Lab & pathology prices at St. Mary's Good Samaritan Hospital
Greensboro, GA · every code in this section with a posted price and a Medicare benchmark.
439 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) | $76.70 | $118 | 2.0× |
| 5 Hiaa (83497) | $58.50 | $90 | 4.5× |
| Acetaminophen level (80143) | $135.85 | $209 | 7.3× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $33.48 | $51.50 | 1.8× |
| Acetylcholine receptor binding antibody (86041) | $29.90 | $46 | 1.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $23.72 | $36.50 | 2.0× |
| Actin smooth muscle antibody each (86015) | $37.05 | $57 | 3.1× |
| Acute hepatitis panel (80074) | $189.15 | $291 | 4.0× |
| Acylcarnitine Plasma (82017) | $68.25 | $105 | 4.0× |
| Afb culture (87116) | $60.45 | $93 | 5.6× |
| Albumin Fluid (82042) | $54.60 | $84 | 7.0× |
| Albumin serum (82040) | $316.56 | — | 64.0× |
| Aldolase (82085) | $39.65 | $61 | 4.1× |
| Aldosterone urine (82088) | $109.85 | $169 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $53.95 | $83 | 3.7× |
| Allergen specific ige (86003) | $11.05 | $17 | 2.1× |
| Allg Spec Ige Recomb Ea (86008) | $16.90 | $26 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $42.90 | $66 | 3.0× |
| Alpha-1-antitrypsin, total (82103) | $117 | $180 | 8.7× |
| Alpha-fetoprotein, serum (82105) | $55.25 | $85 | 3.3× |
| Alt (sgpt) (84460) | $60.45 | $93 | 11.4× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $305.50 | $470 | 18.1× |
| Ammonia (82140) | $50.05 | $77 | 3.4× |
| Amylase urine (82150) | $49.40 | $76 | 7.6× |
| Ana Titer (86039) | $39 | $60 | 3.5× |
| Angiotensin i enzyme test (82164) | $57.85 | $89 | 4.0× |
| Anti-phosphatidylserine antibody (86148) | $55.25 | $85 | 3.4× |
| Antibody aspergillus (86606) | $63.70 | $98 | 4.2× |
| Antibody cytomegalovirus cmv (86644) | $39 | $60 | 2.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $27.32 | $42.04 | 2.1× |
| Antibody herpes smplx type 1 (86695) | $35.10 | $54 | 2.7× |
| Antibody identification (86870) | $154.70 | $238 | 0.5× |
| Antibody mumps (86735) | $42.90 | $66 | 3.3× |
| Antibody Protozoa Nes (86753) | $77.35 | $119 | 6.2× |
| Antibody rubeola (86765) | $50.70 | $78 | 3.9× |
| Antibody screen (86850) | $79.95 | $123 | 8.2× |
| Antibody treponema pallidum (86780) | $31.85 | $49 | 2.4× |
| Antigen typing (86905) | $170.95 | $263 | 44.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $45.82 | $70.50 | 3.8× |
| Antinuclear antibodies (86038) | $43.55 | $67 | 3.6× |
| Apolipoprotein b (82172) | $61.10 | $94 | 2.9× |
| Aquaporin-4 antibody flow cytometry each (86053) | $225.55 | $347 | 6.0× |
| Arsenic Urine (82175) | $14.95 | $23 | 0.8× |
| Assay direct measurement free estradiol (82681) | $84.50 | $130 | 3.0× |
| Assay galactose transferase (82775) | $288.60 | $444 | 13.7× |
| Assay Lipoprotein Pla2 (83698) | $52 | $80 | 1.1× |
| Assay Nephelometry Not Spec (83883) | $57.20 | $88 | 4.2× |
| Assay of acth (82024) | $59.15 | $91 | 1.5× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $142.35 | $219 | 8.2× |
| Assay of androstenedione (82157) | $211.25 | $325 | 7.2× |
| Assay of anti-mullerian hormone (82166) | $47.45 | $73 | 1.2× |
| Assay of blood chloride (82435) | $61.75 | $95 | 13.4× |
| Assay of blood fatty acids (82725) | $578.50 | $890 | 30.8× |
| Assay of c-peptide (84681) | $78 | $120 | 3.7× |
| Assay of ceruloplasmin (82390) | $18.20 | $28 | 1.7× |
| Assay of creatine (82540) | $73.45 | $113 | 15.8× |
| Assay of cyclosporine (80158) | $79.30 | $122 | 4.4× |
| Assay of dibucaine number (82638) | $27.30 | $42 | 2.2× |
| Assay of erythropoietin (82668) | $131.95 | $203 | 7.0× |
| Assay of ferritin (82728) | $49.40 | $76 | 3.6× |
| Assay of g6pd enzyme (82955) | $59.80 | $92 | 6.2× |
| Assay of gammaglobulin igm (82784) | $31.85 | $49 | 3.4× |
| Assay of homocystine (83090) | $56.55 | $87 | 3.2× |
| Assay of lipoprotein(a) (83695) | $110.50 | $170 | 7.7× |
| Assay of manganese (83785) | $29.90 | $46 | 1.1× |
| Assay of metanephrines (83835) | $67.60 | $104 | 4.0× |
| Assay of parathormone (83970) | $109.85 | $169 | 2.7× |
| Assay of phenobarbital (80184) | $31.85 | $49 | 2.1× |
| Assay of prealbumin (84134) | $66.62 | $102.50 | 4.6× |
| Assay of selenium (84255) | $34.12 | $52.50 | 1.3× |
| Assay of somatomedin (84305) | $75.40 | $116 | 3.5× |
| Assay of tacrolimus (80197) | $198.90 | $306 | 14.5× |
| Assay of urine vma (84585) | $15.60 | $24 | 1.0× |
| Assay of vitamin k (84597) | $40.95 | $63 | 3.0× |
| Assay Ph Body Fluid Nos (83986) | $67.60 | $104 | 18.9× |
| Assay Thiopurine S-Methyltransferase (84433) | $176.80 | $272 | 8.0× |
| Ast (sgot) (84450) | $52.65 | $81 | 10.2× |
| B cells total count (86355) | $92.95 | $143 | 2.5× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $54.60 | $84 | 2.1× |
| Beta hydroxybutyrate (82010) | $64.35 | $99 | 7.9× |
| Beta Lactamase (87185) | $46.15 | $71 | 9.7× |
| Beta-2 microglobulin (82232) | $25.35 | $39 | 1.6× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $285.35 | $439 | 2.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $254.07 | $390.88 | 2.0× |
| Bilirubin direct (82248) | $47.12 | $72.50 | 9.4× |
| Bilirubin total (82247) | $57.20 | $88 | 11.4× |
| Bl Smear W/Diff Wbc Count (85007) | $37.05 | $57 | 9.8× |
| Blood count reticulocyte automated (85045) | $14.30 | $22 | 3.6× |
| Blood gases (82803) | $225.55 | $347 | 8.7× |
| Blood gases w/02 saturation (82805) | $265.85 | $409 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $29.90 | $46 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $11.70 | $18 | 2.7× |
| Blood Ph - Ph Venous (82800) | $87.75 | $135 | 8.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $351.32 | $540.50 | 55.3× |
| Blood typing abo (86900) | $22.10 | $34 | 7.4× |
| Blood typing serologic rh (d) (86901) | $22.10 | $34 | 7.4× |
| Blood typing serologic rh phenotyping complete (86906) | $80.60 | $124 | 10.4× |
| Body fluid cell count (89051) | $75.08 | $115.50 | 13.4× |
| Body fluid cell count (89050) | $10.40 | $16 | 2.2× |
| C diff amplified probe (87493) | $86.45 | $133 | 2.3× |
| C-reactive protein (86140) | $28.28 | $43.50 | 5.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $76.70 | $118 | 5.9× |
| Ca 125 (86304) | $60.45 | $93 | 2.9× |
| Ca 19-9 (86301) | $78 | $120 | 3.7× |
| Calcium ionized (82330) | $45.50 | $70 | 3.3× |
| Calcium total (82310) | $241.80 | — | 46.9× |
| Calcium urine (82340) | $16.25 | $25 | 2.7× |
| Calculus Spectroscopy (82365) | $122.52 | $188.50 | 9.5× |
| Calprotectin, fecal (83993) | $246.35 | $379 | 12.5× |
| Candida antibody (86628) | $36.15 | $55.62 | 3.0× |
| Carbamazepine (tegretol) total (80156) | $70.85 | $109 | 4.9× |
| Carbon dioxide (82374) | $65.65 | $101 | 13.5× |
| Carcinoembryonic antigen (82378) | $71.18 | $109.50 | 3.8× |
| Cardiolipin ab igg (86147) | $18.20 | $28 | 0.7× |
| Carnitine (82379) | $42.25 | $65 | 2.5× |
| Catecholamines fraction plasma (82384) | $81.90 | $126 | 3.2× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $145.60 | $224 | 1.1× |
| Cftr gene com variants (81220) | $378.30 | $582 | 0.7× |
| Chemiluminescent assay (82397) | $37.70 | $58 | 2.7× |
| Chloride other source (82438) | $65.65 | $101 | 13.1× |
| Chloride urine (82436) | $61.75 | $95 | 10.7× |
| Cholesterol total (82465) | $61.75 | $95 | 14.2× |
| Cholinesterase serum (82480) | $27.30 | $42 | 3.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $321.10 | $494 | 2.6× |
| Chromium urine (82495) | $31.85 | $49 | 1.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $76.70 | $118 | 2.2× |
| Ck isoenzymes (82552) | $44.52 | $68.50 | 3.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $169 | $260 | 7.0× |
| Collagen cross links (82523) | $34.45 | $53 | 1.8× |
| Compatibility test antiglob (86922) | $152.10 | $234 | 1.0× |
| Compatibility Test Incubate (86921) | $152.10 | $234 | 1.0× |
| Complement c3 (86160) | $74.10 | $114 | 6.2× |
| Complement total ch50 (86162) | $76.70 | $118 | 3.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $100.75 | $155 | 8.4× |
| Concentration Infectious Agent (87015) | $419.25 | — | 62.8× |
| Coombs direct (86880) | $46.80 | $72 | 8.7× |
| Coombs Test Indirect Qual (86885) | $54.92 | $84.50 | 9.6× |
| Copper urine (82525) | $40.30 | $62 | 3.2× |
| Cortisol free (82530) | $56.55 | $87 | 3.4× |
| Cortisol total (82533) | $60.12 | $92.50 | 3.7× |
| Creatine kinase total (82550) | $37.05 | $57 | 5.7× |
| Creatinine blood (82565) | $48.10 | $74 | 9.4× |
| Creatinine clearance (82575) | $113.75 | $175 | 12.0× |
| Creatinine other source (82570) | $21.45 | $33 | 4.1× |
| Crossmatch immediate spin (86920) | $128.38 | $197.50 | 0.9× |
| Cryoglobulin (82595) | $58.50 | $90 | 9.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $49.40 | $76 | 6.1× |
| Culture Aerobic Identify (87077) | $50.05 | $77 | 6.2× |
| Culture anaerobic (87075) | $288.60 | — | 30.5× |
| Culture blood (87040) | $48.75 | $75 | 4.7× |
| Culture fungus blood (87103) | $41.92 | $64.50 | 2.0× |
| Culture fungus id yeast (87106) | $30.55 | $47 | 3.0× |
| Culture fungus other (87102) | $26 | $40 | 3.1× |
| Culture genital (87070) | $246.35 | — | 28.6× |
| Culture screen only (87081) | $24.70 | — | 3.7× |
| Culture stool (87045) | $57.85 | $89 | 6.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $30.55 | $47 | 5.9× |
| Culture urine (87086) | $60.45 | $93 | 7.5× |
| Cyclic Citrullinated Peptide (86200) | $40.95 | $63 | 3.2× |
| Cystatin c (82610) | $68.90 | $106 | 3.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $87.10 | $134 | 2.0× |
| Cytopath cell enhance tech (88112) | $112.45 | $173 | 2.5× |
| D-Dimer (85379) | $133.25 | $205 | 13.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $41.60 | $64 | 2.5× |
| Detect agnt mult DNA ampli (87801) | $333.78 | $513.50 | 4.8× |
| Dhea (82626) | $123.82 | $190.50 | 4.9× |
| Dhea sulfate (82627) | $74.75 | $115 | 3.4× |
| Digoxin (80162) | $105.95 | $163 | 8.0× |
| Dilantin (80185) | $112.45 | $173 | 8.5× |
| Dipropylacetic acid free (80165) | $28.60 | $44 | 2.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $41.60 | $64 | 3.0× |
| Drug assay adalimumab (80145) | $120.90 | $186 | 3.1× |
| Drug Assay Amiodarone (80151) | $130.98 | $201.50 | 7.0× |
| Drug Assay Lacosamide (80235) | $126.10 | $194 | 4.7× |
| Drug assay rufinamide (80210) | $140.50 | $216.15 | 5.2× |
| Drug assay voriconazole (80285) | $87.75 | $135 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $63.38 | $97.50 | 4.8× |
| Drug Scrn Quan Levetiracetam (80177) | $166.08 | $255.50 | 12.5× |
| Drug scrn quant oxcarbazepin (80183) | $27.95 | $43 | 2.1× |
| Drug test prsmv chem anlyzr (80307) | $258.70 | $398 | 4.2× |
| Ebv viral capsid (86665) | $57.85 | $89 | 3.2× |
| Echinococcus ab igg (86682) | $52 | $80 | 4.0× |
| Ehrlichia antibody (86666) | $101.40 | $156 | 10.0× |
| Elastase pancreatic fecal quantitative (82653) | $65.65 | $101 | 2.9× |
| Electrolyte panel (80051) | $165.75 | $255 | 23.6× |
| Electronic crossmatch (86923) | $112.45 | $173 | 0.8× |
| Endomysial antibody iga (86255) | $58.50 | $90 | 4.9× |
| Entamoeba histolytica antigen (87337) | $44.85 | $69 | 3.7× |
| Enzyme cell activity (82657) | $120.58 | $185.50 | 5.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $44.20 | $68 | 2.9× |
| Estradiol (82670) | $83.20 | $128 | 3.0× |
| Estrogen fractionated (82671) | $56.55 | $87 | 1.8× |
| Estrogens total (82672) | $98.80 | $152 | 4.6× |
| Everolimus (80169) | $185.90 | $286 | 13.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $42.25 | $65 | 5.8× |
| F2 gene analysis 20210g >a variant (81240) | $101.40 | $156 | 1.5× |
| F5 gene (81241) | $101.40 | $156 | 1.4× |
| Factor ix activity (85250) | $238.55 | $367 | 12.5× |
| Factor v activity (85220) | $50.05 | $77 | 2.8× |
| Factor viii ahg (85240) | $146.90 | $226 | 8.2× |
| Fecal fat qual (82705) | $22.42 | $34.50 | 4.4× |
| Fibrinogen activity (85384) | $22.10 | $34 | 2.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $65 | $100 | 5.4× |
| Folate serum (82746) | $55.90 | $86 | 3.8× |
| Folic acid rbc (82747) | $71.18 | $109.50 | 4.0× |
| Follicle Stimulating Hormone (83001) | $52.98 | $81.50 | 2.9× |
| Fresh frozen plasma thawing each unit (86927) | $174.85 | $269 | 1.2× |
| Fructosamine (82985) | $55.90 | $86 | 3.3× |
| Gammaglobulin ige (82785) | $33.80 | $52 | 2.1× |
| Gastric Occult Blood (82271) | $42.90 | $66 | 8.1× |
| Ggt (82977) | $61.75 | $95 | 8.6× |
| Giardia antigen eia stool (87329) | $48.10 | $74 | 4.0× |
| Gliadin antibody each immunoglobulin class (86258) | $39.65 | $61 | 3.3× |
| Glucose (82947) | $29.90 | $46 | 7.6× |
| Glucose body fluid (82945) | $61.75 | $95 | 15.7× |
| Glucose post dose (82950) | $11.05 | $17 | 2.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $145.60 | $224 | 11.3× |
| Growth hormone (83003) | $34.45 | $53 | 2.1× |
| Haptoglobin (83010) | $68.90 | $106 | 5.5× |
| Hcg qualitative (84703) | $62.40 | $96 | 8.3× |
| Hcg quant (84702) | $98.15 | $151 | 6.5× |
| Hdl Cholesterol (83718) | $16.90 | $26 | 2.1× |
| Heavy metal quant each (83018) | $39.65 | $61 | 1.8× |
| Hematocrit (85014) | $393.25 | — | 165.9× |
| Hemoglobin (85018) | $393.25 | — | 165.9× |
| Hemoglobin a1c (83036) | $34.45 | $53 | 3.5× |
| Hemoglobin electrophoresis (83020) | $27.30 | $42 | 2.1× |
| Heparin assay (85520) | $102.70 | $158 | 7.8× |
| Hepatitis a antibody total (86708) | $31.20 | $48 | 2.5× |
| Hepatitis a igm (86709) | $45.50 | $70 | 4.0× |
| Hepatitis b core ab igm (86705) | $39 | $60 | 3.3× |
| Hepatitis b core antibody total (86704) | $44.20 | $68 | 3.7× |
| Hepatitis B Surface Ab (86706) | $34.12 | $52.50 | 3.2× |
| Hepatitis B Surface Antigen (87340) | $39.65 | $61 | 3.8× |
| Hepatitis be antibody (86707) | $42.90 | $66 | 3.7× |
| Hepatitis Be Antigen (87350) | $73.45 | $113 | 6.4× |
| Hepatitis c antibody (86803) | $46.15 | $71 | 3.2× |
| Hepatitis C Genotype (87902) | $448.18 | $689.50 | 1.7× |
| Herpes culture (87252) | $87.75 | $135 | 3.4× |
| Herpes simplex type 2 (86696) | $35.10 | $54 | 1.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $70.20 | $108 | 13.6× |
| Hfe gene (81256) | $189.80 | $292 | 2.9× |
| HIV-1 genotype (87901) | $244.40 | $376 | 0.9× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $75.40 | $116 | 5.5× |
| Hla class ii typing high resolution one locus ea (81382) | $126.75 | $195 | 1.0× |
| Hla-b27 (86812) | $81.25 | $125 | 3.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $65.98 | $101.50 | 1.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $52.65 | $81 | 1.5× |
| Human epididymis protein 4 (86305) | $202.15 | $311 | 9.7× |
| Iaad ia clostridium difficile toxin (87324) | $200.85 | — | 16.8× |
| Iaad ia cryptosporidium (87328) | $50.70 | $78 | 3.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $80.60 | $124 | 3.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $29.25 | $45 | 2.0× |
| Iaad ia rotavirus (87425) | $41.60 | $64 | 3.5× |
| Iaad Ia Streptococcus Group A (87430) | $35.10 | $54 | 2.1× |
| Iaadiadoo not otherwise specified (87899) | $74.10 | $114 | 4.6× |
| Iadna hepatitis b virus quantification (87517) | $299 | $460 | 7.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $83.20 | $128 | 1.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $242.45 | $373 | 2.8× |
| Iadna mtb rifampin resistance amp prb tq (87564) | $154.70 | $238 | 2.0× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $144.95 | $223 | 3.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $76.70 | $118 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $235.30 | $362 | 6.7× |
| Iadna nos quantification each organism (87799) | $206.70 | $318 | 4.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $40.95 | $63 | 1.2× |
| Igg subclasses (82787) | $24.70 | $38 | 3.1× |
| Immunfix e-phorsis/urine/csf (86335) | $86.45 | $133 | 2.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $30.55 | $47 | 2.0× |
| Immunoassay nonantibody (83516) | $79.30 | $122 | 6.9× |
| Immunofixj Electrophoresis Serum (86334) | $67.60 | $104 | 3.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $131.30 | $202 | 0.9× |
| Immunoglobulin light chains free each (83521) | $58.50 | $90 | 3.4× |
| Immunohistochemistry (88342) | $67.60 | $104 | 0.5× |
| India ink prep (87210) | $40.95 | $63 | 7.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $78 | $120 | 1.1× |
| Influenza a/b ag eia (87400) | $32.50 | $50 | 2.3× |
| Inhibin b (83520) | $100.75 | $155 | 5.8× |
| Insulin antibodies (86337) | $61.75 | $95 | 2.9× |
| Insulin total (83525) | $48.42 | $74.50 | 4.2× |
| Interleukin 6 (83529) | $128.70 | $198 | 7.5× |
| Intrinsic factor antibody (86340) | $104.65 | $161 | 6.9× |
| Iron (83540) | $51.35 | $79 | 7.9× |
| Iron binding capacity (83550) | $59.80 | $92 | 6.8× |
| Islet cell antibody (86341) | $76.05 | $117 | 3.2× |
| Kit gene analys d816 variant (81273) | $396.50 | $610 | 3.2× |
| Lactic acid (83605) | $62.40 | $96 | 5.4× |
| Lactoferrin fecal qualitative (83630) | $44.20 | $68 | 2.2× |
| Ldh (83615) | $59.80 | $92 | 9.9× |
| LDL cholesterol direct (83721) | $401.05 | — | 38.2× |
| Lead (83655) | $15.08 | $23.20 | 1.2× |
| Legionella antibody (86713) | $124.15 | $191 | 8.1× |
| Legionella antigen urine (87449) | $85.15 | $131 | 7.1× |
| Level ii surg pathology grossµscopic exam (88302) | $80.60 | $124 | 2.5× |
| Level v surg pathology grossµscopic exam (88307) | $224.25 | $345 | 0.7× |
| Level vi surg pathology grossµscopic exam (88309) | $291.85 | $449 | 0.4× |
| Lh (83002) | $56.55 | $87 | 3.1× |
| Lipase (83690) | $43.22 | $66.50 | 6.3× |
| Lithium (80178) | $26 | $40 | 3.9× |
| Lyme disease antibody (86618) | $55.25 | $85 | 3.2× |
| Lyme disease antibody confirm (86617) | $30.55 | $47 | 2.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $280.80 | $432 | 1.9× |
| Macroscopic exam parasite (87169) | $21.45 | $33 | 5.0× |
| Magnesium (83735) | $39 | $60 | 5.8× |
| Malaria smear (87207) | $16.58 | $25.50 | 2.8× |
| Mercury (83825) | $17.88 | $27.50 | 1.1× |
| Methotrexate (80299) | $86.45 | $133 | 4.6× |
| Methylmalonic acid serum (83921) | $66.30 | $102 | 3.1× |
| Microalbumin urine (82043) | $71.82 | $110.50 | 12.4× |
| Microsatellite instability (81301) | $403.65 | $621 | 1.2× |
| Microsomal antibodies (86376) | $46.80 | $72 | 3.2× |
| Mitochondrial antibody each (86381) | $37.05 | $57 | 1.5× |
| Mog-igg1 antibody flow cytometry each (86363) | $566.80 | $872 | 15.0× |
| Molecular pathology procedure level 2 (81401) | $526.50 | $810 | 3.8× |
| Mrsa amp probe (87641) | $44.20 | $68 | 1.3× |
| Mthfr Gene Analysis Common Variants (81291) | $122.20 | $188 | 1.9× |
| Muramidase (85549) | $78 | $120 | 4.2× |
| Muscle-specific kinase (musk) antibody (86366) | $29.90 | $46 | 1.6× |
| Mycoplasma antibody (86738) | $58.50 | $90 | 4.4× |
| Natriuretic peptide (83880) | $91.98 | $141.50 | 2.3× |
| Neutralization test, viral (86382) | $768.95 | $1,183 | 45.5× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $266.50 | $410 | 3.7× |
| Niacin (84591) | $44.85 | $69 | 2.6× |
| Nk cells total count (86357) | $79.30 | $122 | 2.1× |
| Nmr Lipoprofile (83704) | $196.30 | $302 | 5.7× |
| Nuclear antigen antibody (86235) | $22.10 | $34 | 1.2× |
| Occult blood stool (82272) | $11.70 | $18 | 2.8× |
| Oligoclonal bands (83916) | $39.65 | $61 | 1.4× |
| Oncoprotein dcp (83951) | $130 | $200 | 2.0× |
| Osmolality serum (83930) | $91 | $140 | 13.8× |
| Osmolality urine (83935) | $91 | $140 | 13.3× |
| Ova and parasite direct-id lca (87177) | $18.20 | $28 | 2.0× |
| Pancreatic elastase fecal (82656) | $154.05 | $237 | 13.4× |
| Pancreatic polypeptide (83519) | $48.75 | $75 | 2.6× |
| Particle Agglutination Screen Each Antibody (86403) | $99.45 | $153 | 8.6× |
| Phenotype Infect Agent Drug (87900) | $44.20 | $68 | 0.3× |
| Phenytoin free (80186) | $106.60 | $164 | 7.7× |
| Phosphatase alkaline (84075) | $627.90 | — | 121.2× |
| Phosphorus blood (84100) | $57.85 | $89 | 12.2× |
| Phosphorus urine (84105) | $90.35 | $139 | 15.6× |
| Platelet count (85049) | $31.85 | $49 | 7.1× |
| Porphyrins qn & fraction urine (84120) | $30.55 | $47 | 2.1× |
| Potassium (84132) | $70.20 | $108 | 14.7× |
| Potassium urine (84133) | $73.45 | $113 | 15.5× |
| Procalcitonin (pct) (84145) | $52.65 | $81 | 1.9× |
| Progesterone (84144) | $68.25 | $105 | 3.3× |
| Prolactin (84146) | $52.32 | $80.50 | 2.7× |
| Protein body fluid (84157) | $63.38 | $97.50 | 15.8× |
| Protein electrophoresis serum (84165) | $36.40 | $56 | 3.4× |
| Protein Electrophoresis Urine (84166) | $50.70 | $78 | 2.8× |
| Protein Total Serum (84155) | $651.30 | — | 177.5× |
| Protein urine (84156) | $16.90 | $26 | 4.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $50.05 | $77 | 2.9× |
| PSA free (84154) | $55.90 | $86 | 3.0× |
| Quantiferon tb gold (86480) | $211.25 | $325 | 3.4× |
| Rbc antibody elution (86860) | $130 | $200 | 0.9× |
| Rbc pretx incubatj w/chemicl (86970) | $71.50 | $110 | 1.4× |
| Reducing substances, stool (84376) | $144.30 | $222 | 26.2× |
| Renin activity plasma (84244) | $81.90 | $126 | 3.7× |
| Rheumatoid factor quant (86431) | $18.85 | $29 | 3.3× |
| Rickettsia antibody (86757) | $222.30 | $342 | 11.5× |
| Rsv (87807) | $52 | $80 | 4.0× |
| Rubella antibody (86762) | $39 | $60 | 2.7× |
| Russell viper venom time diluted (85613) | $35.10 | $54 | 3.7× |
| Salicylate (80179) | $165.75 | $255 | 8.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $135.52 | $208.50 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $115.05 | $177 | 2.7× |
| Sars-cov-2 covid19 w/optic (87811) | $58.50 | $90 | 1.4× |
| Sarscov2 & inf a&b amp prb (87636) | $286 | $440 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286.65 | $441 | 2.0× |
| Sed rate automated (85652) | $16.25 | $25 | 6.0× |
| Sensitivity mic (87186) | $42.25 | $65 | 4.9× |
| Serotonin Release Assay (86022) | $135.52 | $208.50 | 7.4× |
| Sex hormone binding globulin (84270) | $65 | $100 | 3.0× |
| Sickle cell screen (85660) | $26.32 | $40.50 | 4.8× |
| Sirolimus (rapamycin) (80195) | $165.75 | $255 | 12.1× |
| Smear acid fast (87206) | $25.35 | $39 | 4.7× |
| Smear complex stain (87209) | $28.60 | $44 | 1.6× |
| Smear gram stain (87205) | $21.45 | $33 | 5.0× |
| Sodium (84295) | $58.50 | $90 | 12.2× |
| Sodium urine (84300) | $61.75 | $95 | 12.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $67.60 | $104 | 0.6× |
| Special stains group 1 (88312) | $68.90 | $106 | 1.5× |
| Spectrophotometry (84311) | $56.55 | $87 | 7.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $130 | $200 | 0.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $12.35 | $19 | 1.3× |
| Strep a assay w/optic (87880) | $31.20 | $48 | 1.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $59.80 | $92 | 0.6× |
| Surg path level iii (88304) | $155.35 | $239 | 3.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $59.80 | $92 | 2.4× |
| Surgical pathology level IV (88305) | $174.20 | $268 | 3.8× |
| Susceptibility study antimicrobial disk method (87184) | $57.85 | $89 | 7.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $52.65 | $81 | 1.1× |
| T cells, total count (86359) | $92.95 | $143 | 2.5× |
| T3 free (84481) | $68.25 | $105 | 4.0× |
| T3 reverse (84482) | $82.55 | $127 | 5.2× |
| T3 total (84480) | $45.82 | $70.50 | 3.2× |
| T3 uptake (84479) | $36.40 | $56 | 5.6× |
| T4 Free (84439) | $48.42 | $74.50 | 5.4× |
| T4 total (84436) | $37.70 | $58 | 5.5× |
| Tau phosphorylated each (84393) | $254.07 | $390.88 | 2.0× |
| Test for acetone/ketones (82009) | $26.65 | $41 | 5.9× |
| Testosterone free (84402) | $77.35 | $119 | 3.0× |
| Testosterone total (84403) | $63.70 | $98 | 2.5× |
| Thin prep pap (88142) | $76.05 | $117 | 3.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $24.70 | $38 | 3.8× |
| Thyroglobulin (84432) | $49.08 | $75.50 | 3.1× |
| Thyroglobulin Ab (86800) | $42.25 | $65 | 2.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $44.52 | $68.50 | 0.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $37.05 | $57 | 3.2× |
| Tissue Culture Lymphocyte (88230) | $184.60 | $284 | 1.6× |
| Topiramate (80201) | $63.38 | $97.50 | 5.3× |
| Toxoplasma antibody igg (86777) | $26.60 | $40.92 | 1.8× |
| Transferrin (84466) | $16.25 | $25 | 1.3× |
| Triglycerides (84478) | $62.72 | $96.50 | 10.9× |
| Troponin (84484) | $68.90 | $106 | 5.5× |
| Urea nitrogen (84520) | $52.32 | $80.50 | 13.2× |
| Urea nitrogen urine (84540) | $31.20 | $48 | 5.6× |
| Uric acid blood (84550) | $59.80 | $92 | 13.2× |
| Uric acid other source (84560) | $61.75 | $95 | 12.2× |
| Urinalysis w/microscopic (81001) | $382.85 | — | 120.8× |
| Urine pregnancy test (81025) | $68.90 | $106 | 8.0× |
| Urine volume measurement (81050) | $109.85 | $169 | 30.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $409.50 | — | 182.0× |
| Valproic acid level (80164) | $54.92 | $84.50 | 4.1× |
| Vancomycin trough (80202) | $55.90 | $86 | 4.1× |
| Varicella-zoster antibody (86787) | $42.90 | $66 | 3.3× |
| Vdrl csf (86592) | $26 | $40 | 6.1× |
| Vitamin A (84590) | $42.25 | $65 | 3.6× |
| Vitamin b-12 (82607) | $44.20 | $68 | 2.9× |
| Vitamin b-2 (riboflavin) (84252) | $33.15 | $51 | 1.6× |
| Vitamin b1 (thiamine) (84425) | $78 | $120 | 3.7× |
| Vitamin b6 (84207) | $57.85 | $89 | 2.1× |
| Vitamin C (82180) | $40.95 | $63 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $75.40 | $116 | 2.5× |
| Vitamin e serum (84446) | $50.05 | $77 | 3.5× |
| Voltage-gated calcium channel antibody each (86596) | $80.60 | $124 | 6.7× |
| Von willebrand factor activity (85245) | $135.85 | $209 | 5.9× |
| West nile virus antibody (86789) | $58.50 | $90 | 4.1× |
| Zinc (84630) | $44.85 | $69 | 3.9× |