Outpatient 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 |
|---|---|---|---|---|
| ABI | ANTIBODY IDENTIFICATION | 40400013 | $70.00 | 86870 |
| AO | AG/AB INFO (ON UNITS) | 40400053 | $31.00 | 86902 |
| DU | DU ANTIGEN | 40400006 | $27.91 | 86906 |
| ELU | ELUTION | 40200343 | $643.00 | 86860 |
| 2HGT | GLUCOSE 2 HOUR TOLERANCE TEST | 40500035 | $23.00 | 82947 |
| 40500093 | $12.00 | 82947 | ||
| 3HGT | GLUCOSE 3 HOUR TOLERANCE TEST | 40500013 | $70.56 | 82951 |
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 3OB | OCCULT BLOOD X 3 | 40300003 | $35.35 | 82270 |
| 4HGT | GLUCOSE 4 HOUR TOLERANCE TEST | 40500013 | $70.56 | 82951 |
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 5HGT | GLUCOSE 5 HOUR TOLERANCE TEST | 40500013 | $70.56 | 82951 |
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 5HIA | 5-HIAA, URINE | 40200169 | $80.94 | 83497 |
| 6HGT | GLUCOSE 6 HOUR TOLERANCE TEST | 40500013 | $70.56 | 82951 |
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| 40500014 | $11.00 | 82952 | ||
| A1CE | ANGIOTEN-1-CONVERTING ENZYME | 40200272 | $105.85 | 82164 |
| A1PB | ALPHA-1-PHENOTYPE | 40200271 | $116.23 | 82104 |
| 40200270 | $116.23 | 82103 | ||
| AACS | AMINO ACID PANEL BLOOD | 40200181 | $430.50 | 82139 |
| AANT | ALPHA-1-ANTITRYPSIN | 40500074 | $122.45 | 82103 |
| AAQU | AMINO ACIDS QUANT, URINE | 40200181 | $393.75 | 82139 |
| ABGA | BLOOD GAS ARTERIAL - ON AIR | 40500009 | $96.80 | 82805 |
| ABGAA | BLOOD GAS ART. - ON AIR W/ALLEN | 40500009 | $69.69 | 82805 |
| ABGN | BLOOD GAS ARTERIAL NEONATAL | 40500009 | $96.80 | 82805 |
| ABGO | BLOOD GAS ARTERIAL - ON OXYGEN | 40500009 | $96.80 | 82805 |
| ABGOA | BLOOD GAS ART. - ON OXY W/ALLEN | 40500009 | $69.69 | 82805 |
| ABPL | ALBUMIN PLEURAL FLUID | 40500001 | $20.20 | 82042 |
| ABPT | ALBUMIN PERITONEAL FLUID | 40500001 | $20.20 | 82042 |
| ABRH | GROUP-RH | 40400017 | $20.00 | 86901 |
| 40400016 | $13.00 | 86900 | ||
| ACBG | ARTERIAL BLOOD GAS CORD BLOOD | 40500009 | $96.80 | 82805 |
| ACDP | ACUTE CARDIAC PROFILE | 40500015 | $43.43 | 83874 |
| 40500016 | $36.36 | 82550 | ||
| 40500017 | $21.21 | 82553 | ||
| ACEM | ACETAMINOPHEN (TYLENOL) | 30100402 | $111.10 | 80329 |
| ACPT | ACID PHOSPHATASE, TOTAL | 40200290 | $56.04 | 84060 |
| ACT | ACT ACTIVATED CLOTTING TIME | 41000007 | $75.48 | 85347 |
| ACTH | ACTH | 40200178 | $135.45 | 82024 |
| ADAM | ADAMTS 13 LEVEL | 40200134 | $655.20 | 85397 |
| AFEP | ALPHA FETOPROTEIN | 40500024 | $95.47 | 82105 |
| AFPO | ALPHA FETOPROTEIN, MATERNAL | 40200216 | $95.47 | 82105 |
| AFUM | ALLERGEN ASPERGILLUS FUMIGATUS | 40200062 | $39.43 | 86003 |
| AGA | ASPERGILLUS GALACTOMANNAN AG | 40200381 | $367.50 | 87305 |
| AGAL | ALLERGEN,FOOD,ALPHA-GAL PANEL | 40200062 | $39.43 | 86003 |
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| AGS | ALPHA GALACTOSIDASE, SERUM | 40200358 | $1,195.95 | 82657 |
| AHP | ACUTE HEPATITIS PANEL | 40500028 | $112.11 | 80074 |
| ALB | ALBUMIN SERUM | 40500100 | $31.13 | 82040 |
| ALC | ALCOHOL SERUM | 30100414 | $28.28 | 80320 |
| ALD | ALDOLASE SERUM | 40200173 | $56.04 | 82085 |
| ALDO | ALDOSTERONE SERUM | 40200237 | $186.79 | 82088 |
| ALDU | ALDOSTERONE, URINE | 40200237 | $186.79 | 82088 |
| ALKP | ALKALINE PHOSPHATASE | 40500112 | $31.13 | 84075 |
| ALMD | ALLERGEN - ALMOND | 40200062 | $39.43 | 86003 |
| ALT | ALT (SGPT) | 40500131 | $24.91 | 84460 |
| ALUM | ALUMINUM | 40200246 | $97.56 | 82108 |
| AM1 | 1 ADDITIONAL MARKER | 40900002 | $62.62 | 88185 |
| AM10 | 10 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM2 | 2 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| AM3 | 3 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM4 | 4 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM5 | 5 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM6 | 6 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM7 | 7 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM8 | 8 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM8 | 8 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AM9 | 9 ADDITIONAL MARKERS | 40900002 | $62.62 | 88185 |
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| 40900002 | $62.62 | 88185 | ||
| AMA | MITOCHONDRIAL ANTIBODY (AMA) | 40200135 | $58.80 | 83516 |
| AMAB | AMOEBA AB TITER | 40200333 | $57.75 | 86753 |
| AMCO | AMIODARONE (CORDARONE) | 30100338 | $93.45 | 80299 |
| AMH | ANTI-MULLERIAN HORMONE | 40200135 | $402.15 | 83516 |
| AMIKP | AMIKACIN PEAK | 40500055 | $351.00 | 80150 |
| AMIKR | AMIKACIN RANDOM | 40500055 | $351.00 | 80150 |
| AMIKT | AMIKACIN TROUGH | 40500055 | $351.00 | 80150 |
| AMON | AMMONIA PLASMA | 40500075 | $101.68 | 82140 |
| AMPL | AMYLASE PLEURAL FLUID | 40500076 | $114.13 | 82150 |
| AMPT | AMYLASE PERITONEAL FLUID | 40500076 | $114.13 | 82150 |
| AMYL | AMYLASE SERUM | 40500076 | $35.35 | 82150 |
| ANAB | ANA BATTERY | 40300010 | $74.73 | 86039 |
| ANAS | ANTINUCLEAR AB(ANA) SERUM | 40300009 | $69.69 | 86038 |
| ANC | ANAEROBE CULTURE | 40300027 | $47.72 | 87075 |
| ANCG | ANAEROBE CULTURE / GS | 40300027 | $47.72 | 87075 |
| 40300038 | $23.23 | 87205 | ||
| ANCI | ANTI-NEUTROPHIL CYTO AB, IGG | 40200191 | $120.75 | 86255 |
| AND | ANAEROBIC ISOLATE IDENTIFICATION | 40300028 | $66.42 | 87076 |
| ANDH | ANTIDIURETIC HORMONE | 40200305 | $115.80 | 84588 |
| ANDR | ANDROSTENEDIONE | 40200243 | $188.86 | 82157 |
| APCR | ACTIVATED PROTEIN C RESISTANCE | 40200364 | $113.40 | 85307 |
| APIE | ALKALINE PHOSPHATASE ISOENZYMES | 40200292 | $76.80 | 84080 |
| 40200291 | $31.13 | 84075 | ||
| APOA | APOLIPOPROTEIN, A-1 | 40200035 | $72.45 | 82172 |
| APOB | APOLIPOPROTEIN, B | 40200036 | $72.45 | 82172 |
| APPL | ALLERGEN - APPLE | 40200062 | $39.43 | 86003 |
| APS | PHOSPHATIDYLSERINE ABS | 40200079 | $55.65 | 86148 |
| 40200079 | $55.65 | 86148 | ||
| 40200079 | $55.65 | 86148 | ||
| ARAB | ACETYLCHOLINE RECEPTOR AB | 30100150 | $159.60 | 83519 |
| ARH3 | ARUP REFLEX HIVU | 40200117 | $451.50 | 8753691 |
| ARS | ARSENIC - BLOOD | 40200002 | $72.45 | 82175 |
| ASMA | SMOOTH MUSCLE ANTIBODY (ASMA) | 40200191 | $74.73 | 86255 |
| ASMT | SMOOTH MUSCLE AB, IGG TITER | 40200092 | $192.15 | 86256 |
| ASOS | ASO SCREEN | 40500160 | $35.29 | 86063 |
| AST | AST (SGOT) | 40500130 | $26.96 | 84450 |
| AT3A | ANTITHROMBIN III ANTIGEN | 40200202 | $96.60 | 85301 |
| ATEN | ALLERGEN - ALTERNARIA TENIUS | 40200062 | $39.43 | 86003 |
| ATH3 | ANTITHROMBIN III ACTIVITY | 40200210 | $163.94 | 85300 |
| AUTO | AUTOLOGOUS BLOOD | 40400001 | $129.00 | 86890 |
| B12 | VITAMIN B12 | 40500085 | $112.06 | 82607 |
| B2A | BETA-2 GLYCOPROTEIN I, IGA | 40200143 | $193.00 | 86146 |
| B2GM | BETA-2 GLYCOPROTEIN IGG/IGM | 40200143 | $193.00 | 86146 |
| B2GM | BETA-2 GLYCOPROTEIN IGG/IGM | 40200143 | $193.00 | 86146 |
| B2MG | BETA-2-MICROGLOBULIN SERUM | 40200251 | $80.94 | 82232 |
| B2MU | BETA-2-MICROGLOBULIN, URINE | 40200251 | $50.00 | 82232 |
| B2TF | BETA-2 TRANSFERRIN | 40200378 | $174.31 | 86334 |
| 40200379 | $163.80 | 86335 | ||
| 40400017 | $40.00 | 86901 | ||
| BANA | ALLERGEN - BANANA | 40200062 | $39.43 | 86003 |
| BARH | BARTONELLA HENSELAE AB | 40200317 | $72.64 | 86611 |
| 40200317 | $72.64 | 86611 | ||
| BCPL | BLOOD COUNT W/PLATELET | 40500144 | $35.35 | 85027 |
| BCQT | BCR/abl t(9:22) TRAN QUANT PCR | 30100316 | $480.90 | 81206 |
| BCQTM | BCR-ABL, MINOR (p190), QUANT, REFLEX | 30100317 | $826.00 | 81207 |
| BCQU | BCR/abl t(9:22) TRANS QUAL PCR | 30100316 | $480.90 | 81206 |
| 30100317 | $480.90 | 81207 | ||
| BEHL | BERKELEY HEART LAB | 40500179 | $15.15 | 99001 |
| BELL | ALLERGEN - BELL PEPPER | 40200062 | $39.43 | 86003 |
| BETG | BETA D GLUCAN | 30100431 | $546.00 | 87449 |
| BFAL | ALLERGEN, BEEF | 40200062 | $39.43 | 86003 |
| BGH | BLOOD GAS - HEELSTICK/CAPILLARY | 40500009 | $96.80 | 82805 |
| BHCG | BETA HCG QUANTITATIVE | 40500140 | $60.19 | 84702 |
| BHGR | ALLERGEN, BAHIA GRASS | 40200062 | $39.43 | 86003 |
| BILA | BILE ACIDS, TOTAL | 40200096 | $65.10 | 82239 |
| BILN | BILIRUBIN - NEONATAL | 40500077 | $31.13 | 82247 |
| 40500078 | $31.13 | 82248 | ||
| BIOMEP | BIOFIRE MENINGITIS-ENCEPHALITIS PANE | 30600079 | $300.00 | 87483 |
| BIPL | BILIRUBIN PLEURAL FLUID | 40500077 | $39.39 | 82247 |
| BIPT | BILIRUBIN PERITONEAL FLUID | 40500077 | $39.39 | 82247 |
| BIRC | ALLERGEN - BIRCH TREE | 40200062 | $39.43 | 86003 |
| BKVP | BK VIRUS QNT PCR | 40200394 | $1,123.50 | 87799 |
| BLCK | BILICHEK | 40800001 | $24.48 | 88400 |
| BLDC | BLOOD CULTURE | 40300023 | $64.34 | 87040 |
| BLDCA | BLOOD CULTURE ACCELERATE | 30600078 | $18.75 | 87149 |
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| 30600078 | $18.75 | 87149 | ||
| BMET | METHANOL BLOOD | 40200230 | $120.75 | 84600 |
| BMGR | ALLERGEN - BERMUDA GRASS | 40200062 | $39.43 | 86003 |
| BMP | BASIC METABOLIC PANEL | 40500050 | $47.72 | 80048 |
| BOHL | BOSTON HEART LAB | 40500178 | $15.00 | 99001 |
| BORP | B PERTUSSIS/PARAPERTUSSIS BY PCR | 30100417 | $255.94 | 87798 |
| 30100417 | $255.94 | 87798 | ||
| BOTC | ALLERGEN - BOTRYTIS CINEREA | 40200062 | $59.85 | 86003 |
| BPAG | BORDETELLA PERTUSSIS AB, IGG | 40200385 | $78.75 | 86615 |
| BPAM | BORDETELLA PERTUSSIS AB, IGM | 40200385 | $78.75 | 86615 |
| BPEP | ALLERGEN, FOOD, BLACK PEPPER | 40200062 | $39.43 | 86003 |
| BRLV | CELL COUNT/DIFF BRONCH. LAVAGE | 40500172 | $107.06 | 89051 |
| BRUC | BRUCELLA ABORTUS AB. | 40200318 | $40.95 | 86622 |
| BRZN | ALLERGEN - BRAZIL NUT | 40200062 | $39.43 | 86003 |
| BTUS | BORDETELLA PERTUSSIS FA STAIN | 40300059 | $77.77 | 87265 |
| BUN | BUN | 40500136 | $24.91 | 84520 |
| BUNP | BUN - PLASMA | 40500136 | $24.91 | 84520 |
| C153 | CA 15-3 (CANCER AG 15-3) | 40200249 | $74.55 | 86300 |
| C199 | CA 19-9 (CARBOHYDRATE AG 19-9) | 40200242 | $70.97 | 86301 |
| C1EF | C1 ESTERASE INHIBITOR FUNCTIONAL | 40200395 | $131.25 | 86161 |
| C1QL | C1Q LEVEL | 40200393 | $259.92 | 86160 |
| C279 | CA 27.29 | 40200249 | $53.55 | 86300 |
| C3 | COMPLEMENT C3 | 40500162 | $74.73 | 86160 |
| C4 | COMPLEMENT C4 | 40500162 | $74.73 | 86160 |
| CA | CALCIUM SERUM | 40500101 | $26.96 | 82310 |
| CA25 | CA-125 (CANCER ANTIGEN 125) | 40200122 | $172.23 | 86304 |
| CA9A | COXSACKIE A9 VIRUS AB | 40200199 | $106.05 | 86658 |
| CACE | ANGIOTENSIN CONVERT ENZ, CSF | 40200272 | $80.94 | 82164 |
| CACU | CATECHOLAMINES PANEL, URINE FREE | 40200238 | $109.20 | 82384 |
| CADU | CADMIUM, URINE | 40200273 | $66.15 | 82300 |
| CAFE | CAFFEINE SERUM | 40200390 | $132.00 | 80155 |
| CALC | CALCITONIN SERUM | 40200229 | $115.50 | 82308 |
| CALN | ALLERGEN - CANDIDA ALBICANS | 40200062 | $39.43 | 86003 |
| CARB | CARBAMAZEPINE (TEGRETOL) | 40500056 | $213.11 | 80156 |
| CARO | CAROTENE | 40200276 | $65.10 | 82380 |
| CARR | ALLERGEN - CARROT | 40200062 | $39.43 | 86003 |
| CASA | CRYPTOCOCCUS ANTIGEN SERUM | 30100432 | $96.33 | 87327 |
| CASH | ALLERGEN - CASHEW | 40200062 | $39.43 | 86003 |
| CATF | CATECHOL. FRACTIONATED, PLASMA | 40200238 | $131.44 | 82384 |
| CBC | COMPLETE BLOOD COUNT | 40500143 | $42.42 | 85025 |
| CBFT | CARBAMAZEPINE, FREE AND TOTAL | 40200041 | $85.10 | 80156 |
| 40200042 | $85.10 | 80157 | ||
| CBG | BLOOD GAS CORD BLOOD | 40500009 | $96.80 | 82805 |
| CBW | CORD BLOOD WORKUP | 40400014 | $33.00 | 86880 |
| 40400016 | $13.00 | 86900 | ||
| 40400017 | $20.00 | 86901 | ||
| CCLR | CREATININE CLEARANCE URINE | 40500084 | $74.74 | 82575 |
| CCP | CYCLIC CITRUL PEPTIDE AB, IGG | 40200262 | $81.90 | 86200 |
| CDFT | C. DIFF TOXIN | 40300048 | $75.00 | 87324 |
| CDIP | C DIFF BY PCR | 40300063 | $43.43 | 87493 |
| 40300048 | $75.00 | 87324 | ||
| CDTB | C. DIFFICILE A/B SCREEN | 40300048 | $60.19 | 87324 |
| CEA | CARCINOEMBRYONIC ANTI CEA | 40500081 | $126.59 | 82378 |
| CELI | 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 | ||
| CEPR | CELIAC SEROLOGY (PROMETHEUS) | 40200085 | $122.85 | 83520 |
| 40200086 | $122.85 | 8352091 | ||
| 40200086 | $122.85 | 8352091 | ||
| 31000050 | $526.50 | 88346 | ||
| 40200142 | $91.31 | 82784 | ||
| CEPS | ALLERGEN - CEPHALOSPORIUM | 40200062 | $39.43 | 86003 |
| CERU | CERULOPLASMIN | 40200186 | $74.73 | 82390 |
| CETO | CENTROMERE ANTIBODY, IGG | 40200135 | $72.45 | 83516 |
| CFIS | ALLERGEN - CATFISH | 40200062 | $39.43 | 86003 |
| CFSQ | CF MUTATION PANEL | 30100319 | $541.80 | 81220 |
| CGA | ALBUMIN-IGG CSF | 40200142 | $91.31 | 82784 |
| 40200269 | $41.51 | 82042 | ||
| 40200268 | $31.13 | 82040 | ||
| 40200142 | $91.31 | 82784 | ||
| CGC | CRYOGLOBULIN SCREEN | 40200279 | $35.00 | 82595 |
| CHB | CARBOXYHGB (CARBON MONOXIDE) | 40500080 | $110.09 | 82375 |
| CHEE | ALLERGEN - CHEESE, CHEDDAR | 40200062 | $39.43 | 86003 |
| CHGR | ALLERGEN - CHAETOMIUM GLOBOSUM | 40200062 | $39.43 | 86003 |
| CHIC | ALLERGEN - CHICKEN | 40200062 | $39.43 | 86003 |
| CHLL | CHLAMYDIA DETECTION | 40300057 | $43.43 | 87491 |
| CHOL | CHOLESTEROL | 40500104 | $26.96 | 82465 |
| CHRA | CHROMOSOME ANALYSIS ON AMINIOTIC FLU | 40200145 | $559.00 | 88235 |
| 40200139 | $559.00 | 88291 | ||
| 31000034 | $559.00 | 88269 | ||
| CHRB | ALLERGEN CLADOSPORIUM HERBARUM | 40200062 | $39.43 | 86003 |
| CHRO | CHROMOSOME ANALYSIS - BLOOD | 40200138 | $559.65 | 88262 |
| 40200139 | $559.65 | 88291 | ||
| 31000035 | $559.65 | 88230 | ||
| CIMM | IMMUNOGLOBULINS, QUANT - CSF | 40200142 | $91.31 | 82784 |
| 40200142 | $91.31 | 82784 | ||
| 40200142 | $91.31 | 82784 | ||
| CKLB | ALLERGEN - COCKLEBUR | 40200062 | $39.43 | 86003 |
| CKRG | ALLERGEN - COCKROACH, GERMAN | 40200062 | $39.43 | 86003 |
| CKRH | ALLERGEN - COCKROACH, AMERICAN | 40200062 | $39.43 | 86003 |
| CL | CHLORIDE SERUM | 40500103 | $29.05 | 82435 |
| CLAM | ALLERGEN - CLAM | 40200062 | $39.43 | 86003 |
| CMVG | CMV CYTOMEGALOVIRUS IGG TITER | 40300018 | $105.85 | 86644 |
| CMVM | CMV CYTOMEGALOVIRUS IGM TITER | 40300019 | $112.06 | 86645 |
| CMVR | CMV ANTIBODIES (TOTAL) | 40200018 | $136.50 | 86644 |
| CMVRC | CYTOMEGALOVIRUS RAPID CULTURE | 40300044 | $50.50 | 87254 |
| CO2 | CO2 | 40500102 | $22.83 | 82374 |
| COAM | CORTISOL - AM | 40500083 | $97.56 | 82533 |
| COCN | ALLERGEN - COCONUT | 40200062 | $39.43 | 86003 |
| COCO | ALLERGEN - CHOCOLATE | 40200062 | $39.43 | 86003 |
| COD | ALLERGEN - CODFISH/WHITEFISH | 40200062 | $39.43 | 86003 |
| CODF | ALLERGEN - CODFISH | 40200396 | $39.43 | 86003 |
| COFU | CORTISOL URINE FREE BY LC-MS/MS | 40200222 | $89.23 | 82530 |
| COMT | COMPLEMENT, TOTAL CH50 | 40200311 | $50.40 | 86162 |
| COPM | CORTISOL - PM | 40500083 | $97.56 | 82533 |
| COPP | COPPER SERUM | 40200278 | $93.39 | 82525 |
| CORB | BILIRUBIN CORD BLOOD | 40500077 | $39.39 | 82247 |
| 40500078 | $39.39 | 82248 | ||
| COST | CORTISOL STIMULATION | 40500083 | $97.56 | 82533 |
| COTW | ALLERGEN - COTTONWOOD TREE | 40200062 | $39.43 | 86003 |
| CPEP | C-PEPTIDE - SERUM | 40200240 | $78.86 | 84681 |
| CPK | CK | 40500016 | $36.36 | 82550 |
| CPKB | CKMB (INCL. CK AND CKMB) | 40500016 | $36.36 | 82550 |
| 40500017 | $21.21 | 82553 | ||
| CPMP | COMPREHENSIVE METABOLIC PANEL | 40500052 | $56.04 | 80053 |
| CRA | ALLERGEN - CRAB | 40200062 | $39.43 | 86003 |
| CRAG | CRYPTOCOCCAL ANTIGEN CSF | 40300014 | $116.15 | 86403 |
| CRAT | CRYPTOCOCCAL AG TITER CSF | 40300015 | $112.11 | 86406 |
| CRBF | CRYSTALS - BODY FLUID | 40500042 | $47.72 | 89060 |
| CRBM | CHROMOSOME ANALYSIS-BONE MARROW | 40200136 | $593.94 | 88237 |
| 40200139 | $593.94 | 88291 | ||
| 31000037 | $593.94 | 88264 | ||
| CRDA | CARDIOLIPIN IGA | 40200144 | $172.23 | 86147 |
| CRDG | CARDIOLIPIN AB IGG | 40200144 | $172.23 | 86147 |
| CRDM | CARDIOLIPIN IGM | 40200144 | $172.23 | 86147 |
| CREB | CREATININE SERUM | 40500012 | $31.31 | 82565 |
| CREI | CREATININE - PLASMA | 40500012 | $31.31 | 82565 |
| CRGA | CHROMOGRANIN A | 40200110 | $207.90 | 86316 |
| CRN | CARNITINE, FREE AND TOTAL | 40200275 | $120.75 | 82379 |
| CRNA | ALLERGEN - CORN | 40200062 | $39.43 | 86003 |
| CRP | C-REACTIVE PROTEIN (CRP) | 40500161 | $60.19 | 86140 |
| CRPA | HIGH-SENSITIVITY CRP | 40200309 | $68.55 | 86141 |
| CRPL | CREATININE PLEURAL FLUID | 40500180 | $11.11 | 82570 |
| CRPT | CREATININE PERITONEAL FLUID | 40500180 | $11.11 | 82570 |
| CRTR | CORTISOL LEVEL, RANDOM | 40500083 | $97.56 | 82533 |
| CRTS | CORTISOL STIMULATION | 30100096 | $97.56 | 82533 |
| CRY | CRYPTOSPORIDIUM | 40300049 | $58.10 | 87328 |
| CRYF | CRYOFIBRINOGEN | 40200354 | $60.19 | 82585 |
| CSUA | CYSTINE QUANTITATIVE, URINE | 40200176 | $327.60 | 82131 |
| CTAC | CITRIC ACID, URINE | 40200365 | $176.41 | 82507 |
| CTAD | C TRACHOMATIS AMPLIFIED DETECT | 40200162 | $129.15 | 87491 |
| CTDA | ALLERGEN - CAT DANDER | 40200062 | $39.43 | 86003 |
| CTED | ALLERGEN - CAT EPI AND DANDER | 40200062 | $39.43 | 86003 |
| CUVL | ALLERGEN CURVULARIA SPICIFERA | 40200062 | $39.43 | 86003 |
| CVBO | VDRL CSF REFLEX BILL ONLY | 40200094 | $101.85 | 86593 |
| CVDB | VDRL, CSF | 40200095 | $29.40 | 86592 |
| CVDQ | CMV DNA QUANTITATION BY PCR | 40200356 | $610.05 | 87497 |
| CVGA | CMV ANTIBODY, IGG | 40200401 | $105.85 | 86644 |
| CVMA | CMV ANTIBODY, IGM | 40200402 | $112.06 | 86645 |
| CVPC | CYTOMEGALOVIRUS CMV CULTURE PCR | 40200089 | $450.45 | 87496 |
| CXB | COXSACKIE B VIRUS AB (CF) | 40200199 | $71.40 | 86658 |
| 40200199 | $71.40 | 86658 | ||
| 40200199 | $71.40 | 86658 | ||
| 40200199 | $71.40 | 86658 | ||
| 40200199 | $71.40 | 86658 | ||
| 40200199 | $71.40 | 86658 | ||
| CY26 | CYTOCHROME P450 2D6 (CYP2D6) | 30100318 | $2,047.50 | 81227 |
| CYC | CYCLOSPORINE | 40200059 | $111.30 | 80158 |
| CYP26 | Cytochrome P450 2D6 (CYP2D6) | 30100475 | $2,047.50 | 81226 |
| CYSC | CYSTATIN C | 40200108 | $286.65 | 82610 |
| D17H | STEROIDS-17 HYDROXYCORTICO 24HR | 40200284 | $97.56 | 83491 |
| D17K | STEROIDS-17 KETOSTEROID - 24 HR URIN | 40200285 | $100.80 | 83586 |
| DALB | PROTEIN, TOTAL 24HR URINE | 40500008 | $15.15 | 84156 |
| DAT | DIRECT COOMBS | 40400014 | $33.00 | 86880 |
| DATT | DAT TEST | 40400014 | $33.00 | 86880 |
| DCA | CALCIUM 24HR URINE | 40500079 | $41.51 | 82340 |
| DCL | CHLORIDE 24HR URINE | 40500082 | $58.58 | 82436 |
| DCMD | METHADONE CONFIRMATION, URINE | 30100400 | $171.15 | 80358 |
| DCRE | CREATININE 24HR URINE | 40500029 | $37.35 | 82570 |
| DDIM | D-DIMER | 40500150 | $93.93 | 85378 |
| DFAR | ALLERGEN - D. FARINAE | 40200062 | $39.43 | 86003 |
| DFEN | ALLERGEN - DOG FENNEL | 40200062 | $98.70 | 86003 |
| DHEA | DHEA-SULFATE SERUM | 40200218 | $184.72 | 82627 |
| DIFF | DIFFERENTIAL | 40500142 | $22.83 | 85007 |
| DIFM | MANUAL DIFFERENTIAL | 40500142 | $22.83 | 85007 |
| DIG | DIGOXIN | 40500057 | $72.64 | 80162 |
| DK | POTASSIUM 24HR URINE | 40500116 | $24.91 | 84133 |
| DMAL | MICROALBUMIN 24 HR URINE | 40500073 | $48.48 | 82043 |
| DMG | MAGNESIUM 24HR URINE | 40500109 | $68.68 | 83735 |
| DNAB | STREPTOZYME DNASE B ANTIBODY | 40200045 | $50.40 | 86215 |
| DNAF | DNA BY FARR METHOD | 40200012 | $210.00 | 86225 |
| DNAS | DNA AB SERUM | 40300011 | $26.26 | 86225 |
| DNAT | DNA TITER | 40300013 | $85.10 | 86256 |
| DOD | DELTA O.D. AMNIOTIC FLUID | 40200254 | $112.35 | 82143 |
| DOGD | ALLERGEN - DOG DANDER | 40200062 | $39.43 | 86003 |
| DP5 | SUBSTANCE ABUSE PANEL 5 | 30100413 | $121.20 | 80307 |
| DP6 | SUBSTANCE ABUSE PANEL 6 | 30100413 | $145.44 | 80307 |
| DP8 | SUBSTANCE ABUSE PANEL 8 | 30100413 | $193.92 | 80307 |
| DPO4 | PHOSPHORUS 24HR URINE | 40500114 | $31.13 | 84105 |
| DPTR | ALLERGEN - D. PTERONYSSINUS | 40200062 | $39.43 | 86003 |
| DRVB | DRVV BILL CONFIRMATION REFLEX | 40200014 | $112.35 | 85613 |
| DRVV | DILUTE RUSSELL VIPER | 40200014 | $54.60 | 85613 |
| DSOD | SODIUM 24 HR URINE | 40500123 | $29.05 | 84300 |
| DTTA | DIPTHERIA/TETANUS TOXOID ANTIBODIES | 40200320 | $122.45 | 86648 |
| 40200336 | $112.06 | 86774 | ||
| DURA | URIC ACID - 24HR URINE | 40500139 | $31.13 | 84560 |
| DURE | UREA - 24HR URINE | 40500137 | $64.64 | 84540 |
| EAC | EAR CULTURE | 40300026 | $51.89 | 87070 |
| EACG | EAR CULTURE GS | 40300026 | $51.89 | 87070 |
| 40300038 | $24.91 | 87205 | ||
| EBPC | EPSTEIN-BARR VIRUS BY PCR | 40200362 | $339.15 | 87798 |
| EBVS | EPSTEIN-BARR VIRUS AB SCREEN | 40200327 | $109.98 | 86665 |
| 40200327 | $109.98 | 86665 | ||
| 40200326 | $37.01 | 86664 | ||
| 40200325 | $37.01 | 86663 | ||
| EGG | ALLERGEN - EGG WHITE | 40200062 | $39.43 | 86003 |
| EGGW | ALLERGEN - EGG, WHOLE | 40200062 | $39.43 | 86003 |
| EGGY | ALLERGEN - EGG, YOLK | 40200062 | $39.43 | 86003 |
| EHCG | BETA HCG PREGNANCY URINE | 40500141 | $41.51 | 84703 |
| EHR | EHRLICHIA CHAFFEENSIS (IFA) | 40200197 | $56.70 | 86666 |
| 40200197 | $56.70 | 86666 | ||
| ELM | ALLERGEN - ELM TREE | 40200062 | $39.43 | 86003 |
| EMAB | ENDOMYSIAL AB, IGA TITER | 40200092 | $192.15 | 86256 |
| ENAR | EXTRACTABLE NUCLEAR AG PROFILE | 40200312 | $41.80 | 86235 |
| 40200312 | $41.80 | 86235 | ||
| 40200312 | $41.80 | 86235 | ||
| 40200312 | $41.80 | 86235 | ||
| 40200312 | $41.80 | 86235 | ||
| EOCT | EOSINOPHIL COUNT | 40500146 | $74.74 | 85048 |
| EPI | ALLERGEN - EPICOCCUM SPP. | 40200062 | $39.43 | 86003 |
| EPLN | ALLERGEN - ENGLISH PLANTAIN | 40200062 | $39.43 | 86003 |
| ERYT | ERYTHROPOIETIN | 40200223 | $116.23 | 82668 |
| ESGF | ESTROGENS, FRACTIONATED BY TMS | 40200377 | $161.87 | 82671 |
| ESR | SED RATE ERYTHROCYTE-ESR | 40500156 | $29.05 | 85652 |
| ESTD | ESTRADIOL | 40500086 | $130.73 | 82670 |
| ESTR | ESTRIOL SERUM | 40200170 | $170.16 | 82677 |
| EVPC | ENTEROVIRUS DETECTION BY RT-PCR | 40200125 | $640.50 | 87498 |
| EYC | EYE CULTURE | 40300026 | $51.89 | 87070 |
| EYCG | EYE CULTURE GS | 40300026 | $40.40 | 87070 |
| 40300038 | $23.23 | 87205 | ||
| F10 | FACTOR X (10) ACTIVITY | 40200208 | $136.50 | 85260 |
| F10A | LMW HEPARIN (ANTI-Xa) | 40200030 | $368.55 | 85520 |
| F11 | FACTOR XI (11) ACTIVITY | 40200213 | $237.30 | 85270 |
| F12 | FACTOR XII (12) ASSAY | 40200209 | $237.30 | 85280 |
| F13Q | FACTOR XIII QUALITATIVE | 40200017 | $94.50 | 85291 |
| F2 | FACTOR II (2) ACTIVITY | 40200205 | $201.60 | 85210 |
| F5 | FACTOR V (5) ACTIVITY | 40200206 | $115.50 | 85220 |
| F5LD | FACTOR V LEIDEN GENE MUTATION | 30100320 | $266.70 | 81241 |
| F7 | FACTOR VII (7) ACTIVITY | 40200207 | $126.00 | 85230 |
| F8 | FACTOR VIII (8) ACTIVITY | 40200031 | $102.90 | 85240 |
| F9 | FACTOR IX (9) ACTIVITY | 40200032 | $172.20 | 85250 |
| FALC | FORENSIC ETHANOL PLASMA | 30100414 | $64.64 | 80320 |
| FANA | ANTINUCLEAR AB/ANA JOINT FLUID | 40300009 | $58.58 | 86038 |
| FANT | FLUID ANA TITER/PATTERN | 40300010 | $74.73 | 86039 |
| FATQ | FAT, FECAL QUALITATIVE | 40200366 | $58.80 | 82705 |
| FBIL | BILIRUBIN TOTAL-FRACTIONATED ADULT | 40500078 | $13.13 | 82248 |
| 40500077 | $13.13 | 82247 | ||
| FC | FUNGUS CULTURE | 40300032 | $66.42 | 87102 |
| FCD | FUNGUS CULTURE (DERMATOPHYTE) | 40300031 | $42.42 | 87101 |
| FCT | CELL COUNT BODY FLUIDS/DIFF | 40500172 | $85.85 | 89051 |
| FDP8 | ALLERGEN - FOOD PROFILE 8 IGE | 40200062 | $39.43 | 86003 |
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| FE | IRON (TOTAL) | 40500019 | $58.10 | 83540 |
| FECA | FECAL CALPROTECTIN | 30100479 | $453.00 | 83993 |
| FEP | FREE ERYTHROCYTE PORPH.(FEP) | 40200182 | $262.50 | 84202 |
| FERR | FERRITIN | 40500088 | $87.17 | 82728 |
| FETS | FETAL CELL STAIN | 40500152 | $101.00 | 85460 |
| FF24 | FECAL FAT QUANTITAVIVE 24 HOURS | 40200366 | $58.80 | 82705 |
| FF48 | FECAL FAT QUANTITATIVE 48 HOURS | 40200366 | $58.80 | 82705 |
| FF72 | FECAL FAT QUANTITATIVE 72 HOURS | 40200366 | $58.80 | 82705 |
| FFN | FETAL FIBRINECTON | 40500089 | $396.38 | 82731 |
| FIBR | FIBRINOGEN | 40500151 | $33.33 | 85384 |
| FIRE | ALLERGEN - FIRE ANT | 40200062 | $39.43 | 86003 |
| FLCG | FLUID CULTURE GS | 40300026 | $51.89 | 87070 |
| 40300038 | $24.91 | 87205 | ||
| FLK | FECAL LEUKOCYTES LACTOFERRIN | 40300006 | $30.30 | 83630 |
| FLU | INFLUENZA A/B SCREEN | 40300053 | $36.36 | 87400 |
| FLUC | FLUID CULTURE | 40300026 | $51.89 | 87070 |
