| Basic metabolic panel (blood test)
CPT 80048
Basic Metabolic Panel Total Calcium |
$134.82 |
$269.64 |
50% |
| Basic metabolic panel (blood test) inpatient
CPT 80048
Basic Metabolic Panel Total Calcium |
$134.82 |
$269.64 |
50% |
| Cholesterol and triglycerides (lipid panel) blood test
CPT 80061
Lipid Panel |
$163.44 |
$326.88 |
50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient
CPT 80061
Lipid Panel |
$163.44 |
$326.88 |
50% |
| Complete blood count (CBC) with differential
CPT 85025
Complete Blood Count |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC) with differential
CPT 85025
Complete Blood Count with Diff |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC) with differential
CPT 85025
CBC Peds-Neonate |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
CBC Peds-Neonate |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Complete Blood Count with Diff |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC) with differential inpatient
CPT 85025
Complete Blood Count |
$87.08 |
$174.15 |
50% |
| Complete blood count (CBC), no differential
CPT 85027
Hemogram |
$82.20 |
$164.39 |
50% |
| Complete blood count (CBC), no differential inpatient
CPT 85027
Hemogram |
$82.20 |
$164.39 |
50% |
| Comprehensive metabolic panel (blood test)
CPT 80053
Comprehensive Metabolic Panel |
$167.48 |
$334.96 |
50% |
| Comprehensive metabolic panel (blood test) inpatient
CPT 80053
Comprehensive Metabolic Panel |
$167.48 |
$334.96 |
50% |
| Kidney function blood test panel
CPT 80069
Renal Panel |
$117.93 |
$235.85 |
50% |
| Kidney function blood test panel inpatient
CPT 80069
Renal Panel |
$117.93 |
$235.85 |
50% |
| Liver function blood test panel
CPT 80076
Hepatic Function Panel |
$114.40 |
$228.80 |
50% |
| Liver function blood test panel inpatient
CPT 80076
Hepatic Function Panel |
$114.40 |
$228.80 |
50% |
| PSA (prostate-specific antigen) blood test, free
CPT 84154
*REF* Prostate Specific Antigen Free |
$115.90 |
$231.80 |
50% |
| PSA (prostate-specific antigen) blood test, free inpatient
CPT 84154
*REF* Prostate Specific Antigen Free |
$115.90 |
$231.80 |
50% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
*REF* Prostate Specific Antigen |
$194.33 |
$388.65 |
50% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
*REF* Prostate Specific Total |
$204.02 |
$408.03 |
50% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA Total Diagnostic NAH |
$204.04 |
$408.08 |
50% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
PSA Total |
$204.04 |
$408.08 |
50% |
| PSA (prostate-specific antigen) blood test, total
CPT 84153
*REF* PSA Total Screen |
$204.04 |
$408.08 |
50% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
*REF* Prostate Specific Antigen |
$194.33 |
$388.65 |
50% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
*REF* Prostate Specific Total |
$204.02 |
$408.03 |
50% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
*REF* PSA Total Screen |
$204.04 |
$408.08 |
50% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA Total |
$204.04 |
$408.08 |
50% |
| PSA (prostate-specific antigen) blood test, total inpatient
CPT 84153
PSA Total Diagnostic NAH |
$204.04 |
$408.08 |
50% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
*REF* PTT-LA |
$18.90 |
$37.80 |
50% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
*REF* APTT |
$22.71 |
$45.41 |
50% |
| Partial thromboplastin time (PTT) clotting test
CPT 85730
Partial Thromboplastin Time |
$88.04 |
$176.07 |
50% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
*REF* PTT-LA |
$18.90 |
$37.80 |
50% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
*REF* APTT |
$22.71 |
$45.41 |
50% |
| Partial thromboplastin time (PTT) clotting test inpatient
CPT 85730
Partial Thromboplastin Time |
$88.04 |
$176.07 |
50% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
*REF* Prothrombin Time |
$13.50 |
$27.00 |
50% |
| Prothrombin time (PT/INR) clotting test
CPT 85610
Prothrombin Time |
$47.95 |
$95.90 |
50% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
*REF* Prothrombin Time |
$13.50 |
$27.00 |
50% |
| Prothrombin time (PT/INR) clotting test inpatient
CPT 85610
Prothrombin Time |
$47.95 |
$95.90 |
50% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
TSH with Relfex Free T4 |
$89.57 |
$179.13 |
50% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
Thyroid Stimulating Hormone |
$89.57 |
$179.13 |
50% |
| Thyroid-stimulating hormone (TSH) blood test
CPT 84443
*REF* Thyroid Stimulating Hormone Sensitive |
$230.16 |
$460.32 |
50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
TSH with Relfex Free T4 |
$89.57 |
$179.13 |
50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
Thyroid Stimulating Hormone |
$89.57 |
$179.13 |
50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient
CPT 84443
*REF* Thyroid Stimulating Hormone Sensitive |
$230.16 |
$460.32 |
50% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis,automated w/microscopy |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis w/ Microscopy No Reflex to Culture |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis, Automated with Microscopic |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated
CPT 81001
Urinalysis, by dip stick or tablet reagent for bil |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis,automated w/microscopy |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis, by dip stick or tablet reagent for bil |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis, Automated with Microscopic |
$86.07 |
$172.13 |
50% |
| Urinalysis with microscope exam, automated inpatient
CPT 81001
Urinalysis w/ Microscopy No Reflex to Culture |
$86.07 |
$172.13 |
50% |
| Urinalysis without microscope exam, automated
CPT 81003
Urinalysis |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated
CPT 81003
pH Urine Dipstick |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated
CPT 81003
Specific Gravity Urine Automated |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated
CPT 81003
Urinalysis, Automated no Microscopic |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated
CPT 81003
Urinalysis, dipstick, no micro |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Urinalysis |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
pH Urine Dipstick |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Urinalysis, dipstick, no micro |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Specific Gravity Urine Automated |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, automated inpatient
CPT 81003
Urinalysis, Automated no Microscopic |
$33.89 |
$67.78 |
50% |
| Urinalysis without microscope exam, manual
CPT 81002
Urine Dipstick |
$24.02 |
$48.03 |
50% |
| Urinalysis without microscope exam, manual
CPT 81002
Specific Gravity Urine Dipstick |
$24.02 |
$48.03 |
50% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Urine Dipstick |
$24.02 |
$48.03 |
50% |
| Urinalysis without microscope exam, manual inpatient
CPT 81002
Specific Gravity Urine Dipstick |
$24.02 |
$48.03 |
50% |