| Basic metabolic panel (blood test)
CPT 80048
Acute Care Panel 80048 |
$15.20 |
$152.00 |
90% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Acute Care Panel 80048 |
$15.20 |
$152.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Advanced Lip Panel 80061*X* |
$61.50 |
$615.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipid Profile 80061 |
$61.50 |
$615.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Nmr Lipoprofile 80061 *X* |
$78.20 |
$782.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Lipid Profile 80061 |
$61.50 |
$615.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Advanced Lip Panel 80061*X* |
$61.50 |
$615.00 |
90% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Nmr Lipoprofile 80061 *X* |
$78.20 |
$782.00 |
90% |
| Complete blood count (CBC) with differential
CPT 85025
Cbc With Diff 85025 |
$23.80 |
$238.00 |
90% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Cbc With Diff 85025 |
$23.80 |
$238.00 |
90% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Cbc With Diff S&D 85025 59 |
$23.80 |
$238.00 |
90% |
| Complete blood count (CBC), no differential
CPT 85027
Cbc 85027 |
$12.00 |
$120.00 |
90% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
Cbc 85027 |
$12.00 |
$120.00 |
90% |
| Comprehensive metabolic panel (blood test)
CPT 80053
Chem Panel 80053 |
$40.00 |
$400.00 |
90% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
Chem Panel 80053 |
$40.00 |
$400.00 |
90% |
| Kidney function blood test panel
CPT 80069
Renal Panel 80069 |
$16.00 |
$160.00 |
90% |
| Kidney function blood test panel inpatient
CPT 80069
Renal Panel 80069 |
$16.00 |
$160.00 |
90% |
| Liver function blood test panel
CPT 80076
Liver Function Panel 80076 |
$21.50 |
$215.00 |
90% |
| Liver function blood test panel
CPT 80076
Xpld-Tox Pnl Liver Pf 80076 |
$21.80 |
$218.00 |
90% |
| Liver function blood test panel inpatient
CPT 80076
Liver Function Panel 80076 |
$21.50 |
$215.00 |
90% |
| Liver function blood test panel inpatient
CPT 80076
Xpld-Tox Pnl Liver Pf 80076 |
$21.80 |
$218.00 |
90% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
Free Psa 84154 |
$37.80 |
$378.00 |
90% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
Xpld - Assay of Psa Free 84154 |
$42.00 |
$420.00 |
90% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
Psa,Free *X*84154 |
$76.70 |
$767.00 |
90% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Free Psa 84154 |
$37.80 |
$378.00 |
90% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Xpld - Assay of Psa Free 84154 |
$42.00 |
$420.00 |
90% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Psa,Free *X*84154 |
$76.70 |
$767.00 |
90% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa, Post Prostatectomy 84153 |
$37.90 |
$379.00 |
90% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Prostate Health Index *X* 84153 |
$42.00 |
$420.00 |
90% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Xpld-Psa,Free(Tot) 84153 |
$76.70 |
$767.00 |
90% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa Diagnostic 84153 |
$83.00 |
$830.00 |
90% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Ultrasensitive Psa 84153 |
$207.70 |
$2,077.00 |
90% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Psa, Post Prostatectomy 84153 |
$37.90 |
$379.00 |
90% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Prostate Health Index *X* 84153 |
$42.00 |
$420.00 |
90% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Xpld-Psa,Free(Tot) 84153 |
$76.70 |
$767.00 |
90% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Psa Diagnostic 84153 |
$83.00 |
$830.00 |
90% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Ultrasensitive Psa 84153 |
$207.70 |
$2,077.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Xpld-Ptt 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Xpld- Tox Pnl Ptt 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Xpld-Ptt Mix 4 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Xpld-Ptt Mix 5 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Partial Thrmboplstn Tm85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Xpld-Ptt (Lac) 85730 |
$15.70 |
$157.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Xpld-Ptt 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Xpld-Ptt Mix 5 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Xpld-Ptt Mix 4 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Xpld- Tox Pnl Ptt 85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Partial Thrmboplstn Tm85730 |
$14.50 |
$145.00 |
90% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Xpld-Ptt (Lac) 85730 |
$15.70 |
$157.00 |
90% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Xpld Pt Mix 4 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Xpld- Tox Pnl Pt 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Pt Inr & Aptt Batt *X*85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Prothrombin Time 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Xpld Pt Mix 4 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Xpld- Tox Pnl Pt 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Prothrombin Time 85610 |
$15.20 |
$152.00 |
90% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Pt Inr & Aptt Batt *X*85610 |
$15.20 |
$152.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Normocytic Anemia Panel W/O S.Cr *X* 84443 (Tsh) |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Rflx Thyroid Stimulat Hormn 84443 |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Thyroid Stimulat Hormn84443 |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Normocytic Anemia Panel W/ S.Cr *X* 84443 (Tsh) |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Normocytic Anemia Panel W/ S.Cr *X* 84443 (Tsh) |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Normocytic Anemia Panel W/O S.Cr *X* 84443 (Tsh) |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Rflx Thyroid Stimulat Hormn 84443 |
$56.80 |
$568.00 |
90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Thyroid Stimulat Hormn84443 |
$56.80 |
$568.00 |
90% |
| Urinalysis with microscope exam, automated
CPT 81001
Complete Urinalysis Automated W/Microscopy 81001 |
$25.10 |
$251.00 |
90% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Complete Urinalysis Automated W/Microscopy 81001 |
$25.10 |
$251.00 |
90% |
| Urinalysis with microscope exam, manual
CPT 81000
Urinalysis Nonauto W/Microsocpy 81000 |
$25.10 |
$251.00 |
90% |
| Urinalysis with microscope exam, manual inpatient
CPT 81000
Urinalysis Nonauto W/Microsocpy 81000 |
$25.10 |
$251.00 |
90% |
| Urinalysis without microscope exam, automated
CPT 81003
Complete Urinalysis Automated W/O Microscopy 81003 |
$16.60 |
$166.00 |
90% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Complete Urinalysis Automated W/O Microscopy 81003 |
$16.60 |
$166.00 |
90% |
| Urinalysis without microscope exam, manual
CPT 81002
Metabolic Screen *X*81002 |
$4.30 |
$43.00 |
90% |
| Urinalysis without microscope exam, manual
CPT 81002
Urine-Reduc Substances81002 |
$5.40 |
$54.00 |
90% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Metabolic Screen *X*81002 |
$4.30 |
$43.00 |
90% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Urine-Reduc Substances81002 |
$5.40 |
$54.00 |
90% |