Lab & pathology prices at Samuel Mahelona Memorial Hospital
Kapaa, HI · every code in this section with a posted price and a Medicare benchmark.
451 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) | $141.05 | $217 | 3.7× |
| Acetaminophen level (80143) | $899.60 | $1,384 | 48.3× |
| Acetone serum qual (82009) | $35.75 | $55 | 7.9× |
| Acute hepatitis panel (80074) | $381.55 | $587 | 8.0× |
| Adrenocorticotropic hormone (82024) | $141.05 | $217 | 3.7× |
| Afp maternal serum (82105) | $124.80 | $192 | 7.4× |
| Albumin body fluid (82042) | $47.45 | $73 | 6.1× |
| Albumin serum (82040) | $39.65 | $61 | 8.0× |
| Aldosterone urine (82088) | $149.50 | $230 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) | $137.15 | $211 | 9.3× |
| Allergen peanut (86003) | $96.85 | $149 | 18.6× |
| Allg Spec Ige Recomb Ea (86008) | $50.70 | $78 | 2.8× |
| Alpha-1-antitrypsin, total (82103) | $181.35 | $279 | 13.5× |
| Alt (sgpt) (84460) | $68.25 | $105 | 12.9× |
| Amylase urine (82150) | $63.05 | $97 | 9.7× |
| Ana titer (86039) | $104 | $160 | 9.3× |
| Analysis nerve (88356) | $267.80 | $412 | 4.4× |
| Angiotensin i enzyme test (82164) | $107.90 | $166 | 7.4× |
| Anti-phosphatidylserine antibody (86148) | $119.60 | $184 | 7.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $115.05 | $177 | 7.4× |
| Antibody cytomegalovirus cmv (86644) | $157.30 | $242 | 10.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $386.75 | $595 | 31.6× |
| Antibody haemophilus influenza (86684) | $118.95 | $183 | 7.5× |
| Antibody helicobacter pylori (86677) | $107.90 | $166 | 6.4× |
| Antibody identification (86870) | $85.80 | $132 | 0.2× |
| Antibody mumps (86735) | $96.85 | $149 | 7.4× |
| Antibody screen (86850) | $104 | $160 | 10.6× |
| Antibody treponema pallidum (86780) | $98.15 | $151 | 7.4× |
| Antigen typing (86905) | $198.90 | $306 | 51.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $845.65 | $1,301 | 163.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $56.55 | $87 | 4.7× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $84.50 | $130 | 7.0× |
| Antinuclear antibodies (86038) | $112.45 | $173 | 9.3× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $52.65 | $81 | 9.1× |
| Antistreptolysin o titer (86060) | $57.85 | $89 | 7.9× |
| Arsenic Urine (82175) | $268.45 | $413 | 14.2× |
| Aspergillus ag eia (87305) | $120.58 | $185.50 | 10.1× |
| Assay Nephelometry Not Spec (83883) | $65.65 | $101 | 4.8× |
| Assay of 5-hiaa (83497) | $9.10 | $14 | 0.7× |
| Assay of ammonia (82140) | $120.25 | $185 | 8.3× |
| Assay of ceruloplasmin (82390) | $82.55 | $127 | 7.7× |
| Assay of citrate (82507) | $205.40 | $316 | 7.4× |
| Assay of cyclosporine (80158) | $132.60 | $204 | 7.3× |
| Assay of erythropoietin (82668) | $70.85 | $109 | 3.8× |
| Assay of ferritin (82728) | $79.95 | $123 | 5.9× |
| Assay of g6pd enzyme (82955) | $74.10 | $114 | 7.6× |
| Assay of gammaglobulin igm (82784) | $40.95 | $63 | 4.4× |
| Assay of gentamicin (80170) | $111.80 | $172 | 6.8× |
| Assay of homocystine (83090) | $171.60 | $264 | 9.6× |
| Assay of lactic acid (83605) | $100.10 | $154 | 8.7× |
| Assay of lipoprotein(a) (83695) | $115.05 | $177 | 8.0× |
| Assay of metanephrines (83835) | $126.10 | $194 | 7.4× |
| Assay of phenobarbital (80184) | $86.45 | $133 | 5.7× |
| Assay of prealbumin (84134) | $107.90 | $166 | 7.4× |
| Assay of proinsulin (84206) | $132.60 | $204 | 5.0× |
| Assay of prolactin (84146) | $179.40 | $276 | 9.3× |
| Assay of tacrolimus (80197) | $102.05 | $157 | 7.4× |
| Assay of topiramate (80201) | $89.70 | $138 | 7.5× |
| Assay of vitamin k (84597) | $102.05 | $157 | 7.4× |
| Assay of volatiles (84600) | $119.60 | $184 | 7.0× |
| Assay spec xcp ur&breath ia (82077) | $899.60 | $1,384 | 52.1× |
| Ast (sgot) (84450) | $59.80 | $92 | 11.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $556.40 | $856 | 2.8× |
| B cells total count (86355) | $489.45 | $753 | 13.0× |
| Bartonella antibody (86611) | $75.08 | $115.50 | 7.4× |
| Beta hydroxybutyrate (82010) | $78 | $120 | 9.5× |
| Beta lactamase (87185) | $26.65 | $41 | 5.6× |
| Bile acids, total (82239) | $126.75 | $195 | 7.4× |
| Bilirubin direct (82248) | $46.15 | $71 | 9.2× |
| Bilirubin total (82247) | $46.15 | $71 | 9.2× |
| Bilirubin total transcutaneous (88720) | $9.42 | $14.50 | 1.9× |
| Bl Smear W/Diff Wbc Count (85007) | $30.55 | $47 | 8.0× |
| Blood gas (82803) | $171.60 | $264 | 6.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $112.45 | $173 | 7.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.05 | $37 | 5.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $460.20 | $708 | 72.5× |
| Blood typing abo (86900) | $61.10 | $94 | 20.4× |
| Blood typing serologic rh (d) (86901) | $80.60 | $124 | 27.0× |
| Body fluid cell count (89051) | $55.90 | $86 | 10.0× |
| Bordetella antibody (86615) | $98.15 | $151 | 7.4× |
| C diff amplified probe (87493) | $181.35 | $279 | 4.9× |
| C-reactive protein (86140) | $55.90 | $86 | 10.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $96.20 | $148 | 7.4× |
| Ca 125 (86304) | $91 | $140 | 4.4× |
| Ca 19-9 (86301) | $154.05 | $237 | 7.4× |
| Ca 27 29 (86300) | $174.20 | $268 | 8.4× |
| Calcitonin (82308) | $103.35 | $159 | 3.9× |
| Calcium ionized (82330) | $100.75 | $155 | 7.4× |
| Calcium total (82310) | $50.05 | $77 | 9.7× |
| Calcium urine (82340) | $62.40 | $96 | 10.3× |
| Calculus spectroscopy (82365) | $139.75 | $215 | 10.8× |
| Calprotectin, fecal (83993) | $168.35 | $259 | 8.6× |
| Calr gene com variants (81219) | $339.95 | $523 | 2.8× |
| Carbamazepine total (80156) | $154.05 | $237 | 10.6× |
| Carbon dioxide (82374) | $39.98 | $61.50 | 8.2× |
| Carcinoembryonic antigen (82378) | $140.40 | $216 | 7.4× |
| Cardiolipin ab igg (86147) | $102.70 | $158 | 4.0× |
| Catecholamines fraction plasma (82384) | $186.55 | $287 | 7.4× |
| Cell marker study (88182) | $267.80 | $412 | 4.4× |
| Chemiluminescent assay (82397) | $353.28 | $543.50 | 25.0× |
| Chloride blood (82435) | $40.95 | $63 | 8.9× |
| Chloride urine (82436) | $70.52 | $108.50 | 12.3× |
| Cholesterol HDL (83718) | $78 | $120 | 9.5× |
| Cholesterol total (82465) | $39.65 | $61 | 9.1× |
| Chorionic Gonadotropin, Free Beta Chain (84704) | $111.80 | $172 | 7.3× |
| Chromogranin a (86316) | $102.38 | $157.50 | 4.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $237.25 | $365 | 6.8× |
| Ckmb (82553) | $87.10 | $134 | 7.5× |
| Clotting Inhibitors Protein S Free (85306) | $114.40 | $176 | 7.5× |
| Cmv PCR (87496) | $295.10 | $454 | 8.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $230.75 | $355 | 9.6× |
| Collagen cross links (82523) | $139.10 | $214 | 7.4× |
| Compatibility test antiglob (86922) | $204.10 | $314 | 1.0× |
| Complement c3 (86160) | $179.40 | $276 | 15.0× |
| Complement total (ch50) (86162) | $150.15 | $231 | 7.4× |
| Concentration Infectious Agent (87015) | $65.65 | $101 | 9.8× |
| Coombs direct (86880) | $79.95 | $123 | 14.8× |
| Copper urine (82525) | $182 | $280 | 14.7× |
| Cortisol free (82530) | $120.25 | $185 | 7.2× |
| Cortisol total (82533) | $111.80 | $172 | 6.9× |
| Creatine kinase total (82550) | $63.05 | $97 | 9.7× |
| Creatinine blood (82565) | $40.95 | $63 | 8.0× |
| Creatinine clearance (82575) | $71.50 | $110 | 7.6× |
| Creatinine other source (82570) | $174.85 | $269 | 33.8× |
| Crossmatch immediate spin (86920) | $220.35 | $339 | 1.1× |
| Cryoglobulin (82595) | $48.42 | $74.50 | 7.5× |
| Crystals body fluid (89060) | $80.60 | $124 | 11.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $63.70 | $98 | 7.9× |
| Culture Aerobic Identify (87077) | $77.35 | $119 | 9.6× |
| Culture afb (87116) | $74.75 | $115 | 6.9× |
| Culture anaerobic (87075) | $71.50 | $110 | 7.6× |
| Culture blood (87040) | $83.20 | $128 | 8.1× |
| Culture chlamydia (87110) | $145.60 | $224 | 7.4× |
| Culture fungus id yeast (87106) | $95.55 | $147 | 9.3× |
| Culture fungus other (87102) | $65 | $100 | 7.7× |
| Culture genital (87070) | $82.55 | $127 | 9.6× |
| Culture screen only (87081) | $58.50 | $90 | 8.8× |
| Culture stool (87045) | $81.25 | $125 | 8.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $56.55 | $87 | 10.9× |
| Culture typing other methods (87158) | $68.90 | $106 | 8.9× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $237.25 | $365 | 6.8× |
| Culture urine (87086) | $59.15 | $91 | 7.3× |
| Culture virus (87252) | $193.05 | $297 | 7.4× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $39.65 | $61 | 1.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $696.80 | $1,072 | 6.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $106.60 | $164 | 7.4× |
| Cyclic Citrullinated Peptide (86200) | $96.20 | $148 | 7.4× |
| Cysticercosis Antibody (86682) | $72.80 | $112 | 5.6× |
| Cytopath cell enhance tech (88112) | $267.80 | $412 | 4.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $159.25 | $245 | 3.6× |
| Cytopath Smear Other Source (88160) | $136.50 | $210 | 4.0× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $88.40 | $136 | 4.8× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $205.40 | $316 | 7.7× |
| Cytp concentration smears & interpretation (88108) | $181.35 | $279 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $267.80 | $412 | 4.4× |
| Cytp fna eval dx 1st each site (88172) | $292.50 | $450 | 1.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $90.35 | $139 | 5.5× |
| Dhea-sulfate (82627) | $94.90 | $146 | 4.3× |
| Digoxin (80162) | $99.45 | $153 | 7.5× |
| Dihydrotestosterone (82642) | $210.60 | $324 | 7.2× |
| Dilantin (80185) | $98.15 | $151 | 7.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $102.05 | $157 | 7.4× |
| DNA/RNA direct probe (87149) | $149.50 | $230 | 7.5× |
| Drug Assay Amiodarone (80151) | $137.80 | $212 | 7.4× |
| Drug Assay Lacosamide (80235) | $199.22 | $306.50 | 7.3× |
| Drug quant nes (80299) | $227.50 | $350 | 12.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $102.05 | $157 | 7.7× |
| Drug Scrn Quan Levetiracetam (80177) | $81.90 | $126 | 6.2× |
| Drug test prsmv chem anlyzr (80307) | $899.60 | $1,384 | 14.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $99.45 | $153 | 7.9× |
| E test (87181) | $26.65 | $41 | 5.6× |
| Ebv viral capsid (86665) | $65.65 | $101 | 3.6× |
| Elastase pancreatic fecal quantitative (82653) | $91 | $140 | 4.0× |
| Electrolyte panel (80051) | $63.05 | $97 | 9.0× |
| Enterovirus antibody (86658) | $65.65 | $101 | 5.0× |
| Enterovirus Pcr (87498) | $254.80 | $392 | 7.3× |
| Enzyme histochemistry (88319) | $1,119.95 | $1,723 | 1.2× |
| Eosinophil count (85048) | $24.05 | $37 | 9.5× |
| Estradiol (82670) | $206.70 | $318 | 7.4× |
| Estrogens total (82672) | $72.80 | $112 | 3.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $136.50 | $210 | 1.4× |
| F5 gene analysis, leiden variant (81241) | $187.20 | $288 | 2.6× |
| Factor viii ahg (85240) | $188.50 | $290 | 10.5× |
| Fetal fibronectin (82731) | $585 | $900 | 9.1× |
| Fibrin degradation products (85362) | $63.05 | $97 | 9.2× |
| Fibrin Degradation Quant (85379) | $94.25 | $145 | 9.3× |
| Fibrinogen activity (85384) | $81.90 | $126 | 8.4× |
| Flow cytometry first marker (88184) | $484.90 | $746 | 1.1× |
| Fluorescent Antibody Screen (86255) | $90.35 | $139 | 7.5× |
| Folate serum (82746) | $108.55 | $167 | 7.4× |
| Folic acid rbc (82747) | $127.40 | $196 | 7.2× |
| Follicle Stimulating Hormone (83001) | $138.45 | $213 | 7.5× |
| Fresh frozen plasma thawing each unit (86927) | $220.35 | $339 | 1.1× |
| Frozen Section (88331) | $292.50 | $450 | 1.5× |
| Fructosamine (82985) | $112.45 | $173 | 6.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $14.95 | $23 | 1.4× |
| Gammaglobulin ige (82785) | $63.05 | $97 | 3.8× |
| Gardner vag DNA dir probe (87510) | $146.25 | $225 | 7.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $221.65 | $341 | 2.8× |
| Ggt (82977) | $55.90 | $86 | 7.8× |
| Giardia antigen eia stool (87329) | $90.35 | $139 | 7.5× |
| Glucose (82947) | $31.85 | $49 | 8.1× |
| Glucose Blood Test (82962) | $23.40 | $36 | 7.1× |
| Glucose body fluid (82945) | $39.65 | $61 | 10.1× |
| Glucose post dose (82950) | $30.55 | $47 | 6.4× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $31.85 | $49 | 8.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $78.65 | $121 | 6.1× |
| Growth hormone (83003) | $124.15 | $191 | 7.4× |
| H pylori breath test (83013) | $406.90 | $626 | 6.0× |
| Haptoglobin (83010) | $115.70 | $178 | 9.2× |
| Hcg qualitative (84703) | $71.50 | $110 | 9.5× |
| Hcg quant (84702) | $371.80 | $572 | 24.7× |
| Heavy metal quant each (83018) | $81.90 | $126 | 3.7× |
| Hematocrit (85014) | $67.60 | $104 | 28.5× |
| Hemoglobin (85018) | $17.55 | $27 | 7.4× |
| Hemoglobin a1c (83036) | $83.20 | $128 | 8.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $25.35 | $39 | 1.4× |
| Hemoglobin electrophoresis (83020) | $95.55 | $147 | 7.4× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $60.45 | $93 | 7.8× |
| Hemoglobin plasma (83051) | $57.85 | $89 | 7.9× |
| Hepatitis a antibody total (86708) | $92.95 | $143 | 7.5× |
| Hepatitis a igm (86709) | $85.15 | $131 | 7.6× |
| Hepatitis b core antibody total (86704) | $113.10 | $174 | 9.4× |
| Hepatitis B Surface Ab (86706) | $82.55 | $127 | 7.7× |
| Hepatitis B Surface Antigen (87340) | $95.55 | $147 | 9.2× |
| Hepatitis be antibody (86707) | $87.75 | $135 | 7.6× |
| Hepatitis Be Antigen (87350) | $87.10 | $134 | 7.6× |
| Hepatitis c antibody (86803) | $105.95 | $163 | 7.4× |
| Hepatitis C Genotype (87902) | $1,869.40 | $2,876 | 7.3× |
| Herpes simplex type i (86695) | $90.35 | $139 | 6.8× |
| Herpes simplex type ii (86696) | $115.70 | $178 | 6.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $59.80 | $92 | 11.5× |
| Histoplasma antibody (86698) | $318.50 | $490 | 23.1× |
| HIV-1 genotype (87901) | $1,869.40 | $2,876 | 7.3× |
| Hla class i high defin qual (86832) | $776.10 | $1,194 | 2.4× |
| Hla class i typing high resolution one allele or allele group (81381) | $237.25 | $365 | 1.4× |
| Hla class ii high defin qual (86833) | $705.25 | $1,085 | 2.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $254.80 | $392 | 7.3× |
| Hydroxycorticosteroids 17 (83491) | $129.35 | $199 | 7.2× |
| Iaad ia clostridium difficile toxin (87324) | $112.45 | $173 | 9.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $186.55 | $287 | 7.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $90.35 | $139 | 6.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $90.35 | $139 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $156.98 | $241.50 | 4.4× |
| Iaad ia shiga-like toxin (87427) | $8.45 | $13 | 0.7× |
| Iaadiadoo not otherwise specified (87899) | $90.35 | $139 | 5.6× |
| Iadna candida species amplified probe tq (87481) | $181.35 | $279 | 5.2× |
| Iadna Candida Species Direct Probe Tq (87480) | $149.50 | $230 | 7.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $208.65 | $321 | 5.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $384.15 | $591 | 5.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $310.70 | $478 | 7.3× |
| Iadna herpes virus-6 amplified probe tq (87532) | $196.95 | $303 | 5.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $617.50 | $950 | 7.3× |
| Iadna human papillomavirus high-risk types (87624) | $254.80 | $392 | 7.3× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $179.40 | $276 | 4.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $228.80 | $352 | 6.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $213.52 | $328.50 | 6.1× |
| Iadna nos amplified probe tq each organism (87798) | $237.25 | $365 | 6.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $243.10 | $374 | 6.9× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $702 | $1,080 | 1.7× |
| Immunoassay nonantibody (83516) | $454.35 | $699 | 39.4× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) | $130.65 | $201 | 5.6× |
| Immunofixation (86334) | $162.50 | $250 | 7.3× |
| Immunofixation urine (86335) | $162.50 | $250 | 5.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $698.75 | $1,075 | 3.5× |
| Immunohistochemistry (88342) | $282.10 | $434 | 1.4× |
| In situ hybridization (88365) | $436.80 | $672 | 2.2× |
| In situ hybridization ea multiplex probe stain (88366) | $700.70 | $1,078 | 3.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $382.85 | $589 | 5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) | $149.50 | $230 | 5.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) | $149.50 | $230 | 5.6× |
| Influenza DNA amp probe (87502) | $615.55 | $947 | 6.4× |
| Inhibin b (83520) | $98.80 | $152 | 5.7× |
| Insitu hybridization auto (88367) | $460.20 | $708 | 1.1× |
| Insitu hybridization manual (88368) | $460.20 | $708 | 1.1× |
| Insulin free (83527) | $96.20 | $148 | 7.4× |
| Insulin total (83525) | $86.45 | $133 | 7.6× |
| Iron (83540) | $84.18 | $129.50 | 13.0× |
| Iron binding capacity (83550) | $83.20 | $128 | 9.5× |
| Jak2 gene analysis (81270) | $338 | $520 | 3.7× |
| Jak2 targeted sequence analysis (81279) | $609.05 | $937 | 3.3× |
| Lactoferrin fecal qual (83630) | $31.85 | $49 | 1.6× |
| Ldh body fluid (83615) | $59.80 | $92 | 9.9× |
| Lead (83655) | $91 | $140 | 7.5× |
| Legionella antigen urine (87449) | $72.80 | $112 | 6.1× |
| Leptospira antibody (86720) | $123.50 | $190 | 7.6× |
| Level ii surg pathology grossµscopic exam (88302) | $140.40 | $216 | 3.2× |
| Level v surg pathology grossµscopic exam (88307) | $605.15 | $931 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $1,119.95 | $1,723 | 1.2× |
| Lh (83002) | $137.80 | $212 | 7.4× |
| Lipase (83690) | $61.10 | $94 | 8.9× |
| Lithium (80178) | $58.50 | $90 | 8.9× |
| Lyme disease antibody (86618) | $157.95 | $243 | 9.3× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $876.85 | $1,349 | 4.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $698.75 | $1,075 | 3.5× |
| Macroscopic exam parasite (87169) | $34.45 | $53 | 8.0× |
| Magnesium (83735) | $61.10 | $94 | 9.1× |
| Malaria smear (87207) | $4.55 | $7 | 0.8× |
| Mass spectrometry qual/quan (83789) | $133.90 | $206 | 5.6× |
| Mercury urine (83825) | $120.25 | $185 | 7.4× |
| Metabolic Panel Ionized Ca (80047) | $67.60 | $104 | 4.9× |
| Methylmalonic acid serum (83921) | $66.95 | $103 | 3.2× |
| Microalbumin urine (82043) | $58.18 | $89.50 | 10.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $253.50 | $390 | 4.1× |
| Microsomal antibodies (86376) | $107.90 | $166 | 7.4× |
| Mitochondrial antibody each (86381) | $70.20 | $108 | 2.8× |
| Morphometric analysis tumor (88358) | $484.90 | $746 | 2.4× |
| Mpl gene common variants (81338) | $334.75 | $515 | 2.2× |
| Mrsa PCR (87641) | $189.48 | $291.50 | 5.4× |
| Mtb PCR (87556) | $302.90 | $466 | 7.3× |
| Mthfr Gene Analysis Common Variants (81291) | $266.50 | $410 | 4.1× |
| Mycobacteric identification (87118) | $77.68 | $119.50 | 5.3× |
| Mycoplasma culture (87109) | $208.65 | $321 | 13.6× |
| Mycoplasma genitalium PCR (87563) | $155.68 | $239.50 | 4.4× |
| Myoglobin urine (83874) | $95.55 | $147 | 7.4× |
| Natriuretic peptide (83880) | $570.70 | $878 | 14.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $442.65 | $681 | 3.1× |
| Nuclear antigen antibody (86235) | $133.25 | $205 | 7.4× |
| Occult blood stool (82272) | $24.05 | $37 | 5.7× |
| Orthopoxvirus Amp Prb Each (87593) | $76.70 | $118 | 1.5× |
| Osmolality serum (83930) | $65 | $100 | 9.8× |
| Osmolality urine (83935) | $62.40 | $96 | 9.1× |
| Ova and parasite direct-id lca (87177) | $83.85 | $129 | 9.4× |
| Oxalate urine (83945) | $95.55 | $147 | 6.6× |
| Pancreatic polypeptide (83519) | $117.65 | $181 | 6.4× |
| Particle agglutination titer each antibody (86406) | $81.90 | $126 | 7.7× |
| Parvovirus antibody (86747) | $134.22 | $206.50 | 8.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,119.95 | $1,723 | 1.2× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $1,095.25 | $1,685 | 4.3× |
| Ph body fluid (83986) | $26.65 | $41 | 7.4× |
| Ph urine (81003) | $24.05 | $37 | 10.7× |
| Phenotype Infect Agent Drug (87900) | $622.05 | $957 | 4.8× |
| Phosphatase alkaline (84075) | $59.80 | $92 | 11.5× |
| Phosphorus blood (84100) | $43.55 | $67 | 9.2× |
| Phosphorus urine (84105) | $37.05 | $57 | 6.4× |
| Pinworm exam (87172) | $34.45 | $53 | 8.1× |
| Platelet count automated (85049) | $39.65 | $61 | 8.9× |
| Platelet neutralization (85597) | $120.58 | $185.50 | 6.7× |
| Porphobilinogen urine quant (84110) | $66.95 | $103 | 7.9× |
| Potassium (84132) | $146.25 | $225 | 30.7× |
| Potassium urine (84133) | $34.45 | $53 | 7.3× |
| Pregnenolone (84140) | $100.10 | $154 | 4.8× |
| Pretx serum rbc antibody identification dilution (86976) | $158.60 | $244 | 4.6× |
| Procalcitonin (pct) (84145) | $207.35 | $319 | 7.6× |
| Progesterone (84144) | $155.35 | $239 | 7.4× |
| Protein body fluid (84157) | $40.95 | $63 | 10.2× |
| Protein c activity (85303) | $102.70 | $158 | 7.4× |
| Protein electrophoresis serum (84165) | $82.55 | $127 | 7.7× |
| Protein Electrophoresis Urine (84166) | $132.60 | $204 | 7.4× |
| Protein total serum (84155) | $40.95 | $63 | 11.2× |
| Protein urine (84156) | $40.95 | $63 | 11.2× |
| PSA free (84154) | $112.45 | $173 | 6.1× |
| Pth intact (83970) | $299.65 | $461 | 7.3× |
| Rbc antibody elution (86860) | $152.75 | $235 | 0.8× |
| Reagent strip/blood glucose (82948) | $24.05 | $37 | 4.8× |
| Reptilase test (85635) | $62.40 | $96 | 6.3× |
| Resp virus 3-5 targets (87631) | $461.50 | $710 | 3.2× |
| Reticulocyte count auto (85045) | $36.40 | $56 | 9.1× |
| Rheumatoid factor quant (86431) | $40.95 | $63 | 7.2× |
| Rickettsia antibody (86757) | $141.70 | $218 | 7.3× |
| Ristocetin cofactor (85245) | $170.30 | $262 | 7.4× |
| Rpr Titer (86593) | $19.82 | $30.50 | 4.5× |
| Rsv (87807) | $90.35 | $139 | 6.9× |
| Rubella antibody (86762) | $134.55 | $207 | 9.4× |
| Rubeola Antibody Igg (86765) | $95.55 | $147 | 7.4× |
| Russell viper venom time diluted (85613) | $71.50 | $110 | 7.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116.35 | $179 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $81.90 | $126 | 1.9× |
| Sars-cov-2 covid19 w/optic (87811) | $27.30 | $42 | 0.7× |
| Sarscov2 & inf a&b amp prb (87636) | $364.65 | $561 | 2.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $376.35 | $579 | 2.6× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $61.10 | $94 | 9.2× |
| Sedimentation rate (85651) | $35.75 | $55 | 8.4× |
| Selenium (84255) | $189.15 | $291 | 7.4× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $68.25 | $105 | 6.9× |
| Sensitivity kb (87184) | $67.60 | $104 | 9.0× |
| Sensitivity mic (87186) | $69.55 | $107 | 8.0× |
| Serotonin Release Assay (86022) | $206.05 | $317 | 11.2× |
| Sickling of rbc reduction (85660) | $50.05 | $77 | 9.1× |
| Smear acid fast (87206) | $31.20 | $48 | 5.8× |
| Smear complex stain (87209) | $202.80 | $312 | 11.3× |
| Smear gram stain (87205) | $43.55 | $67 | 10.2× |
| Sodium (84295) | $146.25 | $225 | 30.4× |
| Sodium feces (84302) | $3.25 | $5 | 0.7× |
| Sodium urine (84300) | $44.20 | $68 | 8.7× |
| Soluble transferrin receptor (84238) | $265.20 | $408 | 7.3× |
| Somatomedin (84305) | $157.30 | $242 | 7.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $178.10 | $274 | 1.1× |
| Special stains group 1 (88312) | $178.10 | $274 | 2.9× |
| Specific gravity body fluid (84315) | $21.45 | $33 | 6.5× |
| Spectrophotometry (84311) | $67.60 | $104 | 8.3× |
| Sputum specimen collection (89220) | $245.70 | $378 | 1.2× |
| Stool Culture, Addl Pathogens (87046) | $43.55 | $67 | 4.6× |
| Strep a assay w/optic (87880) | $87.10 | $134 | 5.3× |
| Strep a DNA amp probe (87651) | $150.15 | $231 | 4.3× |
| Strep b DNA amp probe (87653) | $254.80 | $392 | 7.3× |
| Surg path level 1 (88300) | $130.65 | $201 | 3.8× |
| Surg path level iii (88304) | $267.80 | $412 | 4.4× |
| Surgical pathology level IV (88305) | $253.50 | $390 | 4.1× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $50.70 | $78 | 6.9× |
| T Cell Absolute Count (86361) | $18.85 | $29 | 0.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $286 | $440 | 6.1× |
| T cells total count (86359) | $161.52 | $248.50 | 4.3× |
| T3 free (84481) | $126.10 | $194 | 7.4× |
| T3 reverse (84482) | $116.35 | $179 | 7.4× |
| T3 total (84480) | $130.65 | $201 | 9.2× |
| T4 free (84439) | $172.90 | $266 | 19.2× |
| T4 total (84436) | $67.60 | $104 | 9.8× |
| Tb intradermal test (86580) | $59.80 | $92 | 1.8× |
| Tb test, cell immun measure (86480) | $254.80 | $392 | 4.1× |
| Testosterone free (84402) | $185.25 | $285 | 7.3× |
| Testosterone total (84403) | $191.10 | $294 | 7.4× |
| Tetanus antibody (86774) | $110.50 | $170 | 7.5× |
| Theophylline (80198) | $104.65 | $161 | 7.4× |
| Thin prep pap (88142) | $109.52 | $168.50 | 5.4× |
| Thrombin time plasma (85670) | $41.28 | $63.50 | 7.2× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $47.45 | $73 | 7.3× |
| Thyroglobulin (84432) | $149.50 | $230 | 9.3× |
| Thyroglobulin antibody (86800) | $118.95 | $183 | 7.5× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $219.70 | $338 | 4.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $42.25 | $65 | 9.9× |
| Tissue culture lymphocyte (88230) | $109.85 | $169 | 0.9× |
| Touch prep (88161) | $136.50 | $210 | 4.0× |
| Toxoplasma ab igm (86778) | $74.10 | $114 | 5.1× |
| Toxoplasma antibody igg (86777) | $107.25 | $165 | 7.5× |
| Transferrin (84466) | $95.55 | $147 | 7.5× |
| Trichomonas vagin dir probe (87660) | $133.90 | $206 | 6.7× |
| Triglycerides (84478) | $55.90 | $86 | 9.7× |
| Troponin (84484) | $87.75 | $135 | 7.0× |
| Tumor immunohistochem/comput (88361) | $605.15 | $931 | 1.4× |
| Urea nitrogen (84520) | $39.65 | $61 | 10.0× |
| Urea nitrogen urine (84540) | $26 | $40 | 4.7× |
| Uric acid blood (84550) | $50.70 | $78 | 11.2× |
| Uric acid other source (84560) | $63.05 | $97 | 12.4× |
| Urinalysis auto w/scope (81001) | $36.40 | $56 | 11.5× |
| Urinalysis Microscopic Only (81015) | $22.42 | $34.50 | 7.4× |
| Urine Bacteria Culture (87088) | $55.90 | $86 | 6.9× |
| Urine pregnancy test (81025) | $55.25 | $85 | 6.4× |
| Urine volume measurement (81050) | $26.65 | $41 | 7.3× |
| Valproic acid (80164) | $100.75 | $155 | 7.4× |
| Vancomycin trough (80202) | $104.98 | $161.50 | 7.8× |
| Varicella-zoster antibody (86787) | $95.55 | $147 | 7.4× |
| Vdrl csf (86592) | $57.85 | $89 | 13.5× |
| Virus inoculate tissue addl (87253) | $97.50 | $150 | 4.8× |
| Virus inoculation, shell via (87254) | $131.95 | $203 | 6.7× |
| Vitamin A (84590) | $87.75 | $135 | 7.6× |
| Vitamin b-12 (82607) | $112.45 | $173 | 7.5× |
| Vitamin b1 (thiamine) (84425) | $70.85 | $109 | 3.3× |
| Vitamin D 25-Hydroxy (82306) | $206.05 | $317 | 7.0× |
| Vitamin e serum (84446) | $104.65 | $161 | 7.4× |
| Zinc (84630) | $85.80 | $132 | 7.5× |