LABORATORY TEST (Single)

CPT CODE

PRICE

Rapid Antibody
COVID-19 TESTING

N/A

$175 (w/ a physician’s order)
$300 (ER patient)

Rapid PCR
COVID-19 TESTING (24-48 hours)

N/A

$200 (w/ a physician’s order)
$450 (ER patient)

Phlebotomy & Handling

36415

$20

CBC w/ Differential

85025

$60

Basic Metabolic Panel (BMP)

80048

$55

Comprehensive Metabolic Panel (CMP)

80053

$60

Hepatic Panel (LFT)

80076

$55

Urinalysis-Routine (UA)

81001

$35

Urinalysis-Culture (UAC)

87088

$55

Urine Pregnancy Test -Qualitative (HCG)

81025

$35

Serum Prengancy Qualitative

84703

$35

D-Dimer

85379

$60

Lactate Level (CG4)

82803/83605

$55

Lipase

83690

$55

LABORATORY TEST (Single)

CPT CODE

PRICE

Lipid Panel

83960

$55

Cholesterol

82465

$25

Triglycerides

84478

$25

HA1C

83036

$55

Fe & TIBC

83540/83550

$55

TSH

84443

$55

T3

84480

$50

Free T4

84439

$50

Thyroid Screen ( FT4 & TSH)

84439/84443

$90

PT

85610

$30

PTT

85730

$30

RH

86901

$55

Blood Type

86900

$55

ABO/RH

86901/86900

$60

Magnesium

80051

$55

Ammonia

82140

$75

ESR

85652

$35

CRP

86140

$35

Joint Fluid (Crystals & Cells)

89060/89051

$125

Uric Acid Level

84550

$25

Panel Name

Included

Price

Nutrition Lab Panel

CMP, CBC, Iron, Thiamine, Vitamin B12, Folate, Vitamin D, Vitamin C, Zinc

$175

Pre-Op Lab Panel

CBC, CMP, RH Factor, PT INR, aPTT.

$140

STD Panel 1

GC, Chlamydia, Trich.

$650

STD Panel 2 (NAAT)

GC, Chlamydia, Trich, Herpes

$750

Thyroid Panel

TSH, FT3, FT4, T3 Uptake

$115

EKG

$75

Study

Price

X-ray Any Single Extremity or Joint, 2 views/3 views

$95

Chest X-ray, 1 View

$115

Chest X-ray PA & LAT, 2 Views

$150

CT Any Body Part Without Contrast

$500

CT Any Body Part with Contrast

$600, labs & IV included

CT Angiogram Any Body Part

$675, labs and IV included

Ultrasound Any Body Part

$499

Ultrasound Pregnancy with Labs

$699

MRI Any Body Part Without Contrast

$550

MRI Any Body Part with Contrast

$675, labs and IV included

POINT OF CARE LABORATORY TEST (SINGLE)

CPT CODE

PRICE

Fingerstick Glucose

82962

$15

Urine Drug Screen (10 Panel)

80300

$65

Rapid Strep

87880

$30

Rapid Influenza

87804

$35