| Basic metabolic panel (blood test)
CPT 80048
POC Bmp W Calcium Total |
$30.00 |
$40.00 |
25% |
| Basic metabolic panel (blood test)
CPT 80048
Basic Metabolic Pnl Calcium Total |
$30.00 |
$40.00 |
25% |
| Basic metabolic panel (blood test)
CPT 80048
Basic Metabolic Panel Calcium Total |
$30.00 |
$40.00 |
25% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Basic Metabolic Panel Calcium Total |
$30.00 |
$40.00 |
25% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
POC Bmp W Calcium Total |
$30.00 |
$40.00 |
25% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Basic Metabolic Pnl Calcium Total |
$30.00 |
$40.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipid Panel |
$46.50 |
$62.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
POC Lipid Panel |
$46.50 |
$62.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Tfh So Lipid Panel |
$46.50 |
$62.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
POC Lipid Panel |
$46.50 |
$62.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Lipid Panel |
$46.50 |
$62.00 |
25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Tfh So Lipid Panel |
$46.50 |
$62.00 |
25% |
| Complete blood count (CBC) with differential
CPT 85025
Cbc With Diff ABN |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential
CPT 85025
POC Cbc W Auto Diff |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential
CPT 85025
Cbc W Auto Diff |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential
CPT 85025
Blood Count Complete Auto&Auto Difrntl Wbc |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Blood Count Complete Auto&Auto Difrntl Wbc |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
POC Cbc W Auto Diff |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Cbc With Diff ABN |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Cbc W Auto Diff |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC), no differential
CPT 85027
Blood Count Complete Automated |
$38.25 |
$51.00 |
25% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
Blood Count Complete Automated |
$38.25 |
$51.00 |
25% |
| Comprehensive metabolic panel (blood test)
CPT 80053
Comprehensive Metabolic Panel |
$46.50 |
$62.00 |
25% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
Comprehensive Metabolic Panel |
$46.50 |
$62.00 |
25% |
| Kidney function blood test panel
CPT 80069
Renal Function Panel |
$28.50 |
$38.00 |
25% |
| Kidney function blood test panel inpatient
CPT 80069
Renal Function Panel |
$28.50 |
$38.00 |
25% |
| Liver function blood test panel
CPT 80076
Hepatic Function Panel |
$46.50 |
$62.00 |
25% |
| Liver function blood test panel inpatient
CPT 80076
Hepatic Function Panel |
$46.50 |
$62.00 |
25% |
| Obstetric blood test panel
CPT 80055
Obstetric Panel |
$60.75 |
$81.00 |
25% |
| Obstetric blood test panel inpatient
CPT 80055
Obstetric Panel |
$60.75 |
$81.00 |
25% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
Assay of Prostate Specific Antigen Free |
$98.25 |
$131.00 |
25% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Assay of Prostate Specific Antigen Free |
$98.25 |
$131.00 |
25% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
POC Psa Total Diagnostic |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Assay of Prostate Specific Antigen Total |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa Total Diagnostic |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa Ultrasensitive |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Psa Total Diagnostic |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Psa Ultrasensitive |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Assay of Prostate Specific Antigen Total |
$46.50 |
$62.00 |
25% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
POC Psa Total Diagnostic |
$46.50 |
$62.00 |
25% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Thromboplastin Time Partial Plasma/Whole Blood |
$23.25 |
$31.00 |
25% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Thromboplastin Time Partial Plasma/Whole Blood |
$23.25 |
$31.00 |
25% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Prothrombin Time |
$23.25 |
$31.00 |
25% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Prothrombin Time |
$23.25 |
$31.00 |
25% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Assay of Thyroid Stimulating Hormone Tsh |
$50.25 |
$67.00 |
25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Assay of Thyroid Stimulating Hormone Tsh |
$50.25 |
$67.00 |
25% |
| Urinalysis with microscope exam, automated
CPT 81001
POC Urinalysis Automated W Micro |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, automated
CPT 81001
Urnls Dip Stick/Tablet Reagent Auto Microscopy |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis Automated W Micro |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis Automated W Micro |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urnls Dip Stick/Tablet Reagent Auto Microscopy |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
POC Urinalysis Automated W Micro |
$19.50 |
$26.00 |
25% |
| Urinalysis with microscope exam, manual
CPT 81000
Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy |
$12.00 |
$16.00 |
25% |
| Urinalysis with microscope exam, manual inpatient
CPT 81000
Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy |
$12.00 |
$16.00 |
25% |
| Urinalysis without microscope exam, automated
CPT 81003
Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy |
$11.25 |
$15.00 |
25% |
| Urinalysis without microscope exam, automated
CPT 81003
POC Urinalysis Automated W/O Micro |
$11.25 |
$15.00 |
25% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
POC Urinalysis Automated W/O Micro |
$11.25 |
$15.00 |
25% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy |
$11.25 |
$15.00 |
25% |
| Urinalysis without microscope exam, manual
CPT 81002
POC Urinalysis Non-Auto |
$12.00 |
$16.00 |
25% |
| Urinalysis without microscope exam, manual
CPT 81002
Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp |
$12.00 |
$16.00 |
25% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp |
$12.00 |
$16.00 |
25% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
POC Urinalysis Non-Auto |
$12.00 |
$16.00 |
25% |