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Laboratory Test and Procedures

CPT Code

Test/Procedure 

Price 

80053  Comprehensive Metabolic  $ 426
80061  Lipid Profile  $ 452
81001  Urinalysis Complete  $ 225
81003  Urinalysis Screen  $ 108
81015  Urinalysis Microscopic  $ 117
82150  Amylase In Blood $ 274
82247  Bilirubin Total  $ 188
82248  Bilirubin Direct  $ 145
82310 Calcium In Blood $ 168
82435  Chlorides In Blood  $ 128
82565  Creatinine In Blood  $ 133
82947  Glucose In Blood  $ 175
83615  LDH Lactic Dehydrogenase Fluid  $ 166
83690  Lipase, Blood  $ 367
83718  HDL Cholesterol  $ 170
83735  Magnesium  $ 164
84075  Alkaline Phosphatase $ 194
84132  Potassium In Blood  $ 131
84295  Sodium, Serum  $ 132
84436 T4-Total (Thyroxine)  $ 211
84443  Thyroid Stimulating Hormone (TSH)  $ 328
84450  Sgot (Ast)  $ 184
84460  Sgpt (Alt)  $ 215
84478  Triglycerides  $ 165
84480  T3, Total (Triiodthyronine)  $ 267
84484  Troponin I Quantitative  $ 355
84520  Bun  $ 127
85007  Manual Differential  $ 91
85025  CBC Automated C Auto Diff Wbc  $ 179
85027  Hemogram  $ 172
85610  Prothrombin Time  $ 131
85730  Partial Thromboplastin Time  $ 195
88305  Surgical Path Level IV  $ 669
88312  Special Stains, Group I  $ 253
88342  Special Stains, Immunocvtochem  $ 527

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.