Lab & pathology prices at St. Bernards Five Rivers Medical Center
Pocahontas, AR · every code in this section with a posted price and a Medicare benchmark.
582 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) | $92.25 | $102.50 | 2.4× |
| 17-Hydroxycorticosteroids (83491) | $36 | $40 | 2.0× |
| 5 Hiaa (83497) | $40.50 | $45 | 3.1× |
| Acetaminophen level (80143) | $31.50 | $35 | 1.7× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $36 | $40 | 2.0× |
| Acetylcholine receptor binding antibody (86041) | $36 | $40 | 2.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $49.50 | $55 | 4.1× |
| Actin smooth muscle antibody each (86015) | $47.25 | $52.50 | 3.9× |
| Acute hepatitis panel (80074) | $90 | $100 | 1.9× |
| Acylcarnitine Plasma (82017) | $164.25 | $182.50 | 9.7× |
| Adamts13 activity (85397) | $58.50 | $65 | 1.9× |
| Afb culture (87116) | $31.50 | $35 | 2.9× |
| Agglutinins febrile (86000) | $22.50 | $25 | 3.2× |
| Albumin Fluid (82042) | $18 | $20 | 2.3× |
| Albumin serum (82040) | $18 | $20 | 3.6× |
| Aldolase (82085) | $31.50 | $35 | 3.2× |
| Aldosterone urine (82088) | $76.50 | $85 | 1.9× |
| Alk phos heat stable (84078) | $18 | $20 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $45 | $50 | 3.0× |
| Allergen specific ige (86003) | $18 | $20 | 3.4× |
| Allg Spec Ige Recomb Ea (86008) | $36 | $40 | 2.0× |
| Alpha-1-antitrypsin phenotype (82104) | $45 | $50 | 3.1× |
| Alpha-1-antitrypsin, total (82103) | $40.50 | $45 | 3.0× |
| Alpha-fetoprotein, serum (82105) | $38.25 | $42.50 | 2.3× |
| Alt (sgpt) (84460) | $15.75 | $17.50 | 3.0× |
| Aluminum (82108) | $45 | $50 | 1.8× |
| Amikacin trough (80150) | $45 | $50 | 3.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $114.75 | $127.50 | 6.8× |
| Ammonia (82140) | $27 | $30 | 1.9× |
| Amylase urine (82150) | $22.50 | $25 | 3.5× |
| Ana Titer (86039) | $36 | $40 | 3.2× |
| Angiotensin i enzyme test (82164) | $45 | $50 | 3.1× |
| Anti-phosphatidylserine antibody (86148) | $36 | $40 | 2.2× |
| Antibody Absorption (86978) | $83.25 | $92.50 | 1.5× |
| Antibody coxiella burnetii q fever (86638) | $36 | $40 | 3.0× |
| Antibody cytomegalovirus cmv (86644) | $45 | $50 | 3.1× |
| Antibody cytomegalovirus cmv igm (86645) | $49.50 | $55 | 2.9× |
| Antibody Detection Nos If (87299) | $27 | $30 | 1.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $40.50 | $45 | 3.1× |
| Antibody helicobacter pylori (86677) | $45 | $50 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $38.25 | $42.50 | 2.7× |
| Antibody herpes smplx type 1 (86695) | $31.50 | $35 | 2.4× |
| Antibody identification (86870) | $508.50 | $565 | 1.6× |
| Antibody identification leukocyte antibodies (86021) | $63 | $70 | 4.2× |
| Antibody mumps (86735) | $40.50 | $45 | 3.1× |
| Antibody rubeola (86765) | $40.50 | $45 | 3.1× |
| Antibody screen (86850) | $67.50 | $75 | 6.9× |
| Antibody treponema pallidum (86780) | $40.50 | $45 | 3.1× |
| Antibody; Coccidioides (86635) | $36 | $40 | 3.1× |
| Antigen typing (86905) | $333 | $370 | 86.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $198 | $220 | 38.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $36 | $40 | 3.0× |
| Antinuclear antibodies (86038) | $36 | $40 | 3.0× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $18 | $20 | 3.1× |
| Antistreptolysin o titer (86060) | $31.50 | $35 | 4.3× |
| Antithrombin iii activity (85300) | $36 | $40 | 3.0× |
| Antithrombin iii antigen (85301) | $31.50 | $35 | 2.9× |
| Apolipoprotein b (82172) | $45 | $50 | 2.1× |
| Arsenic Urine (82175) | $58.50 | $65 | 3.1× |
| Assay galactose transferase (82775) | $63 | $70 | 3.0× |
| Assay Lipoprotein Pla2 (83698) | $171 | $190 | 3.7× |
| Assay Nephelometry Not Spec (83883) | $54 | $60 | 4.0× |
| Assay of acth (82024) | $49.50 | $55 | 1.3× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $31.50 | $35 | 1.8× |
| Assay of androstenedione (82157) | $85.50 | $95 | 2.9× |
| Assay of anti-mullerian hormone (82166) | $72 | $80 | 1.9× |
| Assay of blood chloride (82435) | $13.50 | $15 | 2.9× |
| Assay of c-peptide (84681) | $63 | $70 | 3.0× |
| Assay of calcitonin (82308) | $49.50 | $55 | 1.8× |
| Assay of ceruloplasmin (82390) | $31.50 | $35 | 2.9× |
| Assay of cyclosporine (80158) | $54 | $60 | 3.0× |
| Assay of erythropoietin (82668) | $58.50 | $65 | 3.1× |
| Assay of ethosuximide (80168) | $49.50 | $55 | 3.0× |
| Assay of ferritin (82728) | $40.50 | $45 | 3.0× |
| Assay of g6pd enzyme (82955) | $31.50 | $35 | 3.2× |
| Assay of gammaglobulin igm (82784) | $18 | $20 | 1.9× |
| Assay of gastrin (82941) | $54 | $60 | 3.1× |
| Assay of gentamicin (80170) | $49.50 | $55 | 3.0× |
| Assay of homocystine (83090) | $49.50 | $55 | 2.8× |
| Assay of lipoprotein(a) (83695) | $27 | $30 | 1.9× |
| Assay of manganese (83785) | $72 | $80 | 2.7× |
| Assay of metanephrines (83835) | $38.25 | $42.50 | 2.3× |
| Assay of parathormone (83970) | $76.50 | $85 | 1.9× |
| Assay of phenobarbital (80184) | $36 | $40 | 2.4× |
| Assay of prealbumin (84134) | $45 | $50 | 3.1× |
| Assay of proinsulin (84206) | $49.50 | $55 | 1.9× |
| Assay of pyruvate (84210) | $31.50 | $35 | 2.2× |
| Assay of selenium (84255) | $49.50 | $55 | 1.9× |
| Assay of serotonin (84260) | $90 | $100 | 2.9× |
| Assay of somatomedin (84305) | $76.50 | $85 | 3.6× |
| Assay of tacrolimus (80197) | $40.50 | $45 | 2.9× |
| Assay of urine vma (84585) | $45 | $50 | 2.9× |
| Assay of vitamin k (84597) | $81 | $90 | 5.9× |
| Assay Ph Body Fluid Nos (83986) | $11.25 | $12.50 | 3.1× |
| Ast (sgot) (84450) | $15.75 | $17.50 | 3.0× |
| Automated rbc count (85041) | $9 | $10 | 3.0× |
| Bartonella antibody (86611) | $31.50 | $35 | 3.1× |
| Bcr/abl1 gene major bp (81206) | $301.50 | $335 | 1.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $76.50 | $85 | 3.0× |
| Beta hydroxybutyrate (82010) | $13.50 | $15 | 1.7× |
| Beta-2 microglobulin (82232) | $49.50 | $55 | 3.1× |
| Bile acids, total (82239) | $36 | $40 | 2.1× |
| Bilirubin direct (82248) | $18 | $20 | 3.6× |
| Bilirubin total (82247) | $15.75 | $17.50 | 3.1× |
| Biotinidase ea specimen (82261) | $49.50 | $55 | 2.9× |
| Bl Smear W/Diff Wbc Count (85007) | $13.50 | $15 | 3.6× |
| Blastomyces antibody (86612) | $40.50 | $45 | 3.1× |
| Bleeding time (85002) | $13.50 | $15 | 2.8× |
| Blood count reticulocyte automated (85045) | $13.50 | $15 | 3.4× |
| Blood gases (82803) | $45 | $50 | 1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.50 | $15 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $333 | $370 | 52.4× |
| Blood typing abo (86900) | $198 | $220 | 66.2× |
| Blood typing serologic rh (d) (86901) | $67.50 | $75 | 22.6× |
| Blood typing serologic rh phenotyping complete (86906) | $90 | $100 | 11.6× |
| Body fluid cell count (89050) | $18 | $20 | 3.8× |
| Bordetella antibody (86615) | $63 | $70 | 4.8× |
| Braf gene (81210) | $1,750.50 | $1,945 | 10.0× |
| Brucella antibody (86622) | $27 | $30 | 3.0× |
| C diff amplified probe (87493) | $67.50 | $75 | 1.8× |
| C-reactive protein (86140) | $18 | $20 | 3.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $63 | $70 | 4.9× |
| Ca 125 (86304) | $63 | $70 | 3.0× |
| Ca 19-9 (86301) | $63 | $70 | 3.0× |
| Ca 27 29 (86300) | $63 | $70 | 3.0× |
| Cadmium level (82300) | $67.50 | $75 | 2.9× |
| Calcium ionized (82330) | $40.50 | $45 | 3.0× |
| Calcium total (82310) | $15.75 | $17.50 | 3.1× |
| Calcium urine (82340) | $15.75 | $17.50 | 2.6× |
| Calculus Spectroscopy (82365) | $40.50 | $45 | 3.1× |
| Calprotectin, fecal (83993) | $121.50 | $135 | 6.2× |
| Carbamazepine (tegretol) total (80156) | $45 | $50 | 3.1× |
| Carbon dioxide (82374) | $18 | $20 | 3.7× |
| Carboxyhemoglobin Quantitative (82375) | $60.75 | $67.50 | 4.9× |
| Carcinoembryonic antigen (82378) | $58.50 | $65 | 3.1× |
| Cardiolipin ab igg (86147) | $76.50 | $85 | 3.0× |
| Carnitine (82379) | $49.50 | $55 | 2.9× |
| Catecholamines fraction plasma (82384) | $76.50 | $85 | 3.0× |
| Cd4 absolute count (86361) | $58.50 | $65 | 2.2× |
| Chemiluminescent assay (82397) | $69.75 | $77.50 | 4.9× |
| Chlamydia antibody (86631) | $36 | $40 | 3.0× |
| Chlamydia Igm Antibody (86632) | $40.50 | $45 | 3.2× |
| Chlamydia trachomatis ag if (87270) | $40.50 | $45 | 3.4× |
| Chloride other source (82438) | $18 | $20 | 3.6× |
| Chloride urine (82436) | $18 | $20 | 3.1× |
| Cholesterol total (82465) | $18 | $20 | 4.1× |
| Cholinesterase rbc (82482) | $22.50 | $25 | 2.3× |
| Cholinesterase serum (82480) | $27 | $30 | 3.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $425.25 | $472.50 | 3.4× |
| Chromium urine (82495) | $27 | $30 | 1.3× |
| Chromogranin a (86316) | $40.50 | $45 | 1.9× |
| Chromosome analysis 20-25 cells (88264) | $333 | $370 | 2.3× |
| Chromosome karyotype study (88280) | $112.50 | $125 | 3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $119.25 | $132.50 | 3.4× |
| Citrate (82507) | $67.50 | $75 | 2.4× |
| Ck isoenzymes (82552) | $40.50 | $45 | 3.0× |
| Ckmb (82553) | $36 | $40 | 3.1× |
| Clot factor viii vw antigen (85246) | $67.50 | $75 | 2.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $54 | $60 | 3.0× |
| Clozapine level (80159) | $40.50 | $45 | 2.0× |
| Cmv PCR (87496) | $74.25 | $82.50 | 2.1× |
| Cns DNA amp probe type 12-25 (87483) | $688.50 | $765 | 1.7× |
| Coagulation time activated (85347) | $9 | $10 | 2.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $76.50 | $85 | 3.2× |
| Cold agglutinin titer (86157) | $27 | $30 | 3.3× |
| Collagen cross links (82523) | $67.50 | $75 | 3.6× |
| Compatibility test antiglob (86922) | $274.50 | $305 | 1.8× |
| Complement c3 (86160) | $36 | $40 | 3.0× |
| Complement total ch50 (86162) | $63 | $70 | 3.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $22.50 | $25 | 1.9× |
| Concentration Infectious Agent (87015) | $22.50 | $25 | 3.4× |
| Coombs direct (86880) | $85.50 | $95 | 15.9× |
| Coombs Test Indirect Qual (86885) | $256.50 | $285 | 44.8× |
| Copper urine (82525) | $36 | $40 | 2.9× |
| Cortisol free (82530) | $36 | $40 | 2.2× |
| Cortisol total (82533) | $31.50 | $35 | 1.9× |
| Creatine kinase total (82550) | $22.50 | $25 | 3.5× |
| Creatinine blood (82565) | $13.50 | $15 | 2.6× |
| Creatinine clearance (82575) | $31.50 | $35 | 3.3× |
| Creatinine other source (82570) | $18 | $20 | 3.5× |
| Crossmatch immediate spin (86920) | $274.50 | $305 | 1.8× |
| Cryoglobulin (82595) | $22.50 | $25 | 3.5× |
| Cryptococcal Antigen (87327) | $27 | $30 | 2.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $31.50 | $35 | 3.9× |
| Culture Aerobic Identify (87077) | $27 | $30 | 3.3× |
| Culture anaerobic (87075) | $27 | $30 | 2.9× |
| Culture blood (87040) | $31.50 | $35 | 3.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $18 | $20 | 2.3× |
| Culture fungus blood (87103) | $27 | $30 | 1.3× |
| Culture fungus id yeast (87106) | $27 | $30 | 2.6× |
| Culture fungus other (87102) | $27 | $30 | 3.2× |
| Culture genital (87070) | $27 | $30 | 3.1× |
| Culture screen only (87081) | $22.50 | $25 | 3.4× |
| Culture stool (87045) | $31.50 | $35 | 3.3× |
| Culture typing if ea antiserum (87140) | $49.50 | $55 | 8.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18 | $20 | 3.5× |
| Culture urine (87086) | $27 | $30 | 3.3× |
| Cyclic Citrullinated Peptide (86200) | $40.50 | $45 | 3.1× |
| Cystatin c (82610) | $81 | $90 | 4.4× |
| Cytogenetics 10-30 (88273) | $148.50 | $165 | 4.3× |
| Cytogenetics DNA probe (88271) | $54 | $60 | 2.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $139.50 | $155 | 3.3× |
| Cytopath cell enhance tech (88112) | $225 | $250 | 4.7× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $85.50 | $95 | 2.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $49.50 | $55 | 1.9× |
| Cytp concentration smears & interpretation (88108) | $108 | $120 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $148.50 | $165 | 3.1× |
| Cytp fna eval dx 1st each site (88172) | $166.50 | $185 | 1.1× |
| D-Dimer (85379) | $31.50 | $35 | 3.1× |
| Deoxyribonuclease antibody (86215) | $36 | $40 | 2.7× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $117 | $130 | 2.7× |
| Detect agnt mult DNA ampli (87801) | $139.50 | $155 | 2.0× |
| Dhea (82626) | $76.50 | $85 | 3.0× |
| Dhea sulfate (82627) | $67.50 | $75 | 3.0× |
| Digoxin (80162) | $40.50 | $45 | 3.0× |
| Digoxin free (80163) | $27 | $30 | 2.0× |
| Dilantin (80185) | $40.50 | $45 | 3.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $40.50 | $45 | 2.9× |
| Dna/Rna Amplified Probe (87150) | $74.25 | $82.50 | 2.1× |
| Drug assay felbamate (80167) | $40.50 | $45 | 2.2× |
| Drug assay flecainide (80181) | $27 | $30 | 1.4× |
| Drug assay methotrexate (80204) | $40.50 | $45 | 1.1× |
| Drug Screen Quant Gabapentin (80171) | $40.50 | $45 | 1.9× |
| Drug screen quant zonisamide (80203) | $54 | $60 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $45 | $50 | 3.4× |
| Drug Scrn Quan Levetiracetam (80177) | $27 | $30 | 2.0× |
| Drug scrn quant oxcarbazepin (80183) | $54 | $60 | 4.1× |
| Drug test prsmv chem anlyzr (80307) | $144 | $160 | 2.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $40.50 | $45 | 3.2× |
| Ebv viral capsid (86665) | $54 | $60 | 3.0× |
| Egfr Gene Analysis Common Variants (81235) | $553.50 | $615 | 1.7× |
| Ehrlichia antibody (86666) | $47.25 | $52.50 | 4.6× |
| Elastase pancreatic fecal quantitative (82653) | $76.50 | $85 | 3.3× |
| Electrolyte panel (80051) | $22.50 | $25 | 3.2× |
| Electron microscopy diagnostic (88348) | $1,206 | $1,340 | 1.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $36 | $40 | 3.0× |
| Endomysial antibody iga (86255) | $40.50 | $45 | 3.4× |
| Enterovirus Pcr (87498) | $74.25 | $82.50 | 2.1× |
| Eosinophil count (85048) | $9 | $10 | 3.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $49.50 | $55 | 3.2× |
| Estradiol (82670) | $81 | $90 | 2.9× |
| Estriol (82677) | $72 | $80 | 3.0× |
| Estrogens total (82672) | $67.50 | $75 | 3.1× |
| Estrone (82679) | $76.50 | $85 | 3.1× |
| Everolimus (80169) | $40.50 | $45 | 2.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $31.50 | $35 | 4.3× |
| F2 gene analysis 20210g >a variant (81240) | $495 | $550 | 7.5× |
| F5 gene (81241) | $112.50 | $125 | 1.5× |
| Factor ii activity (85210) | $63 | $70 | 4.9× |
| Factor ix activity (85250) | $58.50 | $65 | 3.1× |
| Factor v activity (85220) | $54 | $60 | 3.1× |
| Factor vii assay (85230) | $54 | $60 | 3.0× |
| Factor viii ahg (85240) | $54 | $60 | 3.0× |
| Factor viii vw multimetric (85247) | $99 | $110 | 4.3× |
| Factor xi assay (85270) | $72 | $80 | 4.0× |
| Factor xiii solubility screen (85291) | $27 | $30 | 3.0× |
| Fecal fat qual (82705) | $18 | $20 | 3.5× |
| Fetal bleed screen (85461) | $18 | $20 | 1.9× |
| Fetal fibronectin (82731) | $202.50 | $225 | 3.1× |
| Fetal lung maturity fluorescence polarization (83663) | $58.50 | $65 | 3.1× |
| Fibrinogen activity (85384) | $22.50 | $25 | 2.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $27 | $30 | 1.7× |
| Flow cytometry first marker (88184) | $535.50 | $595 | 1.6× |
| Folate serum (82746) | $45 | $50 | 3.1× |
| Follicle Stimulating Hormone (83001) | $54 | $60 | 2.9× |
| Francisella Tularensis (86668) | $31.50 | $35 | 2.2× |
| Fresh frozen plasma thawing each unit (86927) | $261 | $290 | 1.7× |
| Frozen Section (88331) | $166.50 | $185 | 1.1× |
| Fructosamine (82985) | $45 | $50 | 2.7× |
| Ftl cgen abnor four anal (81511) | $198 | $220 | 1.3× |
| Gammaglobulin ige (82785) | $49.50 | $55 | 3.0× |
| Gastric Occult Blood (82271) | $13.50 | $15 | 2.5× |
| Ggt (82977) | $22.50 | $25 | 3.1× |
| Giardia ag by if (87269) | $27 | $30 | 2.0× |
| Giardia antigen eia stool (87329) | $27 | $30 | 2.3× |
| Gliadin antibody each immunoglobulin class (86258) | $40.50 | $45 | 3.4× |
| Glucose (82947) | $13.50 | $15 | 3.4× |
| Glucose Blood Test (82962) | $9 | $10 | 2.7× |
| Glucose body fluid (82945) | $13.50 | $15 | 3.4× |
| Glucose post dose (82950) | $9 | $10 | 1.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $13.50 | $15 | 3.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $40.50 | $45 | 3.1× |
| Growth hormone (83003) | $49.50 | $55 | 3.0× |
| Haptoglobin (83010) | $40.50 | $45 | 3.2× |
| Hcg qualitative (84703) | $22.50 | $25 | 3.0× |
| Hcg quant (84702) | $27 | $30 | 1.8× |
| Heavy metal quant each (83018) | $67.50 | $75 | 3.1× |
| Hematocrit (85014) | $9 | $10 | 3.8× |
| Hemoglbin meth transc (88741) | $85.50 | $95 | 9.1× |
| Hemoglobin (85018) | $9 | $10 | 3.8× |
| Hemoglobin a1c (83036) | $31.50 | $35 | 3.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $54 | $60 | 3.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $27 | $30 | 3.5× |
| Hemoglobin plasma (83051) | $54 | $60 | 7.4× |
| Hemolysins And Agglutinins Incubated (86941) | $36 | $40 | 3.0× |
| Hemolysins/agglutinins auto screen (86940) | $27 | $30 | 3.1× |
| Hemosiderin urine (83070) | $45 | $50 | 9.5× |
| Heparin assay (85520) | $69.75 | $77.50 | 5.3× |
| Hepatitis a antibody total (86708) | $36 | $40 | 2.9× |
| Hepatitis a igm (86709) | $36 | $40 | 3.2× |
| Hepatitis b core ab igm (86705) | $36 | $40 | 3.1× |
| Hepatitis b core antibody total (86704) | $36 | $40 | 3.0× |
| Hepatitis B Surface Ab (86706) | $31.50 | $35 | 2.9× |
| Hepatitis B Surface Antigen (87340) | $31.50 | $35 | 3.0× |
| Hepatitis be antibody (86707) | $36 | $40 | 3.1× |
| Hepatitis Be Antigen (87350) | $36 | $40 | 3.1× |
| Hepatitis c antibody (86803) | $45 | $50 | 3.2× |
| Hepatitis C Genotype (87902) | $639 | $710 | 2.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $400.50 | $445 | 11.4× |
| Hepatitis delta ag (87380) | $166.50 | $185 | 9.1× |
| Herpes culture (87252) | $78.75 | $87.50 | 3.0× |
| Herpes simplex type 2 (86696) | $58.50 | $65 | 3.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $18 | $20 | 3.5× |
| Hfe gene (81256) | $121.50 | $135 | 1.9× |
| Histoplasma antibody (86698) | $40.50 | $45 | 2.9× |
| Histoplasma antigen urine (87385) | $119.25 | $132.50 | 9.0× |
| HIV confirmation (86689) | $90 | $100 | 4.7× |
| HIV-1 genotype (87901) | $499.50 | $555 | 1.9× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $54 | $60 | 3.9× |
| Hla-b27 (86812) | $76.50 | $85 | 3.0× |
| Homogenization tissue (87176) | $18 | $20 | 3.1× |
| Hpv types 16 & 18 only (87625) | $63 | $70 | 1.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $81 | $90 | 1.2× |
| Hsv Dna Quant (87530) | $162 | $180 | 3.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $92.25 | $102.50 | 2.6× |
| Hydroxyprogesterone 17-d (83498) | $81 | $90 | 3.0× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $63 | $70 | 3.5× |
| Iaad ia clostridium difficile toxin (87324) | $27 | $30 | 2.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $31.50 | $35 | 3.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $54 | $60 | 3.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $36 | $40 | 1.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $27 | $30 | 2.3× |
| Iaadiadoo not otherwise specified (87899) | $27 | $30 | 1.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $58.50 | $65 | 2.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $144 | $160 | 2.1× |
| Iadna hepatitis b virus quantification (87517) | $126 | $140 | 2.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $126 | $140 | 2.9× |
| Iadna herpes virus-6 amplified probe tq (87532) | $45 | $50 | 1.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $166.50 | $185 | 2.0× |
| Iadna human papillomavirus high-risk types (87624) | $63 | $70 | 1.8× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $121.50 | $135 | 2.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $103.50 | $115 | 2.9× |
| Iadna nos amplified probe tq each organism (87798) | $103.50 | $115 | 2.9× |
| Iadna nos quantification each organism (87799) | $243 | $270 | 5.7× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $427.50 | $475 | 2.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $153 | $170 | 4.4× |
| If cryptosporidium antigen (87272) | $27 | $30 | 2.3× |
| If varicella-zoster antigen (87290) | $40.50 | $45 | 3.0× |
| Igg subclasses (82787) | $27 | $30 | 3.4× |
| Immunfix e-phorsis/urine/csf (86335) | $171 | $190 | 5.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $45 | $50 | 3.0× |
| Immunoassay nonantibody (83516) | $36 | $40 | 3.1× |
| Immunofixj Electrophoresis Serum (86334) | $92.25 | $102.50 | 4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $522 | $580 | 3.4× |
| Immunoglobulin assay (86023) | $40.50 | $45 | 3.3× |
| Immunoglobulin light chains free each (83521) | $40.50 | $45 | 2.3× |
| Immunohisto Antibody Slide (88344) | $535.50 | $595 | 1.6× |
| Immunohistochemistry (88342) | $265.50 | $295 | 1.7× |
| In situ hybridization ea multiplex probe stain (88366) | $535.50 | $595 | 3.5× |
| India ink prep (87210) | $13.50 | $15 | 2.3× |
| Influenza a/b ag eia (87400) | $27 | $30 | 1.9× |
| Influenza DNA amp probe (87502) | $144 | $160 | 1.5× |
| Inhibin a (86336) | $49.50 | $55 | 3.2× |
| Inhibin b (83520) | $40.50 | $45 | 2.3× |
| Insitu hybridization (fish) (88365) | $175.50 | $195 | 1.1× |
| Insitu hybridization auto (88367) | $328.50 | $365 | 1.0× |
| Insitu hybridization manual (88368) | $283.50 | $315 | 0.9× |
| Insulin antibodies (86337) | $63 | $70 | 2.9× |
| Insulin free (83527) | $27 | $30 | 2.1× |
| Insulin total (83525) | $36 | $40 | 3.1× |
| Intraop cyto path consult 1 (88333) | $1,206 | $1,340 | 1.6× |
| Iron (83540) | $22.50 | $25 | 3.5× |
| Iron binding capacity (83550) | $27 | $30 | 3.1× |
| Islet cell antibody (86341) | $63 | $70 | 2.7× |
| Jak2 gene analysis (81270) | $171 | $190 | 1.9× |
| Koh Prep (87220) | $13.50 | $15 | 3.2× |
| Kras gene addl variants (81276) | $445.50 | $495 | 2.3× |
| L/s ratio, fetal lung (83661) | $94.50 | $105 | 4.3× |
| Lactic acid (83605) | $31.50 | $35 | 2.7× |
| Ldh (83615) | $18 | $20 | 3.0× |
| Ldh isoenzymes (83625) | $40.50 | $45 | 3.2× |
| LDL cholesterol direct (83721) | $31.50 | $35 | 3.0× |
| Lead (83655) | $36 | $40 | 3.0× |
| Legionella antibody (86713) | $45 | $50 | 2.9× |
| Legionella antigen urine (87449) | $67.50 | $75 | 5.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $22.50 | $25 | 5.3× |
| Level ii surg pathology grossµscopic exam (88302) | $103.50 | $115 | 3.0× |
| Level v surg pathology grossµscopic exam (88307) | $333 | $370 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $1,206 | $1,340 | 1.6× |
| Lh (83002) | $54 | $60 | 2.9× |
| Lidocaine level (80176) | $31.50 | $35 | 2.1× |
| Lipase (83690) | $18 | $20 | 2.6× |
| Lipopro bld electrophoretic (83700) | $27 | $30 | 2.4× |
| Lipoprotein Bld Hr Fraction (83701) | $49.50 | $55 | 1.5× |
| Listeria ab (86609) | $63 | $70 | 4.9× |
| Lithium (80178) | $22.50 | $25 | 3.4× |
| Lyme disease antibody (86618) | $49.50 | $55 | 2.9× |
| Lyme disease antibody confirm (86617) | $45 | $50 | 2.9× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $328.50 | $365 | 2.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $283.50 | $315 | 1.8× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $535.50 | $595 | 1.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $265.50 | $295 | 1.7× |
| Magnesium (83735) | $22.50 | $25 | 3.4× |
| Malaria smear (87207) | $18 | $20 | 3.0× |
| Manual reticulocyte count (85044) | $13.50 | $15 | 3.1× |
| Mass spectrometry qual/quan (83789) | $297 | $330 | 12.3× |
| Mcg chrom insitu 3-5 (88272) | $94.50 | $105 | 2.3× |
| Mcg interphase insitu 25 (88274) | $103.50 | $115 | 2.4× |
| Mercury (83825) | $51.75 | $57.50 | 3.2× |
| Methotrexate (80299) | $54 | $60 | 2.9× |
| Methylmalonic acid serum (83921) | $49.50 | $55 | 2.3× |
| Microalbumin urine (82043) | $18 | $20 | 3.1× |
| Microsatellite instability (81301) | $607.50 | $675 | 1.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $121.50 | $135 | 2.6× |
| Microsomal antibodies (86376) | $45 | $50 | 3.1× |
| Mitochondrial antibody each (86381) | $40.50 | $45 | 1.6× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $220.50 | $245 | 4.3× |
| Molecular pathology procedure level 2 (81401) | $639 | $710 | 4.7× |
| Mthfr Gene Analysis Common Variants (81291) | $81 | $90 | 1.2× |
| Muramidase (85549) | $36 | $40 | 1.9× |
| Mycoplasma antibody (86738) | $40.50 | $45 | 3.1× |
| Mycoplasma culture (87109) | $33.75 | $37.50 | 2.2× |
| Myelin basic protein csf (83873) | $54 | $60 | 3.1× |
| Myoglobin urine (83874) | $40.50 | $45 | 3.1× |
| N.gonorrhoeae, DNA, dir prob (87590) | $58.50 | $65 | 2.2× |
| Nasal smear for eosinophils (89190) | $22.50 | $25 | 3.9× |
| Natriuretic peptide (83880) | $81 | $90 | 2.1× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $76.50 | $85 | 2.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $945 | $1,050 | 1.9× |
| Niacin (84591) | $83.25 | $92.50 | 4.9× |
| Nras gene variants exon 2&3 (81311) | $657 | $730 | 2.2× |
| Nuclear antigen antibody (86235) | $54 | $60 | 3.0× |
| Obstetric panel (80081) | $94.50 | $105 | 1.3× |
| Occult blood stool (82272) | $13.50 | $15 | 3.2× |
| Oligoclonal bands (83916) | $65.25 | $72.50 | 2.4× |
| Organic Acids Qual Each (83919) | $67.50 | $75 | 4.1× |
| Organic Acids Total Quantitative Each Specimen (83918) | $180 | $200 | 7.6× |
| Orthopoxvirus Amp Prb Each (87593) | $67.50 | $75 | 1.3× |
| Osmolality serum (83930) | $22.50 | $25 | 3.4× |
| Osmolality urine (83935) | $22.50 | $25 | 3.3× |
| Ova and parasite direct-id lca (87177) | $27 | $30 | 3.0× |
| Oxalate urine (83945) | $33.75 | $37.50 | 2.3× |
| Pancreatic polypeptide (83519) | $40.50 | $45 | 2.2× |
| Particle Agglutination Screen Each Antibody (86403) | $31.50 | $35 | 2.7× |
| Parvovirus antibody (86747) | $45 | $50 | 3.0× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $47.25 | $52.50 | 0.7× |
| Phenytoin free (80186) | $40.50 | $45 | 2.9× |
| Phosphatase alkaline (84075) | $18 | $20 | 3.5× |
| Phospholipid Neutralization Hexagonal (85598) | $36 | $40 | 2.0× |
| Phosphorus blood (84100) | $13.50 | $15 | 2.8× |
| Phosphorus urine (84105) | $13.50 | $15 | 2.3× |
| Platelet aggregation (85576) | $45 | $50 | 1.8× |
| Platelet count (85049) | $13.50 | $15 | 3.0× |
| Pml/raralpha com breakpoints (81315) | $382.50 | $425 | 1.8× |
| Porphyrins qn & fraction urine (84120) | $36 | $40 | 2.4× |
| Potassium (84132) | $13.50 | $15 | 2.8× |
| Potassium urine (84133) | $11.25 | $12.50 | 2.4× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $333 | $370 | 2.1× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $274.50 | $305 | 1.8× |
| Primidone (80188) | $49.50 | $55 | 3.0× |
| Procainamide napa (80192) | $49.50 | $55 | 3.0× |
| Procalcitonin (pct) (84145) | $49.50 | $55 | 1.8× |
| Progesterone (84144) | $63 | $70 | 3.0× |
| Prolactin (84146) | $45 | $50 | 2.3× |
| Protein body fluid (84157) | $13.50 | $15 | 3.4× |
| Protein c activity (85303) | $90 | $100 | 6.5× |
| Protein c antigen (85302) | $36 | $40 | 3.0× |
| Protein electrophoresis serum (84165) | $47.25 | $52.50 | 4.4× |
| Protein Electrophoresis Urine (84166) | $108 | $120 | 6.1× |
| Protein S Functional (85306) | $47.25 | $52.50 | 3.1× |
| Protein s total (85305) | $36 | $40 | 3.1× |
| Protein Total Serum (84155) | $13.50 | $15 | 3.7× |
| Protein urine (84156) | $31.50 | $35 | 8.6× |
| Prothrombin time substitution (85611) | $13.50 | $15 | 3.4× |
| PSA free (84154) | $54 | $60 | 2.9× |
| Quantiferon tb gold (86480) | $121.50 | $135 | 2.0× |
| Quinidine (80194) | $45 | $50 | 3.1× |
| Rbc antibody elution (86860) | $256.50 | $285 | 1.7× |
| Rbc pretx incubatj w/chemicl (86970) | $103.50 | $115 | 1.9× |
| Rbc serum pretx incubj drugs (86975) | $441 | $490 | 1.1× |
| Reducing substances, stool (84376) | $13.50 | $15 | 2.5× |
| Renin activity plasma (84244) | $67.50 | $75 | 3.1× |
| Resp virus 3-5 targets (87631) | $315 | $350 | 2.2× |
| Respiratory Virus (86756) | $40.50 | $45 | 2.5× |
| Rheumatoid Factor Qual (86430) | $18 | $20 | 2.9× |
| Rheumatoid factor quant (86431) | $54 | $60 | 9.5× |
| Rickettsia antibody (86757) | $58.50 | $65 | 3.0× |
| Rotavirus (86759) | $40.50 | $45 | 2.2× |
| Rpr Titer (86593) | $13.50 | $15 | 3.1× |
| Rsv (87807) | $22.50 | $25 | 1.7× |
| Rubella antibody (86762) | $45 | $50 | 3.1× |
| Russell viper venom time diluted (85613) | $18 | $20 | 1.9× |
| Salicylate (80179) | $31.50 | $35 | 1.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $137.25 | $152.50 | 2.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $76.50 | $85 | 1.8× |
| Sars-cov-2 covid19 w/optic (87811) | $36 | $40 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $256.50 | $285 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $256.50 | $285 | 1.8× |
| Sed rate automated (85652) | $9 | $10 | 3.3× |
| Sensitivity mic (87186) | $18 | $20 | 2.1× |
| Serotonin Release Assay (86022) | $54 | $60 | 2.9× |
| Sex hormone binding globulin (84270) | $81 | $90 | 3.7× |
| Sickle cell screen (85660) | $18 | $20 | 3.3× |
| Sirolimus (rapamycin) (80195) | $27 | $30 | 2.0× |
| Smear acid fast (87206) | $18 | $20 | 3.3× |
| Smear complex stain (87209) | $36 | $40 | 2.0× |
| Smear gram stain (87205) | $13.50 | $15 | 3.2× |
| Sodium (84295) | $13.50 | $15 | 2.8× |
| Sodium urine (84300) | $15.75 | $17.50 | 3.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $103.50 | $115 | 0.9× |
| Special stains group 1 (88312) | $121.50 | $135 | 2.6× |
| Spectrophotometry (84311) | $36 | $40 | 4.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $261 | $290 | 1.7× |
| Stool Cultr Aerobic Bact Ea (87046) | $31.50 | $35 | 3.3× |
| Strep a assay w/optic (87880) | $27 | $30 | 1.6× |
| Strep b DNA amp probe (87653) | $67.50 | $75 | 1.9× |
| Sulfate urine (84392) | $13.50 | $15 | 2.5× |
| Surg path level iii (88304) | $126 | $140 | 2.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $49.50 | $55 | 1.9× |
| Surgical pathology level IV (88305) | $72 | $80 | 1.5× |
| Susceptibility study antimicrobial disk method (87184) | $22.50 | $25 | 3.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $117 | $130 | 2.5× |
| T3 free (84481) | $49.50 | $55 | 2.9× |
| T3 reverse (84482) | $49.50 | $55 | 3.1× |
| T3 total (84480) | $45 | $50 | 3.2× |
| T3 uptake (84479) | $22.50 | $25 | 3.5× |
| T4 Free (84439) | $27 | $30 | 3.0× |
| T4 total (84436) | $22.50 | $25 | 3.3× |
| T4-neonatal (84437) | $22.50 | $25 | 3.5× |
| Tb ag response t-cell susp (86481) | $135 | $150 | 1.4× |
| Tb intradermal test (86580) | $15.30 | $17 | 0.6× |
| Test for acetone/ketones (82009) | $13.50 | $15 | 3.0× |
| Testosterone free (84402) | $76.50 | $85 | 3.0× |
| Testosterone total (84403) | $76.50 | $85 | 3.0× |
| Theophylline (80198) | $45 | $50 | 3.2× |
| Thrombin time plasma (85670) | $22.50 | $25 | 3.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $22.50 | $25 | 3.5× |
| Thyroglobulin (84432) | $49.50 | $55 | 3.1× |
| Thyroglobulin Ab (86800) | $49.50 | $55 | 3.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $99 | $110 | 1.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $58.50 | $65 | 5.1× |
| Tissue culture bone marrow (88237) | $238.50 | $265 | 1.7× |
| Tissue Culture Lymphocyte (88230) | $301.50 | $335 | 2.6× |
| Tobramycin peak (80200) | $49.50 | $55 | 3.1× |
| Topiramate (80201) | $36 | $40 | 3.0× |
| Touch prep (88161) | $72 | $80 | 2.7× |
| Toxoplasma ab igm (86778) | $45 | $50 | 3.1× |
| Toxoplasma antibody igg (86777) | $45 | $50 | 3.1× |
| Transferrin (84466) | $40.50 | $45 | 3.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $463.50 | $515 | 2.2× |
| Trg gene rearrangement analysis (81342) | $463.50 | $515 | 2.3× |
| Triglycerides (84478) | $18 | $20 | 3.1× |
| Troponin (84484) | $22.50 | $25 | 1.8× |
| Urea nitrogen (84520) | $18 | $20 | 4.6× |
| Urea nitrogen urine (84540) | $18 | $20 | 3.2× |
| Uric acid blood (84550) | $13.50 | $15 | 3.0× |
| Uric acid other source (84560) | $18 | $20 | 3.5× |
| Urinalysis w/microscopic (81001) | $9 | $10 | 2.8× |
| Urine microalbumin (protein) analysis (82044) | $13.50 | $15 | 2.2× |
| Urine pregnancy test (81025) | $18 | $20 | 2.1× |
| Urine volume measurement (81050) | $18 | $20 | 4.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $9 | $10 | 4.0× |
| Valproic acid level (80164) | $40.50 | $45 | 3.0× |
| Vancomycin trough (80202) | $40.50 | $45 | 3.0× |
| Varicella-zoster antibody (86787) | $40.50 | $45 | 3.1× |
| Vdrl csf (86592) | $13.50 | $15 | 3.2× |
| Virus antibody nos (86790) | $96.75 | $107.50 | 7.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $99 | $110 | 2.9× |
| Virus inoculate tissue addl (87253) | $49.50 | $55 | 2.5× |
| Vitamin A (84590) | $31.50 | $35 | 2.7× |
| Vitamin b-12 (82607) | $45 | $50 | 3.0× |
| Vitamin b-2 (riboflavin) (84252) | $40.50 | $45 | 2.0× |
| Vitamin b1 (thiamine) (84425) | $63 | $70 | 3.0× |
| Vitamin b6 (84207) | $54 | $60 | 1.9× |
| Vitamin C (82180) | $31.50 | $35 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $58.50 | $65 | 2.0× |
| Vitamin e serum (84446) | $45 | $50 | 3.2× |
| Von willebrand factor activity (85245) | $92.25 | $102.50 | 4.0× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $27 | $30 | 3.1× |
| West nile virus ab, igm (86788) | $36 | $40 | 2.1× |
| West nile virus antibody (86789) | $31.50 | $35 | 2.2× |
| Zinc (84630) | $36 | $40 | 3.2× |