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All Services Pathology and Laboratory Services

CPT 84153

PSA (prostate specific antigen)

$126.45 Standard Charge

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CPT 85041

Red blood count, automated test

$76.00 Standard Charge

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CPT 83970

Parathormone

$281.55 Standard Charge

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CPT 85018

Blood count, hemoglobin

$21.00 Standard Charge

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CPT 87807

Test for RSV

$77.95 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$62.00 Standard Charge

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CPT 82140

Ammonia level

$90.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$240.40 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$89.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$101.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$462.00 Standard Charge

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CPT 85610

Blood test, clotting time

$125.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$61.70 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$281.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$26.00 Standard Charge

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CPT 80164

Valproic acid level

$67.20 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$40.00 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$115.95 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$264.60 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$701.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$66.83 Standard Charge

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CPT 87661

Blood test for an STD

$390.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$177.45 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$61.50 Standard Charge

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CPT 83498

Hydroxyprogesterone, 17-D (synthetic hormone) level

$168.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$202.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$167.25 Standard Charge

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CPT 80177

Levetiracetam level

$390.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$46.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$42.06 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$44.45 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$52.85 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$116.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$123.17 Standard Charge

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CPT 81025

Urine Pregnancy Test

$20.00 Standard Charge

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CPT 83516

Chemical test of the blood to measure presence or concentration of a substance in the blood

$57.65 Standard Charge

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CPT 84132

Blood potassium level

$28.00 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$83.25 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$117.05 Standard Charge

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CPT 83735

Magnesium Level

$28.60 Standard Charge

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CPT 87804

Test for Influenza Virus

$77.95 Standard Charge

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CPT 86703

Blood test to diagnose HIV

$97.00 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$164.85 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$15.12 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$72.75 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$26.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$67.34 Standard Charge

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CPT 87205

A lab test used to detect bacteria or fungi in a sample taken from the site of a suspected infection

$63.94 Standard Charge

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CPT 82746

Folic acid; serum

$91.00 Standard Charge

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CPT 84484

Blood test to measure a certain protein in the blood to determine heart muscle damage

$123.44 Standard Charge

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CPT 84439

Assay of free thyroxine

$48.00 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$240.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$6.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$692.10 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$115.50 Standard Charge

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CPT 83520

Immunoassay other than infectious agent antibody

$27.00 Standard Charge

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CPT 80185

Phenytoin level

$91.10 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$130.40 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$7.20 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$47.35 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$39.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$60.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$25.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$203.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$20.00 Standard Charge

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CPT 80055

Obstetric blood test panel

$105.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$179.25 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$733.49 Standard Charge

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CPT 86140

Measurement C-reactive protein

$35.55 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$35.00 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$192.85 Standard Charge

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CPT 85027

Complete blood count, automated

$46.35 Standard Charge

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CPT 83550

Iron Binding Capacity

$91.25 Standard Charge

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CPT 83540

Iron level

$12.10 Standard Charge

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CPT 80048

Basic metabolic panel

$304.55 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$47.20 Standard Charge

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CPT 80074

Acute hepatitis panel

$30.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$82.95 Standard Charge

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CPT 84550

Uric acid level, blood

$17.60 Standard Charge

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CPT 82150

Amylase (enzyme) level

$92.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$50.00 Standard Charge

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CPT 85025

Complete blood cell count, with differential white blood cells, automated

$44.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$161.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$118.90 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$22.00 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$68.70 Standard Charge

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CPT 87491

Chlamydia Test

$82.95 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$16.00 Standard Charge

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CPT 83021

Liver function blood test panel

$100.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$98.10 Standard Charge

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CPT 80076

Liver function blood test panel

$56.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$22.00 Standard Charge

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CPT 82948

Blood glucose (sugar) measurement using reagent strip

$20.85 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$123.44 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$65.95 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$93.00 Standard Charge

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