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All Services Pathology and Laboratory Services

CPT 87340

Detection test for Hepatitis Be surface antigen

$36.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$15.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$20.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$28.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$15.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$32.00 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$15.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$21.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$63.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$34.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$50.00 Standard Charge

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CPT 86359

T cells count, total

$144.00 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$13.00 Standard Charge

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CPT 84484

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

$18.00 Standard Charge

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CPT 80197

Tacrolimus Level

$50.00 Standard Charge

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CPT 80164

Valproic acid level

$50.00 Standard Charge

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CPT 82565

Blood creatinine level

$15.00 Standard Charge

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CPT 83520

Immunoassay other than infectious agent antibody

$39.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$11.00 Standard Charge

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CPT 85660

Red blood cell sickling measurement

$21.00 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$50.00 Standard Charge

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CPT 82465

Cholesterol level

$15.00 Standard Charge

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CPT 82746

Folic acid; serum

$28.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$24.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$45.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$119.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$25.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$28.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$271.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$57.00 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$36.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$10.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$31.00 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$13.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$73.00 Standard Charge

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CPT 87177

Smear for Parasites

$54.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$16.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$53.00 Standard Charge

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CPT 86945

Irradiation blood product, each unit

$299.00 Standard Charge

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CPT 88342

Pathology test

$178.30 Standard Charge

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CPT 83516

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

$39.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$12.00 Standard Charge

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CPT 85610

Blood test, clotting time

$13.00 Standard Charge

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CPT 83970

Parathormone

$78.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$22.00 Standard Charge

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CPT 84478

Blood test, lipids (cholesterol and triglycerides)

$17.00 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

$13.00 Standard Charge

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CPT 82040

Albumin (protein) level

$15.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$30.00 Standard Charge

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CPT 87045

Stool Culture

$28.00 Standard Charge

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CPT 86361

T cell count and ratio

$71.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$39.00 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$36.00 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$84.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$17.00 Standard Charge

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CPT 82232

Beta-2 microglobulin (protein) level

$62.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$54.00 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$20.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$28.00 Standard Charge

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CPT 84295

Blood sodium level

$15.00 Standard Charge

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CPT 80158

Cyclosporine level

$69.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$22.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$27.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$125.00 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$44.00 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$116.00 Standard Charge

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CPT 83883

Nephelometry, test method using light

$45.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$95.00 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$17.00 Standard Charge

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CPT 82140

Ammonia level

$56.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$25.00 Standard Charge

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CPT 84132

Blood potassium level

$15.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$30.00 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$71.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$15.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$103.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$28.00 Standard Charge

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CPT 83735

Magnesium Level

$20.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$15.00 Standard Charge

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CPT 86765

Rubeola virus antibody test

$27.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$17.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$39.00 Standard Charge

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CPT 84550

Uric acid level, blood

$17.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$15.00 Standard Charge

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CPT 83540

Iron level

$20.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$20.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$17.00 Standard Charge

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CPT 80048

Basic metabolic panel

$20.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$31.00 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$39.00 Standard Charge

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CPT 86701

Analysis for antibody to HIV -1 virus

$39.00 Standard Charge

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CPT 86735

Mumps virus antibody test

$27.00 Standard Charge

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CPT 85025

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

$16.00 Standard Charge

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CPT 82310

Calcium level

$15.00 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$39.00 Standard Charge

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CPT 83020

Hemoglobin Measurement

$38.00 Standard Charge

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CPT 80076

Liver function blood test panel

$19.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$22.00 Standard Charge

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CPT 82533

Cortisol Measurement

$54.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$18.00 Standard Charge

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CPT 87491

Chlamydia Test

$103.00 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$17.00 Standard Charge

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CPT 85027

Complete blood count, automated

$16.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$45.00 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$39.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$17.00 Standard Charge

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CPT 82330

Ionized Calcium

$45.00 Standard Charge

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CPT 87186

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

$22.00 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$60.00 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$22.00 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$20.00 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$48.00 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$15.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$29.00 Standard Charge

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CPT 84157

Prealbumin (protein) level

$11.00 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$16.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$17.00 Standard Charge

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