| Basic metabolic panel (blood test)
CPT 80048
BASIC METABOLIC PANEL |
$225.60 |
$376.00 |
40% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
BASIC METABOLIC PANEL |
$225.60 |
$376.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PROFILE |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL P4483 |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
LIPID PANEL W/RFX LDL |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
CARDIO IQ LIPID PANEL |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
CARDIO IQ LIPID PANEL |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PROFILE |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL P4483 |
$496.80 |
$828.00 |
40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
LIPID PANEL W/RFX LDL |
$496.80 |
$828.00 |
40% |
| Complete blood count (CBC) with differential
CPT 85025
CBC & PLT & AUTO COMP DIFF |
$63.00 |
$105.00 |
40% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
CBC & PLT & AUTO COMP DIFF |
$63.00 |
$105.00 |
40% |
| Complete blood count (CBC), no differential
CPT 85027
CBC & PLT ONLY |
$70.80 |
$118.00 |
40% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
CBC & PLT ONLY |
$70.80 |
$118.00 |
40% |
| Comprehensive metabolic panel (blood test)
CPT 80053
COMPREHENSIVE METABOLIC PANEL |
$665.40 |
$1,109.00 |
40% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
COMPREHENSIVE METABOLIC PANEL |
$665.40 |
$1,109.00 |
40% |
| Kidney function blood test panel
CPT 80069
RENAL FUNCTION PANEL |
$244.80 |
$408.00 |
40% |
| Kidney function blood test panel inpatient
CPT 80069
RENAL FUNCTION PANEL |
$244.80 |
$408.00 |
40% |
| Liver function blood test panel
CPT 80076
HEPATIC FUNCTION PANEL |
$345.60 |
$576.00 |
40% |
| Liver function blood test panel inpatient
CPT 80076
HEPATIC FUNCTION PANEL |
$345.60 |
$576.00 |
40% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
PSA FREE REFLEX |
$197.40 |
$329.00 |
40% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
FREE PSA PNL 2770 |
$197.40 |
$329.00 |
40% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
FREE PSA PNL 2770 |
$197.40 |
$329.00 |
40% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
PSA FREE REFLEX |
$197.40 |
$329.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA TOTAL REFLEX TO FREE PSA |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA ULTRA-SENSITIVE |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
TOTAL PSA PNL 2770 |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA DIAGNOSTIC |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
TOTAL PSA PNL 2770 |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA DIAGNOSTIC |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA ULTRA-SENSITIVE |
$187.20 |
$312.00 |
40% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA TOTAL REFLEX TO FREE PSA |
$187.20 |
$312.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PARTIAL THROMBOPLASTIN PL 2848 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
ACTIVATED PTT |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
ACT PART THROMBOP TIME P P7021 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBO TIME PTT P0070 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBPL TIME PART(PTT) P6881 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PARTIAL PROTHROMBIN TIME P4160 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P3391 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
THROMBOPLASTIN TIME P2635 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
PTT ACTIVATED |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
APTT (BASELINE) PNL 5464 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
APTT (BASELINE) PNL 5464 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
ACTIVATED PTT |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PARTIAL PROTHROMBIN TIME P4160 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PTT ACTIVATED |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P3391 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
PARTIAL THROMBOPLASTIN PL 2848 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBPL TIME PART(PTT) P6881 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
ACT PART THROMBOP TIME P P7021 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBOPLASTIN TIME P2635 |
$238.80 |
$398.00 |
40% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
THROMBO TIME PTT P0070 |
$238.80 |
$398.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P4160 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME PNL 2848 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PT PROTHROMBIN TIME |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P P7021 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME P0070 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
PROTHROMBIN TIME |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PT PROTHROMBIN TIME |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME PNL 2848 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P4160 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P0070 |
$146.40 |
$244.00 |
40% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
PROTHROMBIN TIME P P7021 |
$146.40 |
$244.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH W/FREE T4 RFX |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
THYROID FUNCTION CASCADE SERUM |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH W/HAMA TREATMENT |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
THYROID STIMULATING HORMONE |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH THIRD GENERATION |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH W/HAMA TREATMENT |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
THYROID STIMULATING HORMONE |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH THIRD GENERATION |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
THYROID FUNCTION CASCADE SERUM |
$256.80 |
$428.00 |
40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH W/FREE T4 RFX |
$256.80 |
$428.00 |
40% |
| Urinalysis with microscope exam, automated
CPT 81001
UR COMPL W/REFLEX TO CULTURE |
$94.80 |
$158.00 |
40% |
| Urinalysis with microscope exam, automated
CPT 81001
URINALYSIS R & M |
$94.80 |
$158.00 |
40% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
UR COMPL W/REFLEX TO CULTURE |
$94.80 |
$158.00 |
40% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
URINALYSIS R & M |
$94.80 |
$158.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
KETONES URINE SCREEN C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
GLUCOSE URINE QUALITATIVE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
PROTEIN URINE QUALITATIVE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
PH URINE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
SPECIFIC GRAVITY URINE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
URINE MACRO |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
URINALYSIS AUTOMATED |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated
CPT 81003
URINE MACROSCOPIC |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
URINE MACROSCOPIC |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
URINALYSIS AUTOMATED |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
SPECIFIC GRAVITY URINE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
PH URINE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
PROTEIN URINE QUALITATIVE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
GLUCOSE URINE QUALITATIVE C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
URINE MACRO |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
KETONES URINE SCREEN C |
$53.40 |
$89.00 |
40% |
| Urinalysis without microscope exam, manual
CPT 81002
URINALYSIS DIPSTICK |
$25.20 |
$42.00 |
40% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
URINALYSIS DIPSTICK |
$25.20 |
$42.00 |
40% |