Lab & pathology prices at Rolling Plains Memorial Hospital
Sweetwater, TX · every code in this section with a posted price and a Medicare benchmark.
610 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) | $145 | $223 | 3.8× |
| 5 Hiaa (83497) | $68 | $104.50 | 5.3× |
| 5 Nucleotidase (83915) | $34 | $53 | 3.0× |
| Actin smooth muscle antibody each (86015) | $38 | $58 | 3.2× |
| Actinomyces antibody (86602) | $193 | $297 | 19.0× |
| Acute hepatitis panel (80074) | $225.50 | $347 | 4.7× |
| Acylcarnitine Plasma (82017) | $171 | $263 | 10.1× |
| Afb culture (87116) | $92 | $142 | 8.5× |
| Agglutinins febrile (86000) | $68 | $104 | 9.7× |
| Albumin Fluid (82042) | $42.50 | $65.50 | 5.5× |
| Albumin serum (82040) | $49.50 | $76 | 10.0× |
| Aldolase (82085) | $45 | $69 | 4.6× |
| Aldosterone urine (82088) | $152.50 | $234.50 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) | $65.50 | $100.50 | 4.4× |
| Allerg sp igg quan or semiquan (86001) | $24 | $37 | 3.1× |
| Allergen specific ige (86003) | $25 | $39 | 4.8× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $47 | $73 | 5.9× |
| Alpha-1-antitrypsin phenotype (82104) | $99 | $153 | 6.8× |
| Alpha-1-antitrypsin, total (82103) | $90.50 | $139 | 6.7× |
| Alpha-Fetoprotein L3 (82107) | $188 | $289 | 2.9× |
| Alpha-fetoprotein, serum (82105) | $105 | $162 | 6.3× |
| Alt (sgpt) (84460) | $49.50 | $76 | 9.3× |
| Aluminum (82108) | $78 | $120 | 3.1× |
| Amikacin trough (80150) | $125 | $192 | 8.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $367 | $564.50 | 21.8× |
| Amino Acids, Single Quantitation (82131) | $75 | $115.50 | 3.3× |
| Aminolevulinic acid (ala) (82135) | $71 | $109 | 4.3× |
| Ammonia (82140) | $97 | $149 | 6.7× |
| Amniotic fluid enzyme test (84081) | $89 | $137 | 5.4× |
| Amylase urine (82150) | $67.50 | $103.50 | 10.4× |
| Ana Titer (86039) | $64 | $99 | 5.7× |
| Angiotensin i enzyme test (82164) | $62 | $96 | 4.2× |
| Anti-phosphatidylserine antibody (86148) | $77 | $119 | 4.8× |
| Antibody aspergillus (86606) | $55 | $85 | 3.7× |
| Antibody cytomegalovirus cmv (86644) | $68 | $105 | 4.7× |
| Antibody cytomegalovirus cmv igm (86645) | $108 | $166.50 | 6.4× |
| Antibody Encephalitis Eastern Equine (86652) | $48 | $74 | 3.6× |
| Antibody Encephalitis St. Louis (86653) | $48 | $74 | 3.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $59 | $90 | 4.5× |
| Antibody helicobacter pylori (86677) | $62 | $95 | 3.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $57 | $88 | 4.0× |
| Antibody herpes smplx type 1 (86695) | $70 | $107 | 5.3× |
| Antibody identification (86870) | $173.50 | $267 | 0.5× |
| Antibody mumps (86735) | $59 | $90 | 4.5× |
| Antibody Protozoa Nes (86753) | $56 | $85.50 | 4.5× |
| Antibody rubeola (86765) | $68.50 | $106 | 5.3× |
| Antibody screen (86850) | $101 | $155 | 10.3× |
| Antibody treponema pallidum (86780) | $37 | $57 | 2.8× |
| Antibody; Coccidioides (86635) | $55.50 | $85.50 | 4.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $47 | $72 | 9.1× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $34 | $53 | 2.8× |
| Antinuclear antibodies (86038) | $70 | $107 | 5.8× |
| Antistreptolysin o titer (86060) | $46 | $70 | 6.3× |
| Antithrombin iii activity (85300) | $107 | $165 | 9.0× |
| Antithrombin iii antigen (85301) | $90 | $138 | 8.3× |
| Apolipoprotein b (82172) | $68 | $104 | 3.2× |
| Arsenic Urine (82175) | $47 | $72 | 2.5× |
| Aspergillus ag eia (87305) | $135 | $207 | 11.3× |
| Assay galactose transferase (82775) | $63 | $97 | 3.0× |
| Assay Nephelometry Not Spec (83883) | $74 | $114 | 5.4× |
| Assay of 17-hydroxypregnenolone (84143) | $102 | $157 | 4.5× |
| Assay of acth (82024) | $166 | $255 | 4.3× |
| Assay of androstenedione (82157) | $83 | $128 | 2.8× |
| Assay of blood chloride (82435) | $36 | $55 | 7.8× |
| Assay of blood fatty acids (82725) | $64 | $98 | 3.4× |
| Assay of c-peptide (84681) | $62 | $95 | 3.0× |
| Assay of calcitonin (82308) | $118 | $182 | 4.4× |
| Assay of ceruloplasmin (82390) | $60 | $93 | 5.6× |
| Assay of cyclosporine (80158) | $131 | $202 | 7.3× |
| Assay of erythropoietin (82668) | $103 | $159 | 5.5× |
| Assay of ethosuximide (80168) | $136 | $209 | 8.3× |
| Assay of ferritin (82728) | $83 | $128 | 6.1× |
| Assay of fluoride (82735) | $87 | $134 | 4.7× |
| Assay of g6pd enzyme (82955) | $54 | $83 | 5.6× |
| Assay of gammaglobulin igm (82784) | $63 | $97 | 6.8× |
| Assay of gastrin (82941) | $77 | $118 | 4.4× |
| Assay of gentamicin (80170) | $104 | $160 | 6.3× |
| Assay of homovanillic acid (83150) | $137 | $211 | 6.1× |
| Assay of manganese (83785) | $85 | $130 | 3.2× |
| Assay of metanephrines (83835) | $118 | $181 | 7.0× |
| Assay of osteocalcin (83937) | $77 | $119 | 2.6× |
| Assay of parathormone (83970) | $176 | $270 | 4.3× |
| Assay of phenobarbital (80184) | $96 | $147 | 6.3× |
| Assay of phosphatase acid total (84060) | $33 | $50 | 4.3× |
| Assay of prealbumin (84134) | $70 | $107 | 4.8× |
| Assay of proinsulin (84206) | $111 | $170 | 4.2× |
| Assay of selenium (84255) | $87 | $134 | 3.4× |
| Assay of serotonin (84260) | $162 | $249 | 5.2× |
| Assay of sialic acid (84275) | $64 | $98 | 4.8× |
| Assay of somatomedin (84305) | $100 | $154 | 4.7× |
| Assay of tacrolimus (80197) | $152.50 | $235 | 11.1× |
| Assay of urine vma (84585) | $81 | $125 | 5.2× |
| Assay of vitamin k (84597) | $205 | $315 | 14.9× |
| Assay Ph Body Fluid Nos (83986) | $30 | $46 | 8.4× |
| Ast (sgot) (84450) | $49.50 | $76 | 9.6× |
| B cells total count (86355) | $116 | $178 | 3.1× |
| Bartonella antibody (86611) | $81.50 | $125.50 | 8.0× |
| Bcr/abl1 gene major bp (81206) | $170 | $261 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $167 | $257 | 1.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $79 | $121 | 3.1× |
| Beta-2 microglobulin (82232) | $99 | $153 | 6.1× |
| Bile acids, total (82239) | $80 | $123 | 4.7× |
| Bilirubin direct (82248) | $49.50 | $76 | 9.9× |
| Bilirubin total (82247) | $49.50 | $76 | 9.9× |
| Bilirubin total transcutaneous (88720) | $34 | $53 | 6.8× |
| Biotinidase ea specimen (82261) | $81 | $125 | 4.8× |
| Bl Smear W/Diff Wbc Count (85007) | $20 | $31 | 5.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $16 | $25 | 4.7× |
| Blastomyces antibody (86612) | $49 | $76 | 3.8× |
| Bleeding time (85002) | $72.50 | $111 | 15.0× |
| Blood count reticulocyte automated (85045) | $25 | $39 | 6.3× |
| Blood gases (82803) | $162 | $249 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $30.50 | $47 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14 | $21 | 3.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $56 | $86 | 8.8× |
| Blood typing abo (86900) | $35.50 | $54.50 | 11.9× |
| Blood typing serologic rh (d) (86901) | $25 | $38 | 8.4× |
| Body fluid cell count (89051) | $49 | $76 | 8.8× |
| Body fluid cell count (89050) | $49 | $75 | 10.4× |
| Bone Marrow Smear Interpretation (85097) | $142 | $218 | 0.2× |
| Bordetella antibody (86615) | $69 | $106 | 5.2× |
| Brca1&2 seq & full dup/del (81162) | $2,751 | $4,232 | 1.5× |
| Breath Alcohol Test (82075) | $33 | $50.50 | 1.1× |
| Brucella antibody (86622) | $63 | $97 | 7.1× |
| C diff amplified probe (87493) | $152 | $234 | 4.1× |
| C-reactive protein (86140) | $47 | $73 | 9.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $64 | $99 | 4.9× |
| C1q binding assay (86332) | $99 | $152 | 4.1× |
| Ca 125 (86304) | $125 | $193 | 6.0× |
| Ca 19-9 (86301) | $89 | $137 | 4.3× |
| Ca 27 29 (86300) | $117 | $180.50 | 5.6× |
| Cadmium level (82300) | $62 | $95 | 2.6× |
| Calcium ionized (82330) | $56 | $86 | 4.1× |
| Calcium total (82310) | $45 | $69 | 8.7× |
| Calcium urine (82340) | $52 | $80 | 8.6× |
| California encephalitis ab (86651) | $48 | $74 | 3.6× |
| Calprotectin, fecal (83993) | $199 | $306 | 10.1× |
| Calr gene com variants (81219) | $322 | $495 | 2.6× |
| Candida antibody (86628) | $60 | $92 | 5.0× |
| Candida DNA dir probe (87480) | $75 | $116 | 3.7× |
| Carb deficient transferrin (82373) | $168 | $259 | 9.3× |
| Carbamazepine (tegretol) total (80156) | $98 | $150 | 6.7× |
| Carbamazepine free (80157) | $81 | $124 | 6.1× |
| Carbon dioxide (82374) | $49.50 | $76 | 10.1× |
| Carboxyhemoglobin Quantitative (82375) | $54 | $83 | 4.4× |
| Carcinoembryonic antigen (82378) | $82 | $126 | 4.3× |
| Cardiolipin ab igg (86147) | $112 | $172 | 4.4× |
| Carnitine (82379) | $117 | $180 | 6.9× |
| Catecholamines fraction plasma (82384) | $116 | $178 | 4.6× |
| Cd4 absolute count (86361) | $120 | $185 | 4.5× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $312 | $480 | 2.3× |
| Cftr gene com variants (81220) | $542 | $834 | 1.0× |
| Cftr gene dup/delet variants (81222) | $669 | $1,029 | 1.5× |
| Cftr gene full sequence (81223) | $163 | $250 | 0.3× |
| Chemiluminescent assay (82397) | $102.50 | $157.50 | 7.3× |
| Chlamydia Igm Antibody (86632) | $48 | $74 | 3.8× |
| Chlamydia trachomatis ag if (87270) | $57 | $88 | 4.8× |
| Chloride other source (82438) | $52 | $80 | 10.4× |
| Chloride urine (82436) | $38 | $59 | 6.6× |
| Chlorinated hydrocarbons screen (82441) | $188 | $289 | 31.3× |
| Cholesterol total (82465) | $49.50 | $76 | 11.4× |
| Cholinesterase rbc (82482) | $46 | $71 | 4.7× |
| Cholinesterase serum (82480) | $88 | $136 | 11.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $476 | $732 | 3.8× |
| Chromium urine (82495) | $79 | $121 | 3.9× |
| Chromogenic substrate assay (85130) | $159 | $245 | 13.4× |
| Chromogranin a (86316) | $110 | $169 | 5.3× |
| Chromosome analysis 20-25 cells (88264) | $449 | $690 | 3.1× |
| Chromosome karyotype study (88280) | $120 | $185 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $111 | $171 | 3.2× |
| Citrate (82507) | $124.50 | $191.50 | 4.5× |
| Ck isoenzymes (82552) | $117 | $180 | 8.7× |
| Ckmb (82553) | $125 | $193 | 10.8× |
| Clot factor viii vw antigen (85246) | $121 | $186 | 5.3× |
| Cmv PCR (87496) | $186 | $286 | 5.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $103 | $159 | 4.3× |
| Cold agglutinin screen (86156) | $53 | $81 | 6.6× |
| Cold agglutinin titer (86157) | $73 | $113 | 9.1× |
| Collagen cross links (82523) | $131 | $202 | 7.0× |
| Complement c3 (86160) | $84 | $129 | 7.0× |
| Complement total ch50 (86162) | $55 | $85 | 2.7× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $79 | $121 | 6.6× |
| Comprehensive review of data (88325) | $81 | $124 | 0.5× |
| Coombs direct (86880) | $41 | $63 | 7.6× |
| Copper urine (82525) | $72 | $110 | 5.8× |
| Cortisol free (82530) | $88 | $136 | 5.3× |
| Cortisol total (82533) | $93 | $143 | 5.7× |
| Creatine kinase total (82550) | $68.50 | $105 | 10.5× |
| Creatinine blood (82565) | $31.50 | $48.50 | 6.2× |
| Creatinine clearance (82575) | $63 | $97 | 6.7× |
| Creatinine other source (82570) | $52 | $80 | 10.0× |
| Crossmatch immediate spin (86920) | $62 | $96 | 0.4× |
| Cryofibrinogen (82585) | $47 | $72 | 3.3× |
| Cryoglobulin (82595) | $37 | $57 | 5.7× |
| Cryptococcus antibody (86641) | $86 | $132 | 6.0× |
| Culture Bacteria Anaerobic (87073) | $89 | $137 | 9.2× |
| Culture blood (87040) | $101.50 | $156 | 9.8× |
| Culture chlamydia (87110) | $99 | $152 | 5.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $63 | $97 | 8.2× |
| Culture fungus blood (87103) | $70 | $107 | 3.4× |
| Culture genital (87070) | $70 | $107 | 8.1× |
| Culture screen only (87081) | $52 | $80 | 7.8× |
| Culture stool (87045) | $49 | $76 | 5.2× |
| Culture typing other methods (87158) | $40 | $62 | 5.2× |
| Culture urine (87086) | $60 | $93 | 7.4× |
| Cyanide (82600) | $85 | $131 | 4.4× |
| Cyclic Citrullinated Peptide (86200) | $61 | $94 | 4.7× |
| Cystatin c (82610) | $84 | $129 | 4.5× |
| Cytogenetics 10-30 (88273) | $174 | $268 | 5.0× |
| Cytogenetics DNA probe (88271) | $130 | $200 | 6.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $259 | $398 | 6.0× |
| Cytopath cell enhance tech (88112) | $93 | $143 | 1.8× |
| Cytp concentration smears & interpretation (88108) | $96 | $147 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $121 | $186 | 2.3× |
| D-Dimer (85379) | $96 | $147 | 9.4× |
| Deoxyribonuclease antibody (86215) | $48 | $74 | 3.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $30.50 | $47 | 1.8× |
| Detect agnt mult DNA ampli (87801) | $55 | $85 | 0.8× |
| Dhea (82626) | $109 | $168 | 4.3× |
| Dhea sulfate (82627) | $96 | $148 | 4.3× |
| Digoxin (80162) | $93 | $143 | 7.0× |
| Dilantin (80185) | $100 | $154 | 7.5× |
| Dipropylacetic acid free (80165) | $85 | $130 | 6.3× |
| Dna Antibody Single Stranded (86226) | $55 | $85 | 4.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $100 | $154 | 7.3× |
| Drug Assay Amiodarone (80151) | $125 | $192 | 6.7× |
| Drug Assay Infliximab (80230) | $161 | $248 | 4.2× |
| Drug assay rufinamide (80210) | $135 | $208 | 5.0× |
| Drug Screen Quant Gabapentin (80171) | $110 | $169 | 5.1× |
| Drug screen quant zonisamide (80203) | $159 | $244 | 12.0× |
| Drug Scrn Quan Levetiracetam (80177) | $97 | $149 | 7.3× |
| Drug scrn quant oxcarbazepin (80183) | $103 | $159 | 7.8× |
| Drug test prsmv chem anlyzr (80307) | $94 | $145 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $26 | $40 | 2.1× |
| Ebv viral capsid (86665) | $80 | $123 | 4.4× |
| Echinococcus ab igg (86682) | $88 | $135 | 6.8× |
| Ehrlichia antibody (86666) | $41 | $63 | 4.0× |
| Electrolyte panel (80051) | $88 | $135 | 12.6× |
| Encephalitis Western Equine (86654) | $48 | $74 | 3.6× |
| Endomysial antibody iga (86255) | $89 | $137 | 7.4× |
| Entamoeb Hist Dispr Ag Eia (87336) | $40 | $62 | 2.5× |
| Entamoeba histolytica antigen (87337) | $55 | $84 | 4.6× |
| Enterovirus antibody (86658) | $53 | $81 | 4.1× |
| Enterovirus Pcr (87498) | $182 | $280 | 5.2× |
| Enzyme cell activity (82657) | $216.50 | $333 | 9.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $93 | $143 | 6.1× |
| Estradiol (82670) | $120 | $184 | 4.3× |
| Estriol (82677) | $81 | $125 | 3.3× |
| Estrogen fractionated (82671) | $138 | $213 | 4.3× |
| Estrone (82679) | $87 | $134 | 3.5× |
| Ethylene glycol (82693) | $95 | $146 | 6.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $179 | $275 | 1.8× |
| Everolimus (80169) | $85 | $130 | 6.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $49 | $76 | 6.7× |
| F2 gene analysis 20210g >a variant (81240) | $128 | $197 | 1.9× |
| F5 gene (81241) | $143 | $220 | 1.9× |
| Factor ii activity (85210) | $133 | $204 | 10.2× |
| Factor ix activity (85250) | $141 | $217 | 7.4× |
| Factor v activity (85220) | $135 | $208 | 7.6× |
| Factor viii ahg (85240) | $131 | $202 | 7.3× |
| Factor viii vw multimetric (85247) | $154 | $237 | 6.7× |
| Factor xiii solubility screen (85291) | $79 | $121 | 8.7× |
| Fecal fat qual (82705) | $37 | $57 | 7.3× |
| Fecal fat quant (82710) | $131 | $202 | 7.8× |
| Fetal bleed screen (85461) | $46 | $71 | 4.9× |
| Fetal fibronectin (82731) | $373 | $574 | 5.8× |
| Fetal hemoglobin, chemical (83030) | $35 | $54 | 3.3× |
| Fetal lung maturity fluorescence polarization (83663) | $140 | $215 | 7.4× |
| Fibrin degradation products (85362) | $66 | $101 | 9.6× |
| Fibrinogen activity (85384) | $71 | $109.50 | 7.3× |
| Fibrinogen antigen (85385) | $71 | $109 | 4.9× |
| Fibrinolytic Plasminogen (85415) | $135 | $207 | 7.9× |
| Flow cytometry first marker (88184) | $189 | $290.50 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $77 | $119 | 6.4× |
| Fmr1 gene charac alleles (81244) | $73 | $113 | 1.6× |
| Fmr1 gene detection (81243) | $73 | $113 | 1.3× |
| Folate serum (82746) | $81 | $125 | 5.5× |
| Folic acid rbc (82747) | $83 | $128 | 4.7× |
| Follicle Stimulating Hormone (83001) | $92 | $141 | 5.0× |
| Fresh frozen plasma thawing each unit (86927) | $39 | $60 | 0.2× |
| Fructosamine (82985) | $36 | $55 | 2.1× |
| Galactose (82760) | $52 | $80 | 4.6× |
| Gammaglobulin ige (82785) | $77 | $119 | 4.7× |
| Gardner vag DNA dir probe (87510) | $75 | $116 | 3.7× |
| Gastric Occult Blood (82271) | $33 | $51 | 6.2× |
| Ggt (82977) | $59 | $90 | 8.2× |
| Giardia antigen eia stool (87329) | $60.50 | $93.50 | 5.1× |
| Glucose (82947) | $31 | $47.50 | 7.9× |
| Glucose Blood Test (82962) | $20 | $31 | 6.1× |
| Glucose body fluid (82945) | $59 | $90 | 15.0× |
| Glucose post dose (82950) | $51 | $78 | 10.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $25 | $39 | 6.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $107 | $165 | 8.3× |
| Glucosidase beta (82963) | $62 | $95 | 2.9× |
| Gonadotropin releasing hormone (83727) | $234 | $360 | 13.6× |
| Growth hormone (83003) | $96 | $147 | 5.8× |
| Haptoglobin (83010) | $70 | $107 | 5.6× |
| Hcg qualitative (84703) | $45 | $69.50 | 6.0× |
| Hcg quant (84702) | $100 | $154 | 6.6× |
| Hdl Cholesterol (83718) | $51.50 | $79 | 6.3× |
| Heavy metal quant each (83018) | $103 | $159 | 4.7× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $380 | $585 | 18.1× |
| Hematocrit (85014) | $10 | $15 | 4.2× |
| Hemoglobin (85018) | $20 | $31 | 8.4× |
| Hemoglobin a1c (83036) | $58 | $89.50 | 6.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $61 | $94 | 3.4× |
| Hemoglobin electrophoresis (83020) | $86 | $132 | 6.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $63 | $97 | 7.7× |
| Hemoglobin plasma (83051) | $25 | $39 | 3.4× |
| Hemosiderin urine (83070) | $31 | $48 | 6.5× |
| Heparin assay (85520) | $150 | $231 | 11.5× |
| Hepatitis a antibody total (86708) | $66 | $101 | 5.3× |
| Hepatitis a igm (86709) | $66 | $101 | 5.9× |
| Hepatitis b core ab igm (86705) | $77 | $119 | 6.5× |
| Hepatitis b core antibody total (86704) | $83 | $128 | 6.9× |
| Hepatitis B Surface Ab (86706) | $54 | $82.50 | 5.0× |
| Hepatitis B Surface Antigen (87340) | $64 | $99 | 6.2× |
| Hepatitis b virus genotyping (87912) | $368 | $566 | 1.4× |
| Hepatitis be antibody (86707) | $53 | $81 | 4.6× |
| Hepatitis Be Antigen (87350) | $53 | $81 | 4.6× |
| Hepatitis c antibody (86803) | $275 | $423 | 19.3× |
| Hepatitis C Genotype (87902) | $695.50 | $1,070 | 2.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $345 | $530 | 9.8× |
| Hepatitis delta ab (86692) | $81 | $125 | 4.7× |
| Herpes culture (87252) | $133 | $205 | 5.1× |
| Herpes simplex type 2 (86696) | $82 | $126 | 4.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $54 | $83 | 10.4× |
| Heterophile antibody titer (86309) | $25 | $38 | 3.9× |
| Hfe gene (81256) | $281 | $432 | 4.3× |
| Hgb quant transcut carboxyhem (88740) | $42 | $65 | 4.5× |
| Histamine plasma (83088) | $46 | $70 | 1.6× |
| Histoplasma antibody (86698) | $52 | $80 | 3.8× |
| Histoplasma antigen urine (87385) | $183 | $281 | 13.8× |
| HIV-1 genotype (87901) | $413 | $636 | 1.6× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $71.50 | $110 | 5.2× |
| Hla b 27 disease association lc (81374) | $146 | $225 | 2.0× |
| Hla class i typing high resolution one allele or allele group (81381) | $272 | $418 | 1.6× |
| Hla class i&ii antibody qual (86828) | $114 | $175 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) | $151 | $233 | 1.2× |
| Hla I Typing 1 Locus Lr (81373) | $341 | $524 | 2.7× |
| Hla ii low resolution one antigen equivalent ea (81377) | $296 | $455 | 3.1× |
| Hla ii typing 1 allele hr (81383) | $224 | $344 | 2.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $272 | $418 | 7.8× |
| Htlv-i antibody (86687) | $114.50 | $176.50 | 12.6× |
| Hydroxyprogesterone 17-d (83498) | $121 | $186 | 4.5× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $150 | $230 | 8.3× |
| Iaad ia clostridium difficile toxin (87324) | $92 | $141 | 7.7× |
| Iaad ia cryptosporidium (87328) | $58 | $89 | 4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $97 | $149 | 6.7× |
| Iaad ia rotavirus (87425) | $77 | $118 | 6.4× |
| Iaad Ia Streptococcus Group A (87430) | $35.50 | $54.50 | 2.1× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $92 | $141 | 2.8× |
| Iaadiadoo not otherwise specified (87899) | $45 | $69 | 2.8× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $235 | $362 | 6.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $25 | $39 | 0.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $92 | $142 | 4.0× |
| Iadna hepatitis b virus quantification (87517) | $221 | $340 | 5.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $85 | $130 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $330 | $508 | 9.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $270 | $415 | 3.2× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $157 | $242 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $25 | $39 | 0.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $109 | $168 | 3.1× |
| Iadna nos amplified probe tq each organism (87798) | $180 | $277 | 5.1× |
| Iadna nos quantification each organism (87799) | $300 | $462 | 7.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $118 | $181 | 3.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $632 | $972 | 1.5× |
| If varicella-zoster antigen (87290) | $94 | $145 | 7.0× |
| Igg subclasses (82787) | $55 | $85 | 6.9× |
| Immunfix e-phorsis/urine/csf (86335) | $229 | $353 | 7.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $64 | $99 | 4.3× |
| Immunoassay nonantibody (83516) | $84 | $129 | 7.3× |
| Immunodiffusion not elsewhere specified (86329) | $83 | $128 | 5.9× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $100 | $154 | 4.3× |
| Immunoelectrophoresis serum (86320) | $96 | $148 | 3.2× |
| Immunofixj Electrophoresis Serum (86334) | $99 | $153 | 4.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $231 | $355 | 1.3× |
| Immunohisto Antibody Slide (88344) | $166 | $255 | 0.5× |
| Immunohistochemistry (88342) | $129 | $198 | 0.8× |
| India ink prep (87210) | $38 | $59 | 6.5× |
| Inhibin a (86336) | $66 | $101 | 4.2× |
| Inhibin b (83520) | $116 | $179 | 6.7× |
| Insulin antibodies (86337) | $92 | $142 | 4.3× |
| Insulin free (83527) | $46 | $70 | 3.6× |
| Insulin total (83525) | $38 | $58 | 3.3× |
| Intrinsic factor antibody (86340) | $63 | $97 | 4.2× |
| Iron (83540) | $42.50 | $65.50 | 6.6× |
| Iron binding capacity (83550) | $57 | $87 | 6.5× |
| Irradiation of blood product (86945) | $77 | $118 | 2.1× |
| Islet cell antibody (86341) | $135 | $207 | 5.7× |
| Jak2 gene analysis (81270) | $256 | $394 | 2.8× |
| Jak2 Targeted Sequence Analysis (81279) | $179 | $275 | 1.0× |
| Lactic acid (83605) | $64 | $99 | 5.5× |
| Lactoferrin Fecal Quantitative (83631) | $144 | $222 | 7.3× |
| Ldh (83615) | $51.50 | $79.50 | 8.5× |
| Ldh isoenzymes (83625) | $39 | $60 | 3.0× |
| LDL cholesterol direct (83721) | $41 | $63 | 3.9× |
| Lead (83655) | $53 | $82 | 4.4× |
| Legionella antigen urine (87449) | $105 | $162 | 8.8× |
| Legionella pneumophila dfa (87278) | $80 | $123 | 5.1× |
| Leishmania antibody (86717) | $53 | $81 | 4.3× |
| Leptospira antibody (86720) | $42 | $65 | 2.6× |
| Leukocyte transfusion UNSCHEDULED (86950) | $174 | $267 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $113 | 1.9× |
| Level v surg pathology grossµscopic exam (88307) | $196 | $301 | 0.5× |
| Level vi surg pathology grossµscopic exam (88309) | $248 | $382 | 0.3× |
| Lh (83002) | $97 | $149 | 5.2× |
| Lidocaine level (80176) | $72 | $110 | 4.9× |
| Lipase (83690) | $86 | $132 | 12.5× |
| Lipopro bld electrophoretic (83700) | $64 | $99 | 5.7× |
| Listeria ab (86609) | $58.50 | $90 | 4.5× |
| Lithium (80178) | $57 | $87 | 8.6× |
| Lyme disease antibody (86618) | $133 | $205 | 7.8× |
| Lyme disease antibody confirm (86617) | $79 | $121 | 5.1× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $253 | $389 | 0.7× |
| Magnesium (83735) | $57 | $87 | 8.5× |
| Malaria smear (87207) | $58 | $89 | 9.7× |
| Mass spectrometry qual/quan (83789) | $121 | $186 | 5.0× |
| Mercury (83825) | $49 | $75 | 3.0× |
| Methotrexate (80299) | $97 | $149 | 5.2× |
| Methylmalonic acid serum (83921) | $155.50 | $239 | 7.3× |
| Microalbumin urine (82043) | $53 | $81 | 9.2× |
| Microbe Suscept Mycobacteri (87190) | $38 | $59 | 5.2× |
| Microsomal antibodies (86376) | $60 | $93 | 4.1× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $558 | $858 | 46.3× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $166 | $255 | 3.2× |
| Molecular pathology procedure level 2 (81401) | $80 | $123 | 0.6× |
| Mononuclear cell antigen (86356) | $73 | $112 | 2.7× |
| Mopath procedure level 1 (81400) | $298 | $458 | 4.7× |
| Mopath procedure level 6 (81405) | $1,084 | $1,668 | 3.6× |
| Mpl gene analysis common variants (81338) | $472 | $726 | 3.1× |
| Mrsa amp probe (87641) | $89 | $136.50 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $229 | $352 | 3.5× |
| Muramidase (85549) | $24 | $37 | 1.3× |
| Muscle-specific kinase (musk) antibody (86366) | $644 | $990 | 35.0× |
| Mycophenolic acid (80180) | $89 | $137 | 4.9× |
| Mycoplasma antibody (86738) | $14 | $22 | 1.1× |
| Mycoplasma culture (87109) | $88 | $135 | 5.7× |
| Mycoplasma genitalium PCR (87563) | $75 | $115 | 2.1× |
| Myoglobin urine (83874) | $86 | $132 | 6.7× |
| Nasal smear for eosinophils (89190) | $33 | $50 | 5.7× |
| Natriuretic peptide (83880) | $144 | $222 | 3.7× |
| Neutralization test, viral (86382) | $131 | $202 | 7.7× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $371 | $570 | 2.9× |
| Niacin (84591) | $39 | $60 | 2.3× |
| Nickel level (83885) | $102 | $157 | 4.2× |
| Nk cells total count (86357) | $112 | $173 | 3.0× |
| Nuclear antigen antibody (86235) | $64 | $98 | 3.6× |
| Oligoclonal bands (83916) | $94 | $145 | 3.4× |
| Organic Acids Qual Each (83919) | $159 | $244 | 9.7× |
| Organic Acids Total Quantitative Each Specimen (83918) | $207 | $319 | 8.8× |
| Orthopoxvirus Amp Prb Each (87593) | $70 | $107 | 1.4× |
| Osmolality serum (83930) | $47 | $73 | 7.1× |
| Osmolality urine (83935) | $42 | $65 | 6.2× |
| Ova and parasite direct-id lca (87177) | $64 | $99 | 7.2× |
| Oxalate urine (83945) | $62.50 | $96.50 | 4.3× |
| Pancreatic elastase fecal (82656) | $222 | $341 | 19.3× |
| Pancreatic polypeptide (83519) | $178 | $274 | 9.7× |
| Pappa, serum (84163) | $73 | $113 | 4.9× |
| Parvovirus antibody (86747) | $47 | $72 | 3.1× |
| Pertussis dfa (87265) | $64 | $98 | 5.3× |
| Phenotype Infect Agent Drug (87900) | $463.50 | $713.50 | 3.6× |
| Phenylalanine (84030) | $61 | $94 | 11.1× |
| Phenytoin free (80186) | $72 | $110 | 5.2× |
| Phosphatase acid prostatic (84066) | $42 | $65 | 4.3× |
| Phosphatase alkaline (84075) | $47 | $72 | 9.1× |
| Phospholipid Neutralization Hexagonal (85598) | $96 | $147 | 5.3× |
| Phosphorus blood (84100) | $49.50 | $76 | 10.4× |
| Phosphorus urine (84105) | $46 | $70.50 | 8.0× |
| Pinworm exam (87172) | $31 | $47.50 | 7.3× |
| Plasminogen (85420) | $89.50 | $137.50 | 13.7× |
| Platelet aggregation (85576) | $94 | $145 | 3.8× |
| Platelet count (85049) | $40 | $61 | 8.9× |
| Pooling blood platelets (86965) | $66 | $101 | 0.4× |
| Porphobilinogen Urine Qual (84106) | $39 | $60 | 6.7× |
| Porphobilinogen urine quant (84110) | $45.50 | $70.50 | 5.4× |
| Porphyrins feces qn (84126) | $127 | $195 | 3.2× |
| Porphyrins qn & fraction urine (84120) | $79 | $121 | 5.4× |
| Potassium (84132) | $36 | $55 | 7.6× |
| Potassium urine (84133) | $41 | $63 | 8.7× |
| Pregnenolone (84140) | $88 | $135 | 4.3× |
| Primidone (80188) | $66 | $101 | 4.0× |
| Procainamide napa (80192) | $88 | $135 | 5.3× |
| Procalcitonin (pct) (84145) | $249 | $383 | 9.1× |
| Progesterone (84144) | $89 | $137 | 4.3× |
| Prolactin (84146) | $111 | $171 | 5.7× |
| Protein body fluid (84157) | $52 | $80 | 13.0× |
| Protein c activity (85303) | $128 | $197 | 9.2× |
| Protein c antigen (85302) | $107 | $165 | 8.9× |
| Protein electrophoresis serum (84165) | $71.50 | $110 | 6.7× |
| Protein Electrophoresis Urine (84166) | $77 | $119 | 4.3× |
| Protein S Functional (85306) | $120 | $185 | 7.8× |
| Protein s total (85305) | $116 | $178 | 10.0× |
| Protein Total Serum (84155) | $33 | $50.50 | 9.0× |
| Protein urine (84156) | $53 | $81.50 | 14.4× |
| Prothrombin time substitution (85611) | $46 | $71 | 11.7× |
| Protoporphyrin rbc quantitative (84202) | $75 | $116 | 5.2× |
| PSA free (84154) | $71 | $109 | 3.9× |
| Quantiferon tb gold (86480) | $135 | $207 | 2.2× |
| Quinidine (80194) | $68 | $104 | 4.7× |
| Renin activity plasma (84244) | $233 | $359 | 10.6× |
| Resp virus 3-5 targets (87631) | $95 | $146 | 0.7× |
| Respiratory viral panel PCR (87633) | $269.50 | $414.50 | 0.6× |
| Respiratory Virus (86756) | $75.50 | $116 | 4.8× |
| Reticulated platelet assay (85055) | $64 | $99 | 1.8× |
| Rheumatoid Factor Qual (86430) | $68.50 | $105.50 | 11.2× |
| Rheumatoid factor quant (86431) | $61 | $94 | 10.8× |
| Rickettsia antibody (86757) | $52 | $80 | 2.7× |
| Rubella antibody (86762) | $68 | $104 | 4.7× |
| Russell viper venom time diluted (85613) | $104 | $160.50 | 10.9× |
| Russell Viper Venom Time Undiluted (85612) | $72 | $110 | 4.1× |
| Saccharomyces ab iga (86671) | $81 | $125 | 6.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $101 | $156 | 2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $28.50 | $44 | 0.7× |
| Sed rate automated (85652) | $37 | $57 | 13.7× |
| Semen analysis complete (89320) | $105 | $162 | 8.5× |
| Semen analysis sperm presence&/motility sprm (89321) | $26 | $40 | 2.2× |
| Sensitivity mic (87186) | $64 | $98 | 7.4× |
| Serotonin Release Assay (86022) | $176 | $271 | 9.6× |
| Sex hormone binding globulin (84270) | $70 | $107 | 3.2× |
| Sickle cell screen (85660) | $60 | $92 | 10.9× |
| Sirolimus (rapamycin) (80195) | $107 | $165 | 7.8× |
| Smear acid fast (87206) | $38 | $58 | 7.1× |
| Smear complex stain (87209) | $53 | $81 | 2.9× |
| Smear gram stain (87205) | $40 | $61 | 9.4× |
| Snrpn/ube3a gene (81331) | $266 | $409 | 5.2× |
| Sodium (84295) | $36 | $55 | 7.5× |
| Sodium urine (84300) | $42 | $65 | 8.3× |
| Soluble transferrin receptor (84238) | $156 | $240 | 4.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $64 | $98 | 0.5× |
| Special stains group 1 (88312) | $103 | $159 | 2.0× |
| Specific gravity body fluid (84315) | $29 | $44 | 8.8× |
| Spectrophotometry (84311) | $60 | $92 | 7.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $111 | $171 | 0.6× |
| Staph aureus amplified probe (87640) | $28 | $43 | 0.8× |
| Stool Cultr Aerobic Bact Ea (87046) | $25 | $39 | 2.6× |
| Sulfate urine (84392) | $34 | $53 | 6.2× |
| Surg path level iii (88304) | $96 | $147 | 1.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $69 | $106 | 2.4× |
| Surgical pathology level IV (88305) | $129 | $198 | 2.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $125 | $193 | 2.7× |
| T cells, total count (86359) | $89 | $137 | 2.4× |
| T3 free (84481) | $94 | $145 | 5.5× |
| T3 reverse (84482) | $80 | $123 | 5.1× |
| T3 total (84480) | $93 | $143 | 6.6× |
| T3 uptake (84479) | $47 | $73 | 7.3× |
| T4 Free (84439) | $67 | $103 | 7.4× |
| T4 total (84436) | $56 | $86 | 8.2× |
| Tb intradermal test (86580) | $29 | $44 | 1.0× |
| Test for acetone/ketones (82009) | $30 | $46 | 6.6× |
| Testosterone bioavailable (84410) | $98 | $150 | 1.9× |
| Testosterone free (84402) | $96 | $147 | 3.8× |
| Testosterone total (84403) | $135 | $207 | 5.2× |
| Theophylline (80198) | $92 | $141 | 6.5× |
| Thrombin time plasma (85670) | $56 | $86 | 9.7× |
| Thromboplastin Inhibition Tissue (85705) | $89 | $137 | 9.2× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $57 | $88 | 8.8× |
| Thyroglobulin (84432) | $85 | $130 | 5.3× |
| Thyroglobulin Ab (86800) | $96 | $148 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $157 | $242 | 3.1× |
| Thyroxine binding globulin (84442) | $71 | $109 | 4.8× |
| Tiagabine (80199) | $104 | $160 | 3.8× |
| Tissue culture bone marrow (88237) | $254.50 | $391.50 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $309 | $475 | 2.7× |
| Tobramycin peak (80200) | $77 | $119 | 4.8× |
| Topiramate (80201) | $81 | $124 | 6.8× |
| Toxin or antitoxin assay (87230) | $90 | $138 | 4.6× |
| Toxoplasma ab igm (86778) | $16 | $25 | 1.1× |
| Toxoplasma antibody igg (86777) | $80 | $123 | 5.6× |
| Tpmt gene com variants (81335) | $304 | $468 | 1.7× |
| Transferrin (84466) | $52 | $80 | 4.1× |
| Trichomonas vagin dir probe (87660) | $87.50 | $135 | 4.4× |
| Triglycerides (84478) | $52 | $80 | 9.1× |
| Troponin (84484) | $111 | $171 | 8.9× |
| Unlisted transfusion medicine procedure (86999) | $116 | $179 | 4.0× |
| Urea nitrogen (84520) | $28.50 | $43.50 | 7.2× |
| Urea Nitrogen Clearance (84545) | $63 | $97 | 8.8× |
| Urea nitrogen urine (84540) | $52 | $80 | 9.4× |
| Uric acid blood (84550) | $49.50 | $76 | 11.0× |
| Uric acid other source (84560) | $52 | $80 | 10.2× |
| Urinalysis qual/semiquant except immunoassays (81005) | $36 | $55 | 16.6× |
| Urinalysis w/microscopic (81001) | $40 | $62 | 12.6× |
| Urine pregnancy test (81025) | $47 | $72 | 5.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $32 | $49 | 14.2× |
| Valproic acid level (80164) | $95 | $146 | 7.0× |
| Vancomycin trough (80202) | $109 | $167 | 8.1× |
| Vanomycin DNA amp probe (87500) | $28 | $43 | 0.8× |
| Varicella-zoster antibody (86787) | $81.50 | $125.50 | 6.3× |
| Vasoactive intestinal peptide (vip) (84586) | $113 | $174 | 3.2× |
| Vasopressin (84588) | $153 | $235 | 4.5× |
| Vdrl csf (86592) | $41 | $63 | 9.6× |
| Very long chain fatty acids (82726) | $157 | $242 | 7.9× |
| Virus antibody nos (86790) | $69 | $106 | 5.4× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $123.50 | $189.50 | 3.6× |
| Virus inoculation, shell via (87254) | $81.50 | $125.50 | 4.2× |
| Vitamin A (84590) | $99 | $153 | 8.5× |
| Vitamin b-12 (82607) | $86 | $132 | 5.7× |
| Vitamin b-2 (riboflavin) (84252) | $123 | $189 | 6.1× |
| Vitamin b1 (thiamine) (84425) | $99 | $152 | 4.7× |
| Vitamin b6 (84207) | $123 | $189 | 4.4× |
| Vitamin C (82180) | $60 | $92 | 6.1× |
| Vitamin D 25-Hydroxy (82306) | $124 | $191 | 4.2× |
| Vitamin e serum (84446) | $68 | $104 | 4.8× |
| Von willebrand factor activity (85245) | $127 | $195 | 5.5× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $60 | $93 | 7.0× |
| West nile virus ab, igm (86788) | $77 | $118 | 4.6× |
| West nile virus antibody (86789) | $68 | $104 | 4.7× |
| Yersinia antibody (86793) | $110 | $169 | 8.3× |
| Zika Virus Igm Antibody (86794) | $88 | $136 | 5.2× |
| Zinc (84630) | $57 | $87 | 5.0× |