Laboratory Test and Procedures
CPT Code
|
Test/Procedure
|
Price
|
| 80053 |
Comprehensive Metabolic |
$ 387 |
| 80061 |
Lipid Profile |
$ 468 |
| 81001 |
Urinalysis Complete |
$ 196 |
| 81003 |
Urinalysis Screen |
$ 98 |
| 81015 |
Urinalysis Microscopic |
$ 106 |
| 82150 |
Amylase In Blood |
$ 226 |
| 82247 |
Bilirubin Total |
$ 171 |
| 82248 |
Bilirubin Direct |
$ 132 |
| 82310 |
Calcium In Blood |
$ 153 |
| 82435 |
Chlorides In Blood |
$ 116 |
| 82565 |
Creatinine In Blood |
$ 121 |
| 82947 |
Glucose In Blood |
$ 167 |
| 83615 |
LDH Lactic Dehydrogenase Fluid |
$ 137 |
| 83690 |
Lipase, Blood |
$ 334 |
| 83718 |
HDL Cholesterol |
$ 293 |
| 83735 |
Magnesium |
$ 149 |
| 84075 |
Alkaline Phosphatase |
$ 183 |
| 84132 |
Potassium In Blood |
$ 157 |
| 84295 |
Sodium, Serum |
$ 123 |
| 84436 |
T4-Total (Thyroxine) |
$ 192 |
| 84443 |
Thyroid Stimulating Hormone (TSH) |
$ 271 |
| 84450 |
Sgot (Ast) |
$ 152 |
| 84460 |
Sgpt (Alt) |
$ 177 |
| 84478 |
Triglycerides |
$ 150 |
| 84480 |
T3, Total (Triiodthyronine) |
$ 221 |
| 84484 |
Troponin I Quantitative |
$ 323 |
| 84520 |
Bun |
$ 126 |
| 85007 |
Manual Differential |
$ 112 |
| 85025 |
CBC Automated C Auto Diff Wbc |
$ 163 |
| 85027 |
Hemogram |
$ 163 |
| 85610 |
Prothrombin Time |
$ 158 |
| 85730 |
Partial Thromboplastin Time |
$ 177 |
| 88305 |
Surgical Path Level IV |
$ 608 |
| 88312 |
Special Stains, Group I |
$ 255 |
| 88342 |
Special Stains, Immunocvtochem |
$ 547 |
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.
