Lab & pathology prices at SageWest Health Care (Riverton Campus)
Riverton, WY · every code in this section with a posted price and a Medicare benchmark.
575 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 17-Hydroxycorticosteroids (83491) | $101.40 | $169 | 5.7× |
| 5 Hiaa (83497) | $160.80 | $268 | 12.5× |
| Activated protein c resistance (85307) | $73.80 | $123 | 4.8× |
| Acylcarnitine Plasma (82017) | $126 | $210 | 7.5× |
| Additional high resolution study (88289) | $225 | $375 | 6.5× |
| Adenovirus ag, if (87260) | $43.20 | $72 | 3.0× |
| Afb culture (87116) | $111.60 | $186 | 10.3× |
| Albumin Fluid (82042) | $48 | $80 | 6.2× |
| Albumin serum (82040) | $63 | $105 | 12.7× |
| Aldolase (82085) | $108.60 | $181 | 11.2× |
| Alk phos heat stable (84078) | $64.80 | $108 | 7.8× |
| Alkaline phosphatase isoenzymes (84080) | $81.60 | $136 | 5.5× |
| Allerg sp igg quan or semiquan (86001) | $37.20 | $62 | 4.8× |
| Allergen specific ige (86003) | $37.20 | $62 | 7.1× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $31.80 | $53 | 4.0× |
| Alpha-1-antitrypsin, total (82103) | $101.10 | $168.50 | 7.5× |
| Alpha-fetoprotein amniotic (82106) | $50.40 | $84 | 3.0× |
| Alpha-fetoprotein, serum (82105) | $66.60 | $111 | 4.0× |
| Alt (sgpt) (84460) | $93.15 | $155.25 | 17.6× |
| Aluminum (82108) | $123 | $205 | 4.8× |
| Amikacin trough (80150) | $74.62 | $124.38 | 4.9× |
| Amino acid screen urine (82128) | $111.30 | $185.50 | 8.0× |
| Amino Acids, Single Quantitation (82131) | $175.65 | $292.75 | 7.6× |
| Aminolevulinic acid (ala) (82135) | $129.26 | $215.42 | 7.9× |
| Ammonia (82140) | $106.20 | $177 | 7.3× |
| Amylase urine (82150) | $29.40 | $49 | 4.5× |
| Ana Titer (86039) | $64.80 | $108 | 5.8× |
| Angiotensin i enzyme test (82164) | $113.40 | $189 | 7.8× |
| Anti-phosphatidylserine antibody (86148) | $92.40 | $154 | 5.7× |
| Antibody aspergillus (86606) | $79.20 | $132 | 5.3× |
| Antibody coxiella burnetii q fever (86638) | $28.80 | $48 | 2.4× |
| Antibody cytomegalovirus cmv (86644) | $44.40 | $74 | 3.1× |
| Antibody cytomegalovirus cmv igm (86645) | $63.60 | $106 | 3.8× |
| Antibody Detection Nos If (87299) | $153.60 | $256 | 9.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $121.80 | $203 | 9.3× |
| Antibody haemophilus influenza (86684) | $64.80 | $108 | 4.1× |
| Antibody helicobacter pylori (86677) | $81 | $135 | 4.8× |
| Antibody herpes smplx type 1 (86695) | $89.70 | $149.50 | 6.8× |
| Antibody HIV-2 (86702) | $282 | $470 | 20.9× |
| Antibody identification (86870) | $178.80 | $298 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $134.40 | $224 | 8.9× |
| Antibody influenza virus (86710) | $64.80 | $108 | 4.8× |
| Antibody mumps (86735) | $131.10 | $218.50 | 10.0× |
| Antibody Protozoa Nes (86753) | $100.80 | $168 | 8.1× |
| Antibody rubeola (86765) | $112.32 | $187.20 | 8.7× |
| Antibody screen (86850) | $89.40 | $149 | 9.2× |
| Antibody treponema pallidum (86780) | $61.80 | $103 | 4.7× |
| Antibody; Coccidioides (86635) | $128.40 | $214 | 11.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $82.80 | $138 | 16.0× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $55.20 | $92 | 9.6× |
| Antistreptolysin o titer (86060) | $46.80 | $78 | 6.4× |
| Antithrombin iii activity (85300) | $166.80 | $278 | 14.1× |
| Antithrombin iii antigen (85301) | $157.80 | $263 | 14.6× |
| Apolipoprotein b (82172) | $75 | $125 | 3.6× |
| Arsenic Urine (82175) | $29.40 | $49 | 1.5× |
| Aspergillus ag eia (87305) | $112.80 | $188 | 9.4× |
| Assay Nephelometry Not Spec (83883) | $67.50 | $112.50 | 5.0× |
| Assay of acth (82024) | $172.80 | $288 | 4.5× |
| Assay of androstenedione (82157) | $143.40 | $239 | 4.9× |
| Assay of blood chloride (82435) | $79.20 | $132 | 17.2× |
| Assay of c-peptide (84681) | $87.60 | $146 | 4.2× |
| Assay of calcitonin (82308) | $106.38 | $177.30 | 4.0× |
| Assay of ceruloplasmin (82390) | $102 | $170 | 9.5× |
| Assay of corticosterone (82528) | $54.75 | $91.25 | 2.4× |
| Assay of creatine (82540) | $18 | $30 | 3.9× |
| Assay of cyclosporine (80158) | $259.20 | $432 | 14.4× |
| Assay of dibucaine number (82638) | $66 | $110 | 5.4× |
| Assay of erythropoietin (82668) | $149.40 | $249 | 8.0× |
| Assay of ethosuximide (80168) | $60 | $100 | 3.7× |
| Assay of ferritin (82728) | $105.60 | $176 | 7.7× |
| Assay of g6pd enzyme (82955) | $117.22 | $195.38 | 12.1× |
| Assay of gammaglobulin igm (82784) | $135.60 | $226 | 14.6× |
| Assay of gentamicin (80170) | $200.40 | $334 | 12.2× |
| Assay of homovanillic acid (83150) | $103.80 | $173 | 4.6× |
| Assay of ketogenic steroids (83582) | $95.40 | $159 | 6.2× |
| Assay of lipoprotein(a) (83695) | $39 | $65 | 2.7× |
| Assay of manganese (83785) | $76.80 | $128 | 2.9× |
| Assay of metanephrines (83835) | $59.40 | $99 | 3.5× |
| Assay of phenobarbital (80184) | $128.40 | $214 | 8.4× |
| Assay of prealbumin (84134) | $95.40 | $159 | 6.5× |
| Assay of proinsulin (84206) | $148.20 | $247 | 5.6× |
| Assay of pyruvate (84210) | $97.80 | $163 | 6.8× |
| Assay of selenium (84255) | $148.20 | $247 | 5.8× |
| Assay of serotonin (84260) | $282 | $470 | 9.1× |
| Assay of somatomedin (84305) | $115.20 | $192 | 5.4× |
| Assay of tacrolimus (80197) | $120.60 | $201 | 8.8× |
| Assay of urine vma (84585) | $161.40 | $269 | 10.4× |
| Assay of volatiles (84600) | $79.50 | $132.50 | 4.6× |
| Assay Ph Body Fluid Nos (83986) | $37.20 | $62 | 10.4× |
| Ast (sgot) (84450) | $89.40 | $149 | 17.3× |
| Automated rbc count (85041) | $39 | $65 | 12.9× |
| B cells total count (86355) | $121.20 | $202 | 3.2× |
| Bartonella antibody (86611) | $39 | $65 | 3.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $116.40 | $194 | 4.6× |
| Beta hydroxybutyrate (82010) | $90 | $150 | 11.0× |
| Beta Lactamase (87185) | $37.20 | $62 | 7.8× |
| Beta-2 microglobulin (82232) | $188.40 | $314 | 11.6× |
| Bile acids, total (82239) | $10.80 | $18 | 0.6× |
| Bilirubin direct (82248) | $60.60 | $101 | 12.1× |
| Bilirubin total (82247) | $63.60 | $106 | 12.7× |
| Biotinidase ea specimen (82261) | $18 | $30 | 1.1× |
| Bl Smear W/Diff Wbc Count (85007) | $39.60 | $66 | 10.4× |
| Bleeding time (85002) | $130.20 | $217 | 27.0× |
| Blood count reticulocyte automated (85045) | $55.80 | $93 | 14.0× |
| Blood gases (82803) | $81 | $135 | 3.1× |
| Blood Ph - Ph Venous (82800) | $47.10 | $78.50 | 4.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $44.40 | $74 | 7.0× |
| Blood typing abo (86900) | $44.70 | $74.50 | 14.9× |
| Blood typing serologic rh (d) (86901) | $40.80 | $68 | 13.6× |
| Blood typing serologic rh phenotyping complete (86906) | $36 | $60 | 4.6× |
| Body fluid cell count (89051) | $112.80 | $188 | 20.1× |
| Bone Marrow Smear Interpretation (85097) | $81 | $135 | 0.1× |
| Bordetella antibody (86615) | $80.40 | $134 | 6.1× |
| Breath Alcohol Test (82075) | $39.60 | $66 | 1.3× |
| Brucella antibody (86622) | $49.80 | $83 | 5.6× |
| C diff amplified probe (87493) | $109.80 | $183 | 2.9× |
| C-reactive protein (86140) | $87 | $145 | 16.8× |
| Ca 125 (86304) | $183.60 | $306 | 8.8× |
| Ca 19-9 (86301) | $120.60 | $201 | 5.8× |
| Ca 27 29 (86300) | $101.70 | $169.50 | 4.9× |
| Cadmium level (82300) | $162.60 | $271 | 6.9× |
| Calcium ionized (82330) | $79.20 | $132 | 5.8× |
| Calcium total (82310) | $116.62 | $194.38 | 22.6× |
| Calcium urine (82340) | $141 | $235 | 23.4× |
| Calculus Qualitative Analysis (82355) | $28.80 | $48 | 2.5× |
| Calculus Quantitative Chemical (82360) | $81 | $135 | 6.3× |
| Calculus Spectroscopy (82365) | $135.60 | $226 | 10.5× |
| California encephalitis ab (86651) | $74.40 | $124 | 5.6× |
| Calprotectin, fecal (83993) | $80.41 | $134.01 | 4.1× |
| Carbamazepine (tegretol) total (80156) | $143.40 | $239 | 9.8× |
| Carbon dioxide (82374) | $48 | $80 | 9.8× |
| Carboxyhemoglobin Quantitative (82375) | $143.40 | $239 | 11.6× |
| Cardiolipin ab igg (86147) | $134.40 | $224 | 5.3× |
| Carnitine (82379) | $148.20 | $247 | 8.8× |
| Carotene (82380) | $117.22 | $195.38 | 12.7× |
| Catecholamines fraction plasma (82384) | $237.30 | $395.50 | 9.4× |
| Catecholamines organic nitrogen blood level (82383) | $296.40 | $494 | 10.2× |
| Chemical analysis for genetic disorder (82016) | $73.20 | $122 | 4.4× |
| Chemiluminescent assay (82397) | $86.40 | $144 | 6.1× |
| Chlamydia antibody (86631) | $90.60 | $151 | 7.7× |
| Chlamydia Igm Antibody (86632) | $57.90 | $96.50 | 4.6× |
| Chloride other source (82438) | $41.78 | $69.62 | 8.4× |
| Chloride urine (82436) | $79.20 | $132 | 13.8× |
| Cholesterol total (82465) | $79.18 | $131.98 | 18.2× |
| Cholinesterase rbc (82482) | $84.60 | $141 | 8.6× |
| Cholinesterase serum (82480) | $41.40 | $69 | 5.3× |
| Chromium urine (82495) | $88.20 | $147 | 4.3× |
| Chromogenic substrate assay (85130) | $156.79 | $261.32 | 13.2× |
| Chromogranin a (86316) | $228.60 | $381 | 11.0× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) | $225 | $375 | 1.2× |
| Citrate (82507) | $110.40 | $184 | 4.0× |
| Ck isoenzymes (82552) | $54 | $90 | 4.0× |
| Ckmb (82553) | $150.60 | $251 | 13.0× |
| Clot factor viii vw antigen (85246) | $166.80 | $278 | 7.3× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $82.20 | $137 | 4.6× |
| Clot factor xiii fibrin stab (85290) | $132.60 | $221 | 8.1× |
| Clozapine level (80159) | $151.20 | $252 | 7.5× |
| Cmv PCR (87496) | $235.80 | $393 | 6.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $178.80 | $298 | 7.4× |
| Cold agglutinin titer (86157) | $78.60 | $131 | 9.8× |
| Collagen cross links (82523) | $172.80 | $288 | 9.3× |
| Compatibility test antiglob (86922) | $79.20 | $132 | 0.5× |
| Compatibility Test Incubate (86921) | $18 | $30 | 0.1× |
| Complement c3 (86160) | $77.10 | $128.50 | 6.4× |
| Complement total ch50 (86162) | $130.80 | $218 | 6.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $158.10 | $263.50 | 13.2× |
| Concentration Infectious Agent (87015) | $34.80 | $58 | 5.2× |
| Coombs direct (86880) | $82.80 | $138 | 15.4× |
| Copper urine (82525) | $91.80 | $153 | 7.4× |
| Cortisol free (82530) | $117.60 | $196 | 7.0× |
| Cortisol total (82533) | $89.40 | $149 | 5.5× |
| Creatine kinase total (82550) | $97.80 | $163 | 15.0× |
| Creatinine blood (82565) | $71.40 | $119 | 13.9× |
| Creatinine clearance (82575) | $130.20 | $217 | 13.8× |
| Creatinine other source (82570) | $36 | $60 | 6.9× |
| Crossmatch immediate spin (86920) | $75 | $125 | 0.4× |
| Cryoglobulin (82595) | $39 | $65 | 6.0× |
| Cryptococcus antibody (86641) | $85.20 | $142 | 5.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $64.80 | $108 | 8.0× |
| Culture Aerobic Identify (87077) | $56.10 | $93.50 | 6.9× |
| Culture anaerobic (87075) | $153.60 | $256 | 16.2× |
| Culture blood (87040) | $190.80 | $318 | 18.5× |
| Culture chlamydia (87110) | $55.80 | $93 | 2.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $75 | $125 | 9.7× |
| Culture fungus blood (87103) | $75 | $125 | 3.7× |
| Culture fungus other (87102) | $106.20 | $177 | 12.6× |
| Culture genital (87070) | $109.50 | $182.50 | 12.7× |
| Culture screen only (87081) | $63.60 | $106 | 9.6× |
| Culture typing if ea antiserum (87140) | $25.80 | $43 | 4.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32.40 | $54 | 6.3× |
| Culture typing other methods (87158) | $159 | $265 | 20.5× |
| Culture urine (87086) | $123 | $205 | 15.2× |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) | $28.53 | $47.55 | 3.7× |
| Cyclic amp (82030) | $161.40 | $269 | 6.3× |
| Cyclic Citrullinated Peptide (86200) | $127.20 | $212 | 9.8× |
| Cyp2d6 gene com variants (81226) | $448.20 | $747 | 1.0× |
| Cystatin c (82610) | $7.80 | $13 | 0.4× |
| Cytogenetics 10-30 (88273) | $211.80 | $353 | 6.1× |
| Cytogenetics DNA probe (88271) | $170.40 | $284 | 8.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $262.20 | $437 | 6.1× |
| Cytopath cell enhance tech (88112) | $97.80 | $163 | 1.8× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $95.40 | $159 | 2.5× |
| Cytopath smear cerv/vag,index add-on (88155) | $7.80 | $13 | 0.5× |
| Cytopath Smear Other Source (88160) | $102.60 | $171 | 3.5× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Other Outpatient (88147) | $64.80 | $108 | 1.3× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $22.80 | $38 | 0.5× |
| Cytp concentration smears & interpretation (88108) | $129.26 | $215.42 | 3.4× |
| Cytp fna eval dx 1st each site (88172) | $233.40 | $389 | 1.3× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $24 | $40 | 1.3× |
| D-Dimer (85378) | $147.60 | $246 | 15.2× |
| Dark field (87164) | $20.40 | $34 | 1.9× |
| Dark field exam w/o collection (87166) | $97.80 | $163 | 8.7× |
| Deoxyribonuclease antibody (86215) | $54 | $90 | 4.1× |
| Dhea (82626) | $110.40 | $184 | 4.4× |
| Dhea sulfate (82627) | $189 | $315 | 8.5× |
| Digoxin (80162) | $87.60 | $146 | 6.6× |
| Dilantin (80185) | $128.40 | $214 | 9.7× |
| Diphtheria antitoxoid (86648) | $78 | $130 | 5.1× |
| Dna Antibody Single Stranded (86226) | $107.40 | $179 | 8.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $142.80 | $238 | 10.4× |
| Drug Screen Quant Gabapentin (80171) | $161.40 | $269 | 7.4× |
| Drug screen quant zonisamide (80203) | $109.20 | $182 | 8.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $159 | $265 | 12.0× |
| Drug Scrn Quan Levetiracetam (80177) | $153.60 | $256 | 11.6× |
| Drug scrn quant oxcarbazepin (80183) | $119.52 | $199.20 | 9.0× |
| Drug test prsmv chem anlyzr (80307) | $126.61 | $211.01 | 2.0× |
| Ebv viral capsid (86665) | $202.80 | $338 | 11.2× |
| Echinococcus ab igg (86682) | $75 | $125 | 5.8× |
| Ehrlichia antibody (86666) | $89.40 | $149 | 8.8× |
| Electrolyte panel (80051) | $121.80 | $203 | 17.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $192.98 | $321.63 | 3.1× |
| Endomysial antibody iga (86255) | $97.80 | $163 | 8.1× |
| Entamoeba histolytica antigen (87337) | $44.40 | $74 | 3.7× |
| Enterovirus antibody (86658) | $25.80 | $43 | 2.0× |
| Enzyme histochemistry (88319) | $116.40 | $194 | 0.1× |
| Eosinophil count (85048) | $37.50 | $62.50 | 14.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $80.40 | $134 | 5.3× |
| Estriol (82677) | $102 | $170 | 4.2× |
| Estrogen fractionated (82671) | $111.60 | $186 | 3.5× |
| Estrogens total (82672) | $111.60 | $186 | 5.1× |
| Ethylene glycol (82693) | $109.80 | $183 | 7.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $44.40 | $74 | 6.1× |
| Factor ii activity (85210) | $318.60 | $531 | 24.5× |
| Factor ix activity (85250) | $164.40 | $274 | 8.6× |
| Factor v activity (85220) | $47.40 | $79 | 2.7× |
| Factor vii assay (85230) | $43.20 | $72 | 2.4× |
| Factor viii ahg (85240) | $105.60 | $176 | 5.9× |
| Factor viii vw multimetric (85247) | $91.20 | $152 | 4.0× |
| Factor xi assay (85270) | $132.60 | $221 | 7.4× |
| Fecal fat qual (82705) | $81 | $135 | 15.9× |
| Fecal fat quant (82710) | $172.80 | $288 | 10.3× |
| Fetal bleed screen (85461) | $233.40 | $389 | 24.9× |
| Fetal lung maturity fluorescence polarization (83663) | $416.64 | $694.40 | 22.0× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $76.80 | $128 | 1.0× |
| Fibrinogen activity (85384) | $93.60 | $156 | 9.6× |
| Fibrinolytic Plasminogen (85415) | $189.15 | $315.25 | 11.0× |
| Flow cytometry first marker (88184) | $74.40 | $124 | 0.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $59.40 | $99 | 4.9× |
| Folate serum (82746) | $102 | $170 | 6.9× |
| Folic acid rbc (82747) | $150.60 | $251 | 8.5× |
| Follicle Stimulating Hormone (83001) | $172.80 | $288 | 9.3× |
| Francisella Tularensis (86668) | $39 | $65 | 2.8× |
| Fresh frozen plasma thawing each unit (86927) | $32.40 | $54 | 0.2× |
| Frozen blood prep (86930) | $30.60 | $51 | 0.2× |
| Frozen Section (88331) | $141 | $235 | 0.8× |
| Fructosamine (82985) | $60.60 | $101 | 3.6× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $117.22 | $195.38 | 11.4× |
| Gammaglobulin ige (82785) | $105.60 | $176 | 6.4× |
| Gastric Occult Blood (82271) | $29.40 | $49 | 5.5× |
| Ggt (82977) | $75 | $125 | 10.4× |
| Giardia antigen eia stool (87329) | $101.40 | $169 | 8.5× |
| Giardia lamblia antibody (86674) | $97.80 | $163 | 6.6× |
| Glucose (82947) | $61.20 | $102 | 15.6× |
| Glucose Blood Test (82962) | $13.20 | $22 | 4.0× |
| Glucose body fluid (82945) | $60.30 | $100.50 | 15.3× |
| Glucose post dose (82950) | $82.80 | $138 | 17.4× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $154.80 | $258 | 39.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $249.90 | $416.50 | 19.4× |
| Gonadotropin releasing hormone (83727) | $309 | $515 | 18.0× |
| Growth hormone (83003) | $109.80 | $183 | 6.6× |
| Haptoglobin (83010) | $97.80 | $163 | 7.8× |
| Hcg qualitative (84703) | $134.40 | $224 | 17.9× |
| Hcg quant (84702) | $252 | $420 | 16.7× |
| Hdl Cholesterol (83718) | $74.40 | $124 | 9.1× |
| Heavy metal quant each (83018) | $125.70 | $209.50 | 5.7× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $297.60 | $496 | 14.2× |
| Hematocrit (85014) | $40.20 | $67 | 17.0× |
| Hematocrit spun (85013) | $40.20 | $67 | 5.7× |
| Hemoglobin (85018) | $49.20 | $82 | 20.8× |
| Hemoglobin a1c (83036) | $91.20 | $152 | 9.4× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $74.40 | $124 | 4.1× |
| Hemoglobin electrophoresis (83020) | $115.50 | $192.50 | 9.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $130.80 | $218 | 16.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $143.40 | $239 | 17.5× |
| Hemoglobin plasma (83051) | $51.88 | $86.47 | 7.1× |
| Hemosiderin urine (83070) | $116.62 | $194.38 | 24.6× |
| Heparin assay (85520) | $153.90 | $256.50 | 11.8× |
| Hepatitis a antibody total (86708) | $87 | $145 | 7.0× |
| Hepatitis a igm (86709) | $87 | $145 | 7.7× |
| Hepatitis b core ab igm (86705) | $92.40 | $154 | 7.9× |
| Hepatitis b core antibody total (86704) | $92.40 | $154 | 7.7× |
| Hepatitis B Surface Ab (86706) | $78.60 | $131 | 7.3× |
| Hepatitis B Surface Antigen (87340) | $82.20 | $137 | 8.0× |
| Hepatitis be antibody (86707) | $73.20 | $122 | 6.3× |
| Hepatitis Be Antigen (87350) | $42.60 | $71 | 3.7× |
| Hepatitis c ab confirm (86804) | $197.40 | $329 | 12.7× |
| Hepatitis c antibody (86803) | $120.60 | $201 | 8.5× |
| Herpes culture (87252) | $135 | $225 | 5.2× |
| Herpes simplex type 2 (86696) | $106.80 | $178 | 5.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $102 | $170 | 19.7× |
| Hfe gene (81256) | $333 | $555 | 5.1× |
| Histoplasma antibody (86698) | $168.60 | $281 | 12.2× |
| Histoplasma antigen urine (87385) | $139.80 | $233 | 10.6× |
| HIV confirmation (86689) | $112.80 | $188 | 5.8× |
| HIV-1 antibody (86701) | $88.80 | $148 | 10.0× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $96 | $160 | 7.0× |
| Hla typing a/b/c multiple antigens (86813) | $211.80 | $353 | 3.7× |
| Hla-b27 (86812) | $222.60 | $371 | 8.6× |
| Hormone receptor analysis (84235) | $352.05 | $586.75 | 4.9× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $241.80 | $403 | 3.6× |
| Hpylori Drug Administration (83014) | $27 | $45 | 3.4× |
| Hsv Dna Quant (87530) | $254.40 | $424 | 5.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $203.40 | $339 | 5.8× |
| Hydroxyprogesterone 17-d (83498) | $336.87 | $561.45 | 12.4× |
| Iaad ia clostridium difficile toxin (87324) | $200.40 | $334 | 16.7× |
| Iaad ia cryptosporidium (87328) | $145.65 | $242.75 | 10.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $128.40 | $214 | 8.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $174 | $290 | 12.5× |
| Iaad ia rotavirus (87425) | $139.80 | $233 | 11.7× |
| Iaad Ia Streptococcus Group A (87430) | $82.80 | $138 | 4.9× |
| Iaadi inffluenza a virus (87276) | $69.60 | $116 | 4.3× |
| Iaadi influenza b virus (87275) | $69.60 | $116 | 5.7× |
| Iaadi respiratory synctial virus (87280) | $42.30 | $70.50 | 3.2× |
| Iaadiadoo not otherwise specified (87899) | $124.80 | $208 | 7.8× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $237.86 | $396.42 | 6.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $82.80 | $138 | 3.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $318.60 | $531 | 3.7× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $161.40 | $269 | 3.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $294.60 | $491 | 8.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $107.40 | $179 | 3.1× |
| Iadna nos amplified probe tq each organism (87798) | $283.80 | $473 | 8.1× |
| Iadna nos quantification each organism (87799) | $234 | $390 | 5.5× |
| If cryptosporidium antigen (87272) | $69.60 | $116 | 5.8× |
| If varicella-zoster antigen (87290) | $49.80 | $83 | 3.7× |
| Igg subclasses (82787) | $43.20 | $72 | 5.4× |
| Immunfix e-phorsis/urine/csf (86335) | $412.20 | $687 | 14.0× |
| Immunoassay analyte qual/semiqual single step (83518) | $64.20 | $107 | 6.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $28.80 | $48 | 1.9× |
| Immunoassay nonantibody (83516) | $70.20 | $117 | 6.1× |
| Immunoassay with direct visual observation for clostridium (87803) | $33.60 | $56 | 2.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $166.80 | $278 | 7.2× |
| Immunofixj Electrophoresis Serum (86334) | $166.80 | $278 | 7.5× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $113.10 | $188.50 | 9.4× |
| Immunoglobulin assay (86023) | $72 | $120 | 5.8× |
| Immunohistochemistry (88342) | $180.30 | $300.50 | 1.0× |
| India ink prep (87210) | $74.70 | $124.50 | 12.8× |
| Influenza a/b ag eia (87400) | $60 | $100 | 4.2× |
| Inhibin a (86336) | $64.20 | $107 | 4.1× |
| Inhibin b (83520) | $108.90 | $181.50 | 6.3× |
| Insitu hybridization manual (88368) | $243.60 | $406 | 0.7× |
| Insulin antibodies (86337) | $108.60 | $181 | 5.1× |
| Insulin total (83525) | $105.60 | $176 | 9.2× |
| Intraop cyto path consult 1 (88333) | $58.80 | $98 | 0.1× |
| Iron (83540) | $90.15 | $150.25 | 13.9× |
| Iron binding capacity (83550) | $96 | $160 | 11.0× |
| Irradiation of blood product (86945) | $73.80 | $123 | 1.9× |
| Islet cell antibody (86341) | $122.40 | $204 | 5.2× |
| Jak2 gene analysis (81270) | $333 | $555 | 3.6× |
| Ketosteroids 17; total (83586) | $108.60 | $181 | 8.5× |
| Koh Prep (87220) | $73.80 | $123 | 17.3× |
| L/s ratio, fetal lung (83661) | $225.60 | $376 | 10.3× |
| Lactic acid (83605) | $116.62 | $194.38 | 10.1× |
| Lactoferrin fecal qualitative (83630) | $111 | $185 | 5.6× |
| Lactoferrin Fecal Quantitative (83631) | $111 | $185 | 5.7× |
| Lamellar Body Count (83664) | $63 | $105 | 3.3× |
| Ldh (83615) | $93.60 | $156 | 15.5× |
| Ldh isoenzymes (83625) | $48 | $80 | 3.8× |
| LDL cholesterol direct (83721) | $61.20 | $102 | 5.8× |
| Lead (83655) | $80.10 | $133.50 | 6.6× |
| Legionella antibody (86713) | $130.20 | $217 | 8.5× |
| Legionella antigen urine (87449) | $112.50 | $187.50 | 9.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $39 | $65 | 9.1× |
| Level ii surg pathology grossµscopic exam (88302) | $108 | $180 | 2.8× |
| Level vi surg pathology grossµscopic exam (88309) | $272.40 | $454 | 0.3× |
| Lh (83002) | $120.60 | $201 | 6.5× |
| Lipase (83690) | $171.15 | $285.25 | 24.8× |
| Lipoprotein Bld Hr Fraction (83701) | $45 | $75 | 1.3× |
| Lithium (80178) | $89.40 | $149 | 13.5× |
| Lyme disease antibody (86618) | $115.80 | $193 | 6.8× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $55.55 | $92.58 | 0.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $144.30 | $240.50 | 0.8× |
| Macroscopic exam parasite (87169) | $55.58 | $92.63 | 12.9× |
| Magnesium (83735) | $81.30 | $135.50 | 12.1× |
| Malaria smear (87207) | $78 | $130 | 13.0× |
| Manual reticulocyte count (85044) | $64.80 | $108 | 15.0× |
| Mass spectrometry qual/quan (83789) | $243.60 | $406 | 10.1× |
| Mcg interphase insitu 25 (88274) | $388.80 | $648 | 9.2× |
| Measurement of complement fixation tests (immune system proteins) (86171) | $42 | $70 | 4.2× |
| Measurement of substance using spectroscopy (light) (82190) | $320.02 | $533.37 | 20.1× |
| Mercury (83825) | $96 | $160 | 5.9× |
| Metabolic Panel Ionized Ca (80047) | $166.80 | $278 | 12.1× |
| Methotrexate (80299) | $115.80 | $193 | 6.2× |
| Methylmalonic acid serum (83921) | $252 | $420 | 11.9× |
| Microalbumin urine (82043) | $55.80 | $93 | 9.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $257.40 | $429 | 4.8× |
| Microsomal antibodies (86376) | $114.30 | $190.50 | 7.9× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $318.60 | $531 | 6.2× |
| Molecular pathology procedure level 2 (81401) | $225.60 | $376 | 1.6× |
| Mononuclear cell antigen (86356) | $121.20 | $202 | 4.5× |
| Mopath procedure level 1 (81400) | $208.80 | $348 | 3.3× |
| Mopath procedure level 4 (81403) | $835.95 | $1,393.25 | 4.5× |
| Mthfr Gene Analysis Common Variants (81291) | $271.80 | $453 | 4.2× |
| Muramidase (85549) | $116.40 | $194 | 6.2× |
| Mycophenolic acid (80180) | $116.40 | $194 | 6.4× |
| Mycoplasma antibody (86738) | $82.20 | $137 | 6.2× |
| Myelin basic protein csf (83873) | $162 | $270 | 9.4× |
| Myoglobin urine (83874) | $73.50 | $122.50 | 5.7× |
| N.gonorrhoeae, DNA, dir prob (87590) | $67.20 | $112 | 2.5× |
| Nasal smear for eosinophils (89190) | $49.80 | $83 | 8.6× |
| Natriuretic peptide (83880) | $224.40 | $374 | 5.7× |
| Nerve teasing preparations (88362) | $122.40 | $204 | 0.1× |
| Niacin (84591) | $36 | $60 | 2.1× |
| Nickel level (83885) | $108.60 | $181 | 4.4× |
| Nk cells total count (86357) | $121.20 | $202 | 3.2× |
| Nmr Lipoprofile (83704) | $84.60 | $141 | 2.5× |
| Nuclear antigen antibody (86235) | $95.40 | $159 | 5.3× |
| Occult blood stool (82272) | $42.60 | $71 | 10.1× |
| Oligoclonal bands (83916) | $178.20 | $297 | 6.5× |
| Organic Acids Qual Each (83919) | $174 | $290 | 10.6× |
| Organic Acids Total Quantitative Each Specimen (83918) | $450 | $750 | 19.1× |
| Osmolality serum (83930) | $67.20 | $112 | 10.2× |
| Osmolality urine (83935) | $67.20 | $112 | 9.9× |
| Ova and parasite direct-id lca (87177) | $106.20 | $177 | 11.9× |
| Oxalate urine (83945) | $128.40 | $214 | 8.9× |
| Pancreatic polypeptide (83519) | $141.83 | $236.39 | 7.7× |
| Parainfluenza ag if (87279) | $49.80 | $83 | 3.0× |
| Particle Agglutination Screen Each Antibody (86403) | $47.40 | $79 | 4.1× |
| Parvovirus antibody (86747) | $87 | $145 | 5.8× |
| Pathology lab procedure (89240) | $67.80 | $113 | 1.3× |
| Pertussis dfa (87265) | $75 | $125 | 6.3× |
| Phenylalanine (84030) | $66 | $110 | 12.0× |
| Phenytoin free (80186) | $153.60 | $256 | 11.2× |
| Phosphatase acid prostatic (84066) | $79.18 | $131.98 | 8.2× |
| Phosphatase alkaline (84075) | $77.98 | $129.98 | 15.1× |
| Phospholipid Neutralization Hexagonal (85598) | $111 | $185 | 6.2× |
| Phosphorus blood (84100) | $73.80 | $123 | 15.6× |
| Phosphorus urine (84105) | $67.80 | $113 | 11.7× |
| Pinworm exam (87172) | $117.22 | $195.38 | 27.5× |
| Platelet count (85049) | $75 | $125 | 16.7× |
| Platelet neutralization (85597) | $184.80 | $308 | 10.3× |
| Pooling blood platelets (86965) | $43.20 | $72 | 0.2× |
| Porphobilinogen urine quant (84110) | $75.60 | $126 | 9.0× |
| Porphyrins qn & fraction urine (84120) | $106.20 | $177 | 7.2× |
| Porphyrins urine qual (84119) | $82.80 | $138 | 6.2× |
| Potassium (84132) | $55.80 | $93 | 11.7× |
| Potassium urine (84133) | $71.40 | $119 | 15.1× |
| Pregnenolone (84140) | $109.80 | $183 | 5.3× |
| Primidone (80188) | $120.60 | $201 | 7.3× |
| Procainamide napa (80192) | $69.60 | $116 | 4.2× |
| Progesterone (84144) | $141.60 | $236 | 6.8× |
| Prolactin (84146) | $142.80 | $238 | 7.4× |
| Protein body fluid (84157) | $116.62 | $194.38 | 29.2× |
| Protein c activity (85303) | $190.20 | $317 | 13.7× |
| Protein c antigen (85302) | $234.60 | $391 | 19.5× |
| Protein electrophoresis serum (84165) | $101.70 | $169.50 | 9.5× |
| Protein Electrophoresis Urine (84166) | $105.60 | $176 | 5.9× |
| Protein S Functional (85306) | $128.10 | $213.50 | 8.4× |
| Protein Total Serum (84155) | $116.62 | $194.38 | 31.8× |
| Protein urine (84156) | $116.62 | $194.38 | 31.8× |
| Protein Western Blot (84182) | $56.78 | $94.63 | 1.9× |
| Protein westrn blot i&r blood/other fluid (84181) | $142.80 | $238 | 8.4× |
| Protoporphyrin rbc quantitative (84202) | $44.40 | $74 | 3.1× |
| PSA free (84154) | $58.20 | $97 | 3.2× |
| Quinidine (80194) | $120.60 | $201 | 8.3× |
| Rbc antibody elution (86860) | $145.20 | $242 | 0.8× |
| Reducing substances, stool (84376) | $45.60 | $76 | 8.3× |
| Ref consult prep elsewhere (88321) | $282 | $470 | 7.4× |
| Renin activity plasma (84244) | $124.20 | $207 | 5.6× |
| Rheumatoid Factor Qual (86430) | $66.60 | $111 | 10.8× |
| Rheumatoid factor quant (86431) | $84.60 | $141 | 14.9× |
| Rickettsia antibody (86757) | $55.20 | $92 | 2.9× |
| Rpr Titer (86593) | $44.40 | $74 | 10.1× |
| Rubella antibody (86762) | $85.20 | $142 | 5.9× |
| Russell viper venom time diluted (85613) | $66.60 | $111 | 7.0× |
| Saccharomyces ab iga (86671) | $95.40 | $159 | 7.8× |
| Sedimentation rate (85651) | $73.80 | $123 | 17.3× |
| Semen analysis complete (89320) | $291.60 | $486 | 23.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $78 | $130 | 6.5× |
| Sensitivity mic (87186) | $337.20 | $562 | 39.0× |
| Serotonin Release Assay (86022) | $115.20 | $192 | 6.3× |
| Sex hormone binding globulin (84270) | $116.40 | $194 | 5.4× |
| Sickle cell screen (85660) | $70.12 | $116.88 | 12.7× |
| Sirolimus (rapamycin) (80195) | $147.60 | $246 | 10.8× |
| Smear acid fast (87206) | $54.90 | $91.50 | 10.2× |
| Smear complex stain (87209) | $42 | $70 | 2.3× |
| Smear gram stain (87205) | $46.50 | $77.50 | 10.9× |
| Sodium (84295) | $54.60 | $91 | 11.4× |
| Sodium other source (84302) | $51.60 | $86 | 10.6× |
| Sodium urine (84300) | $112.02 | $186.70 | 22.1× |
| Soluble transferrin receptor (84238) | $236.40 | $394 | 6.5× |
| Somatostatin (84307) | $151.20 | $252 | 8.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $120.60 | $201 | 0.9× |
| Special stains group 1 (88312) | $121.20 | $202 | 2.3× |
| Specific gravity body fluid (84315) | $24.60 | $41 | 7.5× |
| Spectrophotometry (84311) | $216.60 | $361 | 26.7× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $60 | $100 | 1.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $75 | $125 | 0.4× |
| Stool analysis for bilirubin (82252) | $19.20 | $32 | 4.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $96 | $160 | 10.2× |
| Sulfate urine (84392) | $28.80 | $48 | 5.2× |
| Surg path level iii (88304) | $126.60 | $211 | 2.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $71.32 | $118.88 | 2.4× |
| Susceptibility study antimicrobial disk method (87184) | $117.22 | $195.38 | 15.7× |
| T3 free (84481) | $161.40 | $269 | 9.5× |
| T3 reverse (84482) | $235.80 | $393 | 15.0× |
| T3 total (84480) | $115.20 | $192 | 8.1× |
| T3 uptake (84479) | $111.60 | $186 | 17.2× |
| T4 Free (84439) | $92.40 | $154 | 10.2× |
| T4 total (84436) | $115.20 | $192 | 16.8× |
| Test for acetone/ketones (82009) | $44.40 | $74 | 9.8× |
| Testosterone free (84402) | $116.40 | $194 | 4.6× |
| Testosterone total (84403) | $172.80 | $288 | 6.7× |
| Tetanus antibody (86774) | $96 | $160 | 6.5× |
| Thin prep pap (88142) | $67.80 | $113 | 3.3× |
| Thrombin time plasma (85670) | $30 | $50 | 5.2× |
| Thrombomodulin (85337) | $70.80 | $118 | 4.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $35.46 | $59.10 | 5.5× |
| Thyroglobulin (84432) | $223.20 | $372 | 13.9× |
| Thyroglobulin Ab (86800) | $82.20 | $137 | 5.2× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $678.15 | $1,130.25 | 4.8× |
| Tobramycin peak (80200) | $144 | $240 | 8.9× |
| Topiramate (80201) | $102 | $170 | 8.6× |
| Touch prep (88161) | $67.80 | $113 | 2.3× |
| Toxoplasma ab igm (86778) | $58.20 | $97 | 4.0× |
| Toxoplasma antibody igg (86777) | $95.40 | $159 | 6.6× |
| Transferrin (84466) | $147.60 | $246 | 11.6× |
| Trichinella antibody (86784) | $69.60 | $116 | 5.5× |
| Triglycerides (84478) | $87.60 | $146 | 15.3× |
| Troponin (84484) | $88.50 | $147.50 | 7.1× |
| Trypsin feces qual (84488) | $55.80 | $93 | 7.6× |
| Tyrosine (84510) | $166.80 | $278 | 15.7× |
| Unlisted transfusion medicine procedure (86999) | $43.20 | $72 | 1.5× |
| Urea nitrogen (84520) | $70.80 | $118 | 17.9× |
| Urea nitrogen urine (84540) | $44.40 | $74 | 8.0× |
| Uric acid blood (84550) | $67.20 | $112 | 14.9× |
| Uric acid other source (84560) | $65.70 | $109.50 | 12.9× |
| Urinalysis microscopic only (81015) | $37.20 | $62 | 12.2× |
| Urinalysis qual/semiquant except immunoassays (81005) | $45 | $75 | 20.7× |
| Urinalysis w/microscopic (81001) | $58.20 | $97 | 18.4× |
| Urine pregnancy test (81025) | $101.40 | $169 | 11.8× |
| Urine volume measurement (81050) | $17.40 | $29 | 4.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $39.60 | $66 | 17.6× |
| Valproic acid level (80164) | $120.60 | $201 | 8.9× |
| Vancomycin trough (80202) | $180 | $300 | 13.3× |
| Varicella-zoster antibody (86787) | $161.40 | $269 | 12.5× |
| Vasoactive intestinal peptide (vip) (84586) | $162 | $270 | 4.6× |
| Vdrl csf (86592) | $61.50 | $102.50 | 14.4× |
| Very long chain fatty acids (82726) | $94.80 | $158 | 4.8× |
| Virus antibody nos (86790) | $85.20 | $142 | 6.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $178.80 | $298 | 5.3× |
| Virus inoculation, shell via (87254) | $44.40 | $74 | 2.3× |
| Viscosity serum (85810) | $116.40 | $194 | 10.0× |
| Vitamin A (84590) | $190.20 | $317 | 16.4× |
| Vitamin b-12 (82607) | $121.80 | $203 | 8.1× |
| Vitamin b1 (thiamine) (84425) | $142.80 | $238 | 6.7× |
| Vitamin b6 (84207) | $115.80 | $193 | 4.1× |
| Vitamin C (82180) | $40.80 | $68 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $177 | $295 | 6.0× |
| Vitamin e serum (84446) | $92.58 | $154.30 | 6.5× |
| Von willebrand factor activity (85245) | $166.80 | $278 | 7.3× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $73.80 | $123 | 8.6× |
| West nile virus ab, igm (86788) | $105.60 | $176 | 6.3× |
| West nile virus antibody (86789) | $105.60 | $176 | 7.3× |
| Xylose Absorption Test (84620) | $55.20 | $92 | 4.3× |
| Zinc (84630) | $116.40 | $194 | 10.2× |