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
RUBELLA IMMUNE STATUS 40500167 $51.30 86762
RUBELLA IGG 40500167 $51.30 86762
DRVV BILL MIX REFLEX 40200014 $54.06 85613
SALICYLATE LEVEL 30100418 $92.00 80329
ALLERGEN STEMPHYLIUM BOTRYOSUM 40200062 $25.44 86003
CHLORIDE STOOL 40200184 $66.78 82438
SCLERODERMA AB (SCL-70) 40200312 $73.14 86235
SICKLE CELL SCREENING TEST 40400009 $46.00
SELENIUM, SERUM 40200357 $66.78 84255
SEROTONIN (5-HYDROXY-TRYPTAMINE)-BLOOD 40200225 $165.36 84260
SEROTONIN, SERUM 40200225 $165.36 84260
ALLERGEN - SESAME SEED 40200062 $25.44 86003
FOLATE 40500090 $150.00 82746
SPECIFIC GRAVITY - BODY FLUID 40500046 $29.00 84315
SEX HORMONE BINDING GLOBULIN 40200299 $38.16 84270
ALLERGEN - SHEEP SORREL 40200062 $25.44 86003
ALLERGEN - SHRIMP 40200062 $25.44 86003
SIROLIMUS 40200155 $219.42 80195
ALLERGEN - SALMON 40200062 $23.32 86003
SENSORIMOTOR NEUROPATHY PANEL 40200085 $654.02 83520
  40200086 $654.02 8352091
  40200086 $654.02 8352091
  40200086 $654.02 8352091
  40200086 $654.02 8352091
  40200086 $654.02 8352091
  40200086 $654.02 8352091
ALLERGEN, FOOD, SUNFLOWER 40200062 $25.44 86003
SOMATOMEDIN-C 40200296 $86.92 84305
ALLERGEN - SOYBEAN 40200062 $25.44 86003
PH STOOL 40500045 $58.00 83986
PT INHIBITOR STUDY 40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
  40500155 $25.00 85611
PTT INHIBITOR STUDY 40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
  40500159 $25.00 85732
SS-A & SS-B ANTIBODIES 40200312 $43.99 86235
  40200312 $43.99 86235
LUPUS ANTICOAGULANT (STACLOT) 40200013 $362.52 85597
STREPTOZYME REFLEX BILL ONLY 40200316 $121.90 86406
STREP CULTURE 40300029 $50.00 87081
STOOL CULTURE GS 40300024 $125.00 87045
  40300038 $66.00 87205
  40300025 $25.00 87046
SOLUBLE TRANSFERRIN RECEPTOR 40200298 $79.50 84238
STOOL CULTURE 40300024 $125.00 87045
  40300025 $25.00 87046
POTASSIUM, FECAL 40200360 $55.12 84999
STRIATED MUSCLE REFLEX BILL ONLY 40200092 $193.98 86256
SODIUM, FECAL 40200359 $55.12 84302
CALCULI (STONE) ANALYSIS 40200376 $118.72 82365
STREP CULTURE CERVIX 40300029 $50.00 87081
STREP CULTURE THROAT 40300029 $50.00 87081
STREP (RAPID SCREEN) 40400021 $77.00 87880
STREP A BY PCR 30600075 $150.00 87651
STRIATED MUSCLE AB, IGG REFLEX 40200191 $80.56 86255
STREPTOZYME W/REFLEX TO TITER 40200233 $43.46 86403
ALLERGEN - SWEET VERNAL GRASS 40200062 $25.44 86003
ALLERGEN - STRAWBERRY 40200062 $25.44 86003
ALLERGEN - SWEET GUM TREE 40200062 $25.44 86003
ALLERGEN, FOOD, SWEET POTATO 40200062 $25.44 86003
ALLERGEN - SYCAMORE TREE 40200062 $25.44 86003
FREE T3 40500022 $36.00 84481
TRIIODOTHYRONINE (T3) REVERSE 40200245 $104.94 84482
T3 TOTAL (TRIIODOTHYRONINE) 30100154 $200.34 84480
THBR (T-UPTAKE) 40500133 $90.00 84479
TACROLIMUS 40200267 $228.96 80197
AFB CULTURE 40300033 $153.00 87116
THYROXINE BINDING GLOBULIN-TBG 40200303 $80.56 84442
BILIRUBIN TOTAL 40500077 $39.00 82247
AFB SMEAR 40300039 $50.00 87206
AFB SMEAR - CULTURE 40300033 $153.00 87116
  40300039 $50.00 87206
T CELL GENE REARRANGEMENT 30100325 $2,162.40 81342
CHROMOSOME ANALYSIS-TISSUE 40200138 $668.50 88262
  40200139 $668.50 88291
  31000036 $668.50 88233
TESTOSTERONE - SERUM 40500125 $147.00 84403
TESTOSTERONE-FREE AND WEAKLY BOUND 40200261 $42.40 84402
  40200300 $42.40 84403
  40200299 $42.40 84270
TESTOSTERONE (FREE AND WEAKLY BOUND FOR 40200261 $75.00 84402
  40200300 $75.00 84403
  40200299 $74.73 84270
TRIGLYCERIDES PLEURAL FLUID 40500132 $67.00 84478
TRIGLYCERIDES PERITONEAL FLUID 40500132 $67.00 84478
THYROGLOBULIN 40200302 $60.42 84432
  40200234 $60.42 86800
T4 (THYROXINE, TOTAL) 40500126 $90.00 84436
THYROID AUTOANTIBODIES 40200234 $43.46 86800
  40200315 $43.46 86376
THIOCYANATE SERUM 40200226 $124.02 84430
THEOPHYLLINE (AMINOPHYLLINE) 40500064 $166.00 80198
THROAT CULTURE 40300026 $64.00 87070
THROMBIN TIME 40500157 $57.00 85670
IRON (TOTAL) AND TIBC 40500018 $95.00 83550
  40500019 $24.00 83540
ALLERGEN - TIMOTHY GRASS 40200062 $25.44 86003
CATH TIP CULTURE 40300026 $125.00 87070
ANTIBODY TITER 40400015 $41.00 86886
ANTIBODY TITER 40400015 $41.00 86886
ANTIBODY TITER 40400016 $40.00 86900
  40400017 $40.00 86901
  40400012 $54.00 86850
  40400013 $129.00 86870
  40400015 $41.00 86886
TOBRAMYCIN PEAK 40500065 $161.00 80200
TOBRAMYCIN TROUGH 40500065 $161.00 80200
ALLERGEN - TOMATO 40200062 $25.44 86003
TOPIRAMATE 40200056 $121.90 80201
TORCH TITERS 40200195 $52.21 86777
  40200334 $52.21 86762
  40200329 $52.21 86694
  40200018 $52.21 86644
TOXOPLASMA IGG ANTIBODY 40200195 $50.88 86777
TOXOPLASMA IGM ANTIBODY 40200257 $50.88 86778
PROTEIN TOTAL SERUM 40500121 $24.00 84155
TPMT GENETICS 30100324 $1,470.22 81401
TPMT, RBC 40200358 $1,126.78 82657
PROTEIN, TOTAL - CSF 40500047 $65.00 84157
TRICHINELLA ANTIBODIES 40200337 $215.18 86784
TRICYCLICS 40500010 $141.00 80101
TRANSFERRIN 40500129 $121.00 84466
TRIGLYCERIDES 40500132 $67.00 84478
TRILEPTAL 30100346 $162.18 80183
ESTRONE 40200255 $145.22 82679
TROPONIN I 40500135 $122.00 84484
TRANSFUSION REACTION EVAL 40400010 $126.54 86078
TRYPSIN SERUM 40200073 $101.76 83519
TRYPTASE 40200023 $574.52 83520
TSH 40500128 $111.00 84443
TSH WITH REFLEX 40500128 $111.00 84443
THYROID STIMULATING IG 40200215 $316.94 84445
TETANUS ANTIBODY 40200336 $79.50 86774
TISSUE TRANSGLUTAMINASE, IGA 40200135 $59.36 83516
TT AB REFLEX BILL ONLY 40200092 $193.98 86256
TISSUE TRANSGLUTAMINASE, IGG 40200135 $136.74 83516
TISSUE TRANS AB, IGA W/RFLX ENDO AB 40200135 $59.36 83516
ALLERGEN - TUNA 40200062 $25.44 86003
TRICHOMONAS VAGINALIS BY PCR 30600076 $150.00 87661
TYPE AND SCREEN 40400017 $40.00 86901
  40400012 $54.00 86850
  40400016 $40.00 86900
AMYLASE 2HR URINE 40500076 $113.00 82150
URINALYSIS 40500067 $35.34 81003
AMINO ACID PANEL RANDOM URINE 40200181 $434.60 82139
UA & CULTURE SCREEN W/RFLX CULT. 40500067 $35.34 81003
EOSINOPHILS URINE 40500169 $65.00 87205
PROTEIN, TOTAL - RANDOM URINE 40500008 $51.00 84156
URINE DIPSTICK POINT OF CARE 40800004 $14.00 81003
URINE CULTURE 40300030 $125.00 87086
CALCIUM URINE 40500079 $67.00 82340
URINE CULTURE GS 40300030 $125.00 87086
  40300038 $66.00 87205
CHLORIDE RANDOM URINE 40500082 $38.00 82436
COPPER, URINE 40200278 $60.42 82525
CREATININE - RANDOM URINE 40500029 $31.00 82570
CYSTINE RANDOM URINE 40200176 $289.38 82131
DRUG SCREEN - GENERAL URINE 30100413 $245.00 80307
GLUCOSE URINE (SUGAR) 40500067 $19.38 81003
BETA HCG PREGNANCY URINE 40500141 $48.00 84703
POTASSIUM RANDOM URINE 40500116 $57.00 84133
KETONE URINE (ACETONE) 40500067 $19.38 81003
FREE KAPPA/LAMBDA 24HR URINE 30000006 $79.25 84156
  30200031 $79.25 86335
  30100079 $79.25 83883
  30100079 $79.25 83883
MICROALBUMIN RANDOM URINE 40500073 $35.00 82043
  40500029 $33.00 82570
METHADONE 300 30100411 $35.00 80307
METANEPHRINES URINE 40200053 $102.82 83835
MAGNESIUM/MG RANDOM URINE 40500109 $67.00 83735
URINALYSIS MICROSCOPIC 40500069 $42.18 81015
URINE MICROSCOPY 40500069 $42.18 81015
METHAQUALONE QUANTITATIVE, URINE 30100478 $577.00 80368
MYOGLOBIN URINE 40200211 $62.54 83874
SODIUM URINE RANDOM 40500123 $57.00 84300
OPIATES, URINE, QUANT 30100407 $65.00 80361
  30100476 $65.00 80365
OSMOLALITY - RANDOM URINE 40500111 $72.00 83935
PH URINE 40500067 $19.38 81003
UREA PLEURAL FLUID 40500136 $20.00 84520
PHOSPHORUS RANDOM URINE 40500114 $65.00 84105
PROTEIN URINE QUALITATIVE 40500067 $19.38 81003
PROPOXYPHENE & METABOLITE, URINE 30100408 $293.00 80367
UREA PERITONEAL FLUID 40500136 $20.00 84520
URIC ACID - SERUM 40500138 $24.00 84550
URIC ACID - PLASMA 40500138 $24.00 84550
REDUCING SUBSTANCES URINE 40500068 $29.00 81005
SPECIFIC GRAVITY URINE 40500067 $27.36 81003
PROTEIN, TOTAL - RANDOM URINE 40500008 $51.00 84156
TRICYCLICS, URINE 40500010 $141.00 80101
URINE - TOTAL VOLUME & HOURS 40500027 $5.00 81050
UREA - RANDOM URINE 40500137 $58.00 84540
URIC ACID - RANDOM URINE 40500139 $69.00 84560
VALPROIC ACID (DEPAKENE) 40500058 $196.00 80164
VANCOMYCIN PEAK 40500066 $186.00 80202
VANCOMYCIN TROUGH 40500066 $186.00 80202
B12 + FOLATES 40500085 $150.00 82607
  40500090 $150.00 82746
VITAMIN B1,PLASMA 40200301 $113.10 84425
BLOOD GAS VENOUS 40500009 $137.00 82805
BLOOD GAS VENOUS NEONATAL 40500009 $137.00 82805
BLOOD GAS VENOUS - ON OXYGEN 40500009 $137.00 82805
VIRAL CULTURE, NON-RESPIRATORY 40300043 $176.00 87252
VIRAL CULTURE, RESPIRATORY 40300043 $176.00 87252
Vitamin D 25-Hydroxy 40500182 $54.06 82306
VIRAL ENCEPHALITIS AB PANEL 40200321 $89.04 86651
  40200321 $86.92 86651
  40200322 $86.92 86652
  40200322 $86.92 86652
  40200323 $86.92 86653
  40200323 $86.92 86653
  40200324 $86.92 86654
  40200324 $86.92 86654
  40200339 $86.92 86790
  40200339 $86.92 86790
  40200335 $86.92 86765
  40200335 $86.92 86765
  40200332 $86.92 86735
  40200332 $86.92 86735
  40200338 $86.92 86787
  40200338 $86.92 86787
  40200331 $86.92 86727
  40200329 $86.92 86694
  40200329 $86.92 86694
VAGINITIS PANEL 30600081 $90.00 87801
  30600082 $43.75 87481
  30600082 $43.75 87481
  30600082 $43.75 87481
  30600076 $43.75 84661
VASOACTIVE INTESTINAL POLYPEPTIDE 40200253 $137.80 84586
VISCOSITY 40200183 $50.88 85810
VITAMIN E 40200304 $73.14 84446
VITAMIN K1,SERUM 30100480 $187.20 84597
VMA, URINE 40200171 $81.62 84585
VENIPUNCTURE CREDIT 41000002 $20.00 36415
VOLUME REDUCTION FEE 40400020 $215.00 86960
VITAMIN A (RETINOL) 40200361 $64.66 84590
VITAMIN B1, WHOLE BLOOD 40200301 $112.36 84425
VITAMIN B6 40200297 $97.52 84207
VON WILLEBRAND SCREEN 40200203 $139.39 85247
  40200031 $139.39 85240
  40200070 $139.39 85246
  40200307 $139.39 85245
VARICELLA ZOSTER CULTURE 40300043 $91.00 87252
VARICELLA ZOSTER DFA STAIN 40300047 $72.00 87290
VARICELLA ZOSTER VIRUS AB IGG 40200338 $51.94 86787
VARICELLA ZOSTER VIRUS AB IGM 40200338 $51.94 86787
ALLERGEN, FOOD, WATERMELON 40200062 $25.44 86003
POTASSIUM - WHOLE BLOOD 40500115 $32.00 84132
WHOLE BLOOD - K, NA, & GLUC 40500115 $32.00 84132
  40500122 $32.00 84295
  40500035 $32.00 82947
CREATININE, WHOLE BLOOD 40500012 $32.00 82565
WATER CULTURE 40300026 $125.00 87070
ALLERGEN - WHEAT 40200062 $25.44 86003
ALLERGEN - WHITE ASH TREE 40200062 $25.44 86003
ALLERGEN - WHITEFISH 40200397 $23.32 86003
ALLERGEN - WILLOW TREE 40200062 $25.44 86003
ALLERGEN - WALNUT/BLACK WALNUT 40200062 $25.44 86003
WEST NILE VIRUS AB IGG, CSF 40200353 $75.50 86789
WEST NILE VIRUS AB IGM, CSF 40200352 $75.50 86788
WEST NILE VIRUS ANTIBODY IGG 40200339 $86.92 86790
WEST NILE VIRUS ANTIBODY IGM 40200339 $86.92 86790
TYPE AND CROSSMATCH 40400017 $40.00 86901
  40400012 $54.00 86850
  40400016 $40.00 86900
YO ANTIBODY 40200151 $1,137.38 84182
ALLERGEN - BAKER'S YEAST 40200062 $25.44 86003
ZARONTIN (ETHOSUXIMIDE) 40200265 $58.30 80168
ZINC 40200172 $50.88 84630
ZONISAMIDE QUANTITATIVE 40200164 $195.04 80203
ZPP TO HEME RATIO 40200182 $65.72 84202
BLOOD GAS COLLECTION 41000004 $20.00 36600
BLOOD GAS COLLECTION - OUTREACH 41000004 $20.00 36600
BLOOD GAS 41000004 $20.00 36600
FINGERSTICK 41000003 $20.00 36416
FINGERSTICK - OUTREACH 41000003 $20.00 36416
FINGERSTICK 41000003 $20.00 36416
HEEL STICK 41000003 $20.00 36416
HEEL STICK - OUTREACH 41000003 $20.00 36416
HEELSTICK 41000003 $20.00 36416
VENIPUNCTURE 41000002 $20.00 36415
VENIPUNCTURE - OUTREACH 41000002 $20.00 36415
VENIPUNCTURE/OUTREACH/NURSING HOME 41000002 $20.00 36415
VENIPUNCTURE 41000002 $20.00 36415
KIRBY BAUER 40300036 $113.00 87186
  40300061 $27.00 87077
MIC-SUSCEPTIBILITY 40300036 $113.00 87186
  40300061 $27.00 87077
STREPTOCOCCUS PNEUMONIAE MIC 40300036 $113.00 87186
  40300061 $27.00 87077
CROSSMATCH RESULT 1 40400007 $157.00 86920
POOLED CRYO Administrative 40400029 $150.00 86965
CRYO Processing 40400023 $109.00 P9012
DEGLYC PC Processing 40400037 $1,082.00 P9039
FFP Administrat 40400028 $76.00 86927
FFP Processing 40400033 $218.00 P9017
FFP(THAWED) Administrat 40400028 $76.00 86927
FFP(THAWED) Processing 40400033 $218.00 P9017
PACKED CELLS Processing 40400004 $234.00 P9021
PC-ADSOL Processing 40400004 $234.00 P9021
PLTS 5 DAY Processing 40400026 $138.00 P9019
POOLED PLTS Administrat 40400029 $150.00 86965
RHIGG Volume 1 40400043 $151.00 90384
RECONST WB Volume 1 40400044 $10.00 P9011
RECONST WB Volume 10 40400045 $42.00 P9011
RECONST WB Volume 20 40400046 $80.00 P9011
RECONST WB Volume 50 40400047 $118.00 P9011
RECONST WB Volume 225 40400048 $196.00 P9011
RECONST WB Volume 450 40400031 $399.00 P9010
RECONST WB Administrat 40400030 $150.00 86985
WASHED PC Processing 40400034 $1,082.00 P9022
APHERESIS FRESH FROZEN +Administrat 40400033 $218.00 P9017
APHERESIS FRESH FROZEN Processing 40400004 $279.00 P9021
PACKED CELLS AUTOLOGOUS Processing 40400033 $218.00 P9017
ACRODOSE PLT LEUKOPOR I+Administrat 40400035 $642.00 P9033
AUTOLOGOUS PC LEUKO RED+Processing 40400032 $346.00 P9016
ACRODOSE PLT LEUKOPOR Processing 40400005 $540.00 P9031
WHOLE BLOOD AUTOLOGOUS Processing 40400031 $279.00 P9010
INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
CRYO THAWED Processing 40400023 $109.00 P9012
DESIG PEDI CMV NEG PC IRR +Volume 1 40400044 $10.00 P9011
DESIG PEDI CMV NEG PC IRR Volume 5 40400050 $22.00 P9011
DESIG PEDI CMV NEG PC IRR Volume 10 40400045 $42.00 P9011
DESIG PEDI CMV NEG PC IRR Volume 20 40400046 $80.00 P9011
DESIG PEDI CMV NEG PC IRR Volume 40 40400049 $114.00 P9011
DESIG PEDI CMV NEG PC IRR Volume 75 40400051 $234.00 P9011
DESIG PEDI CMV NEG PC IRR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
DESIG PEDI CMV NEG PC Volume 1 40400044 $10.00 P9011
DESIG PEDI CMV NEG PC Volume 5 40400050 $22.00 P9011
DESIG PEDI CMV NEG PC Volume 10 40400045 $42.00 P9011
DESIG PEDI CMV NEG PC Volume 20 40400046 $80.00 P9011
DESIG PEDI CMV NEG PC Volume 40 40400049 $114.00 P9011
DESIG PEDI CMV NEG PC Volume 75 40400051 $234.00 P9011
DESIG PEDI CMV NEG PC Administrat 40400030 $150.00 86985
DES PEDI CMV NEG PC IRR+Volume 1 40400044 $2.50 P9011
DES PEDI CMV NEG PC IRR Volume 5 40400050 $12.50 P9011
DES PEDI CMV NEG PC IRR Volume 10 40400045 $25.00 P9011
DES PEDI CMV NEG PC IRR Volume 20 40400046 $50.00 P9011
DES PEDI CMV NEG PC IRR Volume 40 40400049 $100.00 P9011
DES PEDI CMV NEG PC IRR Volume 75 40400051 $187.50 P9011
DES PEDI CMV NEG PC IRR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
APHERESIS FRESH FROZEN +Processing 40400033 $218.00 P9017
APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
APHERESIS FRESH FROZEN Processing 40400033 $218.00 P9017
APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
APHERESIS FRESH FROZEN Processing 40400033 $218.00 P9017
FFP FROZEN WITHIN 24 HO+Administrat 40400028 $76.00 86927
FFP FROZEN WITHIN 24 HO Processing 40400003 $218.00 P9059
FFPA(THAWED) Administrat 40400028 $76.00 86927
FFPA(THAWED Processing 40400033 $218.00 P9017
FFPB(THAWED) Administrat 40400028 $76.00 86927
FFPA(THAWED Processing 40400033 $218.00 P9017
FFPC(THAWED) Administrat 40400028 $76.00 86927
FFPA(THAWED Processing 40400033 $218.00 P9017
MICRORHOGAM Volume 1 40400052 $102.00 90385
APHERESIS PC AS-3 A LEU+Processing 40400032 $346.00 P9016
APHERESIS PC AS-3 B LEU+Processing 40400032 $346.00 P9016
PACKED CELLS ADSOL IRR +Processing 40400040 $448.00 P9040
PC AS-3 Processing 40400004 $234.00 P9021
APHERESIS PC AS-3 A Processing 40400004 $234.00 P9021
APHERESIS PC AS-3 B Processing 40400004 $234.00 P9021
PC AS-3 LEUKOPOR Processing 40400032 $346.00 P9016
PC AS-5 Processing 40400004 $234.00 P9021
ADSOL PC IRRADIATED Processing 40400039 $329.00 P9038
PACKED CELLS ADSOL LEUK+Processing 40400032 $346.00 P9016
PACKED CELLS CMV NEG Processing 40400004 $282.00 P9021
CMV NEG PC IRRAD Processing 40400039 $343.00 P9038
PACKED CELLS DESIGNATED Processing 40400004 $330.00 P9021
PC DESIGNATED IRRADIATEDProcessing 40400039 $354.00 P9038
PACKED CELLS DESIGNATED+Processing 40400032 $330.00 P9016
PACKED CELLS IRRADIATED Processing 40400039 $329.00 P9038
PLT POOL CMV NG IR LP Administrat 40400029 $150.00 86965
  40400019 $102.00 86945
PACKED CELLS LEUKOPOR Processing 40400032 $340.00 P9016
PACKED CELLS ALYX A LEU+Processing 40400032 $330.00 P9016
PACKED CELLS ALYX B LEU+Processing 40400032 $330.00 P9016
PACKED CELLS CMV NEG LE+Processing 40400041 $360.00 P9051
PLATELET CMVN LEUKOPOR +Processing 40400035 $250.00 P9033
PACKED CELL NEONATE CMV+Volume 1 40400044 $12.00 P9011
PACKED CELL NEONATE CMV Volume 5 40400050 $24.00 P9011
PACKED CELL NEONATE CMV Volume 10 40400045 $44.00 P9011
PACKED CELL NEONATE CMV Volume 20 40400046 $82.00 P9011
PACKED CELL NEONATE CMV Volume 40 40400049 $116.00 P9011
PACKED CELL NEONATE CMV Volume 75 40400051 $236.00 P9011
PACKED CELL NEONATE CMV Administrat 40400030 $150.00 86985
PACKED CELLS DES IRR LP+Processing 40400040 $418.00 P9040
PACKED CELLS IRR LEUKOP+Processing 40400040 $441.00 P9040
PC ALYX A IRR LEUKOPOOR+Processing 40400040 $441.00 P9040
PC ALYX B IRR LEUKOPOOR+Processing 40400040 $441.00 P9040
PC NEONATE IRR LEUKO CM+Volume 1 40400044 $2.50 P9011
PC NEONATE IRR LEUKO CM Volume 5 40400050 $12.50 P9011
PC NEONATE IRR LEUKO CM Volume 10 40400045 $25.00 P9011
PC NEONATE IRR LEUKO CM Volume 20 40400046 $50.00 P9011
PC NEONATE IRR LEUKO CM Volume 40 40400049 $100.00 P9011
PC NEONATE IRR LEUKO CM Volume 75 40400051 $187.50 P9011
PC NEONATE IRR LEUKO CM Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
PLATELET PHERESIS LEUKO+Processing 40400036 $1,023.00 P9035
PLATELET PHERESIS LEUKO+Processing 40400036 $1,023.00 P9035
PLATELET CMV NEG Processing 40400026 $166.00 P9019
CMV NEG PLT,POOLED Administrat 40400029 $150.00 86965
POOLED FFP Administrat 40400029 $150.00 86965
PLATELETS POOLED IRR LE+Administrat 40400029 $150.00 86965
  40400019 $102.00 86945
PLATELETS IRRADIATED, P+Administrat 40400029 $150.00 86965
  40400019 $102.00 86945
PLATELETS, POOLED LEUKO+Administrat 40400029 $150.00 86965
PEDI CMV NEG PC IRRADIA+Volume 1 40400044 $12.00 P9011
PEDI CMV NEG PC IRRADIA Volume 5 40400050 $24.00 P9011
PEDI CMV NEG PC IRRADIA Volume 10 40400045 $44.00 P9011
PEDI CMV NEG PC IRRADIA Volume 20 40400046 $82.00 P9011
PEDI CMV NEG PC IRRADIA Volume 40 40400049 $116.00 P9011
PEDI CMV NEG PC IRRADIA Volume 75 40400051 $236.00 P9011
PEDI CMV NEG PC IRRADIA Administrat 40400019 $102.00 86945
  40400030 $150.00 86985
PACKED CELLS PEDI CMV N+Volume 1 40400044 $2.50 P9011
PACKED CELLS PEDI CMV N Volume 5 40400050 $12.50 P9011
PACKED CELLS PEDI CMV N Volume 10 40400045 $25.00 P9011
PACKED CELLS PEDI CMV N Volume 20 40400046 $50.00 P9011
PACKED CELLS PEDI CMV N Volume 40 40400049 $100.00 P9011
PACKED CELLS PEDI CMV N Volume 75 40400051 $187.50 P9011
PACKED CELLS PEDI CMV N Administrat 40400030 $150.00 86985
PACKED CELLS CMVN DES I+Processing 40400039 $453.00 P9038
PHER PLT LPA IRR Processing 40400038 $1,118.00 P9037
PHER PLT LPB IRR Processing 40400038 $1,118.00 P9037
PHER PLT LPC IRR Processing 40400038 $1,118.00 P9037
PLT PHER A CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PLT PHER B CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PLT PHER C CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PLT PHER CMV NEG LKPO Processing 40400036 $1,023.00 P9035
PHER A PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PHER B PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PHER C PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PLATELET PHERESIS IRR L+Processing 40400038 $1,118.00 P9037
PLATELET PHERESIS LEUKO+Processing 40400036 $1,023.00 P9035
PLT PHERESIS LEUK A Processing 40400036 $1,023.00 P9035
PLT PHERESIS LEUK B Processing 40400036 $1,023.00 P9035
PLT PHERESIS LEUK C Processing 40400036 $1,023.00 P9035
PLATELET PHERESIS LEUKO+Processing 40400036 $1,023.00 P9035
SPLT PLT PHER CMVN IRR +Volume 10 40400048 $50.00 P9011
SPLT PLT PHER CMVN IRR Volume 20 40400046 $100.00 P9011
SPLT PLT PHER CMVN IRR Volume 40 40400049 $200.00 P9011
SPLT PLT PHER CMVN IRR Volume 75 40400051 $375.00 P9011
SPLT PLT PHER CMVN IRR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
SPLT PLT PHER A CMVN IR+Volume 10 40400048 $50.00 P9011
SPLT PLT PHER A CMVN IR Volume 20 40400046 $100.00 P9011
SPLT PLT PHER A CMVN IR Volume 40 40400049 $200.00 P9011
SPLT PLT PHER A CMVN IR Volume 75 40400051 $375.00 P9011
SPLT PLT PHER A CMVN IR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
SPLT PLT PHER B CMVN IR+Volume 10 40400048 $50.00 P9011
SPLT PLT PHER B CMVN IR Volume 20 40400046 $100.00 P9011
SPLT PLT PHER B CMVN IR Volume 40 40400049 $200.00 P9011
SPLT PLT PHER B CMVN IR Volume 75 40400051 $375.00 P9011
SPLT PLT PHER B CMVN IR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
SPLT PLT PHER C CMVN IR+Volume 10 40400048 $50.00 P9011
SPLT PLT PHER C CMVN IR Volume 20 40400046 $100.00 P9011
SPLT PLT PHER C CMVN IR Volume 40 40400049 $200.00 P9011
SPLT PLT PHER C CMVN IR Volume 75 40400051 $375.00 P9011
SPLT PLT PHER C CMVN IR Administrat 40400030 $150.00 86985
  40400019 $102.00 86945
PACKED CELLS CMVN IRR L+Processing 40400042 $455.00 P9058
RECONSTITUTED WB IRRADI+Volume 1 40400044 $10.00 P9011
RECONSTITUTED WB IRRAD Volume 10 40400045 $42.00 P9011
RECONSTITUTED WB IRRAD Volume 20 40400046 $80.00 P9011
RECONSTITUTED WB IRRAD Volume 50 40400047 $118.00 P9011
RECONSTITUTED WB IRRAD Volume 225 40400048 $196.00 P9011
RECONSTITUTED WB IRRAD Volume 450 40400031 $399.00 P9010
RECONSTITUTED WB IRRAD Administrat 40400019 $102.00 86945
  40400030 $150.00 86985
PLATELET IRRADIATED LEU+Processing 40400035 $237.00 P9033