Lab & pathology prices at Sampson Regional Medical Center
Clinton, NC · every code in this section with a posted price and a Medicare benchmark.
455 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) | $177.10 | $253 | 4.6× |
| 17-Hydroxycorticosteroids (83491) | $177.10 | $253 | 9.9× |
| 5 Hiaa (83497) | $119 | $170 | 9.2× |
| 5 Nucleotidase (83915) | $43.40 | $62 | 3.9× |
| Acute hepatitis panel (80074) | $267.40 | $382 | 5.6× |
| Afb culture (87116) | $42.70 | $61 | 4.0× |
| Agglutinins febrile (86000) | $77 | $110 | 11.0× |
| Albumin Fluid (82042) | $17.50 | $25 | 2.2× |
| Albumin serum (82040) | $68.60 | $98 | 13.9× |
| Aldolase (82085) | $82.60 | $118 | 8.5× |
| Aldosterone urine (82088) | $168 | $240 | 4.1× |
| Allergen specific ige (86003) | $16.80 | $24 | 3.2× |
| Alpha-1-antitrypsin, total (82103) | $101.50 | $145 | 7.6× |
| Alpha-fetoprotein, serum (82105) | $226.80 | $324 | 13.5× |
| Alt (sgpt) (84460) | $76.30 | $109 | 14.4× |
| Aluminum (82108) | $287.70 | $411 | 11.3× |
| Amikacin trough (80150) | $114.80 | $164 | 7.6× |
| Amino acid screen urine (82128) | $154 | $220 | 11.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $45.50 | $65 | 2.7× |
| Amino Acids, Single Quantitation (82131) | $45.50 | $65 | 2.0× |
| Ammonia (82140) | $91 | $130 | 6.2× |
| Amniotic fluid enzyme test (84081) | $87.50 | $125 | 5.3× |
| Amylase urine (82150) | $121.10 | $173 | 18.7× |
| Angiotensin i enzyme test (82164) | $132.30 | $189 | 9.1× |
| Antibody aspergillus (86606) | $36.40 | $52 | 2.4× |
| Antibody cytomegalovirus cmv (86644) | $41.30 | $59 | 2.9× |
| Antibody cytomegalovirus cmv igm (86645) | $101.50 | $145 | 6.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $101.50 | $145 | 7.7× |
| Antibody helicobacter pylori (86677) | $173.60 | $248 | 10.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $282.80 | $404 | 19.7× |
| Antibody herpes smplx type 1 (86695) | $87.50 | $125 | 6.6× |
| Antibody identification (86870) | $316.40 | $452 | 0.9× |
| Antibody mumps (86735) | $51.10 | $73 | 3.9× |
| Antibody rubeola (86765) | $49.70 | $71 | 3.9× |
| Antibody screen (86850) | $134.40 | $192 | 13.8× |
| Antibody treponema pallidum (86780) | $109.90 | $157 | 8.3× |
| Antibody; Coccidioides (86635) | $26.60 | $38 | 2.3× |
| Antigen typing (86905) | $340.20 | $486 | 88.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $193.90 | $277 | 37.4× |
| Antinuclear antibodies (86038) | $130.90 | $187 | 10.8× |
| Antistreptolysin o titer (86060) | $130.90 | $187 | 17.9× |
| Antithrombin iii activity (85300) | $201.60 | $288 | 17.0× |
| Antithrombin iii antigen (85301) | $182.70 | $261 | 16.9× |
| Arsenic Urine (82175) | $113.40 | $162 | 6.0× |
| Assay Lipoprotein Pla2 (83698) | $116.20 | $166 | 2.5× |
| Assay Nephelometry Not Spec (83883) | $40.60 | $58 | 3.0× |
| Assay of acth (82024) | $292.60 | $418 | 7.6× |
| Assay of blood chloride (82435) | $68.60 | $98 | 14.9× |
| Assay of c-peptide (84681) | $64.40 | $92 | 3.1× |
| Assay of ceruloplasmin (82390) | $47.60 | $68 | 4.4× |
| Assay of cyclosporine (80158) | $86.10 | $123 | 4.8× |
| Assay of erythropoietin (82668) | $137.90 | $197 | 7.3× |
| Assay of ferritin (82728) | $91 | $130 | 6.7× |
| Assay of g6pd enzyme (82955) | $17.50 | $25 | 1.8× |
| Assay of gammaglobulin igm (82784) | $123.90 | $177 | 13.3× |
| Assay of gastrin (82941) | $82.60 | $118 | 4.7× |
| Assay of gentamicin (80170) | $65.80 | $94 | 4.0× |
| Assay of homocystine (83090) | $68.60 | $98 | 3.8× |
| Assay of metanephrines (83835) | $344.40 | $492 | 20.3× |
| Assay of parathormone (83970) | $191.80 | $274 | 4.6× |
| Assay of phenobarbital (80184) | $144.20 | $206 | 9.4× |
| Assay of phosphatase acid total (84060) | $44.10 | $63 | 5.8× |
| Assay of prealbumin (84134) | $90.30 | $129 | 6.2× |
| Assay of somatomedin (84305) | $259 | $370 | 12.2× |
| Assay of tacrolimus (80197) | $186.20 | $266 | 13.6× |
| Assay of urine vma (84585) | $153.30 | $219 | 9.9× |
| Assay Ph Body Fluid Nos (83986) | $12.25 | $17.50 | 3.4× |
| Ast (sgot) (84450) | $80.50 | $115 | 15.5× |
| Autologous Blood Process (86890) | $334.60 | $478 | 2.1× |
| Automated rbc count (85041) | $15.40 | $22 | 5.1× |
| Bartonella antibody (86611) | $38.50 | $55 | 3.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $67.90 | $97 | 2.7× |
| Beta hydroxybutyrate (82010) | $154 | $220 | 18.8× |
| Beta Lactamase (87185) | $63.70 | $91 | 13.4× |
| Beta-2 microglobulin (82232) | $76.30 | $109 | 4.7× |
| Bile acids, total (82239) | $45.50 | $65 | 2.7× |
| Bilirubin direct (82248) | $45.50 | $65 | 9.1× |
| Bilirubin total (82247) | $70.70 | $101 | 14.1× |
| Bl Smear W/Diff Wbc Count (85007) | $46.20 | $66 | 12.2× |
| Blastomyces antibody (86612) | $36.40 | $52 | 2.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $227.50 | $325 | 1.4× |
| Bleeding time (85002) | $61.60 | $88 | 12.8× |
| Blood count reticulocyte automated (85045) | $35 | $50 | 8.8× |
| Blood gases (82803) | $123.90 | $177 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $7 | $10 | 1.6× |
| Blood Ph - Ph Venous (82800) | $70.70 | $101 | 6.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $340.20 | $486 | 53.6× |
| Blood typing abo (86900) | $134.40 | $192 | 44.9× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $35 | $50 | 2.1× |
| Blood typing serologic rh (d) (86901) | $134.40 | $192 | 44.9× |
| Body fluid cell count (89051) | $47.60 | $68 | 8.5× |
| Body fluid cell count (89050) | $47.60 | $68 | 10.1× |
| Bone Marrow Smear Interpretation (85097) | $832.30 | $1,189 | 1.1× |
| Brucella antibody (86622) | $26.60 | $38 | 3.0× |
| C diff amplified probe (87493) | $66.50 | $95 | 1.8× |
| C-reactive protein (86140) | $60.20 | $86 | 11.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $63.70 | $91 | 4.9× |
| Ca 125 (86304) | $144.20 | $206 | 6.9× |
| Ca 19-9 (86301) | $98 | $140 | 4.7× |
| Ca 27 29 (86300) | $57.40 | $82 | 2.8× |
| Calcium ionized (82330) | $152.60 | $218 | 11.2× |
| Calcium total (82310) | $68.60 | $98 | 13.3× |
| Calcium urine (82340) | $61.60 | $88 | 10.2× |
| Calculus Quantitative Chemical (82360) | $90.30 | $129 | 7.0× |
| Carbamazepine (tegretol) total (80156) | $123.20 | $176 | 8.5× |
| Carbon dioxide (82374) | $55.30 | $79 | 11.3× |
| Carboxyhemoglobin Quantitative (82375) | $72.10 | $103 | 5.9× |
| Carcinoembryonic antigen (82378) | $145.60 | $208 | 7.7× |
| Cardiolipin ab igg (86147) | $88.20 | $126 | 3.5× |
| Carnitine (82379) | $251.30 | $359 | 14.9× |
| Carotene (82380) | $113.40 | $162 | 12.3× |
| Catecholamines fraction plasma (82384) | $233.80 | $334 | 9.3× |
| Cd4 absolute count (86361) | $84.70 | $121 | 3.2× |
| Cell marker study (88182) | $196 | $280 | 3.9× |
| Cftr gene com variants (81220) | $1,568.70 | $2,241 | 2.8× |
| Chemiluminescent assay (82397) | $49 | $70 | 3.5× |
| Chlamydia antibody (86631) | $105.70 | $151 | 8.9× |
| Chloride other source (82438) | $66.50 | $95 | 13.3× |
| Chloride urine (82436) | $74.90 | $107 | 13.0× |
| Cholesterol total (82465) | $64.40 | $92 | 14.8× |
| Cholinesterase serum (82480) | $80.50 | $115 | 10.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $457.80 | $654 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $67.90 | $97 | 1.9× |
| Citrate (82507) | $271.60 | $388 | 9.8× |
| Ck isoenzymes (82552) | $73.50 | $105 | 5.5× |
| Ckmb (82553) | $86.10 | $123 | 7.5× |
| Cmv PCR (87496) | $67.90 | $97 | 1.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $198.10 | $283 | 8.2× |
| Cold agglutinin screen (86156) | $46.20 | $66 | 5.7× |
| Collagen cross links (82523) | $68.60 | $98 | 3.7× |
| Compatibility test antiglob (86922) | $217.70 | $311 | 1.3× |
| Compatibility Test Incubate (86921) | $134.40 | $192 | 0.8× |
| Complement c3 (86160) | $150.50 | $215 | 12.5× |
| Complement total ch50 (86162) | $229.60 | $328 | 11.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $64.40 | $92 | 5.4× |
| Comprehensive review of data (88325) | $167.30 | $239 | 1.0× |
| Concentration Infectious Agent (87015) | $21 | $30 | 3.1× |
| Coombs direct (86880) | $217.70 | $311 | 40.4× |
| Copper urine (82525) | $61.60 | $88 | 5.0× |
| Cortisol free (82530) | $188.30 | $269 | 11.3× |
| Cortisol total (82533) | $147.70 | $211 | 9.1× |
| Creatine kinase total (82550) | $39.90 | $57 | 6.1× |
| Creatinine blood (82565) | $49.70 | $71 | 9.7× |
| Creatinine clearance (82575) | $119 | $170 | 12.6× |
| Creatinine other source (82570) | $91.70 | $131 | 17.7× |
| Crossmatch immediate spin (86920) | $217.70 | $311 | 1.3× |
| Cryoglobulin (82595) | $15.40 | $22 | 2.4× |
| Cryptococcus antibody (86641) | $68.60 | $98 | 4.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $58.10 | $83 | 7.2× |
| Culture Aerobic Identify (87077) | $31.15 | $44.50 | 3.9× |
| Culture anaerobic (87075) | $119 | $170 | 12.6× |
| Culture blood (87040) | $136.50 | $195 | 13.2× |
| Culture chlamydia (87110) | $246.40 | $352 | 12.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $101.50 | $145 | 13.2× |
| Culture fungus blood (87103) | $101.50 | $145 | 5.0× |
| Culture fungus other (87102) | $101.50 | $145 | 12.1× |
| Culture genital (87070) | $77 | $110 | 8.9× |
| Culture screen only (87081) | $96.60 | $138 | 14.6× |
| Culture stool (87045) | $142.80 | $204 | 15.1× |
| Culture urine id ea isolate (87088) | $79.10 | $113 | 9.8× |
| Cyclic Citrullinated Peptide (86200) | $63.70 | $91 | 4.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $102.20 | $146 | 2.4× |
| Cytopath cell enhance tech (88112) | $70 | $100 | 1.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $74.90 | $107 | 2.1× |
| Cytopath Smear Other Source (88160) | $56 | $80 | 2.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $45.50 | $65 | 1.7× |
| Cytp concentration smears & interpretation (88108) | $54.60 | $78 | 1.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $97.30 | $139 | 2.0× |
| Cytp fna eval dx 1st each site (88172) | $340.20 | $486 | 2.1× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $94.50 | $135 | 5.1× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $57.40 | $82 | 1.2× |
| D-Dimer (85379) | $166.60 | $238 | 16.4× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $122.50 | $175 | 2.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $49.70 | $71 | 3.0× |
| Dhea sulfate (82627) | $277.20 | $396 | 12.5× |
| Digoxin (80162) | $64.40 | $92 | 4.8× |
| Dilantin (80185) | $90.30 | $129 | 6.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $46.90 | $67 | 3.4× |
| Drug Screen Quant Gabapentin (80171) | $158.90 | $227 | 7.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $70 | $100 | 5.3× |
| Drug Scrn Quan Levetiracetam (80177) | $167.30 | $239 | 12.6× |
| Drug test prsmv chem anlyzr (80307) | $211.05 | $301.50 | 3.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $62.30 | $89 | 4.9× |
| Ebv viral capsid (86665) | $101.50 | $145 | 5.6× |
| Electrolyte panel (80051) | $70 | $100 | 10.0× |
| Endomysial antibody iga (86255) | $150.50 | $215 | 12.5× |
| Enterovirus Pcr (87498) | $69.30 | $99 | 2.0× |
| Eosinophil count (85048) | $43.05 | $61.50 | 16.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $101.50 | $145 | 6.6× |
| Estradiol (82670) | $292.60 | $418 | 10.5× |
| Estriol (82677) | $70.70 | $101 | 2.9× |
| Estrogens total (82672) | $60.20 | $86 | 2.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $168 | $240 | 1.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $46.90 | $67 | 6.4× |
| F2 gene analysis 20210g >a variant (81240) | $188.30 | $269 | 2.9× |
| F5 gene (81241) | $161.70 | $231 | 2.2× |
| Fecal fat qual (82705) | $91 | $130 | 17.8× |
| Fecal fat quant (82710) | $212.80 | $304 | 12.7× |
| Fetal bleed screen (85461) | $132.30 | $189 | 14.1× |
| Fetal chrmoml aneuploidy (81420) | $1,310.40 | $1,872 | 1.7× |
| Fibrinogen activity (85384) | $71.40 | $102 | 7.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $42 | $60 | 3.5× |
| Folate serum (82746) | $57.40 | $82 | 3.9× |
| Folic acid rbc (82747) | $160.30 | $229 | 9.1× |
| Follicle Stimulating Hormone (83001) | $221.20 | $316 | 11.9× |
| Fructosamine (82985) | $74.20 | $106 | 4.4× |
| Ftl cgen abnor four anal (81511) | $508.90 | $727 | 3.3× |
| G6pd Screen (82960) | $128.10 | $183 | 21.2× |
| Gammaglobulin ige (82785) | $45.50 | $65 | 2.8× |
| Gastric Occult Blood (82271) | $8.40 | $12 | 1.6× |
| Ggt (82977) | $91.70 | $131 | 12.7× |
| Giardia antigen eia stool (87329) | $55.30 | $79 | 4.6× |
| Glucose (82947) | $55.30 | $79 | 14.1× |
| Glucose body fluid (82945) | $55.30 | $79 | 14.1× |
| Glucose post dose (82950) | $99.40 | $142 | 20.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $55.30 | $79 | 14.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $175 | $250 | 13.6× |
| Haloperidol (haldol) (80173) | $65.80 | $94 | 4.2× |
| Haptoglobin (83010) | $111.30 | $159 | 8.8× |
| Hcg qualitative (84703) | $135.80 | $194 | 18.1× |
| Hcg quant (84702) | $182.70 | $261 | 12.1× |
| Hdl Cholesterol (83718) | $86.10 | $123 | 10.5× |
| Hematocrit (85014) | $42 | $60 | 17.7× |
| Hemoglobin (85018) | $42 | $60 | 17.7× |
| Hemoglobin a1c (83036) | $39.90 | $57 | 4.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $51.80 | $74 | 2.9× |
| Hemoglobin electrophoresis (83020) | $90.30 | $129 | 7.0× |
| Hemoglobin fetal ql (83033) | $47.60 | $68 | 6.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $83.30 | $119 | 10.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $90.30 | $129 | 11.0× |
| Hepatitis a antibody total (86708) | $28 | $40 | 2.3× |
| Hepatitis a igm (86709) | $170.80 | $244 | 15.2× |
| Hepatitis b core ab igm (86705) | $150.50 | $215 | 12.8× |
| Hepatitis B Surface Ab (86706) | $109.20 | $156 | 10.2× |
| Hepatitis B Surface Antigen (87340) | $119.70 | $171 | 11.6× |
| Hepatitis be antibody (86707) | $55.30 | $79 | 4.8× |
| Hepatitis Be Antigen (87350) | $51.80 | $74 | 4.5× |
| Hepatitis c antibody (86803) | $129.50 | $185 | 9.1× |
| Herpes culture (87252) | $167.30 | $239 | 6.4× |
| Herpes simplex type 2 (86696) | $88.20 | $126 | 4.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $79.80 | $114 | 15.4× |
| Histoplasma antibody (86698) | $35 | $50 | 2.5× |
| Histoplasma antigen urine (87385) | $26.60 | $38 | 2.0× |
| HIV-1 antibody (86701) | $82.60 | $118 | 9.3× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $39.90 | $57 | 2.9× |
| Hla-b27 (86812) | $267.40 | $382 | 10.4× |
| Hormone receptor analysis (84235) | $242.20 | $346 | 3.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $375.20 | $536 | 10.7× |
| Human epididymis protein 4 (86305) | $294 | $420 | 14.1× |
| Hydroxyprogesterone 17-d (83498) | $70.70 | $101 | 2.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $65.80 | $94 | 2.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $39.20 | $56 | 2.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $119 | $170 | 8.6× |
| Iaad ia rotavirus (87425) | $235.90 | $337 | 19.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $88.20 | $126 | 2.5× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $43.40 | $62 | 3.6× |
| Iaad Ia Streptococcus Group A (87430) | $79.10 | $113 | 4.7× |
| Iaadiadoo not otherwise specified (87899) | $35 | $50 | 2.2× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $72.10 | $103 | 3.2× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $104.30 | $149 | 2.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $91 | $130 | 2.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $381.50 | $545 | 10.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $252.70 | $361 | 3.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $67.90 | $97 | 1.9× |
| Iadna nos amplified probe tq each organism (87798) | $104.30 | $149 | 3.0× |
| Iadna nos quantification each organism (87799) | $87.50 | $125 | 2.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $67.90 | $97 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $109.90 | $157 | 3.7× |
| Immunoassay nonantibody (83516) | $40.60 | $58 | 3.5× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) | $106.40 | $152 | 8.4× |
| Immunoassay with direct visual observation for streptococcus (87802) | $35 | $50 | 2.7× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $155.40 | $222 | 6.7× |
| Immunoelectrophoresis serum (86320) | $173.60 | $248 | 5.8× |
| Immunofixj Electrophoresis Serum (86334) | $172.20 | $246 | 7.7× |
| Immunoglobulin assay (86023) | $275.10 | $393 | 22.1× |
| Immunohistochemistry (88342) | $227.50 | $325 | 1.4× |
| India ink prep (87210) | $82.60 | $118 | 14.2× |
| Influenza a/b ag eia (87400) | $102.20 | $146 | 7.2× |
| Inhibin a (86336) | $45.50 | $65 | 2.9× |
| Inhibin b (83520) | $44.10 | $63 | 2.6× |
| Insitu hybridization auto (88367) | $340.20 | $486 | 1.0× |
| Insulin antibodies (86337) | $91.70 | $131 | 4.3× |
| Insulin total (83525) | $76.30 | $109 | 6.7× |
| Intraop cyto path consult 1 (88333) | $503.30 | $719 | 0.7× |
| Iron (83540) | $64.40 | $92 | 10.0× |
| Iron binding capacity (83550) | $84.70 | $121 | 9.7× |
| Irradiation of blood product (86945) | $134.40 | $192 | 3.8× |
| Islet cell antibody (86341) | $43.40 | $62 | 1.8× |
| Ketosteroids 17; total (83586) | $102.20 | $146 | 8.0× |
| L/s ratio, fetal lung (83661) | $87.50 | $125 | 4.0× |
| Lactic acid (83605) | $49.70 | $71 | 4.3× |
| Ldh (83615) | $41.30 | $59 | 6.8× |
| Ldh isoenzymes (83625) | $72.10 | $103 | 5.6× |
| LDL cholesterol direct (83721) | $41.30 | $59 | 3.9× |
| Lead (83655) | $102.20 | $146 | 8.4× |
| Legionella antibody (86713) | $145.60 | $208 | 9.5× |
| Legionella antigen urine (87449) | $86.10 | $123 | 7.2× |
| Level ii surg pathology grossµscopic exam (88302) | $70 | $100 | 2.0× |
| Level v surg pathology grossµscopic exam (88307) | $316.40 | $452 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $503.30 | $719 | 0.7× |
| Lh (83002) | $245 | $350 | 13.2× |
| Lidocaine level (80176) | $154 | $220 | 10.5× |
| Lipase (83690) | $93.80 | $134 | 13.6× |
| Lithium (80178) | $73.50 | $105 | 11.1× |
| Lyme disease antibody (86618) | $140 | $200 | 8.2× |
| Lyme disease antibody confirm (86617) | $22.40 | $32 | 1.4× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $356.30 | $509 | 1.0× |
| Magnesium (83735) | $70.70 | $101 | 10.6× |
| Malaria smear (87207) | $91 | $130 | 15.2× |
| Mercury (83825) | $113.40 | $162 | 7.0× |
| Methotrexate (80299) | $167.30 | $239 | 9.0× |
| Methylmalonic acid serum (83921) | $71.40 | $102 | 3.4× |
| Microalbumin urine (82043) | $123.20 | $176 | 21.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $104.30 | $149 | 2.1× |
| Microsomal antibodies (86376) | $73.50 | $105 | 5.1× |
| Mycoplasma antibody (86738) | $58.10 | $83 | 4.4× |
| Myoglobin urine (83874) | $95.90 | $137 | 7.4× |
| N.gonorrhoeae, DNA, dir prob (87590) | $95.90 | $137 | 3.6× |
| Nasal smear for eosinophils (89190) | $67.90 | $97 | 11.7× |
| Natriuretic peptide (83880) | $137.90 | $197 | 3.5× |
| Nmr Lipoprofile (83704) | $82.60 | $118 | 2.4× |
| Nuclear antigen antibody (86235) | $61.60 | $88 | 3.4× |
| Occult blood stool (82272) | $61.60 | $88 | 14.6× |
| Organic Acids Qual Each (83919) | $44.80 | $64 | 2.7× |
| Organic Acids Total Quantitative Each Specimen (83918) | $154 | $220 | 6.5× |
| Osmolality serum (83930) | $62.30 | $89 | 9.4× |
| Osmolality urine (83935) | $70 | $100 | 10.3× |
| Ova and parasite direct-id lca (87177) | $76.30 | $109 | 8.6× |
| Oxalate urine (83945) | $119 | $170 | 8.2× |
| Particle Agglutination Screen Each Antibody (86403) | $53.90 | $77 | 4.7× |
| Parvovirus antibody (86747) | $42 | $60 | 2.8× |
| Phosphatase acid prostatic (84066) | $102.20 | $146 | 10.6× |
| Phosphatase alkaline (84075) | $53.90 | $77 | 10.4× |
| Phospholipid Neutralization Hexagonal (85598) | $58.10 | $83 | 3.2× |
| Phosphorus blood (84100) | $70 | $100 | 14.8× |
| Phosphorus urine (84105) | $49.70 | $71 | 8.6× |
| Pinworm exam (87172) | $45.50 | $65 | 10.7× |
| Platelet count (85049) | $69.30 | $99 | 15.5× |
| Platelet neutralization (85597) | $72.10 | $103 | 4.0× |
| Porphobilinogen urine quant (84110) | $93.10 | $133 | 11.0× |
| Porphyrins qn & fraction urine (84120) | $177.10 | $253 | 12.0× |
| Potassium (84132) | $23.10 | $33 | 4.9× |
| Potassium urine (84133) | $69.30 | $99 | 14.7× |
| Primidone (80188) | $63.70 | $91 | 3.8× |
| Procainamide napa (80192) | $100.80 | $144 | 6.0× |
| Progesterone (84144) | $201.60 | $288 | 9.7× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $282.10 | $403 | 4.3× |
| Prolactin (84146) | $252 | $360 | 13.0× |
| Protein body fluid (84157) | $70 | $100 | 17.5× |
| Protein c activity (85303) | $180.60 | $258 | 13.0× |
| Protein electrophoresis serum (84165) | $68.60 | $98 | 6.4× |
| Protein Electrophoresis Urine (84166) | $49 | $70 | 2.7× |
| Protein S Functional (85306) | $180.60 | $258 | 11.8× |
| Protein Total Serum (84155) | $70 | $100 | 19.1× |
| Protein urine (84156) | $70 | $100 | 19.1× |
| PSA free (84154) | $76.30 | $109 | 4.1× |
| Quantiferon tb gold (86480) | $209.30 | $299 | 3.4× |
| Quinidine (80194) | $76.30 | $109 | 5.2× |
| Rbc antibody elution (86860) | $226.80 | $324 | 1.4× |
| Ref consult prep elsewhere (88321) | $109.20 | $156 | 3.1× |
| Renin activity plasma (84244) | $201.60 | $288 | 9.2× |
| Rheumatoid Factor Qual (86430) | $61.60 | $88 | 10.0× |
| Rheumatoid factor quant (86431) | $87.50 | $125 | 15.4× |
| Rickettsia antibody (86757) | $153.30 | $219 | 7.9× |
| Rubella antibody (86762) | $101.50 | $145 | 7.1× |
| Russell viper venom time diluted (85613) | $28 | $40 | 2.9× |
| Salmonella antibody (86768) | $60.20 | $86 | 4.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $88.20 | $126 | 1.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $88.20 | $126 | 2.1× |
| Sedimentation rate (85651) | $67.90 | $97 | 15.9× |
| Semen analysis complete (89320) | $247.80 | $354 | 20.1× |
| Semen analysis sperm presence&/motility sprm (89321) | $51.80 | $74 | 4.3× |
| Sensitivity mic (87186) | $58.10 | $83 | 6.7× |
| Serotonin Release Assay (86022) | $256.90 | $367 | 14.0× |
| Sex hormone binding globulin (84270) | $93.10 | $133 | 4.3× |
| Sickle cell screen (85660) | $51.80 | $74 | 9.4× |
| Sirolimus (rapamycin) (80195) | $172.90 | $247 | 12.6× |
| Smear acid fast (87206) | $42.70 | $61 | 7.9× |
| Smear complex stain (87209) | $49.70 | $71 | 2.8× |
| Smear gram stain (87205) | $45.50 | $65 | 10.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $211.40 | $302 | 1.5× |
| Sodium (84295) | $25.20 | $36 | 5.2× |
| Sodium urine (84300) | $38.50 | $55 | 7.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $170.80 | $244 | 1.3× |
| Special stains group 1 (88312) | $170.80 | $244 | 3.4× |
| Specific gravity body fluid (84315) | $26.60 | $38 | 8.1× |
| Spectrophotometry (84311) | $32.20 | $46 | 4.0× |
| Splitting blood/blood products each unit (86985) | $187.60 | $268 | 1.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $82.60 | $118 | 8.8× |
| Sulfate urine (84392) | $16.80 | $24 | 3.1× |
| Surg path level iii (88304) | $97.30 | $139 | 2.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $53.20 | $76 | 1.9× |
| Surgical pathology level IV (88305) | $123.20 | $176 | 2.5× |
| Susceptibility study antimicrobial disk method (87184) | $53.90 | $77 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $268.10 | $383 | 5.7× |
| T cells, total count (86359) | $129.50 | $185 | 3.4× |
| T3 free (84481) | $177.10 | $253 | 10.5× |
| T3 reverse (84482) | $44.10 | $63 | 2.8× |
| T3 total (84480) | $63.70 | $91 | 4.5× |
| T3 uptake (84479) | $40.60 | $58 | 6.3× |
| T4 Free (84439) | $162.40 | $232 | 18.0× |
| T4 total (84436) | $88.90 | $127 | 12.9× |
| Tb intradermal test (86580) | $53.20 | $76 | 1.9× |
| Test for acetone/ketones (82009) | $39.20 | $56 | 8.7× |
| Testosterone free (84402) | $73.50 | $105 | 2.9× |
| Testosterone total (84403) | $294.70 | $421 | 11.4× |
| Theophylline (80198) | $144.20 | $206 | 10.2× |
| Thin prep pap (88142) | $56 | $80 | 2.8× |
| Thrombin time plasma (85670) | $18.20 | $26 | 3.2× |
| Thromboplastin Inhibition Tissue (85705) | $28 | $40 | 2.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $26.60 | $38 | 4.1× |
| Thromboxane urine (84431) | $65.10 | $93 | 1.9× |
| Thyroglobulin Ab (86800) | $83.30 | $119 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $171.50 | $245 | 3.4× |
| Tissue Culture Lymphocyte (88230) | $429.80 | $614 | 3.7× |
| Tobramycin peak (80200) | $108.50 | $155 | 6.7× |
| Topiramate (80201) | $37.80 | $54 | 3.2× |
| Toxin or antitoxin assay (87230) | $66.50 | $95 | 3.4× |
| Toxoplasma ab igm (86778) | $42 | $60 | 2.9× |
| Toxoplasma antibody igg (86777) | $57.40 | $82 | 4.0× |
| Transferrin (84466) | $97.30 | $139 | 7.6× |
| Triglycerides (84478) | $121.10 | $173 | 21.1× |
| Troponin (84484) | $64.40 | $92 | 5.2× |
| Unlisted transfusion medicine procedure (86999) | $29.40 | $42 | 1.1× |
| Urea nitrogen (84520) | $44.10 | $63 | 11.2× |
| Urea nitrogen urine (84540) | $65.80 | $94 | 11.8× |
| Uric acid blood (84550) | $47.60 | $68 | 10.5× |
| Uric acid other source (84560) | $79.80 | $114 | 15.7× |
| Urinalysis microscopic only (81015) | $26.60 | $38 | 8.7× |
| Urinalysis qual/semiquant except immunoassays (81005) | $18.90 | $27 | 8.7× |
| Urinalysis w/microscopic (81001) | $70.70 | $101 | 22.3× |
| Urine pregnancy test (81025) | $115.50 | $165 | 13.4× |
| Urine volume measurement (81050) | $21 | $30 | 5.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $29.40 | $42 | 13.1× |
| Valproic acid level (80164) | $160.30 | $229 | 11.8× |
| Vancomycin trough (80202) | $119 | $170 | 8.8× |
| Varicella-zoster antibody (86787) | $90.30 | $129 | 7.0× |
| Vdrl csf (86592) | $47.60 | $68 | 11.1× |
| Virus antibody nos (86790) | $39.20 | $56 | 3.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $71.40 | $102 | 2.1× |
| Virus inoculation, shell via (87254) | $44.80 | $64 | 2.3× |
| Viscosity serum (85810) | $130.90 | $187 | 11.2× |
| Vitamin A (84590) | $49.70 | $71 | 4.3× |
| Vitamin b-12 (82607) | $46.90 | $67 | 3.1× |
| Vitamin b1 (thiamine) (84425) | $100.80 | $144 | 4.7× |
| Vitamin b6 (84207) | $76.30 | $109 | 2.7× |
| Vitamin C (82180) | $113.40 | $162 | 11.5× |
| Vitamin D 25-Hydroxy (82306) | $140 | $200 | 4.7× |
| Vitamin e serum (84446) | $30.80 | $44 | 2.2× |
| Vldl cholesterol level (83719) | $161.70 | $231 | 12.7× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $100.80 | $144 | 11.7× |
| West nile virus ab, igm (86788) | $66.50 | $95 | 3.9× |
| West nile virus antibody (86789) | $57.40 | $82 | 4.0× |
| Zika Virus Igm Antibody (86794) | $39.20 | $56 | 2.3× |
| Zinc (84630) | $55.30 | $79 | 4.9× |