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All Services Pathology and Laboratory Services

CPT 80055

Obstetric blood test panel

$375.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$130.00 Standard Charge

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CPT 87804

Test for Influenza Virus

$110.00 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$165.00 Standard Charge

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CPT 87510

Blood test for vaginitis

$130.00 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

$110.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$25.00 Standard Charge

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CPT 82310

Calcium level

$90.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$370.00 Standard Charge

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CPT 87880

Strep Test

$50.00 Standard Charge

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CPT 86317

Immunoassay for infectious agent antibody

$230.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$90.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$50.00 Standard Charge

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CPT 80050

General health panel

$325.00 Standard Charge

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CPT 82948

Blood glucose (sugar) measurement using reagent strip

$30.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$165.00 Standard Charge

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CPT 80076

Liver function blood test panel

$200.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$150.00 Standard Charge

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CPT 87801

Blood test to determine genetic material of certain infectious agents

$270.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$165.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$125.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$255.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$75.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$110.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$100.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$495.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$80.00 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$135.00 Standard Charge

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CPT 82330

Ionized Calcium

$135.00 Standard Charge

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CPT 80197

Tacrolimus Level

$200.00 Standard Charge

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CPT 82746

Folic acid; serum

$150.00 Standard Charge

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CPT 87653

Blood test for strep infection

$110.00 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$235.00 Standard Charge

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CPT 84630

Zinc level

$80.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$150.00 Standard Charge

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CPT 83735

Magnesium Level

$140.00 Standard Charge

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CPT 85027

Complete blood count, automated

$24.00 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$400.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$155.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$80.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$470.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$165.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$180.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$90.00 Standard Charge

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CPT 83540

Iron level

$95.00 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 83970

Parathormone

$405.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$125.00 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$1,825.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$165.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$80.00 Standard Charge

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CPT 84484

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

$515.00 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$230.00 Standard Charge

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CPT 81025

Urine Pregnancy Test

$85.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$155.00 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$155.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$220.00 Standard Charge

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CPT 84550

Uric acid level, blood

$75.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$125.00 Standard Charge

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CPT 82533

Cortisol Measurement

$160.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$380.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$70.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$160.00 Standard Charge

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CPT 88342

Pathology test

$1,245.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$115.00 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$155.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$95.00 Standard Charge

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CPT 87661

Blood test for an STD

$250.00 Standard Charge

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CPT 82525

Copper level

$140.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$155.00 Standard Charge

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CPT 82565

Blood creatinine level

$90.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$150.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$95.00 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$160.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$155.00 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$220.00 Standard Charge

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CPT 80178

Lithium Level

$90.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$115.00 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$95.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$160.00 Standard Charge

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CPT 80162

Digoxin level

$145.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$160.00 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$39.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$130.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$240.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$410.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$200.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$150.00 Standard Charge

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CPT 87186

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

$200.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$120.00 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$210.00 Standard Charge

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CPT 80048

Basic metabolic panel

$220.00 Standard Charge

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CPT 84132

Blood potassium level

$140.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$180.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$145.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$87.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$100.00 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$170.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$195.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$325.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$120.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$185.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$210.00 Standard Charge

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CPT 85025

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

$85.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$340.00 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$200.00 Standard Charge

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CPT 80158

Cyclosporine level

$135.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$115.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$215.00 Standard Charge

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