Lab & pathology prices at Altus Houston Hospital, Lp
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
353 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $242 | $242 | 6.3× |
| Acute hepatitis panel (80074) | $818 | $818 | 17.2× |
| Adamts13 activity (85397) | $50 | $50 | 1.6× |
| Afb culture (87116) | $350 | $350 | 32.4× |
| Agglutinins febrile (86000) | $120 | $120 | 17.2× |
| Albumin serum (82040) | $130 | $130 | 26.3× |
| Alkaline phosphatase isoenzymes (84080) | $217 | $217 | 14.7× |
| Allerg sp igg quan or semiquan (86001) | $65 | $65 | 8.3× |
| Allergen specific ige (86003) | $82 | $82 | 15.7× |
| Alt (sgpt) (84460) | $175 | $175 | 33.0× |
| Ammonia (82140) | $300 | $300 | 20.6× |
| Amylase urine (82150) | $292 | $292 | 45.1× |
| Ana Titer (86039) | $75 | $75 | 6.7× |
| Antibody cytomegalovirus cmv (86644) | $247 | $247 | 17.2× |
| Antibody cytomegalovirus cmv igm (86645) | $130 | $130 | 7.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $322 | $322 | 24.5× |
| Antibody helicobacter pylori (86677) | $183 | $183 | 10.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $83 | $83 | 5.8× |
| Antibody herpes smplx type 1 (86695) | $225 | $225 | 17.1× |
| Antibody HIV-2 (86702) | $217 | $217 | 16.1× |
| Antibody identification leukocyte antibodies (86021) | $310 | $310 | 20.6× |
| Antibody influenza virus (86710) | $233 | $233 | 17.2× |
| Antibody mumps (86735) | $224 | $224 | 17.2× |
| Antibody Protozoa Nes (86753) | $310 | $310 | 25.0× |
| Antibody rubeola (86765) | $221 | $221 | 17.2× |
| Antibody screen (86850) | $249 | $249 | 25.5× |
| Antibody treponema pallidum (86780) | $173 | $173 | 13.1× |
| Antigen typing (86905) | $234 | $234 | 61.1× |
| Antinuclear antibodies (86038) | $208 | $208 | 17.2× |
| Assay Duodenal Fluid Trypsin (84485) | $215 | $215 | 29.9× |
| Assay of blood chloride (82435) | $335 | $335 | 72.8× |
| Assay of c-peptide (84681) | $358 | $358 | 17.2× |
| Assay of creatine (82540) | $90 | $90 | 19.4× |
| Assay of ferritin (82728) | $403 | $403 | 29.6× |
| Assay of fluoride (82735) | $326 | $326 | 17.6× |
| Assay of gammaglobulin igm (82784) | $160 | $160 | 17.2× |
| Assay of gentamicin (80170) | $495 | $495 | 30.2× |
| Assay of parathormone (83970) | $709 | $709 | 17.2× |
| Assay of phenobarbital (80184) | $197 | $197 | 12.9× |
| Assay of prealbumin (84134) | $171 | $171 | 11.7× |
| Assay of tacrolimus (80197) | $459 | $459 | 33.4× |
| Assay of vitamin k (84597) | $7 | $7 | 0.5× |
| Assay of volatiles (84600) | $315 | $315 | 18.4× |
| Ast (sgot) (84450) | $196 | $196 | 37.8× |
| Automated rbc count (85041) | $62 | $62 | 20.5× |
| Bartonella antibody (86611) | $141 | $141 | 13.9× |
| Beta hydroxybutyrate (82010) | $126 | $126 | 15.4× |
| Bile acids, total (82239) | $47 | $47 | 2.7× |
| Bilirubin direct (82248) | $103 | $103 | 20.5× |
| Bilirubin total (82247) | $130 | $130 | 25.9× |
| Bl Smear W/Diff Wbc Count (85007) | $100 | $100 | 26.3× |
| Blood Count Automated Differential Wbc Count (85004) | $169 | $169 | 26.1× |
| Blood count reticulocyte automated (85045) | $35 | $35 | 8.8× |
| Blood gases (82803) | $502 | $502 | 19.3× |
| Blood gases w/02 saturation (82805) | $171 | $171 | 2.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $103 | $103 | 6.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $199 | $199 | 45.4× |
| Blood Ph - Ph Venous (82800) | $171 | $171 | 15.5× |
| Blood typing abo (86900) | $308 | $308 | 103.0× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $194 | $194 | 11.9× |
| Blood typing serologic rh (d) (86901) | $194 | $194 | 64.9× |
| Blood typing serologic rh phenotyping complete (86906) | $194 | $194 | 25.0× |
| Body fluid cell count (89051) | $241 | $241 | 43.0× |
| Body fluid cell count (89050) | $48 | $48 | 10.2× |
| Breath Alcohol Test (82075) | $207 | $207 | 6.9× |
| C diff amplified probe (87493) | $259 | $259 | 6.9× |
| C-reactive protein (86140) | $161 | $161 | 31.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $223 | $223 | 17.2× |
| Ca 125 (86304) | $358 | $358 | 17.2× |
| Ca 27 29 (86300) | $254 | $254 | 12.2× |
| Calcium ionized (82330) | $235 | $235 | 17.2× |
| Calcium total (82310) | $116 | $116 | 22.5× |
| Calculus Qualitative Analysis (82355) | $141 | $141 | 12.2× |
| Candida DNA dir probe (87480) | $36 | $36 | 1.8× |
| Carbamazepine (tegretol) total (80156) | $327 | $327 | 22.4× |
| Carbon dioxide (82374) | $101 | $101 | 20.7× |
| Carboxyhemoglobin Quantitative (82375) | $245 | $245 | 19.9× |
| Carcinoembryonic antigen (82378) | $326 | $326 | 17.2× |
| Chlamydia antibody (86631) | $171 | $171 | 14.5× |
| Chlamydia trachomatis ag if (87270) | $349 | $349 | 29.1× |
| Cholesterol total (82465) | $160 | $160 | 36.8× |
| Chylmd Trach Dna Quant (87492) | $12,149 | $12,149 | 227.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $1,023 | $1,023 | 29.2× |
| Ck isoenzymes (82552) | $229 | $229 | 17.1× |
| Ckmb (82553) | $334 | $334 | 28.9× |
| Coagulation time activated (85347) | $73 | $73 | 17.1× |
| Complement total ch50 (86162) | $323 | $323 | 15.9× |
| Coombs direct (86880) | $219 | $219 | 40.6× |
| Copper urine (82525) | $213 | $213 | 17.2× |
| Cortisol total (82533) | $335 | $335 | 20.6× |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) | $268 | $268 | 22.6× |
| Creatine kinase total (82550) | $310 | $310 | 47.6× |
| Creatinine blood (82565) | $198 | $198 | 38.7× |
| Creatinine clearance (82575) | $195 | $195 | 20.6× |
| Creatinine other source (82570) | $136 | $136 | 26.3× |
| Cryptococcal Antigen (87327) | $190 | $190 | 14.2× |
| Cryptococcus antibody (86641) | $171 | $171 | 11.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $403 | $403 | 49.9× |
| Culture Aerobic Identify (87077) | $222 | $222 | 27.5× |
| Culture aerobic quant other (87071) | $225 | $225 | 22.8× |
| Culture anaerobic (87075) | $375 | $375 | 39.6× |
| Culture Bacteria Anaerobic (87073) | $194 | $194 | 20.1× |
| Culture blood (87040) | $378 | $378 | 36.6× |
| Culture chlamydia (87110) | $403 | $403 | 20.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $238 | $238 | 30.9× |
| Culture fungus other (87102) | $269 | $269 | 32.0× |
| Culture genital (87070) | $301 | $301 | 34.9× |
| Culture screen only (87081) | $265 | $265 | 40.0× |
| Culture stool (87045) | $337 | $337 | 35.7× |
| Culture typing if ea antiserum (87140) | $240 | $240 | 43.1× |
| Culture typing other methods (87158) | $160 | $160 | 20.7× |
| Culture urine (87086) | $253 | $253 | 31.4× |
| Culture urine id ea isolate (87088) | $267 | $267 | 33.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $429 | $429 | 30.0× |
| D-Dimer (85379) | $421 | $421 | 41.4× |
| D-Dimer (85378) | $197 | $197 | 20.3× |
| Dark field (87164) | $125 | $125 | 11.6× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $579 | $579 | 13.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $222 | $222 | 13.4× |
| Detect agnt mult DNA ampli (87801) | $226 | $226 | 3.2× |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) | $130 | $130 | 9.7× |
| Digoxin (80162) | $228 | $228 | 17.2× |
| Digoxin free (80163) | $64 | $64 | 4.8× |
| Dilantin (80185) | $273 | $273 | 20.6× |
| Dipropylacetic acid free (80165) | $395 | $395 | 29.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $45 | $45 | 3.4× |
| Drug Scrn Quan Levetiracetam (80177) | $77 | $77 | 5.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $243 | $243 | 19.3× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $56 | $56 | 3.3× |
| Ebv viral capsid (86665) | $322 | $322 | 17.8× |
| Ehrlichia antibody (86666) | $157 | $157 | 15.4× |
| Electrolyte panel (80051) | $365 | $365 | 52.1× |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) | $300 | $300 | 4.4× |
| Endomysial antibody iga (86255) | $446 | $446 | 37.0× |
| Enterovirus Pcr (87498) | $96 | $96 | 2.7× |
| Enzyme cell activity (82657) | $194 | $194 | 8.8× |
| Eosinophil count (85048) | $268 | $268 | 105.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $300 | $300 | 19.6× |
| Estradiol (82670) | $480 | $480 | 17.2× |
| Estrogens total (82672) | $127 | $127 | 5.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $123 | $123 | 16.8× |
| Fibrinogen activity (85384) | $228 | $228 | 23.5× |
| Fibrinogen antigen (85385) | $210 | $210 | 14.5× |
| Flow cytometry first marker (88184) | $185 | $185 | 0.5× |
| Folate serum (82746) | $429 | $429 | 29.2× |
| Folic acid rbc (82747) | $297 | $297 | 16.8× |
| Follicle Stimulating Hormone (83001) | $319 | $319 | 17.2× |
| Frozen Section (88331) | $414 | $414 | 2.4× |
| G6pc gene analysis common variants (81250) | $283 | $283 | 4.8× |
| Gardner vag DNA dir probe (87510) | $1,751 | $1,751 | 87.3× |
| Gastric Occult Blood (82271) | $349 | $349 | 65.6× |
| Ggt (82977) | $150 | $150 | 20.8× |
| Giardia antigen eia stool (87329) | $211 | $211 | 17.6× |
| Glucose (82947) | $144 | $144 | 36.6× |
| Glucose Blood Test (82962) | $283 | $283 | 86.3× |
| Glucose body fluid (82945) | $240 | $240 | 61.1× |
| Glucose post dose (82950) | $144 | $144 | 30.3× |
| Hcg free betachain test (84704) | $249 | $249 | 16.3× |
| Hcg qualitative (84703) | $318 | $318 | 42.3× |
| Hcg quant (84702) | $274 | $274 | 18.2× |
| Hdl Cholesterol (83718) | $194 | $194 | 23.7× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient (83009) | $1,157 | $1,157 | 17.2× |
| Hematocrit (85014) | $134 | $134 | 56.5× |
| Hemoglobin (85018) | $134 | $134 | 56.5× |
| Hemoglobin a1c (83036) | $283 | $283 | 29.1× |
| Hepatitis a antibody total (86708) | $213 | $213 | 17.2× |
| Hepatitis a igm (86709) | $208 | $208 | 18.5× |
| Hepatitis b core ab igm (86705) | $128 | $128 | 10.9× |
| Hepatitis b core antibody total (86704) | $128 | $128 | 10.6× |
| Hepatitis B Surface Ab (86706) | $299 | $299 | 27.8× |
| Hepatitis B Surface Antigen (87340) | $264 | $264 | 25.6× |
| Hepatitis be antibody (86707) | $198 | $198 | 17.1× |
| Hepatitis Be Antigen (87350) | $211 | $211 | 18.3× |
| Hepatitis c ab confirm (86804) | $319 | $319 | 20.6× |
| Hepatitis c antibody (86803) | $271 | $271 | 19.0× |
| Hepatitis G Dna Dir Probe (87525) | $215 | $215 | 7.2× |
| Herpes culture (87252) | $448 | $448 | 17.2× |
| Herpes simplex type 2 (86696) | $333 | $333 | 17.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $182 | $182 | 35.1× |
| HIV confirmation (86689) | $333 | $333 | 17.2× |
| HIV-1 antibody (86701) | $190 | $190 | 21.4× |
| HIV-1 genotype (87901) | $503 | $503 | 2.0× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $228 | $228 | 16.6× |
| Hla ii typing ag equiv lr (81375) | $606 | $606 | 2.7× |
| Hsv Dna Quant (87530) | $322 | $322 | 7.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $301 | $301 | 8.6× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $565 | $565 | 12.5× |
| Iaad ia clostridium difficile toxin (87324) | $349 | $349 | 29.1× |
| Iaad ia HIV-1 (87390) | $303 | $303 | 12.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $196 | $196 | 8.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $206 | $206 | 14.8× |
| Iaad ia rotavirus (87425) | $1,023 | $1,023 | 85.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $490.50 | $490.50 | 13.9× |
| Iaad Ia Streptococcus Group A (87430) | $307 | $307 | 18.3× |
| Iaadi herpes smplx virus type 2 (87273) | $100 | $100 | 8.3× |
| Iaadi respiratory synctial virus (87280) | $130 | $130 | 9.7× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $99 | $99 | 3.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $175 | $175 | 5.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $180 | $180 | 7.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $584 | $584 | 13.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $1,751 | $1,751 | 20.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $175 | $175 | 5.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $1,023 | $1,023 | 29.2× |
| Iadna neisseria gonorrhoeae quantification (87592) | $184 | $184 | 4.3× |
| Iadna nos amplified probe tq each organism (87798) | $207 | $207 | 5.9× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $586 | $586 | 2.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $136 | $136 | 3.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $12,149 | $12,149 | 29.1× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $859 | $859 | 3.3× |
| Immunoassay nonantibody (83516) | $255 | $255 | 22.1× |
| Immunoassay with direct visual observation for clostridium (87803) | $180 | $180 | 11.3× |
| Immunodiffusion not elsewhere specified (86329) | $565 | $565 | 40.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $225 | $225 | 9.7× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $100 | $100 | 8.3× |
| Immunohisto Antibody Slide (88344) | $608 | $608 | 1.7× |
| Immunohistochemistry (88342) | $608 | $608 | 3.6× |
| India ink prep (87210) | $125 | $125 | 21.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $677 | $677 | 27.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) | $1,023 | $1,023 | 51.0× |
| Influenza a/b ag eia (87400) | $248 | $248 | 17.6× |
| Inhibin b (83520) | $223 | $223 | 12.9× |
| Insulin total (83525) | $196 | $196 | 17.1× |
| Intraop cyto path consult 1 (88333) | $319 | $319 | 0.4× |
| Iron (83540) | $201 | $201 | 31.1× |
| Iron binding capacity (83550) | $255 | $255 | 29.2× |
| Lactic acid (83605) | $248 | $248 | 21.4× |
| Ldh (83615) | $206 | $206 | 34.1× |
| Lead (83655) | $380 | $380 | 31.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $229 | $229 | 53.6× |
| Level ii surg pathology grossµscopic exam (88302) | $392 | $392 | 10.4× |
| Level v surg pathology grossµscopic exam (88307) | $849 | $849 | 2.4× |
| Level vi surg pathology grossµscopic exam (88309) | $1,534 | $1,534 | 1.9× |
| Lh (83002) | $318 | $318 | 17.2× |
| Lipase (83690) | $201 | $201 | 29.2× |
| Lithium (80178) | $129 | $129 | 19.5× |
| Lyme disease antibody (86618) | $293 | $293 | 17.2× |
| Lyme disease antibody confirm (86617) | $74 | $74 | 4.8× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Other Outpatient (86806) | $131 | $131 | 2.8× |
| Magnesium (83735) | $207 | $207 | 30.9× |
| Malaria antibody (86750) | $168 | $168 | 12.7× |
| Malaria smear (87207) | $252 | $252 | 42.1× |
| Manual cell count each (85032) | $200 | $200 | 46.4× |
| Manual reticulocyte count (85044) | $131 | $131 | 30.4× |
| Measurement of substance using spectroscopy (light) (82190) | $162 | $162 | 10.2× |
| Metabolic Panel Ionized Ca (80047) | $365 | $365 | 26.6× |
| Methotrexate (80299) | $1,765 | $1,765 | 94.7× |
| Microbe susceptible diffuse (87181) | $85 | $85 | 17.9× |
| Microsomal antibodies (86376) | $446 | $446 | 30.7× |
| Mononuclear cell antigen (86356) | $210 | $210 | 7.8× |
| Mopath procedure level 1 (81400) | $144 | $144 | 2.3× |
| Mycoplasma antibody (86738) | $76 | $76 | 5.7× |
| Myoglobin urine (83874) | $225 | $225 | 17.4× |
| N.gonorrhoeae, DNA, dir prob (87590) | $335 | $335 | 12.5× |
| Natriuretic peptide (83880) | $583 | $583 | 14.8× |
| Occult blood stool (82272) | $415 | $415 | 98.1× |
| Osmolality serum (83930) | $159 | $159 | 24.1× |
| Osmolality urine (83935) | $169 | $169 | 24.8× |
| Ova and parasite direct-id lca (87177) | $150 | $150 | 16.9× |
| Pancreatic polypeptide (83519) | $232 | $232 | 12.6× |
| Particle Agglutination Screen Each Antibody (86403) | $175 | $175 | 15.2× |
| Particle agglutination titer each antibody (86406) | $169 | $169 | 15.9× |
| Parvovirus antibody (86747) | $159 | $159 | 10.6× |
| Path Consult During Surgery (88329) | $483 | $483 | 8.2× |
| Pathology lab procedure (89240) | $154 | $154 | 2.9× |
| Phenytoin free (80186) | $283 | $283 | 20.6× |
| Phosphatase alkaline (84075) | $89 | $89 | 17.2× |
| Phosphorus blood (84100) | $171 | $171 | 36.1× |
| Platelet aggregation (85576) | $252 | $252 | 10.1× |
| Platelet count (85049) | $130 | $130 | 29.0× |
| Potassium (84132) | $171 | $171 | 35.9× |
| Potassium urine (84133) | $378 | $378 | 79.9× |
| Procalcitonin (pct) (84145) | $395 | $395 | 14.5× |
| Progesterone (84144) | $359 | $359 | 17.2× |
| Prolactin (84146) | $754 | $754 | 38.9× |
| Protein body fluid (84157) | $524 | $524 | 131.0× |
| Protein Electrophoresis Urine (84166) | $754 | $754 | 42.3× |
| Protein Total Serum (84155) | $329 | $329 | 89.6× |
| PSA free (84154) | $316 | $316 | 17.2× |
| Quantiferon tb gold (86480) | $208 | $208 | 3.4× |
| Reagent strip/blood glucose (82948) | $101 | $101 | 20.0× |
| Respiratory viral panel PCR (87633) | $8,576 | $8,576 | 20.6× |
| Respiratory Virus (86756) | $345 | $345 | 21.7× |
| Rheumatoid Factor Qual (86430) | $117 | $117 | 19.1× |
| Rheumatoid factor quant (86431) | $107 | $107 | 18.9× |
| Rickettsia antibody (86757) | $141 | $141 | 7.3× |
| Rotavirus (86759) | $227 | $227 | 12.5× |
| Rpr Titer (86593) | $76 | $76 | 17.3× |
| Rsv (87807) | $2,896 | $2,896 | 221.1× |
| Rubella antibody (86762) | $247 | $247 | 17.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $336 | $336 | 6.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $565 | $565 | 13.4× |
| Sarscov2 & inf a&b amp prb (87636) | $250 | $250 | 1.8× |
| Sed rate automated (85652) | $122 | $122 | 45.2× |
| Sedimentation rate (85651) | $191 | $191 | 44.7× |
| Sex hormone binding globulin (84270) | $447 | $447 | 20.6× |
| Sickle cell screen (85660) | $116 | $116 | 21.1× |
| Smear acid fast (87206) | $111 | $111 | 20.6× |
| Smear gram stain (87205) | $145 | $145 | 34.0× |
| Sodium (84295) | $92 | $92 | 19.1× |
| Sodium urine (84300) | $346 | $346 | 68.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $352 | $352 | 2.6× |
| Special stains group 1 (88312) | $326 | $326 | 6.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $221 | $221 | 1.3× |
| Stool Cultr Aerobic Bact Ea (87046) | $194 | $194 | 20.6× |
| Strep a assay w/optic (87880) | $206 | $206 | 12.5× |
| Surg path level iii (88304) | $455 | $455 | 8.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $210 | $210 | 7.2× |
| Surgical pathology level IV (88305) | $879 | $879 | 16.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $1,370 | $1,370 | 29.2× |
| T3 free (84481) | $291 | $291 | 17.2× |
| T3 reverse (84482) | $275 | $275 | 17.4× |
| T3 total (84480) | $244 | $244 | 17.2× |
| T3 uptake (84479) | $286 | $286 | 44.2× |
| T4 Free (84439) | $210 | $210 | 23.3× |
| T4 total (84436) | $210 | $210 | 30.6× |
| Tb ag response t-cell susp (86481) | $208 | $208 | 2.1× |
| Tb intradermal test (86580) | $102 | $102 | 3.5× |
| Test for acetone/ketones (82009) | $196 | $196 | 43.4× |
| Testosterone free (84402) | $524 | $524 | 20.6× |
| Testosterone total (84403) | $531 | $531 | 20.6× |
| Theophylline (80198) | $459 | $459 | 32.5× |
| Thyroglobulin Ab (86800) | $128 | $128 | 8.0× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $382 | $382 | 2.7× |
| Tobramycin peak (80200) | $1,636 | $1,636 | 101.4× |
| Touch prep (88161) | $402 | $402 | 13.8× |
| Toxin or antitoxin assay (87230) | $338 | $338 | 17.1× |
| Toxoplasma antibody igg (86777) | $247 | $247 | 17.2× |
| Transferrin (84466) | $250 | $250 | 19.6× |
| Trichomonas vagin dir probe (87660) | $585 | $585 | 29.2× |
| Triglycerides (84478) | $167 | $167 | 29.1× |
| Troponin (84484) | $94 | $94 | 7.5× |
| Troponin i qualitative (84512) | $202 | $202 | 20.0× |
| Urea nitrogen (84520) | $218 | $218 | 55.2× |
| Uric acid blood (84550) | $318 | $318 | 70.4× |
| Uric acid other source (84560) | $180 | $180 | 35.4× |
| Urinalysis microscopic only (81015) | $124 | $124 | 40.7× |
| Urinalysis qual/semiquant except immunoassays (81005) | $84 | $84 | 38.7× |
| Urinalysis w/microscopic (81001) | $122 | $122 | 38.5× |
| Urine pregnancy test (81025) | $166 | $166 | 19.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $168 | $168 | 74.7× |
| Valproic acid level (80164) | $279 | $279 | 20.6× |
| Vancomycin trough (80202) | $129 | $129 | 9.5× |
| Vanomycin DNA amp probe (87500) | $157 | $157 | 4.5× |
| Varicella-zoster antibody (86787) | $173 | $173 | 13.4× |
| Vdrl csf (86592) | $73 | $73 | 17.1× |
| Virus antibody nos (86790) | $171 | $171 | 13.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $210 | $210 | 6.2× |
| Vitamin b-12 (82607) | $310 | $310 | 20.6× |
| Vitamin D 25-Hydroxy (82306) | $467 | $467 | 15.8× |
| Vitamin e serum (84446) | $608 | $608 | 42.9× |
| West nile virus ab, igm (86788) | $319 | $319 | 18.9× |
| West nile virus antibody (86789) | $135 | $135 | 9.4× |
| Zinc (84630) | $167 | $167 | 14.7× |