Inpatient Lab Pricing

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: When reviewing the pricing for Lab or Pathology tests, if the section below a test is blank, the test is repeated again and these are additional charges (for example - Glucose four-hour tolerance test will have the test repeated one hour, two hours and then three hours after the initial blood work is collected for a total of four hours. Each test is charged separately). If your lab work is a panel, then several tests may be performed from one blood sample. You may be charged for each test separately

Order Code Description Billing Code Price CPT Code
ANTIBODY IDENTIFICATION 40400013 $129.00 86870
AG/AB INFO (ON UNITS) 40400053 $31.00 86902
DU ANTIGEN 40400006 $27.00 86906
ELUTION 40200343 $643.00 86860
GLUCOSE 2 HOUR TOLERANCE TEST 40500035 $51.00 82947
  40500093 $18.00 82950
GLUCOSE 3 HOUR TOLERANCE TEST 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
OCCULT BLOOD X 3 40300003 $78.00 82270
GLUCOSE 4 HOUR TOLERANCE TEST 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
GLUCOSE 5 HOUR TOLERANCE TEST 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
5-HIAA, URINE 40200169 $74.20 83497
GLUCOSE 6 HOUR TOLERANCE TEST 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
ANGIOTEN-1-CONVERTING ENZYME 40200272 $41.34 82164
ALPHA-1-PHENOTYPE 40200271 $73.14 82104
  40200270 $73.14 82103
AMINO ACID PANEL BLOOD 40200181 $434.60 82139
ALPHA-1-ANTITRYPSIN 40500074 $85.00 82103
AMINO ACIDS QUANT, URINE 40200181 $397.50 82139
BLOOD GAS ARTERIAL - ON AIR 40500009 $137.00 82805
BLOOD GAS ART. - ON AIR W/ALLEN 40500009 $137.00 82805
BLOOD GAS ARTERIAL NEONATAL 40500009 $137.00 82805
BLOOD GAS ARTERIAL - ON OXYGEN 40500009 $137.00 82805
BLOOD GAS ART. - ON OXY W/ALLEN 40500009 $137.00 82805
ALBUMIN PLEURAL FLUID 40500001 $20.00 82042
ALBUMIN PERITONEAL FLUID 40500001 $20.00 82042
GROUP-RH 40400017 $40.00 86901
  40400016 $40.00 86900
ARTERIAL BLOOD GAS CORD BLOOD 40500009 $137.00 82805
ACUTE CARDIAC PROFILE 40500015 $100.00 83874
  40500016 $68.00 82550
  40500017 $68.00 82553
ACETAMINOPHEN (TYLENOL) 30100402 $110.00 80329
ACID PHOSPHATASE, TOTAL 40200290 $45.58 84060
ACT ACTIVATED CLOTTING TIME 41000007 $74.00 85347
ACTH 40200178 $136.74 82024
ADAMTS 13 LEVEL 40200134 $661.44 85397
ALPHA FETOPROTEIN 40500024 $60.00 82105
ALPHA FETOPROTEIN, MATERNAL 40200216 $52.00 82105
ALLERGEN ASPERGILLUS FUMIGATUS 40200062 $25.44 86003
ASPERGILLUS GALACTOMANNAN AG 40200381 $371.00 87305
ALLERGEN,FOOD,ALPHA-GAL PANEL 40200062 $25.44 86003
  40200062 $25.44 86003
  40200062 $25.44 86003
  40200062 $25.44 86003
ALPHA GALACTOSIDASE, SERUM 40200358 $1,207.34 82657
ACUTE HEPATITIS PANEL 40500028 $419.00 80074
ALBUMIN SERUM 40500100 $20.00 82040
ALCOHOL SERUM 30100414 $64.00 80320
ALDOLASE SERUM 40200173 $34.98 82085
ALDOSTERONE SERUM 40200237 $97.52 82088
ALDOSTERONE, URINE 40200237 $91.16 82088
ALKALINE PHOSPHATASE 40500112 $24.00 84075
ALLERGEN - ALMOND 40200062 $25.44 86003
ALT (SGPT) 40500131 $66.00 84460
ALUMINUM 40200246 $58.30 82108
1 ADDITIONAL MARKER 40900002 $62.00 88185
10 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
2 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
3 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
4 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
5 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
6 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
7 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
8 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
8 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
9 ADDITIONAL MARKERS 40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
MITOCHONDRIAL ANTIBODY (AMA) 40200135 $59.36 83516
AMOEBA AB TITER 40200333 $58.30 86753
AMIODARONE (CORDARONE) 30100338 $94.34 80299
ANTI-MULLERIAN HORMONE 40200135 $405.98 83520
AMIKACIN PEAK 40500055 $351.00 80150
AMIKACIN RANDOM 40500055 $351.00 80150
AMIKACIN TROUGH 40500055 $351.00 80150
AMMONIA PLASMA 40500075 $151.00 82140
AMYLASE PLEURAL FLUID 40500076 $113.00 82150
AMYLASE PERITONEAL FLUID 40500076 $113.00 82150
AMYLASE SERUM 40500076 $113.00 82150
ANA BATTERY 40300010 $113.00 86039
ANTINUCLEAR AB(ANA) SERUM 40300009 $69.00 86038
ANAEROBE CULTURE 40300027 $125.00 87075
ANAEROBE CULTURE / GS 40300027 $125.00 87075
  40300038 $66.00 87205
ANTI-NEUTROPHIL CYTO AB, IGG 40200191 $121.90 86255
ANAEROBIC ISOLATE IDENTIFICATION 40300028 $27.00 87076
ANTIDIURETIC HORMONE 40200305 $116.60 84588
ANDROSTENEDIONE 40200243 $98.58 82157
ACTIVATED PROTEIN C RESISTANCE 40200364 $114.48 85307
ALKALINE PHOSPHATASE ISOENZYMES 40200292 $41.34 84080
  40200291 $41.34 84075
APOLIPOPROTEIN, A-1 40200035 $73.14 82172
APOLIPOPROTEIN, B 40200036 $73.14 82172
ALLERGEN - APPLE 40200062 $25.44 86003
PHOSPHATIDYLSERINE ABS 40200079 $55.65 86148
  40200079 $55.65 86148
  40200079 $55.65 86148
ACETYLCHOLINE RECEPTOR AB 30100150 $161.12 83519
ARUP REFLEX HIVU 40200117 $455.80 8753691
ARSENIC - BLOOD 40200002 $73.14 82175
SMOOTH MUSCLE ANTIBODY (ASMA) 40200191 $48.76 86255
SMOOTH MUSCLE AB, IGG TITER 40200092 $193.98 86256
ASO SCREEN 40500160 $27.00 86063
AST (SGOT) 40500130 $24.00 84450
ANTITHROMBIN III ANTIGEN 40200202 $97.52 85301
ALLERGEN - ALTERNARIA TENIUS 40200062 $25.44 86003
ANTITHROMBIN III ACTIVITY 40200210 $86.92 85300
AUTOLOGOUS BLOOD 40400001 $129.00 86890
VITAMIN B12 40500085 $150.00 82607
BETA-2 GLYCOPROTEIN I, IGA 40200143 $121.90 86146
BETA-2 GLYCOPROTEIN IGG/IGM 40200143 $121.90 86146
BETA-2 GLYCOPROTEIN IGG/IGM 40200143 $121.90 86146
BETA-2-MICROGLOBULIN SERUM 40200251 $53.00 82232
BETA-2-MICROGLOBULIN, URINE 40200251 $50.00 82232
BETA-2 TRANSFERRIN 40200378 $165.36 86334
  40200379 $165.36 86335
  40400017 $40.00 86901
ALLERGEN - BANANA 40200062 $25.44 86003
BARTONELLA HENSELAE AB 40200317 $53.53 86611
  40200317 $53.53 86611
BLOOD COUNT W/PLATELET 40500144 $78.00 85027
BCR/abl t(9:22) TRAN QUANT PCR 30100316 $485.48 81206
BCR-ABL, MINOR (p190), QUANT, REFLEX 30100317 $826.00 81207
BCR/abl t(9:22) TRANS QUAL PCR 30100316 $485.48 81206
  30100317 $485.48 81207
BERKELEY HEART LAB 40500179 $15.00 99001
ALLERGEN - BELL PEPPER 40200062 $23.32 86003
BETA D GLUCAN 30100431 $546.00 87449
ALLERGEN, BEEF 40200062 $23.32 86003
BLOOD GAS - HEELSTICK/CAPILLARY 40500009 $137.00 82805
BETA HCG QUANTITATIVE 40500140 $102.00 84702
ALLERGEN, BAHIA GRASS 40200062 $25.44 86003
BILE ACIDS, TOTAL 40200096 $65.72 82239
BILIRUBIN - NEONATAL 40500077 $39.00 82247
  40500078 $39.00 82248
BIOFIRE MENINGITIS-ENCEPHALITIS PANEL 30600079 $1,200.00 87483
BILIRUBIN PLEURAL FLUID 40500077 $39.00 82247
BILIRUBIN PERITONEAL FLUID 40500077 $39.00 82247
ALLERGEN - BIRCH TREE 40200062 $25.44 86003
BK VIRUS QNT PCR 40200394 $1,134.20 87799
BILICHEK 40800001 $24.00 88400
BLOOD CULTURE 40300023 $147.00 87040
BLOOD CULTURE ACCELERATE 30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
  30600078 $54.87 87149
METHANOL BLOOD 40200230 $121.90 84600
ALLERGEN - BERMUDA GRASS 40200062 $25.44 86003
BASIC METABOLIC PANEL 40500050 $147.00 80048
BOSTON HEART LAB 40500178 $15.00 99001
B PERTUSSIS/PARAPERTUSSIS BY PCR 30100417 $258.38 87798
  30100417 $258.38 87798
ALLERGEN - BOTRYTIS CINEREA 40200062 $60.42 86003
BORDETELLA PERTUSSIS AB, IGG 40200385 $79.50 86615
BORDETELLA PERTUSSIS AB, IGM 40200385 $79.50 86615
ALLERGEN, FOOD, BLACK PEPPER 40200062 $25.44 86003
CELL COUNT/DIFF BRONCH. LAVAGE 40500172 $106.00 89051
BRUCELLA ABORTUS AB. 40200318 $41.34 86622
ALLERGEN - BRAZIL NUT 40200062 $25.44 86003
BORDETELLA PERTUSSIS FA STAIN 40300059 $77.00 87265
BUN 40500136 $20.00 84520
BUN - PLASMA 40500136 $20.00 84520
CA 15-3 (CANCER AG 15-3) 40200249 $75.26 86300
CA 19-9 (CARBOHYDRATE AG 19-9) 40200242 $34.98 86301
C1 ESTERASE INHIBITOR FUNCTIONAL 40200395 $132.50 86161
C1Q LEVEL 40200393 $457.00 86160
CA 27.29 40200249 $54.06 86300
COMPLEMENT C3 40500162 $88.00 86160
COMPLEMENT C4 40500162 $88.00 86160
CALCIUM SERUM 40500101 $27.00 82310
CA-125 (CANCER ANTIGEN 125) 40200122 $75.26 86304
COXSACKIE A9 VIRUS AB 40200199 $107.06 86658
ANGIOTENSIN CONVERT ENZ, CSF 40200272 $86.92 82164
CATECHOLAMINES PANEL, URINE FREE 40200238 $110.24 82384
CADMIUM, URINE 40200273 $66.78 82300
CAFFEINE SERUM 30100079 $139.92 80299
CALCITONIN SERUM 40200229 $116.60 82308
ALLERGEN - CANDIDA ALBICANS 40200062 $25.44 86003
CARBAMAZEPINE (TEGRETOL) 40500056 $211.00 80156
CAROTENE 40200276 $65.72 82380
ALLERGEN - CARROT 40200062 $23.32 86003
CRYPTOCOCCUS ANTIGEN SERUM 30100432 $96.33 87327
ALLERGEN - CASHEW 40200062 $25.44 86003
CATECHOL. FRACTIONATED, PLASMA 40200238 $131.44 82384
COMPLETE BLOOD COUNT 40500143 $88.00 85025
CARBAMAZEPINE, FREE AND TOTAL 40200041 $70.49 80156
  40200042 $70.49 80157
BLOOD GAS CORD BLOOD 40500009 $137.00 82805
CORD BLOOD WORKUP 40400014 $72.00 86880
  40400016 $40.00 86900
  40400017 $40.00 86901
CREATININE CLEARANCE URINE 40500084 $74.00 82575
CYCLIC CITRUL PEPTIDE AB, IGG 40200262 $82.68 86200
C. DIFF TOXIN 40300048 $80.00 87324
C DIFF BY PCR 40300063 $86.00 87493
  40300048 $80.00 87324
C. DIFFICILE A/B SCREEN 40300048 $85.00 87324
CARCINOEMBRYONIC ANTI CEA 40500081 $97.00 82378
CELIAC PLUS 30100153 $122.85 83520
  30100153 $122.85 8352091
  30100153 $157.95 8352091
  31000050 $526.50 88346
  30100295 $87.75 82784
  30100336 $1,140.75 81382
  30100336 $1,140.75 81382
CELIAC SEROLOGY (PROMETHEUS) 40200085 $122.85 83520
  40200086 $122.85 8352091
  40200086 $157.95 8352091
  31000050 $526.50 88346
  40200142 $87.75 82784
ALLERGEN - CEPHALOSPORIUM 40200062 $25.44 86003
CERULOPLASMIN 40200186 $43.46 82390
CENTROMERE ANTIBODY, IGG 40200135 $73.14 83516
ALLERGEN - CATFISH 40200062 $23.32 86003
CF MUTATION PANEL 30100319 $965.00 81220
ALBUMIN-IGG CSF 40200142 $30.25 82784
  40200269 $30.25 82042
  40200268 $30.25 82040
  40200142 $30.25 82784
CRYOGLOBULIN SCREEN 40200279 $35.00 82595
CARBOXYHGB (CARBON MONOXIDE) 40500080 $109.00 82375
ALLERGEN - CHEESE, CHEDDAR 40200062 $24.00 86003
ALLERGEN - CHAETOMIUM GLOBOSUM 40200062 $25.44 86003
ALLERGEN - CHICKEN 40200062 $24.00 86003
CHLAMYDIA DETECTION 40300057 $88.00 87491
CHOLESTEROL 40500104 $24.00 82465
CHROMOSOME ANALYSIS ON AMINIOTIC FLUID 40200145 $559.00 88235
  40200139 $559.00 88291
  31000034 $559.00 88269
ALLERGEN CLADOSPORIUM HERBARUM 40200062 $25.44 86003
CHROMOSOME ANALYSIS - BLOOD 40200139 $564.98 88291
  40200138 $564.98 88262
  31000035 $564.98 88230
IMMUNOGLOBULINS, QUANT - CSF 40200142 $32.86 82784
  40200142 $31.80 82784
  40200142 $31.80 82784
ALLERGEN - COCKLEBUR 40200062 $25.44 86003
ALLERGEN - COCKROACH, GERMAN 40200062 $25.44 86003
ALLERGEN - COCKROACH, AMERICAN 40200062 $25.44 86003
CHLORIDE SERUM 40500103 $58.00 82435
ALLERGEN - CLAM 40200062 $23.32 86003
CMV CYTOMEGALOVIRUS IGG TITER 40300018 $88.00 86644
CMV CYTOMEGALOVIRUS IGM TITER 40300019 $92.00 86645
CMV ANTIBODIES (TOTAL) 40200018 $137.80 86644
CYTOMEGALOVIRUS RAPID CULTURE 40300044 $110.00 87254
CO2 40500102 $20.00 82374
CORTISOL - AM 40500083 $172.00 82533
ALLERGEN - COCONUT 40200062 $25.44 86003
ALLERGEN - CHOCOLATE 40200062 $25.44 86003
ALLERGEN - CODFISH/WHITEFISH 40200062 $23.32 86003
ALLERGEN - CODFISH 40200396 $23.32 86003
CORTISOL URINE FREE BY LC-MS/MS 40200222 $73.14 82530
COMPLEMENT, TOTAL CH50 40200311 $50.88 86162
CORTISOL - PM 40500083 $172.00 82533
COPPER SERUM 40200278 $65.72 82525
BILIRUBIN CORD BLOOD 40500077 $39.00 82247
  40500078 $39.00 82248
CORTISOL STIMULATION 40500083 $108.00 82533
ALLERGEN - COTTONWOOD TREE 40200062 $25.44 86003
C-PEPTIDE - SERUM 40200240 $25.44 84681
CK 40500016 $68.00 82550
CKMB (INCL. CK AND CKMB) 40500016 $68.00 82550
  40500017 $68.00 82553
COMPREHENSIVE METABOLIC PANEL 40500052 $168.00 80053
ALLERGEN - CRAB 40200062 $25.44 86003
CRYPTOCOCCAL ANTIGEN CSF 40300014 $114.00 86403
CRYPTOCOCCAL AG TITER CSF 40300015 $125.40 86406
CRYSTALS - BODY FLUID 40500042 $46.00 89060
CHROMOSOME ANALYSIS-BONE MARROW 40200136 $599.61 88237
  40200139 $599.61 88291
  31000037 $599.61 88264
CARDIOLIPIN IGA 40200144 $59.36 86147
CARDIOLIPIN AB IGG 40200144 $59.36 86147
CARDIOLIPIN IGM 40200144 $59.36 86147
CREATININE SERUM 40500012 $31.00 82565
CREATININE - PLASMA 40500012 $31.00 82565
CHROMOGRANIN A 40200110 $209.88 86316
CARNITINE, FREE AND TOTAL 40200275 $121.90 82379
ALLERGEN - CORN 40200062 $25.44 86003
C-REACTIVE PROTEIN (CRP) 40500161 $56.00 86140
HIGH-SENSITIVITY CRP 40200309 $116.60 86141
CREATININE PLEURAL FLUID 40500180 $20.00 8257
CREATININE PERITONEAL FLUID 40500180 $20.00 82570
CORTISOL LEVEL, RANDOM 40500083 $172.00 82533
CORTISOL STIMULATION 30100096 $108.00 82533
CRYPTOSPORIDIUM 40300049 $97.00 87328
CRYOFIBRINOGEN 40200354 $36.04 82585
CYSTINE QUANTITATIVE, URINE 40200176 $330.72 82131
CITRIC ACID, URINE 40200365 $60.42 82507
C TRACHOMATIS AMPLIFIED DETECT 40200162 $130.38 87491
ALLERGEN - CAT DANDER 40200062 $25.44 86003
ALLERGEN - CAT EPI AND DANDER 40200062 $25.44 86003
ALLERGEN CURVULARIA SPICIFERA 40200062 $25.44 86003
VDRL CSF REFLEX BILL ONLY 40200094 $102.82 86593
VDRL, CSF 40200095 $29.68 86592
CMV DNA QUANTITATION BY PCR 40200356 $615.86 87497
CMV ANTIBODY, IGG 40200401 $46.30 86644
CMV ANTIBODY, IGM 40200402 $48.94 86645
CYTOMEGALOVIRUS CMV CULTURE PCR 40200089 $454.74 87496
COXSACKIE B VIRUS AB (CF) 40200199 $72.08 86658
  40200199 $72.08 86658
  40200199 $72.08 86658
  40200199 $72.08 86658
  40200199 $72.08 86658
  40200199 $72.08 86658
CYTOCHROME P450 2D6 (CYP2D6) 30100318 $2,067.00 81227
CYCLOSPORINE 40200059 $112.36 80158
Cytochrome P450 2D6 (CYP2D6) 30100475 $2,067.00 81226
CYSTATIN C 40200108 $289.38 82610
STEROIDS-17 HYDROXYCORTICO 24HR 40200284 $216.24 83491
STEROIDS-17 KETOSTEROID - 24 HR URINE 40200285 $101.76 83586
PROTEIN, TOTAL 24HR URINE 40500008 $51.00 84156
DIRECT COOMBS 40400014 $72.00 86880
DAT TEST 40400014 $72.00 86880
CALCIUM 24HR URINE 40500079 $67.00 82340
CHLORIDE 24HR URINE 40500082 $58.00 82436
METHADONE CONFIRMATION, URINE 30100400 $172.78 80358
CREATININE 24HR URINE 40500029 $31.00 82570
D-DIMER 40500150 $93.00 85378
ALLERGEN - D. FARINAE 40200062 $25.44 86003
ALLERGEN - DOG FENNEL 40200062 $99.64 86003
DHEA-SULFATE SERUM 40200218 $58.30 82627
DIFFERENTIAL 40500142 $24.00 85007
MANUAL DIFFERENTIAL 40500142 $24.00 85007
DIGOXIN 40500057 $172.00 80162
POTASSIUM 24HR URINE 40500116 $57.00 84133
MICROALBUMIN 24 HR URINE 40500073 $48.00 82043
MAGNESIUM 24HR URINE 40500109 $67.00 83735
STREPTOZYME DNASE B ANTIBODY 40200045 $50.88 86215
DNA BY FARR METHOD 40200012 $212.00 86225
DNA AB SERUM 40300011 $97.56 86225
DNA TITER 40300013 $110.00 86256
DELTA O.D. AMNIOTIC FLUID 40200254 $113.42 82143
ALLERGEN - DOG DANDER 40200062 $25.44 86003
SUBSTANCE ABUSE PANEL 5 30100413 $175.00 80307
SUBSTANCE ABUSE PANEL 6 30100413 $210.00 80307
SUBSTANCE ABUSE PANEL 8 30100413 $280.00 80307
PHOSPHORUS 24HR URINE 40500114 $66.00 84105
ALLERGEN - D. PTERONYSSINUS 40200062 $25.44 86003
DRVV BILL CONFIRMATION REFLEX 40200014 $113.42 85613
DILUTE RUSSELL VIPER 40200014 $55.12 85613
SODIUM 24 HR URINE 40500123 $65.00 84300
DIPTHERIA/TETANUS TOXOID ANTIBODIES 40200320 $78.97 86648
  40200336 $79.97 86774
URIC ACID - 24HR URINE 40500139 $70.00 84560
UREA - 24HR URINE 40500137 $64.00 84540
EAR CULTURE 40300026 $125.00 87070
EAR CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
EPSTEIN-BARR VIRUS BY PCR 40200362 $342.38 87798
EPSTEIN-BARR VIRUS AB SCREEN 40200327 $37.37 86665
  40200327 $37.37 86665
  40200326 $37.37 86664
  40200325 $37.37 86663
ALLERGEN - EGG WHITE 40200062 $23.32 86003
ALLERGEN - EGG, WHOLE 40200062 $25.44 86003
ALLERGEN - EGG, YOLK 40200062 $23.32 86003
BETA HCG PREGNANCY URINE 40500141 $48.00 84703
EHRLICHIA CHAFFEENSIS (IFA) 40200197 $57.24 86666
  40200197 $57.24 86666
ALLERGEN - ELM TREE 40200062 $25.44 86003
ENDOMYSIAL AB, IGA TITER 40200092 $193.98 86256
EXTRACTABLE NUCLEAR AG PROFILE 40200312 $41.80 86235
  40200312 $41.80 86235
  40200312 $41.80 86235
  40200312 $41.80 86235
  40200312 $41.80 86235
EOSINOPHIL COUNT 40500146 $74.00 85048
ALLERGEN - EPICOCCUM SPP. 40200062 $25.44 86003
ALLERGEN - ENGLISH PLANTAIN 40200062 $25.44 86003
ERYTHROPOIETIN 40200223 $91.16 82668
ESTROGENS, FRACTIONATED BY TMS 40200377 $165.36 82671
SED RATE ERYTHROCYTE-ESR 40500156 $35.00 85652
ESTRADIOL 40500086 $156.00 82670
ESTRIOL SERUM 40200170 $42.40 82677
ENTEROVIRUS DETECTION BY RT-PCR 40200125 $646.60 87498
EYE CULTURE 40300026 $125.00 87070
EYE CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
FACTOR X (10) ACTIVITY 40200208 $137.80 85260
LMW HEPARIN (ANTI-Xa) 40200030 $372.06 85520
FACTOR XI (11) ACTIVITY 40200213 $239.56 85270
FACTOR XII (12) ASSAY 40200209 $239.56 85280
FACTOR XIII QUALITATIVE 40200017 $95.40 85291
FACTOR II (2) ACTIVITY 40200205 $203.52 85210
FACTOR V (5) ACTIVITY 40200206 $116.60 85220
FACTOR V LEIDEN GENE MUTATION 30100320 $269.24 81241
FACTOR VII (7) ACTIVITY 40200207 $127.20 85230
FACTOR VIII (8) ACTIVITY 40200031 $103.88 85240
FACTOR IX (9) ACTIVITY 40200032 $173.84 85250
FORENSIC ETHANOL PLASMA 30100414 $64.00 80320
ANTINUCLEAR AB/ANA JOINT FLUID 40300009 $66.12 86038
FLUID ANA TITER/PATTERN 40300010 $39.00 86039
FAT, FECAL QUALITATIVE 40200366 $59.36 82705
BILIRUBIN TOTAL-FRACTIONATED ADULT 40500078 $39.00 82248
  40500077 $39.00 82247
FUNGUS CULTURE 40300032 $163.00 87102
FUNGUS CULTURE (DERMATOPHYTE) 40300031 $163.00 87101
CELL COUNT BODY FLUIDS/DIFF 40500172 $85.00 89051
ALLERGEN - FOOD PROFILE 8 IGE 40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
IRON (TOTAL) 40500019 $24.00 83540
FECAL CALPROTECTIN 30100479 $453.00 83993
FREE ERYTHROCYTE PORPH.(FEP) 40200182 $265.00 84202
FERRITIN 40500088 $95.00 82728
FETAL CELL STAIN 40500152 $100.00 85460
FECAL FAT QUANTITAVIVE 24 HOURS 40200366 $59.36 82705
FECAL FAT QUANTITATIVE 48 HOURS 40200366 $59.36 82705
FECAL FAT QUANTITATIVE 72 HOURS 40200366 $59.36 82705
FETAL FIBRINECTON 40500089 $391.00 82731
FIBRINOGEN 40500151 $104.00 85384
ALLERGEN - FIRE ANT 40200062 $25.44 86003
FLUID CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
FECAL LEUKOCYTES LACTOFERRIN 40300006 $65.00 83630
INFLUENZA A/B SCREEN 40300053 $85.00 87400
FLUID CULTURE 40300026 $125.00 87070
FISH FOR MDS 40200383 $413.40 88271
  40200383 $413.40 88271
  40200383 $413.40 88271
  40200383 $413.40 88271
  40200384 $413.40 88275
  40200384 $413.40 88275
  40200384 $413.40 88275
  40200384 $413.40 88275
Fluconazole MIC 40300036 $471.00 87186
ALLERGEN FUSARIUM MONILIFORME 40200062 $25.44 86003
FENTANYL & METABOLITE, URINE 30100477 $156.00 80354
FREE PHENYTOIN 40200247 $62.01 80185
  40200266 $62.01 80186
TESTOSTERONE FREE, ADULT MALE 40200261 $82.68 84402
FREE T4 40500127 $70.00 84439
FRUCTOSAMINE 40200214 $55.12 82985
FRAGILE X BY DNA 30100321 $1,343.82 81244
FOLLICLE STIM. HORMONE FSH 40500094 $125.00 83001
FIBRIN SPLIT PRODUCT 40500149 $128.00 85362
FTA-ABS 40200219 $50.88 86780
TDT (TERMINAL DEOXYNUCLEOTIDYL TRANSFERA 40900004 $96.00 88184
  40900002 $96.00 88185
  40900002 $96.00 88185
  40900002 $96.00 88185
FTI (INCL. THBR(T-UPTAKE)+T4) 40500133 $90.00 84479
  40500126 $90.00 84436
FIRST TRIMESTER SCREEN 30200130 $192.00 81508
FUNGAL ANTIBODIES 40200190 $45.05 86612
  40200187 $45.05 86635
  40200188 $45.05 86606
  40200189 $45.05 86698
TESTOSTERONE, FREE LC-MS/MS 40200261 $224.72 84402
IMMUNOFIX - SERUM + INTERPRET 40500030 $880.00 86334
GLUCOSE 1 HR PROFILE 40500093 $58.00 82950
GLUCOSE 2 HOUR POSTPRANDIAL 30100336 $51.00 82947
G-6-PDH ENZYME QUANT. 40200282 $73.14 82955
NEUROTIN (GABAPENTIN) 30100345 $94.34 80171
GLUTAMIC ACID DECARBOXYLASE AB 40200135 $195.04 83516
ALLERGEN - GARLIC 40200062 $23.32 86003
GASTRIN SERUM 40200281 $73.14 82941
GLOMERULAR BASEMENT MEMBRANE AB 40200135 $97.52 83516
N GONORRHOEAE AMPLIFIED DETECT 40200163 $130.38 87591
GC SCREEN 40300029 $51.00 87081
GONORRHEA/CHLAMYDIA BY PCR 30600062 $88.00 87591
  30600060 $88.00 87491
GENITAL CULTURE 40300026 $125.00 87070
GENITAL CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
GENTAMICIN PEAK 40500059 $196.00 80170
GENTAMICIN TROUGH 40500059 $196.00 80170
GGT 40500105 $27.00 82977
HCV GENOTYPING 40200349 $638.12 87902
HIV-1 GENOTYPING 40200348 $1,104.52 87901
GIARDIA/CRYPTOSPORIDIUM DETECT 40300049 $97.00 87328
  40300050 $72.00 87329
GLIADIN PEPTIDE AB IGA 40200135 $73.14 83516
GLIADIN PEPTIDE AB IGG 40200135 $73.14 83516
GLUCOSE - GESTATIONAL SCREEN 40500093 $58.00 82950
GLUCOSE - FASTING 40500035 $51.00 82947
ALLERGEN - GOLDENROD 40200062 $25.44 86003
GLUCOSE PLEURAL FLUID 40500043 $51.00 82945
GLUCOSE 2HR POSTPRANDIAL 40500035 $51.00 82947
GLUCOSE PERITONEAL FLUID 40500043 $51.00 82945
GLUCOSE - CSF 40500043 $51.00 82945
GLUCOSE SERUM 40500035 $51.00 82947
GM1 ANTIBODY PANEL 40200135 $174.64 83516
  40200083 $174.64 8351691
  40200083 $174.64 8351691
  40200083 $174.64 8351691
GRANULOCYTE ANTIBODY 40200308 $372.06 86021
ALLERGEN, FOOD, GREEN BEAN 40200062 $25.44 86003
GRAM STAIN 40300038 $66.00 87205
HSV 1/2 AB, G AND M REFLEX 40200329 $64.13 86694
  40200329 $64.13 86694
GLYCOHEMOGLOBIN (HGB A1C) 40500097 $62.00 83036
HEPATITIS A IGM ANTIBODY 40500166 $90.00 86709
HISTONE ANTIBODY 40200135 $58.30 83516
HERPES SIMPLEX VIRUS 1/2 BY PCR 40200037 $239.46 87529
HAPTOGLOBIN 40500096 $121.00 83010
HEPATITIS A ANTIBODY (TOTAL) 40200007 $44.52 86708
HLA B-27 ANTIGEN 40200341 $155.82 86812
HEPATITIS B SURFACE ANTIBODY 40500165 $78.00 86706
HEPATITIS B ANTIGEN (HBSAG) 40500170 $129.00 87340
HEPATITIS B CORE AB (TOTAL) 40200019 $66.78 86704
HEPATITIS B CORE AB IgM 40500164 $68.00 86705
HEPATITIS B E ANTIBODY 40200192 $66.78 86707

Continue to Part 2