Lab & pathology prices at Valley Hospital Medical Center

Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $1,508.50
5 Nucleotidase (83915) $454.50
Abl1 gene (81170) $2,695
Acetaminophen level (80143) $62
Acetone serum qual (82009) $513.50
Acetylcholine receptor binding antibody (86041) $73
Acetylcholine receptor blocking antibody (86042) $73
Acetylcholn Rcptr Modlg Antb (86043) $47
Actin smooth muscle antibody each (86015) $40
Activated protein c resistance (85307) $600
Acute hepatitis panel (80074) $2,269.50
Acylcarnitine Plasma (82017) $117
Adamts13 activity (85397) $336.50
Adenovirus Ag Ia (87301) $53
Adenovirus ag, if (87260) $224.50
Adenovirus antibody (86603) $785.50
Adrenocorticotropic hormone (82024) $2,170
Afp maternal serum (82105) $537
Agglutinins febrile ea antigen (86000) $257
Albumin body fluid (82042) $329
Albumin serum (82040) $525.50
Aldolase (82085) $960
Aldosterone urine (82088) $3,087
Alkaline phosphatase isoenzymes (84080) $537
Allergen peanut (86003) $189
Allergen spec ige qual multiallergen screen (86005) $35
Allergen specific igg (86001) $61
Allg Spec Ige Recomb Ea (86008) $79
Alpha-1-antitrypsin phenotype (82104) $1,082
Alpha-1-antitrypsin, total (82103) $977
Alpha-Fetoprotein L3 (82107) $523
Alpha-Fetoprotein; Amniotic (82106) $1,229
Alt (sgpt) (84460) $703
Aluminum (82108) $821
Amikacin trough (80150) $1,011.50
Amino Acids 1 Quantitative Each Specimen (82131) $1,344.50
Amino acids 6/> amino acids quantitative ea spe (82139) $5,163
Amino Acids Quant 2-5 (82136) $1,631
Amino Acids, Multiple Qual (82128) $1,011
Aminolevulinic acid (ala) (82135) $570
Amniotic fluid enzyme test (84081) $721
Amylase urine (82150) $1,014
Ana titer (86039) $344.50
Angiotensin i enzyme test (82164) $861
Angiotensin ll (protein) level (82163) $758
Anti-phosphatidylserine antibody (86148) $1,458.50
Antibody aspergillus (86606) $520
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $678
Antibody coxiella burnetii q fever (86638) $271
Antibody cytomegalovirus cmv (86644) $600
Antibody Encephalitis Eastern Equine (86652) $902
Antibody encephalitis st. louis (86653) $1,789
Antibody epstein-barr eb virus early antigen ea (86663) $1,290
Antibody Fungus Not Elsewhere Specified (86671) $159.50
Antibody haemophilus influenza (86684) $811
Antibody helicobacter pylori (86677) $565
Antibody Herpes Smplx Non-Specific Type Test (86694) $629
Antibody Hiv-1&Hiv-2 Single Result (86703) $846
Antibody HIV-2 (86702) $198
Antibody identification (86870) $869
Antibody identification leukocyte antibodies (86021) $1,051
Antibody Identification Platelet Immunogl Assay (86023) $715
Antibody influenza virus (86710) $408
Antibody leishmania (86717) $108
Antibody Listeria Monocytogenes (86723) $108
Antibody mumps (86735) $963
Antibody neisseria meningitidis (86741) $124
Antibody Protozoa Nes (86753) $557
Antibody screen (86850) $559
Antibody treponema pallidum (86780) $757
Antibody; campylobacter (86625) $152
Antibody; Coccidioides (86635) $501
Antigen typing (86905) $610
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $449
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $40
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $58
Antinomyces antibody (86602) $127
Antinuclear antibodies (86038) $2,156
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $597
Antistreptolysin o titer (86060) $835.50
Antithrombin iii activity (85300) $425.50
Antithrombin iii antigen (85301) $817
Apc gene full sequence (81201) $4,145
Apolipoprotein each (82172) $208
Aquaporin-4 Antb Elisa (86051) $52
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $53
Aquaporin-4 antibody flow cytometry each (86053) $150
Arsenic Urine (82175) $1,520
Aspergillus ag eia (87305) $257
Assay 17-(17-Ks)Ketosteroids (83586) $919
Assay Lipoprotein Pla2 (83698) $409
Assay myeloperoxidase (83876) $1,539
Assay Nephelometry Not Spec (83883) $444
Assay neurofilament light chain (83884) $349
Assay of 5-hiaa (83497) $1,024
Assay of ammonia (82140) $998
Assay of androstenedione (82157) $2,500
Assay of c-peptide (84681) $748
Assay of ceruloplasmin (82390) $1,039
Assay of citrate (82507) $1,210
Assay of cpk in blood (82552) $351
Assay of creatine (82540) $177
Assay of cyclosporine (80158) $795
Assay of dibucaine number (82638) $895
Assay of erythropoietin (82668) $1,071
Assay of ethosuximide (80168) $559
Assay of ferritin (82728) $1,135
Assay of g6pd enzyme (82955) $915.50
Assay of gammaglobulin igm (82784) $943
Assay of gastrin (82941) $1,981
Assay of gentamicin (80170) $1,552
Assay of homocystine (83090) $969.50
Assay of lactic acid (83605) $864
Assay of lipoprotein(a) (83695) $312
Assay of manganese (83785) $1,273
Assay of metanephrines (83835) $1,591.50
Assay of osteocalcin (83937) $1,074
Assay of phenobarbital (80184) $1,929
Assay of phosphatase acid total (84060) $697
Assay of prealbumin (84134) $534.50
Assay of proinsulin (84206) $1,412.50
Assay of prolactin (84146) $1,260.50
Assay of pyruvate (84210) $383
Assay of serotonin (84260) $2,380
Assay of tacrolimus (80197) $1,049
Assay of topiramate (80201) $977
Assay of transcortin (84449) $160
Assay of urine vma (84585) $1,716.50
Assay of vasopressin anti-diuretic hormone (84588) $1,291
Assay of vitamin k (84597) $1,213
Assay of volatiles (84600) $456
Assay Phosphatase Acid Prostatic (84066) $697
Ast (sgot) (84450) $784
Autol Bld/Component Collj Storage Predeposited (86890) $994
B cells total count (86355) $608
B-hexosaminidase ea assay (83080) $150
Bartonella antibody (86611) $293
Bartonella PCR (87471) $513
BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) $708
Bcr/abl1 gene major bp (81206) $4,047
Bcr/abl1 gene minor bp (81207) $1,882
Beta 2 glycoprotein 1 igm (86146) $601
Beta hydroxybutyrate (82010) $253
Beta lactamase (87185) $187
Beta-2 microglobulin (82232) $594
Bile acids, total (82239) $487
Bilirubin direct (82248) $688
Bilirubin total (82247) $495
Bilirubin total transcutaneous (88720) $100
Bl Smear W/Diff Wbc Count (85007) $221
Bl Smear W/O Diff Wbc Count (85008) $41
Blastomyces antibody (86612) $1,356
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $1,079.50
Bld Typing Serologic Rh Phnt (86906) $382
Bleeding time (85002) $568
Blood Count Automated Differential Wbc Count (85004) $266
Blood Count Reticulocytes Auto 1/> Cell Meas (85046) $589
Blood gas (82803) $1,725
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $70
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $268
Blood Ph (82800) $1,047.50
Blood Sulfhemoglobin Assay (83060) $92
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $1,038
Blood typing abo (86900) $426
Blood Typing Antigen Screen Patient Serum/Unit (86904) $209
Blood typing serologic rh (d) (86901) $275
Body fluid cell count (89051) $657
Body fluid cell count (89050) $441
Bordetella antibody (86615) $1,349
Bordetella pertussis dfa (87265) $623.50
Borrelia Antibody (86619) $736
Braf gene (81210) $526
Brucella antibody (86622) $341.50
C diff amplified probe (87493) $423.50
C-reactive protein (86140) $634.50
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $513.50
C1q binding assay (86332) $960
Ca 125 (86304) $606
Ca 19-9 (86301) $823
Ca 27 29 (86300) $632.50
Cadmium level (82300) $323
Caffeine (80155) $613
Calcitonin (82308) $1,043
Calcium ionized (82330) $557
Calcium total (82310) $510
Calcium urine (82340) $750
Calculus Quantitative Chemical (82360) $142
Calculus spectroscopy (82365) $569
Calculus; qualitative analysis Facility (82355) $1,133
California encephalitis ab (86651) $1,092.50
Calprotectin, fecal (83993) $251
Calr gene com variants (81219) $829
Candida antibody (86628) $814
Carbamazepine free (80157) $143
Carbamazepine total (80156) $1,520
Carbon dioxide (82374) $832
Carboxyhemoglobin (82375) $855
Carcinoembryonic antigen (82378) $1,147
Cardiolipin ab igg (86147) $734
Carnitine (82379) $1,180
Carotene (82380) $1,291
Catecholamines fraction plasma (82384) $1,245
Catecholamines organic nitrogen blood level (82383) $1,371
Catecholamines Total Urine (82382) $2,428
Cell marker study (88182) $1,544
Cftr gene com variants (81220) $1,649
Cftr gene dup/delet variants (81222) $1,912
Cftr gene full sequence (81223) $3,511
Chemiluminescent assay (82397) $1,090
Chlamydia antibody (86631) $822.50
Chlamydia Igm Antibody (86632) $602
Chlamydia trachomatis ag if (87270) $756.50
Chloride blood (82435) $686
Chloride feces (82438) $638
Chloride urine (82436) $520
Cholesterol HDL (83718) $177
Cholesterol total (82465) $618.50
Cholinesterase rbc (82482) $274
Cholinesterase serum (82480) $1,014.50
Chorionic Gonadotropin, Free Beta Chain (84704) $249
Chrmsm analysis addl high resolution study (88289) $165
Chrmsm Analysis Addl Karyotyp Each Study (88280) $1,701
Chrmsm count 15-20 cll 2karyotyp banding (88262) $4,447
Chromium urine (82495) $1,014.50
Chromogranin a (86316) $334
Chromosome analysis 20-25 cells (88264) $1,701
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $695
Ckmb (82553) $853.50
Clot Factor VIII Multimetric (85247) $1,458.50
Clot factor viii vw antigen (85246) $882.50
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $1,131
Clot factor xiii fibrin stab (85290) $602
Clotting Inhibitors Protein S Free (85306) $1,103
Cmv ab igm (86645) $942
Cmv PCR (87496) $2,250.50
Cns DNA amp probe type 12-25 (87483) $2,840
Coagulation time activated (85347) $1,029
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $551.50
Cold agglutinin screen (86156) $675
Cold agglutinin titer (86157) $487
Collagen cross links (82523) $569
Compatibility test antiglob (86922) $824
Compatibility Test Incubate (86921) $84
Complement c3 (86160) $822
Complement total (ch50) (86162) $1,100
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $437
Concentration Infectious Agent (87015) $404
Coombs direct (86880) $425
Copper urine (82525) $468.50
Cortisol free (82530) $576
Cortisol total (82533) $1,465
Creatine kinase total (82550) $833.50
Creatinine blood (82565) $495.50
Creatinine clearance (82575) $1,388
Creatinine other source (82570) $510
Crossmatch immediate spin (86920) $1,178
Cryoglobulin (82595) $285.50
Cryptococcus antibody (86641) $205
Crystals body fluid (89060) $340
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $134
Culture Aerobic Identify (87077) $158
Culture afb (87116) $836
Culture anaerobic (87075) $1,948
Culture blood (87040) $1,579
Culture chlamydia (87110) $1,037
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $110
Culture fungus blood (87103) $290
Culture fungus id yeast (87106) $310
Culture fungus other (87102) $802
Culture genital (87070) $1,485
Culture screen only (87081) $1,232
Culture stool (87045) $1,536.50
Culture typing if ea antiserum (87140) $64
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $36.50
Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) $306
Culture urine (87086) $1,053
Culture virus (87252) $1,400.50
Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) $300
Cultyp nucleic acid sequencing meth ea isolate (87153) $1,185
Cyanide (82600) $707.50
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $513
Cyclic Citrullinated Peptide (86200) $1,061
Cyp2c19 gene com variants (81225) $3,821
Cyp2c9 gene com variants (81227) $1,213
Cyp2d6 gene com variants (81226) $3,135
Cystatin c (82610) $133
Cysticercosis Antibody (86682) $869
Cytogenetics 10-30 (88273) $264
Cytogenetics 100-300 (88275) $478
Cytogenetics DNA probe (88271) $1,051
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $2,603
Cytopath cell enhance tech (88112) $1,480
Cytopath Fl Nongyn Filter (88106) $1,322
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $942
Cytopath Smear Other Source (88160) $1,437
Cytopath Tbs Cerv/Vag Manual (88164) $100
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $252
Cytp concentration smears & interpretation (88108) $783.50
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $601
Cytp fna eval dx 1st each site (88172) $1,097
Cytp Slides C/V Mnl Scr Under Phys (88150) $464
D-Dimer (85378) $602
Deoxycortisol (82634) $325
Deoxyribonuclease antibody (86215) $464
Detect Agent, Mult Orgs, Dna, Dir (87800) $849
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $385
Detect agnt mult DNA ampli (87801) $807
Dgp antibody each ig class (86258) $40
Dhea (82626) $624.50
Dhea-sulfate (82627) $817
Digoxin (80162) $1,294
Dilantin (80185) $1,613
Diphtheria antitoxoid (86648) $1,429
Dna Antibody Single Stranded (86226) $1,056
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $696
DNA/RNA direct probe (87149) $421
Drug assay adalimumab (80145) $128
Drug Assay Amiodarone (80151) $1,181
Drug Assay Lacosamide (80235) $143
Drug assay methotrexate (80204) $1,014
Drug assay voriconazole (80285) $89
Drug quant nes (80299) $382.50
Drug screen quant zonisamide (80203) $837
Drug Screen Quantitative Lamotrigine (80175) $367
Drug Screen Quantitative Lidocaine (80176) $1,442.50
Drug Screen Quantitative Oxcarbazepine (80183) $140
Drug Scrn Quan Levetiracetam (80177) $348
Drug test prsmv chem anlyzr (80307) $1,178
E test (87181) $217
Ebv viral capsid (86665) $501
Egfr Gene Analysis Common Variants (81235) $4,799
Ehrlichia antibody (86666) $136
Elastase pancreatic fecal quantitative (82653) $91
Electrolyte panel (80051) $831
Electron microscopy diagnostic (88348) $5,358
Electronic crossmatch (86923) $811
Electrophoretic Test - Immunofixation Electrophoresis (82664) $407
Encephalitis Western Equine (86654) $835.50
Endomysial Antibody Each Immunoglobulin Class (86231) $40
Entamoeba histolytica antigen (87337) $77
Enterovirus antibody (86658) $374
Enterovirus Pcr (87498) $3,277.50
Enzyme cell activity (82657) $198
Enzyme histochemistry (88319) $397
Eosinophil count (85048) $76
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $747
Estradiol (82670) $3,207.50
Estriol serum (82677) $1,350
Estrogens fractionated (82671) $361
Estrogens total (82672) $2,377
Ethylene glycol (82693) $548
F2 gene analysis 20210g >a variant (81240) $6,067
F5 gene analysis, leiden variant (81241) $4,172
Factor ii activity (85210) $1,526
Factor inhibitor test (85335) $1,805
Factor ix activity (85250) $1,131
Factor v activity (85220) $1,146.50
Factor vii assay (85230) $997
Factor viii ahg (85240) $1,192
Factor viii related antigen (85244) $228
Factor xi assay (85270) $1,131
Factor xii assay (85280) $758
Factor xiii solubility screen (85291) $1,902
Fat differential, feces, quantitative Facility (82715) $3,155
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $1,188
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $1,109
Fecal fat qual (82705) $864.50
Fecal fat quant (82710) $1,020
Fetal bleed screen (85461) $375
Fetal fibronectin (82731) $2,313
Fetal Lung Maturity Fluorescence Polarization (83663) $473
Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) $773
Fetal screen (83030) $649
Fibrin degradation products (85362) $1,235
Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) $294
Fibrin Degradation Quant (85379) $602
Fibrinogen activity (85384) $1,399.50
Fibrinogen antigen (85385) $69
Flow cytometry first marker (88184) $215
Fluorescent Antibody Screen (86255) $718
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $574
Folate serum (82746) $1,198.50
Folic acid rbc (82747) $620
Follicle Stimulating Hormone (83001) $1,556
Francisella tularensis (86668) $372
Fresh frozen plasma thawing each unit (86927) $74
Frozen Section (88331) $1,498
Fructosamine (82985) $464.50
Fungus Identification, Mold - Fungal Identification, Mold (87107) $314.50
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $233
G6pd Screen (82960) $920
Gabapentin (80171) $348
Gammaglobulin ige (82785) $933
Gardner vag DNA dir probe (87510) $88
Gases Blood O2 Saturation Only Direct Meas (82810) $1,728
Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) $1,890
Gc Dna Probe (87590) $367
Gen seq analys hematolymphoid neo 5-50 gene (81450) $2,507
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $11,562
Genotype cytomegalovirus (87910) $4,777
Ggt (82977) $858
Giardia antigen eia stool (87329) $105
Glucagon (82943) $132
Glucose (82947) $634
Glucose Blood Test (82962) $243
Glucose body fluid (82945) $539
Glucose post dose (82950) $2,019
Glucose tolerance ea addl beyond 3 specimens (82952) $261
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $1,970.50
Gonadotropin releasing hormone (83727) $178
Growth hormone (83003) $1,239.50
Haloperidol (haldol) (80173) $935
Haptoglobin (83010) $863
Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) $400
Hbb Full Gene Sequence (81364) $1,071
Hcg qualitative (84703) $761
Hcg quant (84702) $795.50
Heavy Metal Qualitative Any Analytes (83015) $230
Heavy metal quant each (83018) $2,471
Hematocrit (85014) $410
Hemoglobin (85018) $403
Hemoglobin a1c (83036) $526.50
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $217.50
Hemoglobin electrophoresis (83020) $1,648
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $383
Hemoglobin plasma (83051) $756.50
Hemolysins and agglutinins; incubated Facility (86941) $209
Hemolysins/agglutinins auto screen (86940) $129
Hemosiderin urine (83070) $385
Heparin assay (85520) $1,469
Heparin neutralization (85525) $222
Hepatitis a antibody total (86708) $1,467
Hepatitis a igm (86709) $575
Hepatitis b core ab igm (86705) $769.50
Hepatitis b core antibody total (86704) $594.50
Hepatitis B Surface Ab (86706) $1,159
Hepatitis B Surface Antigen (87340) $968
Hepatitis b virus genotyping (87912) $1,462
Hepatitis be antibody (86707) $684
Hepatitis Be Antigen (87350) $454.50
Hepatitis c antibody (86803) $693.50
Hepatitis C Antibody Confirmatory Test (86804) $1,759
Hepatitis C Genotype (87902) $6,141.50
Hepatitis delta ab (86692) $1,077
Hepatitis delta ag (87380) $724
Herpes simplex type i (86695) $461
Herpes simplex type ii (86696) $439
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $656
Heterophile antibodies; titer Facility (86309) $1,287
Hexagonal phospholipid (85598) $510
Hfe gene (81256) $6,031
Histamine plasma (83088) $1,051
Histoplasma antibody (86698) $559
Histoplasma antigen urine (87385) $1,114
HIV confirmation (86689) $597
HIV-1 antibody (86701) $582
HIV-1 genotype (87901) $4,342
HIV-1 integrase genotype (87906) $1,520
HIV-1 p24 antigen (87390) $196
HIV-2 probe&revrse trnscripj (87538) $240
Hla class i high defin qual (86832) $1,175
Hla class i phenotype qual (86830) $1,654
Hla class i typing high resolution one allele or allele group (81381) $5,445
Hla Class I Typing Low Resolution One Locus Each (81373) $2,253
Hla class i&ii antibody qual (86828) $1,128
Hla I Low Resolution One Antigen Equivalent Each (81374) $946
Hla typing dr/dq (86817) $5,453
HLA typing; A, B, or C, multiple antigens Facility (86813) $2,901
Hla-b27 (86812) $1,577
Homogenization tissue (87176) $1,577
Homovanillic acid urine (83150) $1,109
Hsv Dna Quant (87530) $437
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $1,426.50
Htlv-I Antibody (86687) $290
Human epididymis protein 4 (86305) $238
Hydroxychloroquine (80220) $56
Hydroxycorticosteroids 17 (83491) $1,967
Hydroxyprogesterone 17-d (83498) $872
Hydroxyproline total (83505) $890
Iaad ia clostridium difficile toxin (87324) $1,011
Iaad Ia Cryptococcus Neoformans (87327) $144
Iaad ia cryptosporidium (87328) $1,158
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $281
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $420
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $183
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $722
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $52
Iaad ia shiga-like toxin (87427) $678
Iaad Ia Streptococcus Group A (87430) $338
Iaadi inffluenza a virus (87276) $136
Iaadi influenza b virus (87275) $136
Iaadi Legionella Pneumophila (87278) $719
Iaadi Not Otherwise Specified Each Organism (87299) $195
Iaadi parainfluenza virus each type (87279) $421
Iaadi Pneumocustis Carinii (87281) $400
Iaadi respiratory synctial virus (87280) $133
Iaadiadoo not otherwise specified (87899) $1,092
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $116
Iadna borrelia burgdorferi amplified probe tq (87476) $2,383
Iadna Candida Species Direct Probe Tq (87480) $88
Iadna chlamydia pneumoniae amplified probe tq (87486) $382
Iadna hepatitis b virus amplified probe tq (87516) $404
Iadna hepatitis b virus quantification (87517) $1,230.50
Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) $2,364.50
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $2,465
Iadna herpes virus-6 amplified probe tq (87532) $361
Iadna herpes virus-6 quantification (87533) $466
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $2,157.50
Iadna HIV-1 quant & reverse transcription (87536) $3,150
Iadna human papillomavirus high-risk types (87624) $396
Iadna mycoplsm pneumoniae amplified probe tq (87581) $243
Iadna neisseria gonorrhoeae amplified probe tq (87591) $611
Iadna nos amplified probe tq each organism (87798) $576
Iadna Nos Direct Probe Tq Each Organism (87797) $99
Iadna nos quantification each organism (87799) $773
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $2,191
Iadna trichomonas vaginalis amplified probe tech (87661) $541
Iadna-DNA/RNA probe tq 12-25 (87507) $2,367
If cryptosporidium antigen (87272) $495
If varicella-zoster antigen (87290) $133
Igg subclasses (82787) $564
Igvh somatic hypermutation (81263) $2,785
Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) $908
Immunoassay infectious agent antibody quan nos (86317) $638
Immunoassay nonantibody (83516) $215.50
Immunodiffusion (86329) $649
Immunodiffusion Ouchterlony (86331) $136
Immunofixation (86334) $1,607.50
Immunofixation urine (86335) $1,607.50
Immunofluorescence per spec 1st singl antb stain (88346) $1,623
Immunoglobulin light chains free each (83521) $57
Immunohistochemistry (88342) $384
In situ hybridization (88365) $814
Indirect coombs (86885) $306
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $421
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) $144
Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) $113
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $106
Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) $421
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) $338
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $428
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) $231
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) $572
Influenza DNA amp probe (87502) $576
Inhibin a (86336) $52
Inhibin b (83520) $494
Insitu hybridization auto (88367) $1,467
Insitu hybridization manual (88368) $521
Insulin antibodies (86337) $1,902.50
Insulin total (83525) $1,350
Intrinsic factor antibody (86340) $1,111
Iron (83540) $560
Iron binding capacity (83550) $554
Irradiation Blood Product Each Unit (86945) $494
Islet cell antibody (86341) $508.50
Jak2 gene analysis (81270) $2,632
Jak2 targeted sequence analysis (81279) $612
Ketogenic steroids, fractionation Facility (83582) $1,092
Lactoferrin fecal qual (83630) $238
Lactoferrin Fecal Quantitative (83631) $188
Ldh body fluid (83615) $573
Ldh isoenzymes (83625) $2,033
LDL cholesterol direct (83721) $118
Lead (83655) $1,316
Legion pneumo, DNA, amp prob (87541) $116
Legionella antibody (86713) $567
Legionella antigen urine (87449) $1,051
Leptospira antibody (86720) $514
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $543
Leukocyte Histamine Release (86343) $55
Level ii surg pathology gross&microscopic exam (88302) $569
Level v surg pathology gross&microscopic exam (88307) $1,243
Level vi surg pathology gross&microscopic exam (88309) $2,300
Lh (83002) $1,599
Lipase (83690) $519.50
Lipopro bld electrophoretic (83700) $576
Lipoprotein Bld Hr Fraction (83701) $1,525
Listeria ab (86609) $146.50
Lithium (80178) $1,108
Lyme disease antibody (86618) $413
Lymph Choriomeningitis Ab (86727) $910
Lymphocyte transformation (86353) $394
M/phmtrc alys ish quant/semiq cptr each multiprb (88374) $1,665
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $689
M/phmtrc alys tumor imhchem ea antibody manual (88360) $1,582
Macroscopic exam parasite (87169) $19
Magnesium (83735) $458.50
Malaria antibody (86750) $513
Malaria smear (87207) $705
Manual reticulocyte count (85044) $122
Mass spectrometry qual/quan (83789) $310
Measurement of complement fixation tests (immune system proteins) (86171) $1,502
Measurement of hemolysin (red blood cell destructive substance) (85475) $316
Mercury urine (83825) $1,265
Methemoglobin (83050) $257
Methylmalonic acid serum (83921) $1,007
Microalbumin urine (82043) $563.50
Microsatellite instability (81301) $1,150
Microsomal antibodies (86376) $1,043
Mitochondrial antibody each (86381) $84
Mlh1 gene analysis promoter methylation analysis (81288) $769
Mog-igg1 antibody cell-based imfluor assay each (86362) $58
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $1,052
Molecular pathology procedure level 2 (81401) $2,234
Molecular pathology procedure level 7 (81406) $10,569
Mononuclear cell antigen (86356) $237
Mopath procedure level 1 (81400) $3,746
Mopath procedure level 3 (81402) $2,114
Mopath procedure level 4 (81403) $2,537
Mopath procedure level 5 (81404) $4,756
Mopath procedure level 6 (81405) $10,033
Mopath procedure level 8 (81407) $8,808
Mopath procedure level 9 (81408) $8,327
Mpl gene analysis sequence analysis exon 10 (81339) $612
Mpl gene common variants (81338) $721
Mrsa PCR (87641) $504.50
Mtb PCR (87556) $2,431
Mtb rifampin rst amp prb tq (87564) $230
Mthfr Gene Analysis Common Variants (81291) $3,117
Mucin, synovial fluid (Ropes test) Facility (83872) $371
Muramidase (85549) $766
Mycobacteric identification (87118) $727.50
Mycophenolic acid (80180) $54
Mycoplasma antibody (86738) $1,029
Mycoplasma culture (87109) $1,092
Mycoplasma genitalium PCR (87563) $153
Myd88 mutation analysis (81305) $579
Myelin basic protein csf (83873) $882.50
Myoglobin urine (83874) $960
Nasal smear for eosinophils (89190) $597
Natriuretic peptide (83880) $1,702
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $513
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $261
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $5,298
Nickel level (83885) $298
Nitroblue Tetrazolium Dye (86384) $977
Nk cells total count (86357) $493.50
Nuclear antigen antibody (86235) $552
Occult blood gastric (82271) $104
Occult blood stool (82272) $287
Oligoclonal bands (83916) $226
Oncoprotein dcp (83951) $436
Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) $282
Organic Acids Qualitative Each Specimen (83919) $1,106
Organic acids total quantitative each specimen (83918) $1,011
Orthopoxvirus Amp Prb Each (87593) $369
Osmolality serum (83930) $836
Osmolality urine (83935) $682.50
Osmotic fragility rbc incubated (85557) $1,403
Ova and parasite direct-id lca (87177) $966
Oxalate urine (83945) $561.50
Pancreatic elastase, fecal (82656) $98
Pancreatic polypeptide (83519) $2,054
Particle Agglutination Screen Each Antibody (86403) $301
Particle agglutination titer each antibody (86406) $881.50
Parvovirus antibody (86747) $325
Path Consltj Surg Cytologic Exam Initial Site (88333) $4,468
Pathology Consultation During Surgery (88329) $969
Ph body fluid (83986) $170.50
Ph urine (81003) $677
Phenotype Infect Agent Drug (87900) $1,306
Phenytoin free (80186) $498
Phosphatase alkaline (84075) $702
Phosphorus blood (84100) $535
Phosphorus urine (84105) $515
Pinworm exam (87172) $602
Plasminogen (85420) $963
Platelet aggregation (85576) $591
Platelet count automated (85049) $540
Platelet neutralization (85597) $238
Pooling blood platelets (86965) $494
Porphobilinogen urine quant (84110) $821
Porphyrins feces qn (84126) $906
Porphyrins Urine Quantitation & Fractionation (84120) $1,201.50
Porphyrins, urine; qualitative Facility (84119) $670
Potassium (84132) $495.50
Potassium urine (84133) $575
Pregnenolone (84140) $634
Pretx rbc antibody incubat w/enzymes each (86971) $1,246
Pretx serum rbc antibody identification dilution (86976) $178
Primidone (80188) $1,898
Procainamide napa (80192) $1,321
Procalcitonin (pct) (84145) $328
Progesterone (84144) $2,471.50
Protein body fluid (84157) $608.50
Protein c activity (85303) $1,478.50
Protein c antigen (85302) $1,131
Protein electrophoresis serum (84165) $1,811.50
Protein Electrophoresis Urine (84166) $1,288.50
Protein s total (85305) $1,150
Protein total serum (84155) $495.50
Protein urine (84156) $445.50
Protein Western Blot (84182) $986
Protein westrn blot i&r blood/other fluid (84181) $613
Prothrombin Time Substitution Plasma Frctj Each (85611) $37
PSA free (84154) $419.50
Pth intact (83970) $3,138
Pyruvate kinase (84220) $1,371
Quinidine (80194) $1,849
Quinine (84228) $1,011
Rbc (85041) $613
Rbc antibody elution (86860) $593.50
Rbc pretreatment serum (86978) $464.50
Rbc pretx incubatj w/chemicl (86970) $407
Reagent strip/blood glucose (82948) $61
Receptor Assay Estrogen (84233) $2,500
Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) $1,607
Renin activity plasma (84244) $1,353
Reptilase test (85635) $473
Resp virus 12-25 targets (87633) $4,514
Resp virus 3-5 targets (87631) $1,511
Respiratory Virus (86756) $158
Reticulocyte count auto (85045) $122
Reticulocyte separation (86972) $771
Rheumatoid Factor Qual (86430) $529
Rheumatoid factor quant (86431) $573
Rickettsia antibody (86757) $605.50
Ristocetin cofactor (85245) $971
Rotavirus (86759) $678
Rotavirus ag eia (87425) $687.50
Rpr Titer (86593) $480
Rsv (87807) $57
Rubella antibody (86762) $480
Rubeola Antibody Igg (86765) $773
Russell viper venom time diluted (85613) $590
Salicylate Level (80179) $62
Salmonella antibody (86768) $728
Sars-Cov-2 Covid-19 Amp Prb (87635) $340
Sars-Cov-2 Covid-19 Antibody (86769) $75
Sarscov2 & inf a&b amp prb (87636) $570
Sarscov2&inf a&b&rsv amp prb (87637) $471
Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) $58
Sedimentation rate (85651) $564
Sedimentation rate auto (85652) $596
Selenium (84255) $145
Semen analysis complete (89320) $1,415
Sensitivity kb (87184) $279.50
Sensitivity mic (87186) $129
Serotonin Release Assay (86022) $1,272.50
Serpina1 gene (81332) $569
Sex hormone binding globulin (84270) $655
Sickling of rbc reduction (85660) $473
Sirolimus (rapamycin) (80195) $226
Smear acid fast (87206) $762
Smear complex stain (87209) $220
Smear gram stain (87205) $557
Smr Prim Src Wet Mount Nfct Agt (87210) $154.50
Sodium (84295) $543
Sodium feces (84302) $558
Sodium urine (84300) $541
Soluble transferrin receptor (84238) $1,686
Somatomedin (84305) $1,049.50
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $397
Special stains group 1 (88312) $400
Specific gravity body fluid (84315) $268
Spectrophotometry (84311) $152
Splitting blood/blood products each unit (86985) $261
Sputum specimen collection (89220) $527
Stool Culture, Addl Pathogens (87046) $117
Strep a assay w/optic (87880) $656
Strep a DNA amp probe (87651) $243
Sugars Single Qualitative, Each Specimen (84376) $84
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $759
Surg path level 1 (88300) $480
Surg path level iii (88304) $706
Surgical pathology level IV (88305) $779.50
Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) $384
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $230
T Cell Absolute Count (86361) $537
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $2,289
T cells total count (86359) $2,224
T3 free (84481) $779.50
T3 reverse (84482) $544
T3 total (84480) $1,785
T3 uptake (84479) $849
T4 free (84439) $599.50
T4 total (84436) $679
Tau phosphorylated each (84393) $688
Tb test, cell immun measure (86480) $374
Test for urine cystines (82615) $850
Testosterone free (84402) $921
Testosterone total (84403) $1,968.50
Tetanus antibody (86774) $1,011
Theophylline (80198) $1,582
Thiocyanate (84430) $1,114
Thiopurine methyltransferase (84433) $67
Thrombin time plasma (85670) $1,033
Thromboplastin Inhibition Tissue (85705) $146
Thromboplastin time prtl substit plasma frctj ea (85732) $537
Thyroglobulin (84432) $631.50
Thyroglobulin antibody (86800) $637.50
Thyroid Stimulating Immune Globulins Tsi (84445) $2,965
Thyroxine binding globulin (84442) $480
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $2,092
Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) $398.50
Tissue culture bone marrow (88237) $2,092
Tissue culture lymphocyte (88230) $935
Tissue transglutaminase ab iga (86364) $39
Tobramycin peak (80200) $873
Total tau (ttau) (84394) $688
Touch prep (88161) $989
Toxin/Antitoxin Assay Tissue Culture (87230) $989
Toxoplasma ab igm (86778) $783
Toxoplasma antibody igg (86777) $425.50
Transferrin (84466) $2,265.50
Trb@ Rearrangement Anal Amplification Method (81340) $743
Trg gene rearrangement analysis (81342) $743
Trichinella antibody (86784) $480
Trichomonas vagin dir probe (87660) $88
Triglycerides (84478) $994.50
Troponin (84484) $910
Trypsin feces qual (84488) $759
Tumor immunohistochem/comput (88361) $1,495
Ugt1a1 gene analysis common variants (81350) $1,027
Unlisted Surgical Pathology Procedure (88399) $1,052
Urea nitrogen (84520) $482
Urea Nitrogen Clearance (84545) $1,308
Urea nitrogen urine (84540) $540
Uric acid blood (84550) $780.50
Uric acid other source (84560) $638
Urinalysis (81005) $89
Urinalysis auto w/scope (81001) $497
Urinalysis Microscopic Only (81015) $195
Urine Bacteria Culture (87088) $77
Urine pregnancy test (81025) $337
Urine volume measurement (81050) $46
Valproic acid (80164) $1,074
Vancomycin trough (80202) $1,343.50
Varicella-zoster antibody (86787) $641
Vasoactive intestinal peptide (vip) (84586) $1,805.50
Vdrl csf (86592) $549
Very long chain fatty acids (82726) $198
Virus antibody nos (86790) $1,029
Virus id non-immunologic oth/thn cytopathic (87255) $1,299.50
Virus inoculate tissue addl (87253) $1,859
Virus inoculation, shell via (87254) $304
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $87
Viscosity serum (85810) $769
Vitamin A (84590) $1,151.50
Vitamin b-12 (82607) $1,410.50
Vitamin b1 (thiamine) (84425) $676.50
Vitamin b2 (84252) $226
Vitamin b3 niacin (84591) $589
Vitamin b6 (84207) $1,227.50
Vitamin c (82180) $1,043
Vitamin D 25-Hydroxy (82306) $1,025
Vitamin e serum (84446) $535.50
Voltage-gated calcium channel antibody each (86596) $88
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $1,017
West nile virus antibody (86789) $582
West nile virus igm (86788) $651
Xylose Absorption Test (84620) $948
Yersinia antibody (86793) $218
Zika Virus Dna/Rna Amp Probe (87662) $576
Zika Virus Igm Antibody (86794) $810
Zinc (84630) $1,277