Inpatient Lab Charges

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 Charge CPT Code
HEPATITIS B E ANTIGEN 40200193 $48.76 87350
HEPATITIS B VIRAL DNA 40200259 $418.70 87517
HCV RNA QUANT BY PCR 40200345 $437.78 87522
HEPATITIS C VIRUS ANTIBODY 40500168 $141.00 86803
HCV FIBROSURE 30100427 $152.00 84450
  30100426 $152.00 84460
  30100428 $152.00 84520
  30100079 $152.00 83883
  30100429 $153.00 82977
HCV CONFIRMATION BY QUANT. NAAT 40200345 $437.78 87522
ALLERGEN - HOUSE DUST STIER 40200062 $25.44 86003
HEPATITIS DELTA ANTIBODY 40200256 $37.10 86692
HELICOBACTER PYLORI ANTIBODY 40300020 $65.00 86677
HEMOSIDERIN URINE 40500098 $72.00 83070
HEPARIN ASSOC. AB DETECTION 40200235 $292.56 86022
HEPATIC FUNCTION PANEL 40500054 $144.00 80076
HEMOGLOBIN ELECTROPHORESIS PROFILE 40200283 $80.56 83021
HUMAN GROWTH HORMONE HGH 40200174 $73.14 83003
HISTOPLASMA GALACTONAMMAN AG UR 30100430 $304.20 87385
HIV 1/2 ANTIGEN/ANTIBODY COMBO 30200131 $107.16 87389
HIV DNA PCR 40200258 $1,009.12 87535
HLA-B*5701 GENOTYPING 30100310 $662.50 81381
HLA A,B,C, PHENOTYPE 40200342 $1,366.34 86813
ALLERGEN HELMINTHOSPORIUM 40200062 $25.44 86003
HEMOCHROMATOSIS MUT. DETECTION 30100322 $683.70 81256
HEAVY METALS PANEL 3, URINE 40200002 $59.36 82175
  40200003 $58.80 83655
  40200004 $60.42 83825
HEELSTICK-NEWBORN WORKUP 40400014 $72.00 86880
  40400016 $40.00 86900
  40400017 $40.00 86901
HOMOCYSTEINE/CYSTEINE SERUM 40500099 $76.00 83090
HYDROXYPROGESTERONE-17 40200244 $97.52 83498
HELICOBACTER PYLORI AG, FECAL 40200367 $218.36 87338
HSV1 GLYCOPROTEIN G-SPECIFIC 40200050 $109.18 86695
HERPES SIMPLEX ANTIBODY IGG 40200329 $64.66 86694
HERPES SIMPLEX ANTIBODY IGM 40200329 $64.66 86694
HSV 2 GLYCOPROTEIN G AB, IGG 40200001 $109.18 86696
HERPES SIMPLEX VIRUS CULTURE 40300044 $86.00 87254
HISTOPLASMA ANTIGEN, SERUM 40200382 $424.00 87385
HERPES SIMPLEX VIRUS BY PCR 40200037 $413.40 87529
HERPES SIMPLEX (HSV) DFA STAIN 40300046 $38.00 87274
  40300045 $38.00 87273
HUMAN T-CELL LEUKEMIA ANTIBODY 40200328 $182.32 86687
HU ANTIBODY 40200085 $1,137.38 83520
ALLERGEN - HYMENOPTERA PANEL 40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
HYPERSENSITIVITY PNEUMONITIS 40200062 $27.83 86003
  40200062 $26.76 86003
  40200062 $26.76 86003
  40200062 $26.76 86003
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200126 $26.76 86331
  40200188 $26.76 86606
  40200188 $26.76 86606
  40200188 $26.76 86606
  40200188 $26.76 86606
  40200188 $26.76 86606
ALLERGEN - HAZELNUT (FILBERT) 40200062 $25.44 86003
HERPES ZOSTER IGG TITER 40300022 $77.00 86787
HERPES ZOSTER ANTIBODY STATUS 40300022 $48.00 86787
IBD SGi DIAGNOSTIC 30100153 $87.75 83520
  30100153 $87.75 83520
  30100153 $87.75 83520
  30100153 $87.75 83520
  30100153 $87.75 83520
  30100153 $70.20 83520
  30100153 $70.20 83520
  30100153 $70.20 83520
  30100083 $70.20 82397
  30100083 $70.20 82397
  30100083 $70.20 82397
  30200009 $105.30 86140
  31000050 $526.50 88346
  31000048 $526.50 88350
  30100337 $100.93 81479
  30100337 $100.93 81479
  30100337 $100.93 81479
  30100337 $100.93 81479
CALCIUM IONIZED 40500032 $37.00 82330
IMMUNE COMPLEX ASSAY 40200220 $799.24 86332
SUBSTANCE ABUSE PANEL 10 30100411 $371.00 80307
CHOLINESTERASE 40200072 $57.77 82480
  40200391 $57.77 82482
IMMUNOFIX 24HR URINE w/INTERP 40500037 $381.00 86335
INTRINSIC FACTOR BLOCKING AB 40200314 $80.56 86340
IMMUNOFIX RANDOM URINE+INTERP 40500037 $364.00 86335
IMMUNOGLOBULIN IGA 40500091 $100.00 82784
IMMUNOGLOBULIN IGD 40200142 $80.56 82784
URTICATIA-INDUCED BASOPHIL ACT 40200153 $182.00 88184
  40200154 $182.00 88185
  40200154 $182.00 88185
INSULIN-LIKE GROWTH FACTOR 40200296 $86.92 84305
IMMUNOGLOBULIN IGG 40500091 $100.00 82784
IGG SUBCLASS 4 40200141 $54.86 82787
IGG SUBCLASSES 40200141 $54.86 82787
  40200141 $54.86 82787
  40200141 $54.86 82787
  40200141 $54.86 82787
IMMUNOGLOBULIN IGM 40500091 $100.00 82784
IMMUNOGLOBULINS IGG,IGA,IGM 40500091 $100.00 82784
  40500091 $100.00 82784
  40500091 $100.00 82784
IGE 40500021 $100.00 82785
INSULIN ANTIBODIES, HUMAN 40200252 $188.68 86337
INSULIN 40200175 $33.92 83525
CALCIUM, IONIZED SERUM 40200052 $43.46 82330
IRRADIATION FEE 40400019 $102.00 86945
LACTATE DEHYDROGENASE ISOENZYMES 40200158 $50.35 83615
  40200159 $50.35 83625
ISLET CELL AB, IGG 40200156 $104.94 86341
ISOPROPANOL (INCLUDES ACETONE) 40200230 $121.90 84600
CREATINE KINASE ISOENZYME 40200160 $43.46 82550
  40200161 $43.46 82552
JC VIRUS BY PCR 30100417 $1,039.86 87798
JAK2 (V617F) QUANTITATION 30100313 $1,860.30 81270
JO 1 ANTIBODY, IGG 40200312 $116.60 86235
ALLERGEN - JOHNSON GRASS 40200062 $25.44 86003
POTASSIUM SERUM 40500115 $57.00 84132
ALLERGEN - JUNE GRASS/KENTUCKY 40200062 $25.44 86003
KEPPRA (LEVETIRACETAM) 40200363 $217.35 80177
KAPPA/LAMBDA FREE LIGHT CHAINS 30100079 $202.99 83883
  30100079 $202.99 83883
KIDNEY STONE RISK PANEL II 40200368 $62.12 82340
  40200369 $62.12 82436
  40200365 $62.12 82507
  40200176 $62.12 82131
  40200370 $62.12 83735
  40200179 $62.12 83945
  40200371 $62.12 84105
  40200372 $62.12 84133
  40200373 $62.12 84300
  40200374 $62.12 84560
LACTIC ACID PLASMA 40500106 $111.00 83605
LACTIC ACID SEPSIS 40500106 $111.00 83605
LEGIONELLA ANTIGEN DETECTION 40300056 $165.00 87449
ALLERGEN - WEED, LAMB'S QUARTER 40200062 $25.44 86003
LAMOTRIGINE 30100347 $108.00 80175
LEUKOCYTE ALK PHOS STAIN 40200204 $248.04 85540
ALLERGEN,FOOD,LAMB,IGE 40200062 $25.44 86003
LEAD, BLOOD CAPILLARY 40200003 $37.10 83655
LDH SERUM 40500044 $35.00 83615
LEAD INDUSTRIAL EXPOSURE 40200003 $50.88 83655
  40200182 $50.88 84202
DIRECT LDL 40500023 $95.00 83721
LDH PLEURAL FLUID 40500044 $70.00 83615
LDH PERITONEAL FLUID 40500044 $70.00 83615
LDH - CSF 40200158 $37.10 83615
LEAD WHOLE BLOOD 40200003 $37.10 83655
LEAD, URINE 40200003 $33.92 83655
GLUCOSE 1 HR PROFILE 40500035 $51.00 82947
  40500093 $18.00 82950
GLUCOSE 2 HR PROFILE 40500035 $51.00 82947
  40500093 $18.00 82950
GLUCOSE 6HR TOLERANCE 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
CHLAMYDIA (LGV) ANTIBODY PANEL 40200217 $439.90 86631
B BURGDORFERI IGG WESTERN BLOT 40200167 $73.14 86617
LUTEINIZING HORMONE LH 40500095 $109.00 83002
LITHIUM 40500060 $126.00 80178
LIDOCAINE/XYLOCAINE 40200033 $125.08 80176
LIPASE 40500108 $95.00 83690
LIPID-CHOLESTEROL PROFILE 40500053 $68.00 80061
LIVER-KIDNEY-MICROSOME ABS 40200315 $73.14 86376
BLAST SCREEN - 8 COLOR ASSAY 40900004 $62.00 88184
  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
  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
  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
MYELOID LEUKEMIA 8 COLOR ASSAY 40900004 $62.00 88184
  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
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
LYMPHOMA (45 GATING) 8 COLOR 40900004 $62.00 88184
  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
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
  40900002 $62.00 88185
B BURGDORFERI IGM WESTERN BLOT 40200167 $73.14 86617
LipoFit by NMR 40200093 $186.56 83704
  30100474 $68.00 80061
ALLERGEN - LOBSTER 40200062 $25.44 86003
LEGIONELLA PNEUMOPHILA AB 40200330 $54.06 86713
LIPOPROTEIN (a) 40200020 $99.64 83695
LYMPHOCYTE SUBSET PANEL 4 30200137 $214.32 86360
  30200136 $214.32 86359
LYMPHOCYTE SUBSET PANEL 5 40900003 $214.32 86360
  40900001 $214.32 86359
  30200138 $62.00 86355
  30200139 $124.00 86357
L/S RATIO 40200177 $39.22 83661
  40200293 $39.22 84081
LACTOSE TOLERANCE 40500013 $51.00 82951
  40500014 $18.00 82952
  40500014 $18.00 82952
  40500014 $18.00 82952
ALLERGEN - LATEX 40200062 $25.44 86003
LYME ANTIBODIES 40200198 $48.76 86618
LYME BY PCR 40200026 $463.22 87476
ELECTROLYTES 40500051 $111.00 80051
LYSOZYME, SERUM OR BODY FLUID 40200392 $61.48 85549
MALARIA ANTIBODIES, TOTAL 40200124 $364.64 86750
MANGANESE, SERUM 40200355 $66.78 83785
ALLERGEN - MAPLE (BOX ELDER) 40200062 $25.44 86003
MYCOBACTERIUM IDENTIFICATION 40300034 $137.00 87118
MYELIN BASIC PROTEIN (MBP) 40200286 $97.52 83873
MYCOBACTERIUM PROBE 40300058 $226.00 87550
MYCOBACTERIUM SENSITIVITY 40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
  40300037 $45.00 87190
ALLERGEN - MOUNTAIN CEDAR 40200062 $25.44 86003
MANUAL DIFFERENTIAL 40500142 $24.00 85007
MEASLES (RUBEOLA) SEROLOGY 40300021 $92.00 86765
MEASLES (RUBEOLA) IMMUNE STATUS 40300021 $48.00 86765
MEASLES (RUBEOLA) IGM 40200335 $48.76 86765
MECONIUM DRUG PANEL 30100413 $240.00 80307
ALLERGEN - MARSH ELDER 40200062 $25.44 86003
MERCURY - BLOOD 40200004 $50.88 83825
METANEPHRINES, PLASMA (FREE) 40200053 $341.32 83835
METANEPHRINES, URINE 40200053 $96.46 83835
MEXILETINE 30100338 $137.80 80299
ALLERGEN - MEADOW FESCUE 40200062 $25.44 86003
MAGNESIUM SERUM 40500109 $67.00 83735
MYASTHENIA GRAVIS PANEL 30100148 $46.81 83516
  30100148 $46.81 83516
  30100148 $46.81 83516
  30100150 $140.47 83519
  30200021 $140.45 86255
  30200022 $140.45 86256
ALLERGEN - MILK, COW 40200062 $25.44 86003
METHYLMALONIC ACID 40200288 $86.92 83921
MICAFUNGIN MIC 40300036 $471.00 87186
MRSA PCR GeneXPert 40300002 $178.00 87641
MONOTEST 40400011 $88.00 86318
MYCOPLASMA PNEUMONIAE, IGG 40200403 $50.15 86738
MYCOPLASMA PNEUMONIAE IGM 40200403 $50.15 86738
MYELOPEROX ABS, IGG 40200027 $69.96 83876
MPO REFLEX BILLING 40200027 $69.96 83876
HEALTHCARE PROFESSIONAL PANEL 30100411 $152.64 80307
MPO/PR-3 (ANCA) ANTIBODIES 40200135 $69.96 83516
  40200027 $69.96 83876
PREOP MRSA/SA SCREEN CULTURE 30600008 $125.00 87081
MATERNAL QUAD SCREEN 40200170 $66.75 82677
  40200313 $66.75 86336
  40200216 $66.75 82105
  40200306 $66.75 84702
ALLERGEN - MUCOR RACEMOSUS 40200062 $25.44 86003
MRSA SCREEN 40300029 $129.00 87081
M TUBERCULOSIS PCR - CSF 40200386 $858.60 87556
M TUBERCULOSIS BY PCR SPUTUM 30600073 $100.00 87556
  30100417 $82.00 87798
MTHFR MUTATION PANEL 30100312 $330.72 81291
METHOTREXATE SERUM 30100338 $125.08 80299
MUMPS SEROLOGY 40200332 $44.52 86735
MUSK ANTIBODY 40200073 $1,964.18 83519
MYOGLOBIN 40500015 $100.00 83874
MYOSITIS ASSESS R PLUS JO-1 40200312 $254.40 86235
  40200135 $254.40 83516
  40200083 $254.40 8351691
  40200083 $254.40 8351691
  40200083 $254.40 8351691
  40200083 $254.40 8351691
  40200083 $254.40 8351691
  40200083 $253.34 8351691
SODIUM SERUM 40500122 $57.00 84295
NT-ProBNP 40500020 $100.00 83880
NEWBORN METABOLIC SCREENING 40800002 $138.00 S3620
NICOTINE AND METABOLITES SERUM 30100409 $280.90 80323
NICOTINE AND METABOLITES, URINE 30100409 $162.24 80323
DRUG PROFILE - NIDA5 30100411 $185.50 80307
NMR LIPOPROTEIN 40200093 $186.56 83704
NOSE CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
NORTRIPTYLINE 30100415 $69.96 80335
NOSE CULTURE 40300026 $125.00 87070
NEURON SPECIFIC ENOLASE 40200110 $137.80 86316
NUCLEOTIDASE, 5' SERUM 40200224 $137.80 83915
ALLERGEN - NUT PANEL IGE 40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
  40200062 $27.56 86003
ACTIVATED CLOTTING TIME - OR 40500031 $74.00 85347
ALLERGEN - OAK TREE 40200062 $25.44 86003
ALLERGEN - OAK, VIRGINIA LIVE 40200062 $25.44 86003
ALLERGEN - OAT 40200062 $25.44 86003
ORGANIC ACIDS, URINE 40200248 $530.00 83918
OCCULT BLOOD - GASTRIC 40300004 $29.00 82271
OCCULT BLOOD - STOOL 40300001 $29.00 82272
OCCULT BLOOD - STOOL X 3 40300003 $78.00 82270
OR - CA ION 40500032 $37.00 82330
GLUCOSE - OR 40500035 $32.00 82947
HEMOGLOBIN - OR 40500033 $43.00 85018
ABG + OTHERS - OR 40500009 $137.00 82805
  40500031 $74.00 85347
  40500032 $37.00 82330
  40500033 $43.00 85018
  40500122 $32.00 84295
  40500035 $32.00 82947
  40500115 $32.00 84132
OR POTASSIUM* 40500115 $32.00 84132
OLIGOCLONAL BANDING 40200287 $70.81 83916
  40200142 $70.81 82784
  40200142 $70.81 82784
  40200268 $70.81 82040
  40200269 $70.81 82042
OR - NA 40500122 $32.00 84295
NA & K - OR 40500122 $32.00 84295
  40500115 $32.00 84132
ALLERGEN, FOOD, ONION 40200062 $25.44 86003
OR - ABG 40500009 $137.00 82805
ALLERGEN - ORANGE 40200062 $23.32 86003
K, NA, GLUC, & CA ++ - OR 40500032 $37.00 82330
  40500122 $32.00 84295
  40500115 $32.00 84132
  40500035 $32.00 82947
OSMOLALITY, FECAL 40200375 $106.00 84999
OSMOLALITY SERUM 40500110 $72.00 83930
TEG ANALYSIS 40500031 $27.00 85347
  40500151 $47.00 85384
  40500153 $104.00 85576
  40500148 $29.00 85175
OVA & PARASITE EXAM 40200388 $126.14 87177
  40200389 $126.14 87209
OXALATE, URINE 40200179 $92.22 83945
ALLERGEN - OYSTER 40200062 $23.32 86003
PAI 4G5G MUTATION 30100323 $723.98 81400
PLATELET ANTIBODIES, INDIRECT 40200235 $364.64 86022
PLATELET ASSOC. ABS, DIRECT 40200263 $110.24 86023
  40200264 $110.24 86023
PREALBUMIN - SERUM 40500117 $77.00 84134
PANCREATIC ELASTASE, FECAL BY ELISA 40200023 $520.65 83520
PARANEOPLASTIC REFLEXIVE PANEL 40200191 $341.25 86255
  40200083 $341.25 83516
PARVOVIRUS B19 ANTIBODIES 40200196 $87.98 86747
  40200196 $87.98 86747
PORPHOBILINOGEN QUANT. URINE 40200227 $135.68 84110
PARIETAL CELL AB 40200191 $109.18 86255
ALLERGEN - PECAN NUT 40200062 $25.44 86003
CHOLINESTERASE 40200072 $46.64 82480
PROTEIN ELECTROPHOR 24HR URINE 40500038 $137.00 84166
ALLERGEN, FOOD PEA 40200062 $25.44 86003
ALLERGEN, FOOD, PEAR 40200062 $25.44 86003
ALLERGEN, FOOD, PEACH 40200062 $25.44 86003
ALLERGEN - PECAN TREE 40200062 $25.44 86003
PROTEIN ELECTROPHOR-SERUM 40500039 $141.00 84165
PROTEIN ELECTROPH RANDOM URINE 40500038 $137.00 84166
HEMOGLOBIN PLASMA (FREE HGB) 40200180 $74.20 83051
ALLERGEN - PEDIATRIC FOOD GRP 40200062 $25.44 86003
  40200062 $25.44 86003
  40200062 $25.44 86003
  40200062 $25.44 86003
  40200062 $25.44 86003
PROTHROMBIN GENE MUTATION 30100311 $269.24 81240
BLOOD PH 40500092 $50.00 82800
pH, AMNIOTIC FLUID 40300008 $24.00 83986
pH - BODY FLUID 40500045 $57.00 83986
PHENOBARBITAL 40500061 $166.00 80184
PHENYTOIN (DILANTIN) 40500062 $166.00 80185
PHLEBOTOMY, THERAPEUTIC 40400022 $174.00 99195
PHOSPHOROUS 40500113 $28.00 84100
ALLERGEN - PIGWEED 40200062 $25.44 86003
ALLERGEN - PINEAPPLE 40200062 $25.44 86003
ALLERGEN, FOOD, PINE NUT 40200062 $25.44 86003
INTRAOPERATIVE INTACT PTH 40500003 $104.00 83970
ALLERGEN, PORK 40200062 $23.32 86003
POTASSIUM PLASMA 40500115 $57.00 84132
PLATELET COUNT 40500147 $39.00 85049
PLATELET COUNT 40500147 $39.00 85049
PM-1 ANTIBODY 40200312 $298.92 86235
PLATELET MAPPING ASSAY 40500031 $27.00 85347
  40500151 $47.00 85384
  40500153 $150.00 85576
  40500153 $150.00 8557691
  40500153 $150.00 8557691
STREP PNEUMONIA URINARY ANTIGEN 30100399 $66.00 87899
PNH, RBC 40200153 $287.26 88184
  40200154 $287.26 88185
  40200154 $287.26 88185
PNH, WBC 40200153 $379.48 88184
  40200154 $379.48 88185
  40200154 $379.48 88185
ALLERGEN - PENICILLIUM NOTATUM 40200062 $25.44 86003
PNEUMOCOCCAL ABS, IGG 40200054 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
  40200055 $18.82 86317
ALLERGEN - PEANUT 40200062 $25.44 86003
POC OACT ELITE 40800008 $74.00 85347
GLUCOSE POINT OF CARE 41000003 $20.00 36416
  40800006 $51.00 82947
POC URINE HCG 40800007 $48.00 84703
POC ACT RESPONSE 40800008 $74.00 85347
POC URINALYSIS 40800004 $14.00 81003
PORPHYRINS, URINE 40200228 $120.84 84120
ALLERGEN - POTATO, WHITE 40200062 $25.44 86003
PRO-PREDICTR 6MP METABOLITES 40200221 $502.44 82491
  40200350 $502.44 82491
POC PT WITH INR 40800005 $17.00 85610
ALLERGEN A. PULLULANS 40200062 $25.44 86003
SERINE PROTEASE 3, IGG 40200135 $69.96 83516
PR3 REFLEX BILLING 40200135 $69.96 83516
PROCALCITONIN 30100419 $113.00 84145
OBSTETRIC PANEL *** REMEM 41000008 $128.00 80055
ALLERGEN - PERENNIAL RYE GRASS 40200062 $25.44 86003
PRIMIDONE AND METABOLITE 40200057 $25.44 80184
  40200058 $25.44 80188
PROCAINAMIDE (PRONESTYL) 40200034 $89.04 80192
PROGESTERONE 40500118 $104.00 84144
PROLACTIN 40500119 $121.00 84146
PROTEIN PLEURAL FLUID 40500047 $65.00 84157
PRE APHERESIS PLATELET 40500047 $65.00 84157
PROTEIN PERITONEAL FLUID 40500047 $65.00 84157
PROSTATE SPECIFIC ANTIGEN 40500120 $152.00 84153
PSA FRACTIONATED(INC TOT & FREE) 40200295 $58.30 84154
  40200294 $58.30 84153
PROSTATE SPECIFIC ANTIGEN 40500173 $152.00 G0103
ALLERGEN - PISTACHIO 40200062 $25.44 86003
PROTEIN C ANTIGEN 40200239 $73.14 85302
PROTEIN C ACTIVITY 40200200 $116.60 85303
PTH RELATED PEPTIDE (PTHrP) 40200073 $778.04 83519
PTH, INTACT 40500003 $70.00 83970
PT PROTHROMBIN TIME WITH INR 40500154 $64.00 85610
PROTEIN S ANTIGEN 40200236 $73.14 85305
PROTEIN S ACTIVITY 40200201 $188.68 85306
PTT PARTIAL THROMBOPLASTIN 40500158 $78.00 85730
PTT 1:1 MIX 40500159 $85.00 85732
PT 1:1 MIX 40500155 $64.00 85611
ALLERGEN - PRIVET TREE 40200062 $25.44 86003
HIV-1 RNA QNT 40200346 $413.40 87536
QUANTIFERON TB GOLD IN TUBE 40200380 $265.00 86480
QUINIDINE SERUM 40200064 $265.00 80194
BLOOD GAS ARTERIAL - RECOVERY ROOM 40500009 $137.00 82805
ALLERGEN RAGWEED COMMON/SHORT 40200062 $25.44 86003
REFLEX AMPHETAMINES CONFIRMATION BILL ON 30100401 $358.28 80324
AMPHETAMINE CONF MECONIUM 30100401 $292.50 80324
  30100481 $292.50 80359
RA RHEUMATOID ARTHRITIS 40500163 $30.78 86431
BARBITURATES CONF MECONIUM 30100404 $581.10 80345
AMPHETAMINE, S/P, QUANT 30100401 $358.28 80324
REFLEX BARBITURATES CONFIRMATION BILL ON 30100404 $218.36 80345
REFLEX BARBITURATES CONFIRMATION BILL 30100404 $218.36 80345
REFLEX BENZODIAZEPINE CONFIRMATION BILL 30100403 $181.26 80346
BZE, COCAINE, S/P, QUANT 30100405 $252.00 80353
BENZODIAZEPINE CONF MECONIUM 30100403 $565.50 80346
BENZODIAZEPINES CONFIRMATION 30100403 $565.50 80346
REFLEX BENZODIAZEPINES CONFIRMATION BILL 30100403 $181.26 80346
BLOOD GAS & OTHERS - RECOVERY 40500032 $37.00 82330
  40500009 $137.00 82805
  40500115 $32.00 84132
  40500122 $32.00 84295
  40500035 $32.00 82947
METHADONE, S/P, QUANT 30100400 $301.04 80358
11-NOR-9 CARBOXY-THC, S/P, QUANT 30100406 $284.08 80349
REFLEX METHADONE CONFIRMATION BILL 30100400 $301.04 80358
REFLEX OPIATE CONFIRMATION BILL 30100407 $500.32 80361
PHENCYCLIDINE, PCP, S/P, QUANT 40200106 $293.62 83992
REFLEX PROPOXYPHENE CONFIRMATION BILL 30100408 $405.98 80367
REFLEX BUP & METABOLITES CONFIRMATION BI 30200131 $259.39 80348
BACTERIAL/WOUND CULTURE 40300026 $125.00 87070
BACTERIAL CULTURE IN BOTTLES 40300026 $137.00 87070
BACTERIAL/WOUND CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
COCAINE CONFIRM MECONIUM 30100405 $442.65 80353
CV2.1 ANTIBODY TITER, IGG 40200092 $1,072.50 86256
NA, K, GLUCOSE - RECOVERY 40500115 $32.00 84132
  40500122 $32.00 84295
  40500035 $32.00 82947
RENIN ACTIVITY 40200212 $97.52 84244
RBC FOLATE PACKAGE 40200280 $74.00 82747
RENAL FUNCTION PANEL 40500004 $153.00 80069
RETICULOCYTES HEMOGLOBIN 40200387 $61.48 85046
RHOGAM WORKUP 40400017 $40.00 86901
  40400016 $40.00 86900
  40400012 $54.00 86850
ALLERGEN - RICE 40200062 $25.44 86003
MARIJUANA CONFIRM MECONIUM 30100406 $446.55 80349
REFLEX AMPHETAMINES MECONIUM 30100401 $292.50 80324
  30100481 $292.50 80359
REFLEX BARBITURATES MECONIUM 30100404 $581.00 80345
REFLEX BUPRENORPHINE MECONIUM 30100425 $370.50 80348
REFLEX COCAINE CONF BILL ONLY 30100405 $442.65 80353
METHADONE CONF MECONIUM 30100400 $446.55 80358
REFLEX MARIJUANA CONF BILL ONLY 30100406 $446.55 80349
REFLEX METHADONE MECONIUM 30100400 $446.55 80358
REFLEX OPIATES CONF BILL ONLY 30100407 $223.27 80361
  30100476 $223.28 80365
REFLEX PHENCYCLIDINE MECONIUM 40200106 $565.50 83992
ROCKY MT. SPOTTED FEVER IGG 40200231 $73.14 86757
NEURONAL NUC AB IGG,IMMUNOBLOT 40200083 $452.40 83516
ALLERGEN - RHIZOPUS NIGRICANS 40200062 $25.44 86003
REFLEX NEURONAL NUCLEAR AB 40200092 $452.40 86256
OPIATES CONFIRM MECONIUM 30100407 $223.18 80361
  30100476 $223.17 80365
REFLEX OPIATES CONFIRMATION BILL ONLY 30100407 $500.32 80361
PHENCYCLIDINE CONF MECONIUM 30100213 $565.50 83992
RPR 40300016 $39.00 86592
RPR TITER 40300017 $45.00 86593
RAPID PTH, INTACT 40500003 $70.00 83970
PURKINJE CELL AB TITER IGG 40200092 $452.40 86256
RESPIRATORY CULTURE 40300026 $125.00 87070
RESPIRATORY CULTURE GS 40300026 $125.00 87070
  40300038 $66.00 87205
REDUCING SUBSTANCES STOOL 40500124 $37.00 84376
RSV ANTIGEN DETECTION 40300054 $109.00 87420
RETICULIN AB, IGA W/REFLEX 40200191 $73.14 86255
RETICULIN IGA REFLEX BILL ONLY 40200092 $193.98 86256
RETICULOCYTE COUNT 40500145 $72.00 85045
ROTAVIRUS ANTIGEN DETECTION 40300055 $88.00 87425