LABORATORY TEST (Single)

CPT CODE

PRICE

PCR
COVID-19 TESTING

N/A

$200

Phlebotomy & Handling

36415

$20

Complete Blood Count (CBC)

85027

$55

Basic Metabolic Panel (BMP)

80048

$45

Comprehensive Metabolic Panel (CMP)

80053

$55

Hepatic Panel (LFT)

80076

$55

Urinalysis-Routine (UA)

81001

$35

Urinalysis-Culture (UAC)

87088

$75

Urine Pregnancy Test - Quantitative (HCG)

81025

$35

Serum Pregnancy Qualitative

84703

$30

D-Dimer

85379

$45

Lactate Level (CG4)

82803/83605

$35

Lipase

83690

$60

LABORATORY TEST (Single)

CPT CODE

PRICE

Lipid Panel

83960

$55

Cholesterol

82465

$25

Triglycerides

84478

$25

HA1C

83036

$55

Fe & TIBC

83540/83550

$55

TSH

84443

$55

T3

84480

$50

Free T4

84439

$50

Thyroid Screen ( FT4 & TSH)

84439/84443

$90

PT

85610

$30

PTT

85730

$30

RH

86901

$55

Blood Type

86900

$55

ABO/RH

86901/86900

$60

Magnesium

80051

$55

Ammonia

82140

$75

ESR

85652

$35

CRP

86140

$35

Joint Fluid (Crystals & Cells)

89060/89051

$125

Uric Acid Level

84550

$25

Blood Transfusions (1Unit & Cross)

$1200

Phenytoin Total

80185

$50

Valproic Acid Level

80164

$50

Prothrombin Time with INR (PT/INR)

85730

$50

MRSA

$200

Panel Name

Included

Price

Nutrition Lab Panel

CMP, CBC, Iron, Thiamine, Vitamin B12, Folate, Vitamin D, Vitamin C, Zinc

$175

Pre-Op Lab Panel

CBC, CMP, RH Factor, PT INR, aPTT.

$140

STD Panel 1

GC, Chlamydia, Trich.

$250

STD Panel 2 (NAAT)

GC, Chlamydia, Trich, Herpes

$300

Thyroid Panel

TSH, FT3, FT4, T3 Uptake

$115

EKG


$75

Echocardiogram

$800

Blood Transfusion

Type and Cross

$1200 per unit

Study

Price

X-ray Any Single Extremity or Joint, 2 views/3 views

$75

X-ray 4 view

$100

Chest X-ray, 1 View

$115

Chest X-ray PA & LAT, 2 Views

$150

CT Any Body Part Without Contrast

$275

CT Any Body Part with Contrast

$375, labs & IV included

CT Angiogram Any Body Part

$425, labs and IV included

Ultrasound Any Body Part

$300

OB Ultrasound Pregnancy with Labs

$450

MRI Any Body Part Without Contrast

$399

MRI Any Body Part with Contrast

$499, labs and IV included

POINT OF CARE LABORATORY TEST (SINGLE)

CPT CODE

PRICE

Fingerstick Glucose

82962

$15

Urine Drug Screen (10 Panel)

80300

$55

Rapid Strep

87880

$25

Rapid Influenza

87804

$25