Lab & pathology prices at St. Dominic Hospital
Jackson, MS · every code in this section with a posted price and a Medicare benchmark.
738 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) | $48.50 | $97 | 1.3× |
| 5 Hiaa (83497) | $58 | $116 | 4.5× |
| 5 Nucleotidase (83915) | $62.50 | $125 | 5.6× |
| Acetaminophen level (80143) | $106.50 | $213 | 5.7× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $282 | $564 | 15.3× |
| Acetylcholine receptor binding antibody (86041) | $33 | $66 | 1.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $378.75 | $757.50 | 31.4× |
| Acth stimulation panel adrenal (80400) | $111 | $222 | 3.4× |
| Actin smooth muscle antibody each (86015) | $96.50 | $193 | 8.0× |
| Activated protein c resistance (85307) | $47.50 | $95 | 3.1× |
| Acute hepatitis panel (80074) | $152 | $304 | 3.2× |
| Acylcarnitine Plasma (82017) | $360 | $720 | 21.3× |
| Adamts13 activity (85397) | $100 | $200 | 3.2× |
| Adenovirus antibody (86603) | $75.50 | $151 | 5.9× |
| Afb culture (87116) | $115.50 | $231 | 10.7× |
| Agglutinins febrile (86000) | $111.50 | $223 | 16.0× |
| Albumin Fluid (82042) | $51 | $102 | 6.6× |
| Albumin serum (82040) | $41 | $82 | 8.3× |
| Aldolase (82085) | $21.50 | $43 | 2.2× |
| Aldosterone urine (82088) | $51 | $102 | 1.3× |
| Alkaline phosphatase isoenzymes (84080) | $26.50 | $53 | 1.8× |
| Allerg sp igg quan or semiquan (86001) | $14 | $28 | 1.8× |
| Allergen specific ige (86003) | $47 | $94 | 9.0× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $11 | $22 | 1.4× |
| Allg Spec Ige Recomb Ea (86008) | $64.50 | $129 | 3.6× |
| Alpha-1-antitrypsin phenotype (82104) | $25.50 | $51 | 1.8× |
| Alpha-1-antitrypsin, total (82103) | $24.50 | $49 | 1.8× |
| Alpha-Fetoprotein L3 (82107) | $89.50 | $179 | 1.4× |
| Alpha-fetoprotein, serum (82105) | $23.50 | $47 | 1.4× |
| Alt (sgpt) (84460) | $13 | $26 | 2.5× |
| Aluminum (82108) | $31.50 | $63 | 1.2× |
| Amikacin trough (80150) | $39 | $78 | 2.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $353 | $706 | 20.9× |
| Amino Acids Quant 2-5 (82136) | $93.50 | $187 | 4.8× |
| Aminolevulinic acid (ala) (82135) | $62.50 | $125 | 3.8× |
| Ammonia (82140) | $65 | $130 | 4.5× |
| Amylase urine (82150) | $56.50 | $113 | 8.7× |
| Ana Titer (86039) | $21.50 | $43 | 1.9× |
| Angiotensin i enzyme test (82164) | $54 | $108 | 3.7× |
| Anti-phosphatidylserine antibody (86148) | $281.75 | $563.50 | 17.5× |
| Antibody Absorption (86978) | $50.50 | $101 | 0.9× |
| Antibody aspergillus (86606) | $38.50 | $77 | 2.6× |
| Antibody coxiella burnetii q fever (86638) | $63 | $126 | 5.2× |
| Antibody cytomegalovirus cmv (86644) | $153.90 | $307.80 | 10.7× |
| Antibody cytomegalovirus cmv igm (86645) | $20.50 | $41 | 1.2× |
| Antibody Encephalitis Eastern Equine (86652) | $26.50 | $53 | 2.0× |
| Antibody Encephalitis St. Louis (86653) | $26.50 | $53 | 2.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $30.55 | $61.10 | 2.3× |
| Antibody haemophilus influenza (86684) | $45.50 | $91 | 2.9× |
| Antibody helicobacter pylori (86677) | $141 | $282 | 8.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $25.50 | $51 | 1.8× |
| Antibody herpes smplx type 1 (86695) | $16.50 | $33 | 1.3× |
| Antibody HIV-2 (86702) | $103.50 | $207 | 7.7× |
| Antibody identification (86870) | $104 | $208 | 0.3× |
| Antibody influenza virus (86710) | $23 | $46 | 1.7× |
| Antibody mumps (86735) | $40 | $80 | 3.1× |
| Antibody Protozoa Nes (86753) | $55 | $110 | 4.4× |
| Antibody rubeola (86765) | $39 | $78 | 3.0× |
| Antibody screen (86850) | $155 | $310 | 15.9× |
| Antibody treponema pallidum (86780) | $17.86 | $35.72 | 1.3× |
| Antibody; campylobacter (86625) | $83 | $166 | 6.3× |
| Antibody; Coccidioides (86635) | $19.25 | $38.50 | 1.7× |
| Antigen typing (86905) | $275.50 | $551 | 71.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $131.50 | $263 | 25.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $31 | $62 | 2.6× |
| Antinuclear antibodies (86038) | $27 | $54 | 2.2× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $46 | $92 | 8.0× |
| Antistreptolysin o titer (86060) | $61 | $122 | 8.4× |
| Antithrombin iii activity (85300) | $116 | $232 | 9.8× |
| Antithrombin iii antigen (85301) | $33.50 | $67 | 3.1× |
| Aortic dysfunction/dilation genomic seq analysis (81410) | $2,122.50 | $4,245 | 4.2× |
| Apolipoprotein b (82172) | $75.50 | $151 | 3.6× |
| Aquaporin-4 Antb Elisa (86051) | $86 | $172 | 7.5× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $877.80 | $1,755.60 | 72.8× |
| Arsenic Urine (82175) | $14 | $28 | 0.7× |
| Aspergillus ag eia (87305) | $82.50 | $165 | 6.9× |
| Assay galactose transferase (82775) | $144 | $288 | 6.8× |
| Assay Nephelometry Not Spec (83883) | $66.50 | $133 | 4.9× |
| Assay of acth (82024) | $48.50 | $97 | 1.3× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $86 | $172 | 5.0× |
| Assay of androstenedione (82157) | $42.50 | $85 | 1.5× |
| Assay of anti-mullerian hormone (82166) | $249 | $498 | 6.4× |
| Assay of blood chloride (82435) | $42 | $84 | 9.1× |
| Assay of c-peptide (84681) | $27 | $54 | 1.3× |
| Assay of calcitonin (82308) | $34 | $68 | 1.3× |
| Assay of ceruloplasmin (82390) | $31.50 | $63 | 2.9× |
| Assay of cyclosporine (80158) | $26.50 | $53 | 1.5× |
| Assay of erythropoietin (82668) | $24.50 | $49 | 1.3× |
| Assay of ferritin (82728) | $72 | $144 | 5.3× |
| Assay of g6pd enzyme (82955) | $54 | $108 | 5.6× |
| Assay of gammaglobulin igm (82784) | $77 | $154 | 8.3× |
| Assay of gastrin (82941) | $23.50 | $47 | 1.3× |
| Assay of gentamicin (80170) | $103.50 | $207 | 6.3× |
| Assay of glucagon (82943) | $34.50 | $69 | 2.4× |
| Assay of homocystine (83090) | $31 | $62 | 1.7× |
| Assay of lipoprotein(a) (83695) | $26.50 | $53 | 1.9× |
| Assay of manganese (83785) | $56 | $112 | 2.1× |
| Assay of metanephrines (83835) | $29 | $58 | 1.7× |
| Assay of osteocalcin (83937) | $42.50 | $85 | 1.4× |
| Assay of parathormone (83970) | $58.50 | $117 | 1.4× |
| Assay of phenobarbital (80184) | $101 | $202 | 6.6× |
| Assay of prealbumin (84134) | $30.50 | $61 | 2.1× |
| Assay of procainamide (80190) | $22 | $44 | 0.4× |
| Assay of proinsulin (84206) | $65 | $130 | 2.4× |
| Assay of pyruvate (84210) | $35 | $70 | 2.4× |
| Assay of selenium (84255) | $43.50 | $87 | 1.7× |
| Assay of serotonin (84260) | $38 | $76 | 1.2× |
| Assay of somatomedin (84305) | $24.50 | $49 | 1.2× |
| Assay of tacrolimus (80197) | $127.25 | $254.50 | 9.3× |
| Assay of urine vma (84585) | $30.50 | $61 | 2.0× |
| Assay of vitamin k (84597) | $100.50 | $201 | 7.3× |
| Assay of volatiles (84600) | $53 | $106 | 3.1× |
| Assay Ph Body Fluid Nos (83986) | $35 | $70 | 9.8× |
| Ast (sgot) (84450) | $34.75 | $69.50 | 6.7× |
| Autologous Blood Process (86890) | $294 | $588 | 1.9× |
| B cells total count (86355) | $162.50 | $325 | 4.3× |
| Bartonella antibody (86611) | $32 | $64 | 3.1× |
| Bartonella DNA amp probe (87471) | $188.50 | $377 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $394.50 | $789 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $394.50 | $789 | 2.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $216.06 | $432.12 | 8.5× |
| Beta hydroxybutyrate (82010) | $46 | $92 | 5.6× |
| Beta Lactamase (87185) | $14.50 | $29 | 3.1× |
| Beta-2 microglobulin (82232) | $19.50 | $39 | 1.2× |
| Bile acids, total (82239) | $48.50 | $97 | 2.8× |
| Bilirubin direct (82248) | $45.50 | $91 | 9.1× |
| Bilirubin total (82247) | $23.25 | $46.50 | 4.6× |
| Bilirubin total transcutaneous (88720) | $7.50 | $15 | 1.5× |
| Biotinidase ea specimen (82261) | $30.50 | $61 | 1.8× |
| Bl Smear W/Diff Wbc Count (85007) | $49.25 | $98.50 | 13.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $18.50 | $37 | 5.4× |
| Blastomyces antibody (86612) | $17 | $34 | 1.3× |
| Blood count reticulocyte automated (85045) | $51.50 | $103 | 12.9× |
| Blood gases (82803) | $149.50 | $299 | 5.7× |
| Blood gases w/02 saturation (82805) | $149.50 | $299 | 1.9× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $75 | $150 | 7.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $49 | $98 | 11.2× |
| Blood Ph - Ph Venous (82800) | $37.50 | $75 | 3.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $275.50 | $551 | 43.4× |
| Blood typing abo (86900) | $81.50 | $163 | 27.3× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $61.50 | $123 | 3.8× |
| Blood typing serologic rh (d) (86901) | $43 | $86 | 14.4× |
| Blood typing serologic rh phenotyping complete (86906) | $27.50 | $55 | 3.5× |
| Body fluid cell count (89051) | $57.92 | $115.82 | 10.3× |
| Body fluid cell count (89050) | $104 | $208 | 22.0× |
| Bone Marrow Smear Interpretation (85097) | $588 | $1,176 | 0.8× |
| Bordetella antibody (86615) | $102.50 | $205 | 7.8× |
| Braf gene (81210) | $148.50 | $297 | 0.8× |
| Brucella antibody (86622) | $47.86 | $95.72 | 5.4× |
| C diff amplified probe (87493) | $107 | $214 | 2.9× |
| C-reactive protein (86140) | $41.50 | $83 | 8.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $38 | $76 | 2.9× |
| C1q binding assay (86332) | $69 | $138 | 2.8× |
| Ca 125 (86304) | $156.50 | $313 | 7.5× |
| Ca 19-9 (86301) | $27.50 | $55 | 1.3× |
| Ca 27 29 (86300) | $23 | $46 | 1.1× |
| Cadmium level (82300) | $16 | $32 | 0.7× |
| Calcium ionized (82330) | $110.50 | $221 | 8.1× |
| Calcium total (82310) | $41.50 | $83 | 8.0× |
| Calcium urine (82340) | $63 | $126 | 10.4× |
| Calculus Spectroscopy (82365) | $31.50 | $63 | 2.4× |
| California encephalitis ab (86651) | $26.50 | $53 | 2.0× |
| Calprotectin, fecal (83993) | $179 | $358 | 9.1× |
| Calr gene com variants (81219) | $312.75 | $625.50 | 2.6× |
| Carb deficient transferrin (82373) | $217 | $434 | 12.0× |
| Carbamazepine (tegretol) total (80156) | $100.50 | $201 | 6.9× |
| Carbon dioxide (82374) | $68 | $136 | 13.9× |
| Carboxyhemoglobin Quantitative (82375) | $41 | $82 | 3.3× |
| Carcinoembryonic antigen (82378) | $170 | $340 | 9.0× |
| Cardiolipin ab igg (86147) | $31.50 | $63 | 1.2× |
| Carnitine (82379) | $68.50 | $137 | 4.1× |
| Carotene (82380) | $27 | $54 | 2.9× |
| Catecholamines fraction plasma (82384) | $34 | $68 | 1.3× |
| Cd4 absolute count (86361) | $108 | $216 | 4.0× |
| Cell Cryopreserve/Storage (88240) | $24.50 | $49 | 1.9× |
| Cftr gene com variants (81220) | $118 | $236 | 0.2× |
| Chemiluminescent assay (82397) | $69 | $138 | 4.9× |
| Chlamydia antibody (86631) | $39.50 | $79 | 3.3× |
| Chlamydia Igm Antibody (86632) | $39 | $78 | 3.1× |
| Chloride other source (82438) | $45 | $90 | 9.0× |
| Chloride urine (82436) | $19.50 | $39 | 3.4× |
| Chlorinated hydrocarbons screen (82441) | $104.50 | $209 | 17.4× |
| Cholesterol total (82465) | $36.75 | $73.50 | 8.4× |
| Cholinesterase rbc (82482) | $25.50 | $51 | 2.6× |
| Cholinesterase serum (82480) | $30 | $60 | 3.8× |
| Chrmsm analysis addl cells counted each study (88285) | $188.53 | $377.05 | 7.0× |
| Chromium urine (82495) | $35.50 | $71 | 1.8× |
| Chromogenic substrate assay (85130) | $181.50 | $363 | 15.3× |
| Chromogranin a (86316) | $51 | $102 | 2.5× |
| Chromosome analysis 20-25 cells (88264) | $160 | $320 | 1.1× |
| Chromosome Analysis 5 (88261) | $202 | $404 | 0.8× |
| Chromosome karyotype study (88280) | $33.50 | $67 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $42.50 | $85 | 1.2× |
| Citrate (82507) | $34 | $68 | 1.2× |
| Ck isoenzymes (82552) | $19.50 | $39 | 1.5× |
| Ckmb (82553) | $51 | $102 | 4.4× |
| Clot factor viii vw antigen (85246) | $27.50 | $55 | 1.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $66 | $132 | 3.7× |
| Clot factor xiii fibrin stab (85290) | $107 | $214 | 6.5× |
| Clozapine level (80159) | $137.50 | $275 | 6.8× |
| Cmv PCR (87496) | $90 | $180 | 2.6× |
| Cns DNA amp probe type 12-25 (87483) | $366 | $732 | 0.9× |
| Coagulation time activated (85347) | $23.50 | $47 | 5.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $69 | $138 | 2.9× |
| Cold agglutinin titer (86157) | $84 | $168 | 10.4× |
| Collagen cross links (82523) | $31.50 | $63 | 1.7× |
| Comparative anal str markers patient&comp spec (81265) | $338.50 | $677 | 1.5× |
| Compatibility test antiglob (86922) | $155 | $310 | 1.0× |
| Complement c3 (86160) | $99 | $198 | 8.3× |
| Complement total ch50 (86162) | $10 | $20 | 0.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $20.50 | $41 | 1.7× |
| Comprehensive review of data (88325) | $202.50 | $405 | 1.3× |
| Concentration Infectious Agent (87015) | $24 | $48 | 3.6× |
| Coombs direct (86880) | $28 | $56 | 5.2× |
| Coombs Test Indirect Qual (86885) | $155 | $310 | 27.1× |
| Copper urine (82525) | $19 | $38 | 1.5× |
| Cortisol free (82530) | $111.50 | $223 | 6.7× |
| Cortisol total (82533) | $17.85 | $35.70 | 1.1× |
| Creatine kinase total (82550) | $49.50 | $99 | 7.6× |
| Creatinine blood (82565) | $25.50 | $51 | 5.0× |
| Creatinine clearance (82575) | $89 | $178 | 9.4× |
| Creatinine other source (82570) | $52.50 | $105 | 10.1× |
| Crossmatch immediate spin (86920) | $155 | $310 | 1.0× |
| Cryoglobulin (82595) | $59 | $118 | 9.1× |
| Cryptococcus antibody (86641) | $49 | $98 | 3.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $66.50 | $133 | 8.2× |
| Culture Aerobic Identify (87077) | $62 | $124 | 7.7× |
| Culture anaerobic (87075) | $117 | $234 | 12.4× |
| Culture blood (87040) | $124.50 | $249 | 12.1× |
| Culture chlamydia (87110) | $72.50 | $145 | 3.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $56 | $112 | 7.3× |
| Culture fungus blood (87103) | $71 | $142 | 3.5× |
| Culture fungus id yeast (87106) | $77.50 | $155 | 7.5× |
| Culture fungus other (87102) | $89.25 | $178.50 | 10.6× |
| Culture genital (87070) | $67.75 | $135.50 | 7.9× |
| Culture screen only (87081) | $44.50 | $89 | 6.7× |
| Culture stool (87045) | $116 | $232 | 12.3× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $282 | $564 | 1.3× |
| Culture typing if ea antiserum (87140) | $23.50 | $47 | 4.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14.50 | $29 | 2.8× |
| Culture urine (87086) | $66 | $132 | 8.2× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $137.50 | $275 | 1.2× |
| Cyanide (82600) | $82 | $164 | 4.2× |
| Cyclic Citrullinated Peptide (86200) | $27 | $54 | 2.1× |
| Cystatin c (82610) | $88.50 | $177 | 4.8× |
| Cytogenetics DNA probe (88271) | $75 | $150 | 3.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,472.50 | $2,945 | 1.3× |
| Cytogenomic neoplasia microarray analysis (81277) | $1,731.43 | $3,462.85 | 1.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $63.50 | $127 | 1.5× |
| Cytopath cell enhance tech (88112) | $200 | $400 | 4.3× |
| Cytopath Smear Other Source (88160) | $91 | $182 | 3.5× |
| Cytopath,cerv/vag,auto thin layer,interp (88174) | $61.50 | $123 | 2.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $66 | $132 | 2.5× |
| Cytp concentration smears & interpretation (88108) | $107 | $214 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $245 | $490 | 5.2× |
| D-Dimer (85379) | $72.50 | $145 | 7.1× |
| Deoxyribonuclease antibody (86215) | $110.50 | $221 | 8.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $35.50 | $71 | 2.1× |
| Detect agnt mult DNA ampli (87801) | $227.50 | $455 | 3.2× |
| Dhea (82626) | $31.50 | $63 | 1.2× |
| Dhea sulfate (82627) | $28 | $56 | 1.3× |
| Digoxin (80162) | $86 | $172 | 6.5× |
| Dilantin (80185) | $107 | $214 | 8.1× |
| Dipropylacetic acid free (80165) | $27.50 | $55 | 2.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $24 | $48 | 1.7× |
| Dna/Rna Amplified Probe (87150) | $107.50 | $215 | 3.1× |
| Drug Assay Infliximab (80230) | $179 | $358 | 4.6× |
| Drug Assay Lacosamide (80235) | $112.50 | $225 | 4.1× |
| Drug assay vedolizumab (80280) | $188 | $376 | 4.9× |
| Drug assay voriconazole (80285) | $165.50 | $331 | 6.1× |
| Drug Screen Quant Gabapentin (80171) | $39 | $78 | 1.8× |
| Drug screen quant zonisamide (80203) | $63 | $126 | 4.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $31.50 | $63 | 2.4× |
| Drug Scrn Quan Levetiracetam (80177) | $38 | $76 | 2.9× |
| Drug scrn quant oxcarbazepin (80183) | $33.50 | $67 | 2.5× |
| Drug test prsmv chem anlyzr (80307) | $139 | $278 | 2.2× |
| Ebv viral capsid (86665) | $21.50 | $43 | 1.2× |
| Echinococcus ab igg (86682) | $110.50 | $221 | 8.5× |
| Egfr Gene Analysis Common Variants (81235) | $1,073 | $2,146 | 3.3× |
| Ehrlichia antibody (86666) | $26.50 | $53 | 2.6× |
| Elastase pancreatic fecal quantitative (82653) | $138 | $276 | 6.0× |
| Electrolyte panel (80051) | $80.50 | $161 | 11.5× |
| Electron microscopy diagnostic (88348) | $475.50 | $951 | 0.7× |
| Electronic crossmatch (86923) | $155 | $310 | 1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $373 | $746 | 6.1× |
| Encephalitis Western Equine (86654) | $26.50 | $53 | 2.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $38 | $76 | 3.1× |
| Endomysial antibody iga (86255) | $73.50 | $147 | 6.1× |
| Enterovirus antibody (86658) | $45.50 | $91 | 3.5× |
| Enterovirus Pcr (87498) | $99 | $198 | 2.8× |
| Enzyme cell activity (82657) | $251.50 | $503 | 11.3× |
| Enzyme histochemistry (88319) | $58.50 | $117 | 0.1× |
| Eosinophil count (85048) | $44 | $88 | 17.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $20.50 | $41 | 1.3× |
| Estradiol (82670) | $34.50 | $69 | 1.2× |
| Estriol (82677) | $40 | $80 | 1.7× |
| Estrogen fractionated (82671) | $34 | $68 | 1.1× |
| Estrone (82679) | $34 | $68 | 1.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $87 | $174 | 0.9× |
| Everolimus (80169) | $233.50 | $467 | 17.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $86 | $172 | 11.7× |
| F2 gene analysis 20210g >a variant (81240) | $177.50 | $355 | 2.7× |
| F5 gene (81241) | $66.50 | $133 | 0.9× |
| Factor ii activity (85210) | $55 | $110 | 4.2× |
| Factor inhibitor test (85335) | $198 | $396 | 15.4× |
| Factor ix activity (85250) | $62 | $124 | 3.3× |
| Factor v activity (85220) | $55.50 | $111 | 3.1× |
| Factor vii assay (85230) | $51.50 | $103 | 2.9× |
| Factor viii ahg (85240) | $52.50 | $105 | 2.9× |
| Factor viii vw multimetric (85247) | $49.50 | $99 | 2.2× |
| Factor xi assay (85270) | $39 | $78 | 2.2× |
| Factor xii assay (85280) | $70 | $140 | 3.6× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $67.50 | $135 | 8.8× |
| Fecal fat qual (82705) | $35.50 | $71 | 7.0× |
| Fecal fat quant (82710) | $49 | $98 | 2.9× |
| Fetal bleed screen (85461) | $40 | $80 | 4.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $145 | $290 | 2.7× |
| Fetal fibronectin (82731) | $176 | $352 | 2.7× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $29.50 | $59 | 0.4× |
| Fibrin degradation products (85362) | $82 | $164 | 11.9× |
| Fibrinogen activity (85384) | $45.50 | $91 | 4.7× |
| Fibrinogen antigen (85385) | $84.50 | $169 | 5.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $18.50 | $37 | 1.2× |
| Fibrinolytic Plasminogen (85415) | $97 | $194 | 5.6× |
| Flow cytometry first marker (88184) | $282 | $564 | 0.9× |
| Flt3 gene analysis (81245) | $157.50 | $315 | 1.0× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) | $117.50 | $235 | 1.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $173 | $346 | 14.4× |
| Folate serum (82746) | $92 | $184 | 6.3× |
| Folic acid rbc (82747) | $32 | $64 | 1.8× |
| Follicle Stimulating Hormone (83001) | $27.50 | $55 | 1.5× |
| Fresh frozen plasma thawing each unit (86927) | $37.50 | $75 | 0.2× |
| Frozen Section (88331) | $158.50 | $317 | 1.0× |
| Fructosamine (82985) | $24 | $48 | 1.4× |
| Ftl cgen abnor four anal (81511) | $140.50 | $281 | 0.9× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $49.50 | $99 | 4.8× |
| G6pd gene alys cmn variant (81247) | $2,103.50 | $4,207 | 12.0× |
| G6pd Screen (82960) | $16 | $32 | 2.6× |
| Galactose (82760) | $23.50 | $47 | 2.1× |
| Galactose transferase test (82776) | $12.50 | $25 | 1.1× |
| Gammaglobulin ige (82785) | $10.50 | $21 | 0.6× |
| Gardner vag DNA dir probe (87510) | $27 | $54 | 1.3× |
| Gastric Occult Blood (82271) | $53 | $106 | 10.0× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,449 | $2,898 | 1.9× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,960 | $3,920 | 0.7× |
| Ggt (82977) | $47 | $94 | 6.5× |
| Giardia ag by if (87269) | $45.50 | $91 | 3.3× |
| Gliadin antibody each immunoglobulin class (86258) | $14 | $28 | 1.2× |
| Glucose (82947) | $51 | $102 | 13.0× |
| Glucose Blood Test (82962) | $30 | $60 | 9.1× |
| Glucose body fluid (82945) | $48.50 | $97 | 12.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $114.50 | $229 | 8.9× |
| Growth hormone (83003) | $26.50 | $53 | 1.6× |
| H pylri clrthmcn rst amp prb (87513) | $118 | $236 | 3.4× |
| Haloperidol (haldol) (80173) | $37.50 | $75 | 2.4× |
| Haptoglobin (83010) | $61.50 | $123 | 4.9× |
| Hba1/hba2 gene (81257) | $427.62 | $855.24 | 4.2× |
| Hba1/hba2 gene dup/del vrnts (81269) | $328.50 | $657 | 1.6× |
| Hcg qualitative (84703) | $58.50 | $117 | 7.8× |
| Hcg quant (84702) | $26.50 | $53 | 1.8× |
| Hdl Cholesterol (83718) | $65.50 | $131 | 8.0× |
| Heavy metal quant each (83018) | $211.50 | $423 | 9.6× |
| Hematocrit (85014) | $72.50 | $145 | 30.6× |
| Hemoglobin (85018) | $42 | $84 | 17.7× |
| Hemoglobin a1c (83036) | $23 | $46 | 2.4× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $76 | $152 | 4.2× |
| Hemoglobin electrophoresis (83020) | $19.95 | $39.90 | 1.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $69.50 | $139 | 9.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $57.50 | $115 | 7.0× |
| Hemoglobin plasma (83051) | $25.50 | $51 | 3.5× |
| Hemoglobin stability screen (83068) | $56.50 | $113 | 6.0× |
| Hemoglobin-oxygen affinity (82820) | $26.50 | $53 | 2.0× |
| Hemolysins And Agglutinins Incubated (86941) | $73 | $146 | 6.0× |
| Hemosiderin urine (83070) | $24.50 | $49 | 5.2× |
| Heparin assay (85520) | $70.42 | $140.82 | 5.4× |
| Hepatitis a antibody total (86708) | $17 | $34 | 1.4× |
| Hepatitis a igm (86709) | $66.50 | $133 | 5.9× |
| Hepatitis b core ab igm (86705) | $80 | $160 | 6.8× |
| Hepatitis b core antibody total (86704) | $26.50 | $53 | 2.2× |
| Hepatitis B Surface Ab (86706) | $21.50 | $43 | 2.0× |
| Hepatitis B Surface Antigen (87340) | $95.50 | $191 | 9.2× |
| Hepatitis be antibody (86707) | $24 | $48 | 2.1× |
| Hepatitis Be Antigen (87350) | $23 | $46 | 2.0× |
| Hepatitis c antibody (86803) | $96.50 | $193 | 6.8× |
| Hepatitis C Genotype (87902) | $66 | $132 | 0.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,916 | $3,832 | 3.3× |
| Herpes culture (87252) | $59 | $118 | 2.3× |
| Herpes simplex type 2 (86696) | $27.50 | $55 | 1.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $50.50 | $101 | 9.7× |
| Hfe gene (81256) | $125.50 | $251 | 1.9× |
| Hgb quant transcut carboxyhem (88740) | $83 | $166 | 8.9× |
| Histamine plasma (83088) | $107 | $214 | 3.6× |
| Histoplasma antibody (86698) | $27 | $54 | 2.0× |
| Histoplasma antigen urine (87385) | $151.75 | $303.50 | 11.5× |
| HIV confirmation (86689) | $148.50 | $297 | 7.7× |
| HIV-1 antibody (86701) | $49.88 | $99.75 | 5.6× |
| HIV-1 genotype (87901) | $366 | $732 | 1.4× |
| HIV-1 integrase genotype (87906) | $314 | $628 | 2.4× |
| HIV-2 probe&revrse trnscripj (87538) | $134.12 | $268.25 | 3.8× |
| Hla b 27 disease association lc (81374) | $27.50 | $55 | 0.4× |
| Hla class i typing high resolution one allele or allele group (81381) | $148 | $296 | 0.9× |
| Hla ii low resolution one antigen equivalent ea (81377) | $141.50 | $283 | 1.5× |
| Hla ii typing 1 allele hr (81383) | $141.50 | $283 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $152 | $304 | 1.2× |
| Hla ii typing ag equiv lr (81375) | $235.80 | $471.60 | 1.1× |
| Hla-b27 (86812) | $35.50 | $71 | 1.4× |
| Homogenization tissue (87176) | $13 | $26 | 2.2× |
| Hpv types 16 & 18 only (87625) | $44.50 | $89 | 1.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $84 | $168 | 1.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $71 | $142 | 2.0× |
| Htt gene analysis detect abnormal alleles (81271) | $183.50 | $367 | 1.3× |
| Human epididymis protein 4 (86305) | $156.50 | $313 | 7.5× |
| Hydroxyprogesterone 17-d (83498) | $15 | $30 | 0.6× |
| Iaad ia clostridium difficile toxin (87324) | $90 | $180 | 7.5× |
| Iaad ia cryptosporidium (87328) | $88.50 | $177 | 6.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $57.50 | $115 | 5.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $95.50 | $191 | 4.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $50 | $100 | 3.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $174.50 | $349 | 12.5× |
| Iaad ia rotavirus (87425) | $19 | $38 | 1.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $22.50 | $45 | 1.9× |
| Iaad Ia Streptococcus Group A (87430) | $50 | $100 | 3.0× |
| Iaadiadoo not otherwise specified (87899) | $82.50 | $165 | 5.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $140.63 | $281.25 | 4.0× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $46 | $92 | 1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $492 | $984 | 14.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $140.63 | $281.25 | 4.0× |
| Iadna hepatitis b virus quantification (87517) | $121 | $242 | 2.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $112.50 | $225 | 2.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $87.50 | $175 | 2.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $146 | $292 | 4.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $106 | $212 | 1.2× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $49 | $98 | 0.7× |
| Iadna human papillomavirus high-risk types (87624) | $54.50 | $109 | 1.6× |
| Iadna mtb rifampin resistance amp prb tq (87564) | $288.50 | $577 | 3.8× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $189.50 | $379 | 4.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $492 | $984 | 14.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $42.50 | $85 | 1.2× |
| Iadna nos amplified probe tq each organism (87798) | $207.14 | $414.29 | 5.9× |
| Iadna nos quantification each organism (87799) | $140 | $280 | 3.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $51 | $102 | 1.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $563.50 | $1,127 | 1.4× |
| Idh1 common variants (81120) | $318 | $636 | 1.6× |
| Idh2 common variants (81121) | $362 | $724 | 1.2× |
| If cryptosporidium antigen (87272) | $36 | $72 | 3.0× |
| Igg subclasses (82787) | $10.50 | $21 | 1.3× |
| Igvh somatic hypermutation (81263) | $429 | $858 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $32 | $64 | 1.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $26.16 | $52.32 | 1.7× |
| Immunoassay nonantibody (83516) | $63.25 | $126.50 | 5.5× |
| Immunodiffusion Ouchterlony (86331) | $15 | $30 | 1.3× |
| Immunoelectrophoresis serum (86320) | $110.50 | $221 | 3.7× |
| Immunofixj Electrophoresis Serum (86334) | $137.50 | $275 | 6.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $65.50 | $131 | 0.4× |
| Immunoglobulin assay (86023) | $69.50 | $139 | 5.6× |
| Immunoglobulin light chains free each (83521) | $62 | $124 | 3.6× |
| Immunohisto Antibody Slide (88344) | $232.80 | $465.60 | 0.7× |
| Immunohistochemistry (88342) | $138.50 | $277 | 0.9× |
| India ink prep (87210) | $59.50 | $119 | 10.2× |
| Influenza a/b ag eia (87400) | $29.50 | $59 | 2.1× |
| Influenza DNA amp probe (87502) | $206 | $412 | 2.2× |
| Inhibin a (86336) | $45 | $90 | 2.9× |
| Inhibin b (83520) | $245.75 | $491.50 | 14.2× |
| Insitu hybridization (fish) (88365) | $213.75 | $427.50 | 1.4× |
| Insitu hybridization manual (88368) | $130.50 | $261 | 0.4× |
| Insulin antibodies (86337) | $52.50 | $105 | 2.5× |
| Insulin free (83527) | $24 | $48 | 1.9× |
| Insulin total (83525) | $22 | $44 | 1.9× |
| Interleukin 6 (83529) | $139.50 | $279 | 8.1× |
| Intrinsic factor antibody (86340) | $24 | $48 | 1.6× |
| Iron (83540) | $144.25 | $288.50 | 22.3× |
| Iron binding capacity (83550) | $95.50 | $191 | 10.9× |
| Irradiation of blood product (86945) | $61.50 | $123 | 1.8× |
| Islet cell antibody (86341) | $76.75 | $153.50 | 3.3× |
| Jak2 gene analysis (81270) | $324.50 | $649 | 3.5× |
| Jak2 Targeted Sequence Analysis (81279) | $215.84 | $431.68 | 1.2× |
| Koh Prep (87220) | $30 | $60 | 7.0× |
| Kras gene addl variants (81276) | $195.50 | $391 | 1.0× |
| Kras gene analysis (81275) | $195.50 | $391 | 1.0× |
| Lactic acid (83605) | $48.92 | $97.82 | 4.2× |
| Lactoferrin fecal qualitative (83630) | $47 | $94 | 2.4× |
| Ldh (83615) | $50.50 | $101 | 8.4× |
| Ldh isoenzymes (83625) | $56.50 | $113 | 4.4× |
| LDL cholesterol direct (83721) | $24.50 | $49 | 2.3× |
| Lead (83655) | $27.50 | $55 | 2.3× |
| Legion pneumo, DNA, amp prob (87541) | $338.50 | $677 | 9.6× |
| Legionella antibody (86713) | $11 | $22 | 0.7× |
| Legionella antigen urine (87449) | $207 | $414 | 17.3× |
| Leishmania antibody (86717) | $50.50 | $101 | 4.1× |
| Leptospira antibody (86720) | $93 | $186 | 5.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $54.50 | $109 | 12.8× |
| Level ii surg pathology grossµscopic exam (88302) | $47 | $94 | 1.4× |
| Level v surg pathology grossµscopic exam (88307) | $282 | $564 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $693.50 | $1,387 | 1.0× |
| Lh (83002) | $27.50 | $55 | 1.5× |
| Lidocaine level (80176) | $31 | $62 | 2.1× |
| Lipase (83690) | $55 | $110 | 8.0× |
| Lipopro bld electrophoretic (83700) | $25.50 | $51 | 2.3× |
| Listeria ab (86609) | $75 | $150 | 5.8× |
| Lithium (80178) | $107 | $214 | 16.2× |
| Lyme disease antibody (86618) | $135.50 | $271 | 8.0× |
| Lyme disease antibody confirm (86617) | $17 | $34 | 1.1× |
| Lymph Choriomeningitis Ab (86727) | $47 | $94 | 3.7× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $300.50 | $601 | 2.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $239 | $478 | 1.6× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $286.50 | $573 | 0.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $319.50 | $639 | 2.1× |
| Magnesium (83735) | $30 | $60 | 4.5× |
| Malaria smear (87207) | $83.50 | $167 | 13.9× |
| Mass spectrometry qual/quan (83789) | $130.50 | $261 | 5.4× |
| Mcg interphase insitu 25 (88274) | $47.50 | $95 | 1.1× |
| Mercury (83825) | $21.50 | $43 | 1.3× |
| Methotrexate (80299) | $87.50 | $175 | 4.7× |
| Methylmalonic acid serum (83921) | $38 | $76 | 1.8× |
| Mgmt methylation analysis (81287) | $394.50 | $789 | 3.2× |
| Microalbumin urine (82043) | $21.50 | $43 | 3.7× |
| Microbe susceptible diffuse (87181) | $20 | $40 | 4.2× |
| Microsatellite instability (81301) | $318.50 | $637 | 0.9× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $180.50 | $361 | 3.8× |
| Microsomal antibodies (86376) | $30.50 | $61 | 2.1× |
| Mitochondrial antibody each (86381) | $100 | $200 | 3.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $882 | $1,764 | 73.2× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $55 | $110 | 1.1× |
| Molecular pathology procedure level 2 (81401) | $484 | $968 | 3.5× |
| Molecular pathology procedure level 7 (81406) | $2,074 | $4,148 | 7.3× |
| Mononuclear cell antigen (86356) | $163.75 | $327.50 | 6.1× |
| Mopath procedure level 3 (81402) | $181.50 | $363 | 1.2× |
| Mopath procedure level 4 (81403) | $119.50 | $239 | 0.6× |
| Mopath procedure level 5 (81404) | $119.50 | $239 | 0.4× |
| Mopath procedure level 6 (81405) | $119.50 | $239 | 0.4× |
| Mpl gene analysis common variants (81338) | $340 | $680 | 2.3× |
| Mrsa amp probe (87641) | $137.50 | $275 | 3.9× |
| Mthfr Gene Analysis Common Variants (81291) | $62 | $124 | 0.9× |
| Muramidase (85549) | $21 | $42 | 1.1× |
| Muscle-specific kinase (musk) antibody (86366) | $977.50 | $1,955 | 53.1× |
| Mycophenolic acid (80180) | $42 | $84 | 2.3× |
| Mycoplasma antibody (86738) | $16.50 | $33 | 1.2× |
| Myd88 mutation analysis (81305) | $359 | $718 | 2.0× |
| Myelin basic protein csf (83873) | $296.96 | $593.92 | 17.3× |
| Myoglobin urine (83874) | $78 | $156 | 6.0× |
| Nasal smear for eosinophils (89190) | $39 | $78 | 6.7× |
| Natriuretic peptide (83880) | $116.75 | $233.50 | 3.0× |
| Neutralization test, viral (86382) | $157.50 | $315 | 9.3× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $100 | $200 | 1.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $70 | $140 | 2.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $325.50 | $651 | 0.7× |
| Niacin (84591) | $92.02 | $184.02 | 5.4× |
| Nk cells total count (86357) | $21.50 | $43 | 0.6× |
| Nras gene variants exon 2&3 (81311) | $484 | $968 | 1.6× |
| Nuclear antigen antibody (86235) | $63.25 | $126.50 | 3.5× |
| Occult blood stool (82272) | $53 | $106 | 12.5× |
| Oligoclonal bands (83916) | $26.50 | $53 | 1.0× |
| Oncology breast mrna (81519) | $2,227 | $4,454 | 0.6× |
| Oncoprotein dcp (83951) | $130.50 | $261 | 2.0× |
| Organic Acids Qual Each (83919) | $103 | $206 | 6.3× |
| Orthopoxvirus Amp Prb Each (87593) | $86.50 | $173 | 1.7× |
| Osmolality serum (83930) | $58.50 | $117 | 8.9× |
| Osmolality urine (83935) | $58.50 | $117 | 8.6× |
| Ova and parasite direct-id lca (87177) | $12 | $24 | 1.3× |
| Oxalate urine (83945) | $24.50 | $49 | 1.7× |
| Pancreatic elastase fecal (82656) | $68 | $136 | 5.9× |
| Pancreatic polypeptide (83519) | $130 | $260 | 7.1× |
| Pappa, serum (84163) | $79.50 | $159 | 5.3× |
| Particle Agglutination Screen Each Antibody (86403) | $85.50 | $171 | 7.4× |
| Parvovirus antibody (86747) | $20.50 | $41 | 1.4× |
| Path Consult During Surgery (88329) | $32 | $64 | 0.6× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $133 | $266 | 1.9× |
| Phenotype Infect Agent Drug (87900) | $98 | $196 | 0.8× |
| Phenylalanine (84030) | $28 | $56 | 5.1× |
| Phenytoin free (80186) | $137.50 | $275 | 10.0× |
| Phosphatase acid prostatic (84066) | $20.50 | $41 | 2.1× |
| Phosphatase alkaline (84075) | $38 | $76 | 7.3× |
| Phospholipid Neutralization Hexagonal (85598) | $34.50 | $69 | 1.9× |
| Phosphorus blood (84100) | $42 | $84 | 8.9× |
| Phosphorus urine (84105) | $63 | $126 | 10.9× |
| Pinworm exam (87172) | $28 | $56 | 6.6× |
| Plasminogen (85420) | $37 | $74 | 5.7× |
| Platelet aggregation (85576) | $71.50 | $143 | 2.9× |
| Platelet count (85049) | $42.50 | $85 | 9.5× |
| Platelet neutralization (85597) | $154.75 | $309.50 | 8.6× |
| Pooling blood platelets (86965) | $46 | $92 | 0.3× |
| Porphobilinogen urine quant (84110) | $39 | $78 | 4.6× |
| Porphyrins qn & fraction urine (84120) | $24.50 | $49 | 1.7× |
| Potassium (84132) | $23 | $46 | 4.8× |
| Potassium urine (84133) | $53 | $106 | 11.2× |
| Pregnenolone (84140) | $62 | $124 | 3.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $260 | $520 | 1.7× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $156 | $312 | 1.0× |
| Pretx serum rbc antibody identification dilution (86976) | $31 | $62 | 1.2× |
| Primidone (80188) | $21.50 | $43 | 1.3× |
| Procainamide napa (80192) | $22 | $44 | 1.3× |
| Procalcitonin (pct) (84145) | $96.50 | $193 | 3.5× |
| Progesterone (84144) | $27 | $54 | 1.3× |
| Prolactin (84146) | $34.50 | $69 | 1.8× |
| Protein body fluid (84157) | $51.25 | $102.50 | 12.8× |
| Protein c activity (85303) | $42.50 | $85 | 3.1× |
| Protein c antigen (85302) | $30 | $60 | 2.5× |
| Protein electrophoresis serum (84165) | $7.50 | $15 | 0.7× |
| Protein Electrophoresis Urine (84166) | $23 | $46 | 1.3× |
| Protein S Functional (85306) | $47.50 | $95 | 3.1× |
| Protein s total (85305) | $11.50 | $23 | 1.0× |
| Protein Total Serum (84155) | $3.50 | $7 | 1.0× |
| Protein urine (84156) | $34.50 | $69 | 9.4× |
| Protein Western Blot (84182) | $214 | $428 | 7.3× |
| Protein westrn blot i&r blood/other fluid (84181) | $116 | $232 | 6.8× |
| Prothrombin time substitution (85611) | $49 | $98 | 12.4× |
| Protoporphyrin rbc quantitative (84202) | $68.50 | $137 | 4.8× |
| PSA free (84154) | $20.50 | $41 | 1.1× |
| Pyruvate kinase (84220) | $69 | $138 | 7.3× |
| Quantiferon tb gold (86480) | $118 | $236 | 1.9× |
| Quinidine (80194) | $27 | $54 | 1.8× |
| Rbc antibody elution (86860) | $53 | $106 | 0.3× |
| Rbc pretx incubatj w/chemicl (86970) | $161.50 | $323 | 3.0× |
| Rbc serum pretx incubj drugs (86975) | $46 | $92 | 0.1× |
| Reagent strip/blood glucose (82948) | $6.50 | $13 | 1.3× |
| Reducing substances, stool (84376) | $42.50 | $85 | 7.7× |
| Ref consult prep elsewhere (88321) | $135.50 | $271 | 4.0× |
| Renin activity plasma (84244) | $24.50 | $49 | 1.1× |
| Reptilase test (85635) | $36.50 | $73 | 3.7× |
| Respiratory viral panel PCR (87633) | $277.50 | $555 | 0.7× |
| Reticulocyte Count (85046) | $57.50 | $115 | 10.3× |
| Reticulocyte separation (86972) | $73 | $146 | 0.5× |
| Rheumatoid factor quant (86431) | $52 | $104 | 9.2× |
| Rickettsia antibody (86757) | $176.50 | $353 | 9.1× |
| Rpr Titer (86593) | $14 | $28 | 3.2× |
| Rsv (87807) | $79.50 | $159 | 6.1× |
| Rubella antibody (86762) | $24 | $48 | 1.7× |
| Russell viper venom time diluted (85613) | $32.75 | $65.50 | 3.4× |
| Saccharomyces ab iga (86671) | $53 | $106 | 4.3× |
| Salicylate (80179) | $106.50 | $213 | 5.7× |
| Salmonella antibody (86768) | $26.50 | $53 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $95.50 | $191 | 1.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $45.50 | $91 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $198.25 | $396.50 | 1.4× |
| Sed rate automated (85652) | $48 | $96 | 17.8× |
| Sedimentation rate (85651) | $48 | $96 | 11.2× |
| Sensitivity mic (87186) | $142.50 | $285 | 16.5× |
| Serotonin Release Assay (86022) | $118.50 | $237 | 6.5× |
| Sex hormone binding globulin (84270) | $24.50 | $49 | 1.1× |
| Sickle cell screen (85660) | $28 | $56 | 5.1× |
| Sirolimus (rapamycin) (80195) | $49.50 | $99 | 3.6× |
| Smear acid fast (87206) | $32.50 | $65 | 6.0× |
| Smear complex stain (87209) | $19 | $38 | 1.1× |
| Smear gram stain (87205) | $49.50 | $99 | 11.6× |
| Sodium (84295) | $42.50 | $85 | 8.8× |
| Sodium other source (84302) | $23.50 | $47 | 4.8× |
| Sodium urine (84300) | $52.50 | $105 | 10.4× |
| Soluble transferrin receptor (84238) | $54 | $108 | 1.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $162.50 | $325 | 1.4× |
| Special stains group 1 (88312) | $137.50 | $275 | 2.9× |
| Specific gravity body fluid (84315) | $52 | $104 | 15.9× |
| Spectrophotometry (84311) | $157.50 | $315 | 19.4× |
| Splitting blood/blood products each unit (86985) | $155 | $310 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $123.50 | $247 | 0.8× |
| Staph aureus amplified probe (87640) | $113 | $226 | 3.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $31 | $62 | 3.3× |
| Strep a assay w/optic (87880) | $39.50 | $79 | 2.4× |
| Strep a DNA amp probe (87651) | $91 | $182 | 2.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $678.50 | $1,357 | 7.4× |
| Sugars single quant (84378) | $107 | $214 | 9.3× |
| Sulfate urine (84392) | $28 | $56 | 5.1× |
| Surg path level iii (88304) | $69 | $138 | 1.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $24.50 | $49 | 0.9× |
| Surgical pathology level IV (88305) | $88.50 | $177 | 1.9× |
| Susceptibility study antimicrobial disk method (87184) | $31 | $62 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $20.50 | $41 | 0.4× |
| T cells, total count (86359) | $18 | $36 | 0.5× |
| T3 free (84481) | $140.50 | $281 | 8.3× |
| T3 reverse (84482) | $223 | $446 | 14.1× |
| T3 total (84480) | $79.50 | $159 | 5.6× |
| T3 uptake (84479) | $5 | $10 | 0.8× |
| T4 Free (84439) | $145 | $290 | 16.1× |
| T4 total (84436) | $14.50 | $29 | 2.1× |
| T4-neonatal (84437) | $14.50 | $29 | 2.2× |
| Tb intradermal test (86580) | $12.25 | $24.50 | 0.5× |
| Test for acetone/ketones (82009) | $84 | $168 | 18.6× |
| Testosterone bioavailable (84410) | $61 | $122 | 1.2× |
| Testosterone free (84402) | $31.50 | $63 | 1.2× |
| Testosterone total (84403) | $256.15 | $512.30 | 9.9× |
| Tgsap so/hl 51/< RNA alys (81456) | $1,804.50 | $3,609 | 0.6× |
| Theophylline (80198) | $111 | $222 | 7.9× |
| Thin prep pap (88142) | $52 | $104 | 2.6× |
| Thiocyanate (84430) | $59 | $118 | 5.1× |
| Thrombin time plasma (85670) | $27 | $54 | 4.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $59 | $118 | 9.1× |
| Thyroglobulin (84432) | $16.50 | $33 | 1.0× |
| Thyroglobulin Ab (86800) | $23 | $46 | 1.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $62 | $124 | 1.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $589 | $1,178 | 8.8× |
| Thyroxine binding globulin (84442) | $25.50 | $51 | 1.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $14 | $28 | 1.2× |
| Tissue culture bone marrow (88237) | $171.50 | $343 | 1.2× |
| Tissue Culture Lymphocyte (88230) | $249.50 | $499 | 2.1× |
| Tissue culture placenta (88235) | $309.50 | $619 | 2.1× |
| Tobramycin peak (80200) | $81.50 | $163 | 5.1× |
| Topiramate (80201) | $40 | $80 | 3.4× |
| Toxoplasma ab igm (86778) | $27.92 | $55.82 | 1.9× |
| Toxoplasma antibody igg (86777) | $18 | $36 | 1.3× |
| Tp53 gene analysis full gene sequence (81351) | $513 | $1,026 | 0.8× |
| Transferrin (84466) | $96 | $192 | 7.5× |
| Trg gene rearrangement analysis (81342) | $397.50 | $795 | 2.0× |
| Trh stimulation panel (80438) | $296.50 | $593 | 5.9× |
| Triglycerides (84478) | $55.25 | $110.50 | 9.6× |
| Troponin (84484) | $52 | $104 | 4.2× |
| Tyrosine (84510) | $47.50 | $95 | 4.5× |
| Urea nitrogen (84520) | $41.50 | $83 | 10.5× |
| Urea nitrogen urine (84540) | $52.50 | $105 | 9.4× |
| Uric acid blood (84550) | $41.50 | $83 | 9.2× |
| Uric acid other source (84560) | $53 | $106 | 10.4× |
| Urinalysis qual/semiquant except immunoassays (81005) | $21.50 | $43 | 9.9× |
| Urinalysis w/microscopic (81001) | $15 | $30 | 4.7× |
| Urine pregnancy test (81025) | $51 | $102 | 5.9× |
| Urine volume measurement (81050) | $65 | $130 | 17.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $42 | $84 | 18.7× |
| Valproic acid level (80164) | $106.50 | $213 | 7.9× |
| Vancomycin trough (80202) | $101 | $202 | 7.5× |
| Varicella-zoster antibody (86787) | $30 | $60 | 2.3× |
| Vasoactive intestinal peptide (vip) (84586) | $48.50 | $97 | 1.4× |
| Vasopressin (84588) | $54.06 | $108.11 | 1.6× |
| Vdrl csf (86592) | $61 | $122 | 14.3× |
| Very long chain fatty acids (82726) | $15.50 | $31 | 0.8× |
| Virus antibody nos (86790) | $161.28 | $322.56 | 12.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $35 | $70 | 1.0× |
| Virus inoculation, shell via (87254) | $83.50 | $167 | 4.3× |
| Viscosity serum (85810) | $23.50 | $47 | 2.0× |
| Vitamin A (84590) | $29 | $58 | 2.5× |
| Vitamin b-12 (82607) | $99.50 | $199 | 6.6× |
| Vitamin b-2 (riboflavin) (84252) | $100.50 | $201 | 5.0× |
| Vitamin b1 (thiamine) (84425) | $33.50 | $67 | 1.6× |
| Vitamin b6 (84207) | $35 | $70 | 1.2× |
| Vitamin C (82180) | $38 | $76 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $42 | $84 | 1.4× |
| Vitamin e serum (84446) | $29 | $58 | 2.0× |
| Voltage-gated calcium channel antibody each (86596) | $130 | $260 | 10.8× |
| Von willebrand factor activity (85245) | $112.50 | $225 | 4.9× |
| West nile virus ab, igm (86788) | $18 | $36 | 1.1× |
| West nile virus antibody (86789) | $25.50 | $51 | 1.8× |
| Zinc (84630) | $28.08 | $56.15 | 2.5× |