| Basic metabolic panel (blood test)
CPT 80048
Otx Basic Metabolic Panel |
$44.45 |
$63.50 |
30% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Blood Gas Analysis (Or) |
$22.94 |
$32.77 |
30% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Basic Metabolic Panel |
$30.80 |
$44.00 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipid Panel, Extended |
$28.14 |
$40.20 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipid Panel |
$28.14 |
$40.20 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipofit by Nmr |
$50.33 |
$71.90 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipoprotein Electrophoresis |
$59.29 |
$84.70 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Lipofit by Nmr |
$50.33 |
$71.90 |
30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Lipoprotein Electrophoresis |
$59.29 |
$84.70 |
30% |
| Complete blood count (CBC) with differential
CPT 85025
Prenatal Reflexive Panel |
$20.51 |
$29.30 |
30% |
| Complete blood count (CBC) with differential
CPT 85025
Cbc With Plt Count and Auto Diff |
$39.55 |
$56.50 |
30% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Prenatal Reflexive Panel |
$20.51 |
$29.30 |
30% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Cbc With Plt Count and Auto Diff |
$39.55 |
$56.50 |
30% |
| Complete blood count (CBC), no differential
CPT 85027
Cbc With Platelet Count |
$45.29 |
$64.70 |
30% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
Cbc With Platelet Count |
$45.29 |
$64.70 |
30% |
| Comprehensive metabolic panel (blood test)
CPT 80053
General Health Panel |
$33.32 |
$47.60 |
30% |
| Comprehensive metabolic panel (blood test)
CPT 80053
Otx Comprehensive Metabolic Panel |
$45.85 |
$65.50 |
30% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
Comprehensive Metabolic Panel |
$33.04 |
$47.20 |
30% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
General Health Panel |
$33.32 |
$47.60 |
30% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
Otx Comprehensive Metabolic Panel |
$45.85 |
$65.50 |
30% |
| Kidney function blood test panel inpatient
CPT 80069
Renal Function Panel |
$29.54 |
$42.20 |
30% |
| Kidney function blood test panel inpatient
CPT 80069
Otx Renal Function Panel |
$41.79 |
$59.70 |
30% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
Psa Total With Free Psa |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Psa Total With Free Psa |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
Psa Reflex |
$115.29 |
$164.70 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Prostate Specific Antigen |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Total Psa With Free Psa Reflex |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa Ultra Sensitive |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Psa Total With Free Psa |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Prostate Health Index |
$39.48 |
$56.40 |
30% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
Total Serum Psa - for Hch Only |
$47.32 |
$67.60 |
30% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Total Psa With Free Psa Reflex |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Psa Ultra Sensitive |
$38.57 |
$55.10 |
30% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
Total Serum Psa - for Hch Only |
$47.32 |
$67.60 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Sample ID-Coag |
$22.61 |
$32.30 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Antiphospholipid Syndrome |
$30.87 |
$44.10 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Ptt-D Heparin Reflex Bill |
$32.69 |
$46.70 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Lupus Anticoagulant Reflex Panel |
$36.89 |
$52.70 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Lupus Anticoagulant Reflexive Panel |
$40.40 |
$57.72 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Reflex Reflexed to Partial Thromboplastin Time Ratio, Treated |
$52.78 |
$75.40 |
30% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Thrombosis, Uncommon Etiologies |
$54.01 |
$77.15 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Antiphospholipid Syndrome |
$30.87 |
$44.10 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Ptt-D Heparin Reflex Bill |
$32.69 |
$46.70 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Lupus Anticoagulant Reflex Panel |
$36.89 |
$52.70 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Partial Thromboplastin Time |
$37.03 |
$52.90 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Lupus Anticoagulant Reflexive Panel |
$40.40 |
$57.72 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Inhibitor Assay, Ptt, Reflex |
$49.63 |
$70.90 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Reflex Reflexed to Partial Thromboplastin Time Ratio, Treated |
$52.78 |
$75.40 |
30% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Thrombosis, Uncommon Etiologies |
$54.01 |
$77.15 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Prothrombin Time |
$17.01 |
$24.30 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Antiphospholipid Syndrome |
$30.87 |
$44.10 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Lupus Anticoagulant Reflex Panel |
$36.89 |
$52.70 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Lupus Anticoagulant Reflexive Panel |
$40.40 |
$57.72 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Prolonged Clot Time Reflex Panel |
$51.38 |
$73.40 |
30% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Thrombosis, Uncommon Etiologies |
$54.01 |
$77.15 |
30% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Prothrombin Time |
$17.01 |
$24.30 |
30% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Inhibitor Assay, Pt, Reflex to 1:1 Mix |
$30.31 |
$43.30 |
30% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Antiphospholipid Syndrome |
$30.87 |
$44.10 |
30% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Lupus Anticoagulant Reflex Panel |
$36.89 |
$52.70 |
30% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Thrombosis, Uncommon Etiologies |
$54.01 |
$77.15 |
30% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Tsh 3rd Generation |
$35.21 |
$50.30 |
30% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Urticaria-Inducing Activity With Thyroid |
$45.43 |
$64.90 |
30% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
General Health Panel |
$52.92 |
$75.60 |
30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Thyroid Stimulating Hormone |
$35.21 |
$50.30 |
30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Tsh With Reflex to Ft4 |
$35.21 |
$50.30 |
30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Urticaria-Inducing Activity With Thyroid |
$45.43 |
$64.90 |
30% |
| Urinalysis with microscope exam, automated
CPT 81001
Targeted Urnalysis |
$13.97 |
$19.95 |
30% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis, Complete |
$49.07 |
$70.10 |
30% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Targeted Urnalysis |
$13.97 |
$19.95 |
30% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis, Complete |
$49.07 |
$70.10 |
30% |
| Urinalysis with microscope exam, manual
CPT 81000
Urinalysis Non Automated |
$16.80 |
$24.00 |
30% |
| Urinalysis without microscope exam, automated
CPT 81003
Ua Dip Stik/Tablet;WO Mic |
$9.99 |
$14.27 |
30% |
| Urinalysis without microscope exam, automated
CPT 81003
Urinalysis, Dipstick |
$50.47 |
$72.10 |
30% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Urinalysis, Dipstick |
$50.47 |
$72.10 |
30% |
| Urinalysis without microscope exam, manual
CPT 81002
HB OP Urinalysis Non Automated Without Microscope |
$13.79 |
$19.70 |
30% |
| Urinalysis without microscope exam, manual
CPT 81002
Specific Gravity, Urine |
$45.85 |
$65.50 |
30% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
HB OP Urinalysis Non Automated Without Microscope |
$13.79 |
$19.70 |
30% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Specific Gravity, Urine |
$45.85 |
$65.50 |
30% |