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Laboratory Test and Procedures

CPT Code

Test/Procedure 

Price 

80053  Comprehensive Metabolic  $ 393
80061  Lipid Profile  $ 405
81001  Urinalysis Complete  $ 206
81003  Urinalysis Screen  $ 104
81015  Urinalysis Microscopic  $ 102
82150  Amylase In Blood $ 239
82247  Bilirubin Total  $ 164
82248  Bilirubin Direct  $ 127
82310 Calcium In Blood $ 147
82435  Chlorides In Blood  $ 112
82565  Creatinine In Blood  $ 116
82947  Glucose In Blood  $ 158
83615  LDH Lactic Dehydrogenase Fluid  $ 165
83690  Lipase, Blood  $ 320
83718  HDL Cholesterol  $ 168
83735  Magnesium  $ 154
84075  Alkaline Phosphatase $ 172
84132  Potassium In Blood  $ 119
84295  Sodium, Serum  $ 119
84436 T4-Total (Thyroxine)  $ 201
84443  Thyroid Stimulating Hormone (TSH)  $ 298
84450  Sgot (Ast)  $ 160
84460  Sgpt (Alt)  $ 188
84478  Triglycerides  $ 144
84480  T3, Total (Triiodthyronine)  $ 248
84484  Troponin I Quantitative  $ 344
84520  Bun  $ 118
85007  Manual Differential  $ 80
85025  CBC Automated C Auto Diff Wbc  $ 168
85027  Hemogram  $ 158
85610  Prothrombin Time  $ 117
85730  Partial Thromboplastin Time  $ 170
88305  Surgical Path Level IV  $ 613
88312  Special Stains, Group I  $ 265
88342  Special Stains, Immunocvtochem  $ 515

These represent Rush-Copley charges only and do not include physician's fees such as your surgeon, pathologist, anesthesiologist or radiologist.  Please contact those offices directly for charge information.