LABORATORY TEST (Single) | CPT CODE | PRICE |
Rapid Antibody | N/A | $175 (w/ a physician’s order) |
Rapid PCR | N/A | $200 (w/ a physician’s order) |
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 |
