Patient Requested Lab Services

Step 1

Choose Your Tests

Heart Health Profile (HEHP)

Lipid Panel, CRP, Homocysteine - $75.00

Heart Disease Testing

Lipid Panel * - $35.00
Cardio CRP - $35.00
Homocysteine - $35.00

Blood Counts or Anemia Check

Blood Count - $20.00
Folate - $30.00
Iron Panel - $45.00
Vitamin B12 - $30.00
Ferritin - $30.00

Inflammation Screening Tests

C-Reactive Protein - $20.00
ESR - Erythrocyte Sedimentation Rate - $15.00

Kit Collection

Kit Collection - $25.00

General Health Profile (GEHP)

CBC, CMP, TSH, Lipid Panel - $75.00

General Health Testing

Basic Metabolic Panel - $25.00
Comprehensive Metabolic - $30.00
Electrolytes (Lytes) - $20.00

Diabetes Testing

Glucose * - $15.00
Hemoglobin A1C - $25.00

Pregnancy Test

Pregnancy Test - $20.00

Mononucleosis Test

Mononucleosis Test - $20.00

Coumadin Monitoring (PT)

Coumadin Monitoring (PT) - $20.00

Heparin Monitoring (PTT)

Heparin Monitoring (PTT) - $20.00

Kidney Function Screening

Renal Function Panel - $25.00
Creatinine - $15.00
Urinalysis - $20.00

Liver Function Tests

Liver Function Panel - $25.00
Bilirubin - $15.00

Thyroid Screening

TSH - $35.00
Free T4 - $25.00
Free T3 - $25.00

Prostate Screening (PSA)

Prostate Screening (PSA) - $40.00

Health Plus Profile (HPP)

General Health, CRP, Homocysteine - $125.00

Strep Throat Screen

Strep Throat Screen - $40.00

Urine Drug Screen

Urine Dug Screen - $50.00

Vitamin D

Vitamin D - $50.00

Blood Typing (ABO/Rh)

Blood Typing (ABO/Rh) - $35.00

Pre-employment or Immunization Testing

Rubeola (Measles) - $20.00
Mumps - $20.00
Varicella (Chicken Pox) - $20.00

Endocrinology (Hormone) Screening Tests

Testosterone Free & Total - $45.00
Testosterone Total - $30.00
Progesterone - $30.00
Estradiol/Estrogen - $30.00
FSH - $30.00
LH - $30.00
Prolactin - $30.00

Gout and Arthritis Screening Tests

Uric Acid - $30.00
Rheumatoid Factor - $30.00
ANA Screen - $50.00

Other

5 HIAA (SO) - $34.00
ABO TYPE - $17.00
ALBUMIN, SERUM - $27.00
ALCOHOL SERUM - $94.00
ALDOLASE (SO) - $24.00
ALKALINE PHOSPHATASE - $25.00
ALT - $18.00
AMMONIA, PLASMA - $96.00
AMYLASE, SERUM - $90.00
ANA MULTIPLE S - $50.00
ANGIOTENSIN CONVERTING ENZ (SO) - $33.00
ASO, SCREEN - $26.00
AST - $18.00
BASIC METABOLIC PANEL - $25.00
BILIRUBIN, DIRECT - $20.00
BILIRUBIN, TOTAL - $15.00
BLOOD GAS VENOUS - $151.00
BUN - $28.00
CALCIUM, 24HR URINE - $19.00
CALCIUM, IONIZED - $91.00
CALCIUM, SERUM - $30.00
CALCIUM, URINE - $46.00
CALPROTECTIN - $139.00
CARBAMAZEPINE LEVEL - $47.00
CARBON MONOXIDE - $44.00
CBC WITH AUTOMATED DIFF - $20.00
CERULOPLASMIN SERUM (SO) - $27.00
CHLORIDE, SERUM - $25.00
CHLORIDE, URINE - $47.00
CHOLESTEROL, BODY FLUID - $34.00
CHOLESTEROL, SERUM - $21.00
COMPREHENSIVE METABOLIC PANEL - $30.00
CORTISOL TIMED - $75.00
CORTISOL, PLASMA AM - $75.00
CORTISOL, PLASMA PM - $75.00
CREATINE KINASE TOTAL - $60.00
CREATININE CLEARANCE - $40.00
CREATININE, 24HR URINE - $27.00
CREATININE, SERUM - $15.00
CREATININE, URINE - $14.00
CRP, C-REACTIVE PROTEIN - $20.00
CRP, HIGH SENSITIVITY - $35.00
CYCLOSPORIN LEVEL (SO) - $44.00
DIGOXIN LEVEL - $111.00
DIRECT LDL CHOLESTEROL - $14.00
DNA KIT COLLECTION - $68.00
EBV EA IGG (SO) - $64.00
EBV ABS - $80.00
ELECTROLYTES LEVEL - $20.00
ESTRADIOL - $30.00
EVEROLIMUS (SO) - $122.00
FACTOR XA HEPARIN UNFRACTIONATED - $76.00
FERRITIN - $30.00
FIBRINOGEN - $87.00
PI LINKED AG - $341.00
FOLATE LEVEL - $30.00
FOLLICLE STIM HORMONE - $30.00
GAMMAGLUTAMYL TRANSPEPTIDASE - $48.00
GENTAMICIN, PEAK LEVEL - $84.00
GENTAMICIN, RANDOM LEVEL - $84.00
GENTAMICIN, TROUGH LEVEL - $84.00
GLUCOSE TOLERANCE-2HR - $15.00
GLUCOSE TOLERANCE-3HR - $15.00
GLUCOSE, 1HR PP - $15.00
GLUCOSE, 2 HR PP - $15.00
GLUCOSE, FASTING - $15.00
GLUCOSE, RANDOM - $15.00
GROUP A BETA STREP, RAPID - $40.00
HCG, QUAL, SERUM - $20.00
HCG, QUAL, URINE - $20.00
HCG, QUANT, SERUM - $38.00
HDL, CHOLESTEROL - $25.00
HEMATOCRIT - $10.00
HEMOGLOBIN - $10.00
HEMOGLOBIN, A1C - $25.00
HEMOGRAM - $11.90
HEPATIC FUNCTION PANEL - $25.00
HOMOCYSTEINE - $35.00
IMMUNOGLOBULIN A - $40.00
IMMUNOGLOBULIN E - $47.00
IMMUNOGLOBULIN G - $40.00
IMMUNOGLOBULIN M - $40.00
IRON LEVEL - $15.00
LACTIC ACID - $169.00
LDH, TOTAL, SERUM - $16.00
LEAD, BLOOD (SO) - $22.00
LIPASE - $63.00
LIPID PROFILE - $35.00
LITHIUM LEVEL - $24.00
MAGNESIUM, SERUM - $19.00
MAGNESIUM, URINE - $43.00
METANEPHRINES, URINE (SO) - $57.00
MICROALBUMIN, URINE - $21.00
MONONUCLEOSIS, LATEX - $20.00
MUMPS AB IGG - $20.00
OSMOLALITY, SERUM - $107.00
OSMOLALITY, URINE - $74.00
PARTIAL THROMBOPLASTIN TIME - $20.00
PH, QUAL, URINE - $16.00
PH, VENOUS - $32.00
PHENOBARBITAL LEVEL - $77.00
PHENYTOIN LEVEL - $47.00
PHOSPHOLIPID ABS IGG/IGM - $34.00
PHOSPHORUS, SERUM - $15.00
PHOSPHORUS, URINE - $61.00
PML/RARA QUANT - $254.00
POTASSIUM, SERUM - $20.00
POTASSIUM, URINE - $53.00
PRE ALBUMIN - $83.00
PRENATAL PROFILE - $568.00
PRO-BNP - $154.00
PROCALCITONIN - $92.00
PROGESTERONE LEVEL - $30.00
PROLACTIN - $30.00
PROTEIN, 24HR URINE - $39.00
PROTEIN, QUANT, URINE - $14.00
PROTEIN, SERUM - $26.00
PROTHROMBIN TIME INCLUDING INR - $20.00
PSA - $40.00
PTH INTACT - $113.00
RENAL FUNCTION PANEL - $25.00
RETICULOCYTE,AUTOMATED - $15.00
RH TYPE - $18.00
RHEUMATOID FACTOR QUANT - $30.00
RPR - $32.00
RUBELLA, SCREEN - $20.00
RUBEOLA AB IGM (SO) - $33.00
RUBEOLA, IGG - $20.00
SEDIMENTATION RATE - $15.00
SEMEN, PRESENCE ONLY - $20.00
SEMEN, ROUTINE EXAM - $54.00
SODIUM, 24HR URINE - $30.00
SODIUM, SERUM - $20.00
SODIUM, URINE - $21.00
SPECIFIC GRAVITY, URINE - $16.00
T3 FREE - $25.00
T3 TOTAL (SO) - $32.00
T4, FREE - $25.00
TESTOSTERONE - $30.00
TESTOSTERONE FREE AND TOTAL - $45.00
THYROGLOBULIN AB - $40.00
THYROGLOBULIN AB SCREEN - $20.00
THYROGLOBULIN TUM MARKER - $8.00
TOBRAMYCIN, PEAK LEVEL - $71.00
TOBRAMYCIN, RANDOM LEVEL - $71.00
TOBRAMYCIN, TROUGH LEVEL - $71.00
TRANSFERRIN - $31.00
TRIGLYCERIDES, SERUM - $28.00
TSH - $35.00
UREA NITROGEN, 24HR URINE - $59.00
UREA NITROGEN, URINE - $72.00
URIC ACID, 24HR URINE - $18.00
URIC ACID, SERUM - $30.00
URIC ACID, URINE - $55.00
URINE TOX SCREEN - $50.00
VALPROIC ACID LEVEL - $47.00
VANCOMYCIN, RANDOM LEVEL - $113.00
VANCOMYCIN, TROUGH LEVEL - $113.00
VARICELLA ZOSTER IGG - $20.00
VIT D 25 HYDROXY - $50.00
VITAMIN B-12 LEVEL - $30.00
WHITE BLOOD CELL COUNT - $16.00
Z 17-HYDROXYPROGESTERONE LEVEL - $57.00
Z ADRENAL CORTICOTROPIC HORMONE - $59.00
Z ALDOSTERONE, SERUM - $41.00
Z ANCA - $55.00
Z ANTITHROMBIN ANTIGEN (SO)(COAG) - $45.00
Z ANTITHROMBIN III ACTIVITY - $51.00
Z ARSENIC, SERUM - $29.00
Z CADMIUM BLOOD - $42.00
Z CHROMOGRANIN A - $54.00
Z CITRATE, URINE - $35.00
Z COMPLEMENT COMPONENT C1Q - $32.00
Z COMPLEMENT TOTAL SERUM, CH50 - $21.00
Z COPPER SERUM - $44.00
Z DHEA SULFATE - $29.00
Z ERYTHROOIETIN SERUM - $39.00
Z FACTOR V LEIDEN MUTATION PANEL - $104.00
Z FAT FECES - $84.00
Z FREE PSA - $19.00
Z GAD65 AB ASSAY - $52.00
Z HEPARIN PF4 AB (HIT) S - $95.00
Z INSULIN, SERUM - $90.00
Z JAK2 V617F MUTATION - $490.00
Z JO 1 AB, IGG, S - $30.00
Z KEPPRA/LEVETIRACETAM LEVEL - $54.00
Z LH LUTENIZING HORMONE - $30.00
Z MERCURY BLOOD - $29.00
Z METHYLMALONIC ACID QUANT - $69.00
Z MICROSOMAL ANTIBODY - $66.00
Z MITOCHONDRIAL ANTIBODIES - $151.00
Z MYELOPEROXIDASE ANTIBODY - $47.00
Z PLATELET ANTIBODY - $76.00
Z PROTEIN C, ANTIGEN PLASMA - $98.00
Z PROTEIN S ACTIVITY (SO) (COAG) - $112.00
Z QUAD SCREEN MATERNAL - $72.00
Z RENIN, PLASMA - $64.00
Z RIBOSOME P AB IGG - $35.00
Z RNP AB, IGG, S - $29.00
Z SCL 70 AB, IGG, S - $26.00
Z SIROLIMUS LEVEL - $67.00
Z SM AB, S - $29.00
Z SMOOTH MUSCLE ANTIBODIES - $214.00
Z SS - A/RO AB, IGG, S - $44.00
Z SS - B/LA AB, IGG, S - $44.00
Z T4 (TOTAL) - $42.00
Z TACROLIMUS (FK506) LEVEL - $60.00
Z THIAMINE VT B1 LEVEL - $57.00
Z THYROPEROXIDASE(TPO) ANTIBODY - $40.00
Z TOTAL PSA - $19.00
Z VISCOSITY SERUM - $41.00
Z VITAMIN B6 LEVEL - $88.00
Z VON WILLEBRAND ACTIVITY - $83.00
Z VON WILLEBRAND AG - $83.00
ANTI DNA (SO) - $34.00
ALPHA 1 ANTITRYPSIN (SO) - $39.00
Z BETA-2 MICROGLOBULIN - $20.00
Z HEREDITARY HEMOCHROM GENE ANALY - $304.00
Z CCP ANTIBODY - $46.00
Z HEPATITIS B SURFACE ANTIBODY - $30.00
CD4 COUNT FOR IMMUNE MONITORING - $80.00
A1 ANTITRYPSIN PHENOTYPE - $46.00
Z CYSTIC FIBROSIS MUTATION PANEL - $242.00
IMMUNOGLOBULIN SUBSETS - $40.00
CELIAC HLA - $184.00
ALK PHOS ISO - $80.00
BETA 2 GLYCOP IGG IGM - $48.00
CMV IGG IGM - $46.00
TOXOPLASMA IGG IGM - $44.00
PHENYTOIN FREE AND TOTAL - $67.00
TISSUE TRANSGLUT IGA, IGG - $54.00
PHENOBARBITAL AND PRIMIDONE - $195.00
ANTINUCLEAR ANTIBODY (SO) - $50.00
H. PYLORI BREATH TEST (SO) - $98.00
Z LAMOTRIGINE (LAMICTAL) LEVEL - $30.00
COMPLEMENT, C3 (SO) - $22.00
COMPLEMENT, C4 (SO) - $22.00
HTLV-I / -II AB SCREEN (SO) - $30.00
BETA-2 GLYCOPROT IGA - $50.00
C PEPTIDE SE (SO) - $22.00
CMV DNA QUANT (SO) - $73.00
CORTISOL FREE URINE (SO) - $67.00
DIHYDROTESTOSTERONE (SO) - $56.00
EBNA (SO) - $50.00
GASTRIN (SO) - $32.00
GLIADIN, IGA (SO) - $20.00
GLIADIN, IGG (SO) - $20.00
GRANULOCYTE ABS (SO) - $90.00
GROWTH HORMONE (SO) - $30.00
H PYLORI IGG SERUM (SO) - $30.00
HAPTOGLOBIN SERUM (SO) - $24.00
INSULIN LIKE GROWTH FACTOR (SO) - $28.00
NICOTINE AND METABOLITES - $55.00
PARVO B19 IGG (SO) - $20.00
PARVO B19 IGM (SO) - $20.00
SEX HORMONE-BINDING GLOB (SO) - $30.00
Z CATECHOLAMINE URINE - $54.00
Z CENTROMERE ABS S - $72.00
Z ENDOMYSIAL ANTIBODIES - $70.00
Z G-6-PD, QUANT - $52.00
Z LD ISOENZYMES - $40.00
Z LIPOPROTEIN A - $28.00
Z LYSOZYME (MURAMIDASE) - $44.00
Z MANGANESE, SERUM - $300.00
Z NORTRIPTYLINE LEVEL - $34.00
Z NTX TELOPEPTIDE URINE - $50.00
Z PROTEIN S ANTIGER FREE - $37.00
Z PROTEIN S, ANTIGEN TOTAL - $37.00
Z PROTHROMB GENE MUTATION G20210A - $37.00
Z SOLUABLE FIBRIN MONOMER - $120.00
Z TOPIRAMATE LEVEL - $56.00
Z VITAMIN D 1.25-DIHYDROXY SERUM - $50.00
ZINC SERUM (SO) - $25.00

MMR Immunization

Rubeola (Measles) - $20.00
Rubella - $20.00
Mumps - $20.00
Varicella (Chicken Pox) - $20.00
*Fasting Recommended
Order Total: $0.00

Step 2

Patient Information

Tests Chosen: None
First Name
Last Name
Middle Initial
Email Address
Date Of Birth
Gender
Address
Street Address Line 1
 
City
State
Zip
Phone
Date of Service

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