (86972) | $181.50 | $363 | 1.1× |
| Rheumatoid Factor Qual (86430) | $23.78 | $47.55 | 3.9× |
| Rheumatoid factor quant (86431) | $36.22 | $72.44 | 6.4× |
| Rickettsia antibody (86757) | $64.74 | $129.47 | 3.3× |
| Ristocetin cofactor (85245) | $133.53 | $267.05 | 5.8× |
| Rotavirus (86759) | $44.17 | $88.33 | 2.4× |
| Rotavirus ag eia (87425) | $39.93 | $79.86 | 3.3× |
| Rpr Titer (86593) | $31.67 | $63.34 | 7.2× |
| Rubella antibody (86762) | $48.40 | $96.80 | 3.4× |
| Rubeola Antibody Igg (86765) | $59.71 | $119.42 | 4.6× |
| Russell viper venom time diluted (85613) | $33.55 | $67.09 | 3.5× |
| Salicylate Level (80179) | $78.97 | $157.93 | 4.2× |
| Salmonella antibody (86768) | $46.18 | $92.35 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $28.22 | $56.44 | 0.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $34.13 | $68.25 | 0.8× |
| Sars-cov-2 covid19 w/optic (87811) | $29.50 | $59 | 0.7× |
| Sedimentation rate auto (85652) | $28.96 | $57.92 | 10.7× |
| Selenium (84255) | $120.66 | $241.32 | 4.7× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $69.51 | $139.02 | 5.8× |
| Sensitivity kb (87184) | $33.76 | $67.51 | 4.5× |
| Sensitivity mic (87186) | $35.39 | $70.77 | 4.1× |
| Serotonin Release Assay (86022) | $122.85 | $245.69 | 6.7× |
| Sex hormone binding globulin (84270) | $102.68 | $205.35 | 4.7× |
| Sickling of rbc reduction (85660) | $36.70 | $73.39 | 6.7× |
| Sirolimus (rapamycin) (80195) | $160.80 | $321.60 | 11.7× |
| Smear acid fast (87206) | $31.65 | $63.29 | 5.9× |
| Smear complex stain (87209) | $47.19 | $94.38 | 2.6× |
| Smear gram stain (87205) | $23.98 | $47.95 | 5.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $31.65 | $63.29 | 5.4× |
| Sodium (84295) | $21.89 | $43.77 | 4.6× |
| Sodium feces (84302) | $40.92 | $81.83 | 8.4× |
| Sodium urine (84300) | $16.34 | $32.67 | 3.2× |
| Soluble transferrin receptor (84238) | $122.21 | $244.42 | 3.3× |
| Somatomedin (84305) | $77.07 | $154.14 | 3.6× |
| Somatostatin (84307) | $117.04 | $234.07 | 6.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $135.81 | $271.61 | 1.0× |
| Special stains group 1 (88312) | $148.83 | $297.66 | 2.9× |
| Specific gravity body fluid (84315) | $14.28 | $28.55 | 4.4× |
| Spectrophotometry (84311) | $23.60 | $47.19 | 2.9× |
| Splitting blood/blood products each unit (86985) | $157.30 | $314.60 | 0.9× |
| Stool Culture, Addl Pathogens (87046) | $12.74 | $25.47 | 1.3× |
| Strep a assay w/optic (87880) | $39.93 | $79.86 | 2.4× |
| Strep b DNA amp probe (87653) | $100.09 | $200.18 | 2.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.02 | $110.04 | 0.6× |
| Sugars Single Qualitative, Each Specimen (84376) | $31.40 | $62.80 | 5.7× |
| Surg path level 1 (88300) | $38.50 | $77 | 1.4× |
| Surg path level iii (88304) | $89.54 | $179.08 | 1.8× |
| Surgical pathology level IV (88305) | $149.44 | $298.87 | 2.9× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $30.70 | $61.40 | 4.2× |
| T Cell Absolute Count (86361) | $89.54 | $179.08 | 3.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $157.30 | $314.60 | 3.3× |
| T cells total count (86359) | $126.45 | $252.89 | 3.4× |
| T3 free (84481) | $56.87 | $113.74 | 3.4× |
| T3 reverse (84482) | $86.59 | $173.18 | 5.5× |
| T3 total (84480) | $47.19 | $94.38 | 3.3× |
| T3 uptake (84479) | $26.80 | $53.60 | 4.1× |
| T4 free (84439) | $54.24 | $108.47 | 6.0× |
| T4 total (84436) | $47.46 | $94.91 | 6.9× |
| Tau phosphorylated each (84393) | $241.67 | $483.33 | 1.9× |
| Tb ag response t-cell susp (86481) | $189.97 | $379.94 | 1.9× |
| Tb intradermal test (86580) | $27.23 | $54.45 | 1.0× |
| Tb test, cell immun measure (86480) | $218.35 | $436.70 | 3.5× |
| Testosterone free (84402) | $133.27 | $266.54 | 5.2× |
| Testosterone total (84403) | $117.25 | $234.50 | 4.5× |
| Tetanus antibody (86774) | $33.88 | $67.76 | 2.3× |
| Theophylline (80198) | $63.17 | $126.34 | 4.5× |
| Thin prep pap (88142) | $67.76 | $135.52 | 3.3× |
| Thiocyanate (84430) | $38.72 | $77.44 | 3.3× |
| Thiopurine methyltransferase (84433) | $154.47 | $308.94 | 7.0× |
| Thrombin time plasma (85670) | $28.96 | $57.92 | 5.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $42.46 | $84.92 | 6.6× |
| Thyroglobulin (84432) | $114.28 | $228.56 | 7.1× |
| Thyroglobulin antibody (86800) | $53.24 | $106.48 | 3.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $96.36 | $192.72 | 1.9× |
| Thyroxine binding globulin (84442) | $49.61 | $99.22 | 3.4× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $9.68 | $19.36 | 2.3× |
| Tissue culture bone marrow (88237) | $441.06 | $882.12 | 3.1× |
| Tissue culture lymphocyte (88230) | $190.86 | $381.70 | 1.6× |
| Tissue transglutaminase ab iga (86364) | $45.36 | $90.72 | 3.9× |
| Tobramycin peak (80200) | $78.97 | $157.93 | 4.9× |
| Total tau (ttau) (84394) | $241.67 | $483.33 | 1.9× |
| Touch prep (88161) | $100.75 | $201.50 | 3.6× |
| Toxoplasma ab igm (86778) | $78.05 | $156.09 | 5.4× |
| Toxoplasma antibody igg (86777) | $48.40 | $96.80 | 3.4× |
| Transferrin (84466) | $59.08 | $118.15 | 4.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $365.35 | $730.69 | 1.7× |
| Trg gene rearrangement analysis (81342) | $309.01 | $618.02 | 1.5× |
| Trichinella antibody (86784) | $41.75 | $83.49 | 3.3× |
| Trichomonas vagin dir probe (87660) | $65.34 | $130.68 | 3.3× |
| Triglycerides (84478) | $24.33 | $48.66 | 4.2× |
| Troponin (84484) | $73.40 | $146.79 | 5.9× |
| Tumor immunohistochem/comput (88361) | $225.38 | $450.75 | 0.6× |
| Urea nitrogen (84520) | $26.63 | $53.25 | 6.7× |
| Urea nitrogen urine (84540) | $29.72 | $59.44 | 5.3× |
| Uric acid blood (84550) | $33.29 | $66.57 | 7.4× |
| Uric acid other source (84560) | $41.37 | $82.73 | 8.1× |
| Urinalysis auto w/scope (81001) | $20.52 | $41.04 | 6.5× |
| Urinalysis Microscopic Only (81015) | $10.29 | $20.57 | 3.4× |
| Urine Albumin Semiquantitative (82044) | $15.13 | $30.25 | 2.4× |
| Urine Bacteria Culture (87088) | $27.23 | $54.45 | 3.4× |
| Urine pregnancy test (81025) | $40.85 | $81.70 | 4.7× |
| Urine volume measurement (81050) | $11.14 | $22.28 | 3.1× |
| Valproic acid (80164) | $46.42 | $92.84 | 3.4× |
| Vancomycin trough (80202) | $45.38 | $90.75 | 3.4× |
| Varicella-zoster antibody (86787) | $66.30 | $132.59 | 5.1× |
| Vasoactive intestinal peptide (vip) (84586) | $142.02 | $284.03 | 4.0× |
| Vdrl csf (86592) | $35.99 | $71.98 | 8.4× |
| Very long chain fatty acids (82726) | $72.50 | $145 | 3.7× |
| Virus antibody nos (86790) | $42.96 | $85.91 | 3.3× |
| Viscosity serum (85810) | $39.33 | $78.65 | 3.4× |
| Vitamin A (84590) | $46.28 | $92.56 | 4.0× |
| Vitamin b-12 (82607) | $50.22 | $100.43 | 3.3× |
| Vitamin b1 (thiamine) (84425) | $110.89 | $221.78 | 5.2× |
| Vitamin b6 (84207) | $93.78 | $187.55 | 3.3× |
| Vitamin c (82180) | $41.16 | $82.32 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $99.22 | $198.44 | 3.4× |
| Vitamin e serum (84446) | $47.19 | $94.38 | 3.3× |
| Voltage-gated calcium channel antibody each (86596) | $106.20 | $212.39 | 8.8× |
| West nile virus antibody (86789) | $55.95 | $111.90 | 3.9× |
| West nile virus igm (86788) | $55.95 | $111.90 | 3.3× |
| Zinc (84630) | $55.49 | $110.97 | 4.9× |