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Laboratory Test and Procedures

CPT Code

Test/Procedure 

Price 

87653 Probe NUC Acid EA COVID-19 Amplify $ 115
87653 S/O COVID-19 $ 172
80053  Comprehensive Metabolic  $ 393
80061  Lipid Panel $ 405
81001  Urinalysis Automated w/Microscopic $ 206
81003  Urinalysis w/o Microscopic $ 104
81015  Urinalysis Phase Filter $ 102
82150  Amylase In Blood $ 239
82247  Bilirubin Total  $ 164
82248  Bilirubin Direct  $ 127
82310 Calcium Total $ 44
82435  Chloride $ 112
82565  Creatinine Blood $ 116
82947  Glucose $ 95
83615  LDH Lactic Dehydrogenase Fluid  $ 95
83690  Lipase, Blood  $ 320
83718  HDL Cholesterol  $ 168
83735  Magnesium  $ 343
84075  Phosphatase Alkaline $ 97
84132  Potassium Serum $ 119
84295  Sodium Serum  $ 119
84436 T4-Total (Thyroxine)  $ 78
84443  Thyroid Stimulating Hormone (TSH)  $ 35
84450  Sgot (Ast)  $ 160
84460  Sgpt (Alt)  $ 188
84478  Triglycerides  $ 144
84480  T3, Total (Triiodthyronine)  $ 248
84484  Troponin I Quantitative  $ 319
84520  Urea Nitrogen Quantitative $ 118
85007  Manual Differential  $ 80
85025  CBC Automated C Auto Diff Wbc  $ 168
85027  Hemogram  $ 158
85610  Prothrombin Time  $ 60
85730  Partial Thromboplastin Time  $ 148
88305  Surgical Path Level IV  $ 456
88312  Special Stains, Group I  $ 105
88342  Special Stains, Immunocvtochem  $ 537

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.