The CPT codes are irrelevant. Just because you bill for something do not mean that you will ever get paid.
Some hospitals do farm out their business. A few universities can do their own LC/MS testing, as can a few large physician groups.
The big call points are in pain management, and addiction medicine.
The issue here is declining reimbursements! Government cuts, Medicaid dont pay, HMOs wont pay and patients do not want to pay.
Who will pay for senior management salaries? Nobody!
The leanest, lowest-cost company will win beause low cost rules with a commodity product.