Lab & pathology prices at Atoka County Medical Center
Atoka, OK · every code in this section with a posted price and a Medicare benchmark.
359 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) | $111 | $277 | 2.9× |
| 5 Nucleotidase (83915) | $49 | $122 | 4.4× |
| Actinomyces antibody (86602) | $29 | $72 | 2.8× |
| Acute hepatitis panel (80074) | $162 | $405 | 3.4× |
| Afb culture (87116) | $41 | $103 | 3.8× |
| Albumin Fluid (82042) | $16 | $40 | 2.1× |
| Albumin serum (82040) | $16 | $41 | 3.2× |
| Aldolase (82085) | $34 | $84 | 3.5× |
| Aldosterone urine (82088) | $110.50 | $277.50 | 2.7× |
| Allergen specific ige (86003) | $45 | $112 | 8.6× |
| Allg Spec Ige Recomb Ea (86008) | $22 | $55 | 1.2× |
| Alpha-1-antitrypsin, total (82103) | $35 | $87 | 2.6× |
| Alpha-fetoprotein, serum (82105) | $90 | $225 | 5.4× |
| Alt (sgpt) (84460) | $21 | $51 | 4.0× |
| Amikacin trough (80150) | $58 | $145.50 | 3.8× |
| Ammonia (82140) | $60 | $149 | 4.1× |
| Amylase urine (82150) | $35 | $87.50 | 5.4× |
| Angiotensin i enzyme test (82164) | $47 | $118 | 3.2× |
| Antibody aspergillus (86606) | $29 | $72 | 1.9× |
| Antibody coxiella burnetii q fever (86638) | $52 | $130 | 4.3× |
| Antibody cytomegalovirus cmv (86644) | $47 | $118 | 3.3× |
| Antibody cytomegalovirus cmv igm (86645) | $59 | $148 | 3.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $44 | $110 | 3.4× |
| Antibody helicobacter pylori (86677) | $70 | $174 | 4.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $86 | $215 | 6.0× |
| Antibody herpes smplx type 1 (86695) | $69.50 | $173.50 | 5.3× |
| Antibody identification (86870) | $45 | $112 | 0.1× |
| Antibody mumps (86735) | $56 | $139 | 4.3× |
| Antibody Protozoa Nes (86753) | $51 | $128 | 4.1× |
| Antibody rubeola (86765) | $55.50 | $137.50 | 4.3× |
| Antibody screen (86850) | $22 | $56 | 2.3× |
| Antinuclear antibodies (86038) | $260 | $651 | 21.5× |
| Antistreptolysin o titer (86060) | $23 | $57 | 3.2× |
| Antithrombin iii activity (85300) | $86 | $214 | 7.3× |
| Apolipoprotein b (82172) | $254 | $634 | 12.0× |
| Arsenic Urine (82175) | $147 | $368 | 7.7× |
| Assay Lipoprotein Pla2 (83698) | $39 | $99 | 0.8× |
| Assay Nephelometry Not Spec (83883) | $121 | $302.50 | 8.9× |
| Assay of acth (82024) | $83 | $207 | 2.1× |
| Assay of androstenedione (82157) | $234 | $585 | 8.0× |
| Assay of blood chloride (82435) | $15 | $37 | 3.3× |
| Assay of c-peptide (84681) | $86 | $216 | 4.1× |
| Assay of calcitonin (82308) | $89 | $222 | 3.3× |
| Assay of ceruloplasmin (82390) | $32 | $80 | 3.0× |
| Assay of creatine (82540) | $24 | $60 | 5.2× |
| Assay of erythropoietin (82668) | $56 | $139 | 3.0× |
| Assay of ethosuximide (80168) | $50 | $124 | 3.1× |
| Assay of ferritin (82728) | $53 | $132 | 3.9× |
| Assay of gammaglobulin igm (82784) | $71 | $176.50 | 7.6× |
| Assay of gentamicin (80170) | $45 | $113 | 2.7× |
| Assay of homocystine (83090) | $112 | $279 | 6.2× |
| Assay of lipoprotein(a) (83695) | $50 | $126 | 3.5× |
| Assay of manganese (83785) | $74 | $185 | 2.8× |
| Assay of metanephrines (83835) | $158 | $395 | 9.3× |
| Assay of osteocalcin (83937) | $69 | $173 | 2.3× |
| Assay of parathormone (83970) | $114 | $286 | 2.8× |
| Assay of phenobarbital (80184) | $50 | $126 | 3.3× |
| Assay of prealbumin (84134) | $45 | $113 | 3.1× |
| Assay of proinsulin (84206) | $116 | $290 | 4.3× |
| Assay of prostate specific antigen complexed (84152) | $169 | $423 | 9.2× |
| Assay of selenium (84255) | $62 | $154 | 2.4× |
| Assay of somatomedin (84305) | $118 | $295 | 5.6× |
| Assay of tacrolimus (80197) | $79 | $197 | 5.8× |
| Assay of vitamin k (84597) | $88 | $221 | 6.4× |
| Ast (sgot) (84450) | $21 | $51 | 4.1× |
| B cells total count (86355) | $242 | $604 | 6.4× |
| Bartonella antibody (86611) | $312 | $780 | 30.6× |
| Bartonella DNA amp probe (87471) | $454 | $1,134 | 12.9× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $107.50 | $267.50 | 4.2× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $101 | $252 | 0.8× |
| Bilirubin direct (82248) | $15 | $37 | 3.0× |
| Bilirubin total (82247) | $18 | $45 | 3.6× |
| Blood gases (82803) | $56 | $140 | 2.1× |
| Blood Ph - Ph Venous (82800) | $16 | $41 | 1.5× |
| Blood typing abo (86900) | $18 | $45 | 6.0× |
| Blood typing serologic rh (d) (86901) | $18 | $45 | 6.0× |
| Body fluid cell count (89051) | $14.50 | $36.50 | 2.6× |
| Bordetella antibody (86615) | $255 | $638 | 19.3× |
| Brucella antibody (86622) | $107 | $267 | 12.0× |
| C-reactive protein (86140) | $29 | $72.50 | 5.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $38 | $95 | 2.9× |
| Ca 125 (86304) | $67 | $167 | 3.2× |
| Ca 19-9 (86301) | $68 | $171 | 3.3× |
| Ca 27 29 (86300) | $106 | $266 | 5.1× |
| Calcium ionized (82330) | $15 | $37 | 1.1× |
| Calcium total (82310) | $54 | $135 | 10.5× |
| Calcium urine (82340) | $30 | $76 | 5.0× |
| Calculus Quantitative Chemical (82360) | $206 | $515 | 16.0× |
| Calculus Spectroscopy (82365) | $39 | $98 | 3.0× |
| Calprotectin, fecal (83993) | $101 | $252 | 5.1× |
| Candida antibody (86628) | $70 | $175 | 5.8× |
| Carbamazepine (tegretol) total (80156) | $50 | $126 | 3.4× |
| Carbon dioxide (82374) | $16 | $41 | 3.3× |
| Carboxyhemoglobin Quantitative (82375) | $49 | $122 | 4.0× |
| Carcinoembryonic antigen (82378) | $61 | $152 | 3.2× |
| Catecholamines fraction plasma (82384) | $77 | $194 | 3.0× |
| Cd4 absolute count (86361) | $70 | $174 | 2.6× |
| Chemiluminescent assay (82397) | $101 | $252 | 7.2× |
| Chloride urine (82436) | $23 | $57 | 4.0× |
| Cholesterol total (82465) | $16 | $41 | 3.7× |
| Chromogranin a (86316) | $158 | $396 | 7.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $100 | $250 | 2.8× |
| Ckmb (82553) | $54 | $135 | 4.7× |
| Cmv PCR (87496) | $62 | $156 | 1.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $128.50 | $321.50 | 5.3× |
| Cold agglutinin titer (86157) | $36 | $91 | 4.5× |
| Collagen cross links (82523) | $93 | $232.50 | 5.0× |
| Compatibility test antiglob (86922) | $42 | $105 | 0.3× |
| Complement c3 (86160) | $40 | $101 | 3.3× |
| Complement total ch50 (86162) | $59 | $148 | 2.9× |
| Coombs direct (86880) | $21 | $53 | 3.9× |
| Copper urine (82525) | $40 | $101 | 3.2× |
| Cortisol free (82530) | $176 | $440 | 10.5× |
| Cortisol total (82533) | $53 | $132.50 | 3.3× |
| Creatine kinase total (82550) | $36 | $90 | 5.5× |
| Creatinine blood (82565) | $22 | $55 | 4.3× |
| Creatinine clearance (82575) | $39 | $97 | 4.1× |
| Creatinine other source (82570) | $46 | $115 | 8.9× |
| Crossmatch immediate spin (86920) | $42 | $105 | 0.3× |
| Cryoglobulin (82595) | $28 | $70 | 4.3× |
| Culture anaerobic (87075) | $59 | $147 | 6.2× |
| Culture blood (87040) | $37 | $94 | 3.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $130 | $324 | 16.9× |
| Culture fungus id yeast (87106) | $84 | $210 | 8.1× |
| Culture genital (87070) | $34 | $85 | 3.9× |
| Culture screen only (87081) | $32 | $80 | 4.8× |
| Culture stool (87045) | $51 | $128 | 5.4× |
| Culture urine (87086) | $32 | $79 | 4.0× |
| Culture urine id ea isolate (87088) | $50 | $125 | 6.2× |
| Cyclic Citrullinated Peptide (86200) | $91 | $228.50 | 7.0× |
| Cystatin c (82610) | $81 | $203 | 4.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $182 | $454 | 4.2× |
| Cytopath cell enhance tech (88112) | $49 | $121.50 | 1.0× |
| D-Dimer (85379) | $69 | $172 | 6.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $36 | $91 | 2.2× |
| Detect agnt mult DNA ampli (87801) | $462 | $1,156 | 6.6× |
| Dhea sulfate (82627) | $73 | $182.50 | 3.3× |
| Digoxin (80162) | $53 | $133 | 4.0× |
| Dilantin (80185) | $55 | $137 | 4.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $469 | $1,172 | 34.1× |
| Drug Assay Infliximab (80230) | $216 | $540 | 5.6× |
| Drug assay itraconazole (80189) | $618 | $1,545 | 22.8× |
| Drug assay voriconazole (80285) | $338 | $845 | 12.5× |
| Drug screen quant zonisamide (80203) | $106 | $264 | 8.0× |
| Drug test prsmv chem anlyzr (80307) | $71 | $177 | 1.1× |
| Ebv viral capsid (86665) | $44 | $110 | 2.4× |
| Ehrlichia antibody (86666) | $267 | $667 | 26.2× |
| Elastase pancreatic fecal quantitative (82653) | $123 | $308 | 5.4× |
| Electrolyte panel (80051) | $41 | $103 | 5.8× |
| Endomysial antibody iga (86255) | $74 | $184 | 6.1× |
| Enzyme cell activity (82657) | $234 | $585 | 10.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $64 | $160 | 4.2× |
| Estradiol (82670) | $86 | $215 | 3.1× |
| Estriol (82677) | $174 | $435 | 7.2× |
| Estrogens total (82672) | $86 | $214 | 4.0× |
| Estrone (82679) | $82 | $206 | 3.3× |
| Everolimus (80169) | $176 | $440 | 12.8× |
| F2 gene analysis 20210g >a variant (81240) | $133 | $333 | 2.0× |
| F5 gene (81241) | $132 | $330 | 1.8× |
| Fecal fat qual (82705) | $42 | $104 | 8.2× |
| Fibrin degradation products (85362) | $40 | $100 | 5.8× |
| Fibrinogen activity (85384) | $38 | $95 | 3.9× |
| Fibrinogen antigen (85385) | $153 | $382 | 10.6× |
| Folate serum (82746) | $58 | $146 | 3.9× |
| Follicle Stimulating Hormone (83001) | $75 | $187 | 4.0× |
| Francisella Tularensis (86668) | $202 | $505 | 14.3× |
| Fresh frozen plasma thawing each unit (86927) | $57 | $142 | 0.3× |
| Fructosamine (82985) | $33 | $82 | 2.0× |
| Gammaglobulin ige (82785) | $110 | $275 | 6.7× |
| Gastric Occult Blood (82271) | $18 | $45 | 3.4× |
| Ggt (82977) | $20 | $49 | 2.8× |
| Giardia antigen eia stool (87329) | $54 | $136 | 4.5× |
| Gliadin antibody each immunoglobulin class (86258) | $105 | $264 | 8.7× |
| Glucose (82947) | $24 | $60 | 6.1× |
| Glucose Blood Test (82962) | $12 | $30 | 3.7× |
| Glucose body fluid (82945) | $28 | $70 | 7.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $8 | $21 | 2.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $27 | $67 | 2.1× |
| Haptoglobin (83010) | $41 | $102 | 3.3× |
| Hcg quant (84702) | $55 | $136.50 | 3.7× |
| Heavy metal quant each (83018) | $55 | $139 | 2.5× |
| Hematocrit (85014) | $14 | $36 | 5.9× |
| Hemoglobin (85018) | $14 | $36 | 5.9× |
| Hemoglobin a1c (83036) | $33 | $83 | 3.4× |
| Heparin assay (85520) | $128 | $320 | 9.8× |
| Hepatitis a antibody total (86708) | $25 | $63 | 2.0× |
| Hepatitis a igm (86709) | $17 | $42 | 1.5× |
| Hepatitis b core antibody total (86704) | $49 | $122 | 4.1× |
| Hepatitis B Surface Ab (86706) | $43 | $108 | 4.0× |
| Hepatitis B Surface Antigen (87340) | $34 | $84 | 3.3× |
| Hepatitis Be Antigen (87350) | $32 | $81 | 2.8× |
| Hepatitis c antibody (86803) | $68 | $171 | 4.8× |
| Hepatitis C Genotype (87902) | $291 | $727 | 1.1× |
| Herpes culture (87252) | $135 | $338 | 5.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $28 | $71 | 5.4× |
| Hfe gene (81256) | $324 | $810 | 5.0× |
| Histamine plasma (83088) | $112 | $281 | 3.8× |
| Histoplasma antibody (86698) | $71 | $176 | 5.1× |
| Histoplasma antigen urine (87385) | $167 | $417 | 12.6× |
| HIV confirmation (86689) | $112 | $279 | 5.8× |
| HIV-1 antibody (86701) | $106 | $265 | 11.9× |
| Hla b 27 disease association lc (81374) | $86 | $214 | 1.2× |
| Hla I Typing 1 Locus Lr (81373) | $105 | $263 | 0.8× |
| Hla-b27 (86812) | $57 | $142 | 2.2× |
| Hydroxyprogesterone 17-d (83498) | $119 | $297.50 | 4.4× |
| Iaad ia clostridium difficile toxin (87324) | $45 | $112 | 3.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $134 | $336 | 5.6× |
| Iaad ia rotavirus (87425) | $50 | $125 | 4.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $60 | $150 | 1.7× |
| Iaadiadoo not otherwise specified (87899) | $72 | $180 | 4.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $52 | $129 | 1.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $50 | $125 | 2.2× |
| Iadna hepatitis b virus quantification (87517) | $500 | $1,250 | 11.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $361.50 | $903.50 | 8.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $197 | $494 | 2.3× |
| Iadna human papillomavirus high-risk types (87624) | $125 | $313 | 3.6× |
| Iadna nos amplified probe tq each organism (87798) | $128 | $321 | 3.6× |
| Iadna nos quantification each organism (87799) | $146 | $365 | 3.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $312 | $780 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) | $30 | $76 | 1.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $109.50 | $273.50 | 7.3× |
| Immunoassay nonantibody (83516) | $152 | $380 | 13.2× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $19 | $48 | 1.2× |
| Immunodiffusion Ouchterlony (86331) | $124 | $310 | 10.4× |
| Immunofixj Electrophoresis Serum (86334) | $90 | $224 | 4.0× |
| Immunoglobulin light chains free each (83521) | $158 | $394 | 9.1× |
| India ink prep (87210) | $20 | $50 | 3.4× |
| Inhibin b (83520) | $79 | $198 | 4.6× |
| Insulin antibodies (86337) | $75 | $187 | 3.5× |
| Insulin free (83527) | $136 | $340 | 10.5× |
| Insulin total (83525) | $67 | $168.50 | 5.9× |
| Iron (83540) | $53 | $133 | 8.2× |
| Iron binding capacity (83550) | $53 | $132 | 6.1× |
| Islet cell antibody (86341) | $90 | $226 | 3.8× |
| Jak2 gene analysis (81270) | $202 | $504 | 2.2× |
| Koh Prep (87220) | $22 | $54 | 5.2× |
| Lactic acid (83605) | $41 | $102 | 3.5× |
| Lactoferrin Fecal Quantitative (83631) | $64 | $160 | 3.3× |
| Ldh (83615) | $50 | $124 | 8.3× |
| LDL cholesterol direct (83721) | $39 | $98 | 3.7× |
| Lead (83655) | $25 | $63 | 2.1× |
| Legionella antibody (86713) | $215 | $539 | 14.1× |
| Legionella antigen urine (87449) | $131.50 | $328.50 | 11.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $24 | $61 | 5.6× |
| Lh (83002) | $61 | $152 | 3.3× |
| Lipase (83690) | $40 | $100 | 5.8× |
| Listeria ab (86609) | $29 | $72 | 2.3× |
| Lithium (80178) | $50 | $126 | 7.6× |
| Lyme disease antibody (86618) | $87 | $217.50 | 5.1× |
| Lyme disease antibody confirm (86617) | $76 | $189 | 4.9× |
| Magnesium (83735) | $27 | $68 | 4.0× |
| Manual cell count each (85032) | $19 | $46 | 4.4× |
| Manual reticulocyte count (85044) | $17 | $43 | 3.9× |
| Mass spectrometry qual/quan (83789) | $31 | $78 | 1.3× |
| Methotrexate (80299) | $85 | $212.50 | 4.6× |
| Methylmalonic acid serum (83921) | $100 | $249 | 4.7× |
| Microalbumin urine (82043) | $108 | $269 | 18.7× |
| Microsomal antibodies (86376) | $75 | $188 | 5.2× |
| Mitochondrial antibody each (86381) | $50 | $125.50 | 2.0× |
| Molecular pathology procedure level 2 (81401) | $164 | $410 | 1.2× |
| Mononuclear cell antigen (86356) | $283 | $707 | 10.6× |
| Mrsa amp probe (87641) | $113 | $284 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $164 | $410 | 2.5× |
| Muramidase (85549) | $50 | $124 | 2.7× |
| Mycoplasma antibody (86738) | $36 | $90 | 2.7× |
| Mycoplasma culture (87109) | $62 | $155 | 4.0× |
| Myoglobin urine (83874) | $54 | $135 | 4.2× |
| N.gonorrhoeae, DNA, dir prob (87590) | $60 | $149 | 2.2× |
| Natriuretic peptide (83880) | $89.50 | $223.50 | 2.3× |
| Nuclear antigen antibody (86235) | $130 | $325 | 7.3× |
| Occult blood stool (82272) | $20 | $49 | 4.7× |
| Onco (ovarian) biochemical assay two proteins (81500) | $350 | $876 | 1.3× |
| Osmolality serum (83930) | $6 | $15 | 0.9× |
| Osmolality urine (83935) | $12 | $30 | 1.8× |
| Ova and parasite direct-id lca (87177) | $40 | $100 | 4.5× |
| Pancreatic polypeptide (83519) | $260.50 | $652 | 14.2× |
| Particle Agglutination Screen Each Antibody (86403) | $54 | $135 | 4.7× |
| Phenylalanine (84030) | $40 | $100 | 7.3× |
| Phosphatase acid prostatic (84066) | $39 | $99 | 4.0× |
| Phosphatase alkaline (84075) | $16 | $41 | 3.1× |
| Phosphorus blood (84100) | $15 | $38 | 3.2× |
| Platelet count (85049) | $674 | $1,686 | 150.4× |
| Potassium (84132) | $38 | $95 | 8.0× |
| Potassium urine (84133) | $20 | $51 | 4.2× |
| Procalcitonin (pct) (84145) | $108 | $269 | 4.0× |
| Progesterone (84144) | $63 | $157 | 3.0× |
| Prolactin (84146) | $63 | $157 | 3.3× |
| Prostaglandin Ea (84150) | $79 | $197 | 1.9× |
| Protein body fluid (84157) | $19 | $48 | 4.8× |
| Protein c activity (85303) | $76 | $189 | 5.5× |
| Protein electrophoresis serum (84165) | $79 | $198 | 7.4× |
| Protein Total Serum (84155) | $22 | $55 | 6.0× |
| Protein urine (84156) | $97 | $242.50 | 26.4× |
| Quantiferon tb gold (86480) | $96 | $240.50 | 1.5× |
| Renin activity plasma (84244) | $110 | $276 | 5.0× |
| Resp virus 3-5 targets (87631) | $96 | $240 | 0.7× |
| Rheumatoid factor quant (86431) | $101 | $252 | 17.8× |
| Rickettsia antibody (86757) | $122 | $305 | 6.3× |
| Rsv (87807) | $50 | $125.50 | 3.8× |
| Rubella antibody (86762) | $50 | $125 | 3.5× |
| Russell viper venom time diluted (85613) | $480 | $1,200 | 50.1× |
| Saccharomyces ab iga (86671) | $29 | $72 | 2.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $60 | $150 | 1.4× |
| Sedimentation rate (85651) | $17 | $42 | 4.0× |
| Sensitivity mic (87186) | $80 | $200 | 9.2× |
| Sex hormone binding globulin (84270) | $112 | $281 | 5.2× |
| Sickle cell screen (85660) | $98 | $246 | 17.8× |
| Smear acid fast (87206) | $37 | $93 | 6.9× |
| Smear gram stain (87205) | $20 | $50 | 4.7× |
| Sodium (84295) | $18 | $45 | 3.7× |
| Sodium urine (84300) | $18 | $45 | 3.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $35 | $88 | 3.7× |
| Strep a assay w/optic (87880) | $33 | $83 | 2.0× |
| T3 free (84481) | $61 | $153 | 3.6× |
| T3 reverse (84482) | $158 | $396 | 10.0× |
| T3 total (84480) | $75 | $187 | 5.3× |
| T3 uptake (84479) | $35 | $86 | 5.4× |
| T4 Free (84439) | $52 | $131 | 5.8× |
| T4 total (84436) | $21 | $52 | 3.1× |
| Tau phosphorylated each (84393) | $108 | $269 | 0.8× |
| Tb intradermal test (86580) | $11 | $27 | 0.4× |
| Test for acetone/ketones (82009) | $23 | $59 | 5.1× |
| Testosterone bioavailable (84410) | $169 | $422 | 3.3× |
| Testosterone free (84402) | $127 | $317 | 5.0× |
| Testosterone total (84403) | $83.50 | $209 | 3.2× |
| Theophylline (80198) | $47 | $118 | 3.3× |
| Thyroglobulin Ab (86800) | $60 | $150 | 3.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $130 | $324 | 2.6× |
| Thyroxine binding globulin (84442) | $50 | $125 | 3.4× |
| Tobramycin peak (80200) | $50 | $125 | 3.1× |
| Topiramate (80201) | $130 | $326 | 10.9× |
| Toxoplasma antibody igg (86777) | $98 | $246 | 6.8× |
| Transferrin (84466) | $45 | $113 | 3.5× |
| Triglycerides (84478) | $21 | $51 | 3.7× |
| Troponin (84484) | $58 | $145 | 4.7× |
| Urea nitrogen (84520) | $17 | $42 | 4.3× |
| Uric acid blood (84550) | $17 | $42 | 3.8× |
| Urinalysis microscopic only (81015) | $26 | $65 | 8.5× |
| Urinalysis qual/semiquant except immunoassays (81005) | $10 | $26 | 4.6× |
| Urinalysis w/microscopic (81001) | $26 | $65 | 8.2× |
| Urine pregnancy test (81025) | $26 | $66 | 3.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $436 | $1,090 | 193.8× |
| Valproic acid level (80164) | $84 | $209.50 | 6.2× |
| Vancomycin trough (80202) | $56 | $140 | 4.1× |
| Varicella-zoster antibody (86787) | $52 | $131 | 4.0× |
| Vasopressin (84588) | $118 | $294 | 3.5× |
| Vdrl csf (86592) | $43 | $107.50 | 10.1× |
| Virus antibody nos (86790) | $102 | $254 | 7.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $92 | $230 | 2.7× |
| Vitamin A (84590) | $44 | $111 | 3.8× |
| Vitamin b-12 (82607) | $85 | $212 | 5.6× |
| Vitamin b1 (thiamine) (84425) | $95 | $239 | 4.5× |
| Vitamin b6 (84207) | $94 | $236 | 3.3× |
| Vitamin C (82180) | $38 | $96 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $130.50 | $326 | 4.4× |
| Vitamin e serum (84446) | $41 | $102 | 2.9× |
| West nile virus antibody (86789) | $68 | $171 | 4.7× |
| Zika Virus Igm Antibody (86794) | $63 | $158 | 3.7× |
| Zinc (84630) | $89 | $222 | 7.8× |