Inpatient Lab Charges Augusta Part 2

30200045 HC ANTIBODY; BARTONELLA 86611 $72.27

30200046 HC ANTIBODY; BLASTOMYCES 86612 $60.82

30200047 HC ANTIBODY; BORDETELLA 86615 $107.33

30200048 HC LYME DISEASE WESTERN BLOT 86617 $98.74

30200049 HC AB; LYME'S DISEASE 86618 $65.83

30200050 HC ANTIBODY; BRUCELLA 86622 $55.81

30200051 HC ANTIBODY; CHLAMYDIA 86631 $593.87

30200052 HC ANTIBODY; COCCIDIOIDES 86635 $60.82

30200053 HC CYTOMEGALOVIRUS - CMV (CMVR) 86644 $186.03

30200056 HC ANTIBODY; DIPHTHERIA 86648 $106.61

30200057 HC AB; ENCEPHALITIS, CALIFORNIA 86651 $105.30

30200058 HC AB; ENCEPHALITIS, EAST EQUINE 86652 $105.30

30200059 HC AB; ENCEPHALITIS, ST LOUIS 86653 $105.30

30200060 HC AB; ENCEPHALITIS, WEST EQUINE 86654 $105.30

30200061 HC AB; ENTEROVIRUS 86658 $144.53

30200062 HC AB; EB, EARLY ANTIGEN VIRUS 86663 $50.45

30200063 HC AB; EB, NUCLEAR ANTIGEN 86664 $50.45

30200064 HC AB; EB, VIRAL CAPSID 86665 $50.45

30200065 HC AB; EHRLICHIA 86666 $77.27

30200066 HC ANTIBODY; HELICOBACTER PYLORI 86677 $87.75

30200067 HC ANTIBODY; HTLV-I 86687 $246.13

30200069 HC AB; HEPATITIS D 86692 $50.09

30200070 HC AB; HSV, NON-SPECIFIC 86694 $117.34

30200071 HC HERPES SIMPLEX, TYPE 1 (HRP1) 86695 $147.39

30200072 HC HERPES VIRUS TYPE 2 IGG (HS2G) 86696 $147.39

30200073 HC ANTIBODY; HISTOPLASMA 86698 $60.82

30200075 HC HEP B CORE AB, TOTAL (HBCA) 86704 $70.48

30200076 HC HEPATITIS B CORE ANTIBODY, IGM 86705 $91.80

30200077 HC HEPATITIS B SURFACE ANTIBODY 86706 $105.30

30200078 HC ANTIBODY; HEPATITIS BE 86707 $90.15

30200079 HC HEPATITIS A ANTIBODY TOTAL-HAT 86708 $60.10

30200080 HC HEPATITIS A ANTIBODY; IGM 86709 $121.50

30200081 HC ANTIBODY; LEGIONELLA 86713 $72.98

30200083 HC ANTIBODY; MUMPS 86735 $117.34

30200085 HC AB; PARVOVIRUS 86747 $118.77

30200086 HC PLASODIUM (MALARIA) 86750 $492.26

30200087 HC ANTIBODY; PROTOZOA 86753 $78.71

30200088 HC ANTIBODY; RICKETTSIA 86757 $98.74

30200089 HC ANTIBODY; RUBELLA 86762 $70.48

30200090 HC ANTIBODY; RUBEOLA 86765 $137.27

30200091 HC ANTIBODY; TETANUS 86774 $107.33

30200092 HC AB; TOXOPLASMA 86777 $70.48

30200093 HC AB; TOXOPLASMA, IGM 86778 $68.69

30200094 HC AB;TREPONEMA CONFIRM 86780 $68.69

30200095 HC ANTIBODY; TRICHINELLA 86784 $290.49

30200096 HC ANTIBODY; VARICELLA-ZOSTER 86787 $70.12

30200097 HC ANTIBODY; WEST NILE VIRUS, IGM 86788 $117.34

30200098 HC ANTIBODY; WEST NILE VIRUS 86789 $117.34

30200099 HC ANTIBODY; VIRUS, NES 86790 $117.34

30200100 HC ANTIBODY; THYROGLOBULIN` 86800 $81.57

30200101 HC HEPATITIS C ANTIBODY 86803 $190.35

30200103 HC HLA TYPE; A, B, C, SGL ANTIGEN 86812 $210.36

30200105 HC BLOOD TYPING; RH PHENOTYPING 86906 $36.45

30200106 HC COMPATIBILITY TEST, SPIN; EACH 86920 $211.95

30200107 HC IMMUNOASSAY, QUANT; CA 19-9 86301 $47.22

30200108 HC COMPLEMENT; ANTIGEN, EACH COMP 86160 $118.80

30200110 HC ENA; ANY METHOD, EACH ANTIBODY 86235 $403.54

30200111 HC FLUORESCENT AB; TITER, EA AB 86256 $148.50

30200113 HC PA; SCREEN, EA AB 86403 $153.90

30200115 HC SYPHILIS TEST (RPR, VDRL);QUAL 86592 $52.65

30200116 HC VDRL - QUANTITATIVE 86593 $138.81

30200117 HC ANTIBODY; RUBELLA 86762 $69.26

30200118 HC ANTIBODY; RUBEOLA 86765 $117.34

30200122 HC VDRL - QUANTITATIVE 86593 $60.75

30200123 HC IMMUNOELECTROPHORESIS; FLUIDS 86335 $514.35

30200124 HC IMMUNOELECTROPHORESIS; SERUM 86334 $1,188.00

30200125 HC CYTOMEGALOVIRUS ANTIBODY IGG 86644 $62.51

30200126 HC CYTOMEGALOVIRUS ANTIBODY IGM 86645 $66.07

30200127 HC MYCOPLASMA PNEUMONIAE ANTIBODY 86738 $67.70

30500002 HC BLOOD SMEAR W/DIFF WBC COUNT 85007 $32.40

30500003 HC HEMOGLOBIN 85018 $58.05

30500004 HC COMPL CBC W PLT W AUTOM DIFF 85025 $118.80

30500005 HC COMPL AUTOM CBC W PLT 85027 $105.30

30500006 HC AUTOMATED RETICULOCYTE COUNT 85045 $97.20

30500007 HC RETICULOCYTES HEMOGLOBIN CONT 85046 $83.00

30500008 HC AUTOMATED WBC 85048 $99.90

30500009 HC AUTOMATED PLATELET COUNT 85049 $52.65

30500010 HC CLOT LYSIS TIME, WH BLD DILUTE 85175 $39.15

30500011 HC FACTOR II, PROTHROMBIN SPECIF 85210 $274.75

30500012 HC CLOTTING; FACTOR V 85220 $157.41

30500013 HC CLOTTING; FACTOR VII 85230 $171.72

30500014 HC FACTOR VIII (F8) 85240 $140.24

30500015 HC CLOT;FACT 8, RISTOCETIN COFACT 85245 $188.18

30500016 HC FACTOR VIII, VW FACTOR ANTIGEN 85246 $188.18

30500017 HC FACTOR 8 VWF MULTIMRIC 85247 $188.18

30500018 HC FACTOR IX (F9) 85250 $234.68

30500019 HC CLOTTING; FACTOR X 85260 $186.03

30500020 HC CLOTTING; FACTOR XI 85270 $323.41

30500021 HC CLOTTING; FACTOR XII 85280 $323.41

30500022 HC FACTOR XIII (13) ASSAY (F13) 85291 $157.41

30500023 HC ANTITHROMBIN III ACTIVITY 85300 $117.34

30500024 HC ANTITHROMBIN III ANTIGEN ASSAY 85301 $131.65

30500025 HC PROTEIN C, AG 85302 $98.74

30500026 HC PROTEIN C ACTIVITY 85303 $157.41

30500027 HC PROTEIN S, TOTAL 85305 $98.74

30500028 HC PROTEIN S, FREE 85306 $254.72

30500029 HC ACTIVATED PROTEIN C RESISTANCE 85307 $154.55

30500030 HC COAGULATION TIME; ACTIVATED 85347 $99.90

30500031 HC FIBRIN DEGRADATION PRODUCTS 85362 $172.80

30500032 HC D-DIMER; QUAL/SEMIQUANT 85378 $125.55

30500033 HC FIBRINOGEN; ACTIVITY 85384 $63.45

30500034 HC ADAMTS-13 85397 $892.94

30500035 HC K-B STAIN FOR FETAL HEMOGLOBIN 85460 $135.00

30500037 HC HEPARIN ASSAY (F10A) 85520 $502.28

30500038 HC LEUKOCYTE ALK PHOS W COUNT 85540 $334.85

30500039 HC MURAMIDASE (LYSOZYME) 85549 $83.00

30500040 HC PLT, AGGREGATION(IN VITRO), EA 85576 $140.40

30500041 HC PLATELET NEUTRALIZATION (STAY) 85597 $489.40

30500042 HC PROTHROMBIN TIME 85610 $86.40

30500043 HC PT;SUBSTITUTION,PLASMA FRAC,EA 85611 $86.40

30500044 HC DILUTE RUSSELL VIPER VENOM 85613 $153.12

30500045 HC AUTOM ERYTHROCYTE SED RATE 85652 $47.25

30500046 HC SICKLING OF RBC, REDUCTION 85660 $62.10

30500047 HC THROMBIN TIME; PLASMA 85670 $76.95

30500048 HC PTT; PLASMA OR WHOLE BLOOD 85730 $105.30

30500049 HC PTT;SUBSTITUTION,PLASM FRAC,EA 85732 $114.75

30500050 HC VISCOSITY 85810 $68.69

30500051 HC INVESTIG TRANSFUSION REACTION 86078 $170.83

30500052 HC POC OACT ELITE 85347 $99.90

30500054 HC PROTHROMBIN TIME 85610 $22.95

30500057 HC COAGULATION TIME; ACTIVATED 85347 $36.45

30600001 HC AEROB BACTERIAL BLOOD CULTURE 87040 $198.45

30600002 HC AEROB BACTERIAL CULTURE, STOOL 87045 $168.75

30600003 HC STOOL CUL, ADD PATH, EA PLATE 87046 $33.75

30600004 HC BACTERIAL CULT - OTHER SOURCE 87070 $168.75

30600005 HC ANAEROB BACT CULTURE WITH ID 87075 $168.75

30600006 HC ANAEROBIC ISOLATE ID, EA ISOL 87076 $36.45

30600007 HC CULTURE, BACTERIA - ID,EA ISOL 87077 $36.45

30600008 HC CULTURE, PRESUMPT PATH; SCREEN 87081 $174.15

30600009 HC BACT CULT URINE;QUAN COL COUNT 87086 $168.75

30600010 HC CULT FUNGUS W/ID; SKIN, HR, NL 87101 $220.05

30600011 HC FUNGUS CULTURE; NOT BLOOD 87102 $220.05

30600012 HC CULTURE, AFB; ANY SOURCE 87116 $206.55

30600013 HC CULT MYCOBACTERIA ID, EA ISOL 87118 $184.95

30600014 HC O&P DIRECT SMEARS, CONC. & ID 87177 $170.29

30600015 HC SUSCEPTIBILITY, MIC; MICROBE 87186 $635.85

30600016 HC SENSITIVITY MYCOBACTER,EA AGNT 87190 $60.75

30600017 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $89.10

30600018 HC SMEAR;FLUORESCENT OR AFB STAIN 87206 $67.50

30600019 HC O&P TRICHROME STAIN 87209 $170.29

30600021 HC VIRUS ISOLATE; TISSUE CUL INOC 87252 $360.65

30600022 HC VIRUS ISOL, SHELL VIAL TECHN 87254 $360.65

30600024 HC HERPES SIMPLEX 2 AG BY IF 87273 $51.30

30600025 HC HERPES SIMPLEX 1 AG BY IF 87274 $51.30

30600026 HC VARICELLA ZOSTER AG BY DFA 87290 $97.20

30600027 HC ASPERGILLUS ANTIGEN, EIA 87305 $500.85

30600028 HC CLOSTRIDIUM AG, EIA 87324 $108.00

30600029 HC CRYPTOSPORIDIUM AG, EIA 87328 $130.95

30600030 HC GIARDIA ANTIGEN, EIA 87329 $97.20

30600031 HC HELICOBACTER PYLORI AG; STOOL 87338 $294.79

30600032 HC HEPATITIS B SURFACE AG, EIA 87340 $174.15

30600033 HC HEPATITIS BE AG, EIA 87350 $65.83

30600034 HC HISTOPLASMA CAPSUL AG, EIA 87385 $572.40

30600035 HC INFLUENZA A/B, ANTIGEN, EIA 87400 $114.75

30600036 HC RSV ANTIGEN, EIA 87420 $147.15

30600037 HC ROTAVIRUS ANTIGEN, EIA 87425 $118.80

30600038 HC INFECTIOUS AGENT AG-EIA, MULTI 87449 $222.75

30600039 HC B BURGDORFERI, AMP PROBE TECH 87476 $625.35

30600042 HC C DIFF AMPLIFIED PROBE 87493 $116.10

30600043 HC CMV, AMP PROBE TECHNIQUE 87496 $613.90

30600044 HC CYTOMEGALOVIRUS DNA QUANT 87497 $831.41

30600045 HC ENTEROVIRUS, AMPLIFIED PROBE 87498 $872.91

30600046 HC HEP-B, NA QUAN 87517 $565.25

30600047 HC HEPATITIS C, NUCLEI ACID QUANT 87522 $591.00

30600048 HC HSV, AMP PROBE TECHNIQ (HSPC) 87529 $577.52

30600049 HC HIV-1, AMPLIF NA PROBE 87535 $1,362.31

30600050 HC HIV-1, NUCLEI ACID QUANT 87536 $558.09

30600051 HC MYCOBACTERIA, DNA PROBE 87550 $305.10

30600052 HC N GONORRHOEAE AMP PROBE TECH 87591 $176.01

30600054 HC PAPILLOMAVIRUS TYPES 16 AND 18 87625 $462.21

30600056 HC HIV GENOTYPE, DNA 87901 $1,491.10

30600057 HC HEPATITIS C GENOTYPE 87902 $861.46

30600059 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $87.75

30600066 HC CHLAMYDIA TRACH, DNA PROBE 87491 $176.01

30700002 HC AUTOM URINALYSIS WO MICRO 81003 $47.71

30700003 HC URINALYSIS; QUAL NOT IA 81005 $39.15

30700004 HC URINALYSIS - MICRO ONLY 81015 $56.94

30700005 HC VOLUME MEASUREMENT TIMED URINE 81050 $6.75

30700006 HC AUTOM URINALYSIS WO MICRO 81003 $47.71

30900001 HC CRYSTAL EXAM - BODY FLUID 89060 $62.10

31000001 HC TISSUE CULTURE 88235 $754.65

31000002 HC TISSUE CULTURE 88237 $815.40

31000004 HC CHROMOSOME ANALYSIS 88262 $873.67

31000006 HC MCG; DNA PROBE; EACH (EG,FISH) 88271 $558.09

31000007 HC MCG; IP SITU, 100-300 CELLS 88275 $558.09

31000009 HC CYTOGENETICS REPORT/INTERPRET 88291 $1,491.75

31000023 HC IMMUNOHISTOCHEMISTRY, EACH AB 88342 $473.85

31000028 HC INSITU HYBRIDIZATION, EA PROBE 88365 $1,790.10

31000030 HC TISSUE CULTURE 88237 $983.91

31100010 HC CELL SURFACE MARKER FIRST MKR 88184 $245.70

31100011 HC CELL SURFACE MARKER EACH ADDL 88185 $512.30

31100015 HC CELL SURFACE MARKER FIRST 88184 $83.70

31100016 HC CELL SURFACE MARKER EACH ADDL 88185 $512.30

31100017 HC CELL SURFACE MARKER FIRST 88184 $83.70

39000001 HC WHOLE BLOOD/RBC'S 20 ML P9011 $135.00

39000002 HC WHOLE BLOOD/RBC'S 1 ML P9011 $16.20

39000003 HC WHOLE BLOOD/RBC'S 75 ML P9011 $506.25

39000004 HC WHOLE BLOOD/RBC'S 10 ML P9011 $56.70

39000005 HC WHOLE BLOOD/RBC'S 5 ML P9011 $16.88

39000006 HC WHOLE BLOOD/RBC'S 225 ML P9011 $264.60

39000007 HC WHOLE BLOOD/RBC'S 40 ML P9011 $270.00

39000008 HC WHOLE BLOOD/RBC'S 50 ML P9011 $159.30

39000011 HC LEUKOCYTE POOR BLD, EACH UNIT P9016 $445.50

39000012 HC SINGLE DONOR FFP, EACH UNIT P9017 $294.30

39000013 HC PLATELETS, EACH UNIT P9019 $224.10

39000014 HC RED BLOOD CELLS, EACH UNIT P9021 $445.50

39000015 HC WASHED RED BLOOD CELLS P9022 $1,460.70

39000016 HC PLATELETS, LEUKOREDUCED-EACH P9031 $729.00

39000017 HC LEUKOREDUCED IRRAD PLTS. EACH P9033 $866.70

39000018 HC PLTS PHERESIS LEUKOREDUCE/UNIT P9035 $1,381.05

39000019 HC PLTS PHER LEUKORED IRRAD/UNIT [39000019] P9037 $1,509.30

39000020 HC RBC'S IRRADIATED, EACH UNIT P9038 $611.55

39000021 HC RBC'S DEGLYCEROLIZED,EACH UNIT P9039 $1,460.70

39000022 HC RBC, LR, IRRADIATED, EACH UNIT P9040 $604.80

39000023 HC CMV NEG LR WB/RBC, EACH UNIT P9051 $486.00

39000024 HC CMV NEG LR IRRAD RBC, EA UNIT P9058 $614.25

39000025 HC PLASMA, FRZ BETWEEN 8-24 HR P9059 $294.30

39000026 HC CRYOPRECIPITATE, EACH UNIT P9012 $147.15

39000027 HC LEUKOCYTE POOR BLD, EACH UNIT [39000027] P9016 $445.50

39000028 HC SINGLE DONOR FFP, EACH UNIT [39000028] P9017 $294.30