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All Services Pathology and Laboratory Services

CPT 80048

Basic metabolic panel

$73.00 Standard Charge

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CPT 80076

Liver function blood test panel

$116.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$25.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$145.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$176.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$158.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$101.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$253.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$200.00 Standard Charge

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CPT 82330

Ionized Calcium

$143.00 Standard Charge

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CPT 83540

Iron level

$82.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$261.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$123.00 Standard Charge

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CPT 82310

Calcium level

$72.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$78.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$43.00 Standard Charge

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CPT 87491

Chlamydia Test

$160.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$85.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$58.00 Standard Charge

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CPT 87653

Blood test for strep infection

$256.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$123.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$70.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$124.00 Standard Charge

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CPT 80051

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$73.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$76.00 Standard Charge

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CPT 82140

Ammonia level

$185.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$138.00 Standard Charge

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CPT 85025

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

$79.00 Standard Charge

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CPT 80055

Obstetric blood test panel

$228.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$129.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$121.00 Standard Charge

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CPT 84484

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

$136.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$147.00 Standard Charge

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CPT 88175

PAP smear

$270.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$49.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$39.00 Standard Charge

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CPT 84681

C-peptide (protein) level

$149.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$54.00 Standard Charge

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CPT 84295

Blood sodium level

$58.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$243.00 Standard Charge

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CPT 84132

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$61.00 Standard Charge

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CPT 81025

Urine Pregnancy Test

$45.00 Standard Charge

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CPT 87186

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

$111.00 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

$55.00 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$133.00 Standard Charge

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CPT 82040

Albumin (protein) level

$61.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$26.00 Standard Charge

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CPT 83735

Magnesium Level

$67.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$275.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$70.00 Standard Charge

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CPT 87661

Blood test for an STD

$295.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$4.00 Standard Charge

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CPT 82746

Folic acid; serum

$132.00 Standard Charge

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CPT 85027

Complete blood count, automated

$70.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$68.00 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$101.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$135.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$172.00 Standard Charge

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CPT 83970

Parathormone

$248.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$35.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$85.00 Standard Charge

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CPT 87807

Test for RSV

$220.00 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$66.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$104.00 Standard Charge

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CPT 84550

Uric acid level, blood

$61.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$116.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$114.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$107.00 Standard Charge

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CPT 87081

Medical test to find an infection

$7.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$312.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$104.00 Standard Charge

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CPT 85610

Blood test, clotting time

$43.00 Standard Charge

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CPT 82565

Blood creatinine level

$62.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$91.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$153.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$91.00 Standard Charge

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