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All Services Pathology and Laboratory Services

CPT 84132

Blood potassium level

$24.00 Standard Charge

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CPT 80185

Phenytoin level

$51.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$40.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$89.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$229.00 Standard Charge

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CPT 83540

Iron level

$37.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$30.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$38.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$21.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$443.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$34.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$366.00 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$35.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$113.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$48.00 Standard Charge

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CPT 83735

Magnesium Level

$38.00 Standard Charge

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CPT 87186

A test used to determine which medications work on bacteria for fungi

$34.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$38.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$56.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$35.00 Standard Charge

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CPT 80076

Liver function blood test panel

$40.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$29.00 Standard Charge

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CPT 80048

Basic metabolic panel

$48.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$242.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$95.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$43.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$124.00 Standard Charge

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CPT 82140

Ammonia level

$99.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$162.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$21.00 Standard Charge

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CPT 85610

Blood test, clotting time

$20.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$30.00 Standard Charge

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CPT 84550

Uric acid level, blood

$54.00 Standard Charge

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CPT 82542

Mass spectrometry

$75.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$25.00 Standard Charge

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CPT 82746

Folic acid; serum

$57.00 Standard Charge

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CPT 84300

Urine sodium level

$25.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$34.00 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$435.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$32.00 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

$16.00 Standard Charge

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CPT 87230

Microbial toxin or antitoxin assay

$103.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$19.00 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$330.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$17.00 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$38.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$115.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$54.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$54.00 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$87.00 Standard Charge

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CPT 88342

Pathology test

$489.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$50.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$77.00 Standard Charge

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CPT 84484

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

$121.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$155.00 Standard Charge

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CPT 87081

Medical test to find an infection

$27.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$155.00 Standard Charge

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CPT 87491

Chlamydia Test

$137.00 Standard Charge

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CPT 80162

Digoxin level

$72.00 Standard Charge

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CPT 85027

Complete blood count, automated

$33.00 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$155.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$52.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$52.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$77.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$56.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$225.00 Standard Charge

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CPT 80164

Valproic acid level

$52.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$32.00 Standard Charge

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CPT 87177

Smear for Parasites

$88.00 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$45.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$29.00 Standard Charge

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CPT 85025

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

$43.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$34.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$100.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$71.00 Standard Charge

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