Outpatient Services

Laboratory Test (Single)

CPT Code

Price

Complete Blood Count (CBC)

85025

$60

Basic Metabolic Panel (BMP)

80048

$55

Comprehensive Metabolic Panel (CMP)

80053

$60

Hepatic Panel (LFT)

80076

$55

Urinalysis Routine (UA)

81001

$35

D-Dimer

85379

$60

Urine Pregnancy Test - Qualitative (HCG)

81025

$35

Serum Pregnancy (Qualitative)

84703

$35

Lactate Level (CG4)

82803/83605

$55

Cholesterol

92465

$25

Point of Care Laboratory Test (Single)

CPT Code

Price

Fingerstick Glucose

82962

$15

Urine Drug Screen (14 Panel)

80300

$65

Rapid Strep

87880

$30

Rapid Influenza

87804

$35

Other Outpatient Services

Name of Panel

Included

Price

STD Panel 1 (NAAT)

GC, Chlamydia, Trich

$650

Outpatient Radiology Test

Study

Price

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

$95

Chest X-ray, 1 view

$115

CT 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 & IV included

MRI Any Body Part Without Contrast

$550

MRI Any Body Part With Contrast

$675, labs & IV included