Lab & pathology prices at Texoma Medical Center
Denison, TX · every code in this section with a posted price and a Medicare benchmark.
703 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) | $391.50 | $522 | 10.2× |
| 17-Hydroxycorticosteroids (83491) | $234 | $312 | 13.1× |
| 5 Hiaa (83497) | $199.50 | $266 | 15.5× |
| 5 Nucleotidase (83915) | $94.50 | $126 | 8.5× |
| Acth stimulation panel adrenal (80400) | $840.75 | $1,121 | 25.8× |
| Actinomyces antibody (86602) | $54.75 | $73 | 5.4× |
| Activated protein c resistance (85307) | $411 | $548 | 26.8× |
| Acute hepatitis panel (80074) | $617.25 | $823 | 13.0× |
| Acylcarnitine Plasma (82017) | $283.50 | $378 | 16.8× |
| Adamts13 activity (85397) | $466.12 | $621.50 | 15.1× |
| Additional high resolution study (88289) | $304.50 | $406 | 8.8× |
| Adenovirus ag, if (87260) | $249 | $332 | 17.3× |
| Adenovirus antibody (86603) | $261.75 | $349 | 20.3× |
| Afb culture (87116) | $319.50 | $426 | 29.6× |
| Agglutinins febrile (86000) | $63 | $84 | 9.0× |
| Albumin Fluid (82042) | $177.38 | $236.50 | 22.8× |
| Albumin serum (82040) | $185.25 | $247 | 37.4× |
| Aldolase (82085) | $285.75 | $381 | 29.4× |
| Aldosterone urine (82088) | $344.62 | $459.50 | 8.5× |
| Alk phos heat stable (84078) | $321 | $428 | 38.9× |
| Alkaline phosphatase isoenzymes (84080) | $212.25 | $283 | 14.4× |
| Allergen specific ige (86003) | $63 | $84 | 12.1× |
| Alpha-1-antitrypsin phenotype (82104) | $438.75 | $585 | 30.3× |
| Alpha-1-antitrypsin, total (82103) | $469.50 | $626 | 34.9× |
| Alpha-fetoprotein amniotic (82106) | $527.25 | $703 | 31.0× |
| Alpha-fetoprotein, serum (82105) | $527.25 | $703 | 31.4× |
| Alt (sgpt) (84460) | $123.75 | $165 | 23.3× |
| Aluminum (82108) | $202.88 | $270.50 | 8.0× |
| Amikacin trough (80150) | $81.75 | $109 | 5.4× |
| Amino acid screen urine (82128) | $210.75 | $281 | 15.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $210.75 | $281 | 12.5× |
| Amino Acids, Single Quantitation (82131) | $178.50 | $238 | 7.8× |
| Aminolevulinic acid (ala) (82135) | $200.25 | $267 | 12.2× |
| Ammonia (82140) | $421.50 | $562 | 28.9× |
| Amylase urine (82150) | $291.75 | $389 | 45.0× |
| Ana Titer (86039) | $461.62 | $615.50 | 41.4× |
| Analysis for antibody to borrelia (relapsing fever bacteria) (86619) | $180 | $240 | 13.5× |
| Androstanediol glucuronide (82154) | $186 | $248 | 6.5× |
| Angiotensin i enzyme test (82164) | $437.25 | $583 | 29.9× |
| Angiotensin ll (protein) level (82163) | $408.75 | $545 | 19.9× |
| Anti-phosphatidylserine antibody (86148) | $426.75 | $569 | 26.6× |
| Antibody Absorption (86978) | $158.25 | $211 | 2.7× |
| Antibody aspergillus (86606) | $123.38 | $164.50 | 8.2× |
| Antibody coxiella burnetii q fever (86638) | $58.50 | $78 | 4.8× |
| Antibody cytomegalovirus cmv (86644) | $344.25 | $459 | 23.9× |
| Antibody cytomegalovirus cmv igm (86645) | $646.88 | $862.50 | 38.4× |
| Antibody Detection Nos If (87299) | $135.75 | $181 | 8.4× |
| Antibody Encephalitis Eastern Equine (86652) | $366.75 | $489 | 27.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $330.38 | $440.50 | 25.2× |
| Antibody haemophilus influenza (86684) | $255.75 | $341 | 16.1× |
| Antibody helicobacter pylori (86677) | $494.25 | $659 | 29.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $536.62 | $715.50 | 37.3× |
| Antibody herpes smplx type 1 (86695) | $327.75 | $437 | 24.8× |
| Antibody HIV-2 (86702) | $317.25 | $423 | 23.5× |
| Antibody identification (86870) | $738 | $984 | 2.0× |
| Antibody identification leukocyte antibodies (86021) | $390.38 | $520.50 | 25.9× |
| Antibody influenza virus (86710) | $156.75 | $209 | 11.6× |
| Antibody Listeria Monocytogenes (86723) | $111 | $148 | 8.4× |
| Antibody mumps (86735) | $245.62 | $327.50 | 18.8× |
| Antibody Protozoa Nes (86753) | $124.50 | $166 | 10.0× |
| Antibody rubeola (86765) | $273.38 | $364.50 | 21.2× |
| Antibody screen (86850) | $282.38 | $376.50 | 28.9× |
| Antibody treponema pallidum (86780) | $152.25 | $203 | 11.5× |
| Antibody; campylobacter (86625) | $120.75 | $161 | 9.2× |
| Antibody; Coccidioides (86635) | $127.50 | $170 | 11.1× |
| Antigen typing (86905) | $396.75 | $529 | 103.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $501.75 | $669 | 96.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $111.38 | $148.50 | 9.2× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $205.12 | $273.50 | 17.0× |
| Antinuclear antibodies (86038) | $427.50 | $570 | 35.4× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $261 | $348 | 45.2× |
| Antistreptolysin o titer (86060) | $440.62 | $587.50 | 60.4× |
| Antithrombin iii activity (85300) | $561 | $748 | 47.3× |
| Antithrombin iii antigen (85301) | $726.38 | $968.50 | 67.2× |
| Apolipoprotein b (82172) | $213.75 | $285 | 10.1× |
| Arsenic Urine (82175) | $279 | $372 | 14.7× |
| Aspergillus ag eia (87305) | $355.50 | $474 | 29.7× |
| Assay free hydroxyproline (83500) | $545.62 | $727.50 | 24.1× |
| Assay myeloperoxidase (83876) | $273.75 | $365 | 5.4× |
| Assay Nephelometry Not Spec (83883) | $207 | $276 | 15.2× |
| Assay of 17-hydroxypregnenolone (84143) | $297.75 | $397 | 13.1× |
| Assay of acth (82024) | $900 | $1,200 | 23.3× |
| Assay of androstenedione (82157) | $148.50 | $198 | 5.1× |
| Assay of blood chloride (82435) | $125.25 | $167 | 27.2× |
| Assay of blood fatty acids (82725) | $19.50 | $26 | 1.0× |
| Assay of c-peptide (84681) | $352.12 | $469.50 | 16.9× |
| Assay of calcitonin (82308) | $427.12 | $569.50 | 15.9× |
| Assay of ceruloplasmin (82390) | $397.50 | $530 | 37.0× |
| Assay of creatine (82540) | $321 | $428 | 69.2× |
| Assay of cyclosporine (80158) | $375.38 | $500.50 | 20.8× |
| Assay of erythropoietin (82668) | $498 | $664 | 26.5× |
| Assay of ethosuximide (80168) | $331.50 | $442 | 20.3× |
| Assay of ferritin (82728) | $283.50 | $378 | 20.8× |
| Assay of g6pd enzyme (82955) | $211.88 | $282.50 | 21.8× |
| Assay of gammaglobulin igm (82784) | $330.75 | $441 | 35.6× |
| Assay of gastrin (82941) | $171.38 | $228.50 | 9.7× |
| Assay of gentamicin (80170) | $601.50 | $802 | 36.7× |
| Assay of glucagon (82943) | $329.25 | $439 | 23.0× |
| Assay of homocystine (83090) | $467.25 | $623 | 26.1× |
| Assay of homovanillic acid (83150) | $252 | $336 | 11.2× |
| Assay of lipoprotein(a) (83695) | $158.25 | $211 | 11.1× |
| Assay of manganese (83785) | $366.75 | $489 | 13.8× |
| Assay of metanephrines (83835) | $512.25 | $683 | 30.2× |
| Assay of parathormone (83970) | $449.25 | $599 | 10.9× |
| Assay of phenobarbital (80184) | $371.62 | $495.50 | 24.3× |
| Assay of prealbumin (84134) | $293.25 | $391 | 20.1× |
| Assay of procainamide (80190) | $107.25 | $143 | 1.8× |
| Assay of proinsulin (84206) | $393 | $524 | 14.7× |
| Assay of pyruvate (84210) | $167.62 | $223.50 | 11.6× |
| Assay of selenium (84255) | $298.88 | $398.50 | 11.7× |
| Assay of serotonin (84260) | $345.75 | $461 | 11.2× |
| Assay of somatomedin (84305) | $330.38 | $440.50 | 15.5× |
| Assay of tacrolimus (80197) | $435 | $580 | 31.7× |
| Assay of urine vma (84585) | $207.75 | $277 | 13.4× |
| Assay of vitamin k (84597) | $447.75 | $597 | 32.6× |
| Assay of volatiles (84600) | $463.50 | $618 | 27.1× |
| Assay Ph Body Fluid Nos (83986) | $129.38 | $172.50 | 36.1× |
| Ast (sgot) (84450) | $330.38 | $440.50 | 63.8× |
| Automated rbc count (85041) | $206.25 | $275 | 68.3× |
| B cells total count (86355) | $134.25 | $179 | 3.6× |
| B-hexosaminidase ea assay (83080) | $581.25 | $775 | 34.5× |
| Bartonella antibody (86611) | $146.25 | $195 | 14.4× |
| Bcr/abl1 gene major bp (81206) | $983.25 | $1,311 | 6.0× |
| Bcr/abl1 gene minor bp (81207) | $781.50 | $1,042 | 5.4× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $127.50 | $170 | 5.0× |
| Beta hydroxybutyrate (82010) | $247.88 | $330.50 | 30.3× |
| Beta Lactamase (87185) | $99 | $132 | 20.8× |
| Beta-2 microglobulin (82232) | $74.25 | $99 | 4.6× |
| Bile acids, total (82239) | $143.25 | $191 | 8.4× |
| Bilirubin direct (82248) | $180.75 | $241 | 36.0× |
| Bilirubin total (82247) | $302.62 | $403.50 | 60.3× |
| Bilirubin total transcutaneous (88720) | $351.75 | $469 | 70.1× |
| Biotinidase ea specimen (82261) | $143.25 | $191 | 8.5× |
| Bl Smear W/Diff Wbc Count (85007) | $84.38 | $112.50 | 22.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $83.25 | $111 | 24.3× |
| Blastomyces antibody (86612) | $308.25 | $411 | 23.9× |
| Bleeding time (85002) | $275.25 | $367 | 57.1× |
| Blood count reticulocyte automated (85045) | $185.25 | $247 | 46.4× |
| Blood gases (82803) | $795 | $1,060 | 30.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $175.50 | $234 | 11.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $162.75 | $217 | 37.2× |
| Blood Ph - Ph Venous (82800) | $379.50 | $506 | 34.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $837 | $1,116 | 131.8× |
| Blood typing abo (86900) | $408 | $544 | 136.5× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $120.75 | $161 | 7.4× |
| Blood typing serologic rh (d) (86901) | $157.88 | $210.50 | 52.8× |
| Body fluid cell count (89051) | $327.75 | $437 | 58.5× |
| Body fluid cell count (89050) | $287.25 | $383 | 60.9× |
| Bone Marrow Smear Interpretation (85097) | $2,627.25 | $3,503 | 3.2× |
| Bordetella antibody (86615) | $339.75 | $453 | 25.8× |
| Brucella antibody (86622) | $98.25 | $131 | 11.0× |
| C diff amplified probe (87493) | $567.75 | $757 | 15.2× |
| C-reactive protein (86140) | $188.25 | $251 | 36.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $102.75 | $137 | 7.9× |
| C1q binding assay (86332) | $274.88 | $366.50 | 11.3× |
| Ca 125 (86304) | $523.12 | $697.50 | 25.1× |
| Ca 19-9 (86301) | $270.75 | $361 | 13.0× |
| Ca 27 29 (86300) | $364.50 | $486 | 17.5× |
| Cadmium level (82300) | $166.88 | $222.50 | 7.1× |
| Calcium ionized (82330) | $327.75 | $437 | 24.0× |
| Calcium total (82310) | $330 | $440 | 64.0× |
| Calcium urine (82340) | $169.88 | $226.50 | 28.2× |
| Calculus Quantitative Chemical (82360) | $467.25 | $623 | 36.3× |
| Calculus Spectroscopy (82365) | $409.50 | $546 | 31.7× |
| Calprotectin, fecal (83993) | $578.25 | $771 | 29.5× |
| Candida antibody (86628) | $98.25 | $131 | 8.2× |
| Candida DNA dir probe (87480) | $54.75 | $73 | 2.7× |
| Carbamazepine (tegretol) total (80156) | $424.88 | $566.50 | 29.2× |
| Carbamazepine free (80157) | $226.88 | $302.50 | 17.1× |
| Carbon dioxide (82374) | $675 | $900 | 138.3× |
| Carboxyhemoglobin Quantitative (82375) | $343.50 | $458 | 27.9× |
| Carcinoembryonic antigen (82378) | $408.75 | $545 | 21.6× |
| Cardiolipin ab igg (86147) | $454.50 | $606 | 17.9× |
| Carnitine (82379) | $175.50 | $234 | 10.4× |
| Carotene (82380) | $117.75 | $157 | 12.8× |
| Catecholamines fraction plasma (82384) | $655.50 | $874 | 26.0× |
| Catecholamines organic nitrogen blood level (82383) | $347.62 | $463.50 | 12.0× |
| Catecholamines Total Urine (82382) | $336 | $448 | 12.3× |
| Cd4 absolute count (86361) | $231.38 | $308.50 | 8.6× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $584.25 | $779 | 4.3× |
| Cftr gene com variants (81220) | $3,217.12 | $4,289.50 | 5.8× |
| Cftr gene dup/delet variants (81222) | $390.75 | $521 | 0.9× |
| Cftr gene full sequence (81223) | $219 | $292 | 0.4× |
| Chemiluminescent assay (82397) | $198.38 | $264.50 | 14.0× |
| Chlamydia antibody (86631) | $108 | $144 | 9.1× |
| Chlamydia antigen gilm (87320) | $210.75 | $281 | 14.1× |
| Chlamydia trachomatis ag if (87270) | $228 | $304 | 19.0× |
| Chloramphenicol (82415) | $165 | $220 | 13.0× |
| Chloride other source (82438) | $120 | $160 | 24.0× |
| Chloride urine (82436) | $128.62 | $171.50 | 22.4× |
| Cholesterol total (82465) | $222 | $296 | 51.0× |
| Cholinesterase rbc (82482) | $165 | $220 | 16.8× |
| Cholinesterase serum (82480) | $165 | $220 | 21.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $2,032.50 | $2,710 | 16.2× |
| Chromium urine (82495) | $349.50 | $466 | 17.2× |
| Chromogranin a (86316) | $473.62 | $631.50 | 22.8× |
| Chromosome analysis 20-25 cells (88264) | $683.25 | $911 | 4.7× |
| Chromosome Analysis 5 (88261) | $145.50 | $194 | 0.6× |
| Chromosome karyotype study (88280) | $304.50 | $406 | 9.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $314.25 | $419 | 9.0× |
| Citrate (82507) | $177.38 | $236.50 | 6.4× |
| Ck isoenzymes (82552) | $127.88 | $170.50 | 9.6× |
| Ckmb (82553) | $83.25 | $111 | 7.2× |
| Clot factor viii vw antigen (85246) | $579 | $772 | 25.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $722.62 | $963.50 | 40.4× |
| Clot factor xiii fibrin stab (85290) | $504 | $672 | 30.8× |
| Clozapine level (80159) | $33 | $44 | 1.6× |
| Cmv PCR (87496) | $444.75 | $593 | 12.7× |
| Cns DNA amp probe type 12-25 (87483) | $2,248.50 | $2,998 | 5.4× |
| Coagulation time activated (85347) | $273 | $364 | 63.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $392.25 | $523 | 16.3× |
| Cold agglutinin titer (86157) | $429 | $572 | 53.2× |
| Collagen cross links (82523) | $112.50 | $150 | 6.0× |
| Compatibility test antiglob (86922) | $501.75 | $669 | 2.9× |
| Complement c3 (86160) | $349.50 | $466 | 29.1× |
| Complement total ch50 (86162) | $420.75 | $561 | 20.7× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $80.25 | $107 | 6.7× |
| Concentration Infectious Agent (87015) | $203.62 | $271.50 | 30.5× |
| Coombs direct (86880) | $245.25 | $327 | 45.5× |
| Copper urine (82525) | $174.75 | $233 | 14.1× |
| Cortisol free (82530) | $367.12 | $489.50 | 22.0× |
| Cortisol total (82533) | $354.75 | $473 | 21.8× |
| Creatine kinase total (82550) | $345 | $460 | 53.0× |
| Creatinine blood (82565) | $110.62 | $147.50 | 21.6× |
| Creatinine clearance (82575) | $551.62 | $735.50 | 58.3× |
| Creatinine other source (82570) | $210.75 | $281 | 40.7× |
| Crossmatch immediate spin (86920) | $501.75 | $669 | 2.9× |
| Cryofibrinogen (82585) | $354.75 | $473 | 25.1× |
| Cryoglobulin (82595) | $264 | $352 | 40.8× |
| Cryptococcal Antigen (87327) | $231.38 | $308.50 | 17.2× |
| Cryptococcus antibody (86641) | $430.50 | $574 | 29.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $330.75 | $441 | 40.9× |
| Culture Aerobic Identify (87077) | $294.38 | $392.50 | 36.4× |
| Culture anaerobic (87075) | $525 | $700 | 55.4× |
| Culture blood (87040) | $529.50 | $706 | 51.3× |
| Culture chlamydia (87110) | $123 | $164 | 6.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $145.50 | $194 | 18.9× |
| Culture fungus blood (87103) | $438.75 | $585 | 21.4× |
| Culture fungus id yeast (87106) | $208.50 | $278 | 20.2× |
| Culture fungus other (87102) | $423 | $564 | 50.3× |
| Culture genital (87070) | $376.50 | $502 | 43.7× |
| Culture herpes (87250) | $491.25 | $655 | 25.1× |
| Culture screen only (87081) | $145.50 | $194 | 21.9× |
| Culture stool (87045) | $424.12 | $565.50 | 44.9× |
| Culture typing if ea antiserum (87140) | $343.50 | $458 | 61.7× |
| Culture urine (87086) | $406.88 | $542.50 | 50.4× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $213.38 | $284.50 | 1.8× |
| Cyanide (82600) | $158.25 | $211 | 8.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $379.50 | $506 | 26.5× |
| Cyclic Citrullinated Peptide (86200) | $224.62 | $299.50 | 17.3× |
| Cyp2c19 gene com variants (81225) | $492.75 | $657 | 1.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,325.38 | $3,100.50 | 2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $513.75 | $685 | 12.0× |
| Cytopath cell enhance tech (88112) | $582.75 | $777 | 11.1× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $490.50 | $654 | 13.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $170.62 | $227.50 | 6.4× |
| Cytp concentration smears & interpretation (88108) | $529.50 | $706 | 14.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $350.25 | $467 | 6.7× |
| Cytp fna eval dx 1st each site (88172) | $978 | $1,304 | 5.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $804.75 | $1,073 | 4.7× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $138 | $184 | 7.4× |
| D-Dimer (85379) | $473.62 | $631.50 | 46.5× |
| Deoxycortisol (82634) | $207 | $276 | 7.1× |
| Deoxyribonuclease antibody (86215) | $330 | $440 | 24.9× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $109.50 | $146 | 2.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $154.50 | $206 | 9.3× |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) | $174.38 | $232.50 | 13.0× |
| Dhea (82626) | $372.75 | $497 | 14.8× |
| Dhea sulfate (82627) | $213 | $284 | 9.6× |
| Digoxin (80162) | $293.25 | $391 | 22.1× |
| Dilantin (80185) | $382.50 | $510 | 28.9× |
| Diphtheria antitoxoid (86648) | $645 | $860 | 42.4× |
| Dna Antibody Single Stranded (86226) | $291.75 | $389 | 24.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $219.75 | $293 | 16.0× |
| Dna/Rna Amplified Probe (87150) | $52.50 | $70 | 1.5× |
| DNA/RNA direct probe (87149) | $132.38 | $176.50 | 6.6× |
| Drug Assay Lacosamide (80235) | $144.38 | $192.50 | 5.3× |
| Drug assay methotrexate (80204) | $888.75 | $1,185 | 23.0× |
| Drug Screen Quant Gabapentin (80171) | $232.50 | $310 | 10.7× |
| Drug screen quant zonisamide (80203) | $287.62 | $383.50 | 21.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $205.50 | $274 | 15.5× |
| Drug Scrn Quan Levetiracetam (80177) | $275.62 | $367.50 | 20.8× |
| Drug scrn quant oxcarbazepin (80183) | $262.88 | $350.50 | 19.8× |
| Drug test prsmv chem anlyzr (80307) | $530.25 | $707 | 8.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $372.75 | $497 | 29.6× |
| Ebv viral capsid (86665) | $179.25 | $239 | 9.9× |
| Echinococcus ab igg (86682) | $235.50 | $314 | 18.1× |
| Ehrlichia antibody (86666) | $137.25 | $183 | 13.5× |
| Electrolyte panel (80051) | $561 | $748 | 80.0× |
| Electron microscopy diagnostic (88348) | $967.50 | $1,290 | 1.2× |
| Electronic crossmatch (86923) | $501.75 | $669 | 2.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $309 | $412 | 5.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $286.50 | $382 | 23.7× |
| Endomysial antibody iga (86255) | $240.75 | $321 | 20.0× |
| Enterovirus antibody (86658) | $97.50 | $130 | 7.5× |
| Enterovirus Pcr (87498) | $352.12 | $469.50 | 10.0× |
| Enzyme cell activity (82657) | $315.75 | $421 | 14.2× |
| Eosinophil count (85048) | $182.62 | $243.50 | 71.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $245.25 | $327 | 16.0× |
| Estradiol (82670) | $463.50 | $618 | 16.6× |
| Estriol (82677) | $189.38 | $252.50 | 7.8× |
| Estrogens total (82672) | $441.75 | $589 | 20.4× |
| Estrone (82679) | $197.62 | $263.50 | 7.9× |
| Ethylene glycol (82693) | $304.88 | $406.50 | 20.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $464.25 | $619 | 4.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $276.75 | $369 | 37.8× |
| F2 gene analysis 20210g >a variant (81240) | $574.88 | $766.50 | 8.8× |
| F5 gene (81241) | $578.62 | $771.50 | 7.9× |
| Factor inhibitor test (85335) | $411 | $548 | 31.9× |
| Factor ix activity (85250) | $696.38 | $928.50 | 36.6× |
| Factor v activity (85220) | $551.62 | $735.50 | 31.3× |
| Factor vii assay (85230) | $741.38 | $988.50 | 41.4× |
| Factor viii ahg (85240) | $561.38 | $748.50 | 31.4× |
| Factor viii vw multimetric (85247) | $494.62 | $659.50 | 21.6× |
| Factor xi assay (85270) | $722.62 | $963.50 | 40.4× |
| Factor xii assay (85280) | $675.75 | $901 | 34.9× |
| Fecal fat qual (82705) | $155.25 | $207 | 30.4× |
| Fecal fat quant (82710) | $209.25 | $279 | 12.5× |
| Fetal bleed screen (85461) | $314.25 | $419 | 33.6× |
| Fetal fibronectin (82731) | $990.75 | $1,321 | 15.4× |
| Fetal lung maturity fluorescence polarization (83663) | $199.50 | $266 | 10.5× |
| Fibrin degradation products (85362) | $285 | $380 | 41.4× |
| Fibrinogen activity (85384) | $531.38 | $708.50 | 54.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $403.50 | $538 | 26.1× |
| Flow cytometry first marker (88184) | $804.75 | $1,073 | 2.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $184.50 | $246 | 15.3× |
| Fmr1 gene detection (81243) | $306.75 | $409 | 5.4× |
| Folate serum (82746) | $330 | $440 | 22.4× |
| Folic acid rbc (82747) | $518.25 | $691 | 29.4× |
| Follicle Stimulating Hormone (83001) | $643.50 | $858 | 34.6× |
| Fractionation ketosteroids (83593) | $189 | $252 | 6.6× |
| Francisella Tularensis (86668) | $118.50 | $158 | 8.4× |
| Fresh frozen plasma thawing each unit (86927) | $804.75 | $1,073 | 4.7× |
| Frozen Section (88331) | $565.50 | $754 | 3.3× |
| Fructosamine (82985) | $494.25 | $659 | 29.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $288 | $384 | 27.9× |
| Galactose (82760) | $330.75 | $441 | 29.5× |
| Galectin-3 serum (82777) | $264.75 | $353 | 6.0× |
| Gammaglobulin ige (82785) | $269.25 | $359 | 16.4× |
| Gardner vag DNA dir probe (87510) | $54.75 | $73 | 2.7× |
| Gastric Occult Blood (82271) | $105.75 | $141 | 19.9× |
| Ggt (82977) | $276.75 | $369 | 38.4× |
| Giardia antigen eia stool (87329) | $277.50 | $370 | 23.2× |
| Giardia lamblia antibody (86674) | $111 | $148 | 7.5× |
| Gliadin antibody each immunoglobulin class (86258) | $169.12 | $225.50 | 14.0× |
| Glucose (82947) | $318.75 | $425 | 81.1× |
| Glucose Blood Test (82962) | $143.25 | $191 | 43.7× |
| Glucose body fluid (82945) | $221.25 | $295 | 56.3× |
| Glucose post dose (82950) | $387 | $516 | 81.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $198.38 | $264.50 | 50.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $483 | $644 | 37.5× |
| Growth hormone (83003) | $226.88 | $302.50 | 13.6× |
| Haloperidol (haldol) (80173) | $279 | $372 | 17.7× |
| Haptoglobin (83010) | $313.50 | $418 | 24.9× |
| Hba1/hba2 gene (81257) | $210.75 | $281 | 2.1× |
| Hcg qualitative (84703) | $454.50 | $606 | 60.4× |
| Hcg quant (84702) | $366.75 | $489 | 24.4× |
| Hdl Cholesterol (83718) | $312 | $416 | 38.1× |
| Heavy metal quant each (83018) | $183 | $244 | 8.3× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $292.50 | $390 | 14.0× |
| Hematocrit (85014) | $94.50 | $126 | 39.9× |
| Hemoglobin (85018) | $98.25 | $131 | 41.5× |
| Hemoglobin a1c (83036) | $228.38 | $304.50 | 23.5× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $210.75 | $281 | 11.7× |
| Hemoglobin electrophoresis (83020) | $210.75 | $281 | 16.4× |
| Hemoglobin fetal ql (83033) | $234.75 | $313 | 29.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $282.75 | $377 | 36.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $600.75 | $801 | 73.3× |
| Hemoglobin plasma (83051) | $218.25 | $291 | 29.9× |
| Hemosiderin urine (83070) | $336 | $448 | 70.7× |
| Heparin assay (85520) | $200.25 | $267 | 15.3× |
| Heparin neutralization (85525) | $301.88 | $402.50 | 25.5× |
| Hepatitis a antibody total (86708) | $505.12 | $673.50 | 40.8× |
| Hepatitis a igm (86709) | $599.25 | $799 | 53.2× |
| Hepatitis b core ab igm (86705) | $189.75 | $253 | 16.1× |
| Hepatitis b core antibody total (86704) | $159.75 | $213 | 13.3× |
| Hepatitis B Surface Ab (86706) | $130.12 | $173.50 | 12.1× |
| Hepatitis B Surface Antigen (87340) | $170.25 | $227 | 16.5× |
| Hepatitis be antibody (86707) | $274.50 | $366 | 23.7× |
| Hepatitis Be Antigen (87350) | $265.12 | $353.50 | 23.0× |
| Hepatitis c antibody (86803) | $243.75 | $325 | 17.1× |
| Hepatitis C Genotype (87902) | $1,234.50 | $1,646 | 4.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $491.25 | $655 | 14.0× |
| Hepatitis delta ab (86692) | $128.25 | $171 | 7.5× |
| Hepatitis delta ag (87380) | $285.75 | $381 | 15.6× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,784.25 | $2,379 | 1.4× |
| Herpes culture (87252) | $303.75 | $405 | 11.7× |
| Herpes simplex type 2 (86696) | $327.75 | $437 | 16.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $529.88 | $706.50 | 102.3× |
| Hexa gene analysis common variants (81255) | $357.75 | $477 | 7.0× |
| Hfe gene (81256) | $548.25 | $731 | 8.4× |
| Histamine plasma (83088) | $243 | $324 | 8.2× |
| Histoplasma antibody (86698) | $142.12 | $189.50 | 10.3× |
| Histoplasma antigen urine (87385) | $455.25 | $607 | 34.4× |
| HIV confirmation (86689) | $111 | $148 | 5.7× |
| HIV-1 antibody (86701) | $142.12 | $189.50 | 16.0× |
| HIV-1 genotype (87901) | $299.25 | $399 | 1.2× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $270 | $360 | 19.7× |
| Hla class ii typing high resolution one locus ea (81382) | $315.75 | $421 | 2.6× |
| Hla i typing 1 locus hr (81380) | $219.75 | $293 | 1.2× |
| Hla-b27 (86812) | $570.75 | $761 | 22.1× |
| Homogenization tissue (87176) | $120.75 | $161 | 20.5× |
| Hpv types 16 & 18 only (87625) | $135.38 | $180.50 | 3.3× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $494.25 | $659 | 7.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $243.75 | $325 | 6.9× |
| Human epididymis protein 4 (86305) | $133.50 | $178 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $250.50 | $334 | 9.2× |
| Hydroxyproline total (83505) | $387.75 | $517 | 16.0× |
| Iaad ia clostridium difficile toxin (87324) | $434.62 | $579.50 | 36.3× |
| Iaad ia cryptosporidium (87328) | $232.12 | $309.50 | 16.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $248.25 | $331 | 10.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $340.50 | $454 | 23.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $913.88 | $1,218.50 | 65.7× |
| Iaad ia rotavirus (87425) | $165.75 | $221 | 13.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $177.75 | $237 | 5.0× |
| Iaad Ia Streptococcus Group A (87430) | $199.12 | $265.50 | 11.8× |
| Iaadi inffluenza a virus (87276) | $128.62 | $171.50 | 8.0× |
| Iaadi influenza b virus (87275) | $128.62 | $171.50 | 10.5× |
| Iaadi respiratory synctial virus (87280) | $192 | $256 | 14.3× |
| Iaadiadoo not otherwise specified (87899) | $126.38 | $168.50 | 7.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $421.88 | $562.50 | 12.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $367.88 | $490.50 | 10.5× |
| Iadna hepatitis b virus amplified probe tq (87516) | $315.75 | $421 | 9.0× |
| Iadna hepatitis b virus quantification (87517) | $456 | $608 | 10.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $429.75 | $573 | 10.0× |
| Iadna herpes virus-6 amplified probe tq (87532) | $156.38 | $208.50 | 4.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $341.62 | $455.50 | 9.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $588 | $784 | 6.9× |
| Iadna human papillomavirus high-risk types (87624) | $284.25 | $379 | 8.1× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $475.88 | $634.50 | 11.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $367.88 | $490.50 | 10.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $321 | $428 | 9.1× |
| Iadna nos amplified probe tq each organism (87798) | $395.62 | $527.50 | 11.3× |
| Iadna nos quantification each organism (87799) | $669 | $892 | 15.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $195 | $260 | 5.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,497 | $1,996 | 3.6× |
| If cryptosporidium antigen (87272) | $207 | $276 | 17.3× |
| Igg subclasses (82787) | $176.25 | $235 | 22.0× |
| Immunfix e-phorsis/urine/csf (86335) | $361.12 | $481.50 | 12.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $263.25 | $351 | 17.6× |
| Immunoassay nonantibody (83516) | $231 | $308 | 20.0× |
| Immunodiffusion Ouchterlony (86331) | $313.12 | $417.50 | 26.1× |
| Immunofixj Electrophoresis Serum (86334) | $407.25 | $543 | 18.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $820.88 | $1,094.50 | 4.8× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $178.12 | $237.50 | 14.9× |
| Immunohistochemistry (88342) | $804.75 | $1,073 | 4.7× |
| India ink prep (87210) | $258 | $344 | 44.3× |
| Influenza DNA amp prob 1+ (87501) | $204.75 | $273 | 4.0× |
| Inhibin a (86336) | $237.75 | $317 | 15.3× |
| Inhibin b (83520) | $111 | $148 | 6.4× |
| Insitu hybridization manual (88368) | $136.50 | $182 | 0.4× |
| Insulin antibodies (86337) | $342.75 | $457 | 16.0× |
| Insulin free (83527) | $222.75 | $297 | 17.2× |
| Insulin total (83525) | $259.50 | $346 | 22.7× |
| Intraop cyto path consult 1 (88333) | $1,383 | $1,844 | 1.7× |
| Intrinsic factor antibody (86340) | $315 | $420 | 20.9× |
| Iron (83540) | $300.75 | $401 | 46.5× |
| Iron binding capacity (83550) | $300.75 | $401 | 34.4× |
| Irradiation of blood product (86945) | $63 | $84 | 1.7× |
| Islet cell antibody (86341) | $262.12 | $349.50 | 11.1× |
| Jak2 gene analysis (81270) | $995.25 | $1,327 | 10.9× |
| Ketosteroids 17; total (83586) | $216.75 | $289 | 16.9× |
| Koh Prep (87220) | $377.25 | $503 | 88.3× |
| L/s ratio, fetal lung (83661) | $199.50 | $266 | 9.1× |
| Lactic acid (83605) | $336 | $448 | 29.0× |
| Lactoferrin Fecal Quantitative (83631) | $133.88 | $178.50 | 6.8× |
| Ldh (83615) | $303.38 | $404.50 | 50.2× |
| Ldh isoenzymes (83625) | $388.12 | $517.50 | 30.3× |
| LDL cholesterol direct (83721) | $14.25 | $19 | 1.4× |
| Lead (83655) | $339.75 | $453 | 28.1× |
| Legionella antibody (86713) | $108.75 | $145 | 7.1× |
| Legionella antigen urine (87449) | $194.25 | $259 | 16.2× |
| Leishmania antibody (86717) | $208.50 | $278 | 17.0× |
| Leptospira antibody (86720) | $110.25 | $147 | 6.8× |
| Leucine aminopeptidase (lap) (83670) | $111 | $148 | 11.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $207.38 | $276.50 | 48.6× |
| Level ii surg pathology grossµscopic exam (88302) | $345.38 | $460.50 | 9.2× |
| Level v surg pathology grossµscopic exam (88307) | $753 | $1,004 | 2.1× |
| Level vi surg pathology grossµscopic exam (88309) | $2,101.50 | $2,802 | 2.6× |
| Lh (83002) | $646.50 | $862 | 34.9× |
| Lidocaine level (80176) | $114 | $152 | 7.8× |
| Lipase (83690) | $438 | $584 | 63.6× |
| Lipopro bld electrophoretic (83700) | $68.25 | $91 | 6.1× |
| Lipoprotein Bld Hr Fraction (83701) | $449.25 | $599 | 13.3× |
| Listeria ab (86609) | $66 | $88 | 5.1× |
| Lithium (80178) | $241.50 | $322 | 36.5× |
| Lyme disease antibody (86618) | $216.75 | $289 | 12.7× |
| Lyme disease antibody confirm (86617) | $322.12 | $429.50 | 20.8× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $544.50 | $726 | 3.2× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $272.25 | $363 | 1.6× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $804.75 | $1,073 | 2.2× |
| Magnesium (83735) | $255 | $340 | 38.1× |
| Malaria smear (87207) | $257.25 | $343 | 42.9× |
| Manual reticulocyte count (85044) | $410.62 | $547.50 | 95.3× |
| Mass spectrometry qual/quan (83789) | $240 | $320 | 10.0× |
| Mercury (83825) | $185.25 | $247 | 11.4× |
| Metabolic Panel Ionized Ca (80047) | $346.50 | $462 | 25.2× |
| Methotrexate (80299) | $237.75 | $317 | 12.8× |
| Methylmalonic acid serum (83921) | $357 | $476 | 16.8× |
| Microalbumin urine (82043) | $168.75 | $225 | 29.2× |
| Microbe suscept macrobroth (87188) | $68.25 | $91 | 10.3× |
| Microbe Suscept Mycobacteri (87190) | $277.12 | $369.50 | 37.9× |
| Microsomal antibodies (86376) | $189.75 | $253 | 13.0× |
| Molecular pathology procedure level 2 (81401) | $213 | $284 | 1.6× |
| Mononuclear cell antigen (86356) | $161.25 | $215 | 6.0× |
| Mopath procedure level 5 (81404) | $309 | $412 | 1.1× |
| Mrsa amp probe (87641) | $280.50 | $374 | 8.0× |
| Mthfr Gene Analysis Common Variants (81291) | $363.38 | $484.50 | 5.6× |
| Muramidase (85549) | $290.25 | $387 | 15.5× |
| Mycobacteric Identification (87118) | $155.25 | $207 | 10.6× |
| Mycophenolic acid (80180) | $124.50 | $166 | 6.9× |
| Mycoplasma antibody (86738) | $164.25 | $219 | 12.4× |
| Mycoplasma culture (87109) | $109.88 | $146.50 | 7.1× |
| Myelin basic protein csf (83873) | $417.38 | $556.50 | 24.3× |
| Myoglobin urine (83874) | $160.12 | $213.50 | 12.4× |
| Nasal smear for eosinophils (89190) | $137.62 | $183.50 | 23.8× |
| Natriuretic peptide (83880) | $415.50 | $554 | 10.6× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $125.25 | $167 | 4.8× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $2,343 | $3,124 | 4.8× |
| Niacin (84591) | $447.75 | $597 | 26.2× |
| Nickel level (83885) | $331.50 | $442 | 13.5× |
| Nk cells total count (86357) | $87 | $116 | 2.3× |
| Nmr Lipoprofile (83704) | $151.50 | $202 | 4.4× |
| Nuclear antigen antibody (86235) | $244.50 | $326 | 13.6× |
| Occult blood stool (82272) | $163.50 | $218 | 38.7× |
| Oligoclonal bands (83916) | $464.25 | $619 | 16.9× |
| Organic Acids Qual Each (83919) | $240.38 | $320.50 | 14.6× |
| Organic Acids Total Quantitative Each Specimen (83918) | $447 | $596 | 18.9× |
| Osmolality serum (83930) | $313.50 | $418 | 47.4× |
| Osmolality urine (83935) | $303 | $404 | 44.4× |
| Ova and parasite direct-id lca (87177) | $182.25 | $243 | 20.5× |
| Oxalate urine (83945) | $133.50 | $178 | 9.2× |
| Pancreatic elastase fecal (82656) | $483 | $644 | 41.9× |
| Pancreatic polypeptide (83519) | $346.88 | $462.50 | 18.9× |
| Parainfluenza ag if (87279) | $207 | $276 | 12.6× |
| Particle Agglutination Screen Each Antibody (86403) | $172.50 | $230 | 14.9× |
| Particle agglutination titer each antibody (86406) | $225.75 | $301 | 21.2× |
| Parvovirus antibody (86747) | $199.12 | $265.50 | 13.2× |
| Pertussis dfa (87265) | $300 | $400 | 25.0× |
| Phenotype Infect Agent Drug (87900) | $460.50 | $614 | 3.5× |
| Phenylalanine (84030) | $100.50 | $134 | 18.3× |
| Phenytoin free (80186) | $207 | $276 | 15.0× |
| Phosphatase acid prostatic (84066) | $321 | $428 | 33.2× |
| Phosphatase alkaline (84075) | $425.25 | $567 | 82.1× |
| Phospholipid Neutralization Hexagonal (85598) | $126.75 | $169 | 7.0× |
| Phosphorus blood (84100) | $220.88 | $294.50 | 46.6× |
| Phosphorus urine (84105) | $318 | $424 | 55.0× |
| Pinworm exam (87172) | $207 | $276 | 48.5× |
| Platelet aggregation (85576) | $194.62 | $259.50 | 7.8× |
| Platelet count (85049) | $179.25 | $239 | 40.0× |
| Platelet neutralization (85597) | $86.25 | $115 | 4.8× |
| Pooling blood platelets (86965) | $501.75 | $669 | 2.9× |
| Porphobilinogen Urine Qual (84106) | $89.25 | $119 | 15.3× |
| Porphobilinogen urine quant (84110) | $217.50 | $290 | 25.8× |
| Porphyrins qn & fraction urine (84120) | $208.88 | $278.50 | 14.2× |
| Porphyrins urine qual (84119) | $156.38 | $208.50 | 11.7× |
| Potassium (84132) | $189.75 | $253 | 39.9× |
| Potassium urine (84133) | $258.75 | $345 | 54.7× |
| Pregnenolone (84140) | $298.50 | $398 | 14.4× |
| Pretx serum rbc antibody identification dilution (86976) | $416.25 | $555 | 14.3× |
| Primidone (80188) | $107.25 | $143 | 6.5× |
| Procainamide napa (80192) | $96 | $128 | 5.7× |
| Procalcitonin (pct) (84145) | $370.12 | $493.50 | 13.6× |
| Progesterone (84144) | $260.25 | $347 | 12.5× |
| Prolactin (84146) | $403.88 | $538.50 | 20.8× |
| Protein body fluid (84157) | $270.75 | $361 | 67.7× |
| Protein c activity (85303) | $1,116 | $1,488 | 80.6× |
| Protein c antigen (85302) | $844.50 | $1,126 | 70.3× |
| Protein electrophoresis serum (84165) | $266.25 | $355 | 24.8× |
| Protein Electrophoresis Urine (84166) | $673.88 | $898.50 | 37.8× |
| Protein S Functional (85306) | $584.25 | $779 | 38.1× |
| Protein s total (85305) | $1,056 | $1,408 | 91.0× |
| Protein total by refractometry any source (84160) | $508.12 | $677.50 | 90.6× |
| Protein Total Serum (84155) | $241.50 | $322 | 65.8× |
| Protein urine (84156) | $187.12 | $249.50 | 51.0× |
| Protein Western Blot (84182) | $189.75 | $253 | 6.5× |
| Protein westrn blot i&r blood/other fluid (84181) | $107.25 | $143 | 6.3× |
| Protoporphyrin rbc quantitative (84202) | $518.62 | $691.50 | 36.1× |
| PSA free (84154) | $117 | $156 | 6.4× |
| Pyruvate kinase (84220) | $155.25 | $207 | 16.4× |
| Quantiferon tb gold (86480) | $457.88 | $610.50 | 7.4× |
| Quinidine (80194) | $59.25 | $79 | 4.1× |
| Quinine (84228) | $155.62 | $207.50 | 13.4× |
| Rbc antibody elution (86860) | $627 | $836 | 3.7× |
| Reagent strip/blood glucose (82948) | $318.75 | $425 | 63.2× |
| Reducing substances, stool (84376) | $106.50 | $142 | 19.4× |
| Renin activity plasma (84244) | $296.25 | $395 | 13.5× |
| Respiratory viral panel PCR (87633) | $1,347 | $1,796 | 3.2× |
| Rheumatoid Factor Qual (86430) | $314.25 | $419 | 51.2× |
| Rheumatoid factor quant (86431) | $139.50 | $186 | 24.6× |
| Rickettsia antibody (86757) | $161.25 | $215 | 8.3× |
| Rotavirus (86759) | $80.25 | $107 | 4.4× |
| Rpr Titer (86593) | $145.12 | $193.50 | 33.0× |
| Rubella antibody (86762) | $333.38 | $444.50 | 23.2× |
| Russell viper venom time diluted (85613) | $187.88 | $250.50 | 19.6× |
| Saccharomyces ab iga (86671) | $185.25 | $247 | 15.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.88 | $210.50 | 3.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $249.75 | $333 | 5.9× |
| Sed rate automated (85652) | $295.50 | $394 | 109.4× |
| Sedimentation rate (85651) | $275.62 | $367.50 | 64.5× |
| Semen analysis (89322) | $172.50 | $230 | 11.1× |
| Semen analysis complete (89320) | $290.25 | $387 | 23.6× |
| Semen analysis sperm presence&/motility sprm (89321) | $111 | $148 | 9.2× |
| Semen analysis w/count (89310) | $156 | $208 | 18.1× |
| Sensitivity - mlc ea plate (87187) | $416.25 | $555 | 10.4× |
| Sensitivity mic (87186) | $320.62 | $427.50 | 37.1× |
| Serotonin Release Assay (86022) | $641.25 | $855 | 34.9× |
| Sex hormone binding globulin (84270) | $516 | $688 | 23.7× |
| Sickle cell screen (85660) | $96.75 | $129 | 17.6× |
| Sirolimus (rapamycin) (80195) | $486.75 | $649 | 35.5× |
| Smear acid fast (87206) | $129.75 | $173 | 24.1× |
| Smear complex stain (87209) | $347.62 | $463.50 | 19.3× |
| Smear gram stain (87205) | $136.50 | $182 | 32.0× |
| Sodium (84295) | $405.38 | $540.50 | 84.3× |
| Sodium other source (84302) | $192 | $256 | 39.5× |
| Sodium urine (84300) | $249.75 | $333 | 49.4× |
| Soluble transferrin receptor (84238) | $323.62 | $431.50 | 8.8× |
| Somatostatin (84307) | $211.12 | $281.50 | 11.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $397.50 | $530 | 3.0× |
| Special stains group 1 (88312) | $250.50 | $334 | 4.8× |
| Specific gravity body fluid (84315) | $84 | $112 | 25.6× |
| Spectrophotometry (84311) | $175.50 | $234 | 21.7× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $610.50 | $814 | 3.6× |
| Staph aureus amplified probe (87640) | $175.50 | $234 | 5.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $171 | $228 | 18.1× |
| Strep a DNA amp probe (87651) | $189.75 | $253 | 5.4× |
| Strep b DNA amp probe (87653) | $189.75 | $253 | 5.4× |
| Sulfate urine (84392) | $153.75 | $205 | 28.0× |
| Surg path level iii (88304) | $394.88 | $526.50 | 7.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $287.25 | $383 | 9.9× |
| Surgical pathology level IV (88305) | $426 | $568 | 8.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $521.62 | $695.50 | 11.1× |
| T cells, total count (86359) | $134.25 | $179 | 3.6× |
| T3 free (84481) | $458.62 | $611.50 | 27.1× |
| T3 reverse (84482) | $508.88 | $678.50 | 32.3× |
| T3 total (84480) | $165 | $220 | 11.6× |
| T3 uptake (84479) | $302.25 | $403 | 46.7× |
| T4 Free (84439) | $201.75 | $269 | 22.4× |
| T4 total (84436) | $241.12 | $321.50 | 35.1× |
| Test for acetone/ketones (82009) | $193.50 | $258 | 42.8× |
| Testosterone free (84402) | $256.50 | $342 | 10.1× |
| Testosterone total (84403) | $435 | $580 | 16.9× |
| Tetanus antibody (86774) | $270 | $360 | 18.2× |
| Theophylline (80198) | $303.38 | $404.50 | 21.5× |
| Thin prep pap (88142) | $168 | $224 | 8.3× |
| Thiocyanate (84430) | $131.25 | $175 | 11.3× |
| Thrombin time plasma (85670) | $137.25 | $183 | 23.8× |
| Thromboplastin Inhibition Tissue (85705) | $197.25 | $263 | 20.5× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $125.25 | $167 | 19.4× |
| Thyroglobulin (84432) | $280.50 | $374 | 17.5× |
| Thyroglobulin Ab (86800) | $463.88 | $618.50 | 29.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $421.12 | $561.50 | 8.3× |
| Thyroxine binding globulin (84442) | $152.25 | $203 | 10.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $231 | $308 | 20.0× |
| Tissue culture bone marrow (88237) | $564.75 | $753 | 3.9× |
| Tissue Culture Lymphocyte (88230) | $702.75 | $937 | 6.0× |
| Tobramycin peak (80200) | $459 | $612 | 28.5× |
| Topiramate (80201) | $249 | $332 | 20.9× |
| Toxoplasma ab igm (86778) | $138 | $184 | 9.6× |
| Toxoplasma antibody igg (86777) | $138 | $184 | 9.6× |
| Transferrin (84466) | $220.50 | $294 | 17.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $291.75 | $389 | 1.4× |
| Trg gene rearrangement analysis (81342) | $666 | $888 | 3.3× |
| Trichomonas vagin dir probe (87660) | $97.12 | $129.50 | 4.8× |
| Triglycerides (84478) | $465 | $620 | 81.0× |
| Troponin (84484) | $470.62 | $627.50 | 37.7× |
| Trypsin feces qual (84488) | $207 | $276 | 28.4× |
| Tyrosine (84510) | $136.50 | $182 | 12.8× |
| Urea nitrogen (84520) | $246 | $328 | 62.3× |
| Urea Nitrogen Clearance (84545) | $184.50 | $246 | 25.6× |
| Urea nitrogen urine (84540) | $212.62 | $283.50 | 38.2× |
| Uric acid blood (84550) | $196.50 | $262 | 43.5× |
| Uric acid other source (84560) | $114.75 | $153 | 22.6× |
| Urinalysis microscopic only (81015) | $217.88 | $290.50 | 71.4× |
| Urinalysis qual/semiquant except immunoassays (81005) | $276.75 | $369 | 127.5× |
| Urinalysis w/microscopic (81001) | $240.38 | $320.50 | 75.8× |
| Urine pregnancy test (81025) | $337.50 | $450 | 39.2× |
| Urine volume measurement (81050) | $39.75 | $53 | 10.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $109.12 | $145.50 | 48.5× |
| Valproic acid level (80164) | $375 | $500 | 27.7× |
| Vancomycin trough (80202) | $587.25 | $783 | 43.4× |
| Varicella-zoster antibody (86787) | $190.50 | $254 | 14.8× |
| Vasoactive intestinal peptide (vip) (84586) | $198.75 | $265 | 5.6× |
| Vasopressin (84588) | $210.38 | $280.50 | 6.2× |
| Vdrl csf (86592) | $119.25 | $159 | 27.9× |
| Virus antibody nos (86790) | $401.62 | $535.50 | 31.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $247.88 | $330.50 | 7.3× |
| Virus inoculation, shell via (87254) | $303.75 | $405 | 15.5× |
| Viscosity serum (85810) | $171.75 | $229 | 14.7× |
| Vitamin A (84590) | $390 | $520 | 33.6× |
| Vitamin b-12 (82607) | $387.75 | $517 | 25.7× |
| Vitamin b-2 (riboflavin) (84252) | $301.50 | $402 | 14.9× |
| Vitamin b1 (thiamine) (84425) | $494.62 | $659.50 | 23.3× |
| Vitamin b6 (84207) | $347.62 | $463.50 | 12.4× |
| Vitamin C (82180) | $130.50 | $174 | 13.2× |
| Vitamin D 25-Hydroxy (82306) | $331.50 | $442 | 11.2× |
| Vitamin e serum (84446) | $282.38 | $376.50 | 19.9× |
| Von willebrand factor activity (85245) | $372.75 | $497 | 16.2× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $240.38 | $320.50 | 28.0× |
| West nile virus ab, igm (86788) | $163.12 | $217.50 | 9.7× |
| West nile virus antibody (86789) | $167.25 | $223 | 11.6× |
| Xylose Absorption Test (84620) | $459.75 | $613 | 35.6× |
| Zinc (84630) | $378 | $504 | 33.2× |