Lab Services (Primary Care & Walk-In Clinic)
| Service | Billing (CPT) Code** | The Everett Clinic Self Pay Fee | Prompt Pay Incentive 15% |
|
*Lipid Panel
|
80061
|
$41.00
|
$34.85
|
| *Comp Metabolic Panel | 80053 | $22.25 | $18.91 |
| *Complete Blood Count (CBC) | 85025 | $17.50 | $14.88 |
| *Thyroid Stimulating Hormone (TSH) | 84443 | $37.50 | $31.88 |
| *Influenza Test by PCR (Type A & B) | 87502 | $190.00 | $161.50 |
| *Strep A Assay | 87651 | $78.50 | $66.73 |
| Urine Pregnancy Test | 81025 | $13.50 | $11.48 |
| Urinalysis | 81000 - 81001 | $7.25 | $6.17 |
| Urine Culture | 87086 | $18.25 | $15.52 |
| *Basic Metabolic Panel (BMP) | 80048 | $17.75 | $15.09 |
| *Hemoglobin A1C | 83036 | $21.75 | $18.49 |
| *Hepatic Function (Liver) Panel | 80076 | $17.25 | $14.67 |
| *PSA (Prostate Specific Antigen) | 84153 |
$41.25 |
$35.07 |
| *Prothrombin Time (Protime or PT) | 85610 | $9.00 | $7.65 |
| *Iron Profile (Iron Assay & Transferrin) | 83540 & 84466 | $43.00 | $36.55 |
| *Assay of Vitamin B12 | 82607 | $33.75 | $28.69 |
| *Vitamin D | 82306 | $66.25 | $56.32 |
| *CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 Antibody Single | 87389 | $54.00 | $45.90 |
| *Hepatitis C Antibody and CHG Hepatitis C, RNA Quant | 86803 & 87522 | $127.75 | $108.59 |
| Venipuncture Blood Collection | 36415 | $7.25 | $6.17 |
*Venipuncture Blood Collection billed separately, 1X per draw.
Confidential Lab Services
| Service | Billing (CPT) Code** | The Everett Clinic Self Pay Fee | Prompt Pay Incentive 15% |
| UPRG/UCG | 81025 | $13.50 | $11.48 |
| UMACA/Automated Urine Macroscopic w/reflex |
81003 **If microscopic is added billing code changes to full urinalysis 81001 ***If culture added 87086 (add'l charges can occur if culture is positive) |
$5.25, $7.25, $18.25 | $4.46, **$6.16, ***$15.51 |
| WTSMR/Wet Smear (performed together) | 87210, 87905, 87808 | $9.75, $27.50, $27.00 | $8.29, $23.38, $22.95 |
|
GONOR/GC Probe,CHLAM/Chlamydia Probe (performed together) |
87591, 87491 | $78.50, $78.50 | $66.73, $66.73 |
|
HSVZV/Culture Herpes (in-house) **Herpes Simplex DNA 1&2 by NAAT |
87252 **If culture is positive add'l testing is done 87253 x2 |
$58.25, **$45.25 x2 | $49.51, **$38.46 x2 |
| *HSV/Herpes Simplex 1&2 IgG Antibodies (performed together) |
|
$29.50, $43.25 | $25.08, $36.76 |
| HCCQL/HCG Qualitative | 84703 | $17.00 | $14.45 |
| HCGQ/HCG Quantitative | 84702 | $33.75 | $28.69 |
| *HIV/HIV-1/HIV-2, Ab/Ag 4th Generation | 87389 | $54.00 | $45.90 |
| *TREP/Treponema | 86780 | $29.75 | $25.29 |
| *HBSAB/Hepatitis B Surface Antigen | 87340 | $23.25 | $19.76 |
| *HBSAB/Hepatitis B Surface Antibody | 86706 | $24.00 | $20.40 |
| *HCVAB/Hepatitis C Antibody | 86803 | $32.00 | $27.20 |
*Venipuncture Blood Collection billed separately, 1x per draw
Disclaimer: While The Everett Clinic strives to give you accurate information regarding prices and estimated costs, several factors may affect pricing, including, but not limited to: (1) Time of selection: Prices are subject to change at any time. (2) Additional expenses: Beyond what's defined, some laboratory and professional fees, such as physician, radiologist, anesthesiologist and pathologist, may not be included in this estimate. (3) Additional services: Your health condition may require additional time with the same practitioner, specialist or a different condition than scheduled.