Lab & pathology prices at Salem Health West Valley
Dallas, OR · every code in this section with a posted price and a Medicare benchmark.
744 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $58.83 | $111 | 5.3× |
| Acetylcholine receptor binding antibody (86041) | $19.61 | $37 | 1.1× |
| Acetylcholine receptor blocking antibody (86042) | $19.61 | $37 | 1.1× |
| Acetylcholinesterase Assay (82013) | $49.82 | $94 | 4.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $12.72 | $24 | 1.1× |
| Acth (82024) | $154.23 | $291 | 4.0× |
| Actin smooth muscle antibody each (86015) | $19.08 | $36 | 1.6× |
| Acute hepatitis panel (80074) | $222.60 | $420 | 4.7× |
| Acylcarnitines Quant (82017) | $159 | $300 | 9.4× |
| Adenovirus antibody (86603) | $38.16 | $72 | 3.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $218.89 | $413 | 3.4× |
| Agglutinins Febrile Each Antigen (86000) | $31.80 | $60 | 4.6× |
| Albumin Fluid (82042) | $30.74 | $58 | 4.0× |
| Albumin serum (82040) | $22.79 | $43 | 4.6× |
| Aldolase (82085) | $37.10 | $70 | 3.8× |
| Aldosterone urine (82088) | $116.60 | $220 | 2.9× |
| Alkaline phosphatase isoenzymes (84080) | $95.40 | $180 | 6.5× |
| Allergen specific ige (86003) | $22.79 | $43 | 4.4× |
| Allergen specific igg (86001) | $26.50 | $50 | 3.4× |
| Alpha-1-antitrypsin phenotype (82104) | $55.12 | $104 | 3.8× |
| Alpha-1-antitrypsin total (82103) | $64.66 | $122 | 4.8× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $99.64 | $188 | 5.9× |
| Alpha-Fetoprotein Serum (82105) | $72.61 | $137 | 4.3× |
| Alt (sgpt) (84460) | $29.15 | $55 | 5.5× |
| Amikacin trough (80150) | $50.88 | $96 | 3.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $257.05 | $485 | 11.2× |
| Aminolevulinic acid (ala) (82135) | $87.98 | $166 | 5.3× |
| Ammonia (82140) | $68.37 | $129 | 4.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $273.48 | $516 | 2.8× |
| Amylase urine (82150) | $36.04 | $68 | 5.6× |
| Ana Titer (86039) | $72.61 | $137 | 6.5× |
| Anca screen each antibody (86036) | $36.04 | $68 | 3.0× |
| Angiotensin converting enzyme csf (82164) | $51.41 | $97 | 3.5× |
| Antibody aspergillus (86606) | $58.30 | $110 | 3.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $55.12 | $104 | 3.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $67.31 | $127 | 4.0× |
| Antibody Encephalitis California La Crosse (86651) | $49.82 | $94 | 3.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $78.44 | $148 | 6.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $94.34 | $178 | 6.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $81.62 | $154 | 4.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $78.97 | $149 | 6.4× |
| Antibody helicobacter pylori (86677) | $101.23 | $191 | 6.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $75.79 | $143 | 5.3× |
| Antibody Herpes Smplx Type 1 (86695) | $66.25 | $125 | 5.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $70.49 | $133 | 5.1× |
| Antibody HIV-2 (86702) | $89.57 | $169 | 6.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $348.21 | $657 | 1.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $178.61 | $337 | 9.2× |
| Antibody identification leukocyte antibodies (86021) | $95.40 | $180 | 6.3× |
| Antibody Protozoa Nes (86753) | $53 | $100 | 4.3× |
| Antibody Titer (86886) | $59.36 | $112 | 11.5× |
| Antibody Treponema Pallidum (86780) | $56.18 | $106 | 4.2× |
| Antibody; encephalitis, st. louis (86653) | $49.82 | $94 | 3.8× |
| Antigen typing (86905) | $286.20 | $540 | 74.7× |
| Antinuclear antibodies (86038) | $63.07 | $119 | 5.2× |
| Antistreptolysin o titer (86060) | $60.95 | $115 | 8.3× |
| Antithrombin iii activity (85300) | $117.13 | $221 | 9.9× |
| Apc Gene Analysis Known Familial Variants (81202) | $1,020.78 | $1,926 | 3.6× |
| Apc gene dup/delet variants (81203) | $730.87 | $1,379 | 3.7× |
| Apc gene full sequence (81201) | $2,846.63 | $5,371 | 3.6× |
| Apolipoprotein a1 (82172) | $49.82 | $94 | 2.4× |
| Aquaporin-4 Antb Cba Each (86052) | $13.25 | $25 | 1.1× |
| Arsenic (82175) | $91.16 | $172 | 4.8× |
| Aspa gene analysis common variants (81200) | $73.14 | $138 | 1.5× |
| Aspergillus ag eia (87305) | $217.30 | $410 | 18.1× |
| Assay activated protein c (85307) | $101.23 | $191 | 6.6× |
| Assay Blood Carbon Dioxide (82374) | $43.99 | $83 | 9.0× |
| Assay myeloperoxidase (83876) | $74.73 | $141 | 1.5× |
| Assay Nephelometry Not Spec (83883) | $74.73 | $141 | 5.5× |
| Assay of 5-hiaa (83497) | $64.66 | $122 | 5.0× |
| Assay of anti-mullerian hormone (82166) | $42.40 | $80 | 1.1× |
| Assay of blood/uric acid (84550) | $22.79 | $43 | 5.0× |
| Assay of calcium in urine (82340) | $25.44 | $48 | 4.2× |
| Assay of cpk in blood (82552) | $58.83 | $111 | 4.4× |
| Assay of estrone (82679) | $68.37 | $129 | 2.7× |
| Assay of g6pd enzyme (82955) | $87.45 | $165 | 9.0× |
| Assay of gammaglobulin igm (82784) | $43.99 | $83 | 4.7× |
| Assay of lactic acid (83605) | $55.65 | $105 | 4.8× |
| Assay of manganese (83785) | $80.56 | $152 | 3.0× |
| Assay of metanephrines (83835) | $104.94 | $198 | 6.2× |
| Assay of proinsulin (84206) | $85.33 | $161 | 3.2× |
| Assay of serotonin (84260) | $75.79 | $143 | 2.4× |
| Assay of serum potassium (84132) | $19.08 | $36 | 4.0× |
| Assay of sweat sodium (84302) | $36.57 | $69 | 7.5× |
| Assay of urea nitrogen (84520) | $22.26 | $42 | 5.6× |
| Assay of urine vma (84585) | $44.52 | $84 | 2.9× |
| Assay of vitamin b-1 (84425) | $87.98 | $166 | 4.1× |
| Assay Ph Body Fluid Nos (83986) | $12.72 | $24 | 3.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $286.20 | $540 | 1.5× |
| Automated Leukocyte Count (85048) | $33.92 | $64 | 13.4× |
| Babesia microti amp prb (87469) | $50.35 | $95 | 1.4× |
| Bacterial antigens 87802 (87802) | $65.19 | $123 | 5.1× |
| Bartonella antibody (86611) | $66.78 | $126 | 6.6× |
| Bcr/abl1 gene major bp (81206) | $433.01 | $817 | 2.6× |
| Bcr/abl1 gene minor bp (81207) | $705.96 | $1,332 | 4.9× |
| Bcr/Abl1 Gene Other Bp (81208) | $609.50 | $1,150 | 2.8× |
| Beta 2 glycoprotein i antibody each (86146) | $89.04 | $168 | 3.5× |
| Beta hydroxybutyrate (82010) | $65.19 | $123 | 8.0× |
| Beta Lactamase (87185) | $32.86 | $62 | 6.9× |
| Beta-2 Microglobulin (82232) | $72.61 | $137 | 4.5× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $18.55 | $35 | 0.1× |
| Bilirubin direct (82248) | $26.50 | $50 | 5.3× |
| Bilirubin total (82247) | $30.74 | $58 | 6.1× |
| Bilirubin total transcutaneous (88720) | $22.79 | $43 | 4.5× |
| Bl Smear W/O Diff Wbc Count (85008) | $51.94 | $98 | 15.1× |
| Bleeding time test (85002) | $13.78 | $26 | 2.9× |
| Blm Gene (81209) | $60.42 | $114 | 1.5× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $52.47 | $99 | 10.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20.67 | $39 | 5.4× |
| Blood count spun microhematocrit (85013) | $48.76 | $92 | 7.0× |
| Blood gas (82803) | $80.56 | $152 | 3.1× |
| Blood gases w/02 saturation (82805) | $91.16 | $172 | 1.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $65.19 | $123 | 4.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.26 | $42 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $286.20 | $540 | 45.1× |
| Blood typing serologic abo (86900) | $55.65 | $105 | 18.6× |
| Body fluid cell count (89050) | $61.48 | $116 | 13.0× |
| Braf gene analysis (81210) | $271.36 | $512 | 1.5× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $1,370.05 | $2,585 | 3.7× |
| Brca1&2 gen full seq dup/del (81162) | $8,220.83 | $15,511 | 4.5× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,370.05 | $2,585 | 3.7× |
| Breath Alcohol Test (82075) | $40.81 | $77 | 1.4× |
| Brucella antibody (86622) | $34.45 | $65 | 3.9× |
| C diff amplified probe (87493) | $153.17 | $289 | 4.1× |
| C-Peptide (84681) | $72.61 | $137 | 3.5× |
| C-reactive protein (86140) | $38.69 | $73 | 7.5× |
| Ca 19-9 (86301) | $117.13 | $221 | 5.6× |
| Cadmium (82300) | $64.66 | $122 | 2.7× |
| Calcitonin (82308) | $90.10 | $170 | 3.4× |
| Calcium ionized (82330) | $59.36 | $112 | 4.3× |
| Calcium total (82310) | $25.44 | $48 | 4.9× |
| Calculus Spectroscopy (82365) | $73.14 | $138 | 5.7× |
| Calprotectin Fecal (83993) | $247.51 | $467 | 12.6× |
| Cancer Antigen 125 (86304) | $104.94 | $198 | 5.0× |
| Cancer Antigen 27.29 (86300) | $95.40 | $180 | 4.6× |
| Candida Dna Dir Probe (87480) | $73.67 | $139 | 3.7× |
| Carbamazepine total (80156) | $54.59 | $103 | 3.7× |
| Carboxyhemoglobin (82375) | $49.29 | $93 | 4.0× |
| Carcinoembryonic antigen (82378) | $72.08 | $136 | 3.8× |
| Cardiolipin ab iga (86147) | $101.76 | $192 | 4.0× |
| Carnitine Quantitative Each Specimen (82379) | $57.24 | $108 | 3.4× |
| Carotene (82380) | $51.41 | $97 | 5.6× |
| Catecholamines fractionated (82384) | $62.54 | $118 | 2.5× |
| Ccp antibody (86200) | $78.44 | $148 | 6.1× |
| Cell count csf (89051) | $61.48 | $116 | 11.0× |
| Cell marker study (88182) | $221.54 | $418 | 3.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $524.70 | $990 | 3.9× |
| Ceruloplasmin (82390) | $53.53 | $101 | 5.0× |
| Cftr Gene Analysis Known Familial Variants (81221) | $353.51 | $667 | 3.6× |
| Cftr gene com variants (81220) | $673.10 | $1,270 | 1.2× |
| Cftr gene full sequence (81223) | $713.91 | $1,347 | 1.4× |
| Chemiluminescent assay (82397) | $96.99 | $183 | 6.9× |
| Chlamydia antibody (86631) | $64.66 | $122 | 5.5× |
| Chlamydia Igm Antibody (86632) | $66.78 | $126 | 5.3× |
| Chlmy trch&neisra gonor mult (87494) | $100.17 | $189 | 1.4× |
| Chloride other source (82438) | $34.98 | $66 | 7.0× |
| Chloride Serum (82435) | $26.50 | $50 | 5.8× |
| Chloride urine (82436) | $20.67 | $39 | 3.6× |
| Cholesterol total (82465) | $22.79 | $43 | 5.2× |
| Cholinesterase rbc (82482) | $31.27 | $59 | 3.2× |
| Cholinesterase Serum (82480) | $53 | $100 | 6.7× |
| Chorionic gonadotropin test (84702) | $64.66 | $122 | 4.3× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $415.52 | $784 | 2.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $45.58 | $86 | 1.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $58.30 | $110 | 1.7× |
| Chromium serum (82495) | $81.62 | $154 | 4.0× |
| Chromogranin a (86316) | $126.14 | $238 | 6.1× |
| Chromosome analys amniotic (88269) | $384.25 | $725 | 2.2× |
| Chromosome Analysis 15-20 (88262) | $475.94 | $898 | 3.8× |
| Chromosome Analysis 20-25 (88264) | $259.17 | $489 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $113.42 | $214 | 3.2× |
| Citric acid urine (82507) | $89.57 | $169 | 3.2× |
| Ckmb (82553) | $59.36 | $112 | 5.1× |
| Clostridium Difficile (87324) | $50.88 | $96 | 4.2× |
| Clot Factor VIII Multimetric (85247) | $245.92 | $464 | 10.7× |
| Clotting factor xii hageman (85280) | $121.90 | $230 | 6.3× |
| Clotting Funct Activity (85397) | $265 | $500 | 8.6× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$447.85–$1,528.52 | $845–$2,884 | varies |
| Coagulation time activated (85347) | $78.97 | $149 | 18.5× |
| Coccidioides antibody (86635) | $45.58 | $86 | 4.0× |
| Cold agglutinin titer (86157) | $48.23 | $91 | 6.0× |
| Collagen crosslinks (82523) | $65.72 | $124 | 3.5× |
| Column Chromotography Quant (82542) | $234.79 | $443 | 9.7× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $871.85 | $1,645 | 3.7× |
| Compatibility Each Unit Incubation (86921) | $171.72 | $324 | 0.9× |
| Compatibility test antiglob (86922) | $171.72 | $324 | 0.9× |
| Complement Antigen Each Component (86160) | $59.89 | $113 | 5.0× |
| Complement Total (Ch50) (86162) | $110.24 | $208 | 5.4× |
| Complement/Function Activity (86161) | $45.58 | $86 | 3.8× |
| Coombs direct (86880) | $42.93 | $81 | 8.0× |
| Copper urine (82525) | $67.84 | $128 | 5.5× |
| Cortisol free (82530) | $36.04 | $68 | 2.2× |
| Cortisol saliva (82533) | $59.89 | $113 | 3.7× |
| Creatine kinase total (82550) | $36.04 | $68 | 5.5× |
| Creatinine blood (82565) | $25.44 | $48 | 5.0× |
| Creatinine clearance (82575) | $53.53 | $101 | 5.7× |
| Creatinine Urine (82570) | $24.38 | $46 | 4.7× |
| Crossmatch electronic (86923) | $171.72 | $324 | 0.9× |
| Crossmatch immediate spin (86920) | $171.72 | $324 | 0.9× |
| Crp High Sensitivity (86141) | $66.78 | $126 | 5.2× |
| Cryoglobulin (82595) | $32.33 | $61 | 5.0× |
| Cryptococcal Antigen (87327) | $48.76 | $92 | 3.6× |
| Cryptococcus ag titer (87899) | $29.15 | $55 | 1.8× |
| Cryptosporidium ag eia (87328) | $59.36 | $112 | 4.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $32.33 | $61 | 4.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $36.04 | $68 | 4.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $10.07 | $19 | 1.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $234.26 | $442 | 1.1× |
| Culture aerobic quant other (87071) | $109.71 | $207 | 11.1× |
| Culture afb (87116) | $63.60 | $120 | 5.9× |
| Culture Anaerobic (87075) | $63.60 | $120 | 6.7× |
| Culture bacteria anaerobic (87073) | $12.72 | $24 | 1.3× |
| Culture blood (87040) | $56.18 | $106 | 5.4× |
| Culture chlamydia (87110) | $109.18 | $206 | 5.6× |
| Culture csf (87070) | $34.98 | $66 | 4.1× |
| Culture fungus (87102) | $58.30 | $110 | 6.9× |
| Culture screen only (87081) | $34.98 | $66 | 5.3× |
| Culture stool (87045) | $39.22 | $74 | 4.2× |
| Culture typing if ea antiserum (87140) | $22.79 | $43 | 4.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32.86 | $62 | 6.3× |
| Culture urine (87086) | $37.10 | $70 | 4.6× |
| Cyanide (82600) | $96.99 | $183 | 5.0× |
| Cyclosporine (80158) | $70.49 | $133 | 3.9× |
| Cystatin C (82610) | $19.61 | $37 | 1.1× |
| Cytogenetics 100-300 (88275) | $103.88 | $196 | 2.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $2,550.36 | $4,812 | 2.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $4,233.11 | $7,987 | 3.6× |
| Cytomegalovirus igg (86644) | $70.49 | $133 | 4.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $39.75 | $75 | 2.0× |
| Cytotoxic pra quick (86808) | $423.47 | $799 | 14.3× |
| Cytp Concentration Smears & Interpretation (88108) | $64.66 | $122 | 1.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $125.61 | $237 | 2.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $179.14 | $338 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $105.47 | $199 | 2.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $36.57 | $69 | 2.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $62.01 | $117 | 1.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $76.85 | $145 | 2.4× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $34.98 | $66 | 3.1× |
| Deoxyribonuclease antibody (86215) | $177.55 | $335 | 13.4× |
| Detect Agent Nos Dna Amp (87798) | $186.56 | $352 | 5.3× |
| Detect Agent Nos Dna Quant (87799) | $274.01 | $517 | 6.4× |
| Detect agnt mult DNA ampli (87801) | $296.80 | $560 | 4.2× |
| Dgp Antibody Each Ig Class (86258) | $19.08 | $36 | 1.6× |
| Dhea (82626) | $53.53 | $101 | 2.1× |
| Dhea-S (82627) | $67.84 | $128 | 3.1× |
| Digoxin (80162) | $84.80 | $160 | 6.4× |
| Dihydrotestosterone (82642) | $72.08 | $136 | 2.5× |
| Dna Antibody Native/Double Stranded (86225) | $63.07 | $119 | 4.6× |
| Dna Antibody Single Stranded (86226) | $51.41 | $97 | 4.2× |
| Dna/Rna Amplified Probe (87150) | $148.40 | $280 | 4.2× |
| Dpyd gene common variants (81232) | $225.25 | $425 | 1.3× |
| Drug assay acetaminophen (80143) | $22.79 | $43 | 1.2× |
| Drug assay adalimumab (80145) | $49.82 | $94 | 1.3× |
| Drug Assay Everolimus (80169) | $22.79 | $43 | 1.7× |
| Drug Assay Infliximab (80230) | $49.82 | $94 | 1.3× |
| Drug Assay Lacosamide (80235) | $38.69 | $73 | 1.4× |
| Drug assay voriconazole (80285) | $34.98 | $66 | 1.3× |
| Drug Screen Quant Clozapine (80159) | $31.80 | $60 | 1.6× |
| Drug Screen Quant Zonisamide (80203) | $68.90 | $130 | 5.2× |
| Drug Screen Quantitative Gabapentin (80171) | $55.12 | $104 | 2.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $45.58 | $86 | 3.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $93.81 | $177 | 7.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $68.90 | $130 | 5.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $175.43 | $331 | 2.8× |
| Drug Test Prsmv Instrmnt (80306) | $129.32 | $244 | 7.5× |
| Ehrlichia antibody (86666) | $58.30 | $110 | 5.7× |
| El-1 Fecal Quantitative (82653) | $56.18 | $106 | 2.4× |
| Electrolyte panel (80051) | $35.51 | $67 | 5.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $196.10 | $370 | 3.2× |
| Encephaltis East Eqne Anbdy (86652) | $49.82 | $94 | 3.8× |
| Encephaltis West Eqne Antbdy (86654) | $49.82 | $94 | 3.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $36.04 | $68 | 3.0× |
| Enterovirus Antibody (86658) | $59.89 | $113 | 4.6× |
| Enterovirus PCR (87498) | $135.15 | $255 | 3.9× |
| Enzyme cell activity (82657) | $165.89 | $313 | 7.5× |
| Eosinophil Smear (89190) | $29.15 | $55 | 5.0× |
| Erythropoietin (82668) | $81.62 | $154 | 4.3× |
| Estradiol serum (82670) | $66.78 | $126 | 2.4× |
| Estriol (82677) | $41.87 | $79 | 1.7× |
| Estrogens fractionated (82671) | $136.21 | $257 | 4.2× |
| Ethosuximide (80168) | $38.16 | $72 | 2.3× |
| Ethylene Glycol (82693) | $232.14 | $438 | 15.6× |
| Exam Synovial Fluid Crystals (89060) | $54.06 | $102 | 7.4× |
| Exome Sequence Analysis (81415) | $6,156.48 | $11,616 | 1.3× |
| Exome sequence analysis each comparator exome (81416) | $15,454.80 | $29,160 | 1.3× |
| F2 Gene (81240) | $360.40 | $680 | 5.5× |
| Factor ix activity (85250) | $159 | $300 | 8.4× |
| Factor v leiden mutation (81241) | $327.54 | $618 | 4.5× |
| Factor vii assay (85230) | $150.52 | $284 | 8.4× |
| Factor viii assay (85240) | $142.04 | $268 | 7.9× |
| Factor X (85260) | $116.07 | $219 | 6.5× |
| Factor xi activity (85270) | $151.05 | $285 | 8.4× |
| Factor xiii screen (85291) | $85.86 | $162 | 9.4× |
| Fancc Gene (81242) | $56.71 | $107 | 1.5× |
| Fat stain feces urine/respir secretions (89125) | $35.51 | $67 | 6.0× |
| Fat/Lipids Feces Quantitative (82710) | $96.99 | $183 | 5.8× |
| Fecal Fat Qualitative (82705) | $24.91 | $47 | 4.9× |
| Ferritin (82728) | $54.06 | $102 | 4.0× |
| Fetal Chrmoml Aneuploidy (81420) | $1,891.57 | $3,569 | 2.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $240.09 | $453 | 1.6× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $151.58 | $286 | 2.8× |
| Fetal Fibronectin (82731) | $367.82 | $694 | 5.7× |
| Fetal hemoglobin assay qual (83033) | $36.57 | $69 | 4.6× |
| Fetal screen rosette (85461) | $84.80 | $160 | 9.1× |
| Fibrin degradation products (85362) | $92.22 | $174 | 13.4× |
| Fibrin Degradation Quant (85379) | $133.03 | $251 | 13.1× |
| Fibrinogen activity (85384) | $63.60 | $120 | 6.5× |
| Flow cytometry first marker (88184) | $298.92 | $564 | 0.7× |
| Fluorescent antibody screen (86255) | $84.80 | $160 | 7.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $75.79 | $143 | 6.3× |
| Fmr1 Gene Charac Alleles (81244) | $64.66 | $122 | 1.4× |
| Fmr1 gene detection (81243) | $88.51 | $167 | 1.6× |
| Folic acid rbc (82747) | $62.54 | $118 | 3.5× |
| Folic Acid Serum (82746) | $67.84 | $128 | 4.6× |
| Follicle Stimulating Hormone (83001) | $72.61 | $137 | 3.9× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $113.42 | $214 | 4.0× |
| Francisella tularensis (86668) | $43.46 | $82 | 3.1× |
| Frozen Section (88331) | $179.14 | $338 | 0.9× |
| Fungi Identification Mold (87107) | $99.64 | $188 | 9.7× |
| Fungi Identification Yeast (87106) | $95.40 | $180 | 9.2× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) | $1,370.05 | $2,585 | 3.7× |
| Gammaglobulin ige (82785) | $47.70 | $90 | 2.9× |
| Gardner vag DNA dir probe (87510) | $73.67 | $139 | 3.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $43.46 | $82 | 4.4× |
| Gases blood ph only (82800) | $72.08 | $136 | 6.6× |
| Gastrin (82941) | $75.79 | $143 | 4.3× |
| Gastrin after secretin stim (82938) | $31.27 | $59 | 1.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $596.25 | $1,125 | 1.4× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $73.14 | $138 | 1.5× |
| Genet Virus Isolate Hsv (87255) | $131.97 | $249 | 3.9× |
| Genome Sequence Analysis (81425) | $6,479.78 | $12,226 | 1.3× |
| Genome sequence analysis each comparator genome (81426) | $3,490.05 | $6,585 | 1.3× |
| Gentamicin (80170) | $78.44 | $148 | 4.8× |
| Ggt (82977) | $30.74 | $58 | 4.3× |
| Giardia antigen (87329) | $63.07 | $119 | 5.3× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $224.72 | $424 | 3.7× |
| Glucose 2 hr pp (82950) | $26.50 | $50 | 5.6× |
| Glucose body fluid (82945) | $24.38 | $46 | 6.2× |
| Glucose Serum (82947) | $22.26 | $42 | 5.7× |
| Glucose tolerance test (gtt) (82951) | $55.12 | $104 | 4.3× |
| Glycated Protein (82985) | $22.26 | $42 | 1.3× |
| Gonadotropin Chorionic Qualitative (84703) | $44.52 | $84 | 5.9× |
| Growth hormone (83003) | $74.73 | $141 | 4.5× |
| Gtt-added samples (82952) | $25.44 | $48 | 6.5× |
| H Pylori (C-13) Breath (83013) | $267.12 | $504 | 4.0× |
| H Pylori Drug Admin (83014) | $43.99 | $83 | 5.6× |
| Haptoglobin (83010) | $83.74 | $158 | 6.7× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $1,370.05 | $2,585 | 3.7× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $1,370.05 | $2,585 | 3.7× |
| Hdl Cholesterol (83718) | $32.86 | $62 | 4.0× |
| Heinz Bodies Direct (85441) | $34.98 | $66 | 8.3× |
| Helicobacter Pylori Stool (87338) | $105.47 | $199 | 7.3× |
| Helminth Antibody (86682) | $81.62 | $154 | 6.3× |
| Hematocrit (85014) | $24.38 | $46 | 10.3× |
| Hemoglobin (85018) | $29.68 | $56 | 12.5× |
| Hemoglobin a1c (83036) | $46.11 | $87 | 4.7× |
| Hemoglobin Chromotography (83021) | $62.54 | $118 | 3.5× |
| Hemoglobin electrophoresis (83020) | $73.14 | $138 | 5.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $59.36 | $112 | 7.2× |
| Hemoglobin plasma (83051) | $53.53 | $101 | 7.3× |
| Hemoglobin urine (83069) | $30.74 | $58 | 7.8× |
| Hemolysin Acid (85475) | $58.83 | $111 | 6.6× |
| Hemosiderin urine (83070) | $123.49 | $233 | 26.0× |
| Hep a ab igm (86709) | $66.78 | $126 | 5.9× |
| Heparin assay (85520) | $152.11 | $287 | 11.6× |
| Heparin Neutralization (85525) | $66.25 | $125 | 5.6× |
| Hepatitis a antibody total (86708) | $71.02 | $134 | 5.7× |
| Hepatitis b core ab igm (86705) | $73.14 | $138 | 6.2× |
| Hepatitis b core ab total (86704) | $70.49 | $133 | 5.8× |
| Hepatitis B Surface Antibody (86706) | $95.40 | $180 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $50.88 | $96 | 4.9× |
| Hepatitis Be Antibody (86707) | $72.61 | $137 | 6.3× |
| Hepatitis Be Antigen (87350) | $51.41 | $97 | 4.5× |
| Hepatitis C Antibody (86803) | $85.86 | $162 | 6.0× |
| Hepatitis C Genotype (87902) | $725.04 | $1,368 | 2.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $554.91 | $1,047 | 15.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $300.51 | $567 | 7.0× |
| Hepatitis d quantification (87523) | $49.29 | $93 | 1.2× |
| Hepatitis Delta Agent Antibody (86692) | $64.66 | $122 | 3.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $3,058.10 | $5,770 | 2.3× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $2,635.69 | $4,973 | 2.0× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $1,976.90 | $3,730 | 1.5× |
| Herpes simplex type 2 (86696) | $75.79 | $143 | 3.9× |
| Heterophile Antibody Screen (86308) | $41.34 | $78 | 8.0× |
| Hexa gene analysis common variants (81255) | $79.50 | $150 | 1.5× |
| Hfe Gene (81256) | $331.78 | $626 | 5.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $155.82 | $294 | 20.2× |
| Histamine urine (83088) | $103.88 | $196 | 3.5× |
| Histoplasma antibody (86698) | $55.12 | $104 | 4.0× |
| Histoplasma antigen urine (87385) | $164.83 | $311 | 12.4× |
| Hiv Genotype (87901) | $646.07 | $1,219 | 2.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $119.25 | $225 | 5.0× |
| Hiv-1 Antibody (86701) | $175.96 | $332 | 19.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $423.47 | $799 | 5.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $525.23 | $991 | 4.1× |
| Hla class i&ii antibody qual (86828) | $162.71 | $307 | 2.5× |
| Hla class ii typing high resolution one locus ea (81382) | $493.43 | $931 | 4.0× |
| Hla I Typing 1 Allele Hr (81381) | $539.54 | $1,018 | 3.2× |
| Hla ii typing 1 allele hr (81383) | $610.56 | $1,152 | 5.6× |
| Hla ii typing 1 locus lr (81376) | $684.76 | $1,292 | 5.6× |
| Hla Typing a/B/C Multiple Antigens (86813) | $562.86 | $1,062 | 9.7× |
| Hla Typing Dr/Dq Single Antigen (86816) | $402.80 | $760 | 13.4× |
| Hla-b27 (86812) | $146.81 | $277 | 5.7× |
| Homocysteine (83090) | $85.33 | $161 | 4.8× |
| Homogenization Tissue (87176) | $44.52 | $84 | 7.6× |
| Homovanillic acid urine (83150) | $51.41 | $97 | 2.3× |
| Hpv High-Risk Types (87624) | $46.11 | $87 | 1.3× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $27.03 | $51 | 0.4× |
| Hsv Dna Amp Probe (87529) | $150.52 | $284 | 4.3× |
| Human Epididymis Protein 4 (86305) | $326.48 | $616 | 15.7× |
| Hydroxyprogesterone 17-d (83498) | $101.76 | $192 | 3.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $73.67 | $139 | 7.1× |
| Iaad ia shiga-like toxin (87427) | $60.42 | $114 | 5.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $101.76 | $192 | 8.5× |
| Iaadi not otherwise specified each organism (87299) | $50.88 | $96 | 3.2× |
| Iaadi pneumocustis carinii (87281) | $29.68 | $56 | 2.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $143.63 | $271 | 4.1× |
| Iadna Candida Species Amplified Probe Tq (87481) | $46.11 | $87 | 1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $127.73 | $241 | 3.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $143.63 | $271 | 4.1× |
| Iadna Cytomegalovirus Quantification (87497) | $271.36 | $512 | 6.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $301.57 | $569 | 7.0× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $50.35 | $95 | 1.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $162.71 | $307 | 3.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $160.59 | $303 | 4.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $110.77 | $209 | 3.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $80.03 | $151 | 1.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $420.29 | $793 | 2.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $996.40 | $1,880 | 3.8× |
| Ig Light Chains Free Each (83521) | $19.61 | $37 | 1.1× |
| Igg subclasses (82787) | $48.76 | $92 | 6.1× |
| Ikbkap Gene Analysis Common Variants (81260) | $60.42 | $114 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $298.92 | $564 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) | $134.62 | $254 | 4.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $114.48 | $216 | 6.2× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $39.22 | $74 | 1.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $41.34 | $78 | 2.8× |
| Immunoassay nonantibody (83516) | $55.65 | $105 | 4.8× |
| Immunodiffusion Ouchterlony (86331) | $50.35 | $95 | 4.2× |
| Immunofixation electrophoresis (86334) | $116.60 | $220 | 5.2× |
| Immunohistochemistry (88342) | $298.92 | $564 | 1.6× |
| In situ hybridization 1st probe stain (88365) | $179.14 | $338 | 0.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $96.46 | $182 | 2.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $121.90 | $230 | 7.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $46.11 | $87 | 1.3× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $40.28 | $76 | 1.1× |
| Influenza a/b ag eia (87400) | $48.76 | $92 | 3.5× |
| Influenza DNA amp probe (87502) | $289.38 | $546 | 3.0× |
| Inhibin A (86336) | $78.44 | $148 | 5.0× |
| Inhibin b (83520) | $85.33 | $161 | 4.9× |
| Insulin total (83525) | $54.06 | $102 | 4.7× |
| Intrinsic factor antibody (86340) | $21.73 | $41 | 1.4× |
| Iron (83540) | $32.86 | $62 | 5.1× |
| Iron Binding Capacity (83550) | $60.95 | $115 | 7.0× |
| Iron stain peripheral blood (85536) | $122.96 | $232 | 17.9× |
| Irradiation Blood Product Each Unit (86945) | $45.05 | $85 | 1.1× |
| Islet cell antibody (86341) | $180.73 | $341 | 7.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $505.62 | $954 | 5.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $238.50 | $450 | 1.3× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $972.55 | $1,835 | 1.4× |
| Kras Gene Variants Exon 2 (81275) | $298.92 | $564 | 1.5× |
| L/s ratio (83661) | $111.30 | $210 | 5.1× |
| Lactate (ld) (ldh) enzyme (83615) | $31.27 | $59 | 5.2× |
| Lactoferrin fecal qualitative (83630) | $72.08 | $136 | 3.7× |
| Lamellar Body Count (83664) | $85.33 | $161 | 4.4× |
| LDL direct (83721) | $59.36 | $112 | 5.7× |
| Lead (83655) | $47.70 | $90 | 3.9× |
| Legionella antigen urine (87449) | $67.84 | $128 | 5.7× |
| Legionella pneumophila dfa (87278) | $98.58 | $186 | 6.3× |
| Leptospira antibody (86720) | $72.61 | $137 | 4.5× |
| Leucine Aminopeptidase Lap (83670) | $101.76 | $192 | 10.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $39.75 | $75 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $48.76 | $92 | 1.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $298.92 | $564 | 0.7× |
| Lidocaine (80176) | $75.26 | $142 | 5.1× |
| Lipase (83690) | $36.04 | $68 | 5.2× |
| Lipoprotein A (83695) | $74.73 | $141 | 5.2× |
| Lipoprotein Bld Quan Part (83704) | $85.33 | $161 | 2.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $104.94 | $198 | 3.1× |
| Lithium (80178) | $39.22 | $74 | 5.9× |
| Liver ds alys 3 bmrk srm alg (81517) | $252.28 | $476 | 1.4× |
| Luteinizing Hormone (Lh) (83002) | $81.62 | $154 | 4.4× |
| Lyme disease antibody (86618) | $101.76 | $192 | 6.0× |
| Lysozyme serum (85549) | $55.12 | $104 | 2.9× |
| M. Genitalium Amp Probe (87563) | $40.28 | $76 | 1.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $204.05 | $385 | 1.1× |
| M/phmtrc alys ishquant/semiq (88374) | $204.05 | $385 | 1.1× |
| Magnesium Urine (83735) | $37.10 | $70 | 5.5× |
| Mass Spectrometry Quant (83789) | $59.36 | $112 | 2.5× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $60.42 | $114 | 1.5× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $438.84 | $828 | 3.7× |
| Mercury urine (83825) | $81.62 | $154 | 5.0× |
| Metabolic panel ionized ca (80047) | $40.28 | $76 | 2.9× |
| Methotrexate (80204) | $49.82 | $94 | 1.3× |
| Methylmalonic acid serum (83921) | $85.33 | $161 | 4.0× |
| Microalbumin, quantitative (82043) | $31.27 | $59 | 5.4× |
| Microsatellite instability (81301) | $1,303.80 | $2,460 | 3.7× |
| Microsomal Antibodies Each (86376) | $78.44 | $148 | 5.4× |
| Mitochondrial Antibody Each (86381) | $75.79 | $143 | 3.0× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $737.23 | $1,391 | 3.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $2,465.56 | $4,652 | 3.7× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $1,207.87 | $2,279 | 3.6× |
| Mog-Igg1 Antb Cba Each (86362) | $13.25 | $25 | 1.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $49.29 | $93 | 2.3× |
| Molecular Pathology Procedure Level 3 (81402) | $548.02 | $1,034 | 3.6× |
| Molecular Pathology Procedure Level 6 (81405) | $1,100.28 | $2,076 | 3.7× |
| Mononuclear cell antigen (86356) | $130.38 | $246 | 4.9× |
| Mopath procedure level 2 (81401) | $336.02 | $634 | 2.5× |
| Mopath procedure level 4 (81403) | $675.22 | $1,274 | 3.6× |
| Mopath procedure level 5 (81404) | $1,002.76 | $1,892 | 3.6× |
| Mopath procedure level 7 (81406) | $1,032.44 | $1,948 | 3.6× |
| Mopath procedure level 9 (81408) | $4,865.93 | $9,181 | 2.4× |
| Mrsa Pcr (87641) | $178.61 | $337 | 5.1× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $776.98 | $1,466 | 3.6× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,393.90 | $2,630 | 3.7× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $1,233.84 | $2,328 | 3.7× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $868.67 | $1,639 | 3.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $2,342.60 | $4,420 | 3.6× |
| Msh6 Gene Known Variants (81299) | $1,124.66 | $2,122 | 3.7× |
| Mthfr Gene Analysis Common Variants (81291) | $237.97 | $449 | 3.6× |
| Mucin Clot Body Fluid (83872) | $7.95 | $15 | 1.4× |
| Mumps antibody (86735) | $66.78 | $126 | 5.1× |
| Muscle-Specific Kinase Antb (86366) | $20.14 | $38 | 1.1× |
| Mycophenolic Acid (80180) | $31.80 | $60 | 1.8× |
| Mycoplasma antibody (86738) | $53.53 | $101 | 4.0× |
| Myelin basic protein csf (83873) | $36.57 | $69 | 2.1× |
| Myoglobin urine (83874) | $75.79 | $143 | 5.9× |
| Natriuretic peptide (83880) | $214.12 | $404 | 5.5× |
| Neisseria Dir Na Probe (87590) | $86.39 | $163 | 3.2× |
| Neutralization Test Viral (86382) | $63.07 | $119 | 3.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $395.38 | $746 | 3.1× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $98.05 | $185 | 3.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $430.36 | $812 | 1.7× |
| Nfct ds bv&vaginitis DNA alg (81515) | $337.08 | $636 | 1.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $589.89 | $1,113 | 4.6× |
| Niacin (84591) | $181.79 | $343 | 10.7× |
| Nuclear antigen antibody (86235) | $59.36 | $112 | 3.3× |
| Nudt15 Gene Common Variants (81306) | $1,063.18 | $2,006 | 3.6× |
| Obstetric panel (80081) | $274.01 | $517 | 3.7× |
| Occult Blood Other Sources (82271) | $19.08 | $36 | 3.6× |
| Oligoclonal bands (83916) | $70.49 | $133 | 2.6× |
| Organic acids urine (83918) | $413.93 | $781 | 17.5× |
| Osmolality serum (83930) | $49.29 | $93 | 7.5× |
| Osmolality Urine (83935) | $49.82 | $94 | 7.3× |
| Osmotic fragility rbc incubated (85557) | $125.08 | $236 | 9.4× |
| Ova and parasites smears (87177) | $34.98 | $66 | 3.9× |
| Oxalate urine (83945) | $67.84 | $128 | 4.7× |
| Particle Agglutination Screen Each Antibody (86403) | $101.23 | $191 | 8.8× |
| Parvovirus antibody (86747) | $94.34 | $178 | 6.3× |
| Ph urine (81003) | $14.31 | $27 | 6.4× |
| Phenobarbital Level (80184) | $54.59 | $103 | 3.6× |
| Phenytoin (Dilantin) (80185) | $38.16 | $72 | 2.9× |
| Phenytoin free (80186) | $45.05 | $85 | 3.3× |
| Phosphatase acid prostatic (84066) | $55.12 | $104 | 5.7× |
| Phosphatase alkaline (84075) | $27.56 | $52 | 5.3× |
| Phosphatidylglycerol (84081) | $106 | $200 | 6.4× |
| Phospholipid Neutralization Hexagonal (85598) | $87.45 | $165 | 4.9× |
| Phosphorus Serum (84100) | $22.79 | $43 | 4.8× |
| Phosphorus urine (84105) | $27.56 | $52 | 4.8× |
| Pinworm exam (87172) | $67.84 | $128 | 15.9× |
| Platelet Aggregation (85576) | $112.89 | $213 | 4.5× |
| Platelet Antibodies (86022) | $296.27 | $559 | 16.1× |
| Platelet count automated (85049) | $29.68 | $56 | 6.6× |
| Platelet neutralization (85597) | $78.97 | $149 | 4.4× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $742 | $1,400 | 3.6× |
| Pms2 gene analysis known familial variants (81318) | $1,207.87 | $2,279 | 3.6× |
| Pms2 gene full seq analysis (81317) | $2,579.51 | $4,867 | 3.8× |
| Porphobilinogen, urine; quantitative (84110) | $72.61 | $137 | 8.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $117.66 | $222 | 8.0× |
| Potassium Urine (84133) | $20.67 | $39 | 4.4× |
| Prealbumin (84134) | $72.61 | $137 | 5.0× |
| Pregnancy-Associated Plasma Protein-A (84163) | $64.66 | $122 | 4.3× |
| Pregnenolone (84140) | $57.24 | $108 | 2.8× |
| Primidone (80188) | $37.10 | $70 | 2.2× |
| Procalcitonin (Pct) (84145) | $226.31 | $427 | 8.3× |
| Progesterone (84144) | $53.53 | $101 | 2.6× |
| Prolactin (84146) | $80.56 | $152 | 4.2× |
| Protein body fluid (84157) | $26.50 | $50 | 6.6× |
| Protein C Activity (85303) | $187.62 | $354 | 13.6× |
| Protein Electrophoresis Urine (84166) | $87.98 | $166 | 4.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $51.41 | $97 | 4.8× |
| Protein S Free (85306) | $174.90 | $330 | 11.4× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $33.92 | $64 | 1.6× |
| Protein Total Refractometry Any Src (84160) | $24.38 | $46 | 4.3× |
| Protein total serum (84155) | $16.96 | $32 | 4.6× |
| Protein Total Urine (84156) | $22.79 | $43 | 6.2× |
| Protein Western Blot Test (84182) | $72.61 | $137 | 2.5× |
| Protoporphyrin rbc quantitative (84202) | $65.19 | $123 | 4.5× |
| PSA free (84154) | $62.54 | $118 | 3.4× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $1,094.98 | $2,066 | 3.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $2,190.49 | $4,133 | 3.7× |
| Pten gene analysis known familial variant (81322) | $192.92 | $364 | 4.1× |
| Pth Intact (83970) | $169.07 | $319 | 4.1× |
| Q Fever Antibody (86638) | $68.90 | $130 | 5.7× |
| Quantiferon tb gold plus (86480) | $234.79 | $443 | 3.8× |
| Quantitative assay drug (80299) | $52.47 | $99 | 2.8× |
| Quantitative Screen Metals (83018) | $81.62 | $154 | 3.7× |
| Quinidine (80194) | $46.64 | $88 | 3.2× |
| Rbc antibody elution (86860) | $171.72 | $324 | 0.9× |
| Rbc antibody identification (86870) | $286.20 | $540 | 0.7× |
| Rbc antibody screen (86850) | $59.36 | $112 | 6.1× |
| Renin activity plasma (84244) | $92.22 | $174 | 4.2× |
| Reptilase test (85635) | $56.18 | $106 | 5.7× |
| Resp virus 12-25 targets (87633) | $1,011.77 | $1,909 | 2.4× |
| Reticulated Platelet Assay (85055) | $99.11 | $187 | 2.8× |
| Reticulocyte Count (85046) | $54.06 | $102 | 9.7× |
| Rh (86901) | $42.40 | $80 | 14.2× |
| Rheumatoid Factor Qualitative (86430) | $67.31 | $127 | 11.0× |
| Rheumatoid factor quant (86431) | $41.34 | $78 | 7.3× |
| Rickettsia antibody (86757) | $90.10 | $170 | 4.7× |
| Ristocetin cofactor (85245) | $196.10 | $370 | 8.5× |
| Rotavirus ag eia (87425) | $76.32 | $144 | 6.4× |
| Rpr qualitative (86592) | $35.51 | $67 | 8.3× |
| Rsv Assay W/Optic (87807) | $78.44 | $148 | 6.0× |
| Rubella Antibody (86762) | $53.53 | $101 | 3.7× |
| Rubeola antibody (86765) | $70.49 | $133 | 5.5× |
| Russell Viper Venom Time Diluted (85613) | $137.27 | $259 | 14.3× |
| Salicylate Level (80179) | $22.79 | $43 | 1.2× |
| Salmonella antibody (86768) | $49.82 | $94 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $148.40 | $280 | 2.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $25.44 | $48 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $153.17 | $289 | 1.1× |
| Sedimentation rate (85651) | $26.50 | $50 | 6.2× |
| Sedimentation Rate, Automated (85652) | $28.09 | $53 | 10.4× |
| Selenium (84255) | $70.49 | $133 | 2.8× |
| Semen Anal Sperm Detection (89321) | $46.11 | $87 | 3.8× |
| Semen analysis complete (89322) | $54.59 | $103 | 3.5× |
| Semen analysis motility and count (89310) | $25.44 | $48 | 3.0× |
| Sensitivity mic (87186) | $37.10 | $70 | 4.3× |
| Sex Hormone Binding Globulin (84270) | $78.97 | $149 | 3.6× |
| Sickling of rbc reduction (85660) | $58.83 | $111 | 10.7× |
| Sirolimus (80195) | $76.85 | $145 | 5.6× |
| Skin Test Candida (86485) | $111.83 | $211 | 3.4× |
| Skin test tuberculosis intradermal (86580) | $111.83 | $211 | 3.4× |
| Smear acid fast (87206) | $28.09 | $53 | 5.2× |
| Smear complex stain (87209) | $57.77 | $109 | 3.2× |
| Smear gram stain (87205) | $20.14 | $38 | 4.7× |
| Smear Special Stain (87207) | $37.63 | $71 | 6.3× |
| Smn1 Gene Dos/Deletion Alys (81329) | $196.10 | $370 | 1.4× |
| Smpd1 Gene Analysis Common Variants (81330) | $72.61 | $137 | 1.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27.56 | $52 | 4.7× |
| Sodium Serum (84295) | $18.02 | $34 | 3.7× |
| Sodium Urine (84300) | $20.67 | $39 | 4.1× |
| Somatomedin (84305) | $122.43 | $231 | 5.8× |
| Special Stains Group 1 (88312) | $141.51 | $267 | 2.4× |
| Special Stains Group 2 (88313) | $67.84 | $128 | 0.5× |
| Specimen infect agnt concntj (87015) | $25.44 | $48 | 3.8× |
| Spectrophotometry (84311) | $24.38 | $46 | 3.0× |
| Splitting Blood/Blood Products Each Unit (86985) | $195.57 | $369 | 1.0× |
| Staph a DNA amp probe (87640) | $148.40 | $280 | 4.2× |
| Stool cultr aerobic bact ea (87046) | $17.49 | $33 | 1.9× |
| Strep a assay w/optic (87880) | $44.52 | $84 | 2.7× |
| Strep a DNA amp probe (87651) | $139.92 | $264 | 4.0× |
| Strep b DNA amp probe (87653) | $160.59 | $303 | 4.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $131.44 | $248 | 1.4× |
| Sugars Single Qual (84376) | $30.74 | $58 | 5.6× |
| Sulfate urine (84392) | $20.14 | $38 | 3.7× |
| Surg path level iii (88304) | $75.79 | $143 | 1.3× |
| Surgical pathology level IV (88305) | $103.35 | $195 | 1.8× |
| Surgical pathology level vi (88309) | $751.01 | $1,417 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $32.86 | $62 | 6.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $78.97 | $149 | 10.6× |
| Sweat Collection Iontophoresis (89230) | $82.15 | $155 | 1.4× |
| Syphilis Test Non-Trep Quant (86593) | $29.68 | $56 | 6.7× |
| T cells absolute cd4 count (86361) | $71.02 | $134 | 2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $288.32 | $544 | 6.1× |
| T cells total count (86359) | $86.92 | $164 | 2.3× |
| T3 Free (84481) | $66.78 | $126 | 3.9× |
| T3 reverse (84482) | $72.61 | $137 | 4.6× |
| T3 Total (84480) | $68.90 | $130 | 4.9× |
| T3 Uptake (84479) | $20.67 | $39 | 3.2× |
| T4 Free (84439) | $46.64 | $88 | 5.2× |
| T4 total (84436) | $29.15 | $55 | 4.2× |
| Tacrolimus (80197) | $75.26 | $142 | 5.5× |
| Tau phosphorylated each (84393) | $279.31 | $527 | 2.2× |
| Test for acetone/ketones (82009) | $37.10 | $70 | 8.2× |
| Testosterone total (84403) | $93.81 | $177 | 3.6× |
| Testosterone, Free (84402) | $96.99 | $183 | 3.8× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,182.01 | $4,117 | 3.6× |
| Theophylline (80198) | $67.84 | $128 | 4.8× |
| Thiocyanate (84430) | $229.49 | $433 | 19.7× |
| Thiopurine methyltransferase (84433) | $28.62 | $54 | 1.3× |
| Thrombin Time (85670) | $32.86 | $62 | 5.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $55.12 | $104 | 8.5× |
| Thyroglobulin (84432) | $63.07 | $119 | 3.9× |
| Thyroglobulin Antibody (86800) | $87.98 | $166 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $178.61 | $337 | 3.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $18.02 | $34 | 1.6× |
| Tissue Culture (88233) | $292.56 | $552 | 2.1× |
| Tissue Culture Amniotic Fluid (88235) | $306.34 | $578 | 2.0× |
| Tissue culture bone marrow (88237) | $262.88 | $496 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $241.68 | $456 | 2.1× |
| Tobramycin peak (80200) | $75.26 | $142 | 4.7× |
| Topiramate (80201) | $67.84 | $128 | 5.7× |
| Total Tau (84394) | $279.31 | $527 | 2.2× |
| Touch prep (88161) | $111.30 | $210 | 3.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $72.61 | $137 | 3.7× |
| Toxoplasma ab igm (86778) | $55.12 | $104 | 3.8× |
| Toxoplasma antibody (86777) | $57.24 | $108 | 4.0× |
| Tpmt gene com variants (81335) | $712.32 | $1,344 | 4.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $26.50 | $50 | 5.1× |
| Transferrin (84466) | $58.83 | $111 | 4.6× |
| Trichinella Antibody (86784) | $47.17 | $89 | 3.8× |
| Trichomonas vagin dir probe (87660) | $73.67 | $139 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) | $87.98 | $166 | 2.5× |
| Triglycerides (84478) | $30.74 | $58 | 5.4× |
| Troponin Quant (84484) | $101.76 | $192 | 8.2× |
| Tumor Immunohistochem/Manual (88360) | $298.92 | $564 | 1.6× |
| Unlisted Surgical Pathology Procedure (88399) | $74.73 | $141 | 1.3× |
| Urea Nitrogen Clearance (84545) | $87.45 | $165 | 12.1× |
| Urea nitrogen urine (84540) | $20.67 | $39 | 3.7× |
| Uric acid other source (84560) | $25.44 | $48 | 5.0× |
| Urinalysis Microscopic Only (81015) | $21.20 | $40 | 7.0× |
| Urinalysis Volume Measure (81050) | $13.25 | $25 | 3.6× |
| Urine Bacteria Culture (87088) | $43.99 | $83 | 5.4× |
| Urine Pregnancy Test (81025) | $47.17 | $89 | 5.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $29.15 | $55 | 9.2× |
| Valproic acid (80164) | $54.59 | $103 | 4.0× |
| Vancomycin (80202) | $73.67 | $139 | 5.4× |
| Varicella-zoster antibody (86787) | $85.86 | $162 | 6.7× |
| Viral Culture (87252) | $124.55 | $235 | 4.8× |
| Virus antibody nos (86790) | $81.62 | $154 | 6.3× |
| Virus inoculate tissue addl (87253) | $86.92 | $164 | 4.3× |
| Virus inoculation, shell via (87254) | $128.79 | $243 | 6.6× |
| Viscosity serum (85810) | $57.77 | $109 | 5.0× |
| Vit D 1 25-Dihydroxy (82652) | $237.97 | $449 | 6.2× |
| Vitamin A (84590) | $72.08 | $136 | 6.2× |
| Vitamin b-12 (82607) | $68.90 | $130 | 4.6× |
| Vitamin B2 (Riboflavin) (84252) | $49.82 | $94 | 2.5× |
| Vitamin B6 (84207) | $87.45 | $165 | 3.1× |
| Vitamin c (82180) | $27.56 | $52 | 2.8× |
| Vitamin D 25-Hydroxy (82306) | $120.84 | $228 | 4.1× |
| Vitamin E (84446) | $72.61 | $137 | 5.1× |
| Vitamin K (84597) | $37.10 | $70 | 2.7× |
| Volatiles (84600) | $120.31 | $227 | 7.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $13.25 | $25 | 1.1× |
| Von willebrand factor ag (85246) | $171.72 | $324 | 7.5× |
| Wbc Alkaline Phosphatase Count (85540) | $67.31 | $127 | 7.8× |
| West nile virus ab igm (86788) | $90.10 | $170 | 5.3× |
| West Nile Virus Antibody (86789) | $89.57 | $169 | 6.2× |
| Xylose Absorption Test (84620) | $55.12 | $104 | 4.3× |
| Zika Virus Dna/Rna Amp Probe (87662) | $197.69 | $373 | 3.9× |
| Zika Virus Igm Antibody (86794) | $63.07 | $119 | 3.7× |
| Zinc (84630) | $72.61 | $137 | 6.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.