Lab & pathology prices at Rural Wellness Fairfax Hospital
Fairfax, OK · every code in this section with a posted price and a Medicare benchmark.
398 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) | $183.91 | $306.51 | 4.8× |
| Acute hepatitis panel (80074) | $206.24 | $343.74 | 4.3× |
| Afb culture (87116) | $18.20 | $30.34 | 1.7× |
| Albumin serum (82040) | $63.80 | $106.34 | 12.9× |
| Aldolase (82085) | $155.14 | $258.57 | 16.0× |
| Aldosterone urine (82088) | $143.37 | $238.95 | 3.5× |
| Allergen specific ige (86003) | $39.48 | $65.79 | 7.6× |
| Allg Spec Ige Recomb Ea (86008) | $183.60 | $306 | 10.2× |
| Alpha-1-antitrypsin phenotype (82104) | $100.98 | $168.30 | 7.0× |
| Alpha-1-antitrypsin, total (82103) | $76.04 | $126.74 | 5.7× |
| Alpha-fetoprotein, serum (82105) | $50.49 | $84.15 | 3.0× |
| Alt (sgpt) (84460) | $15.30 | $25.50 | 2.9× |
| Amikacin trough (80150) | $56.30 | $93.84 | 3.7× |
| Amines vaginal fluid qual (82120) | $29.68 | $49.47 | 5.0× |
| Amino Acids, Single Quantitation (82131) | $402.39 | $670.65 | 17.5× |
| Ammonia (82140) | $77.11 | $128.52 | 5.3× |
| Amylase urine (82150) | $66.40 | $110.67 | 10.2× |
| Ana Titer (86039) | $86.90 | $144.84 | 7.8× |
| Antibody cytomegalovirus cmv (86644) | $49.12 | $81.86 | 3.4× |
| Antibody cytomegalovirus cmv igm (86645) | $49.12 | $81.86 | 2.9× |
| Antibody helicobacter pylori (86677) | $78.95 | $131.58 | 4.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $292.84 | $488.07 | 20.4× |
| Antibody herpes smplx type 1 (86695) | $27.54 | $45.90 | 2.1× |
| Antibody HIV-2 (86702) | $101.29 | $168.81 | 7.5× |
| Antibody identification (86870) | $607.10 | $1,011.84 | 1.8× |
| Antibody identification leukocyte antibodies (86021) | $127.91 | $213.18 | 8.5× |
| Antibody mumps (86735) | $83.69 | $139.48 | 6.4× |
| Antibody Protozoa Nes (86753) | $26.01 | $43.35 | 2.1× |
| Antibody rubeola (86765) | $65.79 | $109.65 | 5.1× |
| Antibody screen (86850) | $5.20 | $8.67 | 0.5× |
| Antibody treponema pallidum (86780) | $28.30 | $47.18 | 2.1× |
| Antigen typing (86905) | $607.10 | $1,011.84 | 158.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $456.55 | $760.92 | 88.1× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $164.32 | $273.87 | 13.6× |
| Antinuclear antibodies (86038) | $78.34 | $130.56 | 6.5× |
| Antistreptolysin o titer (86060) | $62.73 | $104.55 | 8.6× |
| Antithrombin iii activity (85300) | $30.60 | $51 | 2.6× |
| Antithrombin iii antigen (85301) | $30.60 | $51 | 2.8× |
| Apolipoprotein b (82172) | $85.07 | $141.78 | 4.0× |
| Assay Nephelometry Not Spec (83883) | $250.31 | $417.18 | 18.4× |
| Assay of acth (82024) | $162.18 | $270.30 | 4.2× |
| Assay of c-peptide (84681) | $94.25 | $157.08 | 4.5× |
| Assay of ceruloplasmin (82390) | $21.42 | $35.70 | 2.0× |
| Assay of cyclosporine (80158) | $430.24 | $717.06 | 23.8× |
| Assay of erythropoietin (82668) | $103.43 | $172.38 | 5.5× |
| Assay of ferritin (82728) | $69.16 | $115.26 | 5.1× |
| Assay of gammaglobulin igm (82784) | $26.01 | $43.35 | 2.8× |
| Assay of gentamicin (80170) | $30.29 | $50.49 | 1.8× |
| Assay of homocystine (83090) | $122.40 | $204 | 6.8× |
| Assay of lipoprotein(a) (83695) | $23.87 | $39.78 | 1.7× |
| Assay of manganese (83785) | $267.75 | $446.25 | 10.0× |
| Assay of metanephrines (83835) | $75.28 | $125.46 | 4.4× |
| Assay of parathormone (83970) | $52.33 | $87.21 | 1.3× |
| Assay of prealbumin (84134) | $63.95 | $106.59 | 4.4× |
| Assay of proinsulin (84206) | $182.68 | $304.47 | 6.8× |
| Assay of somatomedin (84305) | $42.23 | $70.38 | 2.0× |
| Assay of tacrolimus (80197) | $152.69 | $254.49 | 11.1× |
| Assay of urine vma (84585) | $54.77 | $91.29 | 3.5× |
| Assay of vitamin k (84597) | $72.94 | $121.57 | 5.3× |
| Assay of volatiles (84600) | $72.52 | $120.87 | 4.2× |
| Ast (sgot) (84450) | $15.30 | $25.50 | 3.0× |
| Beta Lactamase (87185) | $10.10 | $16.83 | 2.1× |
| Beta-2 microglobulin (82232) | $47.74 | $79.56 | 3.0× |
| Bilirubin direct (82248) | $5.85 | $9.75 | 1.2× |
| Bilirubin total (82247) | $10.71 | $17.85 | 2.1× |
| Blood count reticulocyte automated (85045) | $44.06 | $73.44 | 11.0× |
| Blood gases (82803) | $132.19 | $220.32 | 5.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.68 | $49.47 | 6.8× |
| Blood Ph - Ph Venous (82800) | $50.49 | $84.15 | 4.6× |
| Blood typing abo (86900) | $64.26 | $107.10 | 21.5× |
| Blood typing serologic rh (d) (86901) | $121.79 | $202.98 | 40.7× |
| Body fluid cell count (89051) | $34.88 | $58.14 | 6.2× |
| Brca1&2 seq & full dup/del (81162) | $4,733.21 | $7,888.68 | 2.6× |
| C diff amplified probe (87493) | $74.05 | $123.42 | 2.0× |
| C-reactive protein (86140) | $29.84 | $49.72 | 5.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $25.70 | $42.84 | 2.0× |
| Ca 125 (86304) | $159.73 | $266.22 | 7.7× |
| Ca 19-9 (86301) | $133.72 | $222.87 | 6.4× |
| Ca 27 29 (86300) | $112.76 | $187.94 | 5.4× |
| Calcium ionized (82330) | $52.78 | $87.98 | 3.9× |
| Calcium total (82310) | $36.41 | $60.69 | 7.1× |
| Calcium urine (82340) | $46.21 | $77.01 | 7.7× |
| Calculus Spectroscopy (82365) | $129.44 | $215.73 | 10.0× |
| Calprotectin, fecal (83993) | $291.92 | $486.54 | 14.9× |
| Carbamazepine (tegretol) total (80156) | $64.72 | $107.86 | 4.4× |
| Carbon dioxide (82374) | $10.40 | $17.34 | 2.1× |
| Carboxyhemoglobin Quantitative (82375) | $104.96 | $174.93 | 8.5× |
| Carcinoembryonic antigen (82378) | $148.10 | $246.84 | 7.8× |
| Catecholamines fraction plasma (82384) | $61.81 | $103.02 | 2.4× |
| Cd4 absolute count (86361) | $146.72 | $244.54 | 5.5× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $437.89 | $729.81 | 3.2× |
| Chlamydia antibody (86631) | $104.96 | $174.93 | 8.9× |
| Chlamydia Igm Antibody (86632) | $104.96 | $174.93 | 8.3× |
| Chloride urine (82436) | $22.64 | $37.74 | 3.9× |
| Cholesterol total (82465) | $38.25 | $63.75 | 8.8× |
| Chromogranin a (86316) | $228.89 | $381.48 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $56.15 | $93.58 | 1.6× |
| Citrate (82507) | $177.94 | $296.56 | 6.4× |
| Ckmb (82553) | $57.68 | $96.14 | 5.0× |
| Clozapine level (80159) | $158.51 | $264.18 | 7.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $556 | $926.67 | 23.1× |
| Cold agglutinin screen (86156) | $427.18 | $711.96 | 52.9× |
| Cold agglutinin titer (86157) | $427.18 | $711.96 | 53.0× |
| Compatibility test antiglob (86922) | $380.36 | $633.93 | 2.3× |
| Complement c3 (86160) | $51.26 | $85.42 | 4.3× |
| Complement total ch50 (86162) | $172.58 | $287.64 | 8.5× |
| Concentration Infectious Agent (87015) | $18.20 | $30.34 | 2.7× |
| Coombs direct (86880) | $38.56 | $64.26 | 7.2× |
| Coombs Test Indirect Qual (86885) | $265.30 | $442.17 | 46.4× |
| Copper urine (82525) | $62.42 | $104.04 | 5.0× |
| Cortisol free (82530) | $150.86 | $251.43 | 9.0× |
| Cortisol total (82533) | $34.58 | $57.63 | 2.1× |
| Creatine kinase total (82550) | $56 | $93.33 | 8.6× |
| Creatinine blood (82565) | $10.71 | $17.85 | 2.1× |
| Creatinine clearance (82575) | $18.97 | $31.62 | 2.0× |
| Creatinine other source (82570) | $54.77 | $91.29 | 10.6× |
| Crossmatch immediate spin (86920) | $286.42 | $477.36 | 1.7× |
| Cryptococcus antibody (86641) | $98.23 | $163.71 | 6.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $6.12 | $10.20 | 0.8× |
| Culture Aerobic Identify (87077) | $44.68 | $74.46 | 5.5× |
| Culture anaerobic (87075) | $16.38 | $27.28 | 1.7× |
| Culture blood (87040) | $117.50 | $195.84 | 11.4× |
| Culture genital (87070) | $18.97 | $31.62 | 2.2× |
| Culture screen only (87081) | $16.22 | $27.03 | 2.4× |
| Culture stool (87045) | $21.73 | $36.21 | 2.3× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $412.18 | $686.97 | 1.9× |
| Culture typing if ea antiserum (87140) | $11.63 | $19.38 | 2.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $9.18 | $15.30 | 1.8× |
| Culture urine (87086) | $76.50 | $127.50 | 9.5× |
| Cyclic Citrullinated Peptide (86200) | $96.39 | $160.65 | 7.4× |
| Cystatin c (82610) | $177.17 | $295.29 | 9.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $642.60 | $1,071 | 15.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $52.94 | $88.23 | 2.0× |
| D-Dimer (85379) | $98.84 | $164.73 | 9.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $167.69 | $279.48 | 10.1× |
| Dhea (82626) | $28.76 | $47.94 | 1.1× |
| Dhea sulfate (82627) | $127.60 | $212.67 | 5.7× |
| Digoxin (80162) | $74.05 | $123.42 | 5.6× |
| Dilantin (80185) | $83.54 | $139.23 | 6.3× |
| Dipropylacetic acid free (80165) | $69.77 | $116.28 | 5.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $59.06 | $98.43 | 4.3× |
| Drug assay adalimumab (80145) | $198.59 | $330.99 | 5.1× |
| Drug Assay Amiodarone (80151) | $377.91 | $629.85 | 20.3× |
| Drug assay flecainide (80181) | $225.83 | $376.38 | 12.1× |
| Drug Assay Lacosamide (80235) | $197.98 | $329.97 | 7.3× |
| Drug assay posaconazole (80187) | $385.56 | $642.60 | 14.2× |
| Drug assay voriconazole (80285) | $534.89 | $891.48 | 19.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $242.05 | $403.41 | 18.3× |
| Drug scrn quant oxcarbazepin (80183) | $148.10 | $246.84 | 11.2× |
| Drug test prsmv chem anlyzr (80307) | $118.26 | $197.12 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $78.34 | $130.56 | 6.2× |
| Ebv viral capsid (86665) | $16.52 | $27.54 | 0.9× |
| Echinococcus ab igg (86682) | $203.18 | $338.64 | 15.6× |
| Egfr Gene Analysis Common Variants (81235) | $676.57 | $1,127.61 | 2.1× |
| Ehrlichia antibody (86666) | $18.97 | $31.62 | 1.9× |
| Electrolyte panel (80051) | $14.69 | $24.48 | 2.1× |
| Electronic crossmatch (86923) | $227.05 | $378.42 | 1.4× |
| Encephalitis Western Equine (86654) | $66.71 | $111.18 | 5.1× |
| Endomysial antibody iga (86255) | $123.01 | $205.02 | 10.2× |
| Enzyme cell activity (82657) | $593.95 | $989.91 | 26.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $16.52 | $27.54 | 1.1× |
| Estradiol (82670) | $212.80 | $354.66 | 7.6× |
| Estrogen fractionated (82671) | $824.76 | $1,374.60 | 25.5× |
| Estrogens total (82672) | $306.92 | $511.53 | 14.1× |
| F2 gene analysis 20210g >a variant (81240) | $819.16 | $1,365.27 | 12.5× |
| F5 gene (81241) | $937.89 | $1,563.15 | 12.8× |
| Factor ii activity (85210) | $91.80 | $153 | 7.1× |
| Fecal fat qual (82705) | $15.30 | $25.50 | 3.0× |
| Fibrin degradation products (85362) | $81.70 | $136.17 | 11.9× |
| Fibrinogen activity (85384) | $19.28 | $32.13 | 2.0× |
| Flow cytometry first marker (88184) | $85.99 | $143.31 | 0.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $60.90 | $101.49 | 5.1× |
| Folate serum (82746) | $71.60 | $119.34 | 4.9× |
| Folic acid rbc (82747) | $12.85 | $21.42 | 0.7× |
| Follicle Stimulating Hormone (83001) | $78.64 | $131.07 | 4.2× |
| Francisella Tularensis (86668) | $108.63 | $181.05 | 7.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $118.12 | $196.86 | 11.4× |
| Gammaglobulin ige (82785) | $14.08 | $23.46 | 0.9× |
| Gardner Vag Dna Quant (87512) | $117.50 | $195.84 | 2.8× |
| Ggt (82977) | $44.37 | $73.95 | 6.2× |
| Giardia antigen eia stool (87329) | $64.26 | $107.10 | 5.4× |
| Gliadin antibody each immunoglobulin class (86258) | $73.74 | $122.91 | 6.1× |
| Glucose (82947) | $8.26 | $13.77 | 2.1× |
| Glucose Blood Test (82962) | $26.93 | $44.88 | 8.2× |
| Glucose body fluid (82945) | $38.86 | $64.77 | 9.9× |
| Glucose post dose (82950) | $10.10 | $16.83 | 2.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $47.43 | $79.05 | 12.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $63.34 | $105.57 | 4.9× |
| Growth hormone (83003) | $82.16 | $136.94 | 4.9× |
| Haptoglobin (83010) | $112.30 | $187.17 | 8.9× |
| Hcg qualitative (84703) | $103.12 | $171.87 | 13.7× |
| Hcg quant (84702) | $112 | $186.66 | 7.4× |
| Hematocrit (85014) | $29.07 | $48.45 | 12.3× |
| Hemoglobin (85018) | $24.79 | $41.31 | 10.5× |
| Hemoglobin a1c (83036) | $34.73 | $57.88 | 3.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $283.97 | $473.28 | 15.7× |
| Heparin assay (85520) | $235.62 | $392.70 | 18.0× |
| Hepatitis a antibody total (86708) | $37.94 | $63.24 | 3.1× |
| Hepatitis b core antibody total (86704) | $33.05 | $55.08 | 2.7× |
| Hepatitis B Surface Ab (86706) | $100.06 | $166.77 | 9.3× |
| Hepatitis B Surface Antigen (87340) | $54.77 | $91.29 | 5.3× |
| Hepatitis be antibody (86707) | $33.05 | $55.08 | 2.9× |
| Hepatitis Be Antigen (87350) | $33.05 | $55.08 | 2.9× |
| Hepatitis c antibody (86803) | $78.95 | $131.58 | 5.5× |
| Hepatitis C Genotype (87902) | $525.24 | $875.40 | 2.0× |
| Herpes simplex type 2 (86696) | $27.54 | $45.90 | 1.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $42.23 | $70.38 | 8.2× |
| Histoplasma antigen urine (87385) | $99.45 | $165.75 | 7.5× |
| HIV-1 antibody (86701) | $101.29 | $168.81 | 11.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $153 | $255 | 11.2× |
| Hla-b27 (86812) | $145.96 | $243.27 | 5.7× |
| Homogenization tissue (87176) | $39.47 | $65.79 | 6.7× |
| Hormone receptor analysis (84235) | $9.79 | $16.32 | 0.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $293.15 | $488.58 | 4.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $85.22 | $142.04 | 2.4× |
| Hydroxyprogesterone 17-d (83498) | $54.16 | $90.27 | 2.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $21.73 | $36.21 | 2.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $204.71 | $341.19 | 14.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $59.06 | $98.43 | 4.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $43.92 | $73.18 | 1.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $21.73 | $36.21 | 1.8× |
| Iaadiadoo not otherwise specified (87899) | $170.44 | $284.07 | 10.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $47.74 | $79.56 | 3.1× |
| Iadna candida species amplified probe tq (87481) | $117.50 | $195.84 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $312.73 | $521.22 | 8.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $46.21 | $77.01 | 2.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $201.65 | $336.09 | 2.9× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $25.09 | $41.82 | 0.7× |
| Iadna hepatitis b virus quantification (87517) | $540.70 | $901.17 | 12.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $716.96 | $1,194.93 | 16.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $614.75 | $1,024.59 | 7.2× |
| Iadna human papillomavirus high-risk types (87624) | $192.47 | $320.79 | 5.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $312.73 | $521.22 | 8.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $56.15 | $93.58 | 1.6× |
| Iadna nos amplified probe tq each organism (87798) | $502.76 | $837.93 | 14.3× |
| Iadna nos quantification each organism (87799) | $160.04 | $266.73 | 3.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $97.31 | $162.18 | 2.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $868.73 | $1,447.89 | 2.1× |
| Immunfix e-phorsis/urine/csf (86335) | $61.20 | $102 | 2.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $173.96 | $289.94 | 11.6× |
| Immunoassay nonantibody (83516) | $59.67 | $99.45 | 5.2× |
| Immunofixj Electrophoresis Serum (86334) | $87.98 | $146.62 | 3.9× |
| Immunofluorescent technique for treponema pallidum syphilis organism (87285) | $117.81 | $196.35 | 9.7× |
| Immunoglobulin light chains free each (83521) | $88.43 | $147.39 | 5.1× |
| Immunohistochemistry (88342) | $109.85 | $183.09 | 0.7× |
| Influenza DNA amp prob 1+ (87501) | $272.80 | $454.66 | 5.3× |
| Influenza DNA amp probe (87502) | $362.64 | $604.41 | 3.8× |
| Inhibin a (86336) | $620.26 | $1,033.77 | 39.8× |
| Inhibin b (83520) | $82.62 | $137.70 | 4.8× |
| Insulin antibodies (86337) | $290.24 | $483.74 | 13.6× |
| Insulin total (83525) | $59.98 | $99.96 | 5.2× |
| Interleukin 6 (83529) | $252.14 | $420.24 | 14.6× |
| Iron (83540) | $25.10 | $41.82 | 3.9× |
| Iron binding capacity (83550) | $18.36 | $30.60 | 2.1× |
| Islet cell antibody (86341) | $442.32 | $737.20 | 18.8× |
| Jak2 gene analysis (81270) | $476.44 | $794.07 | 5.2× |
| Lactic acid (83605) | $68.54 | $114.24 | 5.9× |
| Lactoferrin Fecal Quantitative (83631) | $153 | $255 | 7.8× |
| Ldh (83615) | $40.70 | $67.83 | 6.7× |
| Ldh isoenzymes (83625) | $26.93 | $44.88 | 2.1× |
| LDL cholesterol direct (83721) | $22.03 | $36.72 | 2.1× |
| Lead (83655) | $21.11 | $35.19 | 1.7× |
| Legion pneumo, DNA, amp prob (87541) | $312.73 | $521.22 | 8.9× |
| Legionella antibody (86713) | $104.96 | $174.93 | 6.9× |
| Legionella antigen urine (87449) | $121.94 | $203.24 | 10.2× |
| Lh (83002) | $124.54 | $207.57 | 6.7× |
| Lipase (83690) | $71.91 | $119.85 | 10.4× |
| Lithium (80178) | $37.02 | $61.71 | 5.6× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) | $756.13 | $1,260.21 | 4.3× |
| Lyme disease antibody (86618) | $17.44 | $29.07 | 1.0× |
| Lyme disease antibody confirm (86617) | $47.74 | $79.56 | 3.1× |
| Magnesium (83735) | $30.90 | $51.51 | 4.6× |
| Manual cell count each (85032) | $8.57 | $14.28 | 2.0× |
| Mass spectrometry qual/quan (83789) | $85.07 | $141.78 | 3.5× |
| Metabolic Panel Ionized Ca (80047) | $99.76 | $166.26 | 7.3× |
| Methotrexate (80299) | $131.74 | $219.56 | 7.1× |
| Methylmalonic acid serum (83921) | $25.09 | $41.82 | 1.2× |
| Microalbumin urine (82043) | $59.67 | $99.45 | 10.3× |
| Microbe susceptible diffuse (87181) | $44.98 | $74.97 | 9.5× |
| Microsomal antibodies (86376) | $56.30 | $93.84 | 3.9× |
| Mononuclear cell antigen (86356) | $56 | $93.33 | 2.1× |
| Mrsa amp probe (87641) | $95.17 | $158.61 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $149.02 | $248.37 | 2.3× |
| Mycoplasma antibody (86738) | $104.96 | $174.93 | 7.9× |
| Mycoplasma culture (87109) | $139.23 | $232.05 | 9.0× |
| Mycoplasma genitalium PCR (87563) | $25.09 | $41.82 | 0.7× |
| Myoglobin urine (83874) | $25.09 | $41.82 | 1.9× |
| Natriuretic peptide (83880) | $177.17 | $295.29 | 4.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $193.16 | $321.94 | 1.4× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $782.74 | $1,304.58 | 10.8× |
| Nuclear antigen antibody (86235) | $139.38 | $232.30 | 7.8× |
| Occult blood stool (82272) | $28.15 | $46.92 | 6.7× |
| Oligoclonal bands (83916) | $59.98 | $99.96 | 2.2× |
| Orthopoxvirus Amp Prb Each (87593) | $74.66 | $124.44 | 1.5× |
| Osmolality serum (83930) | $41.92 | $69.87 | 6.3× |
| Osmolality urine (83935) | $151.78 | $252.96 | 22.3× |
| Ova and parasite direct-id lca (87177) | $87.21 | $145.35 | 9.8× |
| Oxalate urine (83945) | $70.38 | $117.30 | 4.9× |
| Pancreatic elastase fecal (82656) | $466.96 | $778.26 | 40.5× |
| Pancreatic polypeptide (83519) | $58.45 | $97.41 | 3.2× |
| Phenytoin free (80186) | $22.03 | $36.72 | 1.6× |
| Phosphatase alkaline (84075) | $41.92 | $69.87 | 8.1× |
| Phosphorus blood (84100) | $32.44 | $54.06 | 6.8× |
| Phosphorus urine (84105) | $12.85 | $21.42 | 2.2× |
| Platelet count (85049) | $29.99 | $49.98 | 6.7× |
| Potassium (84132) | $22.34 | $37.23 | 4.7× |
| Potassium urine (84133) | $16.22 | $27.03 | 3.4× |
| Primidone (80188) | $33.05 | $55.08 | 2.0× |
| Procalcitonin (pct) (84145) | $299.27 | $498.78 | 11.0× |
| Progesterone (84144) | $55.69 | $92.82 | 2.7× |
| Prolactin (84146) | $22.95 | $38.25 | 1.2× |
| Protein body fluid (84157) | $98.84 | $164.73 | 24.7× |
| Protein c activity (85303) | $147.03 | $245.06 | 10.6× |
| Protein c antigen (85302) | $14.99 | $24.99 | 1.2× |
| Protein electrophoresis serum (84165) | $42.22 | $70.38 | 3.9× |
| Protein Electrophoresis Urine (84166) | $72.68 | $121.12 | 4.1× |
| Protein S Functional (85306) | $15.61 | $26.01 | 1.0× |
| Protein s total (85305) | $15.61 | $26.01 | 1.3× |
| Protein Total Serum (84155) | $9.18 | $15.30 | 2.5× |
| Protein urine (84156) | $41.92 | $69.87 | 11.4× |
| PSA free (84154) | $93.94 | $156.57 | 5.1× |
| Quantiferon tb gold (86480) | $275.09 | $458.49 | 4.4× |
| Rbc antibody elution (86860) | $427.18 | $711.96 | 2.6× |
| Renin activity plasma (84244) | $143.37 | $238.95 | 6.5× |
| Respiratory viral panel PCR (87633) | $223.69 | $372.81 | 0.5× |
| Reticulated platelet assay (85055) | $104.96 | $174.93 | 2.9× |
| Rheumatoid factor quant (86431) | $53.86 | $89.76 | 9.5× |
| Rickettsia antibody (86757) | $40.39 | $67.32 | 2.1× |
| Rpr Titer (86593) | $6.43 | $10.71 | 1.5× |
| Rubella antibody (86762) | $28.76 | $47.94 | 2.0× |
| Russell viper venom time diluted (85613) | $19.89 | $33.15 | 2.1× |
| Saccharomyces ab iga (86671) | $142.29 | $237.15 | 11.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $208.39 | $347.31 | 4.1× |
| Sedimentation rate (85651) | $48.35 | $80.58 | 11.3× |
| Sensitivity mic (87186) | $65.18 | $108.63 | 7.5× |
| Serpina1 gene (81332) | $119.95 | $199.92 | 2.7× |
| Sex hormone binding globulin (84270) | $166.62 | $160.14 | 7.7× |
| Sickle cell screen (85660) | $118.88 | $198.14 | 21.6× |
| Sirolimus (rapamycin) (80195) | $84.76 | $141.27 | 6.2× |
| Smear acid fast (87206) | $18.20 | $30.34 | 3.4× |
| Smear complex stain (87209) | $78.64 | $131.07 | 4.4× |
| Smear gram stain (87205) | $20.81 | $34.68 | 4.9× |
| Sodium (84295) | $24.78 | $41.31 | 5.2× |
| Sodium urine (84300) | $70.23 | $117.04 | 13.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $28.16 | $46.92 | 3.0× |
| Strep a assay w/optic (87880) | $67.63 | $112.71 | 4.1× |
| Sugars single quant (84378) | $113.83 | $189.72 | 9.9× |
| Surg path level iii (88304) | $86.90 | $144.84 | 1.7× |
| Surgical pathology level IV (88305) | $118.73 | $197.88 | 2.4× |
| Susceptibility study antimicrobial disk method (87184) | $29.68 | $49.47 | 4.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $76.34 | $127.24 | 1.6× |
| T cells, total count (86359) | $82.46 | $137.44 | 2.2× |
| T3 free (84481) | $132.80 | $221.34 | 7.8× |
| T3 reverse (84482) | $635.56 | $1,059.27 | 40.3× |
| T3 total (84480) | $70.38 | $117.30 | 5.0× |
| T3 uptake (84479) | $11.32 | $18.87 | 1.7× |
| T4 Free (84439) | $63.34 | $105.57 | 7.0× |
| T4 total (84436) | $50.80 | $84.66 | 7.4× |
| Test for acetone/ketones (82009) | $42.23 | $70.38 | 9.3× |
| Testosterone free (84402) | $159.12 | $265.20 | 6.2× |
| Testosterone total (84403) | $96.08 | $154.78 | 3.7× |
| Thin prep pap (88142) | $77.42 | $129.03 | 3.8× |
| Thromboplastin Inhibition Tissue (85705) | $39.78 | $66.30 | 4.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $31.82 | $53.04 | 4.9× |
| Thyroglobulin (84432) | $38.56 | $64.26 | 2.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $57.53 | $95.88 | 1.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $26.62 | $44.37 | 2.3× |
| Tobramycin peak (80200) | $114.75 | $191.25 | 7.1× |
| Topiramate (80201) | $105.57 | $175.95 | 8.9× |
| Toxin or antitoxin assay (87230) | $84.15 | $140.25 | 4.3× |
| Transferrin (84466) | $95.78 | $159.63 | 7.5× |
| Triglycerides (84478) | $38.25 | $63.75 | 6.7× |
| Troponin (84484) | $106.49 | $177.48 | 8.5× |
| Urea nitrogen (84520) | $23.41 | $39.02 | 5.9× |
| Urea nitrogen urine (84540) | $10.10 | $16.83 | 1.8× |
| Uric acid blood (84550) | $36.41 | $60.69 | 8.1× |
| Uric acid other source (84560) | $26.47 | $44.12 | 5.2× |
| Urinalysis microscopic only (81015) | $6.43 | $10.71 | 2.1× |
| Urinalysis w/microscopic (81001) | $48.04 | $80.07 | 15.2× |
| Urine microalbumin (protein) analysis (82044) | $35.80 | $59.67 | 5.7× |
| Urine pregnancy test (81025) | $68.85 | $114.75 | 8.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $22.95 | $38.25 | 10.2× |
| Valproic acid level (80164) | $64.11 | $106.84 | 4.7× |
| Vancomycin trough (80202) | $70.54 | $117.56 | 5.2× |
| Varicella-zoster antibody (86787) | $207.92 | $346.54 | 16.1× |
| Vdrl csf (86592) | $46.51 | $77.52 | 10.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $237.76 | $396.27 | 7.0× |
| Virus inoculation, shell via (87254) | $81.40 | $135.66 | 4.2× |
| Vitamin A (84590) | $59.36 | $98.94 | 5.1× |
| Vitamin b-12 (82607) | $70.99 | $118.32 | 4.7× |
| Vitamin b1 (thiamine) (84425) | $94.86 | $158.10 | 4.5× |
| Vitamin b6 (84207) | $78.03 | $130.05 | 2.8× |
| Vitamin C (82180) | $18.36 | $30.60 | 1.9× |
| Vitamin D 25-Hydroxy (82306) | $115.97 | $193.29 | 3.9× |
| Vitamin e serum (84446) | $173.20 | $288.66 | 12.2× |
| West nile virus ab, igm (86788) | $188.04 | $313.40 | 11.2× |
| West nile virus antibody (86789) | $188.04 | $313.40 | 13.1× |
| Zinc (84630) | $62.73 | $104.55 | 5.5× |