Lab & pathology prices at Sullivan County Memorial Hospital
Milan, MO · every code in this section with a posted price and a Medicare benchmark.
581 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) | $238.50 | $238.50 | 6.2× |
| 17-Hydroxycorticosteroids (83491) | $111 | $111 | 6.2× |
| 5 Hiaa (83497) | $51 | $51 | 4.0× |
| 5 Nucleotidase (83915) | $150 | $150 | 13.5× |
| Actinomyces antibody (86602) | $31 | $31 | 3.0× |
| Activated protein c resistance (85307) | $237 | $237 | 15.5× |
| Acute hepatitis panel (80074) | $171 | $171 | 3.6× |
| Acylcarnitine Plasma (82017) | $344 | $344 | 20.4× |
| Adenovirus ag, if (87260) | $277 | $277 | 19.2× |
| Afb culture (87116) | $71.50 | $71.50 | 6.6× |
| Agglutinins febrile (86000) | $122.50 | $122.50 | 17.6× |
| Albumin serum (82040) | $27 | $27 | 5.5× |
| Aldolase (82085) | $33 | $33 | 3.4× |
| Aldosterone urine (82088) | $157 | $157 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $85 | $85 | 5.8× |
| Allergen specific ige (86003) | $40 | $40 | 7.7× |
| Allg Spec Ige Recomb Ea (86008) | $40 | $40 | 2.2× |
| Alpha-1-antitrypsin phenotype (82104) | $137 | $137 | 9.5× |
| Alpha-1-antitrypsin, total (82103) | $67 | $67 | 5.0× |
| Alpha-fetoprotein, serum (82105) | $87 | $87 | 5.2× |
| Alt (sgpt) (84460) | $36 | $36 | 6.8× |
| Amikacin trough (80150) | $85 | $85 | 5.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $732 | $732 | 43.4× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) | $49 | $49 | 3.5× |
| Aminolevulinic acid (ala) (82135) | $171.50 | $171.50 | 10.4× |
| Ammonia (82140) | $76 | $76 | 5.2× |
| Amylase urine (82150) | $70 | $70 | 10.8× |
| Ana Titer (86039) | $52 | $52 | 4.7× |
| Angiotensin i enzyme test (82164) | $54 | $54 | 3.7× |
| Anti-phosphatidylserine antibody (86148) | $426 | $426 | 26.5× |
| Antibody Absorption (86978) | $157 | $157 | 2.7× |
| Antibody aspergillus (86606) | $89 | $89 | 5.9× |
| Antibody coxiella burnetii q fever (86638) | $84 | $84 | 6.9× |
| Antibody cytomegalovirus cmv (86644) | $246 | $246 | 17.1× |
| Antibody cytomegalovirus cmv igm (86645) | $232 | $232 | 13.8× |
| Antibody Detection Nos If (87299) | $43 | $43 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $65 | $65 | 4.5× |
| Antibody herpes smplx type 1 (86695) | $68 | $68 | 5.2× |
| Antibody HIV-2 (86702) | $151 | $151 | 11.2× |
| Antibody identification (86870) | $251 | $251 | 0.7× |
| Antibody identification leukocyte antibodies (86021) | $287.50 | $287.50 | 19.1× |
| Antibody influenza virus (86710) | $49.50 | $49.50 | 3.7× |
| Antibody john cunningham virus (86711) | $2,040 | $2,040 | 120.8× |
| Antibody mumps (86735) | $52 | $52 | 4.0× |
| Antibody Protozoa Nes (86753) | $98 | $98 | 7.9× |
| Antibody rubeola (86765) | $58 | $58 | 4.5× |
| Antibody screen (86850) | $155 | $155 | 15.9× |
| Antibody treponema pallidum (86780) | $83 | $83 | 6.3× |
| Antibody; Coccidioides (86635) | $89 | $89 | 7.8× |
| Antigen typing (86905) | $41 | $41 | 10.7× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $99.50 | $99.50 | 19.2× |
| Antinuclear antibodies (86038) | $29 | $29 | 2.4× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $97 | $97 | 16.8× |
| Antistreptolysin o titer (86060) | $39 | $39 | 5.3× |
| Antithrombin iii activity (85300) | $293 | $293 | 24.7× |
| Antithrombin iii antigen (85301) | $283 | $283 | 26.2× |
| Apolipoprotein b (82172) | $45 | $45 | 2.1× |
| Arsenic Urine (82175) | $82 | $82 | 4.3× |
| Assay Lipoprotein Pla2 (83698) | $429 | $429 | 9.3× |
| Assay myeloperoxidase (83876) | $110 | $110 | 2.2× |
| Assay Nephelometry Not Spec (83883) | $240 | $240 | 17.6× |
| Assay of acth (82024) | $159 | $159 | 4.1× |
| Assay of androstenedione (82157) | $80.50 | $80.50 | 2.7× |
| Assay of blood chloride (82435) | $23 | $23 | 5.0× |
| Assay of c-peptide (84681) | $69 | $69 | 3.3× |
| Assay of calcitonin (82308) | $104 | $104 | 3.9× |
| Assay of ceruloplasmin (82390) | $62 | $62 | 5.8× |
| Assay of cyclosporine (80158) | $98.50 | $98.50 | 5.5× |
| Assay of erythropoietin (82668) | $182 | $182 | 9.7× |
| Assay of ethosuximide (80168) | $87 | $87 | 5.3× |
| Assay of ferritin (82728) | $84 | $84 | 6.2× |
| Assay of g6pd enzyme (82955) | $60 | $60 | 6.2× |
| Assay of gammaglobulin igm (82784) | $40 | $40 | 4.3× |
| Assay of gastrin (82941) | $105 | $105 | 6.0× |
| Assay of gentamicin (80170) | $157 | $157 | 9.6× |
| Assay of homocystine (83090) | $267 | $267 | 14.9× |
| Assay of homovanillic acid (83150) | $87 | $87 | 3.9× |
| Assay of ketogenic steroids (83582) | $93 | $93 | 6.0× |
| Assay of manganese (83785) | $321 | $321 | 12.0× |
| Assay of metanephrines (83835) | $315 | $315 | 18.6× |
| Assay of osteocalcin (83937) | $106 | $106 | 3.6× |
| Assay of parathormone (83970) | $360 | $360 | 8.7× |
| Assay of phenobarbital (80184) | $63.50 | $63.50 | 4.2× |
| Assay of phosphatase acid total (84060) | $57 | $57 | 7.5× |
| Assay of prealbumin (84134) | $76 | $76 | 5.2× |
| Assay of proinsulin (84206) | $298 | $298 | 11.2× |
| Assay of selenium (84255) | $138 | $138 | 5.4× |
| Assay of serotonin (84260) | $125 | $125 | 4.0× |
| Assay of somatomedin (84305) | $153 | $153 | 7.2× |
| Assay of tacrolimus (80197) | $312 | $312 | 22.7× |
| Assay of urine vma (84585) | $75 | $75 | 4.8× |
| Assay of vitamin k (84597) | $514 | $514 | 37.5× |
| Assay of volatiles (84600) | $226 | $226 | 13.2× |
| Assay Ph Body Fluid Nos (83986) | $82 | $82 | 22.9× |
| Assay Thiopurine S-Methyltransferase (84433) | $356 | $356 | 16.1× |
| Ast (sgot) (84450) | $31 | $31 | 6.0× |
| Automated rbc count (85041) | $13 | $13 | 4.3× |
| Bartonella antibody (86611) | $119 | $119 | 11.7× |
| Bcr/abl1 gene minor bp (81207) | $311 | $311 | 2.1× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $148.50 | $148.50 | 5.8× |
| Beta hydroxybutyrate (82010) | $93.50 | $93.50 | 11.4× |
| Beta-2 microglobulin (82232) | $62 | $62 | 3.8× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $400 | $400 | 3.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $400 | $400 | 3.1× |
| Bile acids, total (82239) | $98 | $98 | 5.7× |
| Bilirubin direct (82248) | $25 | $25 | 5.0× |
| Bilirubin total (82247) | $30 | $30 | 6.0× |
| Bl Smear W/Diff Wbc Count (85007) | $29 | $29 | 7.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $23 | $23 | 6.7× |
| Blastomyces antibody (86612) | $89 | $89 | 6.9× |
| Blood count reticulocyte automated (85045) | $28 | $28 | 7.0× |
| Blood gases (82803) | $97 | $97 | 3.7× |
| Blood typing abo (86900) | $348 | $348 | 116.4× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $122 | $122 | 7.5× |
| Blood typing serologic rh (d) (86901) | $102 | $102 | 34.1× |
| Blood typing serologic rh phenotyping complete (86906) | $152 | $152 | 19.6× |
| Body fluid cell count (89051) | $51.50 | $51.50 | 9.2× |
| Bordetella antibody (86615) | $142 | $142 | 10.8× |
| Breath Alcohol Test (82075) | $30 | $30 | 1.0× |
| Brucella antibody (86622) | $194 | $194 | 21.7× |
| C diff amplified probe (87493) | $238 | $238 | 6.4× |
| C-reactive protein (86140) | $72 | $72 | 13.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $57 | $57 | 4.4× |
| Ca 125 (86304) | $39 | $39 | 1.9× |
| Ca 19-9 (86301) | $88 | $88 | 4.2× |
| Ca 27 29 (86300) | $79.50 | $79.50 | 3.8× |
| Cadmium level (82300) | $96 | $96 | 4.1× |
| Caffeine (80155) | $115 | $115 | 3.0× |
| Calcium ionized (82330) | $68 | $68 | 5.0× |
| Calcium total (82310) | $34 | $34 | 6.6× |
| Calcium urine (82340) | $32 | $32 | 5.3× |
| Calculus Spectroscopy (82365) | $118 | $118 | 9.1× |
| Calprotectin, fecal (83993) | $350 | $350 | 17.8× |
| Candida antibody (86628) | $85 | $85 | 7.1× |
| Candida DNA dir probe (87480) | $192 | $192 | 9.6× |
| Carbamazepine (tegretol) total (80156) | $48 | $48 | 3.3× |
| Carbamazepine free (80157) | $171 | $171 | 12.9× |
| Carbon dioxide (82374) | $16 | $16 | 3.3× |
| Carboxyhemoglobin Quantitative (82375) | $48 | $48 | 3.9× |
| Carcinoembryonic antigen (82378) | $31 | $31 | 1.6× |
| Cardiolipin ab igg (86147) | $127 | $127 | 5.0× |
| Carnitine (82379) | $328 | $328 | 19.4× |
| Carotene (82380) | $60 | $60 | 6.5× |
| Catecholamines fraction plasma (82384) | $98 | $98 | 3.9× |
| Catecholamines organic nitrogen blood level (82383) | $245 | $245 | 8.4× |
| Catecholamines Total Urine (82382) | $198 | $198 | 7.3× |
| Cd4 absolute count (86361) | $311 | $311 | 11.6× |
| Cftr gene com variants (81220) | $452 | $452 | 0.8× |
| Chemiluminescent assay (82397) | $300 | $300 | 21.2× |
| Chlamydia antibody (86631) | $49 | $49 | 4.1× |
| Chloride urine (82436) | $35 | $35 | 6.1× |
| Cholesterol total (82465) | $17 | $17 | 3.9× |
| Cholinesterase serum (82480) | $54 | $54 | 6.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $348 | $348 | 2.8× |
| Chromium urine (82495) | $184 | $184 | 9.1× |
| Chromogranin a (86316) | $169 | $169 | 8.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $117 | $117 | 3.3× |
| Citrate (82507) | $300 | $300 | 10.8× |
| Ck isoenzymes (82552) | $48 | $48 | 3.6× |
| Ckmb (82553) | $45 | $45 | 3.9× |
| Clot factor viii vw antigen (85246) | $272 | $272 | 11.9× |
| Clotting time (85345) | $11 | $11 | 2.3× |
| Cmv PCR (87496) | $612 | $612 | 17.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $130 | $130 | 5.4× |
| Cold agglutinin screen (86156) | $47 | $47 | 5.8× |
| Cold agglutinin titer (86157) | $102 | $102 | 12.7× |
| Collagen cross links (82523) | $278 | $278 | 14.9× |
| Compatibility test antiglob (86922) | $472 | $472 | 2.8× |
| Compatibility Test Incubate (86921) | $472 | $472 | 2.8× |
| Complement c3 (86160) | $73 | $73 | 6.1× |
| Complement total ch50 (86162) | $67 | $67 | 3.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $81 | $81 | 6.8× |
| Comprehensive review of data (88325) | $116 | $116 | 0.7× |
| Concentration Infectious Agent (87015) | $81.50 | $81.50 | 12.2× |
| Coombs direct (86880) | $172 | $172 | 31.9× |
| Coombs Test Indirect Qual (86885) | $42 | $42 | 7.3× |
| Copper urine (82525) | $126 | $126 | 10.2× |
| Cortisol free (82530) | $187.50 | $187.50 | 11.2× |
| Cortisol total (82533) | $79 | $79 | 4.8× |
| Creatine kinase total (82550) | $42.50 | $42.50 | 6.5× |
| Creatinine blood (82565) | $31 | $31 | 6.1× |
| Creatinine clearance (82575) | $57 | $57 | 6.0× |
| Creatinine other source (82570) | $26 | $26 | 5.0× |
| Crossmatch immediate spin (86920) | $472 | $472 | 2.8× |
| Cryofibrinogen (82585) | $144 | $144 | 10.2× |
| Cryoglobulin (82595) | $33 | $33 | 5.1× |
| Cryptococcal Antigen (87327) | $85 | $85 | 6.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $49 | $49 | 6.1× |
| Culture Aerobic Identify (87077) | $77 | $77 | 9.5× |
| Culture anaerobic (87075) | $43 | $43 | 4.5× |
| Culture blood (87040) | $120 | $120 | 11.6× |
| Culture chlamydia (87110) | $87 | $87 | 4.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $65 | $65 | 8.4× |
| Culture fungus blood (87103) | $147 | $147 | 7.2× |
| Culture fungus id yeast (87106) | $60 | $60 | 5.8× |
| Culture fungus other (87102) | $82 | $82 | 9.8× |
| Culture genital (87070) | $52 | $52 | 6.0× |
| Culture screen only (87081) | $70.50 | $70.50 | 10.6× |
| Culture stool (87045) | $72 | $72 | 7.6× |
| Culture typing if ea antiserum (87140) | $250 | $250 | 44.9× |
| Culture urine (87086) | $13 | $13 | 1.6× |
| Culture urine id ea isolate (87088) | $89 | $89 | 11.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $72 | $72 | 5.0× |
| Cyclic Citrullinated Peptide (86200) | $210.50 | $210.50 | 16.3× |
| Cytogenetics DNA probe (88271) | $216 | $216 | 10.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,000 | $3,000 | 2.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $642 | $642 | 15.0× |
| Cytopath cell enhance tech (88112) | $69 | $69 | 1.3× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $60 | $60 | 1.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $142 | $142 | 5.3× |
| Cytp concentration smears & interpretation (88108) | $111 | $111 | 3.0× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $25 | $25 | 1.3× |
| D-Dimer (85379) | $146 | $146 | 14.3× |
| Deoxyribonuclease antibody (86215) | $72 | $72 | 5.4× |
| Detect agent nos DNA dir (87797) | $132 | $132 | 4.4× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $40 | $40 | 0.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $126 | $126 | 7.6× |
| Detect agnt mult DNA ampli (87801) | $168 | $168 | 2.4× |
| Dhea (82626) | $143 | $143 | 5.7× |
| Dhea sulfate (82627) | $120 | $120 | 5.4× |
| Digoxin (80162) | $57 | $57 | 4.3× |
| Dilantin (80185) | $108.50 | $108.50 | 8.2× |
| Diphtheria antitoxoid (86648) | $223 | $223 | 14.7× |
| Dna Antibody Single Stranded (86226) | $260 | $260 | 21.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $87.50 | $87.50 | 6.4× |
| Drug assay adalimumab (80145) | $319 | $319 | 8.3× |
| Drug Assay Amiodarone (80151) | $116 | $116 | 6.2× |
| Drug Assay Lacosamide (80235) | $170 | $170 | 6.3× |
| Drug assay vedolizumab (80280) | $300 | $300 | 7.8× |
| Drug Screen Quant Gabapentin (80171) | $89 | $89 | 4.1× |
| Drug screen quant zonisamide (80203) | $173 | $173 | 13.1× |
| Drug Scrn Quan Levetiracetam (80177) | $130 | $130 | 9.8× |
| Drug test prsmv chem anlyzr (80307) | $138 | $138 | 2.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $76 | $76 | 6.0× |
| Ebv viral capsid (86665) | $97.50 | $97.50 | 5.4× |
| Echinococcus ab igg (86682) | $157 | $157 | 12.1× |
| Ehrlichia antibody (86666) | $156.50 | $156.50 | 15.4× |
| Electrolyte panel (80051) | $42 | $42 | 6.0× |
| Endomysial antibody iga (86255) | $127 | $127 | 10.5× |
| Enterovirus antibody (86658) | $154.50 | $154.50 | 11.9× |
| Enterovirus Pcr (87498) | $612 | $612 | 17.4× |
| Enzyme cell activity (82657) | $280 | $280 | 12.6× |
| Eosinophil count (85048) | $11 | $11 | 4.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $55 | $55 | 3.6× |
| Estradiol (82670) | $245 | $245 | 8.8× |
| Estriol (82677) | $78 | $78 | 3.2× |
| Estrogen fractionated (82671) | $278 | $278 | 8.6× |
| Estrogen receptor analysis (84233) | $517 | $517 | 5.9× |
| Estrogens total (82672) | $156 | $156 | 7.2× |
| Estrone (82679) | $76 | $76 | 3.0× |
| Ethylene glycol (82693) | $111 | $111 | 7.4× |
| Euglobulin lysis (85360) | $214 | $214 | 25.4× |
| Everolimus (80169) | $280 | $280 | 20.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $66 | $66 | 9.0× |
| F2 gene analysis 20210g >a variant (81240) | $349 | $349 | 5.3× |
| F5 gene (81241) | $408 | $408 | 5.6× |
| Factor inhibitor test (85335) | $195 | $195 | 15.2× |
| Factor ix activity (85250) | $273 | $273 | 14.3× |
| Factor v activity (85220) | $242 | $242 | 13.7× |
| Factor vii assay (85230) | $273 | $273 | 15.3× |
| Factor viii ahg (85240) | $195 | $195 | 10.9× |
| Factor xi assay (85270) | $114 | $114 | 6.4× |
| Fecal fat qual (82705) | $55 | $55 | 10.8× |
| Fecal fat quant (82710) | $219 | $219 | 13.0× |
| Fibrin degradation products (85362) | $74 | $74 | 10.7× |
| Fibrinogen activity (85384) | $45 | $45 | 4.6× |
| Fibrinolytic Plasminogen (85415) | $264 | $264 | 15.4× |
| Flow cytometry first marker (88184) | $863 | $863 | 2.4× |
| Folate serum (82746) | $84 | $84 | 5.7× |
| Folic acid rbc (82747) | $112 | $112 | 6.3× |
| Follicle Stimulating Hormone (83001) | $82 | $82 | 4.4× |
| Francisella Tularensis (86668) | $93 | $93 | 6.6× |
| Fructosamine (82985) | $55 | $55 | 3.3× |
| Gammaglobulin ige (82785) | $60 | $60 | 3.6× |
| Gardner vag DNA dir probe (87510) | $192 | $192 | 9.6× |
| Gastric Occult Blood (82271) | $27 | $27 | 5.1× |
| Ggt (82977) | $45 | $45 | 6.3× |
| Giardia antigen eia stool (87329) | $92 | $92 | 7.7× |
| Giardia lamblia antibody (86674) | $198 | $198 | 13.5× |
| Glucose (82947) | $24 | $24 | 6.1× |
| Glucose body fluid (82945) | $26 | $26 | 6.6× |
| Glucose post dose (82950) | $29 | $29 | 6.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $24 | $24 | 6.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $77 | $77 | 6.0× |
| Growth hormone (83003) | $76 | $76 | 4.6× |
| Haloperidol (haldol) (80173) | $78 | $78 | 4.9× |
| Haptoglobin (83010) | $92 | $92 | 7.3× |
| Hcg qualitative (84703) | $45 | $45 | 6.0× |
| Hcg quant (84702) | $49 | $49 | 3.3× |
| Hdl Cholesterol (83718) | $25 | $25 | 3.1× |
| Heavy metal quant each (83018) | $281 | $281 | 12.8× |
| Hematocrit (85014) | $10 | $10 | 4.2× |
| Hemoglobin (85018) | $10 | $10 | 4.2× |
| Hemoglobin a1c (83036) | $82 | $82 | 8.4× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $53 | $53 | 2.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $149 | $149 | 19.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $74 | $74 | 9.0× |
| Hemoglobin plasma (83051) | $43 | $43 | 5.9× |
| Heparin assay (85520) | $341 | $341 | 26.1× |
| Hepatitis a antibody total (86708) | $45 | $45 | 3.6× |
| Hepatitis a igm (86709) | $70 | $70 | 6.2× |
| Hepatitis b core ab igm (86705) | $41 | $41 | 3.5× |
| Hepatitis b core antibody total (86704) | $22 | $22 | 1.8× |
| Hepatitis B Surface Ab (86706) | $25 | $25 | 2.3× |
| Hepatitis B Surface Antigen (87340) | $20 | $20 | 1.9× |
| Hepatitis be antibody (86707) | $47 | $47 | 4.1× |
| Hepatitis Be Antigen (87350) | $27 | $27 | 2.3× |
| Hepatitis c ab confirm (86804) | $351 | $351 | 22.7× |
| Hepatitis c antibody (86803) | $36 | $36 | 2.5× |
| Hepatitis C Genotype (87902) | $538 | $538 | 2.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $442 | $442 | 12.6× |
| Hepatitis delta ab (86692) | $48 | $48 | 2.8× |
| Herpes culture (87252) | $81 | $81 | 3.1× |
| Herpes simplex type 2 (86696) | $61 | $61 | 3.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $41.50 | $41.50 | 8.0× |
| Heterophile antibody titer (86309) | $52 | $52 | 8.0× |
| Hfe gene (81256) | $590 | $590 | 9.0× |
| Histamine plasma (83088) | $90 | $90 | 3.0× |
| Histoplasma antibody (86698) | $89 | $89 | 6.5× |
| Histoplasma antigen urine (87385) | $228 | $228 | 17.2× |
| HIV confirmation (86689) | $311.50 | $311.50 | 16.1× |
| HIV-1 antibody (86701) | $151 | $151 | 17.0× |
| Hla antibody screen (86807) | $442 | $442 | 5.6× |
| Hla ii typing 1 locus lr (81376) | $315 | $315 | 2.6× |
| Hla typing a/b/c multiple antigens (86813) | $490 | $490 | 8.4× |
| Hla-b27 (86812) | $150 | $150 | 5.8× |
| Hydroxyprogesterone 17-d (83498) | $107 | $107 | 3.9× |
| Hydroxyproline total (83505) | $384 | $384 | 15.8× |
| Iaad ia clostridium difficile toxin (87324) | $38 | $38 | 3.2× |
| Iaad ia cryptosporidium (87328) | $281 | $281 | 20.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $82 | $82 | 7.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $150 | $150 | 6.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $245 | $245 | 17.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $83 | $83 | 6.0× |
| Iaad ia rotavirus (87425) | $104.50 | $104.50 | 8.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $250 | $250 | 7.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $192 | $192 | 16.0× |
| Iaad Ia Streptococcus Group A (87430) | $75 | $75 | 4.5× |
| Iaadi respiratory synctial virus (87280) | $38 | $38 | 2.8× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $420 | $420 | 12.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $343 | $343 | 9.8× |
| Iadna hepatitis b virus quantification (87517) | $761 | $761 | 17.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $638.50 | $638.50 | 14.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $500 | $500 | 14.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $492 | $492 | 5.8× |
| Iadna human papillomavirus high-risk types (87624) | $88 | $88 | 2.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $420 | $420 | 12.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $117 | $117 | 3.3× |
| Iadna nos amplified probe tq each organism (87798) | $449 | $449 | 12.8× |
| Iadna nos quantification each organism (87799) | $525 | $525 | 12.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $168 | $168 | 4.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $738 | $738 | 2.8× |
| If cryptosporidium antigen (87272) | $135 | $135 | 11.3× |
| Igg subclasses (82787) | $90 | $90 | 11.2× |
| Immunfix e-phorsis/urine/csf (86335) | $95 | $95 | 3.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $48 | $48 | 3.2× |
| Immunoassay nonantibody (83516) | $137 | $137 | 11.9× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) | $27 | $27 | 2.1× |
| Immunoelectrophoresis serum (86320) | $121 | $121 | 4.0× |
| Immunofixj Electrophoresis Serum (86334) | $87.50 | $87.50 | 3.9× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $69 | $69 | 5.8× |
| Immunoglobulin assay (86023) | $413 | $413 | 33.1× |
| Immunohistochemistry (88342) | $96 | $96 | 0.6× |
| India ink prep (87210) | $29 | $29 | 5.0× |
| Influenza a/b ag eia (87400) | $42 | $42 | 3.0× |
| Influenza DNA amp probe (87502) | $568 | $568 | 5.9× |
| Inhibin a (86336) | $113 | $113 | 7.2× |
| Inhibin b (83520) | $180 | $180 | 10.4× |
| Insulin antibodies (86337) | $229 | $229 | 10.7× |
| Insulin total (83525) | $50 | $50 | 4.4× |
| Intrinsic factor antibody (86340) | $250 | $250 | 16.6× |
| Iron (83540) | $42 | $42 | 6.5× |
| Iron binding capacity (83550) | $54 | $54 | 6.2× |
| Islet cell antibody (86341) | $250 | $250 | 10.6× |
| Jak2 gene analysis (81270) | $800 | $800 | 8.7× |
| Ketosteroids 17; total (83586) | $193 | $193 | 15.1× |
| Koh Prep (87220) | $26.50 | $26.50 | 6.2× |
| Lactic acid (83605) | $90 | $90 | 7.8× |
| Lactoferrin fecal qualitative (83630) | $137 | $137 | 7.0× |
| Ldh (83615) | $192 | $192 | 31.8× |
| Ldh isoenzymes (83625) | $167 | $167 | 13.1× |
| LDL cholesterol direct (83721) | $79 | $79 | 7.5× |
| Lead (83655) | $41 | $41 | 3.4× |
| Legionella antibody (86713) | $104.50 | $104.50 | 6.8× |
| Legionella antigen urine (87449) | $77 | $77 | 6.4× |
| Leptospira antibody (86720) | $59 | $59 | 3.6× |
| Leukocyte histamine release test (86343) | $250 | $250 | 20.1× |
| Lh (83002) | $105 | $105 | 5.7× |
| Lipase (83690) | $41 | $41 | 6.0× |
| Lipopro bld electrophoretic (83700) | $81 | $81 | 7.2× |
| Lipoprotein Bld Hr Fraction (83701) | $51 | $51 | 1.5× |
| Listeria ab (86609) | $29 | $29 | 2.3× |
| Lithium (80178) | $40 | $40 | 6.1× |
| Lyme disease antibody (86618) | $72 | $72 | 4.2× |
| Lyme disease antibody confirm (86617) | $33 | $33 | 2.1× |
| Magnesium (83735) | $42.50 | $42.50 | 6.3× |
| Malaria antibody (86750) | $123 | $123 | 9.3× |
| Malaria smear (87207) | $227.50 | $227.50 | 38.0× |
| Manual cell count each (85032) | $20 | $20 | 4.6× |
| Manual reticulocyte count (85044) | $26 | $26 | 6.0× |
| Mass spectrometry qual/quan (83789) | $185 | $185 | 7.7× |
| Meat fibers, feces (89160) | $17 | $17 | 3.5× |
| Mercury (83825) | $91.50 | $91.50 | 5.6× |
| Methotrexate (80299) | $156 | $156 | 8.4× |
| Methylmalonic acid serum (83921) | $310 | $310 | 14.6× |
| Microalbumin urine (82043) | $40 | $40 | 6.9× |
| Microsomal antibodies (86376) | $69.50 | $69.50 | 4.8× |
| Molecular pathology procedure level 2 (81401) | $700 | $700 | 5.1× |
| Mopath procedure level 1 (81400) | $495 | $495 | 7.7× |
| Mrsa amp probe (87641) | $89 | $89 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $716 | $716 | 11.0× |
| Mucin synovial fluid ropes test (83872) | $42.50 | $42.50 | 7.3× |
| Muramidase (85549) | $65 | $65 | 3.5× |
| Mycobacteric Identification (87118) | $60 | $60 | 4.1× |
| Mycoplasma antibody (86738) | $88.50 | $88.50 | 6.7× |
| Mycoplasma culture (87109) | $208 | $208 | 13.5× |
| Myelin basic protein csf (83873) | $81 | $81 | 4.7× |
| Myoglobin urine (83874) | $56 | $56 | 4.3× |
| N.gonorrhoeae, DNA, dir prob (87590) | $36 | $36 | 1.3× |
| Nasal smear for eosinophils (89190) | $15 | $15 | 2.6× |
| Natriuretic peptide (83880) | $259 | $259 | 6.6× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $433 | $433 | 6.0× |
| Niacin (84591) | $269 | $269 | 15.8× |
| Nmr Lipoprofile (83704) | $120 | $120 | 3.5× |
| Nuclear antigen antibody (86235) | $137 | $137 | 7.6× |
| Obstetric panel (80081) | $279 | $279 | 3.7× |
| Occult blood stool (82272) | $18 | $18 | 4.3× |
| Oligoclonal bands (83916) | $94 | $94 | 3.4× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) | $330 | $330 | 5.1× |
| Organic Acids Qual Each (83919) | $281 | $281 | 17.1× |
| Osmolality serum (83930) | $40 | $40 | 6.1× |
| Osmolality urine (83935) | $42 | $42 | 6.2× |
| Ova and parasite direct-id lca (87177) | $82 | $82 | 9.2× |
| Oxalate urine (83945) | $109.50 | $109.50 | 7.6× |
| Pancreatic elastase fecal (82656) | $400 | $400 | 34.7× |
| Pancreatic polypeptide (83519) | $269 | $269 | 14.6× |
| Parainfluenza ag if (87279) | $118 | $118 | 7.2× |
| Particle Agglutination Screen Each Antibody (86403) | $128 | $128 | 11.1× |
| Particle agglutination titer each antibody (86406) | $210 | $210 | 19.7× |
| Parvovirus antibody (86747) | $112 | $112 | 7.5× |
| Pathology lab procedure (89240) | $188 | $188 | 3.6× |
| Phenylalanine (84030) | $166 | $166 | 30.2× |
| Phenytoin free (80186) | $58 | $58 | 4.2× |
| Phosphatase acid prostatic (84066) | $57 | $57 | 5.9× |
| Phosphatase alkaline (84075) | $28.50 | $28.50 | 5.5× |
| Phosphorus blood (84100) | $28 | $28 | 5.9× |
| Phosphorus urine (84105) | $19 | $19 | 3.3× |
| Pinworm exam (87172) | $27 | $27 | 6.3× |
| Plasminogen (85420) | $245 | $245 | 37.5× |
| Platelet count (85049) | $27 | $27 | 6.0× |
| Platelet neutralization (85597) | $65 | $65 | 3.6× |
| Pooling blood platelets (86965) | $472 | $472 | 2.8× |
| Porphobilinogen urine quant (84110) | $53 | $53 | 6.3× |
| Porphyrins qn & fraction urine (84120) | $174 | $174 | 11.8× |
| Porphyrins urine qual (84119) | $57 | $57 | 4.3× |
| Potassium (84132) | $19 | $19 | 4.0× |
| Potassium urine (84133) | $24 | $24 | 5.1× |
| Pregnanediol (84135) | $193 | $193 | 9.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $30 | $30 | 0.2× |
| Primidone (80188) | $76 | $76 | 4.6× |
| Procainamide napa (80192) | $94.50 | $94.50 | 5.6× |
| Procalcitonin (pct) (84145) | $350 | $350 | 12.9× |
| Progesterone (84144) | $40 | $40 | 1.9× |
| Prolactin (84146) | $125 | $125 | 6.4× |
| Protein body fluid (84157) | $26 | $26 | 6.5× |
| Protein c activity (85303) | $276 | $276 | 19.9× |
| Protein c antigen (85302) | $283 | $283 | 23.6× |
| Protein electrophoresis serum (84165) | $53 | $53 | 4.9× |
| Protein Electrophoresis Urine (84166) | $72 | $72 | 4.0× |
| Protein S Functional (85306) | $370 | $370 | 24.2× |
| Protein s total (85305) | $354.50 | $354.50 | 30.5× |
| Protein Total Serum (84155) | $15 | $15 | 4.1× |
| Protein urine (84156) | $20 | $20 | 5.4× |
| Protein Western Blot (84182) | $107 | $107 | 3.7× |
| Prothrombin time substitution (85611) | $20 | $20 | 5.1× |
| Protoporphyrin rbc quantitative (84202) | $153 | $153 | 10.7× |
| PSA free (84154) | $76 | $76 | 4.1× |
| Pyruvate kinase (84220) | $107 | $107 | 11.3× |
| Quantiferon tb gold (86480) | $160 | $160 | 2.6× |
| Quinidine (80194) | $83 | $83 | 5.7× |
| Rbc antibody elution (86860) | $151 | $151 | 0.9× |
| Rbc pretx incubatj w/chemicl (86970) | $168 | $168 | 2.8× |
| Reducing substances, stool (84376) | $53 | $53 | 9.6× |
| Renin activity plasma (84244) | $120 | $120 | 5.5× |
| Rheumatoid Factor Qual (86430) | $27 | $27 | 4.4× |
| Rheumatoid factor quant (86431) | $34.50 | $34.50 | 6.1× |
| Rickettsia antibody (86757) | $125 | $125 | 6.5× |
| Rubella antibody (86762) | $59.50 | $59.50 | 4.1× |
| Russell viper venom time diluted (85613) | $65 | $65 | 6.8× |
| Saccharomyces ab iga (86671) | $106 | $106 | 8.7× |
| Salmonella antibody (86768) | $46 | $46 | 3.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $122 | $122 | 2.9× |
| Sed rate automated (85652) | $32 | $32 | 11.9× |
| Sedimentation rate (85651) | $26 | $26 | 6.1× |
| Semen analysis complete (89320) | $57 | $57 | 4.6× |
| Semen analysis w/count (89310) | $31 | $31 | 3.6× |
| Sensitivity mic (87186) | $93 | $93 | 10.8× |
| Serotonin Release Assay (86022) | $159 | $159 | 8.7× |
| Sex hormone binding globulin (84270) | $48 | $48 | 2.2× |
| Sickle cell screen (85660) | $20 | $20 | 3.6× |
| Smear acid fast (87206) | $36 | $36 | 6.7× |
| Smear complex stain (87209) | $136.50 | $136.50 | 7.6× |
| Smear gram stain (87205) | $35 | $35 | 8.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $1,260 | $1,260 | 9.2× |
| Sodium (84295) | $19 | $19 | 4.0× |
| Sodium urine (84300) | $26 | $26 | 5.1× |
| Soluble transferrin receptor (84238) | $89 | $89 | 2.4× |
| Specific gravity body fluid (84315) | $60 | $60 | 18.3× |
| Spectrophotometry (84311) | $30 | $30 | 3.7× |
| Stool analysis for bilirubin (82252) | $24 | $24 | 5.3× |
| Stool Cultr Aerobic Bact Ea (87046) | $67.50 | $67.50 | 7.2× |
| Surgical pathology level IV (88305) | $89 | $89 | 1.7× |
| Susceptibility study antimicrobial disk method (87184) | $72 | $72 | 9.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $451.50 | $451.50 | 9.6× |
| T cells, total count (86359) | $135 | $135 | 3.6× |
| T3 free (84481) | $90 | $90 | 5.3× |
| T3 reverse (84482) | $132 | $132 | 8.4× |
| T3 total (84480) | $43 | $43 | 3.0× |
| T3 uptake (84479) | $13 | $13 | 2.0× |
| T4 Free (84439) | $70.50 | $70.50 | 7.8× |
| T4 total (84436) | $45 | $45 | 6.6× |
| Tau phosphorylated each (84393) | $400 | $400 | 3.1× |
| Test for acetone/ketones (82009) | $16 | $16 | 3.5× |
| Testosterone free (84402) | $265 | $265 | 10.4× |
| Testosterone total (84403) | $150 | $150 | 5.8× |
| Tetanus antibody (86774) | $166 | $166 | 11.2× |
| Theophylline (80198) | $84 | $84 | 5.9× |
| Thrombin time plasma (85670) | $95 | $95 | 16.5× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $61 | $61 | 9.4× |
| Thyroglobulin (84432) | $87 | $87 | 5.4× |
| Thyroglobulin Ab (86800) | $32 | $32 | 2.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $552 | $552 | 10.9× |
| Thyroxine binding globulin (84442) | $81 | $81 | 5.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $225 | $225 | 19.5× |
| Tissue Culture Lymphocyte (88230) | $330 | $330 | 2.8× |
| Tobramycin peak (80200) | $108 | $108 | 6.7× |
| Topiramate (80201) | $120 | $120 | 10.1× |
| Toxoplasma ab igm (86778) | $93 | $93 | 6.5× |
| Toxoplasma antibody igg (86777) | $141 | $141 | 9.8× |
| Tpmt gene com variants (81335) | $630 | $630 | 3.6× |
| Transferrin (84466) | $53 | $53 | 4.2× |
| Trichomonas vagin dir probe (87660) | $192 | $192 | 9.6× |
| Triglycerides (84478) | $17 | $17 | 3.0× |
| Troponin (84484) | $117.50 | $117.50 | 9.4× |
| Troponin i qualitative (84512) | $82 | $82 | 8.1× |
| Trypsin feces quantitative 24-hr collection (84490) | $45 | $45 | 4.5× |
| Tyrosine (84510) | $166 | $166 | 15.6× |
| Unlisted transfusion medicine procedure (86999) | $184 | $184 | 6.4× |
| Urea nitrogen (84520) | $20 | $20 | 5.1× |
| Urea nitrogen urine (84540) | $34 | $34 | 6.1× |
| Uric acid blood (84550) | $27 | $27 | 6.0× |
| Uric acid other source (84560) | $24 | $24 | 4.7× |
| Urinalysis qual/semiquant except immunoassays (81005) | $13 | $13 | 6.0× |
| Urinalysis w/microscopic (81001) | $27 | $27 | 8.5× |
| Urine pregnancy test (81025) | $52 | $52 | 6.0× |
| Urine volume measurement (81050) | $16 | $16 | 4.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $11 | $11 | 4.9× |
| Urobilinogen (84578) | $24 | $24 | 5.4× |
| Urobilinogen, feces, quantitative Other Outpatient (84577) | $57 | $57 | 3.4× |
| Valproic acid level (80164) | $136 | $136 | 10.0× |
| Vancomycin trough (80202) | $74 | $74 | 5.5× |
| Varicella-zoster antibody (86787) | $106 | $106 | 8.2× |
| Vasopressin (84588) | $144 | $144 | 4.2× |
| Vdrl csf (86592) | $33 | $33 | 7.7× |
| Very long chain fatty acids (82726) | $464 | $464 | 23.5× |
| Virus antibody nos (86790) | $119 | $119 | 9.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $91 | $91 | 2.7× |
| Virus inoculation, shell via (87254) | $323 | $323 | 16.5× |
| Viscosity serum (85810) | $47 | $47 | 4.0× |
| Vitamin A (84590) | $60 | $60 | 5.2× |
| Vitamin b-12 (82607) | $87 | $87 | 5.8× |
| Vitamin b-2 (riboflavin) (84252) | $146 | $146 | 7.2× |
| Vitamin b1 (thiamine) (84425) | $88 | $88 | 4.1× |
| Vitamin b6 (84207) | $278 | $278 | 9.9× |
| Vitamin C (82180) | $43 | $43 | 4.3× |
| Vitamin D 25-Hydroxy (82306) | $150 | $150 | 5.1× |
| Vitamin e serum (84446) | $86 | $86 | 6.1× |
| Von willebrand factor activity (85245) | $240 | $240 | 10.5× |
| West nile virus ab, igm (86788) | $140 | $140 | 8.3× |
| West nile virus antibody (86789) | $140 | $140 | 9.7× |
| Zinc (84630) | $93 | $93 | 8.2× |