Hospital Chicago-Naperville-Elgin, IL-IN

Northwestern Medicine Marianjoy Rehabilitation Hospital

Northwestern Medicine Marianjoy Rehabilitation Hospital in Wheaton, IL publishes cash prices for 339 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 10 of 11 procedures and below it for 1. Select a procedure to compare it with other hospitals nearby.

26W171 Roosevelt Road, Wheaton, IL 60187 Collected Sep 23, 2026 Source price file Check a bill from this hospital

Some prices here are not compared

Northwestern Medicine Marianjoy Rehabilitation Hospital is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT Abdomen W/O & W/Dye	$3,658.90	$5,227.00	$2,195.34–$5,227.00	—	30%
Abdominal X-ray, 2 views CPT 74019 HB X-Ray Exam Abdomen 2 Views	$519.40	$742.00	$311.64–$742.00	—	30%
Ankle X-ray, complete, 3 or more views CPT 73610 HB X-Ray Exam of Ankle 3 Views	$331.10	$473.00	$198.66–$473.00	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT Upper Extremity W/O Dye	$2,563.40	$3,662.00	$1,538.04–$3,662.00	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB Single Contrast X-Ray Esophagus	$828.10	$1,183.00	$496.86–$1,183.00	—	30%
Breast ultrasound, complete, one breast CPT 76641 HB Ultrasound Breast Complete	$532.00	$760.00	$319.20–$760.00	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB Ultrasound Breast Limited	$438.90	$627.00	$263.34–$627.00	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT Angio Abd&Pelv W/O&W/Dye	$5,420.10	$7,743.00	$3,252.06–$7,743.00	—	30%
CT angiography (CTA) of the head CPT 70496 HB CT Angiography Head	$3,656.10	$5,223.00	$2,193.66–$5,223.00	—	30%
CT angiography (CTA) of the neck CPT 70498 HB CT Angiography Neck	$3,808.00	$5,440.00	$2,284.80–$5,440.00	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Angiography Chest	$3,502.80	$5,004.00	$2,101.68–$5,004.00	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$3,641.40	$5,202.00	$2,184.84–$5,202.00	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT Heart No Contrast Quant Eval Coronry Calcium - Diagnostic	$539.70	$771.00	$323.82–$771.00	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Abd & Pelvis W/O Contrast	$4,802.00	$6,860.00	$2,881.20–$6,860.00	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abd & Pelv W/Contrast	$6,049.40	$8,642.00	$3,629.64–$8,642.00	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abd & Pelv 1/> Regns	$7,105.70	$10,151.00	$4,263.42–$10,151.00	—	30%
CT scan of the abdomen with contrast CPT 74160 HB CT Abdomen W/Dye	$3,201.10	$4,573.00	$1,920.66–$4,573.00	—	30%
CT scan of the abdomen without contrast CPT 74150 HB CT Abdomen W/O Dye	$2,576.00	$3,680.00	$1,545.60–$3,680.00	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Maxillofacial W/O Dye	$2,606.10	$3,723.00	$1,563.66–$3,723.00	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Dye	$2,474.50	$3,535.00	$1,484.70–$3,535.00	—	30%
CT scan of the head with contrast CPT 70460 HB CT Head/Brain W/Dye	$2,921.80	$4,174.00	$1,753.08–$4,174.00	—	30%
CT scan of the head without and with contrast CPT 70470 HB CT Head/Brain W/O & W/Dye	$3,756.90	$5,367.00	$2,254.14–$5,367.00	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Lumbar Spine W/O Dye	$3,083.50	$4,405.00	$1,850.10–$4,405.00	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Neck Spine W/O Dye	$3,168.20	$4,526.00	$1,900.92–$4,526.00	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Dye	$2,907.80	$4,154.00	$1,744.68–$4,154.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB Extracranial Bilat Study	$2,336.60	$3,338.00	$1,401.96–$3,338.00	—	30%
Chest CT scan without and with contrast CPT 71270 HB CT Thorax, Diagnostic, W/O & W/Dye	$3,416.00	$4,880.00	$2,049.60–$4,880.00	—	30%
Chest X-ray, 2 views CPT 71046 HB-Xray Exam Chest 2 Views	$325.50	$465.00	$195.30–$465.00	—	30%
Chest X-ray, single view CPT 71045 HB X-Ray Chest Single View	$240.10	$343.00	$144.06–$343.00	—	30%
Collarbone (clavicle) X-ray, complete CPT 73000 HB X-Ray Exam of Collar Bone	$238.70	$341.00	$143.22–$341.00	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US Exam Abdo Back Wall Comp	$1,474.20	$2,106.00	$884.52–$2,106.00	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA Bone Density Axial	$637.00	$910.00	$382.20–$910.00	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA Bone Density/Peripheral	$368.20	$526.00	$220.92–$526.00	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB OB US Detailed Sngl Fetus	$1,360.80	$1,944.00	$816.48–$1,944.00	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT Thorax, Diagnostic W/O Dye	$2,611.00	$3,730.00	$1,566.60–$3,730.00	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT Thorax, Diagnostic, W/Dye	$3,173.80	$4,534.00	$1,904.28–$4,534.00	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Incl Cad Bilateral	$513.80	$734.00	$308.28–$734.00	—	30%
Diagnostic mammogram, one breast one side CPT 77065 HB Diagnostic Mammography Incl Cad Unilateral	$464.80	$664.00	$278.88–$664.00	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB Lower Extremity Study Comp Bilat Study	$1,736.00	$2,480.00	$1,041.60–$2,480.00	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB US Dopp Venus Ext Bil	$928.90	$1,327.00	$557.34–$1,327.00	—	30%
Elbow X-ray, 2 views CPT 73070 HB X-Ray Exam of Elbow 2 Views	$367.50	$525.00	$220.50–$525.00	—	30%
Elbow X-ray, complete, 3 or more views CPT 73080 HB X-Ray Exam of Elbow 3 Views	$309.40	$442.00	$185.64–$442.00	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT Orbit/Ear/Fossa W/O Dye	$3,287.90	$4,697.00	$1,972.74–$4,697.00	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 HB Xray Facial Bone Complete; Minimum 3 Views	$897.40	$1,282.00	$538.44–$1,282.00	—	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HB X-Ray Exam of Forearm 2 Views	$375.90	$537.00	$225.54–$537.00	—	30%
Hand X-ray, 2 views CPT 73120 HB X-Ray Exam of Hand 2 Views	$521.50	$745.00	$312.90–$745.00	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB X-Ray Exam of Heel	$468.30	$669.00	$280.98–$669.00	—	30%
Knee X-ray, 3 views CPT 73562 HB X-Ray Exam of Knee 3	$584.50	$835.00	$350.70–$835.00	—	30%
Knee X-ray, complete, 4 or more views CPT 73564 HB X-Ray Exam Knee 4 or More	$707.70	$1,011.00	$424.62–$1,011.00	—	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 HB X-Ray Knee 4 or More Views; Left	$724.50	$1,035.00	$434.70–$1,035.00	—	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT Lower Extremity W/O Dye	$2,622.90	$3,747.00	$1,573.74–$3,747.00	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB Echo Exam of Abdomen	$545.30	$779.00	$327.18–$779.00	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US Xtr Non-Vasc Lmtd	$774.90	$1,107.00	$464.94–$1,107.00	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT Thorax Lung Ca Screening W/O Contrast	$781.20	$1,116.00	$468.72–$1,116.00	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB X-Ray Exam of Lower Leg	$524.30	$749.00	$314.58–$749.00	—	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HB X-Ray Tibia/Fibula 2 View; Left	$536.90	$767.00	$322.14–$767.00	—	30%
MR angiography (MRA) of the head without contrast CPT 70544 HB MR Angiography Head W/O Dye	$3,946.60	$5,638.00	$2,367.96–$5,638.00	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI Breast With and W/O Contrast W/Cad, Bilateral	$4,099.20	$5,856.00	$2,459.52–$5,856.00	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Jnt of Lwr Extre W/O Dye	$3,835.30	$5,479.00	$2,301.18–$5,479.00	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Joint Lwr Extr W/O&W/Dye	$4,428.90	$6,327.00	$2,657.34–$6,327.00	—	30%
MRI of the abdomen without contrast CPT 74181 HB MRI Abdomen W/O Dye	$3,700.20	$5,286.00	$2,220.12–$5,286.00	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI Abdomen W/O & W/Dye	$4,385.50	$6,265.00	$2,631.30–$6,265.00	—	30%
MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Stem W/O Dye	$3,887.10	$5,553.00	$2,332.26–$5,553.00	—	30%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Stem W/O & W/Dye	$5,385.10	$7,693.00	$3,231.06–$7,693.00	—	30%
MRI of the lower back, no contrast dye CPT 72148 HB MRI Lumbar Spine W/O Dye	$3,837.40	$5,482.00	$2,302.44–$5,482.00	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI Lumbar Spine W/O & W/Dye	$4,706.80	$6,724.00	$2,824.08–$6,724.00	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI Chest Spine W/O Dye	$3,809.40	$5,442.00	$2,285.64–$5,442.00	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI Neck Spine W/O & W/Dye	$5,142.90	$7,347.00	$3,085.74–$7,347.00	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI Neck Spine W/O Dye	$4,171.30	$5,959.00	$2,502.78–$5,959.00	—	30%
MRI of the pelvis without and with contrast CPT 72197 HB MRI Pelvis W/O & W/Dye	$4,765.60	$6,808.00	$2,859.36–$6,808.00	—	30%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI Pelvis W/O Dye	$3,615.50	$5,165.00	$2,169.30–$5,165.00	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI Joint Upr Extrem W/O Dye	$3,591.70	$5,131.00	$2,155.02–$5,131.00	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB X-Ray Exam Neck Spine 4/5vws	$619.50	$885.00	$371.70–$885.00	—	30%
Neck soft tissue CT scan with contrast CPT 70491 HB CT Soft Tissue Neck W/Dye	$3,250.80	$4,644.00	$1,950.48–$4,644.00	—	30%
Neck soft tissue CT scan without contrast CPT 70490 HB CT Soft Tissue Neck W/O Dye	$2,566.20	$3,666.00	$1,539.72–$3,666.00	—	30%
Neck soft tissue X-ray CPT 70360 HB X-Ray Exam of Neck	$378.00	$540.00	$226.80–$540.00	—	30%
Pelvic CT scan without contrast CPT 72192 HB CT Pelvis W/O Dye	$2,156.70	$3,081.00	$1,294.02–$3,081.00	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Exam Pelvic Limited	$862.40	$1,232.00	$517.44–$1,232.00	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US Exam Pelvic Complete	$1,509.90	$2,157.00	$905.94–$2,157.00	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB OB US >/= 14 Wks Sngl Fetus	$1,206.10	$1,723.00	$723.66–$1,723.00	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB OB US < 14 Wks Single Fetus	$940.80	$1,344.00	$564.48–$1,344.00	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB OB US Limited Fetus(S)	$718.90	$1,027.00	$431.34–$1,027.00	—	30%
Rib X-ray, one side, 2 views CPT 71100 HB X-Ray Exam Ribs Uni 2 Views	$399.00	$570.00	$239.40–$570.00	—	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB X-Ray Exam Unilat Ribs/Chest	$514.50	$735.00	$308.70–$735.00	—	30%
Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bilateral Incl Cad	$523.60	$748.00	$314.16–$748.00	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-Ray Exam of Shoulder Minimum 2 Views	$228.20	$326.00	$136.92–$326.00	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 HB Xray Sinuses Complete; Minimum of 3 Views	$840.70	$1,201.00	$504.42–$1,201.00	—	30%
Skull X-ray, fewer than 4 views CPT 70250 HB Xray Skull; Less Than 4 Views	$484.40	$692.00	$290.64–$692.00	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB Stress Tte Complete WO Contrast	$4,490.50	$6,415.00	$2,694.30–$6,415.00	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB Echo 2d Exercise, and/or Pharm Induced Stress; With Contrast	$4,490.50	$6,415.00	$2,694.30–$6,415.00	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Cine/Vid X-Ray Throat/Esoph	$1,001.00	$1,430.00	$600.60–$1,430.00	—	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB X-Ray Exam of Femur Min 2 Views	$553.70	$791.00	$332.22–$791.00	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT Chest Spine W/O Dye	$2,811.90	$4,017.00	$1,687.14–$4,017.00	—	30%
Toe X-ray, 2 or more views CPT 73660 HB X-Ray Exam of Toe(S)	$436.10	$623.00	$261.66–$623.00	—	30%
Transvaginal pelvic ultrasound CPT 76830 HB Transvaginal US Non-OB	$1,079.40	$1,542.00	$647.64–$1,542.00	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 HB Transvaginal US Obstetric	$749.00	$1,070.00	$449.40–$1,070.00	—	30%
Ultrasound of the abdomen, complete CPT 76700 HB US Exam Abdom Complete	$1,772.40	$2,532.00	$1,063.44–$2,532.00	—	30%
Ultrasound of the scrotum and testicles CPT 76870 HB US Exam Scrotum	$1,376.90	$1,967.00	$826.14–$1,967.00	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Exam of Head and Neck	$1,343.30	$1,919.00	$805.98–$1,919.00	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB Radiologic Exam Upr GI Trc Single Contrast Study	$822.50	$1,175.00	$493.50–$1,175.00	—	30%
Upper arm X-ray (humerus), 2 views CPT 73060 HB X-Ray Exam of Humerus	$380.10	$543.00	$228.06–$543.00	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB US Dopp Venus Ext Uni	$637.00	$910.00	$382.20–$910.00	—	30%
Wrist X-ray, 2 views CPT 73100 HB X-Ray Exam of Wrist 2 Views	$425.60	$608.00	$255.36–$608.00	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 HB X-Ray Exam of Wrist 3 Views	$273.70	$391.00	$164.22–$391.00	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB X-Ray Exam Hip Unilateral 2-3 Views	$539.00	$770.00	$323.40–$770.00	—	30%
X-ray of the abdomen, 1 view CPT 74018 HB Xray Exam Abdomen 1 View	$233.80	$334.00	$140.28–$334.00	—	30%
X-ray of the ankle, 2 views CPT 73600 HB X-Ray Exam of Ankle 2 Views	$386.40	$552.00	$231.84–$552.00	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 HB X-Ray Exam of Finger(S) Min 2 Views	$319.20	$456.00	$191.52–$456.00	—	30%
X-ray of the foot, 2 views CPT 73620 HB X-Ray Exam of Foot 2 Views	$324.10	$463.00	$194.46–$463.00	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 HB X-Ray Exam of Foot 3 Views	$309.40	$442.00	$185.64–$442.00	—	30%
X-ray of the hand, 3 or more views CPT 73130 HB X-Ray Exam of Hand 3 Views	$273.70	$391.00	$164.22–$391.00	—	30%
X-ray of the knee, 1 or 2 views both sides CPT 73560 HB X-Ray Knee 1 or 2 Views; Bilateral	$556.50	$795.00	$333.90–$795.00	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 HB X-Ray Exam of Knee 1 or 2	$543.20	$776.00	$325.92–$776.00	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-Ray Exam L-S Spine 2/3 Vws	$472.50	$675.00	$283.50–$675.00	—	30%
X-ray of the lower back, 4 or more views CPT 72110 HB X-Ray Exam L-2 Spine 4/>Vws	$582.40	$832.00	$349.44–$832.00	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-Ray Exam Thorac Spine 2vws	$707.00	$1,010.00	$424.20–$1,010.00	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 HB X-Ray Exam of Nasal Bones	$716.10	$1,023.00	$429.66–$1,023.00	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-Ray Exam Neck Spine 2-3 Vw	$425.60	$608.00	$255.36–$608.00	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB Xray Pelvis 1 or 2 Views	$321.30	$459.00	$192.78–$459.00	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-Ray Exam Sacrum Tailbone	$401.10	$573.00	$240.66–$573.00	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 HB Adrenocordicotropic Hormone	$164.50	$235.00	$98.70–$235.00	—	30%
ACTH blood test CPT 82024 HB Ref Adrenocorticotropic Hormone (Mayo)	$191.80	$274.00	$115.08–$274.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Ashe Fibrosure, Alt (Lc)	$9.80	$14.00	$5.88–$14.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Liver Fibrosis Panel, Alt (Sgpt) (Lc)	$46.20	$66.00	$27.72–$66.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Liver Fibrosis Panel, Alt (Sgpt) (Arup)	$48.30	$69.00	$28.98–$69.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Fib-4 With Reflex to Nash Fibrosure Plus, Alt (Lc)	$48.30	$69.00	$28.98–$69.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Alanine Aminotransferase (Alt) (Q)	$49.00	$70.00	$29.40–$70.00	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Sgpt (Alt)	$64.40	$92.00	$38.64–$92.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Ashe Fibrosure, Ast (Lc)	$9.80	$14.00	$5.88–$14.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Metabolic Panel, Ast (Q)	$47.60	$68.00	$28.56–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Liver Fibrosis Panel, Ast (Sgot) (Lc)	$47.60	$68.00	$28.56–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Liver Fibrosis Panel, Ast (Sgot) (Arup)	$50.40	$72.00	$30.24–$72.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Fib-4 With Reflex to Nash Fibrosure Plus, Ast (Lc)	$50.40	$72.00	$30.24–$72.00	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Sgot (Ast)	$66.50	$95.00	$39.90–$95.00	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Ref Acute Viral Hepatitis (Hav, Hbv, Hcv) (Lc)	$318.50	$455.00	$191.10–$455.00	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Ref Acute Hepatitis Panel (Q)	$323.40	$462.00	$194.04–$462.00	—	30%
Albumin blood test CPT 82040 HB Ref Metabolic Panel, Albumin (Q)	$38.50	$55.00	$23.10–$55.00	—	30%
Albumin blood test CPT 82040 HB Albumin Level	$39.20	$56.00	$23.52–$56.00	—	30%
Albumin blood test CPT 82040 HB Ref Nafld Fibrosis Score, Albumin Level (Q)	$40.60	$58.00	$24.36–$58.00	—	30%
Albumin blood test CPT 82040 HB Ref Cerebrospinal Fluid (CSF) Igg Index Profile, Albumin, Serum (Mayo)	$45.50	$65.00	$27.30–$65.00	—	30%
Albumin blood test CPT 82040 HB Ref Multiple Sclerosis (Ms) Profile, Albumin (Lc)	$45.50	$65.00	$27.30–$65.00	—	30%
Albumin blood test CPT 82040 HB Ref Albumin Level	$61.60	$88.00	$36.96–$88.00	—	30%
Aldosterone blood test CPT 82088 HB Ref Aldosterone (Mayo)	$156.80	$224.00	$94.08–$224.00	—	30%
Aldosterone blood test CPT 82088 HB Ref Aldosterone, Inferior Vena Cava (Mayo)	$173.60	$248.00	$104.16–$248.00	—	30%
Aldosterone blood test CPT 82088 HB Ref Aldosterone, Lc/Ms (Lc)	$182.00	$260.00	$109.20–$260.00	—	30%
Aldosterone blood test CPT 82088 HB Ref Aldosterone, Serum (Arup)	$191.10	$273.00	$114.66–$273.00	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HB Ref Alkaline Phosphatase, CSF (Arup)	$40.60	$58.00	$24.36–$58.00	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HB Ref Alkaline Phosphatase	$43.40	$62.00	$26.04–$62.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Hypersensitivity Pneumonitis Extended Panel, Allergen Specific Ige (Arup)	$11.20	$16.00	$6.72–$16.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Fish (Lc)	$16.80	$24.00	$10.08–$24.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergens Mold Panel (Q)	$18.20	$26.00	$10.92–$26.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region V: in, Ky, Oh, Tn, Wv, Allergen Specific Ige (Q)	$24.50	$35.00	$14.70–$35.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Bass Black, Ige (Mayo)	$27.30	$39.00	$16.38–$39.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cockroach American, Ige (Mayo)	$27.30	$39.00	$16.38–$39.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Pollack White, Ige (Mayo)	$27.30	$39.00	$16.38–$39.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergy Insect Venom Panel (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Coffee Ige (Mayo)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergy Panel, Region 8 (Ia, Il, Mo), Grasses (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Penicilloyl G & V Profile (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Hymenoptera Venom Allergy (Hva) With Components Profile, Allg Spec Ige Crude Xtrc Ea (Lc)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region III, Ige Ea (Lc)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Herring (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Penicillin V, Ige (Mayo)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Stachybotrys Panel I, Allergen Specific Ige (V)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Mold Allergy Panel (15) Ige Ea (Gva)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Carmine Dye/Red Dye Cochineal (Dactylopius Coccus) Ige (Mayo)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food and Tree Nut Allergy Panel With Reflex to Components (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Fenugreek (Rf305) Ige (Q)	$29.40	$42.00	$17.64–$42.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region VIII, Ige Ea (Lc)	$30.10	$43.00	$18.06–$43.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food Allergy Panel, Ige, Each (Q)	$30.10	$43.00	$18.06–$43.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Alpha-Gal Panel, Allergen Specific Ige (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Sesame, Ige With Component Reflex (Lc)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific (Q)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Hackberry (Celtis Occidentalis) (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cedar Red (Juniperus Virginiana) (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Curvularia Spicifera/Bipolaris Ige (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Smut Corn (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Squash Summer (Cucurbita Spp) Ige (Vc, Arup)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen, Region 11 Respiratory Panel Rocky Mountain, Specific (Arup)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Ige (Mayo)	$30.80	$44.00	$18.48–$44.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Occupational, Latex Ige, Enhanced (Arup)	$31.50	$45.00	$18.90–$45.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Cantaloupe Ige (Vc)	$31.50	$45.00	$18.90–$45.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Childhood Allergy Panel, Ige, Each	$31.50	$45.00	$18.90–$45.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergic Bronchopulmonary Panel II, Aspergillus Fumigatus Ige (Mayo)	$32.20	$46.00	$19.32–$46.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Panel Region IV: Fl, South of Orlando, Ige Ea (Q)	$32.20	$46.00	$19.32–$46.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Nutmeg (F282) (Q)	$36.40	$52.00	$21.84–$52.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Quinoa (Q)	$46.20	$66.00	$27.72–$66.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Pistachio (Q)	$46.20	$66.00	$27.72–$66.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Tilapia (Mayo)	$50.40	$72.00	$30.24–$72.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Addtl	$56.70	$81.00	$34.02–$81.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food Allergy Panel, Ige, Each	$56.70	$81.00	$34.02–$81.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Bean Black (Vr)	$56.70	$81.00	$34.02–$81.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Anti Gliadin Ige (Vc)	$72.80	$104.00	$43.68–$104.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Horseradish Ige (Q)	$89.60	$128.00	$53.76–$128.00	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Clover Red	$395.50	$565.00	$237.30–$565.00	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Ref Afp, Maternal Screen	$175.00	$250.00	$105.00–$250.00	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Ref Quadruple Marker Test, Afp	$175.00	$250.00	$105.00–$250.00	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Ref Integrated Screen, 2nd Trimester, Afp (Ig)	$175.00	$250.00	$105.00–$250.00	—	30%
Ammonia blood test CPT 82140 HB Ref Kidney Stone, Ammonia Assay (Lc)	$35.70	$51.00	$21.42–$51.00	—	30%
Ammonia blood test CPT 82140 HB Ammonia	$71.40	$102.00	$42.84–$102.00	—	30%
Ammonia blood test CPT 82140 HB Ref Supersaturation Profile, 24 Hour Urine, Ammonia (Mayo)	$124.60	$178.00	$74.76–$178.00	—	30%
Ammonia blood test CPT 82140 HB Ref Litholink 24 Hr Urine Panel, Ammonia (Lc)	$130.90	$187.00	$78.54–$187.00	—	30%
Ammonia blood test CPT 82140 HB Ref Ammonia, Plasma (Q)	$130.90	$187.00	$78.54–$187.00	—	30%
Amylase blood test CPT 82150 HB Amylase, Serum	$28.00	$40.00	$16.80–$40.00	—	30%
Amylase blood test CPT 82150 HB Ref Amylase, Body Fluid (Mayo)	$81.90	$117.00	$49.14–$117.00	—	30%
Amylase blood test CPT 82150 HB Ref Amylase (IP)	$81.90	$117.00	$49.14–$117.00	—	30%
Amylase blood test CPT 82150 HB Ref Pancreatic Enzyme Analysis, Amylase (Q)	$86.10	$123.00	$51.66–$123.00	—	30%
Amylase blood test CPT 82150 HB Ref Amylase, Pancreatic Cyst Fluid (Mayo)	$86.10	$123.00	$51.66–$123.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Ana 12 Profile, CCP Antibody (Lc)	$84.00	$120.00	$50.40–$120.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Systemic Autoimmune Panel 1, CCP Antibody (Q)	$84.00	$120.00	$50.40–$120.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Anti-CCP Antibodies, Igg and Iga (Lc)	$84.00	$120.00	$50.40–$120.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Interstitial Lung Disease Panel, CCP Antibody (Q)	$86.80	$124.00	$52.08–$124.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Rheumatoid Arthritis (Ra) Profile, CCP Antibody (Lc)	$88.20	$126.00	$52.92–$126.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref CCP Antibody, Igg (Q)	$88.20	$126.00	$52.92–$126.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Connective Tissue Diseases Cascade, CCP Antibody (Mayo)	$88.20	$126.00	$52.92–$126.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Mayo Genetic Reflex, CCP Antibody (Mayo)	$92.40	$132.00	$55.44–$132.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Radx6 Profile, CCP Antibody (Lc)	$92.40	$132.00	$55.44–$132.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Interstitial Lung Disease Autoantibody Panel, CCP Antibody (Arup)	$92.40	$132.00	$55.44–$132.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Rheumassure, CCP Antibody (Lc)	$92.40	$132.00	$55.44–$132.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Avise Anti-CCP (Anti-Cyclic Citrullinated Peptide) Igg Elisa (Exa)	$198.10	$283.00	$118.86–$283.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Antinuclear Antibodies (Ana), by Ifa (Lc)	$80.50	$115.00	$48.30–$115.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Scleroderma Comprehensive Profile, Antinuclear Antibodies (Mayo)	$88.90	$127.00	$53.34–$127.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana by Ifa, Reflex to 11-Biomarker Profile (Lc)	$88.90	$127.00	$53.34–$127.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ana Screen	$88.90	$127.00	$53.34–$127.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana Screen, Ifa, W/ Reflex to Titer and Pattern/Lupus Panel 1 (Q)	$90.30	$129.00	$54.18–$129.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Avise Ana (Antinuclear Antibodies) Hep-2 Iif (Exa)	$90.30	$129.00	$54.18–$129.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana W/Reflex (Q)	$90.30	$129.00	$54.18–$129.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Systemic Autoimmune Panel 1, Antinuclear Antibodies (Q)	$90.30	$129.00	$54.18–$129.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Hepatitis Diagnostic Panel, Antinuclear Antibodies (Q)	$94.50	$135.00	$56.70–$135.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Liver Disease Profile (Rdl), Ana (Lc)	$94.50	$135.00	$56.70–$135.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Connective Tissue Diseases Cascade, Ana (Mayo)	$94.50	$135.00	$56.70–$135.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Profile, Antinuclear Antibodies (Lc)	$94.50	$135.00	$56.70–$135.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Connective Tissue Disease (Ctd) Cascade (Lc)	$94.50	$135.00	$56.70–$135.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Antinuclear Antibodies (Ana), Multiplex (Lc)	$98.00	$140.00	$58.80–$140.00	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Vasculitis Profile (Rdl), Ana Antibodies (Lc)	$100.10	$143.00	$60.06–$143.00	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-Type Natriuretic Peptide (Bnp)	$149.10	$213.00	$89.46–$213.00	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Nt-Probnp (B-Type Natriuretic Peptide)	$194.60	$278.00	$116.76–$278.00	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Ref Nt-Probnp (Chl)	$206.50	$295.00	$123.90–$295.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Culture, Respiratory	$82.60	$118.00	$49.56–$118.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Culture, Body Fluid	$82.60	$118.00	$49.56–$118.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Culture, Wound	$82.60	$118.00	$49.56–$118.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Ref Helicobacter Pylori Culture (Arup)	$120.40	$172.00	$72.24–$172.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Ref Culture, Sputum/Lower Respiratory (Q)	$132.30	$189.00	$79.38–$189.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Culture, Aerobic	$132.30	$189.00	$79.38–$189.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Ref Culture, Genital (Q)	$132.30	$189.00	$79.38–$189.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Ref Culture, Aerobic Bacteria (Q)	$132.30	$189.00	$79.38–$189.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Ref Culture, Aerobic (Q)	$132.30	$189.00	$79.38–$189.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Culture, Bacterial Cystic Fibrosis	$132.30	$189.00	$79.38–$189.00	—	30%
Basic metabolic panel (blood test) CPT 80048 HB Bmp With Bun/Creat Ratio	$219.80	$314.00	$131.88–$314.00	—	30%
Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel	$219.80	$314.00	$131.88–$314.00	—	30%
Bilirubin blood test, total CPT 82247 HB Ref Ashe Fibrosure, Bilirubin (Lc)	$9.80	$14.00	$5.88–$14.00	—	30%
Bilirubin blood test, total CPT 82247 HB Bilirubin, Total	$44.10	$63.00	$26.46–$63.00	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Pathology, Gross and Microscopic Examination, Level IV (Nmg Dp)	$239.40	$342.00	$143.64–$342.00	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surg Path Level IV (Uchi)	$239.40	$342.00	$143.64–$342.00	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Renal Consult, Surg Path IV (Mayo)	$249.20	$356.00	$149.52–$356.00	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surg Path Level IV, Gross and Micro (Mayo)	$251.30	$359.00	$150.78–$359.00	—	30%
Blood culture for bacteria CPT 87040 HB Culture, Blood	$167.30	$239.00	$100.38–$239.00	—	30%
Blood culture for bacteria CPT 87040 HB Ref Blood Culture, Routine (Lc)	$180.60	$258.00	$108.36–$258.00	—	30%
Blood culture for bacteria CPT 87040 HB Ref Susceptibility, Abiotrophia Defectiva, Culture (Lurie)	$739.90	$1,057.00	$443.94–$1,057.00	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Phlebotomy, Blood Culture	$33.60	$48.00	$20.16–$48.00	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Venipuncture	$6,898.85	$9,855.50	$1.80–$883.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Ashe Fibrosure, Glucose (Lc)	$7.70	$11.00	$4.62–$11.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Metabolic Panel, Glucose (Q)	$39.90	$57.00	$23.94–$57.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose Tolerance Test, Postprandial/1 Hr (Q)	$39.90	$57.00	$23.94–$57.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose, Fasting and Postprandial/2-Hour (Q)	$42.70	$61.00	$25.62–$61.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Nafld Fibrosis Score, Glucose Level (Q)	$42.70	$61.00	$25.62–$61.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose, Serum (Q)	$44.10	$63.00	$26.46–$63.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Glucose, (POCT)	$44.10	$63.00	$26.46–$63.00	—	30%
Blood glucose (sugar) test CPT 82947 HB Assay Glucose Blood Quant (POC)	$44.10	$63.00	$26.46–$63.00	—	30%
Blood lead test CPT 83655 HB Ref Lead, 24 Hour Urine (Mayo)	$53.90	$77.00	$32.34–$77.00	—	30%
Blood lead test CPT 83655 HB Ref Lead, Urine (Gva)	$53.90	$77.00	$32.34–$77.00	—	30%
Blood lead test CPT 83655 HB Ref Lead, Blood (Mayo)	$53.90	$77.00	$32.34–$77.00	—	30%
Blood lead test CPT 83655 HB Ref Heavy Metal Screen, Lead (Mayo)	$53.90	$77.00	$32.34–$77.00	—	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Profile II, Whole Blood,Assay of Lead (Lc)	$53.90	$77.00	$32.34–$77.00	—	30%
Blood lead test CPT 83655 HB Ref Genova Panel, Lead Whole Blood (Gva)	$55.30	$79.00	$33.18–$79.00	—	30%
Blood lead test CPT 83655 HB Ref Heavy Metal Panel, Lead, Blood	$59.50	$85.00	$35.70–$85.00	—	30%
Blood lead test CPT 83655 HB Ref Lead, Urine	$62.30	$89.00	$37.38–$89.00	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Human Chorionic Gonadotropin Qual	$91.00	$130.00	$54.60–$130.00	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Ref Chronionic Gonadotropin Qual	$101.50	$145.00	$60.90–$145.00	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Abo Blood Typing Confirmation	$83.30	$119.00	$49.98–$119.00	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Abo Group Blood Typing	$83.30	$119.00	$49.98–$119.00	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Ref Antibody ID Package (Irl), Abo (Arup)	$84.00	$120.00	$50.40–$120.00	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Ref Dat Neg Hemolytic Anemia Eval, Abo Typing (Bcw)	$84.00	$120.00	$50.40–$120.00	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HB Ref Metabolic Panel, Urea Nitrogen (Q)	$42.70	$61.00	$25.62–$61.00	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HB Ref Liver Fibrosis Panel, Urea Nitrogen (Arup)	$44.80	$64.00	$26.88–$64.00	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HB Ref Urea Nitrogen Assay	$58.80	$84.00	$35.28–$84.00	—	30%
C-peptide blood test CPT 84681 HB C-Peptide	$103.60	$148.00	$62.16–$148.00	—	30%
C-peptide blood test CPT 84681 HB Ref Cardio Iq Insulin Resistance Panel W/Score, C-Peptide (Q)	$103.60	$148.00	$62.16–$148.00	—	30%
C-peptide blood test CPT 84681 HB Ref Metabolic Risk Panel, C-Peptide (Q)	$108.50	$155.00	$65.10–$155.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-Reactive Protein (Crp)	$56.70	$81.00	$34.02–$81.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref C-Reactive Protein (Crp) Inflm	$92.40	$132.00	$55.44–$132.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref Ibs Sgi Diagnostic, Bill Only, Crp	$92.40	$132.00	$55.44–$132.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref C-Reactive Protein (Crp)	$92.40	$132.00	$55.44–$132.00	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HB C. Difficile Pcr	$51.10	$73.00	$30.66–$73.00	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 HB Carbohydrate Antigen 19-9	$98.00	$140.00	$58.80–$140.00	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Cancer Antigen 125	$140.00	$200.00	$84.00–$200.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Sars-Cov-2 by Multiplex Pcr (A)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ncov-19, Direct Pcr	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Ref Sars-Cov-2 (Covid-19) Qualitative (Uwash)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Rapid Sars-Cov-2 by Multiplex Pcr (R)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ncov-19 by Pcr (2019)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Rapid Coronavirus (Covid 19) Assay (C)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus (Covid-19) Test (POCT)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 Rna, Qual Rt-Pcr (Mayo)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 by Reverse Transcriptase, Rt-Pcr (Mdl)	$115.50	$165.00	$69.30–$165.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 Plus Quantitative Flu a/ Flu B Rsv Rt-Pcr (Vc)	$125.30	$179.00	$75.18–$179.00	—	30%
Calcium blood test, total CPT 82310 HB Ref Genova Panel, Calcium RBC (Gva)	$9.80	$14.00	$5.88–$14.00	—	30%
Calcium blood test, total CPT 82310 HB Ref Micronutrients, Mineral/Element Panel, Calcium (Q)	$45.50	$65.00	$27.30–$65.00	—	30%
Calcium blood test, total CPT 82310 HB Calcium	$58.10	$83.00	$34.86–$83.00	—	30%
Calcium blood test, total CPT 82310 HB Ref Litholink Serum Panel, Calcium (Lc)	$85.40	$122.00	$51.24–$122.00	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HB Ref Accucea (IP)	$141.40	$202.00	$84.84–$202.00	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HB Ref Cea (Q)	$148.40	$212.00	$89.04–$212.00	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HB Ref Immune Status Panel, Varicella-Zoster Antibody (Mayo)	$78.40	$112.00	$47.04–$112.00	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HB Ref Varicella-Zoster Igm Ab, Serum (Mayo)	$83.30	$119.00	$49.98–$119.00	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HB Ref Varicella-Zoster Virus Antibody (Immunity Screen), Acif (Q)	$83.30	$119.00	$49.98–$119.00	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HB Ref Varicella-Zoster Antibody, Igg and Igm, Serum (Mayo)	$83.30	$119.00	$49.98–$119.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Vaginitis Plus, Chlamydia Trach0matis,Amp Probe (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref CT, Ng, Mycoplasma Profile, Chlamydia Trachomatis Dna Amp Probe (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Pcr (Mdl)	$144.20	$206.00	$86.52–$206.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Naa (Lc)	$151.90	$217.00	$91.14–$217.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Sexually Transmitted Infections (Sti) Profile, Chlmyd Trach Dna Amp Probe (Lc)	$151.90	$217.00	$91.14–$217.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia/Neisseria Gonorrhoeae Rna, Tma With Reflex to Alternate Target, Chlmyd (Q)	$151.90	$217.00	$91.14–$217.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia/Neisseria Gonrrhoeae Rna, Tma Rectal, Chlmyd Trach (Q)	$151.90	$217.00	$91.14–$217.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Risk Panel W/Score	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Fractionation, Lipid Panel (Chl)	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Metabolic Risk Panel, Lipid Panel (Q)	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Phenotype, Lipid Panel	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel (Lc)	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel, Reflex Ldl-D	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel (Triglycerides, Total Cholesterol, Hdl) (Gva)	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Profile, Lipid Panel (Mayo)	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Cardio Iq Advanced Panel, Lipid Panel	$184.10	$263.00	$110.46–$263.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel W/ Reflex to Direct Ldl (Q)	$184.10	$263.00	$110.46–$263.00	—	30%
Complete blood count (CBC) with differential CPT 85025 HB Cbc With Differential	$67.20	$96.00	$40.32–$96.00	—	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Anemia Profile B, Cbc (Lc)	$78.40	$112.00	$47.04–$112.00	—	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Liver Fibrosis Risk Profile, Cbc W/Diff (Lc)	$78.40	$112.00	$47.04–$112.00	—	30%
Complete blood count (CBC), no differential CPT 85027 HB Cbc	$60.20	$86.00	$36.12–$86.00	—	30%
Complete blood count (CBC), no differential CPT 85027 HB Ref Cbc (Q)	$65.10	$93.00	$39.06–$93.00	—	30%
Complete blood count (CBC), no differential CPT 85027 HB Ref Hemoglobinopathy Fractionation Cascade, Cbc (Lc)	$67.90	$97.00	$40.74–$97.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel	$306.60	$438.00	$183.96–$438.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Cmp With Bun/Creat Ratio	$306.60	$438.00	$183.96–$438.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Comprehensive Metabolic Panel	$306.60	$438.00	$183.96–$438.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Cmp With Bun/Creat Ratio	$306.60	$438.00	$183.96–$438.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Chem-12/Alt (Gva)	$306.60	$438.00	$183.96–$438.00	—	30%
Cortisol blood test, total CPT 82533 HB Ref Cortisol (Sanesco)	$35.70	$51.00	$21.42–$51.00	—	30%
Cortisol blood test, total CPT 82533 HB Cortisol	$62.30	$89.00	$37.38–$89.00	—	30%
Cortisol blood test, total CPT 82533 HB Ref Cortisol by Lc-Ms/Ms, Salivary (Arup)	$122.50	$175.00	$73.50–$175.00	—	30%
Cortisol blood test, total CPT 82533 HB Ref Cortisol, Saliva, Ms (Lc)	$122.50	$175.00	$73.50–$175.00	—	30%
Cortisol blood test, total CPT 82533 HB Ref Cortisol, Saliva (Mayo)	$135.10	$193.00	$81.06–$193.00	—	30%
Cortisol blood test, total CPT 82533 HB Ref Congenital Adrenal Hyperplasia (CAH) Pediatric Profile 6, Cortisol Total (Mayo)	$135.10	$193.00	$81.06–$193.00	—	30%
Creatine kinase (CK) blood test, total CPT 82550 HB CK Total	$25.20	$36.00	$15.12–$36.00	—	30%
Creatinine blood test CPT 82565 HB Ref Creatinine, Blood (Exa)	$47.60	$68.00	$28.56–$68.00	—	30%
Creatinine blood test CPT 82565 HB Ref Metabolic Panel, Creatinine (Q)	$47.60	$68.00	$28.56–$68.00	—	30%
Creatinine blood test CPT 82565 HB Ref Preeclampsia Monitoring Profile, Creatinine (Lc)	$47.60	$68.00	$28.56–$68.00	—	30%
Creatinine blood test CPT 82565 HB Creatinine, (POCT)	$47.60	$68.00	$28.56–$68.00	—	30%
Creatinine blood test CPT 82565 HB Ref Creatinine W/ Egfr (Mayo)	$50.40	$72.00	$30.24–$72.00	—	30%
Creatinine blood test CPT 82565 HB Ref Litholink Serum Panel, Creatinine (Lc)	$52.50	$75.00	$31.50–$75.00	—	30%
Creatinine blood test CPT 82565 HB Creatinine	$55.30	$79.00	$33.18–$79.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Pregnancy, Infectious Disease Antibody Profile, Cmv (Lc)	$95.90	$137.00	$57.54–$137.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cytomegalovirus Igg Avidity (Mayo)	$95.90	$137.00	$57.54–$137.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cmv Igg Ser	$95.90	$137.00	$57.54–$137.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cytomegalovirus (Cmv) Total Antibody (Vc)	$95.90	$137.00	$57.54–$137.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cytomegalovirus (Cmv) Igg Eia (Vc)	$95.90	$137.00	$57.54–$137.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Cmv Igg Antibody	$102.90	$147.00	$61.74–$147.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cmv Igg CSF	$125.30	$179.00	$75.18–$179.00	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Ref Cmv Screen, Blood Product	$125.30	$179.00	$75.18–$179.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB D-Dimer Quant	$47.60	$68.00	$28.56–$68.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Bleeding Diathesis Profile, Fibrin Degradation Quant (Mayo)	$127.40	$182.00	$76.44–$182.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Prolonged Clot Time, Fibrin Degradation Quant (Mayo)	$134.40	$192.00	$80.64–$192.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Fibrin Degration (Lc)	$134.40	$192.00	$80.64–$192.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Thrombophilia Profile, Fibrin Degradation Quant (Mayo)	$134.40	$192.00	$80.64–$192.00	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Markers of Coagulation Activation, Fibrin Degradation Quant (Lc)	$140.70	$201.00	$84.42–$201.00	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Ref Dhea-S (Sanesco)	$49.00	$70.00	$29.40–$70.00	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Ref Dhea Sulfate (Q)	$163.10	$233.00	$97.86–$233.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Anabolic Steroids, Screen and Cofirmation, Urine (Lc)	$71.40	$102.00	$42.84–$102.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Infant Drug Screen, Meconium	$193.20	$276.00	$115.92–$276.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Comprehensive Drug Screen, Serum	$193.20	$276.00	$115.92–$276.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Umbilical Cord Tissue 19 Panel (Usdtl)	$242.20	$346.00	$145.32–$346.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Ethyl Glucuronide/ Ethyl Sulfate (Etg/Ets), Screen & Conf., Urine (Lc)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Mdma, Screen and Confirmation, Urine (Lc)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Monitor 10-Drug Class Profile (Lc)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 9 With Reflex Confirmation Wb (Lc)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 10 W/ Reflex Confirmation, Whole Blood (Lc)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Umbilical Cord Tissue 18 Panel (Usdtl)	$249.20	$356.00	$149.52–$356.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 6 W/ Reflex Confirmation (Q)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 17 With Reflex Confirmation, Pregnancy Profile, Urine (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Abuse Panel 8, With Confirmation, Serum (Q)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Phencyclidine Screen	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Pediatric Drug Screen 14 With Reflex Confirmation, Urine (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Comprehensive Drug Screen, Drug Classes, Presumptive (Q)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drugs of Abuse Screen (Mayo)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Abuse Profile, Oral Fluid (11 Drug Classes) (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Meconium-Mecstat 9 (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Meconium-Mecstat 5 (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 13 With Reflex Confirmation (Lc)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Screen (Cdh)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Ethyl Glucuronide Screen, Random, Urine (Mayo)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Monitoring, Panel 7 W/ Confirmation, Urine (Q)	$261.10	$373.00	$156.66–$373.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Toxassure Profile, Drug Tests, Presumptive (Lc)	$263.20	$376.00	$157.92–$376.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Abuse Screen 7, W/ Confirmation, Serum (Q)	$274.40	$392.00	$164.64–$392.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 16 With Reflex Confirmation (Lc)	$274.40	$392.00	$164.64–$392.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Monitoring, Opiates, Screen, Urine (Q)	$286.30	$409.00	$171.78–$409.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Monitoring, Mitragynine, W/ Confirmation, Urine (Q)	$288.40	$412.00	$173.04–$412.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Analysis Profile, Comprehensive, Urine (Lc)	$288.40	$412.00	$173.04–$412.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Monitor, Marijuana Metabolite, W/Confirmation, Urine (Q)	$288.40	$412.00	$173.04–$412.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Drug Screen 10 W/ Reflex Confirmation, Serum (Lc)	$288.40	$412.00	$173.04–$412.00	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ref Kratom (Mitragynine), Screen & Confirm. Urine (Lc)	$437.50	$625.00	$262.50–$625.00	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB Ref Litholink Serum Panel, Electrolytes (Lc)	$74.90	$107.00	$44.94–$107.00	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB Ref Epstein Barr Antibody Panel, Viral Capsid (Q)	$99.40	$142.00	$59.64–$142.00	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB Ref Ebv-Vca Igg, Igm (Mdl)	$100.80	$144.00	$60.48–$144.00	—	30%
Estradiol blood test CPT 82670 HB Ref Estradiol (Sanesco)	$61.60	$88.00	$36.96–$88.00	—	30%
Estradiol blood test CPT 82670 HB Ref Estrogen, Fractionated, Estradiol (Lc)	$160.30	$229.00	$96.18–$229.00	—	30%
Estradiol blood test CPT 82670 HB Ref Estradiol (Q)	$162.40	$232.00	$97.44–$232.00	—	30%
Estradiol blood test CPT 82670 HB Ref Estradiol by Tms (Mayo)	$165.20	$236.00	$99.12–$236.00	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 HB Ref Follicle Stimulating Hormone - (Gva)	$118.30	$169.00	$70.98–$169.00	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Ref Calprotectin (Gva)	$184.10	$263.00	$110.46–$263.00	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Calprotectin, Fecal	$221.90	$317.00	$133.14–$317.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Ferritin	$144.20	$206.00	$86.52–$206.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Thalassemia & Hemoglobinopathy Comprehensive Evaluation, Ferritin (Q)	$144.20	$206.00	$86.52–$206.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ferritin	$144.20	$206.00	$86.52–$206.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Thalassemia and Hemoglobinopathy Evaluation, Ferritin (Mayo)	$144.20	$206.00	$86.52–$206.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Hemoglobinopathy Fractionation Cascade, Ferritin (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Anemia Profile B, Ferritin (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Fibrinogen blood test CPT 85384 HB Ref Bleeding Diathesis Profile, Fibrinogen (Mayo)	$96.60	$138.00	$57.96–$138.00	—	30%
Fibrinogen blood test CPT 85384 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Fibrinogen Activity (Lc)	$101.50	$145.00	$60.90–$145.00	—	30%
Fibrinogen blood test CPT 85384 HB Ref Thrombophilia Profile, Fibrinogen Activity (Mayo)	$101.50	$145.00	$60.90–$145.00	—	30%
Fibrinogen blood test CPT 85384 HB Ref Prolonged Clot Time, Fibrinogen (Mayo)	$101.50	$145.00	$60.90–$145.00	—	30%
Fibrinogen blood test CPT 85384 HB Ref Fibrinogen, Clauss (Mayo)	$106.40	$152.00	$63.84–$152.00	—	30%
Fibrinogen blood test CPT 85384 HB Fibrinogen	$112.70	$161.00	$67.62–$161.00	—	30%
Folate (folic acid) blood test CPT 82746 HB Folic Acid	$66.50	$95.00	$39.90–$95.00	—	30%
Folate (folic acid) blood test CPT 82746 HB Ref Anemia Profile B, Folic Acid (Lc)	$104.30	$149.00	$62.58–$149.00	—	30%
Folate (folic acid) blood test CPT 82746 HB Ref Micronutrients, B-Vitamin Panel, Folic Acid (Q)	$109.20	$156.00	$65.52–$156.00	—	30%
Free T3 thyroid hormone test CPT 84481 HB T3 Free	$51.10	$73.00	$30.66–$73.00	—	30%
Free T3 thyroid hormone test CPT 84481 HB Ref Triiodothyronine, Total and Free, T3 by Dialysis	$125.30	$179.00	$75.18–$179.00	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref T4, Free	$121.10	$173.00	$72.66–$173.00	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4, Free	$121.10	$173.00	$72.66–$173.00	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref Thyroxine, Free, Direct Dialysis (Mayo)	$121.10	$173.00	$72.66–$173.00	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref Free T4 (Gva)	$121.10	$173.00	$72.66–$173.00	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref T4, Free (Lc)	$121.10	$173.00	$72.66–$173.00	—	30%
Free testosterone test CPT 84402 HB Ref Testosterone (Sanesco)	$56.00	$80.00	$33.60–$80.00	—	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Free (Q,Lc)	$103.60	$148.00	$62.16–$148.00	—	30%
Free testosterone test CPT 84402 HB Ref Hormone Profile 4001, Testosterone, Free, Serum (Gva)	$114.80	$164.00	$68.88–$164.00	—	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Total, Bioavailable and Free, Free, Serum (Mayo)	$114.80	$164.00	$68.88–$164.00	—	30%
Free testosterone test CPT 84402 HB Testosterone, Free, Calculated	$114.80	$164.00	$68.88–$164.00	—	30%
Free testosterone test CPT 84402 HB Ref Steroid Panel, Polycystic Ovary Syndrome, Free Testosterone (Q)	$114.80	$164.00	$68.88–$164.00	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB Ref Ashe Fibrosure, Ggt (Lc)	$14.00	$20.00	$8.40–$20.00	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB Ref Liver Fibrosis Panel, Ggt (Arup)	$62.30	$89.00	$37.38–$89.00	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB Ggt	$98.00	$140.00	$58.80–$140.00	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB Ref Glucose, Two-Hour Postprandial (Lc)	$39.90	$57.00	$23.94–$57.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Vaginitis Plus, N.Gonorrhoeae, Amp Probe (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Neisseria Gonorrhoeae, Pcr (Mdl)	$144.20	$206.00	$86.52–$206.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref CT, Ng, Mycoplasma Profile, N.Gonorrhoeae Dna Amp Prob (Lc)	$144.20	$206.00	$86.52–$206.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Sexually Transmitted Infections (Sti) Profile, N. Gonorrhoeae Dna Amp Prob (Lc)	$151.20	$216.00	$90.72–$216.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Chlamydia/Neisseria Gonrrhoeae Rna, Tma Rectal, N Gono (Q)	$151.20	$216.00	$90.72–$216.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Chlamydia/Neisseria Gonorrhoeae Rna, Tma With Reflex to Alternate Target, N. Gono (Q)	$151.20	$216.00	$90.72–$216.00	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Neisseria Gonorrhoeae, Naa (Lc)	$151.20	$216.00	$90.72–$216.00	—	30%
H. pylori antibody blood test CPT 86677 HB Ref Helicobacter Pylori Antibody, Igm	$125.30	$179.00	$75.18–$179.00	—	30%
H. pylori stool antigen test CPT 87338 HB Helicobacter Pylori Antigen, Stool (Cdh)	$116.20	$166.00	$69.72–$166.00	—	30%
H. pylori stool antigen test CPT 87338 HB Ref Heliobacter Pylori Antigen, Stool (Gva)	$116.20	$166.00	$69.72–$166.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv, Quantitative, Pcr	$299.60	$428.00	$179.76–$428.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv-1 Rna Detection and Quantification, Plasma (Mayo)	$384.30	$549.00	$230.58–$549.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv-1 Rna, Quantitative, Pcr With Reflex to Genotype (Rti,Pi,Integrase) (Q)	$384.30	$549.00	$230.58–$549.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1 Rna Quantitative, Rt-Pcr (Q)	$365.40	$522.00	$219.24–$522.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1, Quant, Rt Pcr (Graphical)	$385.00	$550.00	$231.00–$550.00	—	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1, Quantitative, Rt-Pcr (Lc)	$403.20	$576.00	$241.92–$576.00	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HB Ref Hiv-1/Hiv-2 Single Result	$121.80	$174.00	$73.08–$174.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv P24 Antigen/Antibody W/Reflex to Confirmation (Lc)	$96.60	$138.00	$57.96–$138.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv-1/2 Antigen and Antibodies,Fourth Generation, With Reflexes (Q)	$106.40	$152.00	$63.84–$152.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Sexually Transmitted Infections (Sti) Profile, Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia (Lc)	$106.40	$152.00	$63.84–$152.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv Ag/Ab, Reflex Confirmation (Q)	$106.40	$152.00	$63.84–$152.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Donor Hiv-1/Hiv-2 Plus O Ab Screen (Lc)	$112.00	$160.00	$67.20–$160.00	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Hiv Antigen/Antibody Combination	$114.10	$163.00	$68.46–$163.00	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Dna Tissue Testing (Neog)	$146.30	$209.00	$87.78–$209.00	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Mrna E6/E7, Rectal With Reflex to Genotypes, 16, 18/45 (Q)	$146.30	$209.00	$87.78–$209.00	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Type-Detect 3.0, Ngs (Mdl)	$151.90	$217.00	$91.14–$217.00	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv High and Low Risk,Dna	$184.10	$263.00	$110.46–$263.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Hemoglobin A1c (Lc)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin A1c	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Glycomark and Hba1c, Hba1c (Lc)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Hemoglobin A1c (Q)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Cardio Iq� Hemoglobin A1c (Q)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin A1c (POCT)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Metabolic Risk Panel, Hemoglobin A1c (Q)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Glycosylated Hemoglobin Test (POC A1c)	$116.90	$167.00	$70.14–$167.00	—	30%
Hemoglobin blood test CPT 85018 HB Hemoglobin	$30.80	$44.00	$18.48–$44.00	—	30%
Hemoglobin blood test CPT 85018 HB Ref Thalassemia & Hemoglobinopathy Comprehensive Evaluation, Hemoglobin (Q)	$32.20	$46.00	$19.32–$46.00	—	30%
Hepatitis B core antibody test (total) CPT 86704 HB Ref Sexually Transmitted Infections (Sti) Profile, Hep B Core Antibody Total (Lc)	$88.20	$126.00	$52.92–$126.00	—	30%
Hepatitis B core antibody test (total) CPT 86704 HB Hepatitis B Core Antibody (Total)	$93.10	$133.00	$55.86–$133.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Hepatitis B Surface Antibody	$48.30	$69.00	$28.98–$69.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Ref Sexually Transmitted Infections (Sti) Profile, Hep B Surface Antibody (Lc)	$93.80	$134.00	$56.28–$134.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Sexually Transmitted Infections (Sti) Profile, Hepatitis B Surface Ag Ia (Lc)	$93.10	$133.00	$55.86–$133.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Ivf Male Panel	$94.50	$135.00	$56.70–$135.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Hepatitis B Surface Antigen	$100.80	$144.00	$60.48–$144.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Hepatitis B Surface Antigen	$100.80	$144.00	$60.48–$144.00	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Hepatitis C Antibody	$60.20	$86.00	$36.12–$86.00	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Sexually Transmitted Infections (Sti) Profile, Hepatitis C Ab Test (Lc)	$112.00	$160.00	$67.20–$160.00	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Hcv Antibody (Lc)	$116.90	$167.00	$70.14–$167.00	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Hepatitis C Virus (Hcv) Chlia (Vc)	$116.90	$167.00	$70.14–$167.00	—	30%
Hepatitis C antibody blood test (screening) one side CPT 86803 HB Ref Hepatitis C Virus (Hcv) Antibody With Reflex to Quant Rt-Pcr (Lc)	$112.00	$160.00	$67.20–$160.00	—	30%
Hepatitis C antibody blood test (screening) one side CPT 86803 HB Ref Hcv Rt-Pcr, Quant (Lc)	$116.90	$167.00	$70.14–$167.00	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref Hepatitis C Virus (Hcv) Rna Quantification With Reflex to Hcv Genotype, Serum (Mayo)	$303.10	$433.00	$181.86–$433.00	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Hepatitis C, Quantitative, Pcr	$317.80	$454.00	$190.68–$454.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus 1 Antibody, Igm, Ifa, CSF (Q)	$16.80	$24.00	$10.08–$24.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Types 1 Igm Antibodies Titer	$27.30	$39.00	$16.38–$39.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Antibodies, Type 1 (Lc)	$68.60	$98.00	$41.16–$98.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Glycoprotein Antibodies, Type 1 Igg by Cia (Arup)	$72.10	$103.00	$43.26–$103.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Type 1, Igm Ab	$114.10	$163.00	$68.46–$163.00	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Type 1 Antibodies (Uwash)	$205.10	$293.00	$123.06–$293.00	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igm Antibodies	$42.00	$60.00	$25.20–$60.00	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Antibodies, Type 2 (Lc)	$82.60	$118.00	$49.56–$118.00	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Glycoprotein Antibodies, Type 2 Igg by Cia (Arup)	$86.10	$123.00	$51.66–$123.00	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Type 2 Antibodies (Uwash)	$205.10	$293.00	$123.06–$293.00	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Crp High Sensitivity	$84.70	$121.00	$50.82–$121.00	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Ref Hs C-Reactive Protein (Hs-Crp) (Gva)	$92.40	$132.00	$55.44–$132.00	—	30%
Homocysteine blood test CPT 83090 HB Ref Cardio Iq Homocysteine (Q)	$121.10	$173.00	$72.66–$173.00	—	30%
Homocysteine blood test CPT 83090 HB Ref Fetal Demise Profile, Homocystine Assay (Lc)	$127.40	$182.00	$76.44–$182.00	—	30%
Homocysteine blood test CPT 83090 HB Ref Homocysteine (Chl)	$127.40	$182.00	$76.44–$182.00	—	30%
Homocysteine blood test CPT 83090 HB Ref Venous Thrombosis Hypercoag Panel, Homocystine Assay (Q)	$127.40	$182.00	$76.44–$182.00	—	30%
Homocysteine blood test CPT 83090 HB Ref Thrombotic Risk Profile II, Homocysteine (Lc)	$127.40	$182.00	$76.44–$182.00	—	30%
Insulin blood test CPT 83525 HB Ref Cardio Iq Insulin Resistance Panel W/Score, Insulin (Q)	$72.80	$104.00	$43.68–$104.00	—	30%
Insulin blood test CPT 83525 HB Ref Insulin Level (Gva)	$76.30	$109.00	$45.78–$109.00	—	30%
Insulin blood test CPT 83525 HB Ref Metabolic Risk Panel, Insulin (Q)	$76.30	$109.00	$45.78–$109.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Level (Gva)	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Micronutrients, Mineral/Element Panel, Iron (Q)	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Iron Level	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Level (Q, Lc)	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron, 24-Hour Urine (Q)	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Liver Tissue	$79.10	$113.00	$47.46–$113.00	—	30%
Iron blood test (serum iron) CPT 83540 HB Ref Anemia Profile B, Iron (Lc)	$79.10	$113.00	$47.46–$113.00	—	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Ref Anemia Profile B, Iron Binding Capacity (Lc)	$68.60	$98.00	$41.16–$98.00	—	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Ref Anemia Profile, Iron Bindig Capacity (Lc)	$73.50	$105.00	$44.10–$105.00	—	30%
Kidney function blood test panel CPT 80069 HB Renal Function Panel	$133.70	$191.00	$80.22–$191.00	—	30%
Kidney function blood test panel CPT 80069 HB Ref Renal Function Panel	$148.40	$212.00	$89.04–$212.00	—	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteinizing Hormone (Lh), Pediatric (Lc)	$114.80	$164.00	$68.88–$164.00	—	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteinizing Hormone (Lh), Pediatrics, Serum (Mayo)	$121.10	$173.00	$72.66–$173.00	—	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Lutenizing Hormone (Gva)	$121.10	$173.00	$72.66–$173.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Lactic Acid Epoc (POCT)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref D-Lactate, Plasma (Mayo)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Lactic Acid (Bg)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref Genova Panel, Lactic Acid (Gva)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Lactic Acid	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref D-Lactate, Plasma	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref Lactate, CSF (Mayo)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref Lactic Acid	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate (lactic acid) blood test CPT 83605 HB Ref Lactate/Pyruvate Filtrate, Lactate (Q)	$191.10	$273.00	$114.66–$273.00	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Ref Lactate Dehydrogenase (Ldh)	$81.20	$116.00	$48.72–$116.00	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Ref Preeclampsia Monitoring Profile, Ldh (Lc)	$81.20	$116.00	$48.72–$116.00	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Ref Lactic Dehydrogenase, Body Fluid	$81.20	$116.00	$48.72–$116.00	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Lactate Dehydrogenase (Ldh)	$81.20	$116.00	$48.72–$116.00	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Lipase	$34.30	$49.00	$20.58–$49.00	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Pancreatic Enzyme Analysis, Lipase (Q)	$95.90	$137.00	$57.54–$137.00	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Lipase, Jp Drainage (Q)	$107.80	$154.00	$64.68–$154.00	—	30%
Liver function blood test panel CPT 80076 HB Hepatic Function Panel	$56.00	$80.00	$33.60–$80.00	—	30%
Liver function blood test panel CPT 80076 HB Ref Liver Fibrosis Risk Profile, Hepatic Function Panel (Lc)	$120.40	$172.00	$72.24–$172.00	—	30%
Liver function blood test panel CPT 80076 HB Ref Liver Fibrosis, Hepatic Function Panel (Q)	$139.30	$199.00	$83.58–$199.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Disease C6 Peptide Elisa (Mdl)	$102.20	$146.00	$61.32–$146.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi Antibodies, Total by Elisa (Arup)	$102.20	$146.00	$61.32–$146.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Tick-Borne Disease, Antibody Panel, Lyme Disease Antibody (Q)	$102.20	$146.00	$61.32–$146.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi C6 Peptide Antibodies	$105.70	$151.00	$63.42–$151.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Disease Serology (Mayo)	$107.10	$153.00	$64.26–$153.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Antibodies, Modified 2-Tier Testing Profile (Lc)	$107.10	$153.00	$64.26–$153.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi Vlse1/Pepc10 Antibodies, Elisa (Arup)	$107.10	$153.00	$64.26–$153.00	—	30%
Lyme disease antibody test CPT 86618 HB Lyme Disease Antibody	$118.30	$169.00	$70.98–$169.00	—	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Screen Immunoassay, Igg/Igm Ea (Igx)	$305.20	$436.00	$183.12–$436.00	—	30%
Magnesium blood test CPT 83735 HB Ref Cathartic Laxatives Profile, Magnesium, Stool (Q)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Magnesium Level	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Genova Panel, Magnesium RBC (Gva)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Kidney Stone, Magnesium Assay (Lc)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesium RBC	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Electrolyte & Osmolality Panel, Feces, Magnesium (Mayo)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Kidney Stone Risk Assessr, Magnesium (Q)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Litholink Serum Panel, Magnesium (Lc)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesium (Q)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Litholink 24 Hr Urine Panel, Magnesium (Lc)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, 24hr Urine	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Supersaturation Profile, 24 Hour Urine, Magnesium (Mayo)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Magnesium Level, Urine	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Calculi Risk Assessment Urine, Magnesium (Arup)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesum Level, Stool (Arup)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Stone Risk Panel, Magnesium (Q)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, Urine (Gva)	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, Urine	$81.20	$116.00	$48.72–$116.00	—	30%
Magnesium blood test CPT 83735 HB Ref Micronutrients, Mineral/Element Panel, Magnesium (Q)	$81.20	$116.00	$48.72–$116.00	—	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Immune Status Panel, Rubeola Antibody (Mayo)	$35.00	$50.00	$21.00–$50.00	—	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Rubeola Antibodies, Igm (Mayo)	$67.20	$96.00	$40.32–$96.00	—	30%
Measles (rubeola) antibody test CPT 86765 HB Rubeola Antibody, Igg	$79.10	$113.00	$47.46–$113.00	—	30%
Mumps immunity blood test CPT 86735 HB Ref Immune Status Panel, Mumps Antibody (Mayo)	$35.70	$51.00	$21.42–$51.00	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Free Psa	$81.90	$117.00	$49.14–$117.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Specific Antigen, Total	$110.60	$158.00	$66.36–$158.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Prostate-Specific Antigen (Psa) Ultrasensitive, Serum (Mayo)	$116.20	$166.00	$69.72–$166.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Hormone Profile 4001, Prostate Specific Antigen, Serum (Gva)	$116.20	$166.00	$69.72–$166.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Specific Antigen, Diagnostic	$116.20	$166.00	$69.72–$166.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Psa, Post Prostatectomy�With Hama�Treatment (Q)	$152.60	$218.00	$91.56–$218.00	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB Ref Surepath Pap, Liquid	$83.30	$119.00	$49.98–$119.00	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 HB Parathyroid Hormone, Intact	$116.20	$166.00	$69.72–$166.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Partial Thromboplastin Time	$59.50	$85.00	$35.70–$85.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Screen	$69.30	$99.00	$41.58–$99.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Ptt	$69.30	$99.00	$41.58–$99.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Confirm	$69.30	$99.00	$41.58–$99.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Factor V Inhibitor Profile, Thromboplastin Time Partial (Lc)	$73.50	$105.00	$44.10–$105.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Lupus Anticoagulant Profile, Thromboplastin Time Partial (Mayo)	$73.50	$105.00	$44.10–$105.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Antiphospholipid Syndrome Diagnostic Panel, Beta-2 Glycoprotein Antibody (Q)	$73.50	$105.00	$44.10–$105.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Antiphospholipid Syndrome (Aps) Profile, Thromboplastin Time Partial (Lc)	$73.50	$105.00	$44.10–$105.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Bleeding Diathesis Profile, Partial Thromboplastin Time (Mayo)	$73.50	$105.00	$44.10–$105.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Thrombophilia Profile, Thromboplastin Time Partial (Mayo)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Lupus Anticoagulant Evaluation, Thromboplastin Time Partial (Q)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Venous Thrombosis Hypercoag Panel, Ptt (Q)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Factor VII Inhibitor Profile, Thromboplastin Time Partial (Lc)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Prolonged Clot Time, Thromboplastin Time Partial (Mayo)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Coagulation Screening Reflexive Evaluation, Thromboplastin Time Partial (Lc)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Ptt (Lc)	$77.00	$110.00	$46.20–$110.00	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Fetal Demise Profile, Ptt (Lc)	$77.00	$110.00	$46.20–$110.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Ref Litholink Serum Panel, Phosphorus (Lc)	$70.00	$100.00	$42.00–$100.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Ref Phosphorus, Inorganic (Mayo)	$70.00	$100.00	$42.00–$100.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Ref Electrolyte & Osmolality Panel, Feces, Phosphorous (Mayo)	$70.00	$100.00	$42.00–$100.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Ref Phosphate (as Phosphorus) (Q)	$70.00	$100.00	$42.00–$100.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Phosphorus Level	$70.00	$100.00	$42.00–$100.00	—	30%
Phosphorus (phosphate) blood test CPT 84100 HB Ref Cathartic Laxatives Profile, Phosphorous, Stool (Q)	$70.00	$100.00	$42.00–$100.00	—	30%
Potassium blood test CPT 84132 HB Potassium Level	$41.30	$59.00	$24.78–$59.00	—	30%
Potassium blood test CPT 84132 HB Potassium Istat (POCT)	$46.20	$66.00	$27.72–$66.00	—	30%
Potassium blood test CPT 84132 HB Ref Genova Panel, Potassium RBC (Gva)	$46.20	$66.00	$27.72–$66.00	—	30%
Potassium blood test CPT 84132 HB Potassium Epoc (POCT)	$48.30	$69.00	$28.98–$69.00	—	30%
Potassium blood test CPT 84132 HB Ref Potassium, Total, RBC (Arup)	$48.30	$69.00	$28.98–$69.00	—	30%
Potassium blood test CPT 84132 HB Ref Potassium, RBC (Q)	$48.30	$69.00	$28.98–$69.00	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit Genome, Fetal Chromosomal Aneuploidy (Lc-Z)	$879.90	$1,257.00	$527.94–$1,257.00	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit21 Plus Core (Lc-Z)	$879.90	$1,257.00	$527.94–$1,257.00	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Prequel Prenatal Screen (Myriad)	$926.80	$1,324.00	$556.08–$1,324.00	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Panorama Extended, Fetal Chromosomal Aneuploidy (Nat)	$1,968.40	$2,812.00	$1,181.04–$2,812.00	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Fetal Chromosomal Aneuploidy	$2,207.80	$3,154.00	$1,324.68–$3,154.00	—	30%
Progesterone blood test CPT 84144 HB Progesterone, Lc Ms/Ms	$46.20	$66.00	$27.72–$66.00	—	30%
Progesterone blood test CPT 84144 HB Ref Progesterone (Sanesco)	$46.20	$66.00	$27.72–$66.00	—	30%
Progesterone blood test CPT 84144 HB Ref Progesterone - Serum & Salivary (Gva)	$112.70	$161.00	$67.62–$161.00	—	30%
Progesterone blood test CPT 84144 HB Ref Congenital Adrenal Hyperplasia (CAH) Pediatric Profile 6, Progesterone (Mayo)	$112.70	$161.00	$67.62–$161.00	—	30%
Progesterone blood test CPT 84144 HB Ref Progesterone, Free, W/ Total, Total Progesterone (Lc)	$112.70	$161.00	$67.62–$161.00	—	30%
Prolactin blood test CPT 84146 HB Prolactin Assay	$55.30	$79.00	$33.18–$79.00	—	30%
Prolactin blood test CPT 84146 HB Ref Proclactic (Gva)	$130.90	$187.00	$78.54–$187.00	—	30%
Prolactin blood test CPT 84146 HB Ref Prolactin, Pituitary Macroadenoma, Serum (Mayo)	$130.90	$187.00	$78.54–$187.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time-Inr, Hemochron (POCT)	$27.30	$39.00	$16.38–$39.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Lupus Anticoagulant Evaluation Panel, Pt	$47.60	$68.00	$28.56–$68.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Coagulation Screening Reflexive Evaluation, Prothrombin Time (Lc)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Factor V Inhibitor Profile, Prothrombin Time (Lc)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Thrombophilia Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Lupus Anticoagulant Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Prothrombin Time (Coag)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Bleeding Diathesis Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Antiphospholipid Syndrome (Aps) Profile, Prothrombin Time (Lc)	$49.70	$71.00	$29.82–$71.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time	$50.40	$72.00	$30.24–$72.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Prolonged Clot Time, Prothrombin Time (Mayo)	$51.80	$74.00	$31.08–$74.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Pt (Lc)	$51.80	$74.00	$31.08–$74.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Factor VII Inhibitor Profile, Prothrombin Time (Lc)	$51.80	$74.00	$31.08–$74.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin-Inr (POCT)	$51.80	$74.00	$31.08–$74.00	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB Drug Test Prsmv Read Direct Optical Obs PR Date (POC)	$81.90	$117.00	$49.14–$117.00	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Strep a Antigen	$133.00	$190.00	$79.80–$190.00	—	30%
Renin blood test CPT 84244 HB Ref Renin Activity (Mayo)	$115.50	$165.00	$69.30–$165.00	—	30%
Renin blood test CPT 84244 HB Ref Renin, Direct (Arup)	$121.80	$174.00	$73.08–$174.00	—	30%
Rh blood typing CPT 86901 HB Rh (D) Antigen Type	$40.60	$58.00	$24.36–$58.00	—	30%
Rh blood typing CPT 86901 HB Rh (D) Antigen Typing Confirmation	$40.60	$58.00	$24.36–$58.00	—	30%
Rh blood typing CPT 86901 HB Ref Rh Typing (Lc)	$65.80	$94.00	$39.48–$94.00	—	30%
Rh blood typing CPT 86901 HB Ref Rh (D) Antigen Typing (Bcw)	$65.80	$94.00	$39.48–$94.00	—	30%
Rh blood typing CPT 86901 HB Ref Antibody ID Package (Irl), Rh (Arup)	$65.80	$94.00	$39.48–$94.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Lupus Panel 5, Rheumatoid Factor (Q)	$16.80	$24.00	$10.08–$24.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Avise Rheumatoid Factor Quant Igm (Exa)	$57.40	$82.00	$34.44–$82.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Ana 12 Profile, Rheumatoid Factor Quant (Lc)	$57.40	$82.00	$34.44–$82.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Avise Rheumatoid Factor Quant Iga (Exa)	$57.40	$82.00	$34.44–$82.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Interstitial Lung Disease Panel, Rheumatoid Factor Quant (Q)	$59.50	$85.00	$35.70–$85.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumatoid Arthritis (Ra) Profile, Rheumatoid Factor (Lc)	$60.20	$86.00	$36.12–$86.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumassure, Rheumatoid Factor Quant (Lc)	$63.00	$90.00	$37.80–$90.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Radx6 Profile, Rheumatoid Factor (Lc)	$63.00	$90.00	$37.80–$90.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Interstitial Lung Disease Autoantibody Panel, Rheumatoid Factor Quant (Arup)	$63.00	$90.00	$37.80–$90.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Vasculitis Profile (Rdl), Rheumatoid Factor (Lc)	$63.00	$90.00	$37.80–$90.00	—	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumatoid Factor (Rf), Quantitative (Q)	$69.30	$99.00	$41.58–$99.00	—	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Rubella Antibody, Igg (Q)	$76.30	$109.00	$45.78–$109.00	—	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Immune Status Panel, Rubella Antibody (Mayo)	$82.60	$118.00	$49.56–$118.00	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Sedimentation Rate	$39.90	$57.00	$23.94–$57.00	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Ref Sed Rate by Modified Westergren (Q)	$44.80	$64.00	$26.88–$64.00	—	30%
Sodium blood test CPT 84295 HB Sodium Epoc (POCT)	$49.00	$70.00	$29.40–$70.00	—	30%
Sodium blood test CPT 84295 HB Sodium Assay	$52.50	$75.00	$31.50–$75.00	—	30%
Stool ova and parasites exam CPT 87177 HB Ref Parasitology Identification, Concentrate (Gva)	$74.90	$107.00	$44.94–$107.00	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Occult Blood Feces (POC)	$37.10	$53.00	$22.26–$53.00	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Occult Blood, Stool Screening	$37.80	$54.00	$22.68–$54.00	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Ref Fecal Occult Blood by Immunochemistry (Q)	$63.00	$90.00	$37.80–$90.00	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Ref Occult Blood, Fecal (Lc)	$63.00	$90.00	$37.80–$90.00	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Ref Syphilis Antibody, T. Pallidum Particle Agglutination, Serum (Mayo)	$64.40	$92.00	$38.64–$92.00	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Ref Treponema Pallidum (Syphilis) Screening Cascade (Lc)	$68.60	$98.00	$41.16–$98.00	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Ref Treponema Pallidum Antibody, Igg by Ifa (Arup)	$93.10	$133.00	$55.86–$133.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Rpr Test W/ Reflex to Titer & TPA (Lc)	$51.10	$73.00	$30.66–$73.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Rpr W/ Reflex (Q)	$51.10	$73.00	$30.66–$73.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Sexually Transmitted Infections (Sti) Profile, Syphilis Test Non-Trep Qual (Lc)	$51.10	$73.00	$30.66–$73.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl, Serum (Q)	$51.10	$73.00	$30.66–$73.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl, Spinal Fluid (Mayo)	$51.10	$73.00	$30.66–$73.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Donor Rpr With Rflx to Titer (Lc)	$53.20	$76.00	$31.92–$76.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda Captia G, Confirmatory Syphilis Test (Vc)	$56.70	$81.00	$34.02–$81.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda Syphilis Screening, Nontreponemal (Vc)	$56.70	$81.00	$34.02–$81.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl CSF (Q)	$61.60	$88.00	$36.96–$88.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda, Fta-Abs (Syphilis Confirmatory)	$75.60	$108.00	$45.36–$108.00	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB Quantiferon TB - Gold Plus (Cdh)	$182.00	$260.00	$109.20–$260.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone � Serum & Urine (Gva)	$134.40	$192.00	$80.64–$192.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Congenital Adrenal Hyperplasia (CAH) Pediatric Profile 6, Testosterone Total (Mayo)	$134.40	$192.00	$80.64–$192.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Steroid Panel, Polycystic Ovary Syndrome, Total Testosterone (Q)	$134.40	$192.00	$80.64–$192.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total (Q)	$134.40	$192.00	$80.64–$192.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total, Bioavailable and Free, Total, Serum (Mayo)	$134.40	$192.00	$80.64–$192.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone, Total	$158.20	$226.00	$94.92–$226.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Lupus Panel 5, Microsomal Ab (Q)	$30.10	$43.00	$18.06–$43.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Thyroid Peroxidase Antibody	$78.40	$112.00	$47.04–$112.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Liver Kidney Microsomal Antibody (Igg) (Mayo)	$80.50	$115.00	$48.30–$115.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Systemic Autoimmune Panel 1, Microsomal Antibody Each (Q)	$88.90	$127.00	$53.34–$127.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Avise Anti-Thyroid Peroxidase Igg Elisa (Exa)	$88.90	$127.00	$53.34–$127.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Liver Cytosol (Lc-1) Autoab (Q)	$88.90	$127.00	$53.34–$127.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Thyroid Peroxidase Antibody (Q)	$88.90	$127.00	$53.34–$127.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Anti-Tpo Antibodies (Gva)	$88.90	$127.00	$53.34–$127.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Autoimmune Liver Disease Profile (Rdl), Microsomal Antibody Each (Lc)	$93.10	$133.00	$55.86–$133.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Chronic Urticaria Panel 2, Microsomal Antibody (Q)	$93.10	$133.00	$55.86–$133.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Autoimmune Hepatitis Diagnostic Panel, Microsomal Antibody (Q)	$93.10	$133.00	$55.86–$133.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Culture,Typing Fluoresc Ea	$98.70	$141.00	$59.22–$141.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh W/ Hama Treatment (Q)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Thyroid Stimulating Hormone (Tsh)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Profile II, Comprehensive, Tsh (Lc)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Chronic Urticaria Panel 2, Tsh (Q)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Stimulating Hormone-High Sensitivity (Mayo)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Newborn Metabolic Screen, Tsh/T4	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid-Stimulating Hormone (Tsh) (Lc)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh With Reflex to Free T4 (Q)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Stimulating Hormone (Tsh) (Q)	$162.40	$232.00	$97.44–$232.00	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh, 3rd Generation (Gva)	$162.40	$232.00	$97.44–$232.00	—	30%
Total IgE blood test CPT 82785 HB Ref Respiratory Allergy Panel Region IV: Fl, South of Orlando, Ige Total(Q)	$87.50	$125.00	$52.50–$125.00	—	30%
Total IgE blood test CPT 82785 HB Ref Respiratory Allergy Profile Region III, Total Ige (Lc)	$87.50	$125.00	$52.50–$125.00	—	30%
Total IgE blood test CPT 82785 HB Ref Respiratory Allergy Profile Region VIII, Ige Total (Lc)	$88.20	$126.00	$52.92–$126.00	—	30%
Total IgE blood test CPT 82785 HB Ref Immunoglobulins, Quantitative, Ige (Lc)	$92.40	$132.00	$55.44–$132.00	—	30%
Total IgE blood test CPT 82785 HB Ref Allergen, Region 11 Respiratory Panel Rocky Mountain, Ige (Arup)	$92.40	$132.00	$55.44–$132.00	—	30%
Total IgE blood test CPT 82785 HB Ref Immunoglobulin E (Ige) (Mayo)	$92.40	$132.00	$55.44–$132.00	—	30%
Total IgE blood test CPT 82785 HB Ref Allergic Bronchopulmonary Panel II, Total Ige (Mayo)	$96.60	$138.00	$57.96–$138.00	—	30%
Total IgE blood test CPT 82785 HB Ref Childhood Allergy Panel, Ige, Total	$101.50	$145.00	$60.90–$145.00	—	30%
Total cholesterol blood test CPT 82465 HB Ref Ashe Fibrosure, Cholesterol (Lc)	$9.10	$13.00	$5.46–$13.00	—	30%
Total cholesterol blood test CPT 82465 HB Ref Lipoprotein Fractionation Ultracentrifugation, Cholesterol (Q)	$44.10	$63.00	$26.46–$63.00	—	30%
Total cholesterol blood test CPT 82465 HB Ref Nmr Lipid Profile, Cholesterol	$54.60	$78.00	$32.76–$78.00	—	30%
Total thyroxine (T4) blood test CPT 84436 HB Ref Thyroid Profile II, Comprehensive, Thyroxine Total (Lc)	$75.60	$108.00	$45.36–$108.00	—	30%
Total triiodothyronine (T3) blood test CPT 84480 HB Ref T3 Total (Gva)	$98.00	$140.00	$58.80–$140.00	—	30%
Total triiodothyronine (T3) blood test CPT 84480 HB Ref Thyroid Profile II, Comprehensive, T3 Total (Lc)	$113.40	$162.00	$68.04–$162.00	—	30%
Transferrin blood test CPT 84466 HB Transferrin Level	$44.10	$63.00	$26.46–$63.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomanos Vaginalis Rna, Qualitative,Tma. Males (Q)	$124.60	$178.00	$74.76–$178.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Vaginitis (Vg) Nuswab, Trichomonas Vaginalis, Pcr (Mayo)	$124.60	$178.00	$74.76–$178.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomonas Vaginalis, Pcr (Mdl)	$124.60	$178.00	$74.76–$178.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Vaginitis Plus, Trichomonas Vaginalis, Amp Probe (Lc)	$124.60	$178.00	$74.76–$178.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomonas Vaginalis Rna, Qualitative, Tma (Q)	$130.90	$187.00	$78.54–$187.00	—	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Sexually Transmitted Infections (Sti) Profile, Trichomonas Vaginalis Amplif (Lc)	$130.90	$187.00	$78.54–$187.00	—	30%
Triglycerides blood test CPT 84478 HB Ref Ashe Fibrosure, Triglycerides (Lc)	$11.20	$16.00	$6.72–$16.00	—	30%
Triglycerides blood test CPT 84478 HB Ref Lipoprotein Fractionation Ultracentrifugation, Triglycerides (Q)	$58.10	$83.00	$34.86–$83.00	—	30%
Triglycerides blood test CPT 84478 HB Triglyceride	$60.20	$86.00	$36.12–$86.00	—	30%
Triglycerides blood test CPT 84478 HB Ref Triglyceride, Fluid (Mayo)	$66.50	$95.00	$39.90–$95.00	—	30%
Troponin test, quantitative CPT 84484 HB Ref Troponin I, High Sensitivity, Plasma (Mayo)	$170.80	$244.00	$102.48–$244.00	—	30%
Troponin test, quantitative CPT 84484 HB Troponin	$170.80	$244.00	$102.48–$244.00	—	30%
Troponin test, quantitative CPT 84484 HB Ref Troponin T Level (Q)	$170.80	$244.00	$102.48–$244.00	—	30%
Troponin test, quantitative CPT 84484 HB Ref Troponin I, High Sensitivity (Q)	$170.80	$244.00	$102.48–$244.00	—	30%
Uric acid blood test CPT 84550 HB Ref Uric Acid, Serum/Plasma (Lc, Q)	$79.10	$113.00	$47.46–$113.00	—	30%
Uric acid blood test CPT 84550 HB Ref Litholink Serum Panel, Bun (Lc)	$79.10	$113.00	$47.46–$113.00	—	30%
Uric acid blood test CPT 84550 HB Uric Acid Blood	$79.10	$113.00	$47.46–$113.00	—	30%
Uric acid blood test CPT 84550 HB Ref Preeclampsia Monitoring Profile, Uric Acid (Lc)	$79.10	$113.00	$47.46–$113.00	—	30%
Urinalysis with microscope exam, automated CPT 81001 HB Urinalysis W Microscopic	$58.10	$83.00	$34.86–$83.00	—	30%
Urinalysis with microscope exam, automated CPT 81001 HB Ketone, Urine	$58.80	$84.00	$35.28–$84.00	—	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ref Kidney Stone, Urinalysis (Lc)	$7.00	$10.00	$4.20–$10.00	—	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ref Urinalysis W/O Microscopic	$37.10	$53.00	$22.26–$53.00	—	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ketone, Urine	$37.10	$53.00	$22.26–$53.00	—	30%
Urinalysis without microscope exam, automated CPT 81003 HB Urinalysis W/O Microscopic	$44.80	$64.00	$26.88–$64.00	—	30%
Urinalysis without microscope exam, manual CPT 81002 HB Urine Analysis (POCT)	$21.70	$31.00	$13.02–$31.00	—	30%
Urinalysis without microscope exam, manual CPT 81002 HB Urinalysis Nonauto W/O Scope (POC)	$21.70	$31.00	$13.02–$31.00	—	30%
Urinalysis without microscope exam, manual CPT 81002 HB Specific Gravity, Urine	$31.50	$45.00	$18.90–$45.00	—	30%
Urine culture for bacteria, with colony count CPT 87086 HB Culture, Urine	$58.10	$83.00	$34.86–$83.00	—	30%
Urine culture for bacteria, with colony count CPT 87086 HB Ref Culture, Urine (Q)	$91.70	$131.00	$55.02–$131.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Ref Albumin, 24 Hour Urine (Q)	$54.60	$78.00	$32.76–$78.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Ref Microalbumin, Urine	$58.10	$83.00	$34.86–$83.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Ref Microalbumin, Urine (Chl)	$59.50	$85.00	$35.70–$85.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Ref Preeclampsia Monitoring Profile, urin Albumin Quant (Lc)	$59.50	$85.00	$35.70–$85.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Microalbumin, Urine Dca (POCT)	$62.30	$89.00	$37.38–$89.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Ref Albumin, Urine (Q)	$62.30	$89.00	$37.38–$89.00	—	30%
Urine microalbumin (albumin) test CPT 82043 HB Microalbumin, Urine	$64.40	$92.00	$38.64–$92.00	—	30%
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Test	$84.00	$120.00	$50.40–$120.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Anemia Profile B, vitamin B-12 (Lc)	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Vitamin B12 Level	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Vitamin B12 W/ Reflex to Methylmalonic Acid, Serum (Arup)	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Pernicious Anemia Diagnostic Panel,Vitamin B-12 (Q)	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Micronutrients, B-Vitamin Panel, B-12 (Q)	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Vitamin B12 Level, Serum (Q, Lc)	$135.10	$193.00	$81.06–$193.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Vitamin D 25-Hydroxy (D2,D3) (Q)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Cardio Iq Vitamin D, 25-Hydroxy (Q)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Vitamin D 25-Hydroxy	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref 25-Hydroxyvitamin D (Mayo)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Vitamin D 25-Hydroxy (D2,D3), Lc-Ms-Ms (Lc)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Genova Panel, Vitamin D (Gva)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref 25-Hydroxyvitamin D2 and D3 (Mayo)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Quest-Assure-D� for Infants, 25-Hydroxyvitamin D (Q)	$191.10	$273.00	$114.66–$273.00	—	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB Ref Vitamin D, 1,25 Dihydroxy (Mayo)	$140.70	$201.00	$84.42–$201.00	—	30%
Zinc blood test CPT 84630 HB Ref Zinc	$57.40	$82.00	$34.44–$82.00	—	30%
Zinc blood test CPT 84630 HB Ref Zinc, Serum (Mayo)	$62.30	$89.00	$37.38–$89.00	—	30%
Zinc blood test CPT 84630 HB Ref Micronutrients, Mineral/Element Panel, Zinc (Q)	$62.30	$89.00	$37.38–$89.00	—	30%
Zinc blood test CPT 84630 HB Ref Mineral Profile, Rbcs, Zinc (Q)	$62.30	$89.00	$37.38–$89.00	—	30%
Zinc blood test CPT 84630 HB Ref Genova Panel, Zinc Plasma (Gva)	$65.10	$93.00	$39.06–$93.00	—	30%
Zinc blood test CPT 84630 HB Ref Zinc, Whole Blood (Lc)	$65.80	$94.00	$39.48–$94.00	—	30%
Zinc blood test CPT 84630 HB Ref Zinc, 24 Hr Urine (Mayo)	$68.60	$98.00	$41.16–$98.00	—	30%
Zinc blood test CPT 84630 HB Ref Zinc, 24 Hour Urine (Q)	$74.20	$106.00	$44.52–$106.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Hcg, Beta, CSF (Q)	$22.40	$32.00	$13.44–$32.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Beta-Human Chorionic Gonadotropin, Quantitative, Serum (Mayo)	$144.90	$207.00	$86.94–$207.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Inteference Eval Heterophile, Hcg (Mayo)	$144.90	$207.00	$86.94–$207.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Beta Hcg, Quantitative	$148.40	$212.00	$89.04–$212.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Integrated Screen, 2nd Trimester, Hcg (Ig)	$165.20	$236.00	$99.12–$236.00	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Quadruple Marker Test, Hcg	$165.20	$236.00	$99.12–$236.00	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Fracture Metatarsal; Without Manipulation	$829.50	$1,185.00	$713.37–$795.14	—	30%
Cervical biopsy CPT 57500 HB Biopsy of Cervix	$3,561.60	$5,088.00	$3,062.98–$3,414.05	—	30%
Circumcision, surgical, older than a newborn CPT 54160 HB Circumcision Neonate	$4,342.10	$6,203.00	$2,605.26–$6,203.00	—	30%
Colonoscopy with endoscopic ultrasound CPT 45391 HB Colonoscopy W/Endoscope US	$4,094.30	$5,849.00	$2,456.58–$5,849.00	—	30%
Colonoscopy with polyp removal CPT 45385 HB Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,094.30	$5,849.00	$2,456.58–$5,849.00	—	30%
Colonoscopy with tissue sample CPT 45380 HB Colonoscopy W/Biopsy Single/Multiple	$4,094.30	$5,849.00	$2,456.58–$5,849.00	—	30%
Colonoscopy, diagnostic CPT 45378 HB Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$2,524.90	$3,607.00	$1,514.94–$3,607.00	—	30%
Coronary stent placement, one artery CPT 92928 HB Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$22,266.30	$31,809.00	$13,359.78–$31,809.00	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$2,807.70	$4,011.00	$2,414.62–$2,691.38	—	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB Intravitreal Njx Pharmacologic Agt Spx	$3,068.80	$4,384.00	$2,639.17–$2,941.66	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB Inj Paravert F Jnt L/S 1 Lev	$6,411.65	$9,159.50	$102.42–$883.00	—	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HB Rpr Aa Hernia 1st < 3 Cm Reducible	$7,725.20	$11,036.00	$4,635.12–$11,036.00	—	30%
Gallbladder removal, laparoscopic CPT 47562 HB Laparoscopy Surg Cholecystectomy	$15,822.80	$22,604.00	$9,493.68–$22,604.00	—	30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HB Laps Surg Cholecystectomy W/Cholangiography	$14,162.40	$20,232.00	$8,497.44–$20,232.00	—	30%
IUD insertion (the device itself billed separately) CPT 58300 HB Insertion Intrauterine Device Iud	$2,375.80	$3,394.00	$2,043.19–$2,277.37	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HB Drainage of Skin Abscess Simple or Single	$954.10	$1,363.00	$572.46–$1,363.00	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Drain/Inj Joint/Bursa W/O US	$1,358.00	$1,940.00	$1,167.88–$1,301.74	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 HB Injection Inclu Needle/Cath Plct Interlaminar Lmbr/Sac W/ Flouro	$2,898.00	$4,140.00	$112.37–$883.00	—	30%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Injection Inclu Needle/Cath Plct Interlaminar Lmbr/Sac	$2,927.40	$4,182.00	$2,517.56–$2,806.12	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Inj Foramen Epidural L/S	$2,893.80	$4,134.00	$125.81–$883.00	—	30%
Miscarriage treatment with D&C, first trimester CPT 59820 HB Tx Missed Abortion First Trimester Surgical	$5,276.60	$7,538.00	$3,165.96–$7,538.00	—	30%
Prostate biopsy CPT 55700 HB Biopsy of Prostate_Biopsy, Prostate; Needle or Punch, Single or Multiple, Any Approach	$5,028.80	$7,184.00	$4,324.77–$4,820.46	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB Destroy Lumb/Sac Facet Jnt	$9,423.40	$13,462.00	$218.00–$883.00	—	30%
Short arm cast (elbow to hand) CPT 29075 HB Application Cast Elbow Finger Short Arm	$346.50	$495.00	$207.90–$495.00	—	30%
Short arm splint (forearm and hand) CPT 29125 HB Application, Splint; Forearm to Hand-Static	$233.80	$334.00	$201.07–$224.11	—	30%
Short leg cast (below the knee) CPT 29405 HB Application, Cast; Below Knees to Toes-Short Leg	$303.80	$434.00	$261.27–$291.21	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 HB Injection Single/Mlt Trigger Point 1/2 Muscles	$911.40	$1,302.00	$546.84–$1,302.00	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 HB Egd Transoral Biopsy Single/Multiple	$3,217.90	$4,597.00	$1,930.74–$4,597.00	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 HB Esophagogastroduodenoscopy Transoral Diagnostic	$2,743.30	$3,919.00	$1,645.98–$3,919.00	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB Egd W/Transmural Drain Cyst	$4,375.00	$6,250.00	$2,625.00–$6,250.00	—	30%
Wart removal, up to 14 warts CPT 17110 HB Destruct B9 Lesion 1-14	$154.70	$221.00	$92.82–$221.00	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB Blood Transfusion Service	$1,561.00	$2,230.00	$936.60–$2,230.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Airway Inhalation Treatment	$51.80	$74.00	$31.08–$74.00	—	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Comprehensive Hearing Test	$256.90	$367.00	$154.14–$367.00	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Eeg Awake and Drowsy	$885.50	$1,265.00	$531.30–$1,265.00	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB Electrocardiogram Tracing	$78.40	$112.00	$47.04–$112.00	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ED Visit Level 1	$399.70	$571.00	$239.82–$571.00	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ED Visit Level 2	$757.40	$1,082.00	$454.44–$1,082.00	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ED Visit Level 3	$1,346.80	$1,924.00	$808.08–$1,924.00	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ED Visit Level 4	$2,524.90	$3,607.00	$1,514.94–$3,607.00	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ED Visit Level 5	$3,534.30	$5,049.00	$2,120.58–$5,049.00	—	30%
Group psychotherapy session CPT 90853 HB Continuing Care Group Psychotherapy	$82.60	$118.00	$49.56–$118.00	—	30%
Group psychotherapy session CPT 90853 HB Group Psychotherapy	$84.70	$121.00	$50.82–$121.00	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Ther/Proph/Diag Inj Sc/Im	$196.00	$280.00	$117.60–$280.00	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB C/D Evaluation	$104.30	$149.00	$62.58–$149.00	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Crisis Diagnostic Evaluation	$343.00	$490.00	$205.80–$490.00	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Evaluation Lvl 1 IP	$392.70	$561.00	$235.62–$561.00	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB Nrv Cndj Test 7-8 Studies	$1,243.20	$1,776.00	$745.92–$1,776.00	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 HB Neuromuscular Reeducation	$126.70	$181.00	$76.02–$181.00	7% above	30%
New patient office visit, about 30 minutes CPT 99203 HB Office/Outpatient Visit New Level 3	$380.10	$543.00	$228.06–$543.00	—	30%
New patient office visit, about 45 minutes CPT 99204 HB Office/Outpatient Visit New Level 4	$438.20	$626.00	$262.92–$626.00	—	30%
New patient office visit, about 60 minutes CPT 99205 HB Office/Outpatient Visit New Level 5	$640.50	$915.00	$384.30–$915.00	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Office/Outpatient Visit New Level 2	$215.60	$308.00	$129.36–$308.00	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$96.60	$138.00	$57.96–$138.00	80% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Drivers Ot Eval Low Complexity - Self Pay	$346.50	$495.00	$207.90–$495.00	36% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Ot Feeding Clinic Low Complex	$348.60	$498.00	$209.16–$498.00	36% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Ot Eval Low Complex	$486.50	$695.00	$291.90–$695.00	90% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB Pt Eval High Complex	$731.50	$1,045.00	$438.90–$1,045.00	114% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB Pt Eval Low Complex	$486.50	$695.00	$291.90–$695.00	116% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB Pt Eval Mod Complex	$611.10	$873.00	$366.66–$873.00	100% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Therapy 1/> Regions	$131.60	$188.00	$78.96–$188.00	1% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Exercises	$126.70	$181.00	$76.02–$181.00	13% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB Office/Outpatient Visit Established Level 5	$609.00	$870.00	$365.40–$870.00	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hcpf Established Patient Level 3 Bh	$151.20	$216.00	$90.72–$216.00	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB Office/Outpatient Visit Established Level 3	$291.20	$416.00	$174.72–$416.00	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hcpf Established Patient Level 4 Bh	$164.50	$235.00	$98.70–$235.00	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB Office/Outpatient Visit Established Level 4	$398.30	$569.00	$238.98–$569.00	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hcpf Established Patient Level 2 Bh	$105.70	$151.00	$63.42–$151.00	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Office/Outpatient Visit Established Level 2	$196.00	$280.00	$117.60–$280.00	—	30%
Speech and language evaluation CPT 92523 HB Speech Sound Lang Comprehen	$578.90	$827.00	$347.34–$827.00	67% above	30%
Speech therapy session, individual CPT 92507 HB Speech/Hearing Therapy Individual	$312.20	$446.00	$187.32–$446.00	82% above	30%
Spirometry (breathing test) CPT 94010 HB Breathing Capacity Test	$405.30	$579.00	$243.18–$579.00	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeutic Activities	$126.00	$180.00	$75.60–$180.00	1% above	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Therapeutic Phlebotomy	$316.40	$452.00	$212.44–$452.00	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy	$316.40	$452.00	$212.44–$452.00	—	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HB Cv Strs Tst Xers&/or Rx Cont Ecg W/Si&R	$431.20	$616.00	$258.72–$616.00	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HB Sarscv2 Vac 30mcg Trs-Suc Im Pfizer	$137.90	$197.00	$82.74–$197.00	—	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 25-26(12UP)(PFI)(PF) 30 MCG/0.3 ML IM SYRG	$137.90	$197.00	$82.74–$197.00	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$21.00	$30.00	$12.60–$30.00	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$33.60	$48.00	$20.16–$48.00	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB 9vhpv Vacc 2/3 Dose Sched Im Use	$423.50	$605.00	$254.10–$605.00	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HB Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$326.90	$467.00	$196.14–$467.00	—	30%
Hepatitis A vaccine, adult dose CPT 90632 HB Hepatitis a Vacine, Adult Dosage, Intramuscular	$107.10	$153.00	$64.26–$153.00	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hepatitis B Vaccine, Adult Dosage, Intramuscular	$84.00	$120.00	$50.40–$120.00	—	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HB Heplisav Hepb Vaccine Adult 2 Dose Schedule for Im Use	$440.30	$629.00	$264.18–$629.00	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG	$31.50	$45.00	$18.90–$45.00	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HH Iiv Vaccine Preserv Free Increased Ag Content Im	$70.70	$101.00	$42.42–$101.00	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB Influenza Vaccine, Quadrivalent Iiv4 Intramuscular, 0.5 Ml	$81.20	$116.00	$48.72–$116.00	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB Measles Mumps Rubella Virus Vaccine Live Subq	$242.90	$347.00	$145.74–$347.00	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB Meningococcal Conjugate Vaccine, Intramuscular	$247.80	$354.00	$148.68–$354.00	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB Menb-4c Vacc 2 Dose Im	$329.00	$470.00	$197.40–$470.00	—	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB Pneumococcal Vaccine, 13 Valent, Intramuscular	$275.80	$394.00	$165.48–$394.00	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB Pneumococcal Vaccine, 20 Valent, Intramuscular	$314.30	$449.00	$188.58–$449.00	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB Pneumococcal Vaccine, 23 Valent, 2 Years and Older	$164.50	$235.00	$110.45–$235.00	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HB Hzv Vacc Recombinant Im	$186.20	$266.00	$111.72–$266.00	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB Tetanus and Diphtheria Toxoids; 7 Yrs and Older	$77.00	$110.00	$46.20–$110.00	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB Tdap Vaccine, Intramuscular, 7 Years and Older	$77.70	$111.00	$46.62–$111.00	—	30%

Dental

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HB Extraction, Erupted Tooth or Exposed Root (Elevation and/or Forceps Removal)	$328.30	$469.00	$196.98–$469.00	—	30%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.nm.org/site_data/362680776_northwestern-medicine-marianjoy-rehabilitation-hospital_standardcharges.json