Quest Pricing for Patients

	A	B	C	D	E	F
1	Name of test	Test Number	Time for You Discounted Pricing		Billing Codes	Color Tubes
2	Traditional Pap	38418	34.01	-	Screening Cervical Cancer
3	HPV Self Collect	14263	$40	-	Screening Cervical Cancer
4
5	Female Hormone Testing		-	-
6	Estradiol	4021	16		Fatigue: R53.83
7	DHEA S	402	9		Overweight: E66.3
8	Iron, TIBC, Ferritin	5616	13.2		Obesity: E66.9
9	TSH + Free T4	58984	11.4		Hyperglycemia: R73.9
10	CMP	10231	5.04		Screening lipids: Z13.220
11	T3 Free	34429	7		Screening thyroid: Z13.29
12	CBC	6399	3.1		Anxiety: F41.9
13	Progesterone	745	10		Depression: F32.A
14	Testosterone Free, Total and SHBG	37073	36		Abnormal Menses: N92.6
15	Lipid	7600	8		Perimenopause: N95.9
16	FSH and LH	7137	14		Physical Labwork: Z00.00
17	Vitamin D	17306	17		Anemia: D64.9
18	Cortisol	367	9		Hypertension: I10
19	Vitamin B12	927	6		Hyperlipidemia: E78.5
20	Urinalysis	7048	1.84		E83.51 Low Calcium
21	Urine Pregnancy	396	5
22	Processing Fee		$15
23	Total		$187
24
25	Male Hormone Health		-	-
26	Iron, TIBC, Ferritin	5616	13.2
27	TSH + Free T4	58984	14
28	CMP	10231	5.04
29	T3 Free	34429	7
30	CBC	6399	3.1
31	Lipid	7600	8
32	FSH and LH	7137	14
33	Vitamin D	17306	17
34	Testosterone, Free and Bioavailable and Total MS	14966	29.94			transport tube - room
35	Cortisol	367	9			SST - Room
36	Vitamin B12	927	6
37	Urinalysis	7048	1.84
38	PSA	5363	8
39	Processing Fee		15
40	Total		151.12
41
42	Male Over 40 BMI >25
43	TSH + Free T4	58984	14	-
44	CMP	10231	5.04	-
45	CBC	6399	3.1	-
46	Lipid	7600	8	-
47	Vitamin D	17306	17	-
48	B12	927	6	-
49	Insulin Fasting	561	8	-
50	HgbA1C	496	6	-
51	Urine Screen	7048	1.84	-
52	PSA Screen	5363	8	-
53	Processing Fee		15
54	Total		91.98
55
56	Male Over 40 Normal BMI
57	TSH + Free T4	58984	14	-
58	CMP	10231	5.04
59	CBC	6399	3.1
60	Lipid	7600	8
61	Vitamin D	17306	17
62	B12	927	6
63	HgbA1C	496	6
64	Urine Screen	7049	1.84
65	PSA Screen	5363	8
66	Processing Fee		15
67	Total		83.98
68
69	Female Over 40 NORMAL BMI
70	TSH + Free T4	58954	14	-
71	CMP	10231	5.04	-
72	CBC	6399	3.1	-
73	Lipid	7600	8	-
74	Vitamin D	17306	17	-
75	B12	927	6	-
76	HgbA1C	496	6	-
77	Urine Screen	7049	1.84
78	Total		60.98
79
80	Female Over 40 BMI >25			-
81	TSH + Free T4	58954	14		Screening Thyroid
82	CMP	10231	5.04		Screening Lipids
83	CBC	6399	3.1		Screening Diabetes
84	Lipid	7600	8
85	Vitamin D	17306	17
86	B12	927	6
87	HgbA1C	496	6
88	Urine Screen	7049	1.84
89	Insulin Fasting	561	8			Transport Tube - refrig
90	Processing Fee		15
91	Total		83.98
92
93	Autoimmune			-
94	ANA	249	5		Joint pain	Transport tube - room temp
95	Sed Rate	809	3.43		Fatigue	Lavender top - room
96	RA	4418	6		Inflammation	SST - room
97	Total		14.43
98
99	Anemia Workup
100	TIBC, Iron and Ferritin	5616	13.2		Palor