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STATE OF OHIO, DAS, OFFICE OF STATE PURCHASING
PRICE SCHEDULE
ITEM A
CORE PRICING SERVICES
INDEX NO.: LDC008 BID NO.: OT902814 OPENING DATE: June 24, 2013 PRODUCT/SERVICE: HUMAN DIAGNOSTIC
LABORATORY SERVICES
VENDOR NO.
VENDOR NAME
DEL. OFFERED
LOC. BY STATE
Test DescriptionEst. Annual
Usage
CPR Unit $
Price/Test
LabCorp
Extension
CPR Unit $
Price/TestQuest Extension
CPR Unit $
Price/Test
Univ. Ref. Labs
Extension
7 Drug-Unbund 33 9.50 313.50 14.44 476.52 30.00 990.00
7+Alc-Unbund 961 9.50 9,129.50 56.00 53,816.00 35.00 33,635.00
9+Alc-Scr 403 11.38 4,586.14 20.56 8,285.68 45.00 18,135.00
6+MDMA+Crt-Unbund 1 11.78 11.78 70.00 70.00 35.00 35.00
7+Alc-Bund 303 11.00 3,333.00 65.00 19,695.00 40.00 12,120.00
9+Oxycodone-Bund 173 19.00 3,287.00 45.00 7,785.00 50.00 8,650.00
3+Alc-Bund 1 11.16 11.16 32.64 32.64 25.00 25.00
6+MDMA+Crt-Bund 1 14.66 14.66 70.00 70.00 40.00 40.00
7 Drug-Bund 7 10.75 75.25 44.25 309.75 35.00 245.00
5 Drug-Bund 1 10.50 10.50 38.75 38.75 25.00 25.00
2 Hr. Glucose Tolerance 1 6.50 6.50 2.75 2.75 3.75 3.75
3 Hr. Glucose Tolerance 27 6.00 162.00 2.75 74.25 3.75 101.25
4 Hr. Glucose Tolerance 1 8.00 8.00 2.75 2.75 3.75 3.75
5-HIAA 24hr. Urine 2 10.00 20.00 19.34 38.68 30.00 60.00
5-HIAA random. Urine 1 14.50 14.50 19.34 19.34 30.00 30.00
Tramadol GC/MS-Urine 15 35.00 525.00 23.75 356.25 68.00 1,020.00
ABO Grouping and Rho(D) Typing 29 6.00 174.00 15.75 456.75 35.00 1,015.00
Acetaminophen (Tylenol), S 10 15.00 150.00 13.13 131.30 25.00 250.00
ACH Receptor Binding Ab 13 30.00 390.00 57.75 750.75 30.00 390.00
1 2 3
University Reference
LaboratoriesOH
Laboratory Corp. of
Quest DiagnosticsAmerica Holdings
LabCorp
OH
Nichols InstituteVA
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Acid Fast Smear 1 11.25 11.25 6.74 6.74 30.00 30.00
Acid Fast Smear+Culture 1 24.00 24.00 24.50 24.50 45.00 45.00
ACTH-Frozen 13 22.00 286.00 60.29 783.77 35.00 455.00
Actin (Smooth Muscle) Antibody 76 6.75 513.00 25.20 1,915.20 35.00 2,660.00
Acylcarnitine- quant 1 25.00 25.00 189.75 189.75 175.00 175.00
Adenosine Deaminase(ADA)- Body Fluid 1 68.00 68.00 150.00 150.00 150.00 150.00
ADH 1 25.00 25.00 88.81 88.81 60.00 60.00
ADH Profile 5 30.00 150.00 97.39 486.95 520.00 2,600.00
Aerobic Bacterial Culture 56 6.50 364.00 9.00 504.00 55.00 3,080.00
AFB MTD Testing 6 24.00 144.00 221.75 1,330.50 45.00 270.00
AFB Smear and Culture 9 24.00 216.00 24.50 220.50 45.00 405.00
AFB SPUTUM 28 24.00 672.00 21.26 595.28 35.00 980.00
AFB- Whole Blood- ID and Suscept 2 50.00 100.00 70.50 141.00 55.00 110.00
AFP- Serum- Open Spina Bifida 1 13.00 13.00 39.55 39.55 55.00 55.00
AFP, Serum, Tumor Marker 2 6.50 13.00 9.00 18.00 45.00 90.00
AFP Tetra 56 45.00 2,520.00 280.25 15,694.00 75.00 4,200.00
AFP X-tra Profile 2 45.00 90.00 110.25 220.50 55.00 110.00
Alb+AlP+ALT+Ca+Cl+Creat+Glu... 1 1.80 1.80 28.66 28.66 5.50 5.50
Albumin 402 1.30 522.60 2.75 1,105.50 3.00 1,206.00
Albumin- Body Fluid 6 8.10 48.60 15.75 94.50 3.50 21.00
Alcohol Confirmation Urine 18 No Bid 12.60 50.00
Aldolase 20 3.00 60.00 13.48 269.60 7.00 140.00
Aldosterone 18 17.00 306.00 19.00 342.00 15.00 270.00
Aldosterone- Random Ur/Creat 1 25.50 25.50 53.64 53.64 25.00 25.00
Aldosterone Renin Ratio 11 50.00 550.00 283.00 3,113.00 25.00 275.00
Aldosterone- Urine 2 18.00 36.00 53.64 107.28 25.00 50.00
Alk Phos Isoenzyme 3 7.00 21.00 24.94 74.82 25.00 75.00
Alkaline Phosphatase (ALP) 35 1.30 45.50 2.75 96.25 3.00 105.00
Allergen Profile- Food-Milk 1 19.50 19.50 57.23 57.23 14.00 14.00
Allyl Alcohol, Blood 2 423.00 No Bid 60.00
AlP+ALT+AST+GGT+LD+Prot+TBili 5 1.60 8.00 27.00 135.00 35.00 175.00
Allergy Profile - Zone 8 (OH) 3 100.75 302.25 295.66 886.98 45.00 135.00
Alpha-1-Antitrypsin Clearence-24 Hr. Stool 1 183.00 183.00 114.00 114.00 60.00 60.00
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Alpha-1-Antitrypsin Phenotyping 3 14.00 42.00 109.75 329.25 50.00 150.00
Alpha-1-Antitrypsin- Serum 17 5.00 85.00 19.51 331.67 35.00 595.00
Alpha-Fetoprotein (AFP) Tumor Marker 2,393 6.50 15,554.50 9.00 21,537.00 9.00 21,537.00
Alprazolam, Serum/Plasma 1 55.00 55.00 45.50 45.50 50.00 50.00
ALT 5,229 1.30 6,797.70 2.75 14,379.75 3.00 15,687.00
Amino Acid Profile 4 120.00 480.00 63.00 252.00 165.00 660.00
Amiodarone (Cordarone)- Serum 7 20.00 140.00 39.81 278.67 15.00 105.00
Amitriptyline (Elavil) 816 13.00 10,608.00 14.00 11,424.00 45.00 36,720.00
Ammonia Level 1,279 8.00 10,232.00 10.00 12,790.00 15.00 19,185.00
Amphetamie Confirmation GC/MS Urine 4 25.00 100.00 39.81 159.24 50.00 200.00
AmpliChip P450 2D6/2C19 1 700.00 700.00 1,550.00 1,550.00 720.00 720.00
Amylase Isoenzymes 2 29.00 58.00 37.98 75.96 40.00 80.00
Amylase, Serum 1,191 3.25 3,870.75 4.00 4,764.00 4.50 5,359.50
Amylase- Urine 2 3.00 6.00 9.45 18.90 5.50 11.00
ANA w/Reflex 430 5.00 2,150.00 5.00 2,150.00 15.00 6,450.00
ANA Direct (Screen) 295 5.00 1,475.00 5.00 1,475.00 12.50 3,687.50
ANA- IFA (titer) 57 5.25 299.25 8.75 498.75 15.00 855.00
ANA 6 5.00 30.00 5.00 30.00 25.00 150.00
ANA Comprehensive Panel 3 113.90 341.70 186.38 559.14 25.00 75.00
ANA w/Reflex if Positive 5 5.00 25.00 19.25 96.25 35.00 175.00
Anaerobic and Aerobic Culture 14 28.50 399.00 109.25 1,529.50 25.00 350.00
Anaerobic/Aerobic/Gram Stain 1 32.50 32.50 27.91 27.91 30.00 30.00
Angiotensin-Converting Enzyme 2 7.00 14.00 24.41 48.82 920.00 1,840.00
ANCA (Anti-neutrophil cytoplasmic Ab) 47 15.00 705.00 47.25 2,220.75 25.00 1,175.00
Anticardiolip Ab, IgA/G/M, Qn 1 32.00 32.00 106.29 106.29 65.00 65.00
ANCA Profile 2 91.87 183.74 47.25 94.50 25.00 50.00
Angiotensin-Converting Enzyme (ACE) 44 7.00 308.00 24.41 1,074.04 92.00 4,048.00
Antibody Screen 36 5.00 180.00 5.51 198.36 17.50 630.00
Anticardiolipen Abs Quantiative 3 32.00 96.00 106.29 318.87 65.00 195.00
Anticardiolipin AB IgG 7 8.00 56.00 35.43 248.01 65.00 455.00
Anticardiolipin Ab- IgG- Qn 2 8.00 16.00 35.43 70.86 65.00 130.00
Anticardiolipin Abs Quantiative 1 32.00 32.00 106.29 106.29 65.00 65.00
Antichromatin Ab 1 16.00 16.00 19.25 19.25 172.00 172.00
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Antidiuretic Hormone Profile 5 30.00 150.00 97.39 486.95 75.00 375.00
Anti-DNA(SS)IgG- Ab- Qn 16 16.00 256.00 45.59 729.44 45.00 720.00
Anti-DNase B Strep Antibodies 4 15.00 60.00 21.96 87.84 55.00 220.00
Anti-dsDNA Antibodies 31 10.00 310.00 19.25 596.75 25.00 775.00
Antineutrophil Cytoplasmic Ab 2 15.00 30.00 134.75 269.50 35.00 70.00
Antinuclear Ab Reflex Cascade 1 5.00 5.00 19.25 19.25 75.00 75.00
Antinuclear Antibodies Direct 18 5.00 90.00 5.00 90.00 25.00 450.00
Antinuclear Antibodies, IFA 2 5.25 10.50 5.00 10.00 25.00 50.00
Antiextractable Nuclear Ag 4 17.00 68.00 38.50 154.00 35.00 140.00
Antiglomerular BM Ab- Qn 1 78.75 78.75 59.76 59.76 36.00 36.00
Antihistone Antibodies 2 18.00 36.00 32.38 64.76 25.00 50.00
Anti-Jo-1 6 18.00 108.00 19.25 115.50 150.00 900.00
Anti-Myleoperoxidase (MPO) Ab 5 37.50 187.50 40.95 204.75 75.00 375.00
Antimyocardial Antibodies 5 17.00 85.00 38.75 193.75 55.00 275.00
Antiparietal Cell Antibody 2 12.00 24.00 21.09 42.18 25.00 50.00
Anti-Phosphatidylserine Abs 5 60.00 300.00 120.28 601.40 155.00 775.00
Anti-Proteinase 3 (PR-3) Ab 6 39.37 236.22 46.55 279.30 60.00 360.00
Anti-RNA 4 45.00 180.00 75.00 300.00 65.00 260.00
Antiscleroderma-70 Antibodies 8 12.00 96.00 19.25 154.00 25.00 200.00
Anti-Smith Antibody 24 8.50 204.00 19.25 462.00 25.00 600.00
Antistreptolysin O Antibodies 11 3.50 38.50 10.85 119.35 25.00 275.00
Antithrombin III Deficiency Profile 6 46.00 276.00 136.65 819.90 25.00 150.00
Antithyroglobulin Ab 13 8.00 104.00 17.76 230.88 20.00 260.00
Apo A1 + B + Ratio 2 16.50 33.00 38.68 77.36 175.00 350.00
aPTT 263 2.25 591.75 8.23 2,164.49 4.50 1,183.50
aPTT Mixing Studies 3 85.00 255.00 19.75 59.25 6.00 18.00
Aripiprazole, Serum/Plasma 8 89.00 712.00 171.00 1,368.00 75.00 600.00
Arsenic Level 1 32.00 32.00 29.84 29.84 110.00 110.00
Aspergillus Ab- Quant 3 57.15 171.45 188.00 564.00 30.00 90.00
AST 3,074 1.30 3,996.20 2.75 8,453.50 3.00 9,222.00
AST (SGOT) 147 1.30 191.10 2.75 404.25 3.00 441.00
AST+CK+LD 1 3.75 3.75 18.25 18.25 10.00 10.00
Auto-Immune Panel I 1 48.50 48.50 102.00 102.00 40.00 40.00
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Autoclave Ampoule 88 7.50 No Bid 25.00
Baclofen (Lioresal)- Serum 7 112.00 784.00 173.00 1,211.00 125.00 875.00
BNP 164 22.00 3,608.00 50.00 8,200.00 50.00 8,200.00
Bartonella Ab Profile 3 32.00 96.00 149.00 447.00 65.00 195.00
BCR-ABL1- CML/ALL- PCR- Quant 2 300.00 600.00 300.00 600.00 542.00 1,084.00
BCR-ABL1- RT-PCR- Qual CML/ALL 1 300.00 300.00 300.00 300.00 542.00 542.00
Benzodiazepines Confirmation GC/MS Urine 4 25.00 100.00 28.00 112.00 50.00 200.00
Basic Metabolic Panel (7) 604 1.60 966.40 3.77 2,277.08 10.00 6,040.00
Basic Metabolic Panel (8) 370 1.65 610.50 3.77 1,394.90 10.00 3,700.00
Benzodiazepine- Blood 1 35.00 35.00 10.06 10.06 90.00 90.00
Benztropine- Serum/Plasma 3 85.00 255.00 98.00 294.00 70.00 210.00
BETA HCG (Quant) 195 5.00 975.00 7.00 1,365.00 30.00 5,850.00
Beta Strep Gp A Culture 27 7.50 202.50 5.69 153.63 25.00 675.00
Beta-2 Glycoprotein I Ab- IgG 3 14.40 43.20 27.30 81.90 40.00 120.00
Beta-2 Microglobulin- Serum 41 11.00 451.00 28.61 1,173.01 45.00 1,845.00
Bicarbonate 21 1.30 27.30 2.75 57.75 3.00 63.00
Bile Acids 4 9.50 38.00 19.78 79.12 185.00 740.00
Bilirubin, Direct 1 1.30 1.30 2.75 2.75 3.00 3.00
Bilirubin Studies 165 1.35 222.75 2.83 466.95 6.00 990.00
Bilirubin, Total 169 1.30 219.70 2.75 464.75 3.00 507.00
Bilirubin, Total/Direct, Serum 3 1.35 4.05 2.83 8.49 6.00 18.00
Biological Indicators, Sterile 50 7.50 No Bid 35.00
BMP7+LP+CBC/D/Plt+TSH 1 7.60 7.60 34.98 34.98 35.00 35.00
B-Type Natriuretic Peptide 12 22.00 264.00 50.00 600.00 50.00 600.00
Biopsy Surgical Specimen 992 35.00 32.00 No Bid
Blastomyces Ag Urine 2 118.00 236.00 122.00 244.00 25.00 50.00
Blood Culture 459 7.75 3,557.25 11.00 5,049.00 25.00 11,475.00
Blood Volatiles 3 16.00 48.00 23.80 71.40 125.00 375.00
Body Fluid Culture- Sterile 2 12.00 24.00 9.19 18.38 25.00 50.00
Body Fluid Lipid Analysis- BF 1 12.00 267.10 No Bid
Bone Marrow Biopsy 21 35.00 735.00 32.00 672.00 800.00 16,800.00
Bone Marrow Cytogentics 20 380.00 7,600.00 355.00 7,100.00 825.00 16,500.00
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Bordetella pertussis- Real Time DNA- PCR 1 140.00 140.00 340.00 340.00 120.00 120.00
Breast Discharge Cytology 2 50.00 30.00 No Bid
BUN 76 1.30 98.80 2.75 209.00 3.00 228.00
BUN+Creat 2 1.35 2.70 2.83 5.66 6.00 12.00
Buprenorphine (Subutex)- Serum 7 120.00 840.00 249.00 1,743.00 100.00 700.00
Buspirone (Buspar)- S/P 64 120.00 7,680.00 112.00 7,168.00 100.00 6,400.00
C difficile Toxins A+B, EIA 140 10.00 1,400.00 11.00 1,540.00 25.00 3,500.00
C1 Esterase Inhibitor- Serum 1 9.00 9.00 21.96 21.96 25.00 25.00
CA19-9 17 15.00 255.00 34.30 583.10 15.00 255.00
Caffeine- serum 1 16.50 16.50 20.83 20.83 60.00 60.00
Ca+Creat+P+PTH Intact 1 10.40 10.40 62.16 62.16 75.00 75.00
Ca+P+V-D25 1 26.50 22.50 No Bid
Ca+PTH Intact 5 10.30 51.50 53.90 269.50 68.00 340.00
Calcitriol(1,25 di-OH Vit D) 2 30.00 60.00 22.00 44.00 50.00 100.00
Calcium, Serum 1,439 1.30 1,870.70 2.75 3,957.25 3.00 4,317.00
Calcium 24 Hr. Urine 11 4.50 49.50 7.26 79.86 10.50 115.50
Calcium, Random Urine 1 3.00 3.00 7.26 7.26 10.50 10.50
Calcium, Ionized, Serum 157 6.00 942.00 16.00 2,512.00 20.00 3,140.00
Calculi- Urinary 14 9.00 126.00 16.28 227.92 25.00 350.00
Calculi- Urinary- with photo 5 12.00 60.00 16.28 81.40 22.75 113.75
Cancer Antigen (CA) 125 18 9.00 162.00 44.80 806.40 20.00 360.00
Cancer Antigen (CA) 15-3 13 12.00 156.00 30.45 395.85 20.00 260.00
Cancer Antigen (CA) 27.29 1 12.00 12.00 40.60 40.60 2,220.00 2,220.00
Cannabinoids Confirmation 1 25.00 25.00 113.75 113.75 50.00 50.00
Carbamazepine (Tegretol), S 2,009 5.00 10,045.00 20.00 40,180.00 9.50 19,085.50
Cardiac Stat Profile (Troponin, CKMB, Myoglobin) 177 42.30 7,487.10 101.08 17,891.16 70.00 12,390.00
Carmine Dye/Red Dye (Coch.) IgA 1 50.00 No Bid 14.00
Carmine/Red Dye-Cochineal IgE 1 48.50 48.50 41.25 41.25 14.00 14.00
Catecholamines- Plasma 1 30.00 30.00 53.64 53.64 55.00 55.00
Catecholamines-Ur.-Free 24 Hr 1 15.00 15.00 39.81 39.81 75.00 75.00
CBC With Differential/Platelet 28,942 1.50 43,413.00 2.60 75,249.20 3.25 94,061.50
CBC w/Manual Diff 1,339 9.50 12,720.50 2.60 3,481.40 2.50 3,347.50
CBC, No Differential/Platelet 4 1.40 5.60 2.55 10.20 3.50 14.00
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CBC, Platelet; No Differential 9 1.45 13.05 2.50 22.50 3.50 31.50
CBC/Differential (No Platelet) 92 1.45 133.40 7.35 676.20 3.50 322.00
CCP Antibodies IgG/IgA 64 17.00 1,088.00 40.00 2,560.00 45.00 2,880.00
CEA 182 5.00 910.00 14.00 2,548.00 30.00 5,460.00
Celiac Disease Comp Antibody Profile 6 49.00 294.00 242.01 1,452.06 195.00 1,170.00
Celiac Disease Profile 9 41.50 373.50 83.91 755.19 185.00 1,665.00
Cell Count- Body Fluid 4 35.00 140.00 6.83 27.32 10.00 40.00
Cell Count- CSF 3 6.98 20.94 7.79 23.37 10.00 30.00
Cell Count- Serous Fluid 6 35.00 210.00 6.83 40.98 10.00 60.00
Cell Count-Synovial Fl-w/Crystals 6 15.00 90.00 7.79 46.74 10.00 60.00
Cell Ct-Synovial w/o Crystals 2 3.45 6.90 7.79 15.58 30.00 60.00
Cephalosporin-IgE 1 3.25 3.25 9.54 9.54 20.00 20.00
Ceruloplasmin 14 3.00 42.00 14.88 208.32 15.00 210.00
Chlamydia trachomatis Culture 4 16.00 64.00 33.43 133.72 25.00 100.00
Chlamydia DNA Probe w/Rflx 1 10.00 10.00 25.00 25.00 30.00 30.00
Chlamydia/GC NAA, Confirmation 1 20.00 20.00 120.00 120.00 42.00 42.00
Chlamydia/GC, DNA Probe 84 20.00 1,680.00 50.00 4,200.00 42.00 3,528.00
Chloride, Serum 1 1.30 1.30 2.75 2.75 3.00 3.00
Chloride 12 1.30 15.60 2.75 33.00 3.00 36.00
Chlorpromazine-Serum 57 17.00 969.00 105.00 5,985.00 45.00 2,565.00
Cholesterol 26 1.30 33.80 5.69 147.94 3.00 78.00
Cholinesterase-Plasma 1 21.90 21.90 16.28 16.28 40.00 40.00
Chromium-Plasma (pour off) 1 35.00 35.00 34.65 34.65 85.00 85.00
Chromogranin A 1 45.00 45.00 127.00 127.00 55.00 55.00
Chromosome-Leukemia/Lymphoma 1 380.00 380.00 350.02 350.02 500.00 500.00
Citalopram (Celexa)-S/P 65 140.00 9,100.00 152.00 9,880.00 65.00 4,225.00
Citric Acid Urine 4 17.00 68.00 31.15 124.60 50.00 200.00
CK, Total+Isoenzymes, Serum 102 7.50 765.00 24.06 2,454.12 35.00 3,570.00
CLL/Lymphoma Profile(Flow Cytometry) RmTemp 19 340.75 6,474.25 325.00 6,175.00 665.00 12,635.00
CK+BNP+CK MB+Troponin I 2 56.30 112.60 124.65 249.30 45.00 90.00
Clomipramine-Serum 10 17.00 170.00 32.29 322.90 50.00 500.00
Clonazepam (Klonopin) Serum 5 15.00 75.00 24.68 123.40 45.00 225.00
Clostridium difficile Culture 2 50.00 100.00 34.91 69.82 35.00 70.00
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Clozapine (Clozaril), Serum 352 25.00 8,800.00 8.50 2,992.00 45.00 15,840.00
CMP12+8AC 6 2.25 13.50 4.71 28.26 18.00 108.00
CMP12+LP+6AC 1 4.15 4.15 25.98 25.98 40.00 40.00
CMP12+LP+TP+TSH+5AC+CBC/D/P... 1 16.70 16.70 38.83 38.83 100.00 100.00
CMP12+LP+TP+TSH+5AC+CBC/D/P... 1 16.70 16.70 38.83 38.83 100.00 100.00
CMP13+CBC/D/Plt+RPR+HBsAb+H... 1 22.40 22.40 16.81 16.81 100.00 100.00
CMP14+5AC 123 2.20 270.60 4.71 579.33 6.00 738.00
CMP14+5AC+CBC/D/Plt+RPR 796 6.70 5,333.20 9.81 7,808.76 15.00 11,940.00
CMP14+5AC+CBC/D/Plt+RPR+TSH 985 9.20 9,062.00 17.31 17,050.35 50.00 49,250.00
CMP14+5AC+CBC/D/Plt+RPR+TSH... 498 11.70 5,826.60 17.31 8,620.38 110.00 54,780.00
CMP14+7AC 1 2.30 2.30 4.71 4.71 6.00 6.00
CMP14+LP+2AC+CBC/D/Plt 4 5.55 22.20 28.58 114.32 100.00 400.00
CMP14+LP+3AC+CBC/D/Plt+TSH+... 1,044 13.60 14,198.40 36.08 37,667.52 110.00 114,840.00
CMP14+LP+TP+TSH+1AC+CBC/D/P... 1 56.45 56.45 38.83 38.83 100.00 100.00
CMP14+LP+TP+TSH+4AC+CBC/D/P... 3 15.15 45.45 38.83 116.49 110.00 330.00
CMV PCR 2 87.00 174.00 85.00 170.00 125.00 250.00
Comp. Metabolic Panel (14) 3,051 1.95 5,949.45 4.71 14,370.21 3.25 9,915.75
Cocaine Confirm GC/MS Urine 2 25.00 50.00 39.81 79.62 50.00 100.00
Cogentin Level 5 85.00 425.00 98.00 490.00 70.00 350.00
Cold Agglutinin Titer-Quant 2 10.00 20.00 15.75 31.50 60.00 120.00
Comp panel: Leukemia/Lymphoma 8 No Bid 350.02 650.00
Complement C2 2 11.00 22.00 105.00 210.00 25.00 50.00
Complement C3, Serum 73 5.00 365.00 19.34 1,411.82 10.00 730.00
Complement C4, Serum 94 3.50 329.00 21.18 1,990.92 15.00 1,410.00
Complement C5 Level 2 51.50 103.00 19.69 39.38 75.00 150.00
Complement-Total (CH50) 14 5.00 70.00 35.44 496.16 25.00 350.00
Coombs Direct 12 5.00 60.00 6.39 76.68 15.00 180.00
Copper, Serum 8 4.50 36.00 15.75 126.00 40.00 320.00
Cortisol 55 6.25 343.75 10.00 550.00 30.00 1,650.00
Copper, Urine 7 15.00 105.00 17.06 119.42 40.00 280.00
Cortisol-ACTH Stimulation (2 Sample) 2 15.50 31.00 120.58 241.16 30.00 60.00
Cortisol - AM 3 9.00 27.00 24.24 72.72 30.00 90.00
C-Peptide, Serum 1 10.00 10.00 29.14 29.14 40.00 40.00
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C-Reactive Protein - High Sensitive 221 8.50 1,878.50 21.00 4,641.00 10.00 2,210.00
C-Reactive Protein, Cardiac 122 8.50 1,037.00 21.00 2,562.00 10.00 1,220.00
C-Reactive Protein, Quant 1,055 4.50 4,747.50 6.00 6,330.00 5.50 5,802.50
Creatine Kinase (CK), MB 1,919 15.00 28,785.00 5.00 9,595.00 20.00 38,380.00
Creatinine 605 1.30 786.50 2.75 1,663.75 3.50 2,117.50
Creatine Kinase (CK), MB/Total 42 16.70 701.40 24.06 1,010.52 20.00 840.00
Creatine Kinase,Total,Serum 326 1.30 423.80 5.00 1,630.00 3.00 978.00
Creatine, 24-Hour Urine 1 9.45 9.45 12.16 12.16 4.50 4.50
Creatinine, 24-Hour Urine 2 2.00 4.00 7.08 14.16 5.00 10.00
Creatinine, Serum 121 1.30 157.30 2.75 332.75 3.50 423.50
Creatinine, Urine 50 2.00 100.00 7.08 354.00 3.50 175.00
Cryoglobulin-Ql-Serum-Rflx 4 2.00 8.00 6.83 27.32 25.00 100.00
Cryptococcus Ag Titer 1 40.00 40.00 21.96 21.96 25.00 25.00
Cryptococcus Ag Titer-CSF 2 43.00 86.00 21.96 43.92 25.00 50.00
Cryptococcus Antigen-CSF 3 12.25 36.75 21.96 65.88 25.00 75.00
Cryptococcus Antigen-Serum 6 8.00 48.00 21.96 131.76 25.00 150.00
Cryptosporidium Detection 1 78.50 78.50 91.50 91.50 25.00 25.00
Crystal Exam Miscellaneous Fl 1 8.32 12.43 No Bid
Cyclosporine-Blood 54 18.00 972.00 40.25 2,173.50 60.00 3,240.00
Cystatin C 2 47.25 94.50 108.00 216.00 45.00 90.00
Cystic Fibrosis DNA Analysis 3 125.00 375.00 362.25 1,086.75 350.00 1,050.00
Cytology-Abdominal Fluid (RF) 3 50.00 30.00 No Bid
Cytomegalovirus (CMV) Ab-IgG 42 15.00 630.00 23.36 981.12 25.00 1,050.00
Cytomegalovirus (CMV) Ab-IgM 37 18.00 666.00 26.43 977.91 25.00 925.00
Cytomegalovirus PCR 13 87.00 1,131.00 85.00 1,105.00 75.00 975.00
D-Dimer 135 24.00 3,240.00 20.00 2,700.00 90.00 12,150.00
Dehydroepiandrosterone (DHEA) Sulfate 6 13.00 78.00 52.50 315.00 35.00 210.00
Desipramine-Serum 16 15.00 240.00 31.41 502.56 45.00 720.00
Digoxin, Serum 108 5.00 540.00 17.94 1,937.52 5.50 594.00
Dihydrotestosterone 1 90.00 90.00 142.00 142.00 75.00 75.00
Dilantin 2,284 5.50 12,562.00 9.00 20,556.00 7.00 15,988.00
Dilute Russell's Viper Venom 1 25.00 25.00 33.60 33.60 15.00 15.00
Doxepin (Sinequan), Serum 649 16.00 10,384.00 13.00 8,437.00 75.00 48,675.00
Page 10
Drug Coma/Overdose I-Blood 1 218.00 218.00 360.00 360.00 166.00 166.00
Drug Coma/Overdose Profile 1-Blood 1 218.00 218.00 360.00 360.00 166.00 166.00
Drug (9 Panel)+Alcohol, S/P 1 61.65 61.65 193.13 193.13 35.00 35.00
Drug Analysis, Unknown, Qual 1 75.00 75.00 65.00 65.00 166.00 166.00
Drug Prof,UR/G (Comprehensive) 1 25.20 25.20 42.96 42.96 166.00 166.00
Drug Profile, Blood (7 Drugs) 3 151.88 455.64 42.88 128.64 59.00 177.00
Drug Profile, Ur, 9 Drugs 619 12.00 7,428.00 10.00 6,190.00 75.00 46,425.00
Drug Scrn, Treatment Center 1 10.98 10.98 15.75 15.75 125.00 125.00
Drugs of Abuse Scrn.,(9 Pnl) 1 61.65 61.65 15.75 15.75 75.00 75.00
dRVVT Confirm 1 25.00 25.00 15.00 15.00 15.00 15.00
dRVVT Mix 1 30.00 30.00 33.60 33.60 15.00 15.00
E081-IgE Sheep Epithelia 1 3.25 3.25 9.54 9.54 14.00 14.00
EBV Ab VCA-IgG 3 9.00 27.00 24.67 74.01 25.00 75.00
EBV Ab VCA-IgM 5 14.00 70.00 28.00 140.00 25.00 125.00
EBV Acute Antibodies 11 61.00 671.00 107.67 1,184.37 30.00 330.00
EBV Early Antigen Ab-IgG 5 15.00 75.00 27.00 135.00 15.00 75.00
Ehrlichiosis Profile 1 120.00 120.00 302.75 302.75 125.00 125.00
Electrolyte Panel 315 1.45 456.75 3.14 989.10 2.25 708.75
Endomysial Antibody IgA 12 18.50 222.00 86.00 1,032.00 30.00 360.00
Environmental Culture 279 7.00 1,953.00 9.19 2,564.01 25.00 6,975.00
Eosinophil, Urine 2 4.95 9.90 7.09 14.18 10.00 20.00
Epstein Barr Virus Quant PCR 5 234.50 1,172.50 255.00 1,275.00 100.00 500.00
Epstein-Barr DNA Quant-PCR 1 240.00 240.00 255.00 255.00 100.00 100.00
Erythropoietin (EPO)-Serum 13 10.00 130.00 39.81 517.53 25.00 325.00
ESR 2,204 2.50 5,510.00 3.00 6,612.00 3.50 7,714.00
Estradiol 31 11.00 341.00 39.81 1,234.11 50.00 1,550.00
Estrogens, Total 5 15.00 75.00 44.98 224.90 45.00 225.00
Estrone, Serum 1 20.00 20.00 34.74 34.74 35.00 35.00
Ethanol, Blood 13 18.00 234.00 13.13 170.69 45.00 585.00
Ethanol Screen & Confirmation-Urine 2 18.00 36.00 13.13 26.26 50.00 100.00
Ethanol, Urine 7 18.00 126.00 34.65 242.55 45.00 315.00
F014-IgE Soybean 9 3.25 29.25 9.54 85.86 14.00 126.00
F048-IgE Onions 1 3.25 3.25 9.54 9.54 14.00 14.00
Page 11
Factor II (Prothombin)-DNA Analysis 3 90.00 270.00 143.50 430.50 75.00 225.00
Factor IX 3 40.00 120.00 48.74 146.22 35.00 105.00
Factor V Activity 4 60.00 240.00 47.78 191.12 35.00 140.00
Factor V Leiden Mutation 17 90.00 1,530.00 194.75 3,310.75 475.00 8,075.00
Factor VII Activity 2 50.00 100.00 47.78 95.56 30.00 60.00
Factor VIII - Bethesda Titer 1 40.00 40.00 42.79 42.79 30.00 30.00
Factor VIII Activity 8 40.00 320.00 42.79 342.32 35.00 280.00
Factor VIII Inhibit. 2 92.00 184.00 367.00 734.00 35.00 70.00
Factor X 2 75.00 150.00 51.36 102.72 30.00 60.00
FANA Staining Patterns 11 No Bid 5.00 30.00
Fatty Acid Peroxisomal Test 1 327.50 No Bid 95.00
Febrile Antibody Profile 1 145.25 145.25 436.40 436.40 350.00 350.00
Fecal Fat-Qualitative 8 15.00 120.00 22.40 179.20 15.00 120.00
Ferritin, Serum 1,101 4.50 4,954.50 7.00 7,707.00 4.50 4,954.50
Fibrinogen Activity 3 4.00 12.00 41.00 123.00 35.00 105.00
Fibrinogen Antigen 2 9.22 18.44 198.50 397.00 20.00 40.00
Fibrinogen Degradation Priducts (FDP) 1 74.25 74.25 12.25 12.25 65.00 65.00
Fibrinogen Evaluation Profile 1 102.22 102.22 251.31 251.31 35.00 35.00
Fine Needle Aspiration 19 78.75 142.25 No Bid
FISH-100-300 Interphases-FDA 2 272.00 No Bid 150.00
Fluid - Thyroglobulin 1 91.50 No Bid 200.00
Fluid Culture 36 12.00 432.00 9.19 330.84 50.00 1,800.00
Fluid Cytology Analysis 4 50.00 30.00 No Bid
Fluoxetine (Prozac(R)), Serum 84 14.00 1,176.00 28.00 2,352.00 75.00 6,300.00
Fluphenazine (Prolixin(R)), S 64 25.00 1,600.00 103.00 6,592.00 90.00 5,760.00
Folate 599 4.00 2,396.00 6.00 3,594.00 15.00 8,985.00
Folate (Folic Acid), Serum 4 4.00 16.00 6.00 24.00 15.00 60.00
Folate, RBC and Serum 10 24.00 240.00 104.00 1,040.00 25.00 250.00
Free Kappa & Lambda Lt Chains 24 47.00 1,128.00 84.00 2,016.00 120.00 2,880.00
Free T3 1,119 8.00 8,952.00 6.00 6,714.00 4.50 5,035.50
Free T4 2,007 2.00 4,014.00 6.50 13,045.50 4.00 8,028.00
Free T4 by Dialysis/Mass Spec 5 45.00 16.50 No Bid
Free Valproic Acid (Depakote) 37 25.00 925.00 41.00 1,517.00 100.00 3,700.00
Page 12
Fructosamine 2 4.50 9.00 8.23 16.46 35.00 70.00
FSH-Serum 71 7.00 497.00 26.43 1,876.53 10.00 710.00
FSH and LH 2 14.00 28.00 52.85 105.70 30.00 60.00
FTA-ABS 13 7.75 100.75 15.75 204.75 15.00 195.00
Fungal Antibodies by CF-Serum 4 108.00 432.00 120.71 482.84 125.00 500.00
Fungal Antibodies-Quant (DID) 4 130.00 520.00 80.32 321.28 125.00 500.00
Fungus (Mycology) Culture 17 10.00 170.00 21.18 360.06 25.00 425.00
Fungus Stain 1 10.00 10.00 5.51 5.51 25.00 25.00
G-6-PD, Quant, Blood and RBC 10 8.00 80.00 17.59 175.90 50.00 500.00
Gabapentin (Neurontin), Serum 991 25.00 24,775.00 18.00 17,838.00 85.00 84,235.00
GAD-65 Autoantibody 10 34.00 340.00 55.13 551.30 38.00 380.00
Gastrin-Serum 1 8.00 8.00 24.68 24.68 30.00 30.00
Genital Culture, Routine 92 8.00 736.00 15.58 1,433.36 25.00 2,300.00
GenoSure(R) MG 8 300.00 2,400.00 245.00 1,960.00 450.00 3,600.00
Gentamicin Random-Serum 1 12.00 12.00 23.36 23.36 20.00 20.00
Gentamicin Random-Trough 3 12.00 36.00 23.36 70.08 20.00 60.00
GGT 334 1.70 567.80 2.75 918.50 3.00 1,002.00
Giardia lamblia-Direct Detection EIA 3 15.00 45.00 17.85 53.55 35.00 105.00
Gliadin IgG/IgA Ab 3 8.00 24.00 59.50 178.50 35.00 105.00
Giardia, EIA; Ova/Parasite 1 23.00 23.00 44.63 44.63 35.00 35.00
Globulin 1 11.00 11.00 2.83 2.83 4.50 4.50
Glom Filt Rate, Estimated 592 1.30 769.60 2.75 1,628.00 0.00 0.00
Glucagon Plasma 4 15.00 60.00 65.25 261.00 35.00 140.00
Glucose, Serum 15,993 1.30 20,790.90 2.75 43,980.75 3.00 47,979.00
Glu+Hb A1c 11 4.80 52.80 8.25 90.75 8.50 93.50
Glucose & Total Prot-CSF 4 1.35 No Bid 25.00
Glucose, Two-Hour Postprandial 7 1.30 9.10 2.75 19.25 3.50 24.50
Glucose Challenge 1hr. 6 6.00 36.00 2.75 16.50 10.00 60.00
Glucose-Body Fluid 3 3.00 9.00 25.00 75.00 3.50 10.50
Glucose-Cerebrospinal Fluid 2 6.00 12.00 6.04 12.08 4.50 9.00
Glucose, Plasma 31 1.30 40.30 2.75 85.25 3.00 93.00
Gluten Sensitivity Screen 1 60.00 60.00 59.50 59.50 48.00 48.00
Chlamydia/GC Amplification 4,164 20.00 83,280.00 50.00 208,200.00 42.00 174,888.00
Page 13
Gram Stain 101 4.00 404.00 6.04 610.04 15.00 1,515.00
Growth Hormone-Serum 3 8.00 24.00 26.08 78.24 30.00 90.00
Guillain-Barre GQ1B Anitbody 1 34.00 34.00 156.50 156.50 107.00 107.00
H. pylori IgG, Abs 4 12.00 48.00 16.00 64.00 65.00 260.00
H pylori, IgM, IgG, IgA Ab 8 36.00 288.00 70.50 564.00 60.00 480.00
H.Pylori Ab. Screen 700 12.00 8,400.00 32.00 22,400.00 12.00 8,400.00
H.pylori Stool Antigen 132 30.00 3,960.00 40.00 5,280.00 65.00 8,580.00
Haloperidol (Haldol(R)) Serum 98 13.00 1,274.00 33.95 3,327.10 70.00 6,860.00
Haptoglobin 30 5.00 150.00 21.09 632.70 20.00 600.00
HAV/HBV Immune Status (Pro IV) 3 23.00 69.00 22.00 66.00 40.00 120.00
HB Solu + Rflx Frac 59 12.00 708.00 7.79 459.61 15.00 885.00
HBcAb+HBsAb+HBsAg+HCVAb 2,451 21.50 52,696.50 28.00 68,628.00 26.00 63,726.00
HBcAb+HBsAb+HBsAg+HCVAb+... 42 26.50 1,113.00 28.00 1,176.00 75.00 3,150.00
HBsAb+Ag 30 10.00 300.00 14.00 420.00 18.00 540.00
HBsAg Screen 28 5.00 140.00 7.00 196.00 9.00 252.00
HBcAb-IgM 11 8.00 88.00 43.00 473.00 9.00 99.00
HBV Drug Resistance 2 120.00 396.00 No Bid
HBV Complete 1 290.00 290.00 396.00 396.00 95.00 95.00
HBV Real-Time PCR-Quant 18 120.00 2,160.00 88.00 1,584.00 85.00 1,530.00
HBV Core Ab, IgG/IgM Diff 9 13.50 121.50 8.00 72.00 18.00 162.00
HBV Real-Time PCR, Quant 2 120.00 240.00 88.00 176.00 85.00 170.00
HBV RT PCR, Quant (Graph) 1 180.00 88.00 No Bid
HBV/HCV (Profile VIII) 2 42.50 85.00 98.96 197.92 60.00 120.00
hCG, Beta Subunit, Qn (Serial) 1 7.50 7.50 7.00 7.00 30.00 30.00
hCG,Beta Subunit, Qnt, Serum 279 5.00 1,395.00 7.00 1,953.00 30.00 8,370.00
hCG,Beta Subunit,Qual,Serum 587 4.50 2,641.50 6.00 3,522.00 9.00 5,283.00
HCV Ab w/Rflx 795 0.00 0.00 0.00 0.00 0.00 0.00
HCV Ab w/Rflx 1,041 6.00 6,246.00 6.00 6,246.00 95.00 98,895.00
HCV Genotyping Non Reflex 115 200.00 23,000.00 135.00 15,525.00 495.00 56,925.00
HCV Antibody 3 6.00 18.00 6.00 18.00 20.00 60.00
HCV Ql (Rfx to Qn and Geno) 1 79.00 79.00 135.00 135.00 495.00 495.00
HCV reflex to Quant RT PCR 1 6.00 6.00 90.00 90.00 495.00 495.00
HCV RNA by PCR, Qn Rfx Geno 7 100.00 700.00 90.00 630.00 495.00 3,465.00
Page 14
HCV RNA by PCR, Qn Rfx Geno 23 100.00 2,300.00 90.00 2,070.00 495.00 11,385.00
HCV RNA, PCR, Ql (Quant Rflx) 10 79.00 790.00 135.00 1,350.00 90.00 900.00
HCV RNA, PCR, Qualitative 46 79.00 3,634.00 135.00 6,210.00 90.00 4,140.00
HCV RT-PCR, Quant (Graph) 30 110.00 3,300.00 90.00 2,700.00 375.00 11,250.00
HCV RT-PCR, Quant (Non-Graph) 22 100.00 2,200.00 90.00 1,980.00 375.00 8,250.00
HDL Panel 18 1.90 34.20 15.75 283.50 15.00 270.00
Heavy Metals Profile I, Blood 3 73.00 219.00 76.47 229.41 115.00 345.00
Heavy Metals Profile II, Blood 2 108.00 216.00 113.40 226.80 115.00 230.00
Heavy Metals Profile, Urine 2 90.00 180.00 66.49 132.98 120.00 240.00
Helicobacter pylori, IgA 1 12.00 12.00 16.00 16.00 48.00 48.00
Helicobacter pylori, IgM Ab 2 12.00 24.00 38.50 77.00 48.00 96.00
Helper T-Lymph-CD4 4 20.00 80.00 49.18 196.72 32.00 128.00
Helper/Suppress/Natural Killer 1 220.00 220.00 35.00 35.00 125.00 125.00
Hematopath Consultation, Smear 1 26.00 13.83 No Bid
Hemoglobin 1 1.25 1.25 2.35 2.35 3.75 3.75
Hemoglobin A1c 2,574 3.50 9,009.00 5.50 14,157.00 5.00 12,870.00
Hemoglobin-Free-Plasma 4 15.75 63.00 19.60 78.40 25.00 100.00
Hemoglobinopathy Profile 85 10.00 850.00 21.00 1,785.00 80.00 6,800.00
Hemosiderin-Urine 2 26.00 52.00 39.50 79.00 10.00 20.00
Hep A Ab, Total 3,574 5.50 19,657.00 7.00 25,018.00 9.50 33,953.00
HEP A-IGM 1,291 7.00 9,037.00 6.00 7,746.00 9.50 12,264.50
Hepatitis A (Prof V) 1 12.50 12.50 13.00 13.00 18.00 18.00
Hep A Ab, IgM 35 7.00 245.00 6.00 210.00 9.00 315.00
Hep B Core Ab-IgM 1 8.00 8.00 35.00 35.00 9.00 9.00
Hep B Viral Load 109 120.00 13,080.00 88.00 9,592.00 115.00 12,535.00
Hepatitis B Virus (Profile VI) 3 36.50 92.96 No Bid
Hep B Core Ab, Tot 555 5.50 3,052.50 8.00 4,440.00 9.50 5,272.50
Hep B Core Ab, IgM 6 8.00 48.00 35.00 210.00 9.00 54.00
Hep Be Ab 11 7.00 77.00 18.38 202.18 35.00 385.00
Hep Be Ag 11 6.00 66.00 17.59 193.49 35.00 385.00
Hep B Surface Ab 1,826 5.00 9,130.00 7.00 12,782.00 9.50 17,347.00
HEP Bs Ag 1,127 5.00 5,635.00 7.00 7,889.00 9.50 10,706.50
Hep C Ab 2,523 6.00 15,138.00 6.00 15,138.00 9.50 23,968.50
Page 15
Hep C 1 6.00 No Bid 75.00
Hep C Viral Load 5,700 79.00 450,300.00 90.00 513,000.00 120.00 684,000.00
Hep E Ab IgG 7 110.00 770.00 77.00 539.00 35.00 245.00
Hep E Ab IgM 9 80.00 720.00 100.00 900.00 65.00 585.00
Heparin Induced Platelet 2 50.00 100.00 43.75 87.50 350.00 700.00
Hepatic Function Panel (6) 28 1.55 43.40 3.61 101.08 5.00 140.00
Hepatic Function Panel (7) 999 1.60 1,598.40 3.61 3,606.39 5.00 4,995.00
Hepatitis B Genotype 1 175.00 175.00 396.00 396.00 495.00 495.00
Hepatitis B Viral Load 3 120.00 360.00 88.00 264.00 115.00 345.00
Hepatitis Bc Ab IgM/IgG 1 13.50 13.50 8.00 8.00 18.00 18.00
Hepatitis Be Ab 1 7.00 7.00 18.38 18.38 35.00 35.00
Hepatitis Be Ag 2 6.00 12.00 17.59 35.18 35.00 70.00
Hepatitis D IgM 3 186.75 560.25 182.00 546.00 75.00 225.00
Hepatitis D Total 2 25.00 50.00 21.09 42.18 75.00 150.00
Hepatitis E IgM 1 80.00 80.00 100.00 100.00 35.00 35.00
Hepatitis Panel (4) 273 26.00 7,098.00 54.00 14,742.00 38.00 10,374.00
Hepatitis, Diagnostic (Prof I) 7 20.00 140.00 48.00 336.00 38.00 266.00
Hered.Hemochromatosis-DNA 4 95.00 380.00 393.00 1,572.00 240.00 960.00
Herpes Simplex Virus I/II, IgG 3 17.00 51.00 18.00 54.00 30.00 90.00
Hexagonal Phase Phospholipid 1 80.00 80.00 25.00 25.00 145.00 145.00
Hgb Solubility 12 3.50 42.00 7.79 93.48 20.00 240.00
Hgb A1c with eAG Estimation 10,344 3.50 36,204.00 5.50 56,892.00 8.50 87,924.00
Hgb Frac. Profile 1 10.00 10.00 21.00 21.00 45.00 45.00
Hgb Frac. w/o Solubility 1 6.50 6.50 31.00 31.00 45.00 45.00
Hgb Fractionation, Spot Blood 1 11.25 11.25 21.00 21.00 45.00 45.00
Histamine Determination 1 10.50 10.50 155.00 155.00 50.00 50.00
Histoplasma Ab 6 21.00 25.11 No Bid
Histoplasma Antigen-Urine 8 82.00 656.00 38.15 305.20 35.00 280.00
Histoplasma DNA Plasma 2 No Bid 104.30 325.00
HIV GenoSure 152 300.00 45,600.00 245.00 37,240.00 365.00 55,480.00
HIV GenoSure (R) Integrase 1 300.00 300.00 245.00 245.00 495.00 495.00
HIV GenoSure (R) MG 119 100.80 11,995.20 245.00 29,155.00 375.00 44,625.00
HIV Viral Load 1,814 67.00 121,538.00 115.00 208,610.00 130.00 235,820.00
Page 16
HIV Western Blot 268 44.00 11,792.00 18.00 4,824.00 110.00 29,480.00
HIV-1/2 Ag/Ab 16,043 15.00 240,645.00 7.00 112,301.00 7.50 120,322.50
HLA B 27 Disease Association 34 48.00 1,632.00 105.00 3,570.00 28.00 952.00
HLA DR15 (DR2) 1 100.00 100.00 205.00 205.00 315.00 315.00
HLA DRB DQB Typing 2 75.00 150.00 315.00 630.00 246.48 492.96
HLAB 5701 95 50.00 4,750.00 160.00 15,200.00 150.00 14,250.00
Homocyst(e)ine, Plasma 25 25.00 625.00 20.00 500.00 25.00 625.00
HPV-high-risk 278 24.00 6,672.00 35.00 9,730.00 40.00 11,120.00
HSV Type 2 IgG 13 18.00 234.00 9.00 117.00 70.00 910.00
HSV 1 and 2-Specific Ab-IgG 151 23.00 3,473.00 18.00 2,718.00 151.00 22,801.00
HSV 1 and 2 IgM Abs, Indirect 3 34.00 102.00 95.00 285.00 140.00 420.00
HSV 1/2 PCR 1 95.00 95.00 99.75 99.75 120.00 120.00
HSV Culture and Typing 5 27.50 137.50 31.41 157.05 35.00 175.00
HSV Culture Without Typing 2 15.00 30.00 33.60 67.20 35.00 70.00
HSV IgM I/II Combo IgM 26 15.00 390.00 35.35 919.10 65.00 1,690.00
HSV I/II IgG Rflx I-II Type Sp 1 17.00 17.00 18.00 18.00 150.00 150.00
HSV Type 1-Specific Ab, IgG 7 11.50 80.50 9.00 63.00 75.00 525.00
HSV Type 2-Specific Ab, IgG 3 18.00 54.00 9.00 27.00 75.00 225.00
HTLV-I/II Antibodies-Qual 2 17.00 34.00 130.25 260.50 63.00 126.00
Huntington Disease Mutation 1 245.00 245.00 325.25 325.25 625.00 625.00
HVA Urine 24 Hour 1 25.27 25.27 34.91 34.91 65.00 65.00
Hydroxyzine(Vistaril) S/P 13 116.75 1,517.75 108.00 1,404.00 85.00 1,105.00
ID/MIC Panel 1 2,648 29.00 76,792.00 6.04 15,993.92 25.00 66,200.00
ID/MIC Panel 2 406 35.00 14,210.00 6.04 2,452.24 35.00 14,210.00
ID/MIC Panel 3 58 41.00 2,378.00 6.04 350.32 35.00 2,030.00
ID/MIC Panel 4 7 47.00 329.00 6.04 42.28 35.00 245.00
IFE and PE Random Urine 7 25.00 175.00 60.51 423.57 120.00 840.00
IFE and PE Serum 17 19.00 323.00 64.29 1,092.93 120.00 2,040.00
IFE+Protein Electro-24-Hr Ur 7 25.00 175.00 60.51 423.57 120.00 840.00
IFE-SPE-& Quant Free k&g Light Chains 5 66.00 330.00 134.60 673.00 120.00 600.00
IgG Subclass 4 68.85 275.40 82.84 331.36 55.00 220.00
Imipramine (Tofranil), Serum 14 15.00 210.00 31.41 439.74 35.00 490.00
Immunoglobulin A, Qn, Serum 2 5.00 10.00 11.81 23.62 15.00 30.00
Page 17
Immunoglobulin D, Quant, Serum 1 11.00 11.00 19.25 19.25 35.00 35.00
Immunofixation Serum 50 24.00 1,200.00 39.31 1,965.50 120.00 6,000.00
Immunofixation Urine 29 28.00 812.00 23.50 681.50 120.00 3,480.00
Immunoglobulin A-Qn-Serum 15 5.00 75.00 11.81 177.15 15.00 225.00
Immunoglobulin E, Total 2 8.00 16.00 17.32 34.64 35.00 70.00
Immunoglobulin G, Qn, Serum 1 5.00 5.00 11.81 11.81 15.00 15.00
Immunoglobulin M, Qn, Serum 1 5.00 5.00 11.81 11.81 15.00 15.00
Immunoglobulins A/E/G/M-Qn-Ser 21 23.00 483.00 52.76 1,107.96 60.00 1,260.00
Immunoglobulins A/G/M-Qn-Ser 6 15.00 90.00 35.44 212.64 60.00 360.00
Ind Antiplatelet Alloantibody 1 121.00 121.00 230.00 230.00 176.00 176.00
India Ink Prep 3 28.75 86.25 41.25 123.75 25.00 75.00
Indirect Antiplatelet Alloantibody 2 175.00 350.00 230.00 460.00 176.00 352.00
Inflammatory Bowel Disease Profile 1 56.75 56.75 264.75 264.75 800.00 800.00
Insulin Antibodies 4 29.00 116.00 74.25 297.00 55.00 220.00
Insulin 2 5.00 10.00 17.50 35.00 25.00 50.00
Insulin C-Peptide Combo 7 15.00 105.00 46.64 326.48 130.00 910.00
Insulin Like Growth Factor-1 6 29.00 174.00 54.25 325.50 150.00 900.00
Insulin-Fasting 13 5.00 65.00 17.50 227.50 25.00 325.00
Insulin-like Growth Factor-bind Protein 1 4 30.00 120.00 62.00 248.00 150.00 600.00
Integrase Genotype-HIV-1-frozen plasma 1 725.00 725.00 245.00 245.00 225.00 225.00
Intrinsic Factor Abs-Serum 5 11.00 55.00 27.91 139.55 115.00 575.00
Iodine-Serum or Plasma 1 45.00 45.00 28.35 28.35 60.00 60.00
Iodine-Urine Random 1 45.00 45.00 35.00 35.00 60.00 60.00
IPTH 452 9.00 4,068.00 53.90 24,362.80 25.00 11,300.00
Iron and TIBC 1,520 3.00 4,560.00 12.90 19,608.00 10.00 15,200.00
Iron, Serum 7 1.30 9.10 6.65 46.55 6.00 42.00
JAK2 V617F Mutation Detection 6 175.00 1,050.00 500.00 3,000.00 871.00 5,226.00
JC Virus DNA-CSF by PCR 1 200.00 200.00 348.00 348.00 90.00 90.00
Kidney Stone Urine With Saturation Calculations 1 279.00 16.28 No Bid
KOH PREP 10 18.00 180.00 5.51 55.10 25.00 250.00
Lactic Acid-Plasma 26 8.00 208.00 17.59 457.34 10.00 260.00
Lactoalbumin Alpha 1 3.25 No Bid 15.00
Lactoalbumin Beta 2 3.25 No Bid No Bid
Page 18
Lamotrigine (Lamictal), Serum 186 9.00 1,674.00 11.00 2,046.00 100.00 18,600.00
LDH 131 1.30 170.30 10.50 1,375.50 3.00 393.00
LD-Body Fluid 4 3.00 12.00 21.96 87.84 3.50 14.00
LDH Isoenzymes 73 6.00 438.00 26.25 1,916.25 50.00 3,650.00
Lead-Blood (Adult) 7 6.00 42.00 22.63 158.41 14.00 98.00
Legionella Antigen Urine 5 23.25 116.25 112.00 560.00 25.00 125.00
Leptospira Antibody 1 72.00 72.00 96.00 96.00 35.00 35.00
Leukocyte Alkaline Phos Score 1 3.00 No Bid 69.00
Levetiracetam (Keppra), S 46 25.00 1,150.00 30.00 1,380.00 60.00 2,760.00
Lipase, Serum 1,063 3.25 3,454.75 6.00 6,378.00 3.50 3,720.50
Lipid Cascade 9 2.00 18.00 21.26 191.34 7.50 67.50
Lipid Panel 4,639 2.00 9,278.00 5.51 25,560.89 5.00 23,195.00
Lipid Panel w/ Chol/HDL Ratio 6 2.00 12.00 21.26 127.56 4.50 27.00
Lipid Panel With LDL/HDL Ratio 47 2.00 94.00 21.26 999.22 4.50 211.50
Lipoprotein (a) 1 15.00 15.00 36.75 36.75 45.00 45.00
Lithium (Eskalith(R)), Serum 4,092 4.50 18,414.00 5.00 20,460.00 6.00 24,552.00
Liver Biopsy 72 75.00 32.00 No Bid
Liver-Kidney Microsomal Ab 5 10.00 50.00 66.25 331.25 15.00 75.00
Loxapine Level 15 72.88 1,093.20 217.00 3,255.00 90.00 1,350.00
Lt Chains Quant-Random Urine 3 54.00 162.00 42.18 126.54 120.00 360.00
Lower Respiratory Culture 1 7.50 7.50 6.04 6.04 25.00 25.00
LP+TP+TSH+RPR+HBcAb+HBsAb+H... 382 33.00 12,606.00 56.01 21,395.82 130.00 49,660.00
Lupus Anticoagulant 13 39.00 507.00 49.35 641.55 150.00 1,950.00
Lupus Anticoag/Cardiolipin Ab 1 216.00 216.00 199.87 199.87 150.00 150.00
Lupus Anticoagulant Comp 6 80.00 480.00 69.10 414.60 150.00 900.00
Luteinizing Hormone(LH) 50 7.00 350.00 26.43 1,321.50 10.00 500.00
Lyme IgG/IgM Ab 15 25.00 375.00 29.14 437.10 60.00 900.00
Lyme Disease Ab, Quant, IgM 1 31.35 31.35 26.43 26.43 55.00 55.00
Lyme, IgM, Early Test/Reflex 1 21.00 21.00 29.14 29.14 30.00 30.00
Lyme/Syphilis Ab Diff Profile 1 24.00 24.00 31.64 31.64 125.00 125.00
Lysozyme-Serum 11 10.00 110.00 29.14 320.54 30.00 330.00
M tuberculosis Detection-PCR 1 100.00 100.00 221.75 221.75 150.00 150.00
Magnesium 762 1.90 1,447.80 8.00 6,096.00 8.00 6,096.00
Page 19
Magnesium - Total, Blood 4 53.00 212.00 14.53 58.12 3.50 14.00
Magnesium, RBC 21 15.00 315.00 14.53 305.13 45.00 945.00
Magnesium, Serum 81 1.90 153.90 8.00 648.00 5.00 405.00
Magnesium-Urine 1 4.00 4.00 13.21 13.21 3.50 3.50
Manganese-Plasma (pour off) 1 45.00 45.00 95.00 95.00 3.50 3.50
MARIJUANA CONFIRM GC/MS Urine 222 25.00 5,550.00 35.00 7,770.00 50.00 11,100.00
MDS FISH Panel 1 607.00 607.00 2,372.00 2,372.00 252.00 252.00
MDPV Stimulant Designer Drug 3 88.25 102.00 No Bid
Measles/Mumps/Rubella Immunity 52 24.00 1,248.00 80.50 4,186.00 100.00 5,200.00
Metanephrines-Frac.-Pl. Free 3 30.00 90.00 148.25 444.75 95.00 285.00
Metanephrines-Frac-Qn-24-Hr 3 22.00 66.00 119.25 357.75 95.00 285.00
Methodone S/P 5 45.00 225.00 39.81 199.05 80.00 400.00
Methotrexate (MTX)-Serum 3 20.00 60.00 26.43 79.29 21.00 63.00
Methylmalonic Acid-Serum 216 40.00 8,640.00 32.00 6,912.00 70.00 15,120.00
Methymalonic Acid Urine Random 1 38.00 38.00 49.70 49.70 70.00 70.00
Mephedrone Stimulant Designer 3 88.25 102.00 No Bid
Metabolic Syndrome Profile 1 3.25 18.33 No Bid
Methylmalonic Acid, Serum 2 40.00 80.00 32.00 64.00 70.00 140.00
Mexiletine (Mexitil) 3 42.00 126.00 94.00 282.00 50.00 150.00
MHA-TP 151 9.00 7.50 No Bid
Microalbumin 24 hours 12 4.00 48.00 6.00 72.00 25.00 300.00
Microalbumin, 24 hr Urine 4 4.00 16.00 6.00 24.00 4.50 18.00
Microalb/Creat Ratio, Randm Ur 25 6.00 150.00 30.45 761.25 15.00 375.00
Microalbumin, Random Urine 6,760 4.00 27,040.00 6.00 40,560.00 4.50 30,420.00
Milk-Allergen Panel 1 19.50 19.50 57.23 57.23 14.00 14.00
Mineralocorticoid Pediatric Prof (Endocrine Study) 1 204.00 509.00 No Bid
Mirtazapine (Remeron)-S/P 117 110.00 12,870.00 108.00 12,636.00 81.00 9,477.00
Miscellaneous Fluid Cytology 1 50.00 30.00 No Bid
Mitochondrial (M2) Antibody 6 8.00 48.00 21.61 129.66 15.00 90.00
MMR Immunity Profile 12 24.00 288.00 80.50 966.00 35.00 420.00
Mononucleosis Test-Qualitative 17 5.00 85.00 7.26 123.42 15.50 263.50
Mono Qual W/Rflx Qn 1 12.00 12.00 7.26 7.26 35.00 35.00
Mononucleosis Test, Qual 1 5.00 5.00 7.26 7.26 15.50 15.50
Page 20
MTB-PCR 1 100.00 100.00 221.75 221.75 250.00 250.00
Mumps Antibodies-IgG 1 9.00 9.00 29.40 29.40 25.00 25.00
Mumps Antibodies-IgM 1 15.00 15.00 79.50 79.50 130.00 130.00
Mumps(IgG/M) 8 20.00 160.00 108.90 871.20 35.00 280.00
Mycobacterium TB-PCR-Smear-and Culture 1 100.00 100.00 368.00 368.00 45.00 45.00
Mycophenolic Acid and Metabo. 1 70.00 70.00 121.50 121.50 75.00 75.00
Mycoplasma pneumoniae-IgG Ab 1 16.00 16.00 19.34 19.34 25.00 25.00
Myoglobin, Serum 35 8.00 280.00 26.43 925.05 30.00 1,050.00
Myoglobin, Urine 18 13.00 234.00 25.29 455.22 15.00 270.00
Myotonic Dystrophy Evaluation-Complete 1 1,692.00 1,692.00 695.00 695.00 400.00 400.00
N gonorrhoeae DNA Probe w/Rflx 1 10.00 10.00 25.00 25.00 55.00 55.00
Na U+Cl U+K U 1 8.70 8.70 18.80 18.80 30.00 30.00
NGI HBV UltraQual 10 200.00 2,000.00 118.13 1,181.30 250.00 2,500.00
NGI HCV QuantaSure 1 260.00 260.00 90.00 90.00 150.00 150.00
Naltrexone and Metab Conf-Free 4 250.25 1,001.00 267.00 1,068.00 530.00 2,120.00
Navane (Thiothixene) 1 107.00 107.00 100.00 100.00 60.00 60.00
Neuromylelitis Optica (NMO) Ab 1 350.00 350.00 505.00 505.00 200.00 200.00
Neurotensin 4 230.00 197.50 No Bid
Nicotine Metabolite, Urine 2 15.00 30.00 78.00 156.00 65.00 130.00
NMR LipoProfile 12 32.00 384.00 63.00 756.00 150.00 1,800.00
Nortriptyline (Aventyl), Serum 44 13.00 572.00 31.41 1,382.04 30.00 1,320.00
Occult Blood, Fecal, IA 24 18.00 432.00 53.00 1,272.00 12.00 288.00
Olanzapine, Serum/Plasma 9 107.88 970.92 285.00 2,565.00 75.00 675.00
Oligoclonal Bands-CSF 1 40.00 40.00 71.14 71.14 90.00 90.00
Oncology FISH 2 No Bid 527.25 250.00
OPIATE CONFIRM GC/MS Urine 26 25.00 650.00 39.81 1,035.06 50.00 1,300.00
Organic Acid Analysis, Urine 1 105.00 105.00 339.00 339.00 80.00 80.00
Organism Identification-Mold 1 14.00 14.00 18.64 18.64 20.00 20.00
Osmolality 43 5.00 215.00 8.58 368.94 5.00 215.00
Osmolality, Urine 37 5.00 185.00 8.58 317.46 25.00 925.00
Ova + Parasite Exam 1 8.00 8.00 26.78 26.78 35.00 35.00
Oxalate-Quant-24-Hour Urine 6 10.00 60.00 22.66 135.96 21.00 126.00
Oxcarbazepine (Trileptal),S 27 10.00 270.00 52.50 1,417.50 33.00 891.00
Page 21
Panel 005462 13 44.00 572.00 42.09 547.17 110.00 1,430.00
Panel 083824 2,373 5.00 11,865.00 7.00 16,611.00 20.00 47,460.00
Pap IG (Image Guided) 16 19.00 304.00 25.00 400.00 65.00 1,040.00
Pap IG, Ct-Ng, HPV-hr 1 63.00 63.00 85.00 85.00 65.00 65.00
Pap IG, CtNgHSV,HPV, rfx16/18 1 151.00 151.00 207.50 207.50 65.00 65.00
Pap Lb (Liquid-based) 91 16.00 1,456.00 25.00 2,275.00 24.00 2,184.00
PAP-Test Only 3,775 16.00 60,400.00 25.00 94,375.00 24.00 90,600.00
Paraneoplastic Autoanti. Eval 1 975.00 975.00 1,134.50 1,134.50 800.00 800.00
Paraneoplastic Panel 2 110.00 220.00 1,134.50 2,269.00 500.00 1,000.00
Paroxetine (Paxil)-S/P 20 40.00 800.00 100.00 2,000.00 75.00 1,500.00
Paroxysmal Nocturnal Hemoglobinuria (PNH) 1 363.50 363.50 562.50 562.50 165.00 165.00
Pathologist Review - slide 642 26.00 16,692.00 27.74 17,809.08 50.00 32,100.00
PCP Confirm GC/MS Urine 3 25.00 75.00 39.81 119.43 50.00 150.00
Perphenazine (Trilafon)-S/P 55 105.75 5,816.25 100.00 5,500.00 65.00 3,575.00
PE and FLC, Serum 3 51.00 153.00 95.29 285.87 125.00 375.00
Phenobarbital, Serum 147 9.50 1,396.50 12.73 1,871.31 8.00 1,176.00
Phenytoin, Free and Total, Serum 5 20.50 102.50 28.78 143.90 21.00 105.00
Phenytoin, Free, Serum 1 15.00 15.00 28.78 28.78 15.00 15.00
Phenytoin (Dilantin), Serum 135 5.50 742.50 9.00 1,215.00 7.25 978.75
Phosphorus 1,462 1.30 1,900.60 5.51 8,055.62 3.00 4,386.00
Phosphorus, Random Urine 1 12.75 12.75 6.83 6.83 15.00 15.00
Phosphorus, Serum 23 1.30 29.90 4.00 92.00 3.00 69.00
Physician Read Pap 6 10.00 60.00 36.75 220.50 45.00 270.00
Phosphorus-24 Hr Urine 2 3.00 6.00 6.83 13.66 15.00 30.00
pH-Stool 2 14.02 28.04 4.20 8.40 30.00 60.00
PI Linked Antigen 1 No Bid No Bid 350.00
Plasminogen Act Inhibitor-1 1 20.00 20.00 138.00 138.00 120.00 120.00
Platelet Antibody (Direct) 31 266.75 8,269.25 45.00 1,395.00 120.00 3,720.00
Platelet Count 4 1.25 5.00 2.35 9.40 3.50 14.00
Platelet Antibody (Indirect) 1 175.00 175.00 230.00 230.00 120.00 120.00
Platelet Antibody Profile 1 250.25 250.25 303.68 303.68 120.00 120.00
Platelet Antibody-Serum 59 175.00 10,325.00 45.00 2,655.00 120.00 7,080.00
Pleural Fluid Cytology 2 50.00 30.00 No Bid
Page 22
Poliovirus 1-2-3 Antibody (Immune Status) 11 206.50 2,271.50 119.00 1,309.00 95.00 1,045.00
Porphobilinogen (PBG)-Quant-Random Urine 1 26.50 26.50 10.59 10.59 45.00 45.00
Porphobilinogen 24 Hr Urine 1 17.70 17.70 10.59 10.59 90.00 90.00
Porphyrins-Qn-24 Hr Ur. 1 8.00 8.00 25.55 25.55 90.00 90.00
Potassium, Serum 802 1.30 1,042.60 2.75 2,205.50 3.00 2,406.00
Prealbumin 191 3.00 573.00 8.00 1,528.00 30.00 5,730.00
Pregnancy Test, Urine 256 4.25 1,088.00 6.00 1,536.00 4.50 1,152.00
Primidone (Mysoline)-Serum 10 15.00 150.00 21.61 216.10 70.00 700.00
proBNP 3 45.50 136.50 129.00 387.00 50.00 150.00
Progesterone 3 7.50 22.50 74.00 222.00 10.00 30.00
Proinsulin 5 45.00 225.00 176.25 881.25 75.00 375.00
Prolactin 578 6.00 3,468.00 9.00 5,202.00 6.00 3,468.00
Propafenone (Rythmol) 2 75.00 150.00 57.50 115.00 60.00 120.00
Prostate Biopsy 5 35.00 32.00 No Bid
Prostate-Specific Ag, Serum 432 4.50 1,944.00 7.00 3,024.00 10.00 4,320.00
Protein C Deficiency Profile 10 48.00 480.00 104.83 1,048.30 365.00 3,650.00
Prot+CreatU (Random) 2 5.00 10.00 14.79 29.58 12.00 24.00
Protein C-Functional 1 40.00 40.00 56.79 56.79 35.00 35.00
Protein Electro, 24-Hour Urine 18 19.00 342.00 22.23 400.14 45.00 810.00
Protein Electrophoresis Serum 100 4.00 400.00 11.29 1,129.00 43.12 4,312.00
Protein Elec + Interp, Serum 1 10.00 10.00 11.29 11.29 35.00 35.00
Protein Electrophoresis Serum & Free Light Chain 18 51.00 918.00 95.29 1,715.22 85.00 1,530.00
Protein Electro, Random Urine 23 19.00 437.00 22.23 511.29 45.00 1,035.00
Protein S Deficiency Profile 10 69.00 690.00 116.28 1,162.80 40.00 400.00
Protein Electro.,S 3 4.00 12.00 11.29 33.87 45.00 135.00
Protein S-Functional 1 40.00 40.00 30.36 30.36 40.00 40.00
Protein-Body Fluid 2 4.00 8.00 30.00 60.00 6.00 12.00
Protein,Total,Urine 2 3.00 6.00 7.70 15.40 6.00 12.00
Protein-Total-CSF 2 10.00 20.00 30.00 60.00 6.00 12.00
Prothrombin Time (PT) 353 2.00 706.00 4.00 1,412.00 4.50 1,588.50
Protoporphyrin FEP/ZPP 4 8.00 No Bid 25.00
PSA 3,828 4.50 17,226.00 7.00 26,796.00 9.50 36,366.00
PSA (Reflex To Free) (Serial) 2 6.75 13.50 41.30 82.60 9.50 19.00
Page 23
PSA Total+% Free 27 19.00 513.00 15.84 427.68 25.00 675.00
PSA, Serum (Serial Monitor) 1 16.00 16.00 7.00 7.00 9.50 9.50
PSA-Free 4 12.00 48.00 15.84 63.36 41.00 164.00
PT and PTT 23 4.25 97.75 12.23 281.29 9.00 207.00
PT Mixing Study 5 40.00 200.00 19.75 98.75 12.00 60.00
PT/INR 12,823 2.00 25,646.00 4.00 51,292.00 4.50 57,703.50
PTH, Intact 16 9.00 144.00 51.15 818.40 80.00 1,280.00
PTH-Related Peptide (PTH-rP) 72 45.00 3,240.00 85.00 6,120.00 154.00 11,088.00
PTT-LA 90 14.00 1,260.00 15.75 1,417.50 4.50 405.00
PTT, Activated 11 2.25 24.75 8.23 90.53 6.00 66.00
Pyruvate Kinase-Quant 1 165.00 165.00 189.90 189.90 80.00 80.00
QuantiFERON TB Gold (In Tube) 2,587 55.00 142,285.00 50.00 129,350.00 40.00 103,480.00
Quant-RNA PCR 29 98.00 2,842.00 88.00 2,552.00 120.00 3,480.00
Quetiapine (Seroquel) 1 64.00 64.00 139.00 139.00 80.00 80.00
Quetiapine, Serum/Plasma 25 64.00 1,600.00 139.00 3,475.00 80.00 2,000.00
Rapid Plasma Reagin, Quant 1 3.60 3.60 2.50 2.50 65.00 65.00
Renal Panel (10) 66 1.75 115.50 30.26 1,997.16 4.50 297.00
Renin Activity and Aldosterone 1 27.00 27.00 283.00 283.00 25.00 25.00
Rast Test Almonds 5 3.25 16.25 9.54 47.70 14.00 70.00
Rast Test Apples 7 3.25 22.75 9.54 66.78 14.00 98.00
Rast Test Bakers Yeast 4 3.25 13.00 40.00 160.00 14.00 56.00
Rast Test Banana 9 3.25 29.25 9.54 85.86 14.00 126.00
Rast Test Basic Food Profile 10 19.50 195.00 57.23 572.30 14.00 140.00
Rast Test Beef 10 3.25 32.50 9.54 95.40 14.00 140.00
Rast Test Berry 1 9.75 9.75 9.54 9.54 14.00 14.00
Rast Test Black Pepper 7 3.25 22.75 9.54 66.78 14.00 98.00
Rast Test Brazil Nut 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Broccoli 9 3.25 29.25 9.54 85.86 14.00 126.00
Rast Test Cabbage 5 3.25 16.25 9.54 47.70 14.00 70.00
Rast Test Cantaloupe 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Carrots 8 3.25 26.00 9.54 76.32 14.00 112.00
Rast Test Cat Dander 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Cauliflower 5 3.25 16.25 9.54 47.70 14.00 70.00
Page 24
Rast Test Cayenne 3 3.25 9.75 40.00 120.00 14.00 42.00
Rast Test Celery 8 3.25 26.00 9.54 76.32 14.00 112.00
Rast Test Cherry (Bing) 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Chicken 11 3.25 35.75 9.54 104.94 14.00 154.00
Rast Test Chili Pepper 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Chocolate (Cocoa) 9 3.25 29.25 9.54 85.86 14.00 126.00
Rast Test Citric Acid (Orange) 12 3.25 39.00 9.54 114.48 14.00 168.00
Rast Test Coconut 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Codfish 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Corn 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Cottonseed 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Cucumber 1 3.25 3.25 9.54 9.54 14.00 14.00
Rast Test Dog Dander 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Egg Whole 35 3.25 113.75 19.08 667.80 14.00 490.00
Rast Test Fish Profile 74 22.75 1,683.50 66.76 4,940.24 14.00 1,036.00
Rast Test Gluten 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Green Beans 10 3.25 32.50 9.54 95.40 14.00 140.00
Rast Test Green Bell Pepper 5 3.25 16.25 9.54 47.70 14.00 70.00
Rast Test Hazelnut 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Honeydew 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Horseradish 2 3.25 6.50 39.88 79.76 14.00 28.00
Rast Test Kidney Bean 8 3.25 26.00 9.54 76.32 14.00 112.00
Rast Test Kiwi 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Latex Specific IgE 14 3.25 45.50 9.54 133.56 14.00 196.00
Rast Test Legume Profile 9 9.75 87.75 28.61 257.49 14.00 126.00
Rast Test Lemons 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Lettuce 1 3.25 3.25 9.54 9.54 14.00 14.00
Rast Test Lima Beans 6 3.25 19.50 48.50 291.00 14.00 84.00
Rast Test Maple Syrup 5 3.25 16.25 29.50 147.50 14.00 70.00
Rast Test Milk (Cow) 8 3.25 26.00 9.54 76.32 14.00 112.00
Rast Test Milk Profile 18 19.50 351.00 57.23 1,030.14 45.00 810.00
Rast Test Mushroom 13 3.25 42.25 9.54 124.02 14.00 182.00
Rast Test Mustard 7 3.25 22.75 9.54 66.78 14.00 98.00
Page 25
Rast Test Nut-Profile 12 22.75 273.00 66.76 801.12 14.00 168.00
Rast Test Oat 9 3.25 29.25 9.54 85.86 14.00 126.00
Rast Test Okra 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Onion 20 3.25 65.00 9.54 190.80 14.00 280.00
Rast Test Palm 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Pea 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Peanut 40 3.25 130.00 9.54 381.60 14.00 560.00
Rast Test Pear 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Pecan 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Pineapple 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Pinto Bean 7 3.25 22.75 39.88 279.16 14.00 98.00
Rast Test Pistachio Nut 4 3.25 13.00 9.54 38.16 14.00 56.00
Rast Test Pork 11 3.25 35.75 9.54 104.94 14.00 154.00
Rast Test Potato-White 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Pumpkin/Summer Squash 3 3.25 9.75 40.00 120.00 14.00 42.00
Rast Test Raisins/Grape 12 3.25 39.00 9.54 114.48 14.00 168.00
Rast Test Red Food Dye 5 48.50 242.50 9.54 47.70 14.00 70.00
Rast Test Rice 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Rye 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Shell Fish Panel 34 19.50 663.00 57.23 1,945.82 60.00 2,040.00
Rast Test Soy 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Soybean 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Spinach 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Strawberry 6 3.25 19.50 9.54 57.24 14.00 84.00
Rast Test Sunflower Seeds 4 3.25 13.00 48.50 194.00 14.00 56.00
Rast Test Tomato 48 3.25 156.00 9.54 457.92 14.00 672.00
Rast Test Tuna 1 3.25 3.25 9.54 9.54 14.00 14.00
Rast Test Turkey 8 3.25 26.00 9.54 76.32 14.00 112.00
Rast Test Walnut 2 3.25 6.50 9.54 19.08 14.00 28.00
Rast Test Watermelon 3 3.25 9.75 9.54 28.62 14.00 42.00
Rast Test Wool 14 48.50 679.00 48.50 679.00 14.00 196.00
Renin-Plasma 14 10.00 140.00 105.00 1,470.00 15.00 210.00
Respiratory Culture 417 7.00 2,919.00 9.54 3,978.18 25.00 10,425.00
Page 26
Retic Count 453 4.00 1,812.00 6.39 2,894.67 6.00 2,718.00
Reticulin IgA Antibodies 1 30.00 30.00 65.00 65.00 55.00 55.00
Reticulocyte Count 28 4.00 112.00 6.39 178.92 6.00 168.00
Rh Typing 5 3.00 15.00 15.75 78.75 15.00 75.00
Rheumatoid Arthritis Factor 586 4.00 2,344.00 7.00 4,102.00 5.00 2,930.00
Rheumatoid Arthritis, Qn/Fluid 2 12.00 24.00 80.00 160.00 5.00 10.00
RH-Hr Phenotype with ABO Gr 2 6.00 23.63 No Bid
RIBA (HCV Confirmation) 6 100.00 No Bid 115.00
Risperidone (Risperdal(R)), S 165 15.00 2,475.00 80.00 13,200.00 210.00 34,650.00
RNA, Real Time PCR (Non-Graph) 12 67.00 804.00 88.00 1,056.00 300.00 3,600.00
RPRw/Reflex 14,393 3.00 43,179.00 2.50 35,982.50 5.00 71,965.00
RPR 1,173 3.00 3,519.00 2.50 2,932.50 3.50 4,105.50
RPR, Rfx Qn RPR/Confirm TP 4 3.00 12.00 2.50 10.00 25.00 100.00
Rubella IgG 29 6.00 174.00 17.85 517.65 10.50 304.50
Rubella IgM 5 15.00 75.00 32.64 163.20 12.50 62.50
Rubeola Ab IgG 9 9.00 81.00 33.25 299.25 50.00 450.00
Saccharomyces cerevisiae Panel 2 40.00 80.00 130.00 260.00 130.00 260.00
Salicylate Serum 3 9.00 27.00 9.54 28.62 12.50 37.50
Sedimentation Rate-Westergren 123 2.50 307.50 3.00 369.00 4.00 492.00
Selenium-S/P 1 35.00 35.00 32.55 32.55 175.00 175.00
SENSITIVITY MTB 1 227.00 227.00 136.00 136.00 45.00 45.00
Sensitivity Organism #1 202 5.25 1,060.50 6.04 1,220.08 25.00 5,050.00
Sensitivity Organism #2 19 5.25 99.75 21.53 409.07 25.00 475.00
Sjogren's Ab, Anti-SS-A/-SS-B 1 23.90 23.90 38.50 38.50 50.00 50.00
Serotonin-Serum 3 17.75 53.25 79.98 239.94 155.00 465.00
Sertraline (Zoloft)-S/P 53 105.75 5,604.75 100.00 5,300.00 80.00 4,240.00
SHBG (sex hormone binding glob)-Serum 2 20.00 40.00 25.46 50.92 50.00 100.00
Sickle Cell Screen 36 3.50 126.00 7.79 280.44 28.00 1,008.00
Sirolimus (Rapamune)-Blood 16 13.00 208.00 80.75 1,292.00 35.00 560.00
Sjogren Ab (Anti SSA/SSB) 6 23.90 143.40 38.50 231.00 50.00 300.00
SLE Profile C 8 50.90 407.20 96.25 770.00 75.00 600.00
Sodium, Serum 119 1.70 202.30 2.75 327.25 3.00 357.00
Sodium, 24 hr Urine 3 3.00 9.00 6.04 18.12 4.50 13.50
Page 27
Sodium, Urine 7 3.00 21.00 2.75 19.25 3.50 24.50
Sputum Cytology 2 45.00 30.00 No Bid
Stool Culture 126 14.00 1,764.00 20.13 2,536.38 30.00 3,780.00
Stool for WBC 49 6.25 306.25 6.04 295.96 30.00 1,470.00
Stool O and P 176 8.00 1,408.00 15.31 2,694.56 63.00 11,088.00
Stool Occult Blood 90 18.00 1,620.00 4.20 378.00 25.00 2,250.00
Streptococcus Pneumo Ag 3 25.65 76.95 29.14 87.42 30.00 90.00
Sulfonylurea-Serum 1 58.71 58.71 245.00 245.00 100.00 100.00
Susceptability Test Pure Isolate 2 4.00 8.00 102.00 204.00 40.00 80.00
Susceptibility-Anaerobic 1 55.00 55.00 35.44 35.44 40.00 40.00
Synthetic Cannabinoid Metab, U 7 58.00 406.00 135.00 945.00 150.00 1,050.00
Synthetic Cannabinoid Metab. 2 58.00 116.00 135.00 270.00 150.00 300.00
Systemic Lupus Profile A 1 72.90 72.90 135.63 135.63 55.00 55.00
T pallidum Ab (FTA-Ab) 20 7.75 155.00 15.75 315.00 75.00 1,500.00
T007-IgE Oak, White 1 3.25 3.25 9.54 9.54 12.00 12.00
T3 Uptake 14 2.00 28.00 7.26 101.64 10.00 140.00
T3, Free, Dialysis, LC/MS-MS 1 85.00 85.00 87.15 87.15 110.00 110.00
T4 and TSH 1 4.50 4.50 30.45 30.45 25.00 25.00
Tacrolimus (FK506/Prograf)-Blood 7 50.00 350.00 155.00 1,085.00 80.00 560.00
T-Cell Gene Rearrangement-PCR 16 222.50 3,560.00 180.00 2,880.00 400.00 6,400.00
Testosterone,Free and Total 54 18.75 1,012.50 65.10 3,515.40 75.00 4,050.00
Testosterone, Serum 83 7.75 643.25 10.00 830.00 15.00 1,245.00
Testosterone, Free, Direct 1 11.00 11.00 74.03 74.03 45.00 45.00
Testosterone, Free+Total LC/MS 1 40.00 40.00 65.10 65.10 45.00 45.00
Theophylline 97 7.50 727.50 20.13 1,952.61 10.00 970.00
Thiopurine Methyltransferase RBC 8 200.00 1,600.00 366.00 2,928.00 125.00 1,000.00
Thiothixene (Cis Isomer)-S/P 4 107.00 428.00 100.00 400.00 60.00 240.00
Thyroid Antibodies 11 13.00 143.00 23.71 260.81 75.00 825.00
Thyroglobulin, Quantitative 6 35.00 210.00 38.24 229.44 30.00 180.00
Thyroid Perioxidase (TPO) Antibodies 19 5.00 95.00 23.71 450.49 20.00 380.00
Thyroid Stim Immunoglobulin (TSI) 15 65.00 975.00 50.00 750.00 60.00 900.00
Thyroid Cascade Profile 451 2.50 1,127.50 6.00 2,706.00 75.00 33,825.00
Thyroid Panel 21 4.00 84.00 13.76 288.96 20.00 420.00
Page 28
Thyroid Panel With TSH 169 6.50 1,098.50 21.26 3,592.94 20.00 3,380.00
Thyroid Peroxidase (TPO) Ab 2 5.00 10.00 23.71 47.42 20.00 40.00
Thyroid Profile II 739 13.50 9,976.50 52.76 38,989.64 20.00 14,780.00
Thyrotropin Receptor Ab, Serum 7 15.00 105.00 80.50 563.50 115.00 805.00
Thyroxine (T4) 881 2.00 1,762.00 6.50 5,726.50 4.50 3,964.50
Thyroxine (T4) Free, Direct, S 216 2.00 432.00 10.00 2,160.00 9.00 1,944.00
Thyroxine Binding Globulin 5 11.00 55.00 18.38 91.90 65.00 325.00
Tissue Transglutaminase (tTG) IgA 12 18.00 216.00 42.35 508.20 54.00 648.00
Tissue Transglutaminase (tTG) IgG 3 18.00 54.00 42.35 127.05 54.00 162.00
CD4/CD8 Ratio Profile 1,640 30.00 49,200.00 35.00 57,400.00 75.00 123,000.00
Topiramate (Topamax), Serum 89 35.00 3,115.00 28.00 2,492.00 75.00 6,675.00
Total Protein 22 1.30 28.60 2.75 60.50 3.00 66.00
Toxocara Atb-IgG 1 56.00 56.00 140.00 140.00 150.00 150.00
Toxoplasma gondii Ab IgM Qn 26 20.00 520.00 32.55 846.30 18.00 468.00
Toxoplasma gondii Ab-IgG 38 15.00 570.00 21.96 834.48 18.00 684.00
Toxoplasma gondii Ab-Quant-IgM 21 20.00 420.00 32.55 683.55 18.00 378.00
Tramadol (& Metabolites)-Serum 326 32.00 10,432.00 23.00 7,498.00 65.00 21,190.00
Tramadol (Ultram) Urine 20 17.50 350.00 23.75 475.00 65.00 1,300.00
Transferrin 108 5.50 594.00 18.55 2,003.40 25.00 2,700.00
Trazodone-Serum 103 16.00 1,648.00 68.00 7,004.00 50.00 5,150.00
Treponema pallidum Antibodies 1 9.00 9.00 7.50 7.50 60.00 60.00
Tricyclic Antidepressants 3 10.00 30.00 28.35 85.05 90.00 270.00
Trifluoperazine-S/P 2 38.00 No Bid 70.00
Triglycerides 50 1.30 65.00 5.51 275.50 3.00 150.00
Triglyceride-Body Fluid 1 3.25 3.25 5.51 5.51 5.00 5.00
Triidothyronine, T3 Free, ED 1 85.00 85.00 87.15 87.15 30.00 30.00
Triiodothyronine (T3) 43 7.00 301.00 31.50 1,354.50 30.00 1,290.00
Triiodothyronine,Free,Serum 46 8.00 368.00 6.00 276.00 40.00 1,840.00
Trofile(R) 1 1,960.00 1,960.00 2,825.00 2,825.00 2,100.00 2,100.00
Troponin I 409 18.00 7,362.00 40.00 16,360.00 20.00 8,180.00
Trypsinogen (frozen serum) 1 26.00 26.00 111.25 111.25 100.00 100.00
Tryptase 2 54.00 108.00 71.75 143.50 55.00 110.00
TSH 16,797 2.50 41,992.50 7.50 125,977.50 9.00 151,173.00
Page 29
TSH+Free T4 37 4.50 166.50 31.39 1,161.43 25.00 925.00
TSH+PSA+TestT+T4F+Prog+E2Se... 1 109.75 109.75 104.63 104.63 75.00 75.00
TSH+T4+T3H 1,219 11.50 14,018.50 45.50 55,464.50 18.00 21,942.00
TT Mix+TTN 1 36.00 36.00 11.81 11.81 15.00 15.00
t-Transglutaminase (tTG) IgG 1 18.00 18.00 42.35 42.35 55.00 55.00
UA/M w/rflx Culture, Comp 3 2.50 7.50 3.24 9.72 25.00 75.00
UA/M w/rflx Culture, Routine 897 2.50 2,242.50 3.24 2,906.28 20.00 17,940.00
Upper Respiratory Culture 1 7.00 7.00 16.19 16.19 35.00 35.00
Urea Nitrogen (BUN) 938 1.30 1,219.40 2.75 2,579.50 3.00 2,814.00
Urethral Culture 34 8.00 272.00 15.58 529.72 25.00 850.00
Uric Acid 567 1.30 737.10 5.51 3,124.17 3.00 1,701.00
Uric Acid, Serum 27 1.30 35.10 5.51 148.77 3.00 81.00
Uric Acid, 24 hr Urine 11 2.75 30.25 6.83 75.13 3.50 38.50
Uric A+ANA+RA Qn+CRP+ASO 1 18.30 18.30 36.94 36.94 75.00 75.00
Uric A+CBC/D/Plt+ESR-Wes+AN... 2 27.80 55.60 16.11 32.22 45.00 90.00
Urinalysis Reflex 8,424 2.00 16,848.00 3.24 27,293.76 5.25 44,226.00
Urinalysis, Complete 54 2.50 135.00 3.24 174.96 7.50 405.00
Urinalysis, Routine 1,359 2.00 2,718.00 3.23 4,389.57 4.50 6,115.50
URINE AFB 3 24.00 72.00 6.74 20.22 75.00 225.00
Urine Calcium Random 6 3.00 18.00 7.26 43.56 4.50 27.00
Urine Creatinine 24HR 91 2.00 182.00 7.08 644.28 4.50 409.50
Urine Creatinine Random 111 2.00 222.00 7.08 785.88 4.50 499.50
Urine Creatinine.Clearence 7 5.00 16.54 No Bid
Urine Culture, Routine 3,347 4.50 15,061.50 10.00 33,470.00 20.00 66,940.00
Urine Culture,Comprehensive 12 13.50 162.00 12.60 151.20 25.00 300.00
Urine Cytology 59 30.00 30.00 No Bid
Urine Electrolytes 24HR 15 8.70 130.50 3.14 47.10 6.50 97.50
Urine Electrolytes Random 60 8.70 522.00 3.14 188.40 45.00 2,700.00
Urine Eosinophils 2 4.95 9.90 7.09 14.18 35.00 70.00
Urine for Trichomonas 407 28.00 11,396.00 25.00 10,175.00 96.00 39,072.00
Urine Manual Microscopic 1,609 2.00 3,218.00 1.74 2,799.66 4.50 7,240.50
Urine Protein Random 88 3.00 264.00 7.70 677.60 4.50 396.00
Urine Total Protein 24 Hr 99 3.00 297.00 7.70 762.30 3.50 346.50
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Urine Urea Nitrogen 24 Hr. 10 2.50 25.00 8.23 82.30 3.50 35.00
Vaginal Culture 374 8.00 2,992.00 15.58 5,826.92 25.00 9,350.00
Vaginal Yeast Screen 92 11.00 1,012.00 84.00 7,728.00 25.00 2,300.00
Valproic Acid (Depakote),S 6,345 7.00 44,415.00 7.00 44,415.00 7.00 44,415.00
Vancomycin-2Hr.Peak 25 9.00 225.00 27.74 693.50 30.00 750.00
Vancomycin-Trough 343 9.00 3,087.00 27.74 9,514.82 30.00 10,290.00
Varicella-Zoster Ab, IgM 9 15.00 135.00 21.96 197.64 45.00 405.00
Varicella-Zoster V Ab, IgG 124 11.00 1,364.00 10.00 1,240.00 28.00 3,472.00
Venlafaxine+Metabolite(Effexor)-S/P 508 95.59 48,559.72 245.00 124,460.00 125.00 63,500.00
VGCC Antibody 2 175.00 350.00 284.25 568.50 350.00 700.00
Viral Culture Rapid Lesion 1 47.00 47.00 31.41 31.41 35.00 35.00
Viral Culture-General 5 35.00 175.00 93.71 468.55 25.00 125.00
Viral Culture-Rapid - Lesion (HSV and VCZ) 1 47.00 47.00 23.19 23.19 45.00 45.00
Viscosity-Serum 8 11.50 92.00 21.96 175.68 45.00 360.00
Vitamin A, Serum 6 10.00 60.00 24.68 148.08 20.00 120.00
Vitamin B1 (Thiamine) 6 14.00 84.00 135.00 810.00 110.00 660.00
Vitamin B1 (Thiamine), Blood 5 14.00 70.00 40.25 201.25 50.00 250.00
Vitamin B1 (Thiamine), Plasma 6 16.25 97.50 135.00 810.00 110.00 660.00
Vitamin B2 (Riboflavin) 1 5.00 5.00 33.78 33.78 80.00 80.00
Vitamin B2, Whole Blood 1 5.00 5.00 33.78 33.78 90.00 90.00
Vitamin B3 (Nicotinic Acid) 2 107.50 215.00 172.00 344.00 90.00 180.00
Vitamin B5 (Pantothenic Acid) 2 72.50 145.00 175.00 350.00 90.00 180.00
Vitamin B6 32 20.00 640.00 61.25 1,960.00 35.00 1,120.00
Vitamin B7 (Biotin) 1 72.50 72.50 175.00 175.00 110.00 110.00
Vitamin B12 Unsat Binding Capacity 1 69.75 69.75 83.00 83.00 15.00 15.00
Vitamin B12 987 4.00 3,948.00 6.00 5,922.00 6.00 5,922.00
Vitamin B12 and Folate 1,149 8.00 9,192.00 12.00 13,788.00 10.00 11,490.00
Vitamin C (Ascorbic Acid) 4 20.00 80.00 19.34 77.36 115.00 460.00
Vitamin C 16 20.00 320.00 19.34 309.44 115.00 1,840.00
Vitamin C (with dilution) 4 26.75 107.00 19.34 77.36 115.00 460.00
Vitamin D 125 Dihydroxy (Calcitriol) 77 30.00 2,310.00 22.00 1,694.00 200.00 15,400.00
Vitamin D, 25-Hydroxy 1,636 15.00 24,540.00 17.00 27,812.00 25.00 40,900.00
Vitamin K1 7 60.00 420.00 75.95 531.65 115.00 805.00
Page 31
VMA Random Urine 1 16.50 16.50 25.28 25.28 25.00 25.00
Voltage-Gated Calcium Channel Antibody 2 175.00 350.00 284.25 568.50 350.00 700.00
vWF Activity 5 55.00 275.00 144.99 724.95 300.00 1,500.00
vWF Antigen 3 75.00 44.63 No Bid
Warfarin (Coumadin) 1 22.00 22.00 21.96 21.96 45.00 45.00
Wellbutrin (Bupropion) 3 78.00 234.00 128.00 384.00 100.00 300.00
Wool Sheep IgE 1 48.50 48.50 48.50 48.50 14.00 14.00
Wound Culture 2,340 6.50 15,210.00 9.00 21,060.00 20.00 46,800.00
Yeast ID 21 14.00 294.00 30.80 646.80 25.00 525.00
Zinc-Plasma or Serum 6 5.00 30.00 17.06 102.36 16.00 96.00
Ziprasidone (Geodon,Zeldox) 8 84.40 675.20 126.00 1,008.00 90.00 720.00
Coagulation Profile 383 4.25 1,627.75 12.23 4,684.09 6.50 2,489.50
Hepatitis B Screen Profile 1,439 15.50 22,304.50 22.00 31,658.00 27.00 38,853.00
Basic Chem Profile (BMP) 18,161 1.65 29,965.65 22.00 399,542.00 3.75 68,103.75
Fasting Lipid Profile 22,004 2.00 44,008.00 21.26 467,805.04 3.75 82,515.00
DRC Chemistry Profile 19,876 2.20 43,727.20 7.70 153,045.20 5.50 109,318.00
Pre-OP Profile w/ UA 262 9.95 2,606.90 25.76 6,749.12 15.00 3,930.00
Liver Profile 18,459 1.65 30,457.35 29.75 549,155.25 9.50 175,360.50
Blood Exposure Profile 1 26.50 26.50 250.00 250.00 50.00 50.00
Dialysis Profile 310 10.65 3,301.50 44.50 13,795.00 17.50 5,425.00
Chem Profile w/ CBC 15,360 3.70 56,832.00 10.30 158,208.00 10.00 153,600.00
Urinalysis w/ CNS Profile 362 6.50 2,353.00 13.23 4,789.26 12.50 4,525.00
Chem Profile w/ Lipids 15,187 4.20 63,785.40 28.96 439,815.52 10.00 151,870.00
Hep B w/ Hep C Profile 343 21.50 7,374.50 28.00 9,604.00 50.00 17,150.00
Hep B w/ Hep C and HIV Profile 3,167 26.50 83,925.50 495.67 1,569,786.89 470.00 1,488,490.00
DYS Admission Profile 1 1,716 8.70 14,929.20 16.03 27,507.48 18.00 30,888.00
Electrolyte Panel Profile 320 1.45 464.00 3.14 1,004.80 3.25 1,040.00
DYS Adm Profile 1 w/o Urine 9 6.70 60.30 12.80 115.20 15.00 135.00
Pre-OP w/o UA Profile 1,103 7.95 8,768.85 22.53 24,850.59 15.00 16,545.00
Profile 51 (M) 5,426 9.30 50,461.80 227.25 1,233,058.50 22.50 122,085.00
Profile 52 (F) 2,644 15.80 41,775.20 244.38 646,140.72 30.00 79,320.00
Thyroid Profile 2,232 12.50 27,900.00 20.00 44,640.00 25.00 55,800.00
B12 and Folate Profile 420 8.00 3,360.00 12.00 5,040.00 12.00 5,040.00
Chem Profile; CBC; and Lipid 7,802 5.70 44,471.40 31.56 246,231.12 17.75 138,485.50
Page 32
Hep A; B; and C Profile 956 27.00 35.00 No Bid
Chem Profile; CBC; and Thyroid 3,885 16.20 62,937.00 30.30 117,715.50 34.00 132,090.00
Anemia Profile 150 13.00 1,950.00 28.89 4,333.50 20.00 3,000.00
Renal Profile 1,480 1.75 2,590.00 30.26 44,784.80 12.00 17,760.00
Hepatic Intake Profile 10,698 7.65 81,839.70 35.75 382,453.50 18.00 192,564.00
Diabetic Profile 3,337 13.65 45,550.05 61.40 204,891.80 44.50 148,496.50
Hypertension Profile 5,173 9.65 49,919.45 69.86 361,385.78 28.00 144,844.00
Seizure Profile 710 3.55 2,520.50 54.35 38,588.50 14.75 10,472.50
TB Profile 68 1.65 112.20 29.75 2,023.00 9.50 646.00
Lipidemia Intake Profile 1,123 6.55 7,355.65 80.51 90,412.73 22.50 25,267.50
Anticoagulation Profile 95 5.15 489.25 36.35 3,453.25 18.00 1,710.00
>40 yrs Profile (male) 53 2.00 106.00 21.26 1,126.78 3.75 198.75
>50 yrs Profile 1,531 3.50 5,358.50 23.86 36,529.66 7.50 11,482.50
Atypical Antipsychotic Profile 1,690 2.00 3,380.00 21.26 35,929.40 3.75 6,337.50
HIV Intake Profile 738 164.00 121,032.00 222.00 163,836.00 415.00 306,270.00
Pregnancy Profile 149 38.65 5,758.85 88.43 13,176.07 115.00 17,135.00
Asthma Profile 1,042 1.50 1,563.00 2.60 2,709.20 3.75 3,907.50
COPD Profile 32 1.50 48.00 2.60 83.20 3.75 120.00
Profile 51 with Hep C 27 15.30 413.10 233.25 6,297.75 31.50 850.50
Profile 52 with Hep C 116 21.80 2,528.80 250.38 29,044.08 40.00 4,640.00
Dialysis Profile w/PTH & HBsAg 846 24.65 20,853.90 102.65 86,841.90 62.00 52,452.00
BUN/Creatinine Ratio Profile 509 1.35 687.15 2.83 1,440.47 7.00 3,563.00
Comprehensive Metabolic Panel (CMP) Profile 3,630 1.95 7,078.50 4.71 17,097.30 4.50 16,335.00
CBC and BMP Profile 903 3.15 2,844.45 24.60 22,213.80 7.50 6,772.50
APRI Panel Profile 291 2.80 814.80 26.91 7,830.81 7.50 2,182.50
Drug Screen (7 panel) Profile 34,340 9.50 326,230.00 70.00 2,403,800.00 14.00 480,760.00
Page 33
EMERGENCY AFTERHOURS (STAT) TESTING
ITEM B Labcorp Quest Univ. Ref. Labs
DescriptionEst. Annual
Usage
STAT Test
Charge per
Patient
Sample
Submitted
STAT Test
Charge per
Patient
Sample
Submitted
STAT Test
Charge per
Patient
Sample
Submitted
Emergency Afterhours (STAT) Testing at Using Agency
Facilities excluding FMC200 10.00 No Bid No Bid
Emergency Afterhours (STAT) Testing at Franklin
Medical Center (FMC) only1,900 10.00 19,000.00 20.00 38,000.00 50.00 95,000.00
13,899,961.60
TOTALS $4,068,037.13 5% Non Ohio $14,594,959.68 $9,457,632.46
AWARD
DISCOUNT OFF PRICE LIST FOR ADDITIONAL TESTS
ITEM C Labcorp Quest Univ. Ref. Labs
70.00% 65.00% 5.00%
BIDS TABULATED BY:______________REVIEWED BY:________________REC. FOR APPROVAL BY:_____________APPROVED BY:___________________
Percent
Discount
Indicate the percent discount off list price from the bidder's current
price list, for tests awarded in the Core Unit Price per Test section.
The percentage discount may not change over the life of the
contract.
Discount off List price for additional testsPercent
Discount
Percent
Discount
EVALUATION: Bids will be evaluated in accordance with Article I-17 of the “Instructions to Bidders”. In addition, the state will award based on the low lot combined total of Item A,
Core Test Pricing, and Item B, Emergency STAT Testing. Low lot total will be determined by multiplying the unit cost by the estimated usage listed in the bid and then adding
each of the totals together to arrive at a total for all items. If the estimated annual usage is unknown a quantity of one (1) will be used, for calculation purposes only. Item C,
Discount off List Price, will not be used for evaluation purposes. Failure to bid all items may result in the bidder being deemed not responsive.
CONTRACT AWARD: The contract will be awarded to the lowest responsive and responsible bidder by low lot total. Failure to bid all items may result in the bidder being deemed
not responsive.