Lab & pathology prices at St. Elizabeth Hospital

Fort Morgan, CO · every code in this section with a posted price and a Medicare benchmark.

544 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $222.42 $556.04 8.2×
5-Hiaa (83497) $106.87 $267.16 8.3×
Acetaminophen (80143) $78.27 $195.66 4.2×
Acetone serum qual (82009) $46.76 $116.89 10.3×
Acetone, quantitative (82010) $88.17 $220.42 10.8×
Acetylcholine receptor binding antibody (86041) $22.08 $55.20 1.2×
Acetylcholn rcptr blckg antb (86042) $22.08 $55.20 1.2×
Acetylcholn rcptr modlg antb (86043) $14.46 $36.15 1.2×
Acth (82024) $241.13 $602.81 6.2×
Activated protein c resistance (85307) $93.48 $233.69 6.1×
Acute hepatitis panel (80074) $216.41 $541.01 4.5×
Acylcarnitines quantitative (82017) $112.52 $281.28 6.7×
Afb concentration (87015) $138.18 $345.44 20.7×
Afb smear (87206) $82.36 $205.89 15.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $221.14 $552.83 3.4×
Albumin body fluid (82042) $8.89 $22.22 1.1×
Albumin serum (82040) $49.43 $123.57 10.0×
Alcohol (82077) $78.27 $195.66 4.5×
Aldolase (82085) $60.12 $150.29 6.2×
Aldosterone (82088) $260.50 $651.23 6.4×
Alkaline phosphatase (84075) $55.44 $138.59 10.7×
Alkaline phosphatase isoenzymes (84080) $98.86 $247.15 6.7×
Allergen profile perennial allergen (86003) $88.17 $220.42 16.9×
Alpha-1-antitrypsin (82103) $106.87 $267.16 8.0×
Alpha-fetoprotein serum (82105) $120.23 $300.57 7.2×
Alt (84460) $55.44 $138.59 10.5×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $245.81 $614.51 14.6×
Amino acids; single, quantitative, each specimen Other Outpatient (82131) $46.76 $116.89 2.0×
Aminolevulinic acid delta (82135) $245.81 $614.51 14.9×
Ammonia (82140) $90.17 $225.41 6.2×
Amylase (82150) $58.39 $145.97 9.0×
Ana (86038) $70.14 $175.34 5.8×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $128.91 $322.27 9.8×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $136.27 $340.67 8.9×
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $73.48 $183.70 4.6×
Androstenedione (82157) $101.53 $253.82 3.5×
Angiotensin converting enzyme (82164) $109.54 $273.85 7.5×
Anti-mitochondrial antibody (86255) $125.45 $313.62 10.4×
Anti-phosphatidylserine antibody (86148) $195.04 $487.60 12.1×
Antibody identification platelet antibodies (86022) $314.60 $786.50 17.1×
Antibody west nile virus igm (86788) $49.05 $122.61 2.9×
Antibody; Helicobacter pylori (86677) $179.68 $449.18 10.7×
Antistreptolysin o titer (86060) $52.77 $131.92 7.2×
Antithrombin iii activity (85300) $195.93 $489.82 16.5×
Antithrombin iii antigen (85301) $134.86 $337.14 12.5×
Apolipoprotein each (82172) $66.80 $166.99 3.2×
Arsenic (82175) $225.76 $564.40 11.9×
Assay anti-mullerian horm (82166) $46.35 $115.86 1.2×
Assay myeloperoxidase (83876) $139.75 $349.36 2.7×
Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) $164.86 $412.13 9.2×
Assay of fluoride (82735) $88.84 $222.08 4.8×
Assay of porphobilinogen urine qual - porphobilinogen screen (84106) $49.43 $123.57 8.5×
Assay of vitamin b-2 (84252) $121.18 $302.93 6.0×
Assay of vitamin not otherwise specified (84591) $103.04 $257.59 6.0×
Ast (84450) $55.44 $138.59 10.7×
B cells total count (86355) $96.94 $242.34 2.6×
Bartonella antibody (86611) $37.51 $93.76 3.7×
Basic metabolic panel calcium ionized (80047) $33.20 $82.99 2.4×
Bcr/abl1 gene major bp (81206) $317.94 $794.84 1.9×
Bcr/abl1 gene minor bp (81207) $317.94 $794.84 2.2×
Beta 2 glycoprotein i antibody (86146) $221.76 $554.39 8.7×
Beta lactamase (87185) $45.23 $113.07 9.5×
Beta-2 microglobulin (82232) $114.88 $287.20 7.1×
Bile acids total (82239) $114.88 $287.20 6.7×
Bilirubin direct (82248) $55.44 $138.59 11.0×
Bilirubin total (82247) $55.44 $138.59 11.0×
Biotinidase (82261) $9.95 $24.87 0.6×
Bleeding time (85002) $35.59 $88.97 7.4×
Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) $120.38 $300.93 3.9×
Blood count leukocyte wbc automated (85048) $25.46 $63.63 10.0×
Blood count reticulocyte automated (85045) $76.34 $190.85 19.1×
Blood gases any combination (82803) $251.15 $627.86 9.6×
Blood typing rbc antigens (86905) $74.20 $185.48 19.4×
Blood typing serologic abo (86900) $48.33 $120.82 16.2×
Blood typing serologic rh (d) (86901) $48.33 $120.82 16.2×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $95.98 $239.93 15.1×
Bordetella pertussis igm (86615) $125.58 $313.93 9.5×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $2,451.63 $6,129.07 1.3×
Breath alcohol test (82075) $73.48 $183.70 2.4×
Brucella antibody (86622) $46.16 $115.40 5.2×
C diff amplified probe (87493) $119.12 $297.79 3.2×
C-peptide (84681) $218.42 $546.05 10.5×
C-reactive protein (86140) $32.07 $80.17 6.2×
C-reactive protein high sensitivity (86141) $168.99 $422.47 13.0×
C2 complement functional (86161) $233.78 $584.44 19.5×
Ca 125 (86304) $124.91 $312.26 6.0×
Ca 15-3 (86300) $118.23 $295.57 5.7×
Calcitonin (82308) $219.08 $547.70 8.2×
Calcium ionized (82330) $82.16 $205.39 6.0×
Calcium total (82310) $55.44 $138.59 10.7×
Calcium, random urine (82340) $55.44 $138.59 9.2×
Calculus; quantitative analysis, chemical Other Outpatient (82360) $73.48 $183.70 5.7×
Calprotectin fecal (83993) $235.78 $589.44 12.0×
Cancer antigen 19-9 (86301) $116.90 $292.24 5.6×
Candida antibody (86628) $91.59 $228.97 7.6×
Candida DNA amp probe (87481) $82.36 $205.89 2.3×
Carbamazepine total (80156) $120.23 $300.57 8.3×
Carbon dioxide (82374) $20.04 $50.10 4.1×
Carbon monoxide (82375) $92.85 $232.12 7.5×
Cardiolipin antibody ea ig class (86147) $198.38 $495.94 7.8×
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $95.42 $238.55 5.7×
Catecholamines (organic nitrogen) urine level (82382) $219.08 $547.70 8.0×
Catecholamines fractionated (82384) $143.42 $358.55 5.7×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $96.84 $242.10 2.1×
Cea (82378) $94.18 $235.44 5.0×
Cell count body fluid (89050) $69.44 $173.58 14.7×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $87.13 $217.82 15.6×
Ceruloplasmin (82390) $67.47 $168.66 6.3×
Cftr gene com variants (81220) $772.13 $1,930.32 1.4×
Chemiluminescent assay (82397) $131.99 $329.96 9.3×
Chg fresh frozen plasma thawing each unit (86927) $37.16 $92.89 0.2×
Chlamydia culture (87110) $125.93 $314.81 6.4×
Chloride blood (82435) $20.04 $50.10 4.4×
Chloride other source (82438) $54.10 $135.25 10.8×
Chloride urine (82436) $46.76 $116.89 8.1×
Cholesterol total (82465) $55.44 $138.59 12.7×
Chorionic gonadotropin test (84702) $145.62 $364.04 9.7×
Chromium (82495) $70.46 $176.13 3.5×
Chromogranin a (86316) $245.81 $614.51 11.8×
Chromosome analysis 15-20 cells (88262) $261.38 $653.43 2.1×
Citrate (82507) $96.84 $242.10 3.5×
Ck mb fraction (82553) $185.02 $462.53 16.0×
Clostridium ag eia (87324) $91.59 $228.97 7.6×
Clot inhibit prot s total (85305) $324.43 $811.06 27.9×
Clotting funct activity (85397) $116.56 $291.38 3.8×
Cmv antibody (86644) $114.88 $287.20 8.0×
Coagulation time activated (85347) $115.45 $288.62 27.0×
Coccidioides antibody (86635) $138.94 $347.33 12.1×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $222.42 $556.04 9.2×
Cold agglutinins titer (86157) $49.43 $123.57 6.1×
Collagen cross links (82523) $150.60 $376.48 8.1×
Compatibility each unit electronic (86923) $98.02 $245.03 0.5×
Complement antigen ea component (86160) $70.99 $177.46 5.9×
Complement total (ch50) (86162) $246.47 $616.17 12.1×
Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) $530.35 $1,325.87 3.0×
Coombs test indirect titer (86886) $107.55 $268.86 20.8×
Copper (82525) $155.63 $389.07 12.5×
Cortisol free (82530) $500.95 $1,252.37 30.0×
Cortisol saliva (82533) $90.17 $225.41 5.5×
COVID-19 antibody (86769) $97.24 $243.10 2.3×
Coxsackie a9 virus antibody (86658) $49.87 $124.66 3.8×
Creatine kinase total (82550) $101.53 $253.82 15.6×
Creatinine (82565) $55.44 $138.59 10.8×
Creatinine clearance (82575) $74.81 $187.02 7.9×
Creatinine other source (82570) $55.44 $138.59 10.7×
Crossmatch ahg (86922) $98.02 $245.03 0.5×
Cryoglobulins (82595) $45.43 $113.56 7.0×
Cryptococcal antigen (87327) $27.24 $68.10 2.0×
Cryptosporidium ag eia (87328) $207.60 $518.99 15.0×
Crystals fluid (89060) $60.58 $151.44 8.3×
Culture anaerobic (87075) $76.24 $190.59 8.1×
Culture blood (87040) $93.94 $234.83 9.1×
Culture stool (87045) $53.10 $132.73 5.6×
Culture urine (87086) $53.78 $134.44 6.7×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $63.30 $158.25 7.8×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $91.18 $227.95 11.3×
Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) $52.62 $131.55 5.3×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $34.04 $85.10 3.6×
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $95.52 $238.79 18.4×
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient (82608) $83.74 $209.34 5.8×
Cyclic citrullinated peptide ab (86200) $136.93 $342.32 10.6×
Cyclosporine (80158) $50.77 $126.91 2.8×
Cystatin c (82610) $89.44 $223.58 4.8×
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $173 $432.49 13.3×
Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) $2,090.14 $5,225.33 1.8×
Cytomeg DNA amp probe (87496) $196.18 $490.44 5.6×
Cytomegalovirus antibody igm (86645) $114.88 $287.20 6.8×
Cytopath cell enhance tech (88112) $162.32 $405.78 3.0×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $118.23 $295.57 5.8×
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $43.42 $108.53 0.2×
Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation (88106) $115.98 $289.93 3.8×
Cytp eval fine needle aspirate interp & report (88173) $138.26 $345.65 2.5×
Cytp urine 3-5 probes cmptr (88121) $236.57 $591.42 1.3×
D-dimer quantitative (85379) $62.16 $155.40 6.1×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $135.60 $338.98 9.9×
Dhea (82626) $301.91 $754.76 11.9×
Dhea sulfate (82627) $141.60 $354 6.4×
Digoxin (80162) $84.17 $210.41 6.3×
Direct antiglobulin test (86880) $44.41 $111.01 8.2×
Drug assay salicylate (80179) $78.27 $195.66 4.2×
Drug screen quant everolimus (80169) $279.90 $699.74 20.4×
Drug screen quant mycophenolate (80180) $107.29 $268.21 5.9×
Drug screen quant zonisamide (80203) $72.54 $181.34 5.5×
Drug test prsmv chem anlyzr (80307) $67.95 $169.86 1.1×
Drug test prsmv dir opt obs (80305) $78.27 $195.66 6.2×
Drug test prsmv instrmnt (80306) $213.22 $533.03 12.4×
Ear culture (87070) $49.92 $124.79 5.8×
Electrolytes panel (80051) $70.14 $175.34 10.0×
Enterovirus by PCR (87498) $330.81 $827.01 9.4×
Eosinophils urine (87205) $46.31 $115.76 10.8×
Erythropoietin (82668) $140.28 $350.68 7.5×
Estradiol (82670) $197.05 $492.62 7.1×
Estriol (82677) $54.10 $135.25 2.2×
Estrogens total (82672) $119.57 $298.91 5.5×
Estrone (82679) $201.72 $504.29 8.1×
Ethylene glycol (82693) $98.67 $246.66 6.6×
Eval amniotic fluid protein (84112) $282.54 $706.34 2.9×
Extractable nuclear antigen antibody any method (86235) $103.29 $258.22 5.8×
F2 gene analysis (81240) $370.70 $926.75 5.6×
F5 gene (81241) $717.37 $1,793.42 9.8×
Factor ii activity (85210) $318.70 $796.74 24.6×
Factor inhibitor test (85335) $197.83 $494.56 15.4×
Factor ix activity (85250) $143.42 $358.55 7.5×
Factor v activity (85220) $593.50 $1,483.75 33.6×
Factor viii activity (85240) $255.73 $639.32 14.3×
Factor viii vw antigen (85246) $287.53 $718.82 12.5×
Factor xi activity (85270) $150.73 $376.81 8.4×
Factor xii (hageman) (85280) $150.73 $376.81 7.8×
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $116.90 $292.24 7.0×
Fecal fat qualitative (82705) $50.77 $126.91 10.0×
Ferritin (82728) $72.14 $180.33 5.3×
Fetal fibronectin (82731) $488.93 $1,222.32 7.6×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $54.71 $136.77 7.1×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $65.87 $164.66 7.0×
Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) $654.58 $1,636.43 34.6×
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient (83661) $271.19 $677.97 12.3×
Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) $78.89 $197.21 8.1×
Fibrinogen, activity (85384) $131.68 $329.20 13.5×
Flow cytometry first marker (88184) $87.96 $219.89 0.2×
Fmr1 gene alys eval to detect abnormal alleles (81243) $225.61 $564.01 4.0×
Folate serum (82746) $92.85 $232.12 6.3×
Folic acid rbc (82747) $180.35 $450.86 10.2×
Follicle stimulating hormone (fsh) (83001) $116.23 $290.57 6.3×
Francisella tularensis ab (86668) $79.52 $198.78 5.6×
Fructosamine (82985) $80.16 $200.38 4.8×
Fungus isolation culture (87102) $89.86 $224.63 10.7×
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $75.30 $188.25 6.1×
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $18.32 $45.80 1.6×
Gamma glutamyl transferase (82977) $55.44 $138.59 7.7×
Gammaglobulin ige (82785) $52.77 $131.92 3.2×
Gardnerella vaginalis amp probe (87511) $82.36 $205.89 2.3×
Gastrin (82941) $148.95 $372.37 8.4×
Genotype DNA HIV reverse t (87901) $949.52 $2,373.80 3.7×
Gentamicin (80170) $80.82 $202.04 4.9×
Giardia antigen (87329) $138.18 $345.44 11.5×
Giardia lamblia antibody (86674) $223.09 $557.72 15.2×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $60.10 $150.25 18.3×
Glucose Fasting (82947) $55.44 $138.59 14.1×
Glucose other fluid (82945) $55.44 $138.59 14.1×
Glucose post glucose dose (82950) $55.44 $138.59 11.7×
Glucose tolerance test (gtt) (82951) $92.85 $232.12 7.2×
Glucose-6-pd (82955) $57.45 $143.62 5.9×
Glycated hemoglobin (83036) $66.13 $165.32 6.8×
Growth hormone (hgh) (83003) $52.77 $131.92 3.2×
H pylori breath test (83013) $317.94 $794.84 4.7×
H pylori stool (87338) $232.10 $580.25 16.1×
Haptoglobin (83010) $88.17 $220.42 7.0×
Hcg ql (84703) $74.81 $187.02 9.9×
HDL cholesterol (83718) $74.81 $187.02 9.1×
Heavy metal quan each nes (83018) $93.20 $233 4.2×
Hematocrit (hct) (85014) $43.89 $109.71 18.5×
Hemoglobin (85018) $71.25 $178.12 30.1×
Hemoglobin electrophoresis (83020) $57.45 $143.62 4.5×
Hemoglobin fractj/quantj chromotography (83021) $102.87 $257.16 5.7×
Hep a ab total (86708) $70.14 $175.34 5.7×
Heparin assay (85520) $417.94 $1,044.84 31.9×
Hepatitis a antibody igm (86709) $59.24 $148.08 5.3×
Hepatitis b core antibody igm (86705) $134.26 $335.63 11.4×
Hepatitis b core antibody total (86704) $68.80 $171.99 5.7×
Hepatitis b DNA quant (87517) $591.50 $1,478.73 13.8×
Hepatitis b surface ab (86706) $60.12 $150.29 5.6×
Hepatitis b surface antigen (87340) $60.67 $151.67 5.9×
Hepatitis be antibody (86707) $66.80 $166.99 5.8×
Hepatitis be antigen (87350) $85.76 $214.40 7.4×
Hepatitis c antibody (86803) $80.82 $202.04 5.7×
Hepatitis c genotype (87902) $673.18 $1,682.93 2.6×
Hepatitis c RNA quantitative (87522) $510.50 $1,276.24 11.9×
Hepatitis d quantification (87523) $51.41 $128.52 1.2×
Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) $98.86 $247.15 6.9×
Herpes simplex virus by PCR (87529) $660.24 $1,650.59 18.8×
Heterophile antibody screen (86308) $77.48 $193.69 15.0×
Hexagonal phospholipid neutralization (85598) $142.50 $356.23 7.9×
Hfe gene (81256) $493.60 $1,234 7.6×
Histamine (83088) $165.96 $414.88 5.6×
Histoplasma antibody (86698) $149.62 $374.04 10.8×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $152.47 $381.16 6.3×
HIV-1 antibody (86701) $110.89 $277.21 12.5×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $117.76 $294.39 8.6×
Hla b27 (86812) $141.60 $354 5.5×
Homocysteine level (83090) $220.43 $551.06 12.3×
Homogenization tissue (87176) $12.74 $31.85 2.2×
Hpv high-risk types (87624) $71.47 $178.66 2.0×
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $265.85 $664.61 13.7×
Iaad ia severe aqt respir synd coronavirus (87426) $93.68 $234.18 2.7×
Iadna HIV-2 amplified probe & reverse transcripj (87538) $80 $199.99 2.3×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $164.86 $412.13 3.2×
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $260.63 $651.56 1.8×
Iadna-DNA/RNA probe tq 12-25 (87507) $308.70 $771.73 0.7×
Igg subclass 1 (82787) $129.58 $323.95 16.2×
Immunoassay analyte quantitative nos (83520) $88.59 $221.46 5.1×
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) $164.86 $412.13 3.6×
Immunoassay infectious agent antibody quan nos (86317) $96.44 $241.09 6.4×
Immunofixation electrophoresis (86334) $154.96 $387.40 6.9×
Immunoglobulin d (82784) $47.28 $118.18 5.1×
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $333.05 $832.62 0.9×
Immunoperoxidase (88342) $111.48 $278.68 0.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $91.89 $229.72 6.6×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $55.40 $138.48 3.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $58.61 $146.51 4.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) $40.24 $100.59 1.0×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $46 $114.99 0.7×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $525.47 $1,313.67 12.3×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) $534.32 $1,335.78 15.2×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $82.36 $205.89 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) $50.38 $125.93 2.2×
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $254.45 $636.12 5.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $416.56 $1,041.39 11.9×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) $125.66 $314.15 3.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $490.75 $1,226.87 5.8×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $295.42 $738.54 7.1×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) $38.73 $96.82 1.4×
Influenza antibody (86710) $162.98 $407.43 12.0×
Influenza assay w/optic (87804) $80.33 $200.81 4.9×
Influenza DNA amp probe (87502) $198.48 $496.20 2.1×
Inhibin a (86336) $386.07 $965.17 24.8×
Insulin antibody (86337) $158.30 $395.74 7.4×
Insulin total (83525) $49.43 $123.57 4.3×
Intrinsic factor antibody (86340) $142.27 $355.67 9.4×
Iron (83540) $56.78 $141.95 8.8×
Iron binding capacity (83550) $50.10 $125.23 5.7×
Islet cell antibody (86341) $72.66 $181.65 3.1×
Jak2 gene (81270) $470.90 $1,177.24 5.1×
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $168.99 $422.47 4.3×
Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) $95.25 $238.12 2.4×
Lacosamide (80235) $129.14 $322.83 4.8×
Lactate (83605) $52.77 $131.92 4.6×
Lactate dehydrogenase (83615) $38.32 $95.78 6.3×
Lactoferrin fecal (qual) (83630) $72.51 $181.27 3.7×
Lamotrigine (80175) $200.38 $500.95 15.1×
Ldh isoenzymes (83625) $75.73 $189.32 5.9×
LDL direct (83721) $60.58 $151.45 5.8×
Lead (83655) $69.47 $173.66 5.7×
Leflunomide (80193) $70.92 $177.28 1.8×
Legionella culture (87081) $67.32 $168.29 10.2×
Legionella urine antigen (87449) $224.63 $561.56 18.8×
Leukocyte assessment fecal (89055) $24.58 $61.43 5.8×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $60.12 $150.29 1.5×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $76.15 $190.36 1.4×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $135.60 $338.98 2.5×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $252.48 $631.20 0.7×
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $313.93 $784.82 0.4×
Lipase (83690) $74.81 $187.02 10.9×
Lipoprotein (a) (83695) $40.74 $101.85 2.8×
Lipoprotein bld by nmr (83704) $169.66 $424.15 5.0×
Lithium (80178) $37.41 $93.51 5.7×
Liver ds alys 3 bmrk srm alg (81517) $604.08 $1,510.20 3.4×
Luteinizing hormone (lh) (83002) $124.91 $312.26 6.7×
Lyme disease antibody (86618) $148.95 $372.37 8.7×
M/phmtrc alys in situ hybridization ea probe mnl (88368) $142.27 $355.67 0.4×
M/phmtrc alys ishquant/semiq (88377) $328.56 $821.38 1.8×
Macroscopic exam parasite (87169) $52.51 $131.26 12.2×
Magnesium (83735) $55.44 $138.59 8.3×
Malaria smear (87207) $63.30 $158.25 10.6×
Manual differential (85007) $25.46 $63.63 6.7×
Mercury (83825) $221.76 $554.39 13.6×
Metanephrines (83835) $294.56 $736.40 17.4×
Methemoglobin quant (83050) $92.85 $232.12 11.3×
Methylmalonic acid serum (83921) $128.02 $320.05 6.0×
Microalbumin urine (82043) $103.53 $258.82 17.9×
Mold id (87107) $34.06 $85.13 3.3×
Molecular cytogenetics DNA probe each (88271) $27.74 $69.34 1.3×
Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) $189.98 $474.93 5.5×
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $42.92 $107.29 0.8×
Mopath procedure level 9 (81408) $1,154.55 $2,886.36 0.6×
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $285.90 $714.74 1.6×
Mrsa PCR (87641) $202.06 $505.15 5.8×
Mthfr gene (81291) $402.11 $1,005.26 6.2×
Mumps antibody (86735) $140.28 $350.68 10.7×
Muscle-specific kinase antb (86366) $22.08 $55.20 1.2×
Myelin associated glycoprotein (mag) antibody (83516) $137.18 $342.93 11.9×
Myoglobin (83874) $138.26 $345.65 10.7×
N.gonorrhoeae DNA amp prob (87591) $82.36 $205.89 2.3×
Nasal smear for eosinophils (89190) $51.06 $127.63 8.8×
Natriuretic peptide (83880) $420.80 $1,052 10.7×
Nephelometry ea analyte (83883) $193.03 $482.57 14.2×
Nfct ds chrnc hcv 6 assays (81596) $246.18 $615.45 3.4×
Nk cells total count (86357) $66.13 $165.32 1.8×
Nucleotidase 5 (83915) $70.89 $177.22 6.4×
Occult bld feces 1-3 tests (82272) $18.73 $46.82 4.4×
Occult blood other sources (82271) $74.81 $187.02 14.1×
Occult blood screening (82270) $47.76 $119.38 10.9×
Oligoclonal bands (83916) $237.79 $594.47 8.7×
Organic acids qual each (83919) $144.25 $360.62 8.8×
Osmolality serum (83930) $66.13 $165.32 10.0×
Osmolality urine (83935) $88.84 $222.08 13.0×
Osteocalcin (83937) $86.55 $216.37 2.9×
Ova and parasite exam (87177) $73.52 $183.78 8.3×
Oxalate urine (83945) $92.85 $232.12 6.4×
Pancreatic elastase fecal (82656) $302.58 $756.43 26.2×
Pancreatic polypeptide (83519) $298.97 $747.41 16.2×
Parathyroid hormone (83970) $263.18 $657.94 6.4×
Parvovirus antibody (86747) $152.96 $382.38 10.2×
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $171.67 $429.16 0.5×
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $42.09 $105.21 0.0×
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $180.35 $450.86 1.0×
Pertussis by PCR (87798) $113.18 $282.93 3.2×
Ph body fluid (83986) $291.22 $728.05 81.3×
Phenobarbital (80184) $104.20 $260.50 6.8×
Phenylalanine (84030) $182.35 $455.86 33.2×
Phenytoin level total (80185) $72.14 $180.33 5.4×
Phosphatidylglycerol (84081) $271.19 $677.97 16.4×
Phosphorus (84100) $55.44 $138.59 11.7×
Phosphorus urine (84105) $52.77 $131.92 9.1×
Platelet count automated (85049) $52.80 $131.99 11.8×
Platelet neutralization (85597) $149.50 $373.73 8.3×
Potassium (84132) $60.79 $151.96 12.8×
Potassium urine (84133) $55.44 $138.59 11.7×
Prealbumin (84134) $80.16 $200.38 5.5×
Pregnenolone (84140) $135.60 $338.98 6.6×
Procalcitonin (pct) (84145) $181.18 $452.94 6.7×
Progesterone (84144) $116.23 $290.57 5.6×
Proinsulin (84206) $245.81 $614.51 9.2×
Prolactin (84146) $149.62 $374.04 7.7×
Protein c activity (85303) $208.66 $521.64 15.1×
Protein c antigen (85302) $347.96 $869.90 29.0×
Protein electrophoresis serum (84165) $133.60 $333.98 12.4×
Protein electrophoresis urine (84166) $123.57 $308.92 6.9×
Protein s antigen, free (85306) $96.94 $242.34 6.3×
Protein total other source (84157) $55.44 $138.59 13.9×
Protein total serum (84155) $55.44 $138.59 15.1×
Protein total urine (84156) $107.54 $268.85 29.3×
Protozoa antibody nos (86753) $137.64 $344.09 11.1×
PSA free (84154) $88.17 $220.42 4.8×
Rbc antibody elution (86860) $236.19 $590.47 1.3×
Rbc antibody identification (86870) $226.66 $566.63 0.6×
Rbc antibody screen (86850) $61.27 $153.16 6.3×
Reagent strip/blood glucose (82948) $15.96 $39.90 3.2×
Receptor assay non-endocrine specify receptor (84238) $106.74 $266.85 2.9×
Receptor assay; estrogen Other Outpatient (84233) $449.50 $1,123.74 5.1×
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $249.14 $622.84 20.7×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $73.63 $184.06 5.6×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $82.98 $207.43 4.3×
Renin (84244) $176.33 $440.82 8.0×
Resp virus 12-25 targets (87633) $276.96 $692.38 0.7×
Resp virus 6-11 targets (87632) $1,011.84 $2,529.60 4.6×
Rheumatoid factor (86430) $28.72 $71.80 4.7×
Rheumatoid factor quant (86431) $32.07 $80.17 5.7×
Ristocetin cofactor (85245) $167.30 $418.25 7.3×
Rl immediate spin crossmatch (86920) $98.02 $245.03 0.5×
Rotavirus ag eia (87425) $67.39 $168.46 5.6×
Rpr qual (86592) $32.80 $82 7.7×
Rsv DNA/RNA amp probe (87634) $164.86 $412.13 2.3×
Rubella antibody (86762) $190.37 $475.91 13.2×
Rubeola antibody (86765) $124.91 $312.26 9.7×
Russell viper venom diluted (85613) $188.93 $472.32 19.7×
Sedimentation rate rbc automated (85652) $37.26 $93.14 13.8×
Sedimentation rate rbc non-automated (85651) $32.44 $81.10 7.6×
Semen analysis complete (89320) $91.21 $228.02 7.4×
Semen analysis post vasectomy (89321) $76.24 $190.59 6.3×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) $58.62 $146.54 6.0×
Sex hormone binding globulin (84270) $151.63 $379.06 7.0×
Shiga-like toxin ag eia (87427) $34.04 $85.10 2.8×
Sickle cell screen (85660) $97.97 $244.91 17.8×
Sirolimus (80195) $219.76 $549.38 16.0×
Smear wet mount (87210) $63.30 $158.25 10.9×
So gsap cl fr cpy nmbr&mcrst (81463) $823.20 $2,058 0.6×
So gsap cll fr DNA/DNA&RNA (81462) $823.20 $2,058 0.7×
So gsap cll fr mcrstl ins (81464) $823.20 $2,058 0.3×
So gsap DNA cpy nmbr&mcrstl (81458) $823.20 $2,058 0.8×
So neo gsap DNA mcrstl ins (81457) $823.20 $2,058 0.9×
So neo gsap DNA/DNA&RNA (81459) $823.20 $2,058 0.3×
Sodium (84295) $55.44 $138.59 11.5×
Sodium other source (84302) $54.10 $135.25 11.1×
Sodium urine (84300) $55.44 $138.59 11.0×
Somatomedin (84305) $426.82 $1,067.04 20.1×
Somatostatin (84307) $266.75 $666.87 14.6×
Special stains group i (88312) $106.87 $267.16 1.9×
Special stains group ii (88313) $100.84 $252.08 0.7×
Staph a DNA amp probe (87640) $202.06 $505.15 5.8×
Strep a ag ia (87430) $63.30 $158.25 3.8×
Strep a assay w/optic (87880) $69.66 $174.13 4.2×
Strep a DNA amp probe (87651) $107.05 $267.62 3.1×
Strep b DNA amp probe (87653) $119.12 $297.79 3.4×
Sulfate urine (84392) $46.76 $116.89 8.5×
Surg path level 1 (88300) $36.74 $91.83 1.2×
Susceptibility mic per plate (87186) $63.30 $158.25 7.3×
T cells cd4 count (86361) $162.98 $407.43 6.1×
T3 free (84481) $103.53 $258.82 6.1×
T3 reverse (84482) $372.71 $931.77 23.6×
T3 uptake (84479) $36.74 $91.83 5.7×
T4 (thyroxine) total (84436) $82.84 $207.08 12.1×
Tacrolimus (80197) $308.59 $771.47 22.5×
Tb test cell immun measure (86480) $408.11 $1,020.27 6.6×
Testosterone free (84402) $340.65 $851.62 13.4×
Testosterone total (84403) $169.66 $424.15 6.6×
Theophylline (80198) $66.80 $166.99 4.7×
Thiopurine drug metabolites (83789) $231.32 $578.30 9.6×
Thiopurine metabolites (80299) $151.18 $377.93 8.1×
Thiopurine methyltransferase, rbc (82657) $206.75 $516.86 9.3×
Thrombin time plasma (85670) $109.42 $273.54 19.0×
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $109.42 $273.54 16.9×
Thyroglobulin (84432) $169.66 $424.15 10.6×
Thyroglobulin antibody (86800) $92.85 $232.12 5.8×
Thyroid peroxidase antibody (86376) $62.12 $155.28 4.3×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $291.22 $728.05 5.7×
Thyroxine free (ft4) (84439) $92.85 $232.12 10.3×
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $9.95 $24.87 1.5×
Tissue culture lymphocyte (88230) $261.38 $653.43 2.2×
Tobramycin (80200) $112.88 $282.20 7.0×
Topiramate (80201) $145.62 $364.04 12.2×
Toxoplasma antibody igg (86777) $107.54 $268.85 7.5×
Toxoplasma antibody igm (86778) $133.60 $333.98 9.3×
Transferrin (84466) $94.18 $235.44 7.4×
Treponema pallidum antibody (86780) $19.66 $49.13 1.5×
Trichinella antibody (86784) $203.72 $509.30 16.2×
Trichomonas vaginalis amplif (87661) $102.11 $255.26 2.9×
Trichrome stain (87209) $98.52 $246.30 5.5×
Triglycerides (84478) $55.44 $138.59 9.7×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $103.53 $258.82 7.3×
Troponin t (84484) $158.98 $397.44 12.7×
Urea nitrogen quantitative (84520) $49.43 $123.57 12.5×
Urea nitrogen urine (84540) $56.11 $140.26 10.1×
Uric acid blood (84550) $55.44 $138.59 12.3×
Uric acid other source (84560) $55.44 $138.59 10.9×
Urinalysis auto w/micro (81001) $50.89 $127.22 16.1×
Urinalysis microscopic only (81015) $36.56 $91.40 12.0×
Urine bacteria culture (87088) $100.02 $250.05 12.4×
Urine Pregnancy Test POC (81025) $54.71 $136.77 6.4×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $50.89 $127.22 22.6×
Valproic acid (80164) $82.53 $206.31 6.1×
Vancomycin (80202) $143.61 $359.02 10.6×
Varicella zoster antibody igg (86787) $100.20 $250.48 7.8×
Vasoactive intestinal peptide (vip) (84586) $364.70 $911.73 10.3×
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $205.15 $512.87 6.0×
Viral culture non-respiratory (87252) $285.88 $714.69 11.0×
Virus antibody nos (86790) $274.53 $686.31 21.3×
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $112.57 $281.41 5.8×
Viscosity (85810) $114.51 $286.26 9.8×
Vitamin a (84590) $88.84 $222.08 7.7×
Vitamin b-12 (82607) $92.85 $232.12 6.2×
Vitamin b1 whole blood (84425) $169.66 $424.15 8.0×
Vitamin b6 (84207) $259.83 $649.56 9.2×
Vitamin c (82180) $49.05 $122.61 5.0×
Vitamin d 25 hydroxy (82306) $220.43 $551.06 7.4×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $193.03 $482.57 5.0×
Vitamin e (84446) $112.22 $280.53 7.9×
Vitamin k1 (84597) $216.41 $541.01 15.8×
West nile virus antibody (86789) $49.05 $122.61 3.4×
White blood cell histamine (immune system chemical) release test (86343) $165.96 $414.88 13.3×
Yeast id (87106) $62.32 $155.78 6.0×
Z t cells total count (86359) $66.13 $165.32 1.8×
Zika virus DNA/RNA amp probe (87662) $225.03 $562.57 4.4×
Zika virus igm antibody (86794) $86.55 $216.37 5.1×
Zinc (84630) $122.90 $307.23 10.8×