Lab & pathology prices at Stonewall Memorial Hospital District
Aspermont, TX · every code in this section with a posted price and a Medicare benchmark.
384 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) | $155.25 | $207 | 4.0× |
| 5 Hiaa (83497) | $18.75 | $25 | 1.5× |
| 5 Nucleotidase (83915) | $45 | $60 | 4.0× |
| Activated protein c resistance (85307) | $133.50 | $178 | 8.7× |
| Acute hepatitis panel (80074) | $251.25 | $335 | 5.3× |
| Adenovirus antibody (86603) | $33 | $44 | 2.6× |
| Afb culture (87116) | $57 | $76 | 5.3× |
| Albumin Fluid (82042) | $21 | $28 | 2.7× |
| Albumin serum (82040) | $33.75 | $45 | 6.8× |
| Aldolase (82085) | $25.50 | $34 | 2.6× |
| Aldosterone urine (82088) | $93.75 | $125 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $50.25 | $67 | 3.4× |
| Allerg sp igg quan or semiquan (86001) | $26.25 | $35 | 3.4× |
| Allergen specific ige (86003) | $19.50 | $26 | 3.7× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $18.45 | $24.60 | 2.3× |
| Alpha-1-antitrypsin phenotype (82104) | $177.75 | $237 | 12.3× |
| Alpha-1-antitrypsin, total (82103) | $174.38 | $232.50 | 13.0× |
| Alpha-fetoprotein, serum (82105) | $82.88 | $110.50 | 4.9× |
| Alt (sgpt) (84460) | $62.25 | $83 | 11.7× |
| Aluminum (82108) | $144 | $192 | 5.7× |
| Ammonia (82140) | $125.25 | $167 | 8.6× |
| Amylase urine (82150) | $76.12 | $101.50 | 11.7× |
| Analysis for antibody to shigella (intestinal bacteria) (86771) | $40.50 | $54 | 1.7× |
| Angiotensin i enzyme test (82164) | $90.75 | $121 | 6.2× |
| Antibody aspergillus (86606) | $62.62 | $83.50 | 4.2× |
| Antibody cytomegalovirus cmv igm (86645) | $58.50 | $78 | 3.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $65.62 | $87.50 | 5.0× |
| Antibody helicobacter pylori (86677) | $33.75 | $45 | 2.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $58.50 | $78 | 4.1× |
| Antibody herpes smplx type 1 (86695) | $53.25 | $71 | 4.0× |
| Antibody HIV-2 (86702) | $63.75 | $85 | 4.7× |
| Antibody identification (86870) | $192 | $256 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $60.75 | $81 | 4.0× |
| Antibody john cunningham virus (86711) | $1,125 | $1,500 | 66.6× |
| Antibody Protozoa Nes (86753) | $136.88 | $182.50 | 11.0× |
| Antibody screen (86850) | $71.25 | $95 | 7.3× |
| Antibody treponema pallidum (86780) | $31.88 | $42.50 | 2.4× |
| Antibody; Coccidioides (86635) | $45.75 | $61 | 4.0× |
| Antigen typing (86905) | $87 | $116 | 22.7× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $138.75 | $185 | 11.5× |
| Antinuclear antibodies (86038) | $57 | $76 | 4.7× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $40.50 | $54 | 7.0× |
| Antistreptolysin o titer (86060) | $38.62 | $51.50 | 5.3× |
| Antithrombin iii activity (85300) | $48 | $64 | 4.1× |
| Apolipoprotein b (82172) | $84 | $112 | 4.0× |
| Aquaporin-4 Antb Elisa (86051) | $681 | $908 | 59.1× |
| Arsenic Urine (82175) | $55.50 | $74 | 2.9× |
| Aspergillus ag eia (87305) | $147 | $196 | 12.3× |
| Assay Nephelometry Not Spec (83883) | $70.12 | $93.50 | 5.2× |
| Assay of acth (82024) | $184.50 | $246 | 4.8× |
| Assay of blood chloride (82435) | $27 | $36 | 5.9× |
| Assay of blood fatty acids (82725) | $337.50 | $450 | 18.0× |
| Assay of c-peptide (84681) | $109.50 | $146 | 5.3× |
| Assay of ceruloplasmin (82390) | $31.50 | $42 | 2.9× |
| Assay of cyclosporine (80158) | $154.50 | $206 | 8.6× |
| Assay of erythropoietin (82668) | $111.75 | $149 | 5.9× |
| Assay of ferritin (82728) | $73.50 | $98 | 5.4× |
| Assay of gammaglobulin igm (82784) | $37.50 | $50 | 4.0× |
| Assay of glucagon (82943) | $35.25 | $47 | 2.5× |
| Assay of homocystine (83090) | $146.25 | $195 | 8.2× |
| Assay of lipoprotein(a) (83695) | $52.50 | $70 | 3.7× |
| Assay of metanephrines (83835) | $68.25 | $91 | 4.0× |
| Assay of parathormone (83970) | $234 | $312 | 5.7× |
| Assay of phenobarbital (80184) | $66.75 | $89 | 4.4× |
| Assay of proinsulin (84206) | $72 | $96 | 2.7× |
| Assay of selenium (84255) | $67.13 | $89.50 | 2.6× |
| Assay of somatomedin (84305) | $64.50 | $86 | 3.0× |
| Assay of tacrolimus (80197) | $125.25 | $167 | 9.1× |
| Assay of urine vma (84585) | $97.50 | $130 | 6.3× |
| Assay of vitamin k (84597) | $36.75 | $49 | 2.7× |
| Assay of volatiles (84600) | $401.25 | $535 | 23.5× |
| Assay Ph Body Fluid Nos (83986) | $21.75 | $29 | 6.1× |
| Ast (sgot) (84450) | $58.88 | $78.50 | 11.4× |
| Bartonella antibody (86611) | $66 | $88 | 6.5× |
| Bcr/abl1 gene major bp (81206) | $245.25 | $327 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $245.25 | $327 | 1.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $93.75 | $125 | 3.7× |
| Beta hydroxybutyrate (82010) | $29.25 | $39 | 3.6× |
| Beta-2 microglobulin (82232) | $96.75 | $129 | 6.0× |
| Bilirubin direct (82248) | $22.50 | $30 | 4.5× |
| Bilirubin total (82247) | $53.25 | $71 | 10.6× |
| Bl Smear W/Diff Wbc Count (85007) | $41.62 | $55.50 | 11.0× |
| Blastomyces antibody (86612) | $57.75 | $77 | 4.5× |
| Blood count reticulocyte automated (85045) | $21 | $28 | 5.3× |
| Blood gases (82803) | $208.50 | $278 | 8.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.25 | $39 | 6.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $457.52 | $610.03 | 72.1× |
| Blood typing abo (86900) | $21 | $28 | 7.0× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $37.50 | $50 | 2.3× |
| Blood typing serologic rh (d) (86901) | $21.75 | $29 | 7.3× |
| Body fluid cell count (89051) | $97.50 | $130 | 17.4× |
| Bordetella antibody (86615) | $56.25 | $75 | 4.3× |
| Brucella antibody (86622) | $33 | $44 | 3.7× |
| C diff amplified probe (87493) | $170.62 | $227.50 | 4.6× |
| C-reactive protein (86140) | $44.25 | $59 | 8.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $52.50 | $70 | 4.1× |
| Ca 125 (86304) | $101.25 | $135 | 4.9× |
| Ca 19-9 (86301) | $102 | $136 | 4.9× |
| Ca 27 29 (86300) | $84 | $112 | 4.0× |
| Cadmium level (82300) | $247.50 | $330 | 10.5× |
| Calcium ionized (82330) | $54.75 | $73 | 4.0× |
| Calcium total (82310) | $33.75 | $45 | 6.5× |
| Calcium urine (82340) | $109.50 | $146 | 18.2× |
| Calculus analysis (82370) | $50.25 | $67 | 4.0× |
| Calculus Qualitative Analysis (82355) | $50.25 | $67 | 4.3× |
| Calculus Quantitative Chemical (82360) | $57 | $76 | 4.4× |
| Calculus Spectroscopy (82365) | $184.46 | $245.94 | 14.3× |
| Calprotectin, fecal (83993) | $287.25 | $383 | 14.6× |
| Candida antibody (86628) | $66 | $88 | 5.5× |
| Carb deficient transferrin (82373) | $224.25 | $299 | 12.4× |
| Carbon dioxide (82374) | $30.75 | $41 | 6.3× |
| Carcinoembryonic antigen (82378) | $93 | $124 | 4.9× |
| Cardiolipin ab igg (86147) | $67.12 | $89.50 | 2.6× |
| Carnitine (82379) | $89.25 | $119 | 5.3× |
| Carotene (82380) | $221.25 | $295 | 24.0× |
| Catecholamines fraction plasma (82384) | $102 | $136 | 4.0× |
| Catecholamines organic nitrogen blood level (82383) | $122.25 | $163 | 4.2× |
| Catecholamines Total Urine (82382) | $101.25 | $135 | 3.7× |
| Cd4 absolute count (86361) | $111 | $148 | 4.1× |
| Cell marker study (88182) | $264.75 | $353 | 5.1× |
| Chemiluminescent assay (82397) | $111.38 | $148.50 | 7.9× |
| Chloride urine (82436) | $24.75 | $33 | 4.3× |
| Cholesterol total (82465) | $55.50 | $74 | 12.8× |
| Cholinesterase serum (82480) | $49.50 | $66 | 6.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $502.50 | $670 | 4.0× |
| Chromogranin a (86316) | $312.19 | $416.25 | 15.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $281.25 | $375 | 8.0× |
| Citrate (82507) | $102 | $136 | 3.7× |
| Ck isoenzymes (82552) | $54 | $72 | 4.0× |
| Ckmb (82553) | $210.75 | $281 | 18.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $75 | $100 | 3.1× |
| Cold agglutinin screen (86156) | $42 | $56 | 5.2× |
| Cold agglutinin titer (86157) | $42 | $56 | 5.2× |
| Collagen cross links (82523) | $90 | $120 | 4.8× |
| Compatibility test antiglob (86922) | $51 | $68 | 0.3× |
| Complement c3 (86160) | $101.25 | $135 | 8.4× |
| Complement total ch50 (86162) | $75 | $100 | 3.7× |
| Concentration Infectious Agent (87015) | $108 | $144 | 16.2× |
| Coombs direct (86880) | $32.25 | $43 | 6.0× |
| Coombs Test Indirect Qual (86885) | $71.25 | $95 | 12.5× |
| Copper urine (82525) | $274.97 | $366.63 | 22.2× |
| Cortisol free (82530) | $80.25 | $107 | 4.8× |
| Cortisol total (82533) | $86.25 | $115 | 5.3× |
| Creatine kinase total (82550) | $51 | $68 | 7.8× |
| Creatinine blood (82565) | $40.50 | $54 | 7.9× |
| Creatinine clearance (82575) | $58.50 | $78 | 6.2× |
| Creatinine other source (82570) | $21 | $28 | 4.1× |
| Crossmatch immediate spin (86920) | $59.25 | $79 | 0.3× |
| Cryoglobulin (82595) | $27 | $36 | 4.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $113.25 | $151 | 14.0× |
| Culture Aerobic Identify (87077) | $111 | $148 | 13.7× |
| Culture blood (87040) | $204 | $272 | 19.8× |
| Culture chlamydia (87110) | $71.25 | $95 | 3.6× |
| Culture fungus other (87102) | $38.25 | $51 | 4.5× |
| Culture genital (87070) | $53.25 | $71 | 6.2× |
| Culture screen only (87081) | $27 | $36 | 4.1× |
| Culture stool (87045) | $95.25 | $127 | 10.1× |
| Culture urine (87086) | $188.25 | $251 | 23.3× |
| Culture urine id ea isolate (87088) | $31.50 | $42 | 3.9× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $623.25 | $831 | 5.4× |
| Cyclic Citrullinated Peptide (86200) | $52.50 | $70 | 4.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $114.75 | $153 | 2.7× |
| Cytp concentration smears & interpretation (88108) | $110.62 | $147.50 | 2.9× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $40.50 | $54 | 2.2× |
| D-Dimer (85379) | $112.50 | $150 | 11.1× |
| Dhea sulfate (82627) | $96 | $128 | 4.3× |
| Digoxin (80162) | $101.25 | $135 | 7.6× |
| Dihydrotestosterone (82642) | $155.25 | $207 | 5.3× |
| Dilantin (80185) | $93.75 | $125 | 7.1× |
| Dna Antibody Single Stranded (86226) | $48.75 | $65 | 4.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $61.50 | $82 | 4.5× |
| DNA/RNA direct probe (87149) | $66 | $88 | 3.3× |
| Drug assay flecainide (80181) | $148.50 | $198 | 8.0× |
| Drug Scrn Quan Levetiracetam (80177) | $56.25 | $75 | 4.2× |
| Drug scrn quant oxcarbazepin (80183) | $108.75 | $145 | 8.2× |
| Drug test prsmv chem anlyzr (80307) | $154.50 | $206 | 2.5× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $154.50 | $206 | 9.0× |
| Ebv viral capsid (86665) | $63.75 | $85 | 3.5× |
| Echinococcus ab igg (86682) | $566.25 | $755 | 43.5× |
| Electrolyte panel (80051) | $51.75 | $69 | 7.4× |
| Electronic crossmatch (86923) | $577.50 | $770 | 3.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $141 | $188 | 11.7× |
| Endomysial antibody iga (86255) | $48.75 | $65 | 4.0× |
| Entamoeba histolytica antigen (87337) | $131.25 | $175 | 11.0× |
| Enterovirus antibody (86658) | $337.50 | $450 | 25.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $61.88 | $82.50 | 4.0× |
| Estradiol (82670) | $132 | $176 | 4.7× |
| Estriol (82677) | $97.50 | $130 | 4.0× |
| Estrogens total (82672) | $120 | $160 | 5.5× |
| Estrone (82679) | $100.50 | $134 | 4.0× |
| Ethylene glycol (82693) | $158.25 | $211 | 10.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $39.38 | $52.50 | 5.4× |
| F5 gene (81241) | $112.88 | $150.50 | 1.5× |
| Factor inhibitor test (85335) | $112.50 | $150 | 8.7× |
| Factor v activity (85220) | $71.25 | $95 | 4.0× |
| Fat stain (89125) | $22.50 | $30 | 3.8× |
| Fecal fat quant (82710) | $68.25 | $91 | 4.1× |
| Fibrin degradation products (85362) | $33 | $44 | 4.8× |
| Fibrinogen activity (85384) | $40.50 | $54 | 4.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $41.25 | $55 | 3.4× |
| Folate serum (82746) | $121.50 | $162 | 8.3× |
| Folic acid rbc (82747) | $105 | $140 | 5.9× |
| Fructosamine (82985) | $60.75 | $81 | 3.6× |
| Gammaglobulin ige (82785) | $45 | $60 | 2.7× |
| Gastric Occult Blood (82271) | $17.25 | $23 | 3.2× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,317.75 | $5,757 | 1.5× |
| Ggt (82977) | $84 | $112 | 11.7× |
| Giardia antigen eia stool (87329) | $58.12 | $77.50 | 4.9× |
| Gliadin antibody each immunoglobulin class (86258) | $141 | $188 | 11.7× |
| Glucose (82947) | $58.88 | $78.50 | 15.0× |
| Glucose body fluid (82945) | $21 | $28 | 5.3× |
| Glucose post dose (82950) | $108.75 | $145 | 22.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $33.75 | $45 | 8.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $71.25 | $95 | 5.5× |
| Growth hormone (83003) | $67.50 | $90 | 4.0× |
| Haptoglobin (83010) | $84 | $112 | 6.7× |
| Hcg qualitative (84703) | $43.50 | $58 | 5.8× |
| Hcg quant (84702) | $74.25 | $99 | 4.9× |
| Hdl Cholesterol (83718) | $60.75 | $81 | 7.4× |
| Heavy metal quant each (83018) | $371.25 | $495 | 16.9× |
| Hematocrit (85014) | $13.50 | $18 | 5.7× |
| Hemoglobin (85018) | $17.25 | $23 | 7.3× |
| Hemoglobin a1c (83036) | $50.25 | $67 | 5.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $72.75 | $97 | 4.0× |
| Hepatitis a igm (86709) | $108.75 | $145 | 9.7× |
| Hepatitis b core antibody total (86704) | $108.75 | $145 | 9.0× |
| Hepatitis B Surface Ab (86706) | $52.50 | $70 | 4.9× |
| Hepatitis B Surface Antigen (87340) | $75 | $100 | 7.3× |
| Hepatitis be antibody (86707) | $46.50 | $62 | 4.0× |
| Hepatitis c antibody (86803) | $120 | $160 | 8.4× |
| Herpes culture (87252) | $105 | $140 | 4.0× |
| Herpes simplex type 2 (86696) | $78 | $104 | 4.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $27 | $36 | 5.2× |
| Hfe gene (81256) | $114.75 | $153 | 1.8× |
| Histoplasma antibody (86698) | $33 | $44 | 2.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $131.25 | $175 | 9.6× |
| Hla-b27 (86812) | $104.25 | $139 | 4.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $39.75 | $53 | 0.6× |
| Hpylori Drug Administration (83014) | $22.50 | $30 | 2.9× |
| Iaad ia clostridium difficile toxin (87324) | $59.62 | $79.50 | 5.0× |
| Iaad ia cryptosporidium (87328) | $53.25 | $71 | 3.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $131.25 | $175 | 5.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $113.62 | $151.50 | 7.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $48.75 | $65 | 4.1× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $129 | $172 | 3.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $228.75 | $305 | 2.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $78.75 | $105 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $215.62 | $287.50 | 6.1× |
| Iadna nos quantification each organism (87799) | $841.50 | $1,122 | 19.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $161.62 | $215.50 | 4.6× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $712.50 | $950 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $118.50 | $158 | 4.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $60.75 | $81 | 4.1× |
| Immunoassay nonantibody (83516) | $55.50 | $74 | 4.8× |
| Immunoglobulin light chains free each (83521) | $54.75 | $73 | 3.2× |
| Immunohistochemistry (88342) | $135 | $180 | 0.8× |
| India ink prep (87210) | $26.25 | $35 | 4.5× |
| Inhibin b (83520) | $292.50 | $390 | 16.9× |
| Insulin antibodies (86337) | $129.15 | $172.20 | 6.0× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $84 | $112 | 0.5× |
| Iron (83540) | $54 | $72 | 8.3× |
| Iron binding capacity (83550) | $64.50 | $86 | 7.4× |
| Islet cell antibody (86341) | $69.75 | $93 | 3.0× |
| Jak2 gene analysis (81270) | $326.25 | $435 | 3.6× |
| Jak2 Targeted Sequence Analysis (81279) | $450 | $600 | 2.4× |
| Lactic acid (83605) | $210.75 | $281 | 18.2× |
| Lactoferrin fecal qualitative (83630) | $116.25 | $155 | 5.9× |
| Ldh (83615) | $26.25 | $35 | 4.3× |
| LDL cholesterol direct (83721) | $51 | $68 | 4.9× |
| Lead (83655) | $49.50 | $66 | 4.1× |
| Legionella antigen urine (87449) | $63 | $84 | 5.3× |
| Lipase (83690) | $57.75 | $77 | 8.4× |
| Lyme disease antibody (86618) | $90.75 | $121 | 5.3× |
| Magnesium (83735) | $47.25 | $63 | 7.1× |
| Mercury (83825) | $52.50 | $70 | 3.2× |
| Methotrexate (80299) | $133.12 | $177.50 | 7.1× |
| Microalbumin urine (82043) | $49.50 | $66 | 8.6× |
| Microsomal antibodies (86376) | $65.25 | $87 | 4.5× |
| Mitochondrial antibody each (86381) | $58.50 | $78 | 2.3× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $423.75 | $565 | 35.2× |
| Mrsa amp probe (87641) | $141 | $188 | 4.0× |
| Myoglobin urine (83874) | $81 | $108 | 6.3× |
| Natriuretic peptide (83880) | $435.75 | $581 | 11.1× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $97.50 | $130 | 0.8× |
| Niacin (84591) | $108 | $144 | 6.3× |
| Nuclear antigen antibody (86235) | $75 | $100 | 4.2× |
| Occult blood stool (82272) | $29.25 | $39 | 6.9× |
| Organic Acids Total Quantitative Each Specimen (83918) | $99.75 | $133 | 4.2× |
| Osmolality serum (83930) | $54 | $72 | 8.2× |
| Osmolality urine (83935) | $54 | $72 | 7.9× |
| Pancreatic polypeptide (83519) | $162 | $216 | 8.8× |
| Particle Agglutination Screen Each Antibody (86403) | $41.25 | $55 | 3.6× |
| Parvovirus antibody (86747) | $341.25 | $455 | 22.7× |
| Pertussis dfa (87265) | $123.75 | $165 | 10.3× |
| Phenytoin free (80186) | $76.88 | $102.50 | 5.6× |
| Phosphatase alkaline (84075) | $37.50 | $50 | 7.2× |
| Phosphorus blood (84100) | $33.75 | $45 | 7.1× |
| Phosphorus urine (84105) | $25.50 | $34 | 4.4× |
| Pinworm exam (87172) | $17.25 | $23 | 4.0× |
| Platelet count (85049) | $33.75 | $45 | 7.5× |
| Potassium (84132) | $33.75 | $45 | 7.1× |
| Potassium urine (84133) | $20.25 | $27 | 4.3× |
| Pregnenolone (84140) | $165 | $220 | 8.0× |
| Primidone (80188) | $66.75 | $89 | 4.0× |
| Procalcitonin (pct) (84145) | $78.75 | $105 | 2.9× |
| Protein body fluid (84157) | $15 | $20 | 3.8× |
| Protein Total Serum (84155) | $37.50 | $50 | 10.2× |
| Protein urine (84156) | $15 | $20 | 4.1× |
| Prothrombin time substitution (85611) | $112.50 | $150 | 28.6× |
| PSA free (84154) | $74.25 | $99 | 4.0× |
| Quantiferon tb gold (86480) | $249.75 | $333 | 4.0× |
| Reducing substances, stool (84376) | $18.75 | $25 | 3.4× |
| Renin activity plasma (84244) | $93.75 | $125 | 4.3× |
| Respiratory viral panel PCR (87633) | $937.50 | $1,250 | 2.2× |
| Respiratory Virus (86756) | $159.75 | $213 | 10.1× |
| Rheumatoid Factor Qual (86430) | $40.50 | $54 | 6.6× |
| Rheumatoid factor quant (86431) | $42.38 | $56.50 | 7.5× |
| Rpr Titer (86593) | $48.75 | $65 | 11.1× |
| Rsv (87807) | $131.25 | $175 | 10.0× |
| Saccharomyces ab iga (86671) | $27 | $36 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $150 | $200 | 2.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $56.25 | $75 | 1.3× |
| Sedimentation rate (85651) | $102 | $136 | 23.9× |
| Sensitivity mic (87186) | $192 | $256 | 22.2× |
| Serpina1 gene (81332) | $272.25 | $363 | 6.2× |
| Sex hormone binding globulin (84270) | $283.86 | $378.48 | 13.1× |
| Sickle cell screen (85660) | $22.50 | $30 | 4.1× |
| Smear acid fast (87206) | $29.25 | $39 | 5.4× |
| Smear complex stain (87209) | $73.50 | $98 | 4.1× |
| Smear gram stain (87205) | $62.25 | $83 | 14.6× |
| Sodium (84295) | $30.75 | $41 | 6.4× |
| Sodium urine (84300) | $23.25 | $31 | 4.6× |
| Soluble transferrin receptor (84238) | $131.25 | $175 | 3.6× |
| Spectrophotometry (84311) | $728.72 | $971.62 | 90.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $77.62 | $103.50 | 8.2× |
| Strep a DNA amp probe (87651) | $116.25 | $155 | 3.3× |
| Surgical pathology level IV (88305) | $142.50 | $190 | 2.7× |
| Susceptibility study antimicrobial disk method (87184) | $34.50 | $46 | 4.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $177.75 | $237 | 3.8× |
| T3 free (84481) | $114 | $152 | 6.7× |
| T3 reverse (84482) | $57 | $76 | 3.6× |
| T3 total (84480) | $77.32 | $103.08 | 5.5× |
| T3 uptake (84479) | $56.62 | $75.50 | 8.8× |
| T4 Free (84439) | $129 | $172 | 14.3× |
| T4 total (84436) | $61.50 | $82 | 9.0× |
| Tb intradermal test (86580) | $29.25 | $39 | 1.0× |
| Test for acetone/ketones (82009) | $29.25 | $39 | 6.5× |
| Test for urine cystines (82615) | $68.25 | $91 | 7.1× |
| Testosterone free (84402) | $107.62 | $143.50 | 4.2× |
| Testosterone total (84403) | $138.38 | $184.50 | 5.4× |
| Tetanus antibody (86774) | $148.50 | $198 | 10.0× |
| Theophylline (80198) | $78 | $104 | 5.5× |
| Thyroglobulin Ab (86800) | $128.90 | $171.86 | 8.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $204.75 | $273 | 4.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $87 | $116 | 7.5× |
| Tissue Culture Lymphocyte (88230) | $469.50 | $626 | 4.0× |
| Tobramycin peak (80200) | $87.75 | $117 | 5.4× |
| Toxoplasma antibody igg (86777) | $58.50 | $78 | 4.1× |
| Transferrin (84466) | $74.62 | $99.50 | 5.8× |
| Triglycerides (84478) | $60.75 | $81 | 10.6× |
| Troponin i qualitative (84512) | $187.50 | $250 | 18.6× |
| Urea nitrogen (84520) | $37.50 | $50 | 9.5× |
| Urea nitrogen urine (84540) | $19.50 | $26 | 3.5× |
| Uric acid blood (84550) | $37.50 | $50 | 8.3× |
| Uric acid other source (84560) | $27.75 | $37 | 5.5× |
| Urinalysis w/microscopic (81001) | $24.75 | $33 | 7.8× |
| Urine pregnancy test (81025) | $23.25 | $31 | 2.7× |
| Valproic acid level (80164) | $97.88 | $130.50 | 7.2× |
| Vancomycin trough (80202) | $104.25 | $139 | 7.7× |
| Varicella-zoster antibody (86787) | $21.75 | $29 | 1.7× |
| Vasopressin (84588) | $137.25 | $183 | 4.0× |
| Vdrl csf (86592) | $48 | $64 | 11.2× |
| Very long chain fatty acids (82726) | $337.50 | $450 | 17.1× |
| Virus antibody nos (86790) | $61.88 | $82.50 | 4.8× |
| Vitamin A (84590) | $30.75 | $41 | 2.6× |
| Vitamin b-12 (82607) | $203.25 | $271 | 13.5× |
| Vitamin b1 (thiamine) (84425) | $96 | $128 | 4.5× |
| Vitamin b6 (84207) | $112.50 | $150 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $243 | $324 | 8.2× |
| Vitamin e serum (84446) | $37.50 | $50 | 2.6× |
| West nile virus ab, igm (86788) | $21 | $28 | 1.2× |
| West nile virus antibody (86789) | $61.50 | $82 | 4.3× |
| Yersinia antibody (86793) | $55.50 | $74 | 4.2× |
| Zinc (84630) | $69 | $92 | 6.1× |