Lab & pathology prices at West Holt Memorial Hospital
Atkinson, NE · every code in this section with a posted price and a Medicare benchmark.
448 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) | $251 | $314 | 6.5× |
| 17-Hydroxycorticosteroids (83491) | $208 | $260 | 11.6× |
| 5 Hiaa (83497) | $156 | $195 | 12.1× |
| Acetaminophen level (80143) | $229 | $286 | 12.3× |
| Activated protein c resistance (85307) | $224 | $280 | 14.6× |
| Acute hepatitis panel (80074) | $345 | $431 | 7.2× |
| Afb culture (87116) | $142 | $177 | 13.1× |
| Albumin Fluid (82042) | $54.50 | $68.50 | 7.0× |
| Albumin serum (82040) | $53 | $66 | 10.7× |
| Aldolase (82085) | $48 | $60 | 4.9× |
| Aldosterone urine (82088) | $270 | $338 | 6.6× |
| Alkaline phosphatase isoenzymes (84080) | $70.50 | $88.50 | 4.8× |
| Allerg sp igg quan or semiquan (86001) | $114 | $143 | 14.6× |
| Allergen specific ige (86003) | $56 | $70 | 10.7× |
| Allg Spec Ige Recomb Ea (86008) | $34 | $43 | 1.9× |
| Alpha-1-antitrypsin phenotype (82104) | $222 | $278 | 15.4× |
| Alpha-1-antitrypsin, total (82103) | $82 | $103 | 6.1× |
| Alpha-fetoprotein, serum (82105) | $113.50 | $141.50 | 6.8× |
| Alt (sgpt) (84460) | $64 | $80 | 12.1× |
| Amino Acids, Single Quantitation (82131) | $158 | $197 | 6.9× |
| Aminolevulinic acid (ala) (82135) | $81 | $101.50 | 4.9× |
| Ammonia (82140) | $127 | $159 | 8.7× |
| Amylase urine (82150) | $89.50 | $112 | 13.8× |
| Ana Titer (86039) | $73 | $91 | 6.5× |
| Angiotensin i enzyme test (82164) | $77 | $96 | 5.3× |
| Antibody aspergillus (86606) | $36 | $45 | 2.4× |
| Antibody coxiella burnetii q fever (86638) | $92 | $115 | 7.6× |
| Antibody cytomegalovirus cmv (86644) | $113 | $141 | 7.9× |
| Antibody cytomegalovirus cmv igm (86645) | $113 | $141 | 6.7× |
| Antibody herpes smplx type 1 (86695) | $107 | $134 | 8.1× |
| Antibody identification (86870) | $149 | $186 | 0.4× |
| Antibody mumps (86735) | $91 | $114 | 7.0× |
| Antibody Protozoa Nes (86753) | $59 | $74 | 4.8× |
| Antibody rubeola (86765) | $59 | $74 | 4.6× |
| Antibody screen (86850) | $107 | $134 | 11.0× |
| Antibody treponema pallidum (86780) | $102.50 | $128 | 7.7× |
| Antibody; Coccidioides (86635) | $109 | $136 | 9.5× |
| Antigen typing (86905) | $52 | $65 | 13.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $158 | $198 | 13.1× |
| Antinuclear antibodies (86038) | $94 | $118 | 7.8× |
| Antistreptolysin o titer (86060) | $78 | $97 | 10.7× |
| Antithrombin iii activity (85300) | $245 | $306 | 20.7× |
| Antithrombin iii antigen (85301) | $355 | $444 | 32.8× |
| Apolipoprotein b (82172) | $93.50 | $116.50 | 4.4× |
| Arsenic Urine (82175) | $144 | $180 | 7.6× |
| Aspergillus ag eia (87305) | $155 | $194 | 12.9× |
| Assay of acth (82024) | $199.50 | $249.50 | 5.2× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $174.50 | $218.50 | 10.1× |
| Assay of androstenedione (82157) | $60 | $75 | 2.0× |
| Assay of c-peptide (84681) | $123 | $154 | 5.9× |
| Assay of ceruloplasmin (82390) | $114 | $142 | 10.6× |
| Assay of erythropoietin (82668) | $170 | $213 | 9.0× |
| Assay of ferritin (82728) | $132 | $165 | 9.7× |
| Assay of fluoride (82735) | $154 | $193 | 8.3× |
| Assay of g6pd enzyme (82955) | $103 | $129 | 10.6× |
| Assay of gammaglobulin igm (82784) | $74 | $92 | 8.0× |
| Assay of gastrin (82941) | $50 | $62 | 2.8× |
| Assay of homocystine (83090) | $195 | $244 | 10.9× |
| Assay of lipoprotein(a) (83695) | $179 | $224 | 12.5× |
| Assay of metanephrines (83835) | $270 | $337 | 15.9× |
| Assay of parathormone (83970) | $141 | $176.50 | 3.4× |
| Assay of phenobarbital (80184) | $114 | $142 | 7.5× |
| Assay of prealbumin (84134) | $101 | $126 | 6.9× |
| Assay of proinsulin (84206) | $377 | $471 | 14.1× |
| Assay of selenium (84255) | $119 | $149 | 4.7× |
| Assay of serotonin (84260) | $58 | $73 | 1.9× |
| Assay of somatomedin (84305) | $71.50 | $89.50 | 3.4× |
| Assay of tacrolimus (80197) | $111 | $139 | 8.1× |
| Assay of vitamin k (84597) | $458 | $572 | 33.4× |
| Assay Ph Body Fluid Nos (83986) | $54 | $67 | 15.1× |
| Ast (sgot) (84450) | $70 | $87 | 13.5× |
| B cells total count (86355) | $110 | $138 | 2.9× |
| Bartonella antibody (86611) | $49 | $61 | 4.8× |
| Bcr/abl1 gene major bp (81206) | $240 | $300 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $610 | $763 | 4.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $54 | $68 | 2.1× |
| Beta hydroxybutyrate (82010) | $51.50 | $64.50 | 6.3× |
| Beta Lactamase (87185) | $42 | $52 | 8.8× |
| Beta-2 microglobulin (82232) | $143 | $179 | 8.8× |
| Bile acids, total (82239) | $93 | $116 | 5.4× |
| Bilirubin direct (82248) | $68 | $85 | 13.5× |
| Bilirubin total (82247) | $66 | $83 | 13.1× |
| Biotinidase ea specimen (82261) | $7 | $9 | 0.4× |
| Bl Smear W/Diff Wbc Count (85007) | $63 | $78.50 | 16.6× |
| Blastomyces antibody (86612) | $113 | $141.50 | 8.8× |
| Blood gases (82803) | $238 | $298 | 9.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $46 | $58 | 10.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $232 | $290 | 36.5× |
| Blood typing abo (86900) | $67 | $84 | 22.4× |
| Blood typing serologic rh (d) (86901) | $67 | $84 | 22.4× |
| Body fluid cell count (89051) | $52 | $65 | 9.3× |
| Body fluid cell count (89050) | $56 | $70 | 11.9× |
| Bordetella antibody (86615) | $87 | $108.50 | 6.6× |
| C diff amplified probe (87493) | $154 | $193 | 4.1× |
| C-reactive protein (86140) | $85 | $106 | 16.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $83 | $104 | 6.4× |
| Ca 125 (86304) | $187 | $234 | 9.0× |
| Ca 19-9 (86301) | $220 | $275 | 10.6× |
| Ca 27 29 (86300) | $199.50 | $249.50 | 9.6× |
| Cadmium level (82300) | $79.50 | $99.50 | 3.4× |
| Calcium ionized (82330) | $86 | $107 | 6.3× |
| Calcium total (82310) | $56.50 | $71 | 10.9× |
| Calcium urine (82340) | $60 | $75 | 10.0× |
| Calculus Spectroscopy (82365) | $133 | $166 | 10.3× |
| Calprotectin, fecal (83993) | $367 | $459 | 18.7× |
| Candida antibody (86628) | $175 | $219 | 14.6× |
| Candida DNA dir probe (87480) | $46 | $58 | 2.3× |
| Carbamazepine (tegretol) total (80156) | $107 | $134 | 7.3× |
| Carboxyhemoglobin Quantitative (82375) | $104 | $130 | 8.4× |
| Carcinoembryonic antigen (82378) | $130 | $163 | 6.9× |
| Cardiolipin ab igg (86147) | $141 | $176 | 5.5× |
| Catecholamines fraction plasma (82384) | $176 | $220 | 7.0× |
| Chemiluminescent assay (82397) | $219.50 | $274.50 | 15.5× |
| Cholesterol total (82465) | $69 | $86 | 15.9× |
| Chromogranin a (86316) | $166 | $207 | 8.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $138 | $172 | 3.9× |
| Clot factor viii vw antigen (85246) | $62 | $78 | 2.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $84 | $105 | 3.5× |
| Collagen cross links (82523) | $134 | $168 | 7.2× |
| Compatibility test antiglob (86922) | $180 | $225 | 1.0× |
| Complement c3 (86160) | $87 | $109 | 7.3× |
| Concentration Infectious Agent (87015) | $36 | $45 | 5.4× |
| Coombs direct (86880) | $58 | $73 | 10.8× |
| Copper urine (82525) | $157 | $196 | 12.7× |
| Cortisol free (82530) | $225 | $281.50 | 13.5× |
| Cortisol total (82533) | $103 | $129 | 6.3× |
| Creatine kinase total (82550) | $111 | $139 | 17.1× |
| Creatinine blood (82565) | $66 | $82 | 12.9× |
| Creatinine clearance (82575) | $85 | $106 | 9.0× |
| Creatinine other source (82570) | $59 | $74 | 11.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $94.50 | $118 | 11.7× |
| Culture Aerobic Identify (87077) | $58.50 | $73 | 7.2× |
| Culture anaerobic (87075) | $83 | $104 | 8.8× |
| Culture blood (87040) | $144.50 | $180.50 | 14.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $81 | $101 | 10.5× |
| Culture fungus blood (87103) | $81 | $101 | 4.0× |
| Culture fungus id yeast (87106) | $81 | $101 | 7.8× |
| Culture fungus other (87102) | $107.50 | $134.50 | 12.8× |
| Culture genital (87070) | $94 | $117.50 | 10.9× |
| Culture screen only (87081) | $52 | $65 | 7.8× |
| Culture stool (87045) | $107 | $134 | 11.3× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $446 | $557.50 | 2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $59 | $74 | 11.4× |
| Culture urine (87086) | $73 | $91 | 9.0× |
| Culture urine id ea isolate (87088) | $50 | $62 | 6.2× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $134 | $168 | 1.2× |
| Cyclic Citrullinated Peptide (86200) | $117 | $146 | 9.0× |
| Cystatin c (82610) | $202 | $252 | 10.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $252 | $315 | 5.9× |
| Cytopath cell enhance tech (88112) | $94 | $117 | 1.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $96 | $120 | 3.6× |
| Cytp concentration smears & interpretation (88108) | $98 | $123 | 2.5× |
| D-Dimer (85379) | $136 | $170 | 13.4× |
| D-Dimer (85378) | $108 | $135 | 11.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $37 | $46 | 2.2× |
| Detect agnt mult DNA ampli (87801) | $167 | $209 | 2.4× |
| Dhea (82626) | $197 | $246 | 7.8× |
| Dhea sulfate (82627) | $120 | $150 | 5.4× |
| Digoxin (80162) | $106 | $132 | 8.0× |
| Dilantin (80185) | $109 | $136 | 8.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $74 | $93 | 5.4× |
| Dna/Rna Amplified Probe (87150) | $182 | $227 | 5.2× |
| DNA/RNA direct probe (87149) | $92 | $115 | 4.6× |
| Drug assay adalimumab (80145) | $266 | $332 | 6.9× |
| Drug Assay Infliximab (80230) | $262 | $328 | 6.8× |
| Drug assay itraconazole (80189) | $111 | $139 | 4.1× |
| Drug Assay Lacosamide (80235) | $113 | $141 | 4.2× |
| Drug assay voriconazole (80285) | $86 | $108 | 3.2× |
| Drug screen quant zonisamide (80203) | $166 | $207 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $142 | $178 | 10.7× |
| Drug Scrn Quan Levetiracetam (80177) | $82 | $102 | 6.2× |
| Drug scrn quant oxcarbazepin (80183) | $88.50 | $110.50 | 6.7× |
| Drug test prsmv chem anlyzr (80307) | $231 | $289 | 3.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $140 | $175 | 11.1× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $176 | $220 | 10.3× |
| Ebv viral capsid (86665) | $99 | $124 | 5.5× |
| Elastase pancreatic fecal quantitative (82653) | $82 | $103 | 3.6× |
| Electrolyte panel (80051) | $122 | $152 | 17.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $88 | $110.50 | 7.3× |
| Endomysial antibody iga (86255) | $127.50 | $159 | 10.6× |
| Enterovirus antibody (86658) | $210.50 | $263 | 16.2× |
| Eosinophil count (85048) | $47 | $59 | 18.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $78 | $97 | 5.1× |
| Estradiol (82670) | $51 | $64 | 1.8× |
| Estrogens total (82672) | $251 | $314 | 11.6× |
| Estrone (82679) | $270 | $337 | 10.8× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $61 | $76 | 8.3× |
| F2 gene analysis 20210g >a variant (81240) | $154 | $193 | 2.3× |
| F5 gene (81241) | $258 | $322 | 3.5× |
| Factor v activity (85220) | $263 | $329 | 14.9× |
| Factor viii ahg (85240) | $235 | $294 | 13.1× |
| Fat stain (89125) | $57 | $71 | 9.7× |
| Fecal fat qual (82705) | $77 | $96 | 15.1× |
| Fecal fat quant (82710) | $286 | $358 | 17.0× |
| Fibrinogen activity (85384) | $102 | $128 | 10.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $59 | $74 | 3.8× |
| Flow cytometry first marker (88184) | $135 | $169 | 0.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $85 | $106 | 7.1× |
| Folate serum (82746) | $97 | $121 | 6.6× |
| Folic acid rbc (82747) | $269 | $336 | 15.2× |
| Follicle Stimulating Hormone (83001) | $108 | $135 | 5.8× |
| Fresh frozen plasma thawing each unit (86927) | $162 | $202 | 0.9× |
| Frozen Section (88331) | $77 | $96 | 0.4× |
| Fructosamine (82985) | $122 | $152 | 7.3× |
| Ftl cgen abnor four anal (81511) | $530 | $662 | 3.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $96 | $120 | 9.3× |
| Galactose (82760) | $7 | $9 | 0.6× |
| Galactose transferase test (82776) | $7 | $9 | 0.6× |
| Gammaglobulin ige (82785) | $102 | $127 | 6.2× |
| Gardner vag DNA dir probe (87510) | $43 | $54 | 2.1× |
| Ggt (82977) | $58 | $73 | 8.1× |
| Giardia antigen eia stool (87329) | $106.50 | $133 | 8.9× |
| Gliadin antibody each immunoglobulin class (86258) | $58 | $72 | 4.8× |
| Glucose (82947) | $46 | $58 | 11.7× |
| Glucose Blood Test (82962) | $15 | $19 | 4.6× |
| Glucose body fluid (82945) | $58 | $72 | 14.8× |
| Glucose post dose (82950) | $62 | $77.50 | 13.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $55 | $69 | 14.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $132 | $165 | 10.3× |
| Growth hormone (83003) | $166 | $207 | 10.0× |
| Haptoglobin (83010) | $111 | $139 | 8.8× |
| Hcg qualitative (84703) | $120 | $150 | 16.0× |
| Hcg quant (84702) | $82 | $102.50 | 5.4× |
| Hematocrit (85014) | $29 | $36.50 | 12.2× |
| Hemoglobin (85018) | $42 | $52 | 17.7× |
| Hemoglobin a1c (83036) | $94 | $118 | 9.7× |
| Hemoglobin electrophoresis (83020) | $7 | $9 | 0.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $50 | $62 | 6.1× |
| Heparin assay (85520) | $129 | $161 | 9.9× |
| Hepatitis a antibody total (86708) | $95 | $119 | 7.7× |
| Hepatitis a igm (86709) | $96 | $120 | 8.5× |
| Hepatitis b core ab igm (86705) | $71 | $89 | 6.0× |
| Hepatitis b core antibody total (86704) | $88 | $109.50 | 7.3× |
| Hepatitis B Surface Ab (86706) | $94 | $117 | 8.8× |
| Hepatitis B Surface Antigen (87340) | $82 | $102 | 7.9× |
| Hepatitis c ab confirm (86804) | $390 | $487 | 25.2× |
| Hepatitis c antibody (86803) | $99 | $124 | 6.9× |
| Hepatitis delta ab (86692) | $281 | $351 | 16.4× |
| Herpes culture (87252) | $145 | $181 | 5.6× |
| Herpes simplex type 2 (86696) | $74 | $92 | 3.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $83 | $104 | 16.0× |
| Hfe gene (81256) | $394 | $493 | 6.0× |
| Histoplasma antibody (86698) | $68.50 | $85.50 | 5.0× |
| Histoplasma antigen urine (87385) | $160 | $200 | 12.1× |
| HIV-1 integrase genotype (87906) | $878 | $1,098 | 6.8× |
| Hla class i typing high resolution one allele or allele group (81381) | $263 | $329 | 1.5× |
| Hla class ii typing high resolution one locus ea (81382) | $274 | $343 | 2.2× |
| Hla-b27 (86812) | $72 | $90 | 2.8× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $297 | $371 | 4.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $200 | $250 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $238 | $297 | 8.8× |
| Iaad ia clostridium difficile toxin (87324) | $109 | $136 | 9.1× |
| Iaad ia cryptosporidium (87328) | $99.50 | $124.50 | 7.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $64 | $80 | 2.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $166 | $208 | 11.5× |
| Iaad ia rotavirus (87425) | $149 | $186 | 12.4× |
| Iaadiadoo not otherwise specified (87899) | $84 | $104.50 | 5.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $54 | $67.50 | 1.5× |
| Iadna hepatitis b virus quantification (87517) | $118 | $148 | 2.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $219 | $273.50 | 5.1× |
| Iadna HIV-1 quant & reverse transcription (87536) | $104 | $130 | 1.2× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $91 | $114 | 1.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $54 | $67.50 | 1.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $136 | $170 | 3.9× |
| Iadna nos amplified probe tq each organism (87798) | $178 | $222 | 5.1× |
| Iadna nos quantification each organism (87799) | $224 | $280 | 5.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $187 | $234 | 0.4× |
| Igg subclasses (82787) | $138 | $173 | 17.2× |
| Immunfix e-phorsis/urine/csf (86335) | $115.50 | $144 | 3.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $66 | $82.50 | 4.4× |
| Immunoassay nonantibody (83516) | $60 | $75 | 5.2× |
| Immunofixj Electrophoresis Serum (86334) | $66 | $82 | 3.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $29 | $36 | 0.2× |
| Immunoglobulin light chains free each (83521) | $198 | $248 | 11.5× |
| Immunohisto Antibody Slide (88344) | $255 | $319 | 0.7× |
| Immunohistochemistry (88342) | $78 | $98 | 0.4× |
| India ink prep (87210) | $62 | $77 | 10.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $138 | $172 | 2.0× |
| Influenza DNA amp probe (87502) | $264 | $330 | 2.8× |
| Inhibin a (86336) | $278 | $347 | 17.8× |
| Inhibin b (83520) | $145 | $181 | 8.4× |
| Insitu hybridization (fish) (88365) | $267 | $334 | 1.5× |
| Insulin antibodies (86337) | $88 | $109.50 | 4.1× |
| Insulin total (83525) | $118 | $148 | 10.3× |
| Intrinsic factor antibody (86340) | $138 | $173 | 9.2× |
| Iron (83540) | $46 | $57 | 7.1× |
| Iron binding capacity (83550) | $46 | $57 | 5.3× |
| Islet cell antibody (86341) | $190 | $238 | 8.1× |
| Jak2 gene analysis (81270) | $357 | $446 | 3.9× |
| Ketosteroids 17; total (83586) | $194 | $242 | 15.2× |
| Koh Prep (87220) | $46 | $58 | 10.8× |
| Lactic acid (83605) | $145 | $181 | 12.5× |
| Ldh (83615) | $56 | $70 | 9.3× |
| LDL cholesterol direct (83721) | $65 | $81 | 6.2× |
| Lead (83655) | $66 | $82 | 5.5× |
| Legionella antigen urine (87449) | $187 | $234 | 15.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $74 | $93 | 17.3× |
| Level ii surg pathology grossµscopic exam (88302) | $99 | $124 | 2.6× |
| Level v surg pathology grossµscopic exam (88307) | $307 | $384 | 0.8× |
| Level vi surg pathology grossµscopic exam (88309) | $425 | $531 | 0.5× |
| Lh (83002) | $101 | $126 | 5.5× |
| Lipase (83690) | $115 | $144 | 16.7× |
| Listeria ab (86609) | $34 | $42 | 2.6× |
| Lithium (80178) | $70 | $88 | 10.6× |
| Lyme disease antibody (86618) | $128 | $160 | 7.5× |
| Lyme disease antibody confirm (86617) | $106 | $132 | 6.8× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $139 | $174 | 0.8× |
| Macroscopic exam arthropod (87168) | $78 | $97 | 18.3× |
| Macroscopic exam parasite (87169) | $62 | $77 | 14.4× |
| Magnesium (83735) | $85.50 | $106.50 | 12.8× |
| Malaria smear (87207) | $75 | $94 | 12.5× |
| Manual reticulocyte count (85044) | $63 | $79 | 14.6× |
| Mass spectrometry qual/quan (83789) | $42.50 | $53.50 | 1.8× |
| Mercury (83825) | $124.50 | $155.50 | 7.7× |
| Methotrexate (80299) | $147 | $183.50 | 7.9× |
| Methylmalonic acid serum (83921) | $301 | $376 | 14.2× |
| Microalbumin urine (82043) | $66 | $82 | 11.4× |
| Microbe susceptible diffuse (87181) | $50 | $63 | 10.5× |
| Microsomal antibodies (86376) | $106 | $132 | 7.3× |
| Molecular pathology procedure level 2 (81401) | $7 | $9 | 0.1× |
| Mrsa amp probe (87641) | $106 | $132 | 3.0× |
| Muramidase (85549) | $76 | $95 | 4.1× |
| Muscle-specific kinase (musk) antibody (86366) | $646 | $808 | 35.1× |
| Mycobacteric Identification (87118) | $260 | $325 | 17.8× |
| Mycophenolic acid (80180) | $91 | $114 | 5.0× |
| Mycoplasma antibody (86738) | $85 | $106 | 6.4× |
| Myoglobin urine (83874) | $128 | $160 | 9.9× |
| Natriuretic peptide (83880) | $242.50 | $303 | 6.2× |
| Neutralization test, viral (86382) | $204 | $255.50 | 12.1× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $333 | $416 | 2.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $139 | $174 | 0.5× |
| Nk cells total count (86357) | $110 | $138 | 2.9× |
| Nuclear antigen antibody (86235) | $60 | $75 | 3.3× |
| Occult blood stool (82272) | $46 | $58 | 10.9× |
| Osmolality serum (83930) | $77 | $96 | 11.6× |
| Osmolality urine (83935) | $75 | $94 | 11.0× |
| Ova and parasite direct-id lca (87177) | $80 | $100 | 9.0× |
| Pancreatic polypeptide (83519) | $90.50 | $113 | 4.9× |
| Particle Agglutination Screen Each Antibody (86403) | $99 | $124 | 8.6× |
| Parvovirus antibody (86747) | $133 | $166 | 8.8× |
| Phenylalanine (84030) | $102 | $128 | 18.5× |
| Phenytoin free (80186) | $119 | $149 | 8.6× |
| Phosphatase alkaline (84075) | $57 | $71 | 11.0× |
| Phospholipid Neutralization Hexagonal (85598) | $96 | $120 | 5.3× |
| Phosphorus blood (84100) | $65 | $81 | 13.7× |
| Pinworm exam (87172) | $28 | $35 | 6.6× |
| Platelet count (85049) | $64 | $80 | 14.3× |
| Porphobilinogen urine quant (84110) | $22 | $28 | 2.6× |
| Porphyrins feces qn (84126) | $206 | $258 | 5.3× |
| Porphyrins qn & fraction urine (84120) | $115 | $144 | 7.8× |
| Potassium (84132) | $58 | $73 | 12.2× |
| Potassium urine (84133) | $43 | $54 | 9.1× |
| Pregnenolone (84140) | $135 | $169 | 6.5× |
| Procalcitonin (pct) (84145) | $361 | $451 | 13.3× |
| Progesterone (84144) | $103 | $129 | 4.9× |
| Prolactin (84146) | $159.50 | $199.50 | 8.2× |
| Protein body fluid (84157) | $43 | $54 | 10.8× |
| Protein c activity (85303) | $277 | $346 | 20.0× |
| Protein c antigen (85302) | $306 | $383 | 25.5× |
| Protein electrophoresis serum (84165) | $101 | $126 | 9.4× |
| Protein Electrophoresis Urine (84166) | $62 | $78 | 3.5× |
| Protein S Functional (85306) | $290 | $363 | 18.9× |
| Protein s total (85305) | $306 | $383 | 26.4× |
| Protein Total Serum (84155) | $62 | $78 | 16.9× |
| Protein urine (84156) | $51 | $64 | 13.9× |
| Protoporphyrin rbc quantitative (84202) | $54 | $68 | 3.8× |
| PSA free (84154) | $119 | $149 | 6.5× |
| Quantiferon tb gold (86480) | $224 | $280 | 3.6× |
| Renin activity plasma (84244) | $136 | $170 | 6.2× |
| Respiratory viral panel PCR (87633) | $44.50 | $55.50 | 0.1× |
| Rheumatoid Factor Qual (86430) | $64 | $80 | 10.4× |
| Rheumatoid factor quant (86431) | $60 | $75 | 10.6× |
| Rickettsia antibody (86757) | $130 | $163 | 6.7× |
| Rsv (87807) | $37 | $46 | 2.8× |
| Rubella antibody (86762) | $62 | $78 | 4.3× |
| Russell viper venom time diluted (85613) | $117 | $146 | 12.2× |
| Rx metab gen seq alys pnl 6 (81418) | $224 | $280 | 0.2× |
| Salicylate (80179) | $229 | $286 | 12.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157 | $196 | 3.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $65.50 | $82 | 1.6× |
| Sars-cov-2 covid19 w/optic (87811) | $37 | $46 | 0.9× |
| Sed rate automated (85652) | $63 | $79 | 23.3× |
| Semen analysis sperm presence&/motility sprm (89321) | $91 | $114 | 7.6× |
| Sensitivity mic (87186) | $158 | $197.50 | 18.3× |
| Serotonin Release Assay (86022) | $323 | $404 | 17.6× |
| Sex hormone binding globulin (84270) | $178 | $222 | 8.2× |
| Sickle cell screen (85660) | $50 | $62 | 9.1× |
| Smear acid fast (87206) | $61 | $76 | 11.3× |
| Smear gram stain (87205) | $50 | $63 | 11.7× |
| Sodium (84295) | $57 | $71 | 11.9× |
| Sodium urine (84300) | $49 | $61 | 9.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $107 | $134 | 0.8× |
| Special stains group 1 (88312) | $53 | $66 | 1.0× |
| Spectrophotometry (84311) | $40 | $50 | 4.9× |
| Strep a assay w/optic (87880) | $37 | $46 | 2.2× |
| Strep a DNA amp probe (87651) | $100 | $125 | 2.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $91 | $114 | 1.0× |
| Surg path level iii (88304) | $123 | $154 | 2.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $54 | $67 | 1.8× |
| Surgical pathology level IV (88305) | $146 | $182 | 2.7× |
| Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48,… (87183) | $120 | $150 | 3.4× |
| Susceptibility study antimicrobial disk method (87184) | $81 | $101 | 10.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $110 | $138 | 2.3× |
| T cells, total count (86359) | $124 | $155.50 | 3.3× |
| T3 free (84481) | $156 | $195 | 9.2× |
| T3 reverse (84482) | $148 | $185 | 9.4× |
| T3 total (84480) | $116 | $145 | 8.2× |
| T4 Free (84439) | $97 | $121.50 | 10.8× |
| T4 total (84436) | $57 | $71 | 8.3× |
| T4-neonatal (84437) | $7 | $9 | 1.1× |
| Tb intradermal test (86580) | $76.50 | $95.50 | 2.5× |
| Testosterone bioavailable (84410) | $104 | $130 | 2.0× |
| Testosterone free (84402) | $82 | $102 | 3.2× |
| Testosterone total (84403) | $82 | $102 | 3.2× |
| Thyroglobulin (84432) | $114 | $142 | 7.1× |
| Thyroglobulin Ab (86800) | $102 | $127 | 6.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $382 | $478 | 7.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $102 | $127 | 8.8× |
| Tobramycin peak (80200) | $113 | $141 | 7.0× |
| Topiramate (80201) | $63 | $79 | 5.3× |
| Toxoplasma ab igm (86778) | $54 | $68 | 3.7× |
| Toxoplasma antibody igg (86777) | $54 | $68 | 3.8× |
| Transferrin (84466) | $106 | $132 | 8.3× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) | $203 | $254 | 0.9× |
| Trichomonas vagin dir probe (87660) | $46 | $58 | 2.3× |
| Triglycerides (84478) | $55 | $69 | 9.6× |
| Troponin (84484) | $202 | $252 | 16.2× |
| Tyrosine (84510) | $102 | $128 | 9.6× |
| Urea nitrogen (84520) | $62 | $77 | 15.7× |
| Uric acid blood (84550) | $66 | $82 | 14.6× |
| Urinalysis w/microscopic (81001) | $34 | $42 | 10.7× |
| Urine microalbumin (protein) analysis (82044) | $47 | $59 | 7.5× |
| Urine pregnancy test (81025) | $84.50 | $106 | 9.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $53.50 | $67 | 23.8× |
| Valproic acid level (80164) | $122 | $153 | 9.0× |
| Vancomycin trough (80202) | $135 | $168.50 | 10.0× |
| Varicella-zoster antibody (86787) | $101 | $126 | 7.8× |
| Vdrl csf (86592) | $46 | $57 | 10.8× |
| Virus antibody nos (86790) | $94 | $118 | 7.3× |
| Vitamin A (84590) | $155 | $194 | 13.4× |
| Vitamin b-12 (82607) | $107 | $134 | 7.1× |
| Vitamin b1 (thiamine) (84425) | $200 | $250 | 9.4× |
| Vitamin b6 (84207) | $183 | $229 | 6.5× |
| Vitamin D 25-Hydroxy (82306) | $148 | $185 | 5.0× |
| Vitamin e serum (84446) | $171 | $214 | 12.1× |
| West nile virus ab, igm (86788) | $102 | $128 | 6.1× |
| West nile virus antibody (86789) | $102 | $128 | 7.1× |
| Zinc (84630) | $118 | $148 | 10.4× |