Administrative Reference: Blood Panel

Comprehensive Blood Work with Vitamins, Minerals, Electrolytes, Proteins, and More

This panel would include the following key test categories:

1. Electrolytes
2. Proteins
3. Vitamins
4. Minerals
5. Liver Function Tests
6. Kidney Function Tests
7. Thyroid Function Tests

Detailed Line Item of Comprehensive Blood Work Panel

---

Step	Test	CPT Code	USA Cost (USD)	Suriname Cost (USD)
1. Electrolytes	Sodium, Potassium, Chloride, CO2	80051	$15–$40	$10–$20
	Calcium (Total)	82310	$15–$30	$10–$20
	Magnesium	83735	$20–$50	$10–$25
2. Proteins	Albumin	82040	$10–$20	$5–$15
	Total Protein	84155	$10–$20	$5–$15
	Globulin (calculated)	–	Included in total protein	Included in total protein
	Prealbumin (optional)	84133	$30–$60	$20–$40
	Alpha-1-Antitrypsin (optional)	82104	$50–$100	$30–$70
3. Vitamins	Vitamin D (25-Hydroxy Vitamin D)	82306	$50–$150	$25–$50
	Vitamin B12	82607	$30–$80	$20–$40
	Folate (Vitamin B9)	82746	$25–$60	$20–$40
	Vitamin A	82306	$35–$75	$20–$50
	Vitamin E	84445	$40–$90	$30–$60
	Vitamin C (Ascorbic Acid)	82959	$40–$80	$25–$50
4. Minerals	Iron	83540	$15–$40	$10–$20
	Ferritin	82728	$40–$90	$25–$60
	Copper	82525	$40–$100	$30–$70
	Zinc	84630	$25–$60	$15–$35
	Phosphorus	84100	$10–$25	$10–$20
5. Liver Function Tests (LFTs)	ALT (Alanine Aminotransferase)	84460	$25–$60	$15–$30
	AST (Aspartate Aminotransferase)	84450	$25–$60	$15–$30
	ALP (Alkaline Phosphatase)	84075	$30–$70	$20–$40
	Bilirubin (Total)	82247	$15–$40	$10–$20
	Albumin	82040	$10–$20	$5–$15
	Total Protein	84155	$10–$20	$5–$15
6. Kidney Function Tests	Creatinine	82565	$15–$40	$10–$20
	BUN (Blood Urea Nitrogen)	84520	$10–$20	$5–$15
	eGFR (Estimated Glomerular Filtration Rate)	–	Included in Creatinine	Included in Creatinine
7. Thyroid Function Tests	TSH (Thyroid Stimulating Hormone)	84443	$25–$70	$20–$40
	T3 (Triiodothyronine)	84480	$30–$60	$20–$50
	T4 (Thyroxine)	84436	$30–$60	$20–$50
	Free T4	84439	$40–$80	$25–$60
	Free T3	84481	$40–$80	$25–$60

Total Approximate Costs by Market

Step	USA Cost (USD)	Suriname Cost (USD)
1. Electrolytes	$60–$150	$35–$75
2. Proteins	$60–$175	$30–$100
3. Vitamins	$230–$650	$140–$300
4. Minerals	$130–$330	$85–$250
5. Liver Function Tests (LFTs)	$100–$250	$65–$150
6. Kidney Function Tests	$25–$60	$15–$35
7. Thyroid Function Tests	$150–$320	$100–$250
Total Comprehensive Blood Work	$755–$1,785	$430–$1,060

Important Notes:

1. Vitamins and minerals can be costly in both regions, especially if specialized tests for things like Vitamin A, Vitamin E, and Copper are included.
2. Electrolytes and proteins tend to have a lower cost, with some tests included in basic panels like Basic Metabolic Panel (BMP) or Comprehensive Metabolic Panel (CMP).
3. Costs for Thyroid Function Tests and Kidney Function Tests may vary depending on the location and the need for additional tests (such as Free T3 and Free T4).

Comprehensive Blood Work Panel: Range, Effects, and Health Implications

1. Electrolytes

Test	Normal Range (USA)	Effects (Pros/Cons)
Sodium (Na)	135-145 mmol/L	Pros: Maintains fluid balance, nerve, and muscle function.
Cons: Low (<135 mmol/L) can cause dehydration, weakness; High (>145 mmol/L) can cause swelling, high blood pressure.
Potassium (K)	3.5-5.0 mmol/L	Pros: Supports muscle function, nerve transmission, heart rhythm.
Cons: Low (<3.5 mmol/L) can cause muscle cramps, arrhythmias; High (>5.0 mmol/L) can cause life-threatening heart issues.
Chloride (Cl)	98-106 mmol/L	Pros: Maintains fluid balance and acid-base levels.
Cons: Low (<98 mmol/L) may indicate metabolic alkalosis; High (>106 mmol/L) may suggest dehydration.
CO2 (Bicarbonate)	22-28 mmol/L	Pros: Helps maintain pH balance in the blood.
Cons: Low (<22 mmol/L) indicates acidosis; High (>28 mmol/L) suggests alkalosis.
Calcium (Total)	8.5-10.2 mg/dL	Pros: Supports bone health, nerve, and muscle function.
Cons: Low (<8.5 mg/dL) may cause muscle cramps, brittle bones; High (>10.2 mg/dL) can lead to kidney stones.
Magnesium	1.7-2.2 mg/dL	Pros: Vital for muscle function, bone health, and energy production.
Cons: Low (<1.7 mg/dL) causes weakness, fatigue, irregular heartbeat; High (>2.2 mg/dL) can lead to lethargy, nausea.

2. Proteins

Test	Normal Range (USA)	Effects (Pros/Cons)
Albumin	3.4-5.4 g/dL	Pros: Regulates osmotic pressure, transports nutrients.
Cons: Low (<3.4 g/dL) can signal liver disease, kidney problems; High (>5.4 g/dL) suggests dehydration.
Total Protein	6.0-8.3 g/dL	Pros: Represents overall health, liver and kidney function.
Cons: Low (<6.0 g/dL) can indicate malnutrition or liver disease; High (>8.3 g/dL) may signal infection or inflammation.
Prealbumin (optional)	19-38 mg/dL	Pros: Reflects nutritional status and liver function.
Cons: Low (<19 mg/dL) suggests poor nutrition, acute illness.

3. Vitamins

Test	Normal Range (USA)	Effects (Pros/Cons)
Vitamin D (25-Hydroxy)	20-50 ng/mL	Pros: Promotes bone health, immune function.
Cons: Low (<20 ng/mL) causes rickets, osteomalacia; High (>50 ng/mL) may cause toxicity.
Vitamin B12	200-900 pg/mL	Pros: Supports nerve function, red blood cell production.
Cons: Low (<200 pg/mL) causes anemia, neuropathy, cognitive issues; High (>900 pg/mL) may suggest excess intake or liver disease.
Folate (Vitamin B9)	3-17 ng/mL	Pros: Important for red blood cell production, fetal development.
Cons: Low (<3 ng/mL) can cause megaloblastic anemia, birth defects; High (>17 ng/mL) may mask vitamin B12 deficiency.
Vitamin A	20-60 µg/dL	Pros: Vital for vision, immune function, skin health.
Cons: Low (<20 µg/dL) causes night blindness, skin issues; High (>60 µg/dL) may lead to liver toxicity.
Vitamin E	5-15 µg/mL	Pros: Acts as an antioxidant, supports skin health.
Cons: Low (<5 µg/mL) increases oxidative stress, skin issues; High (>15 µg/mL) can cause bleeding issues.
Vitamin C	0.6-2.0 mg/dL	Pros: Boosts immune system, supports wound healing.
Cons: Low (<0.6 mg/dL) causes scurvy, poor wound healing; High (>2 mg/dL) usually harmless but can cause kidney stones.

4. Minerals

Test	Normal Range (USA)	Effects (Pros/Cons)
Iron	60-170 µg/dL	Pros: Essential for oxygen transport, energy production.
Cons: Low (<60 µg/dL) causes fatigue, anemia; High (>170 µg/dL) indicates iron overload.
Ferritin	20-300 ng/mL	Pros: Indicates iron stores in the body.
Cons: Low (<20 ng/mL) suggests iron deficiency; High (>300 ng/mL) may indicate inflammation, liver disease, or iron overload.
Copper	70-140 µg/dL	Pros: Supports immune function, iron metabolism.
Cons: Low (<70 µg/dL) leads to anemia, fatigue; High (>140 µg/dL) may indicate Wilson’s disease.
Zinc	70-120 µg/dL	Pros: Supports immune function, wound healing.
Cons: Low (<70 µg/dL) weakens immunity, delays healing; High (>120 µg/dL) may cause toxicity.

Blood Panel II: Supportive Info