|
17-hydroxypregnenolone
|
$339.00 |
$339.00 |
$339.00 |
$89.25
|
|
Acetaminophen level
|
$34.20 |
$34.20 |
$34.20 |
$107.62
|
|
Acetone qualitative
|
$100.20 |
$100.20 |
$100.20 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$64.50
|
|
Acute hepatitis panel
|
$353.40 |
$353.40 |
$353.40 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$37.80 |
$37.80 |
$37.80 |
$63.48
|
|
Adh-sendout
|
$163.80 |
$163.80 |
$163.80 |
$109.28
|
|
Albumin (human), 25%, 50ml
|
$257.40 |
$257.40 |
$257.40 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$85.20 |
$85.20 |
$85.20 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$100.20 |
$100.20 |
$100.20 |
$40.80
|
|
Alkaline phosphatase
|
$87.00 |
$87.00 |
$87.00 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$112.80 |
$112.80 |
$112.80 |
$48.00
|
|
Allergen egg white ige
|
$10.20 |
$10.20 |
$10.20 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$184.20 |
$184.20 |
$184.20 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$32,310.00 |
$32,310.00 |
$32,310.00 |
$15,857.45
|
|
Alt/sgpt
|
$135.60 |
$135.60 |
$135.60 |
$47.45
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$154.80 |
$154.80 |
$154.80 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$7.80 |
$7.80 |
$7.80 |
$55.86
|
|
Ammonia
|
$218.40 |
$218.40 |
$218.40 |
$119.70
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$825.00 |
$825.00 |
$825.00 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$23.40 |
$23.40 |
$23.40 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$55.20 |
$55.20 |
$55.20 |
$53.86
|
|
Amylase
|
$412.80 |
$412.80 |
$412.80 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$351.00 |
$351.00 |
$351.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$292.80 |
$292.80 |
$292.80 |
$230.40
|
|
Antibody bacterium, not elsewhere specified
|
$22.80 |
$22.80 |
$22.80 |
$57.81
|
|
Antibody id rbc panel
|
$199.80 |
$199.80 |
$199.80 |
$274.56
|
|
Antibody screen rbc
|
$91.20 |
$91.20 |
$91.20 |
$100.00
|
|
Antinuclear antibodies
|
$310.20 |
$310.20 |
$310.20 |
$89.40
|
|
Antistreptolysin o titer
|
$25.20 |
$25.20 |
$25.20 |
$51.45
|
|
Antithrombin iii activity
|
$223.80 |
$223.80 |
$223.80 |
$114.00
|
|
Assay toxin or antitoxin
|
$540.00 |
$540.00 |
$540.00 |
$75.90
|
|
Ast/sgot
|
$130.80 |
$130.80 |
$130.80 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$30.60 |
$30.60 |
$30.60 |
$51.28
|
|
Azithromycin 500 mg intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$35.06
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Bilirubin direct
|
$89.40 |
$89.40 |
$89.40 |
$50.00
|
|
Bilirubin total
|
$135.60 |
$135.60 |
$135.60 |
$52.57
|
|
Blood Clotting (PT/INR) Test
|
$133.20 |
$133.20 |
$133.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$301.20 |
$301.20 |
$301.20 |
$73.44
|
|
Blood Count (CBC) Test
|
$82.20 |
$82.20 |
$82.20 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$64.20 |
$64.20 |
$64.20 |
$61.80
|
|
Blood Culture Test
|
$208.20 |
$208.20 |
$208.20 |
$145.80
|
|
Blood gases ph venous
|
$124.20 |
$124.20 |
$124.20 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$285.60 |
$285.60 |
$285.60 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$144.00 |
$144.00 |
$144.00 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$100.20 |
$100.20 |
$100.20 |
$38.61
|
|
Blood typing abo
|
$61.20 |
$61.20 |
$61.20 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$87.60 |
$87.60 |
$87.60 |
$199.50
|
|
Blood typing rh (d)
|
$61.20 |
$61.20 |
$61.20 |
$57.14
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$9.00 |
$9.00 |
$9.00 |
$32.88
|
|
C1 esterase inhibitor func - sendout
|
$438.00 |
$438.00 |
$438.00 |
$96.72
|
|
Calcium 24 hour urine
|
$159.00 |
$159.00 |
$159.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$76.80 |
$76.80 |
$76.80 |
$91.60
|
|
Calcium ionized
|
$218.40 |
$218.40 |
$218.40 |
$90.00
|
|
Calcium total
|
$87.00 |
$87.00 |
$87.00 |
$50.00
|
|
Calprotectin fecal
|
$542.40 |
$542.40 |
$542.40 |
$169.95
|
|
Candida dna
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Capsaicin 8% patch
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,719.65
|
|
Carbamazepine free -sendout
|
$218.40 |
$218.40 |
$218.40 |
$47.94
|
|
Carboxyhemoglobin quantitative
|
$366.60 |
$366.60 |
$366.60 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$512.40 |
$512.40 |
$512.40 |
$144.00
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$6.60 |
$6.60 |
$6.60 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
#celiac hla-dq2
|
$158.40 |
$158.40 |
$158.40 |
$225.12
|
|
Chloride 24 hour urine
|
$108.00 |
$108.00 |
$108.00 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$84.00 |
$84.00 |
$84.00 |
$78.43
|
|
Cholesterol
|
$130.80 |
$130.80 |
$130.80 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$246.60 |
$246.60 |
$246.60 |
$115.80
|
|
Cholinesterase
|
$10.80 |
$10.80 |
$10.80 |
$38.69
|
|
Chromatography
|
$231.60 |
$231.60 |
$231.60 |
$81.25
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$55.20
|
|
Clot factor xii hageman
|
$640.20 |
$640.20 |
$640.20 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$212.40 |
$212.40 |
$212.40 |
$55.44
|
|
Cmv pcr-sendout
|
$323.40 |
$323.40 |
$323.40 |
$177.50
|
|
Coagulation time activated teg
|
$85.20 |
$85.20 |
$85.20 |
$53.72
|
|
Collection of venous blood by venipuncture
|
$22.80 |
$22.80 |
$22.80 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$139.20 |
$139.20 |
$139.20 |
$170.05
|
|
Complement antigen each component c3
|
$438.00 |
$438.00 |
$438.00 |
$108.55
|
|
Coombs direct
|
$87.60 |
$87.60 |
$87.60 |
$75.00
|
|
Cortisol total am
|
$197.40 |
$197.40 |
$197.40 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$392.40 |
$392.40 |
$392.40 |
$189.22
|
|
Covid-19 lab test non-cdc
|
$87.60 |
$87.60 |
$87.60 |
$80.50
|
|
#covid19rsv-rsv
|
$126.00 |
$126.00 |
$126.00 |
$145.60
|
|
C-peptide
|
$199.20 |
$199.20 |
$199.20 |
$97.30
|
|
C-reactive protein
|
$105.00 |
$105.00 |
$105.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$114.00 |
$114.00 |
$114.00 |
$85.00
|
|
Creatine kinase
|
$93.60 |
$93.60 |
$93.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$34.20 |
$34.20 |
$34.20 |
$56.80
|
|
Creatine kinase mb
|
$199.20 |
$199.20 |
$199.20 |
$114.00
|
|
Creatine - sendout
|
$12.00 |
$12.00 |
$12.00 |
$39.00
|
|
Creatinine
|
$89.40 |
$89.40 |
$89.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$259.80 |
$259.80 |
$259.80 |
$58.85
|
|
Crotalidae poly immune fab
|
$10,873.20 |
$10,873.20 |
$10,873.20 |
$5,590.35
|
|
Culture aerobic additional method definitive id each
|
$110.40 |
$110.40 |
$110.40 |
$68.64
|
|
Culture afb any source
|
$171.60 |
$171.60 |
$171.60 |
$109.20
|
