Recommending Comprehensive Labs and Testing at GWCIM
Established patients with ongoing symptoms or conditions at GWCIM may be recommended some of the lab work below. If you are not an established patient but are looking to become one for ongoing care and are interested in any of these tests, you may submit an inquiry here: https://www.gwcim.com/schedule-an-appointment. If you are an established patient and are interested in one of these tests, please message your provider and Hannah Fine on Charm for more information.
DEFINITION
About Comprehensive Labs & Testing
Comprehensive functional medicine testing offers a detailed look at the systems driving your health — from gut and hormones to nutrients, detoxification, and inflammation. Rather than screening for disease, these panels reveal the imbalances behind chronic symptoms.
ADVANTAGE
How Labs and Tests Are Processed and Billed
LabCorp and Quest
Most routine and common blood panels are run through LabCorp or Quest, which bill insurance directly.
Specialty Labs
Some specialty panels can't be ordered through LabCorp, Quest, or standard hospital labs and must be processed through third-party companies. Most involve at-home collection of saliva, stool, urine, or blood (drawn at home by a mobile phlebotomist).
Because these tests require significant coordination on our end, a $100 administrative fee applies. This fee is not reimbursable by insurance.
Below are the specialty panels most commonly ordered at GWCIM.
Please note:
- Specialty testing is not available in New York State due to state regulations.
- Prices below may change. Many panels offer add-ons your provider may recommend, so your final cost may differ. Please refer to your provider's order and Hannah Fine's confirmation message for exact pricing.
Genova
For patients with commercial insurance, Genova requires a down payment/copay and will bill your insurance the remaining fees. Most Genova panels are completely covered with traditional Medicare (not Medicare Advantage). The only exception is the methylation panel, which they do not bill insurance for and is always out of pocket.
See the FAQ section for details on processing times, costs, and payment options for each particular test.
APPROACH
List of Labs & Tests
Below are the diagnostic tests most commonly used at GWCIM. See the FAQ section for details on costs and payment options.
Care Options
Genova: Nutreval
Comprehensive nutritional evaluation testing 130+ biomarkers
Genova: GI Effects Comprehensive Stool Profile
Comprehensive gut health and microbiome evaluation
Genova: Allergy Panel
Comprehensive immune function evaluation
Genova: Adrenocortex Stress Profile with Cortisol Awakening Response
Cortisol and DHEA testing to evaluate HPA axis and stress response via saliva
Genova: SIBO Test
Breath test for Small Intestinal Bacterial Overgrowth using lactulose substrate.
Genova: Methylation Panel
Blood test analyzing methylation pathway function
QuickSilver: Mercury Tri Test
Mercury toxicity testing via blood, hair, and urine
QuickSilver: Blood Metals Panel
Blood metals toxicity testing via blood, hair, and urine
QuickSilver: Mercury Tri Test and Blood Metals Combo
Combined mercury and blood metals toxicity testing via blood, hair, and urine, billed through GWCIM.
Diagnostic Solutions: GI Map
Comprehensive GI pathogen and microbiome testing via stool sample.
Natera: Signatera
ctDNA test customized to tumor profile, assessing molecular residual disease or tumor regrowth via blood (home phlebotomy via Natera)
Precision Analytical: DUTCH
Comprehensive hormonal testing via urine or saliva.
Vibrant Wellness: Total Tox Burden
Comprehensive mycotoxin, heavy metal, and environmental toxin test via urine.
EXPERTISE
Recommended Providers
FAQ
Common Questions
NutrEval® (Genova Diagnostics) — Comprehensive nutritional panel evaluating 130+ biomarkers via blood + urine. • Mobile phlebotomy: ~$90–130 • Admin fee: $100 • Medicare: $0 • Commercial insurance: $179 down + up to $289 billed (max out-of-pocket: $468)
GI Effects Comprehensive Stool Profile (Genova) — Comprehensive gut health & microbiome evaluation via stool collection. • Admin fee: $100 • Medicare: $0 • Commercial insurance: $179 down + up to $289 billed (max out-of-pocket: $468) • 🔗 gdx.net/products/gi-effects
Genova - Allergy Panel — Comprehensive immune function evaluation testing 100+ foods, spices, molds, and inhalants via blood. • Mobile phlebotomy: ~$90–130 • Admin fee: $100 • Medicare: $0 • Commercial insurance: $175 down + up to $245 billed (max out-of-pocket: $420)
Cortisol and DHEA testing to evaluate the HPA axis and stress response via saliva. • Admin fee: $100 • Medicare: $0 • Commercial insurance: $105 down + up to $213.40 billed (max out-of-pocket: $318.40)
Breath test for Small Intestinal Bacterial Overgrowth using lactulose substrate. • Admin fee: $100 • Medicare: $0 • Commercial insurance: $85 down + up to $175 billed (max out-of-pocket: $260)
Blood test analyzing methylation pathway function; no insurance coverage, all fees out-of-pocket. • Admin fee: $100 • Medicare: $239 • Commercial insurance: $239 • Genomics add-on (cheek swab): $370 Genova fee + $100 admin fee
Mercury oxicity testing via blood, hair, and urine. Out-of-pocket fee: $300 (submittable to insurance) + $100 admin fee (not submittable) • Results in 4–6 weeks.
Blood metals toxicity testing via blood, hair, and urine, billed through GWCIM. • Out-of-pocket fee: $250 (submittable to insurance) + $100 admin fee (not submittable) • Results in 4–6 weeks
Combined mercury and blood metals toxicity testing via blood, hair, and urine, billed through GWCIM. • Out-of-pocket fee: $415 (submittable to insurance) + $100 admin fee (not submittable).
Comprehensive GI pathogen and microbiome testing via stool sample. • Billed through Fullscript directly to patient: $340 • No admin fee
ctDNA test customized to tumor profile, assessing molecular residual disease or tumor regrowth via blood (home phlebotomy via Natera); requires prior pathology report and biopsy. • Natera bills insurance and covers uncovered costs • Admin fee: $100 for first test only, no fee on repeat testing.
Comprehensive hormonal testing via urine or saliva; fees vary by panel, all out-of-pocket. • Most common (DUTCH Plus): $400 with provider discount • No admin fee if self-ordered.
Comprehensive mycotoxin, heavy metal, and environmental toxin test via urine. • Vibrant fee: $550 • Admin fee: $100