| Basic metabolic panel (blood test)
CPT 80048
BASIC METABOLIC PANEL |
$80.40 |
$134.00 |
40% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
BASIC METABOLIC PANEL |
$80.40 |
$134.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL W/RFX LDL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL P8100 |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL P8093 |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL P4483 |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
CARDIO IQ LIPID PANEL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
CARD IQ LIPID PN W/REF DIR LDL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PROFILE |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
CARD IQ LIPID PN W/REF DIR LDL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PROFILE |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
CARDIO IQ LIPID PANEL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL W/RFX LDL |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL P8100 |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL P8093 |
$75.60 |
$126.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL P4483 |
$75.60 |
$126.00 |
40% |
| Complete blood count (CBC) with differential
CPT 85025
CBC & PLT & AUTO COMP DIFF |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC) with differential
CPT 85025
OXLDL |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC) with differential
CPT 85025
CBC W/DIFF & PLATELETS |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
CBC & PLT & AUTO COMP DIFF |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
CBC W/DIFF & PLATELETS |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
OXLDL |
$31.80 |
$53.00 |
40% |
| Complete blood count (CBC), no differential
CPT 85027
CBC & PLT ONLY |
$28.20 |
$47.00 |
40% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
CBC & PLT ONLY |
$28.20 |
$47.00 |
40% |
| Comprehensive metabolic panel (blood test)
CPT 80053
COMPREHENSIVE METABOLIC PANEL |
$124.20 |
$207.00 |
40% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
COMPREHENSIVE METABOLIC PANEL |
$124.20 |
$207.00 |
40% |
| Kidney function blood test panel
CPT 80069
RENAL FUNCTION PANEL |
$103.20 |
$172.00 |
40% |
| Kidney function blood test panel inpatient
CPT 80069
RENAL FUNCTION PANEL |
$103.20 |
$172.00 |
40% |
| Liver function blood test panel
CPT 80076
HEPATIC FUNCTION PANEL |
$87.60 |
$146.00 |
40% |
| Liver function blood test panel
CPT 80076
HEPATIC FUNCTION - PANEL A |
$87.60 |
$146.00 |
40% |
| Liver function blood test panel inpatient
CPT 80076
HEPATIC FUNCTION PANEL |
$87.60 |
$146.00 |
40% |
| Liver function blood test panel inpatient
CPT 80076
HEPATIC FUNCTION - PANEL A |
$87.60 |
$146.00 |
40% |
| Obstetric blood test panel
CPT 80055
OBSTETRICS PANEL |
$594.60 |
$991.00 |
40% |
| Obstetric blood test panel inpatient
CPT 80055
OBSTETRICS PANEL |
$594.60 |
$991.00 |
40% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
PSA FREE REFLEX |
$60.00 |
$100.00 |
40% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
FREE PSA PNL 2770 |
$60.00 |
$100.00 |
40% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
PSA FREE REFLEX |
$60.00 |
$100.00 |
40% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
FREE PSA PNL 2770 |
$60.00 |
$100.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
TOTAL PSA PNL 2770 |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA ULTRA-SENSITIVE |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA TOTAL REFLEX TO FREE PSA |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA DIAGNOSTIC |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
DIAGNOSTIC PSA |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA TOTAL REFLEX TO FREE PSA |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
DIAGNOSTIC PSA |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
TOTAL PSA PNL 2770 |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA ULTRA-SENSITIVE |
$117.00 |
$195.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA DIAGNOSTIC |
$117.00 |
$195.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P4377 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P4384 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
ACTIVATED PTT |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
ACT PART THROMBOP TIME P P7021 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
APTT (BASELINE) PNL 5464 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PARTIAL PROTHROMBIN TIME P4160 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PTT ACTIVATED |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PTT-LA W/RFX HEXAGONAL CONFIRM |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBO TIME PTT P0070 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPL TIME PARTL(PTT)P2441 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P0267 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P2635 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBPL TIME PART(PTT) P6881 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P3391 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P3417 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
APTT (BASELINE) PNL 5464 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBPL TIME PART(PTT) P6881 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P4384 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P4377 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P3417 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P3391 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P2635 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P0267 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPL TIME PARTL(PTT)P2441 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBO TIME PTT P0070 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PTT-LA W/RFX HEXAGONAL CONFIRM |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PTT ACTIVATED |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PARTIAL PROTHROMBIN TIME P4160 |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
ACTIVATED PTT |
$25.80 |
$43.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
ACT PART THROMBOP TIME P P7021 |
$25.80 |
$43.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P0070 |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P P7021 |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PT PROTHROMBIN TIME |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P4160 |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P P7021 |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PT PROTHROMBIN TIME |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P4160 |
$15.60 |
$26.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P0070 |
$15.60 |
$26.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH THIRD GENERATION |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
THYROID FUNCTION CASCADE SERUM |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
THYROID STIMULATING HORMONE |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH W/FREE T4 RFX |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH W/HAMA TREATMENT |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
THYROID FUNCTION CASCADE SERUM |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
THYROID STIMULATING HORMONE |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH THIRD GENERATION |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH W/FREE T4 RFX |
$60.00 |
$100.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH W/HAMA TREATMENT |
$60.00 |
$100.00 |
40% |
| Urinalysis with microscope exam, automated
CPT 81001
URINALYSIS R & M |
$27.60 |
$46.00 |
40% |
| Urinalysis with microscope exam, automated
CPT 81001
UR COMPL W/REFLEX TO CULTURE |
$27.60 |
$46.00 |
40% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
UR COMPL W/REFLEX TO CULTURE |
$27.60 |
$46.00 |
40% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
URINALYSIS R & M |
$27.60 |
$46.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
URINE MACRO |
$10.20 |
$17.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
POC URINALYSIS/CLINITEK |
$24.60 |
$41.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
URINALYSIS AUTOMATED |
$24.60 |
$41.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
URINE MACRO |
$10.20 |
$17.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
POC URINALYSIS/CLINITEK |
$24.60 |
$41.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
URINALYSIS AUTOMATED |
$24.60 |
$41.00 |
40% |
| Urinalysis without microscope exam, manual
CPT 81002
URINALYSIS DIPSTICK |
$27.00 |
$45.00 |
40% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
URINALYSIS DIPSTICK |
$27.00 |
$45.00 |
40% |