Price Transparency
Know your out-of-pocket cost for care.
|
|
|---|
|
CPT 86308 Heterophile antibodies; screening
$90.00 Standard Charge See All Rates |
|
CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed
$39.00 Standard Charge See All Rates |
|
CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique
$202.00 Standard Charge See All Rates |
|
CPT 83605 Lactate (lactic acid)
$143.00 Standard Charge See All Rates |
|
CPT 82533 Cortisol; total
$24.00 Standard Charge See All Rates |
|
CPT 83970 Parathormone (parathyroid hormone)
$33.00 Standard Charge See All Rates |
|
CPT 84132 Potassium; serum, plasma or whole blood
$63.00 Standard Charge See All Rates |
|
CPT 80305 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service
$62.00 Standard Charge See All Rates |
|
CPT 85610 Blood test, clotting time
$7.00 Standard Charge See All Rates |
|
CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)
$82.00 Standard Charge See All Rates |
|
CPT 86038 Antinuclear antibodies (ANA);
$39.00 Standard Charge See All Rates |
|
CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)
$13.00 Standard Charge See All Rates |
|
CPT 82565 Creatinine; blood
$65.00 Standard Charge See All Rates |
|
CPT 82607 Cyanocobalamin (Vitamin B-12);
$21.00 Standard Charge See All Rates |
|
CPT 86762 Antibody; rubella
$20.00 Standard Charge See All Rates |
|
CPT 86900 Blood typing, serologic; ABO
$109.00 Standard Charge See All Rates |
|
CPT 82784 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
$13.00 Standard Charge See All Rates |
|
CPT G0103 Prostate cancer screening; prostate specific antigen test (psa)
$140.00 Standard Charge See All Rates |
|
CPT 87400 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each
$98.00 Standard Charge See All Rates |
|
CPT 86200 Cyclic citrullinated peptide (CCP), antibody
$53.00 Standard Charge See All Rates |
|
CPT 83655 Lead
$26.00 Standard Charge See All Rates |
|
CPT 87624 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)
$118.00 Standard Charge See All Rates |
|
CPT 87150 Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed
$1,123.00 Standard Charge See All Rates |
|
CPT 85018 Blood count; hemoglobin (Hgb)
$43.00 Standard Charge See All Rates |
|
CPT 81002 Manual urinalysis test with examination without using microscope
$26.00 Standard Charge See All Rates |
|
CPT P9016 Red blood cells, leukocytes reduced, each unit
$659.00 Standard Charge See All Rates |
|
CPT 80076 Liver function blood test panel
$164.00 Standard Charge See All Rates |
|
CPT 84165 Protein; electrophoretic fractionation and quantitation, serum
$21.00 Standard Charge See All Rates |
|
CPT 84702 Gonadotropin, chorionic (hCG); quantitative
$24.00 Standard Charge See All Rates |
|
CPT 84145 Procalcitonin (PCT)
$561.00 Standard Charge See All Rates |
|
CPT 85730 Coagulation assessment blood test
$16.00 Standard Charge See All Rates |
|
CPT 86160 Complement; antigen, each component
$16.00 Standard Charge See All Rates |
|
CPT 83883 Nephelometry, each analyte not elsewhere specified
$38.00 Standard Charge See All Rates |
|
CPT 83880 Natriuretic peptide
$268.00 Standard Charge See All Rates |
|
CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique
$55.00 Standard Charge See All Rates |
|
CPT 85379 Fibrin degradation products, D-dimer; quantitative
$174.00 Standard Charge See All Rates |
|
CPT 85652 Sedimentation rate, erythrocyte; automated
$58.00 Standard Charge See All Rates |
|
CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
$29.00 Standard Charge See All Rates |
|
CPT 83036 Hemoglobin; glycosylated (A1C)
$105.00 Standard Charge See All Rates |
|
CPT 84155 Protein, total, except by refractometry; serum, plasma or whole blood
$50.00 Standard Charge See All Rates |
|
CPT 87086 Culture, bacterial; quantitative colony count, urine
$18.00 Standard Charge See All Rates |
|
CPT 84450 Transferase; aspartate amino (AST) (SGOT)
$65.00 Standard Charge See All Rates |
|
CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)
$105.00 Standard Charge See All Rates |
|
CPT 82043 Albumin; urine (eg, microalbumin), quantitative
$77.00 Standard Charge See All Rates |
|
CPT 83550 Iron binding capacity
$9.00 Standard Charge See All Rates |
|
CPT 84484 Troponin, quantitative
$113.00 Standard Charge See All Rates |
|
CPT 81025 Urine pregnancy test, by visual color comparison methods
$103.00 Standard Charge See All Rates |
|
CPT 82803 Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);
$276.00 Standard Charge See All Rates |
|
CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each
$16.00 Standard Charge See All Rates |
|
CPT 85025 Complete blood cell count, with differential white blood cells, automated
$107.00 Standard Charge See All Rates |
|
CPT 85045 Blood count; reticulocyte, automated
$13.00 Standard Charge See All Rates |
|
CPT 87077 Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate
$83.00 Standard Charge See All Rates |
|
CPT 83516 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method
$100.00 Standard Charge See All Rates |
|
CPT 87801 Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique
$312.00 Standard Charge See All Rates |
|
CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique
$55.00 Standard Charge See All Rates |
|
CPT 84520 Urea nitrogen; quantitative
$58.00 Standard Charge See All Rates |
|
CPT 83690 Lipase
$124.00 Standard Charge See All Rates |
|
CPT 83735 Magnesium
$95.00 Standard Charge See All Rates |
|
CPT 84403 Testosterone; total
$38.00 Standard Charge See All Rates |
|
CPT 84480 Triiodothyronine T3; total (TT-3)
$32.00 Standard Charge See All Rates |
|
CPT 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
$11.00 Standard Charge See All Rates |
|
CPT 83540 Iron
$9.00 Standard Charge See All Rates |
|
CPT 84146 Prolactin
$33.00 Standard Charge See All Rates |
|
CPT 86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody
$114.00 Standard Charge See All Rates |
|
CPT 87081 Culture, presumptive, pathogenic organisms, screening only;
$13.00 Standard Charge See All Rates |
|
CPT 86141 C-reactive protein; high sensitivity (hsCRP)
$32.00 Standard Charge See All Rates |
|
CPT 84460 Transferase; alanine amino (ALT) (SGPT)
$63.00 Standard Charge See All Rates |
|
CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result
$84.00 Standard Charge See All Rates |
|
CPT 86706 Hepatitis B surface antibody (HBsAb)
$18.00 Standard Charge See All Rates |
|
CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations
$57.00 Standard Charge See All Rates |
|
CPT 82330 Calcium; ionized
$131.00 Standard Charge See All Rates |
|
CPT 82140 Ammonia
$43.00 Standard Charge See All Rates |
|
CPT 83615 Lactate dehydrogenase (LD), (LDH);
$9.00 Standard Charge See All Rates |
|
CPT 82728 Ferritin
$17.00 Standard Charge See All Rates |
|
CPT 84443 Blood test, thyroid stimulating hormone (TSH)
$167.00 Standard Charge See All Rates |
|
CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Pa...
$193.00 Standard Charge See All Rates |
|
CPT 87426 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])
$155.00 Standard Charge See All Rates |
|
CPT 84144 Progesterone
$32.00 Standard Charge See All Rates |
|
CPT 84550 Uric acid; blood
$68.00 Standard Charge See All Rates |
|
CPT 82570 Creatinine; other source
$12.00 Standard Charge See All Rates |
|
CPT 85027 Complete blood count, automated
$88.00 Standard Charge See All Rates |
|
CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types
$20.00 Standard Charge See All Rates |
|
CPT 81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy
$38.00 Standard Charge See All Rates |
|
CPT 84481 Triiodothyronine T3; free
$30.00 Standard Charge See All Rates |
|
CPT 86901 Blood typing, serologic; Rh (D)
$85.00 Standard Charge See All Rates |
|
CPT 80048 Basic metabolic panel
$158.00 Standard Charge See All Rates |
|
CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate
$29.00 Standard Charge See All Rates |
|
CPT 87328 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium
$206.00 Standard Charge See All Rates |
|
CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed
$339.00 Standard Charge See All Rates |
|
CPT 80053 Blood test, comprehensive group o blood chemicals
$215.00 Standard Charge See All Rates |
|
CPT 80055 Obstetric blood test panel
$182.00 Standard Charge See All Rates |
|
CPT 84100 Phosphorus inorganic (phosphate);
$66.00 Standard Charge See All Rates |
|
CPT 82150 Amylase
$111.00 Standard Charge See All Rates |
|
CPT 82785 Gammaglobulin (immunoglobulin); IgE
$22.00 Standard Charge See All Rates |
|
CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A
$105.00 Standard Charge See All Rates |
|
CPT 86803 Hepatitis C antibody;
$20.00 Standard Charge See All Rates |
|
CPT 87147 Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum
$68.00 Standard Charge See All Rates |
|
CPT 87045 Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species
$42.00 Standard Charge See All Rates |
|
CPT 84439 Thyroxine; free
$125.00 Standard Charge See All Rates |
|
CPT 83993 Calprotectin, fecal
$394.00 Standard Charge See All Rates |
|
CPT 83001 Gonadotropin; follicle stimulating hormone (FSH)
$30.00 Standard Charge See All Rates |
|
CPT 85014 Blood count; hematocrit (Hct)
$44.00 Standard Charge See All Rates |
|
CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)
$318.00 Standard Charge See All Rates |
|
CPT 84153 PSA (prostate specific antigen)
$23.00 Standard Charge See All Rates |
|
CPT 86256 Fluorescent noninfectious agent antibody; titer, each antibody
$149.00 Standard Charge See All Rates |
|
CPT 87210 Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)
$78.00 Standard Charge See All Rates |
|
CPT 80069 Kidney function panel test
$159.00 Standard Charge See All Rates |
|
CPT 82948 Glucose; blood, reagent strip
$26.00 Standard Charge See All Rates |
|
CPT 82950 Glucose; post glucose dose (includes glucose)
$55.00 Standard Charge See All Rates |
|
CPT 84156 Protein, total, except by refractometry; urine
$12.00 Standard Charge See All Rates |
|
CPT 80061 Blood test, lipids (cholesterol and triglycerides)
$155.00 Standard Charge See All Rates |
|
CPT 82746 Folic acid; serum
$20.00 Standard Charge See All Rates |
|
CPT 87329 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia
$45.00 Standard Charge See All Rates |
|
CPT 82947 Glucose; quantitative, blood (except reagent strip)
$55.00 Standard Charge See All Rates |
|
CPT 86140 C-reactive protein;
$91.00 Standard Charge See All Rates |
|
CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy
$69.00 Standard Charge See All Rates |
|
CPT 87070 Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
$37.00 Standard Charge See All Rates |
|
CPT 82553 Creatine kinase (CK), (CPK); MB fraction only
$200.00 Standard Charge See All Rates |
|
CPT 82550 Creatine kinase (CK), (CPK); total
$96.00 Standard Charge See All Rates |
|
CPT 86850 Antibody screen, RBC, each serum technique
$147.00 Standard Charge See All Rates |