Lab & pathology prices at Sanford Westbrook Medical Center
Westbrook, MN · every code in this section with a posted price and a Medicare benchmark.
573 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) | $234.40 | $293 | 6.1× |
| Acetaminophen level (80143) | $122.40 | $153 | 6.6× |
| Acetone serum qual (82009) | $52.80 | $66 | 11.7× |
| Acetylcholine receptor binding antibody (86041) | $108 | $135 | 5.9× |
| Actin smooth muscle antibody each (86015) | $43.20 | $54 | 3.6× |
| Activated protein c resistance (85307) | $243.20 | $304 | 15.9× |
| Acute hepatitis panel (80074) | $345.60 | $432 | 7.3× |
| Acylcarnitine Plasma (82017) | $49.60 | $62 | 2.9× |
| Adamts13 activity (85397) | $137.20 | $171.50 | 4.4× |
| Adenovirus ag, if (87260) | $156.80 | $196 | 10.9× |
| Adrenocorticotropic hormone (82024) | $112 | $140 | 2.9× |
| Afp maternal serum (82105) | $192 | $240 | 11.4× |
| Albumin body fluid (82042) | $38.40 | $48 | 4.9× |
| Albumin serum (82040) | $31.20 | $39 | 6.3× |
| Aldolase (82085) | $118.40 | $148 | 12.2× |
| Aldosterone urine (82088) | $383.20 | $479 | 9.4× |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen peanut (86003) | $55.20 | $69 | 10.6× |
| Allergen specific igg (86001) | $34.40 | $43 | 4.4× |
| Allg Spec Ige Recomb Ea (86008) | $66.40 | $83 | 3.7× |
| Alpha-1-antitrypsin phenotype (82104) | $48.80 | $61 | 3.4× |
| Alpha-1-antitrypsin, total (82103) | $155.20 | $194 | 11.5× |
| Alt (sgpt) (84460) | $85.60 | $107 | 16.2× |
| Aluminum (82108) | $34.40 | $43 | 1.4× |
| Amikacin trough (80150) | $40 | $50 | 2.7× |
| Amylase urine (82150) | $104.80 | $131 | 16.2× |
| Ana titer (86039) | $160 | $200 | 14.3× |
| Angiotensin i enzyme test (82164) | $218.40 | $273 | 15.0× |
| Antibody aspergillus (86606) | $71.60 | $89.50 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody coxiella burnetii q fever (86638) | $35.20 | $44 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $149.60 | $187 | 10.4× |
| Antibody helicobacter pylori (86677) | $196 | $245 | 11.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $352 | $440 | 24.5× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $171.20 | $214 | 12.5× |
| Antibody HIV-2 (86702) | $84 | $105 | 6.2× |
| Antibody identification (86870) | $243.20 | $304 | 0.7× |
| Antibody identification leukocyte antibodies (86021) | $204.80 | $256 | 13.6× |
| Antibody mumps (86735) | $158.40 | $198 | 12.1× |
| Antibody Protozoa Nes (86753) | $54.40 | $68 | 4.4× |
| Antibody screen (86850) | $116.80 | $146 | 12.0× |
| Antibody treponema pallidum (86780) | $103.20 | $129 | 7.8× |
| Antibody; Coccidioides (86635) | $111.20 | $139 | 9.7× |
| Antigen typing (86905) | $180.80 | $226 | 47.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $40.80 | $51 | 7.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $90.40 | $113 | 7.5× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $62.40 | $78 | 5.2× |
| Antinuclear antibodies (86038) | $176.80 | $221 | 14.6× |
| Antistreptolysin o titer (86060) | $91.20 | $114 | 12.5× |
| Antithrombin iii activity (85300) | $245.60 | $307 | 20.7× |
| Apolipoprotein each (82172) | $51.60 | $64.50 | 2.4× |
| Arsenic Urine (82175) | $94.40 | $118 | 5.0× |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $120 | $150 | 2.3× |
| Assay direct measurement free estradiol (82681) | $68 | $85 | 2.4× |
| Assay Nephelometry Not Spec (83883) | $122.80 | $153.50 | 9.0× |
| Assay of 5-hiaa (83497) | $46.80 | $58.50 | 3.6× |
| Assay of ammonia (82140) | $116.40 | $145.50 | 8.0× |
| Assay of androstenedione (82157) | $51.20 | $64 | 1.7× |
| Assay of anti-mullerian hormone (82166) | $94.40 | $118 | 2.4× |
| Assay of c-peptide (84681) | $112 | $140 | 5.4× |
| Assay of ceruloplasmin (82390) | $131.20 | $164 | 12.2× |
| Assay of citrate (82507) | $103.20 | $129 | 3.7× |
| Assay of cpk in blood (82552) | $232 | $290 | 17.3× |
| Assay of cyclosporine (80158) | $53.60 | $67 | 3.0× |
| Assay of erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Assay of ethosuximide (80168) | $86.80 | $108.50 | 5.3× |
| Assay of ferritin (82728) | $156.80 | $196 | 11.5× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) | $40.80 | $51 | 4.4× |
| Assay of gastrin (82941) | $48.80 | $61 | 2.8× |
| Assay of gentamicin (80170) | $172 | $215 | 10.5× |
| Assay of homocystine (83090) | $96 | $120 | 5.4× |
| Assay of lactic acid (83605) | $128.80 | $161 | 11.1× |
| Assay of lipoprotein(a) (83695) | $57.60 | $72 | 4.0× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of osteocalcin (83937) | $355.20 | $444 | 11.9× |
| Assay of phenobarbital (80184) | $78.40 | $98 | 5.1× |
| Assay of prealbumin (84134) | $94.40 | $118 | 6.5× |
| Assay of proinsulin (84206) | $61.60 | $77 | 2.3× |
| Assay of prolactin (84146) | $263.20 | $329 | 13.6× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of tacrolimus (80197) | $196 | $245 | 14.3× |
| Assay of topiramate (80201) | $71.20 | $89 | 6.0× |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vasopressin anti-diuretic hormone (84588) | $258.80 | $323.50 | 7.6× |
| Assay of vitamin k (84597) | $76 | $95 | 5.5× |
| Assay spec xcp ur&breath ia (82077) | $153.60 | $192 | 8.9× |
| Ast (sgot) (84450) | $85.60 | $107 | 16.5× |
| B cells total count (86355) | $151.20 | $189 | 4.0× |
| Bartonella antibody (86611) | $79.60 | $99.50 | 7.8× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $524 | $655 | 2.4× |
| Bcr/abl1 gene major bp (81206) | $400 | $500 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $353.60 | $442 | 2.4× |
| Beta 2 glycoprotein 1 igm (86146) | $135.20 | $169 | 5.3× |
| Beta hydroxybutyrate (82010) | $97.60 | $122 | 11.9× |
| Beta lactamase (87185) | $162.40 | $203 | 34.2× |
| Beta-2 microglobulin (82232) | $194.40 | $243 | 12.0× |
| Bile acids, total (82239) | $52 | $65 | 3.0× |
| Bilirubin direct (82248) | $85.60 | $107 | 17.1× |
| Bilirubin total (82247) | $85.60 | $107 | 17.1× |
| Bl Smear W/Diff Wbc Count (85007) | $76.80 | $96 | 20.2× |
| Blastomyces antibody (86612) | $51.20 | $64 | 4.0× |
| Blood Count Automated Differential Wbc Count (85004) | $75.20 | $94 | 11.6× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $114.40 | $143 | 20.5× |
| Blood gas (82803) | $320.80 | $401 | 12.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.60 | $72 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $53.60 | $67 | 12.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $109.60 | $137 | 17.3× |
| Blood typing abo (86900) | $47.20 | $59 | 15.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $278.40 | $348 | 17.0× |
| Blood typing serologic rh (d) (86901) | $60 | $75 | 20.1× |
| Body fluid cell count (89051) | $152.80 | $191 | 27.3× |
| Body fluid cell count (89050) | $119.60 | $149.50 | 25.3× |
| Bordetella antibody (86615) | $210.80 | $263.50 | 16.0× |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $227.20 | $284 | 6.1× |
| C-reactive protein (86140) | $116 | $145 | 22.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $148 | $185 | 11.4× |
| Ca 125 (86304) | $101.60 | $127 | 4.9× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Ca 27 29 (86300) | $101.60 | $127 | 4.9× |
| Cadmium level (82300) | $60.80 | $76 | 2.6× |
| Calcium ionized (82330) | $159.20 | $199 | 11.6× |
| Calcium total (82310) | $85.60 | $107 | 16.6× |
| Calcium urine (82340) | $59.60 | $74.50 | 9.9× |
| Calculus spectroscopy (82365) | $147.20 | $184 | 11.4× |
| Calprotectin, fecal (83993) | $422.40 | $528 | 21.5× |
| Carbamazepine free (80157) | $71.20 | $89 | 5.4× |
| Carbamazepine total (80156) | $144.80 | $181 | 9.9× |
| Carbon dioxide (82374) | $64 | $80 | 13.1× |
| Carboxyhemoglobin (82375) | $171.20 | $214 | 13.9× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab igg (86147) | $59.20 | $74 | 2.3× |
| Catecholamines fraction plasma (82384) | $84.80 | $106 | 3.4× |
| Chemiluminescent assay (82397) | $57.60 | $72 | 4.1× |
| Chlamydia antibody (86631) | $148 | $185 | 12.5× |
| Chlamydia Igm Antibody (86632) | $101.20 | $126.50 | 8.0× |
| Chloride blood (82435) | $76 | $95 | 16.5× |
| Chloride urine (82436) | $70.40 | $88 | 12.2× |
| Cholesterol HDL (83718) | $85.60 | $107 | 10.5× |
| Cholesterol total (82465) | $85.60 | $107 | 19.7× |
| Cholinesterase serum (82480) | $38.40 | $48 | 4.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $306.40 | $383 | 2.4× |
| Chromium urine (82495) | $64.80 | $81 | 3.2× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome analysis 45 cells (88263) | $366.40 | $458 | 2.4× |
| Chromosome Analysis 5 (88261) | $644.80 | $806 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $147.20 | $184 | 4.2× |
| Ckmb (82553) | $179.20 | $224 | 15.5× |
| Clot factor viii vw antigen (85246) | $130 | $162.50 | 5.7× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $147.20 | $184 | 8.2× |
| Clotting Inhibitors Protein S Free (85306) | $501.60 | $627 | 32.7× |
| Cmv ab igm (86645) | $149.60 | $187 | 8.9× |
| Cmv PCR (87496) | $86.40 | $108 | 2.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $63.20 | $79 | 2.6× |
| Cold agglutinin titer (86157) | $133.60 | $167 | 16.6× |
| Collagen cross links (82523) | $57.60 | $72 | 3.1× |
| Compatibility test antiglob (86922) | $255.20 | $319 | 1.5× |
| Compatibility Test Incubate (86921) | $103.20 | $129 | 0.6× |
| Complement c3 (86160) | $68 | $85 | 5.7× |
| Complement total (ch50) (86162) | $56.80 | $71 | 2.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $56.80 | $71 | 4.7× |
| Concentration Infectious Agent (87015) | $64 | $80 | 9.6× |
| Coombs direct (86880) | $56 | $70 | 10.4× |
| Copper urine (82525) | $50.40 | $63 | 4.1× |
| Cortisol free (82530) | $100 | $125 | 6.0× |
| Cortisol total (82533) | $91.20 | $114 | 5.6× |
| Creatine kinase total (82550) | $120.80 | $151 | 18.6× |
| Creatinine blood (82565) | $85.60 | $107 | 16.7× |
| Creatinine clearance (82575) | $133.60 | $167 | 14.1× |
| Creatinine other source (82570) | $30.40 | $38 | 5.9× |
| Crossmatch immediate spin (86920) | $136.80 | $171 | 0.8× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) | $58 | $72.50 | 9.0× |
| Crystals body fluid (89060) | $84 | $105 | 11.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $135.60 | $169.50 | 16.8× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $604.80 | $756 | 2.8× |
| Culture Aerobic Identify (87077) | $102 | $127.50 | 12.6× |
| Culture afb (87116) | $136 | $170 | 12.6× |
| Culture anaerobic (87075) | $166.40 | $208 | 17.6× |
| Culture blood (87040) | $149.60 | $187 | 14.5× |
| Culture chlamydia (87110) | $226.40 | $283 | 11.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $116 | $145 | 15.0× |
| Culture fungus blood (87103) | $123.20 | $154 | 6.0× |
| Culture fungus id yeast (87106) | $176 | $220 | 17.1× |
| Culture fungus other (87102) | $106.80 | $133.50 | 12.7× |
| Culture genital (87070) | $112 | $140 | 13.0× |
| Culture screen only (87081) | $97.60 | $122 | 14.7× |
| Culture stool (87045) | $53.60 | $67 | 5.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $55.20 | $69 | 10.7× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $169.60 | $212 | 4.8× |
| Culture urine (87086) | $114.40 | $143 | 14.2× |
| Culture virus (87252) | $285.60 | $357 | 11.0× |
| Cyclic Citrullinated Peptide (86200) | $173.60 | $217 | 13.4× |
| Cystatin c (82610) | $99.20 | $124 | 5.4× |
| Cysticercosis Antibody (86682) | $126.80 | $158.50 | 9.7× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) | $82.40 | $103 | 1.6× |
| Cytogenetics DNA probe (88271) | $49.20 | $61.50 | 2.3× |
| Cytogenom const microarray copy number&snp var (81229) | $1,290.40 | $1,613 | 1.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $104.80 | $131 | 2.4× |
| Cytopath cell enhance tech (88112) | $154.40 | $193 | 2.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $151.20 | $189 | 3.9× |
| Cytopath Smear Other Source (88160) | $121.60 | $152 | 4.1× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $88 | $110 | 4.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $108 | $135 | 4.1× |
| Cytp concentration smears & interpretation (88108) | $467.20 | $584 | 12.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $253.60 | $317 | 4.7× |
| Cytp fna eval dx 1st each site (88172) | $395.20 | $494 | 2.2× |
| Deoxyribonuclease antibody (86215) | $71.20 | $89 | 5.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $124 | $155 | 7.5× |
| Detect agnt mult DNA ampli (87801) | $389.60 | $487 | 5.5× |
| Dgp antibody each ig class (86258) | $54.40 | $68 | 4.5× |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-sulfate (82627) | $154 | $192.50 | 6.9× |
| Digoxin (80162) | $130.40 | $163 | 9.8× |
| Dilantin (80185) | $182 | $227.50 | 13.7× |
| Dipropylacetic acid free (80165) | $84.80 | $106 | 6.3× |
| Dna Antibody Single Stranded (86226) | $417.60 | $522 | 34.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $158.40 | $198 | 11.5× |
| DNA/RNA direct probe (87149) | $51.20 | $64 | 2.6× |
| Drug assay adalimumab (80145) | $204 | $255 | 5.3× |
| Drug assay felbamate (80167) | $54.40 | $68 | 2.9× |
| Drug assay itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug assay vedolizumab (80280) | $194.40 | $243 | 5.0× |
| Drug assay voriconazole (80285) | $106.40 | $133 | 3.9× |
| Drug quant nes (80299) | $147.60 | $184.50 | 7.9× |
| Drug screen quant zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Scrn Quan Levetiracetam (80177) | $160 | $200 | 12.1× |
| Drug test prsmv chem anlyzr (80307) | $179.20 | $224 | 2.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $208.80 | $261 | 12.2× |
| E test (87181) | $86 | $107.50 | 18.1× |
| Ebv viral capsid (86665) | $90.40 | $113 | 5.0× |
| Ehrlichia antibody (86666) | $54.40 | $68 | 5.3× |
| Elastase pancreatic fecal quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $127.20 | $159 | 18.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| Eosinophil count (85048) | $54.40 | $68 | 21.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $171.20 | $214 | 11.2× |
| Estradiol (82670) | $68.40 | $85.50 | 2.4× |
| Estriol serum (82677) | $161.20 | $201.50 | 6.7× |
| Estrogens fractionated (82671) | $52 | $65 | 1.6× |
| Estrogens total (82672) | $52.80 | $66 | 2.4× |
| F2 gene analysis 20210g >a variant (81240) | $192 | $240 | 2.9× |
| F5 gene analysis, leiden variant (81241) | $192 | $240 | 2.6× |
| Factor ii activity (85210) | $272 | $340 | 21.0× |
| Factor v activity (85220) | $295.20 | $369 | 16.7× |
| Factor vii assay (85230) | $86.40 | $108 | 4.8× |
| Factor viii ahg (85240) | $198.40 | $248 | 11.1× |
| Fecal fat qual (82705) | $234.40 | $293 | 46.0× |
| Fecal fat quant (82710) | $57.60 | $72 | 3.4× |
| Fetal bleed screen (85461) | $127.20 | $159 | 13.6× |
| Fibrin Degradation Quant (85379) | $219.20 | $274 | 21.5× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $88 | $110 | 5.7× |
| Flow cytometry first marker (88184) | $242.40 | $303 | 0.7× |
| Fluorescent Antibody Screen (86255) | $54.40 | $68 | 4.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $56.80 | $71 | 4.7× |
| Fmr1 gene charac alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folate serum (82746) | $134.40 | $168 | 9.1× |
| Folic acid rbc (82747) | $193.60 | $242 | 11.0× |
| Follicle Stimulating Hormone (83001) | $150.80 | $188.50 | 8.1× |
| Francisella tularensis (86668) | $210.40 | $263 | 14.9× |
| Frozen Section (88331) | $120 | $150 | 0.7× |
| Fructosamine (82985) | $56 | $70 | 3.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $126.80 | $158.50 | 12.3× |
| Gabapentin (80171) | $71.20 | $89 | 3.3× |
| Gammaglobulin ige (82785) | $186.40 | $233 | 11.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $377.60 | $472 | 4.8× |
| Gc Dna Probe (87590) | $140 | $175 | 5.2× |
| Ggt (82977) | $74.40 | $93 | 10.3× |
| Giardia antigen eia stool (87329) | $132.40 | $165.50 | 11.1× |
| Giardia lamblia antibody (86674) | $260 | $325 | 17.7× |
| Glucagon (82943) | $48.80 | $61 | 3.4× |
| Glucose (82947) | $52.80 | $66 | 13.4× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $80.80 | $101 | 20.6× |
| Glucose post dose (82950) | $101.60 | $127 | 21.4× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $50.40 | $63 | 12.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $232 | $290 | 18.0× |
| Growth hormone (83003) | $53.60 | $67 | 3.2× |
| H pylori breath test (83013) | $418.40 | $523 | 6.2× |
| Haptoglobin (83010) | $143.20 | $179 | 11.4× |
| Hcg qualitative (84703) | $85.60 | $107 | 11.4× |
| Hcg quant (84702) | $191.20 | $239 | 12.7× |
| Heavy metal quant each (83018) | $76.80 | $96 | 3.5× |
| Hematocrit (85014) | $48.80 | $61 | 20.6× |
| Hemoglobin (85018) | $50.40 | $63 | 21.3× |
| Hemoglobin a1c (83036) | $117.60 | $147 | 12.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $47.20 | $59 | 2.6× |
| Hemoglobin electrophoresis (83020) | $156.80 | $196 | 12.2× |
| Hemoglobin plasma (83051) | $96 | $120 | 13.1× |
| Heparin assay (85520) | $151.20 | $189 | 11.6× |
| Hepatitis a antibody total (86708) | $44 | $55 | 3.6× |
| Hepatitis a igm (86709) | $131.20 | $164 | 11.7× |
| Hepatitis b core ab igm (86705) | $136 | $170 | 11.6× |
| Hepatitis b core antibody total (86704) | $126.40 | $158 | 10.5× |
| Hepatitis B Surface Ab (86706) | $125.60 | $157 | 11.7× |
| Hepatitis B Surface Antigen (87340) | $148.80 | $186 | 14.4× |
| Hepatitis be antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis c antibody (86803) | $222.40 | $278 | 15.6× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Herpes simplex type i (86695) | $91.20 | $114 | 6.9× |
| Herpes simplex type ii (86696) | $90.40 | $113 | 4.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $79.20 | $99 | 15.3× |
| Hexagonal phospholipid (85598) | $164 | $205 | 9.1× |
| Hfe gene (81256) | $154 | $192.50 | 2.4× |
| Histamine plasma (83088) | $130.40 | $163 | 4.4× |
| Histoplasma antibody (86698) | $78.40 | $98 | 5.7× |
| HIV confirmation (86689) | $293.60 | $367 | 15.2× |
| HIV-1 antibody (86701) | $72.80 | $91 | 8.2× |
| HIV-2 probe&revrse trnscripj (87538) | $165.60 | $207 | 4.7× |
| Hla class ii typing high resolution one locus ea (81382) | $299.20 | $374 | 2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $228 | $285 | 3.1× |
| Hla ii typing 1 locus lr (81376) | $298.40 | $373 | 2.4× |
| Hla-b27 (86812) | $250 | $312.50 | 9.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $165.60 | $207 | 4.7× |
| Human epididymis protein 4 (86305) | $56.80 | $71 | 2.7× |
| Hydroxyprogesterone 17-d (83498) | $63.60 | $79.50 | 2.3× |
| Iaad ia clostridium difficile toxin (87324) | $152.80 | $191 | 12.8× |
| Iaad ia cryptosporidium (87328) | $126.40 | $158 | 9.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $176.80 | $221 | 17.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $127.20 | $159 | 5.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $256 | $320 | 17.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $231.20 | $289 | 16.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $138.40 | $173 | 11.6× |
| Iaadi inffluenza a virus (87276) | $91.20 | $114 | 5.7× |
| Iaadi influenza b virus (87275) | $93.60 | $117 | 7.6× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $82.40 | $103 | 5.1× |
| Iaadi parainfluenza virus each type (87279) | $60 | $75 | 3.7× |
| Iaadi respiratory synctial virus (87280) | $71.20 | $89 | 5.3× |
| Iaadiadoo not otherwise specified (87899) | $146 | $182.50 | 9.1× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $200.80 | $251 | 5.7× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $229.20 | $286.50 | 3.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171.20 | $214 | 2.4× |
| Iadna hepatitis b virus quantification (87517) | $100 | $125 | 2.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $124 | $155 | 2.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $262.80 | $328.50 | 7.5× |
| Iadna HIV-1 quant & reverse transcription (87536) | $413.60 | $517 | 4.9× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $139.20 | $174 | 2.0× |
| Iadna human papillomavirus high-risk types (87624) | $139.20 | $174 | 4.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $100 | $125 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $124 | $155 | 3.5× |
| Iadna nos quantification each organism (87799) | $113.60 | $142 | 2.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $137.60 | $172 | 3.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,227.20 | $1,534 | 2.9× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $591.60 | $739.50 | 2.2× |
| Igg subclasses (82787) | $254.40 | $318 | 31.7× |
| Igvh somatic hypermutation (81263) | $718.40 | $898 | 2.4× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $406.40 | $508 | 1.1× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) | $164 | $205 | 9.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) | $108 | $135 | 9.4× |
| Immunodiffusion Ouchterlony (86331) | $39.60 | $49.50 | 3.3× |
| Immunofixation (86334) | $264.80 | $331 | 11.9× |
| Immunofixation urine (86335) | $205.60 | $257 | 7.0× |
| Immunoglobulin light chains free each (83521) | $112.80 | $141 | 6.5× |
| Immunohistochemistry (88342) | $214.40 | $268 | 1.2× |
| In situ hybridization (88365) | $394.40 | $493 | 2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $151.20 | $189 | 6.6× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin a (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) | $95.20 | $119 | 5.5× |
| Insulin total (83525) | $132.80 | $166 | 11.6× |
| Interleukin 6 (83529) | $137.60 | $172 | 8.0× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $74.40 | $93 | 11.5× |
| Iron binding capacity (83550) | $74.40 | $93 | 8.5× |
| Islet cell antibody (86341) | $55.20 | $69 | 2.3× |
| Jak2 gene analysis (81270) | $250.40 | $313 | 2.7× |
| Lactoferrin fecal qual (83630) | $197.60 | $247 | 10.0× |
| Ldh body fluid (83615) | $82.40 | $103 | 13.6× |
| Ldh isoenzymes (83625) | $216 | $270 | 16.9× |
| LDL cholesterol direct (83721) | $112 | $140 | 10.7× |
| Lead (83655) | $33.20 | $41.50 | 2.7× |
| Legionella antibody (86713) | $200.40 | $250.50 | 13.1× |
| Legionella antigen urine (87449) | $98.80 | $123.50 | 8.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $78.40 | $98 | 18.4× |
| Level ii surg pathology grossµscopic exam (88302) | $136 | $170 | 3.5× |
| Level v surg pathology grossµscopic exam (88307) | $679.20 | $849 | 1.8× |
| Level vi surg pathology grossµscopic exam (88309) | $1,002.40 | $1,253 | 1.2× |
| Lh (83002) | $150.80 | $188.50 | 8.1× |
| Lipase (83690) | $208 | $260 | 30.2× |
| Listeria ab (86609) | $35.20 | $44 | 2.7× |
| Lithium (80178) | $84.80 | $106 | 12.8× |
| Lyme disease antibody (86618) | $205.20 | $256.50 | 12.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $196 | $245 | 1.1× |
| Macroscopic exam arthropod (87168) | $40 | $50 | 9.4× |
| Macroscopic exam parasite (87169) | $116 | $145 | 26.9× |
| Magnesium (83735) | $87.20 | $109 | 13.0× |
| Malaria smear (87207) | $162.40 | $203 | 27.1× |
| Mass spectrometry qual/quan (83789) | $227.60 | $284.50 | 9.4× |
| Mcg chrom insitu 3-5 (88272) | $99.20 | $124 | 2.4× |
| Mercury urine (83825) | $45.60 | $57 | 2.8× |
| Metabolic Panel Ionized Ca (80047) | $155.20 | $194 | 11.3× |
| Methylmalonic acid serum (83921) | $51.20 | $64 | 2.4× |
| Microalbumin urine (82043) | $169.60 | $212 | 29.3× |
| Microsomal antibodies (86376) | $76.40 | $95.50 | 5.3× |
| Mitochondrial antibody each (86381) | $62.40 | $78 | 2.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Molecular pathology procedure level 2 (81401) | $389.20 | $486.50 | 2.8× |
| Mrsa PCR (87641) | $108.80 | $136 | 3.1× |
| Mtb PCR (87556) | $186.40 | $233 | 4.5× |
| Muscle-specific kinase (musk) antibody (86366) | $596.80 | $746 | 32.4× |
| Mycophenolic acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $137.60 | $172 | 10.4× |
| Mycoplasma genitalium PCR (87563) | $143.20 | $179 | 4.1× |
| Myoglobin urine (83874) | $260 | $325 | 20.1× |
| Nasal smear for eosinophils (89190) | $66.40 | $83 | 11.5× |
| Natriuretic peptide (83880) | $152 | $190 | 3.9× |
| Neutralization Test Viral (86382) | $115.20 | $144 | 6.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $140 | $175 | 3.7× |
| Nuclear antigen antibody (86235) | $56.80 | $71 | 3.2× |
| Occult blood gastric (82271) | $70.40 | $88 | 13.2× |
| Occult blood stool (82272) | $51.20 | $64 | 12.1× |
| Orthopoxvirus Amp Prb Each (87593) | $151.20 | $189 | 2.9× |
| Osmolality serum (83930) | $128 | $160 | 19.4× |
| Osmolality urine (83935) | $79.60 | $99.50 | 11.7× |
| Ova 1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Ova and parasite direct-id lca (87177) | $112.80 | $141 | 12.7× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Pancreatic polypeptide (83519) | $170.80 | $213.50 | 9.3× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $143.20 | $179 | 0.2× |
| Ph body fluid (83986) | $35.20 | $44 | 9.8× |
| Ph urine (81003) | $38.80 | $48.50 | 17.2× |
| Phenylalanine (84030) | $22 | $27.50 | 4.0× |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) | $57.20 | $71.50 | 11.0× |
| Phosphorus blood (84100) | $72 | $90 | 15.2× |
| Phosphorus urine (84105) | $46.80 | $58.50 | 8.1× |
| Pinworm exam (87172) | $82.40 | $103 | 19.3× |
| Platelet aggregation (85576) | $203.20 | $254 | 8.2× |
| Platelet count automated (85049) | $56 | $70 | 12.5× |
| Pml/raralpha com breakpoints (81315) | $500.80 | $626 | 2.4× |
| Porphyrins feces qn (84126) | $122.40 | $153 | 3.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium (84132) | $76 | $95 | 16.0× |
| Potassium urine (84133) | $52 | $65 | 11.0× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (pct) (84145) | $388.80 | $486 | 14.3× |
| Progesterone (84144) | $222.40 | $278 | 10.7× |
| Protein body fluid (84157) | $100 | $125 | 25.0× |
| Protein c activity (85303) | $564 | $705 | 40.8× |
| Protein electrophoresis serum (84165) | $88 | $110 | 8.2× |
| Protein Electrophoresis Urine (84166) | $145.60 | $182 | 8.2× |
| Protein s total (85305) | $320 | $400 | 27.6× |
| Protein total serum (84155) | $85.60 | $107 | 23.3× |
| Protein urine (84156) | $93.60 | $117 | 25.5× |
| Protein Western Blot (84182) | $103.20 | $129 | 3.5× |
| PSA free (84154) | $180.40 | $225.50 | 9.8× |
| Pth intact (83970) | $216.80 | $271 | 5.3× |
| Rbc (85041) | $53.60 | $67 | 17.7× |
| Rbc pretx incubatj w/chemicl (86970) | $519.20 | $649 | 8.5× |
| Reagent strip/blood glucose (82948) | $51.20 | $64 | 10.2× |
| Renin activity plasma (84244) | $51.20 | $64 | 2.3× |
| Resp virus 3-5 targets (87631) | $348 | $435 | 2.4× |
| Reticulocyte count auto (85045) | $103.20 | $129 | 25.9× |
| Rheumatoid Factor Qual (86430) | $98.80 | $123.50 | 16.1× |
| Rheumatoid factor quant (86431) | $84.80 | $106 | 15.0× |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Rotavirus ag eia (87425) | $156.80 | $196 | 13.1× |
| Rpr Titer (86593) | $48.80 | $61 | 11.1× |
| Rsv (87807) | $142.40 | $178 | 10.9× |
| Rubella antibody (86762) | $103.60 | $129.50 | 7.2× |
| Rubeola Antibody Igg (86765) | $155.20 | $194 | 12.0× |
| Russell viper venom time diluted (85613) | $171.20 | $214 | 17.9× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $104 | $130 | 5.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $349.60 | $437 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $460.80 | $576 | 3.2× |
| Sedimentation rate (85651) | $64.80 | $81 | 15.2× |
| Sedimentation rate auto (85652) | $45.60 | $57 | 16.9× |
| Selenium (84255) | $61.60 | $77 | 2.4× |
| Semen analysis complete (89322) | $216.80 | $271 | 14.0× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $101.60 | $127 | 8.4× |
| Sensitivity kb (87184) | $114.40 | $143 | 15.3× |
| Sensitivity mic (87186) | $133.60 | $167 | 15.4× |
| Serotonin Release Assay (86022) | $105.60 | $132 | 5.7× |
| Sex hormone binding globulin (84270) | $57.60 | $72 | 2.7× |
| Sickling of rbc reduction (85660) | $77.60 | $97 | 14.1× |
| Sirolimus (rapamycin) (80195) | $115.20 | $144 | 8.4× |
| Smear acid fast (87206) | $96 | $120 | 17.8× |
| Smear complex stain (87209) | $104.80 | $131 | 5.8× |
| Smear gram stain (87205) | $64.80 | $81 | 15.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $100.80 | $126 | 17.3× |
| Sodium (84295) | $100 | $125 | 20.8× |
| Sodium urine (84300) | $56.40 | $70.50 | 11.1× |
| Somatomedin (84305) | $71.20 | $89 | 3.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $226.40 | $283 | 1.6× |
| Special stains group 1 (88312) | $225.60 | $282 | 4.2× |
| Specimen fat stain (89125) | $121.60 | $152 | 20.7× |
| Stool Culture, Addl Pathogens (87046) | $56 | $70 | 5.9× |
| Strep a assay w/optic (87880) | $80 | $100 | 4.8× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Sulfate urine (84392) | $28.80 | $36 | 5.2× |
| Surg path level 1 (88300) | $64 | $80 | 2.1× |
| Surg path level iii (88304) | $140 | $175 | 2.6× |
| Surgical pathology level IV (88305) | $145.60 | $182 | 2.7× |
| Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48,… (87183) | $152.80 | $191 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $184 | $230 | 3.9× |
| T cells total count (86359) | $160.80 | $201 | 4.3× |
| T3 free (84481) | $147.20 | $184 | 8.7× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 total (84480) | $92 | $115 | 6.5× |
| T3 uptake (84479) | $48.80 | $61 | 7.5× |
| T4 free (84439) | $126.80 | $158.50 | 14.1× |
| T4 total (84436) | $103.20 | $129 | 15.0× |
| Tau phosphorylated each (84393) | $500 | $625 | 3.9× |
| Tb ag response t-cell susp (86481) | $279.20 | $349 | 2.8× |
| Tb intradermal test (86580) | $52.80 | $66 | 1.8× |
| Tb test, cell immun measure (86480) | $360.80 | $451 | 5.8× |
| Testosterone free (84402) | $60 | $75 | 2.4× |
| Testosterone total (84403) | $60.80 | $76 | 2.4× |
| Theophylline (80198) | $162.40 | $203 | 11.5× |
| Thiopurine methyltransferase (84433) | $150.40 | $188 | 6.8× |
| Thrombin time plasma (85670) | $57.60 | $72 | 10.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $179.20 | $224 | 27.7× |
| Thyroglobulin (84432) | $208.80 | $261 | 13.0× |
| Thyroglobulin antibody (86800) | $83.20 | $104 | 5.2× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $124 | $155 | 2.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $140.80 | $176 | 33.0× |
| Tissue culture lymphocyte (88230) | $296 | $370 | 2.5× |
| Tissue transglutaminase ab iga (86364) | $11.20 | $14 | 1.0× |
| Touch prep (88161) | $130.40 | $163 | 4.4× |
| Toxoplasma ab igm (86778) | $184 | $230 | 12.8× |
| Toxoplasma antibody igg (86777) | $180.80 | $226 | 12.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $550.40 | $688 | 1.7× |
| Transferrin (84466) | $144.80 | $181 | 11.3× |
| Triglycerides (84478) | $85.60 | $107 | 14.9× |
| Troponin (84484) | $212.80 | $266 | 17.1× |
| Urea nitrogen (84520) | $85.60 | $107 | 21.7× |
| Urea nitrogen urine (84540) | $40 | $50 | 7.2× |
| Uric acid blood (84550) | $74.40 | $93 | 16.5× |
| Uric acid other source (84560) | $51.60 | $64.50 | 10.2× |
| Urinalysis (81005) | $50.40 | $63 | 23.2× |
| Urinalysis auto w/scope (81001) | $82.40 | $103 | 26.0× |
| Urinalysis Microscopic Only (81015) | $76 | $95 | 24.9× |
| Urine Albumin Semiquantitative (82044) | $122.40 | $153 | 19.6× |
| Urine Bacteria Culture (87088) | $113.60 | $142 | 14.0× |
| Urine pregnancy test (81025) | $88.80 | $111 | 10.3× |
| Urine volume measurement (81050) | $44.80 | $56 | 12.3× |
| Valproic acid (80164) | $69.20 | $86.50 | 5.1× |
| Vancomycin trough (80202) | $168 | $210 | 12.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vdrl csf (86592) | $84 | $105 | 19.7× |
| Virus antibody nos (86790) | $136 | $170 | 10.6× |
| Virus inoculate tissue addl (87253) | $136 | $170 | 6.7× |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $79.20 | $99 | 5.3× |
| Vitamin b1 (thiamine) (84425) | $52 | $65 | 2.4× |
| Vitamin b2 (84252) | $57.60 | $72 | 2.8× |
| Vitamin b6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin c (82180) | $40 | $50 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $119.20 | $149 | 4.0× |
| Vitamin e serum (84446) | $48.80 | $61 | 3.4× |
| Voltage-gated calcium channel antibody each (86596) | $54.40 | $68 | 4.5× |
| West nile virus antibody (86789) | $102.40 | $128 | 7.1× |
| West nile virus igm (86788) | $102.40 | $128 | 6.1× |
| Zinc (84630) | $40 | $50 | 3.5× |