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Laboratory Test and Procedures

CPT Code

Test/Procedure 

Price 

80053  Comprehensive Metabolic  $ 413
80061  Lipid Profile  $ 438
81001  Urinalysis Complete  $ 218
81003  Urinalysis Screen  $ 105
81015  Urinalysis Microscopic  $ 113
82150  Amylase In Blood $ 266
82247  Bilirubin Total  $ 182
82248  Bilirubin Direct  $ 141
82310 Calcium In Blood $ 163
82435  Chlorides In Blood  $ 124
82565  Creatinine In Blood  $ 129
82947  Glucose In Blood  $ 175
83615  LDH Lactic Dehydrogenase Fluid  $ 183
83690  Lipase, Blood  $ 356
83718  HDL Cholesterol  $ 187
83735  Magnesium  $ 159
84075  Alkaline Phosphatase $ 188
84132  Potassium In Blood  $ 127
84295  Sodium, Serum  $ 132
84436 T4-Total (Thyroxine)  $ 223
84443  Thyroid Stimulating Hormone (TSH)  $ 318
84450  Sgot (Ast)  $ 178
84460  Sgpt (Alt)  $ 209
84478  Triglycerides  $ 160
84480  T3, Total (Triiodthyronine)  $ 259
84484  Troponin I Quantitative  $ 344
84520  Bun  $ 131
85007  Manual Differential  $ 89
85025  CBC Automated C Auto Diff Wbc  $ 174
85027  Hemogram  $ 167
85610  Prothrombin Time  $ 127
85730  Partial Thromboplastin Time  $ 189
88305  Surgical Path Level IV  $ 649
88312  Special Stains, Group I  $ 254
88342  Special Stains, Immunocvtochem  $ 511

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.