Lab & pathology prices at Memorial Hospital of Carbon County
Rawlins, WY · every code in this section with a posted price and a Medicare benchmark.
334 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) | $225.75 | $301 | 5.9× |
| 5 Hiaa (83497) | $78 | $104 | 6.0× |
| Acetaminophen level (80143) | $101.25 | $135 | 5.4× |
| Actin smooth muscle antibody each (86015) | $45 | $60 | 3.7× |
| Acute hepatitis panel (80074) | $301.50 | $402 | 6.3× |
| Afb culture (87116) | $130.50 | $174 | 12.1× |
| Albumin serum (82040) | $37.50 | $50 | 7.6× |
| Aldolase (82085) | $57.75 | $77 | 5.9× |
| Aldosterone urine (82088) | $200.25 | $267 | 4.9× |
| Alkaline phosphatase isoenzymes (84080) | $42.75 | $57 | 2.9× |
| Allergen specific ige (86003) | $42 | $56 | 8.0× |
| Alpha-1-antitrypsin, total (82103) | $48.75 | $65 | 3.6× |
| Alpha-fetoprotein, serum (82105) | $141.75 | $189 | 8.5× |
| Alt (sgpt) (84460) | $45.75 | $61 | 8.6× |
| Aminolevulinic acid (ala) (82135) | $56.25 | $75 | 3.4× |
| Ammonia (82140) | $92.25 | $123 | 6.3× |
| Amylase urine (82150) | $123.75 | $165 | 19.1× |
| Antibody Absorption (86978) | $143.25 | $191 | 2.4× |
| Antibody cytomegalovirus cmv igm (86645) | $125.25 | $167 | 7.4× |
| Antibody helicobacter pylori (86677) | $135 | $180 | 8.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $89.25 | $119 | 6.2× |
| Antibody herpes smplx type 1 (86695) | $61.50 | $82 | 4.7× |
| Antibody HIV-2 (86702) | $65.25 | $87 | 4.8× |
| Antibody identification (86870) | $729.75 | $973 | 2.0× |
| Antibody mumps (86735) | $66.75 | $89 | 5.1× |
| Antibody rubeola (86765) | $41.25 | $55 | 3.2× |
| Antibody screen (86850) | $90.75 | $121 | 9.3× |
| Antibody treponema pallidum (86780) | $100.12 | $133.50 | 7.6× |
| Antigen typing (86905) | $729.75 | $973 | 190.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $354 | $472 | 68.3× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $22.50 | $30 | 1.9× |
| Antinuclear antibodies (86038) | $112.50 | $150 | 9.3× |
| Antistreptolysin o titer (86060) | $135 | $180 | 18.5× |
| Antithrombin iii activity (85300) | $47.25 | $63 | 4.0× |
| Apolipoprotein b (82172) | $85.50 | $114 | 4.1× |
| Assay of acth (82024) | $87 | $116 | 2.3× |
| Assay of androstenedione (82157) | $66 | $88 | 2.3× |
| Assay of blood fatty acids (82725) | $156 | $208 | 8.3× |
| Assay of c-peptide (84681) | $141 | $188 | 6.8× |
| Assay of ceruloplasmin (82390) | $94.50 | $126 | 8.8× |
| Assay of creatine (82540) | $93.75 | $125 | 20.2× |
| Assay of erythropoietin (82668) | $93.75 | $125 | 5.0× |
| Assay of ferritin (82728) | $106.50 | $142 | 7.8× |
| Assay of gammaglobulin igm (82784) | $67.50 | $90 | 7.3× |
| Assay of gentamicin (80170) | $127.50 | $170 | 7.8× |
| Assay of glucagon (82943) | $97.50 | $130 | 6.8× |
| Assay of homocystine (83090) | $221.25 | $295 | 12.3× |
| Assay of lipoprotein(a) (83695) | $66 | $88 | 4.6× |
| Assay of parathormone (83970) | $207.75 | $277 | 5.0× |
| Assay of prealbumin (84134) | $55.50 | $74 | 3.8× |
| Assay of proinsulin (84206) | $60 | $80 | 2.2× |
| Assay of somatomedin (84305) | $112.50 | $150 | 5.3× |
| Assay of tacrolimus (80197) | $245.25 | $327 | 17.9× |
| Assay Ph Body Fluid Nos (83986) | $46.50 | $62 | 13.0× |
| Ast (sgot) (84450) | $45.75 | $61 | 8.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $69 | $92 | 2.7× |
| Beta hydroxybutyrate (82010) | $42 | $56 | 5.1× |
| Beta-2 microglobulin (82232) | $152.25 | $203 | 9.4× |
| Bilirubin direct (82248) | $24 | $32 | 4.8× |
| Bilirubin total (82247) | $33 | $44 | 6.6× |
| Bilirubin total transcutaneous (88720) | $15 | $20 | 3.0× |
| Bl Smear W/Diff Wbc Count (85007) | $35.62 | $47.50 | 9.4× |
| Blood count reticulocyte automated (85045) | $99.75 | $133 | 25.0× |
| Blood gases (82803) | $133.50 | $178 | 5.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $42.75 | $57 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.25 | $67 | 11.5× |
| Blood typing abo (86900) | $261.75 | $349 | 87.5× |
| Blood typing serologic rh (d) (86901) | $68.25 | $91 | 22.8× |
| Body fluid cell count (89051) | $50.25 | $67 | 9.0× |
| Body fluid cell count (89050) | $58.50 | $78 | 12.4× |
| Breath Alcohol Test (82075) | $39.75 | $53 | 1.3× |
| C diff amplified probe (87493) | $155.25 | $207 | 4.2× |
| C-reactive protein (86140) | $94.50 | $126 | 18.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $66.75 | $89 | 5.2× |
| Ca 125 (86304) | $96.75 | $129 | 4.6× |
| Ca 19-9 (86301) | $96.75 | $129 | 4.6× |
| Ca 27 29 (86300) | $161.25 | $215 | 7.7× |
| Calcium ionized (82330) | $138.75 | $185 | 10.1× |
| Calcium urine (82340) | $111.75 | $149 | 18.5× |
| Calculus Spectroscopy (82365) | $114.75 | $153 | 8.9× |
| Calprotectin, fecal (83993) | $201.75 | $269 | 10.3× |
| Candida antibody (86628) | $53.25 | $71 | 4.4× |
| Carbamazepine (tegretol) total (80156) | $99 | $132 | 6.8× |
| Carboxyhemoglobin Quantitative (82375) | $93.75 | $125 | 7.6× |
| Carcinoembryonic antigen (82378) | $115.50 | $154 | 6.1× |
| Cardiolipin ab igg (86147) | $75.75 | $101 | 3.0× |
| Cd4 absolute count (86361) | $144 | $192 | 5.4× |
| Cftr gene com variants (81220) | $1,252.50 | $1,670 | 2.3× |
| Chemiluminescent assay (82397) | $90.38 | $120.50 | 6.4× |
| Chloride other source (82438) | $38.25 | $51 | 7.7× |
| Chloride urine (82436) | $74.25 | $99 | 12.9× |
| Cholesterol total (82465) | $34.50 | $46 | 7.9× |
| Chromium urine (82495) | $45.75 | $61 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $141.75 | $189 | 4.0× |
| Ckmb (82553) | $84.75 | $113 | 7.3× |
| Clot factor viii vw antigen (85246) | $55.50 | $74 | 2.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $57 | $76 | 3.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $194.25 | $259 | 8.1× |
| Cold agglutinin screen (86156) | $132 | $176 | 16.4× |
| Compatibility test antiglob (86922) | $354 | $472 | 2.0× |
| Complement c3 (86160) | $156 | $208 | 13.0× |
| Complement total ch50 (86162) | $112.50 | $150 | 5.5× |
| Coombs direct (86880) | $129.75 | $173 | 24.1× |
| Copper urine (82525) | $84.75 | $113 | 6.8× |
| Cortisol free (82530) | $41.25 | $55 | 2.5× |
| Cortisol total (82533) | $43.50 | $58 | 2.7× |
| Creatine kinase total (82550) | $58.50 | $78 | 9.0× |
| Creatinine blood (82565) | $34.50 | $46 | 6.7× |
| Creatinine clearance (82575) | $107.25 | $143 | 11.3× |
| Creatinine other source (82570) | $84.75 | $113 | 16.4× |
| Crossmatch immediate spin (86920) | $354 | $472 | 2.0× |
| Culture Aerobic Identify (87077) | $26.25 | $35 | 3.2× |
| Culture anaerobic (87075) | $79.50 | $106 | 8.4× |
| Culture blood (87040) | $107.25 | $143 | 10.4× |
| Culture fungus other (87102) | $138 | $184 | 16.4× |
| Culture genital (87070) | $122.25 | $163 | 14.2× |
| Culture screen only (87081) | $81.38 | $108.50 | 12.3× |
| Culture stool (87045) | $135 | $180 | 14.3× |
| Culture urine (87086) | $88.50 | $118 | 11.0× |
| Cyclic Citrullinated Peptide (86200) | $60 | $80 | 4.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $297 | $396 | 6.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $30 | $40 | 0.8× |
| Cytp concentration smears & interpretation (88108) | $30 | $40 | 0.8× |
| Cytp fna eval dx 1st each site (88172) | $30 | $40 | 0.2× |
| D-Dimer (85379) | $163.50 | $218 | 16.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $106.50 | $142 | 6.4× |
| Dhea (82626) | $57 | $76 | 2.3× |
| Dhea sulfate (82627) | $166.50 | $222 | 7.5× |
| Digoxin (80162) | $66 | $88 | 5.0× |
| Dilantin (80185) | $108 | $144 | 8.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $31.50 | $42 | 2.3× |
| Drug Assay Lacosamide (80235) | $141 | $188 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $110.25 | $147 | 8.3× |
| Drug Scrn Quan Levetiracetam (80177) | $101.25 | $135 | 7.6× |
| Drug test prsmv chem anlyzr (80307) | $142.12 | $189.50 | 2.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $114.75 | $153 | 9.1× |
| Ebv viral capsid (86665) | $144 | $192 | 7.9× |
| Elastase pancreatic fecal quantitative (82653) | $75 | $100 | 3.3× |
| Electrolyte panel (80051) | $54 | $72 | 7.7× |
| Electronic crossmatch (86923) | $354 | $472 | 2.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $22.50 | $30 | 1.9× |
| Enterovirus antibody (86658) | $56.25 | $75 | 4.3× |
| Enterovirus Pcr (87498) | $227.25 | $303 | 6.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $137.25 | $183 | 9.0× |
| Estradiol (82670) | $237.75 | $317 | 8.5× |
| Estriol (82677) | $54.75 | $73 | 2.3× |
| Estrone (82679) | $56.25 | $75 | 2.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $222.75 | $297 | 2.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $87 | $116 | 11.9× |
| F2 gene analysis 20210g >a variant (81240) | $222 | $296 | 3.4× |
| F5 gene (81241) | $181.50 | $242 | 2.5× |
| Factor viii ahg (85240) | $174.75 | $233 | 9.8× |
| Fecal fat qual (82705) | $102 | $136 | 20.0× |
| Fecal fat quant (82710) | $120 | $160 | 7.1× |
| Fetal bleed screen (85461) | $79.50 | $106 | 8.5× |
| Fetal fibronectin (82731) | $803.25 | $1,071 | 12.5× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) | $10.50 | $14 | 0.8× |
| Fibrinogen activity (85384) | $114.75 | $153 | 11.8× |
| Folate serum (82746) | $97.50 | $130 | 6.6× |
| Follicle Stimulating Hormone (83001) | $129 | $172 | 6.9× |
| Gammaglobulin ige (82785) | $60 | $80 | 3.6× |
| Ggt (82977) | $36.75 | $49 | 5.1× |
| Giardia antigen eia stool (87329) | $66 | $88 | 5.5× |
| Glucose (82947) | $22.50 | $30 | 5.7× |
| Glucose Blood Test (82962) | $51 | $68 | 15.5× |
| Glucose body fluid (82945) | $41.25 | $55 | 10.5× |
| Glucose post dose (82950) | $44.25 | $59 | 9.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $126.75 | $169 | 9.8× |
| Glycosylated hb home device (83037) | $1,260 | $1,680 | 129.8× |
| Haptoglobin (83010) | $57 | $76 | 4.5× |
| Hcg qualitative (84703) | $90 | $120 | 12.0× |
| Hcg quant (84702) | $34.50 | $46 | 2.3× |
| Hdl Cholesterol (83718) | $39.75 | $53 | 4.9× |
| Hematocrit (85014) | $19.50 | $26 | 8.2× |
| Hemoglobin (85018) | $48 | $64 | 20.3× |
| Hemoglobin a1c (83036) | $35.25 | $47 | 3.6× |
| Hemoglobin electrophoresis (83020) | $113.25 | $151 | 8.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $87 | $116 | 11.3× |
| Heparin assay (85520) | $112.50 | $150 | 8.6× |
| Hepatitis a antibody total (86708) | $99 | $132 | 8.0× |
| Hepatitis a igm (86709) | $78.75 | $105 | 7.0× |
| Hepatitis b core antibody total (86704) | $41.25 | $55 | 3.4× |
| Hepatitis B Surface Antigen (87340) | $73.50 | $98 | 7.1× |
| Hepatitis be antibody (86707) | $44.25 | $59 | 3.8× |
| Hepatitis Be Antigen (87350) | $44.25 | $59 | 3.8× |
| Hepatitis c antibody (86803) | $72.75 | $97 | 5.1× |
| Hepatitis C Genotype (87902) | $579.75 | $773 | 2.3× |
| Herpes simplex type 2 (86696) | $78 | $104 | 4.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $105 | $140 | 20.3× |
| Hfe gene (81256) | $261.75 | $349 | 4.0× |
| Histamine plasma (83088) | $67.50 | $90 | 2.3× |
| Histoplasma antibody (86698) | $107.25 | $143 | 7.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $84.75 | $113 | 6.2× |
| Hla b 27 disease association lc (81374) | $210.75 | $281 | 2.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $152.25 | $203 | 4.3× |
| Iaad ia clostridium difficile toxin (87324) | $91.50 | $122 | 7.6× |
| Iaad ia cryptosporidium (87328) | $69.75 | $93 | 5.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $152.25 | $203 | 10.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $34.50 | $46 | 2.9× |
| Iaadiadoo not otherwise specified (87899) | $134.25 | $179 | 8.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $189.75 | $253 | 2.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $290.25 | $387 | 6.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $543 | $724 | 6.4× |
| Iadna human papillomavirus high-risk types (87624) | $150.75 | $201 | 4.3× |
| Iadna nos amplified probe tq each organism (87798) | $281.25 | $375 | 8.0× |
| Iadna nos quantification each organism (87799) | $323.25 | $431 | 7.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $83.25 | $111 | 2.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $655.50 | $874 | 1.6× |
| Igg subclasses (82787) | $47.25 | $63 | 5.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $27.75 | $37 | 1.9× |
| Immunoassay nonantibody (83516) | $85.50 | $114 | 7.4× |
| Immunoassay with direct visual observation for streptococcus (87802) | $119.25 | $159 | 9.4× |
| Immunofixj Electrophoresis Serum (86334) | $156.75 | $209 | 7.0× |
| Immunoglobulin light chains free each (83521) | $52.50 | $70 | 3.0× |
| India ink prep (87210) | $65.25 | $87 | 11.2× |
| Influenza DNA amp probe (87502) | $220.50 | $294 | 2.3× |
| Inhibin a (86336) | $77.25 | $103 | 5.0× |
| Inhibin b (83520) | $225 | $300 | 13.0× |
| Insulin antibodies (86337) | $121.50 | $162 | 5.7× |
| Insulin total (83525) | $141 | $188 | 12.3× |
| Iron (83540) | $78 | $104 | 12.1× |
| Iron binding capacity (83550) | $78 | $104 | 8.9× |
| Islet cell antibody (86341) | $57 | $76 | 2.4× |
| Jak2 gene analysis (81270) | $347.25 | $463 | 3.8× |
| Jak2 Targeted Sequence Analysis (81279) | $417 | $556 | 2.3× |
| Lactic acid (83605) | $28.50 | $38 | 2.5× |
| Ldh (83615) | $57.75 | $77 | 9.6× |
| Lead (83655) | $60.75 | $81 | 5.0× |
| Legionella antigen urine (87449) | $96.75 | $129 | 8.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $58.50 | $78 | 13.7× |
| Lh (83002) | $129 | $172 | 7.0× |
| Lipase (83690) | $122.25 | $163 | 17.7× |
| Lithium (80178) | $61.50 | $82 | 9.3× |
| Lyme disease antibody (86618) | $100.50 | $134 | 5.9× |
| Magnesium (83735) | $77.62 | $103.50 | 11.6× |
| Malaria smear (87207) | $238.50 | $318 | 39.8× |
| Microalbumin urine (82043) | $82.50 | $110 | 14.3× |
| Microsomal antibodies (86376) | $115.50 | $154 | 7.9× |
| Mitochondrial antibody each (86381) | $48 | $64 | 1.9× |
| Mycoplasma antibody (86738) | $77.25 | $103 | 5.8× |
| Myelin basic protein csf (83873) | $81.75 | $109 | 4.8× |
| Myoglobin urine (83874) | $78 | $104 | 6.0× |
| Nasal smear for eosinophils (89190) | $16.50 | $22 | 2.8× |
| Natriuretic peptide (83880) | $116.25 | $155 | 3.0× |
| Niacin (84591) | $95.25 | $127 | 5.6× |
| Nuclear antigen antibody (86235) | $73.50 | $98 | 4.1× |
| Occult blood stool (82272) | $51.75 | $69 | 12.2× |
| Oligoclonal bands (83916) | $108.75 | $145 | 4.0× |
| Osmolality serum (83930) | $66.75 | $89 | 10.1× |
| Osmolality urine (83935) | $66.75 | $89 | 9.8× |
| Ova and parasite direct-id lca (87177) | $166.50 | $222 | 18.7× |
| Pancreatic polypeptide (83519) | $105 | $140 | 5.7× |
| Phosphatase alkaline (84075) | $41.25 | $55 | 8.0× |
| Phosphorus blood (84100) | $12.75 | $17 | 2.7× |
| Phosphorus urine (84105) | $99.75 | $133 | 17.3× |
| Potassium (84132) | $29.25 | $39 | 6.1× |
| Potassium urine (84133) | $74.25 | $99 | 15.7× |
| Procalcitonin (pct) (84145) | $167.25 | $223 | 6.1× |
| Progesterone (84144) | $47.25 | $63 | 2.3× |
| Prolactin (84146) | $137.25 | $183 | 7.1× |
| Protein body fluid (84157) | $108 | $144 | 27.0× |
| Protein c activity (85303) | $39 | $52 | 2.8× |
| Protein c antigen (85302) | $48.75 | $65 | 4.1× |
| Protein electrophoresis serum (84165) | $83.25 | $111 | 7.8× |
| Protein Electrophoresis Urine (84166) | $119.25 | $159 | 6.7× |
| Protein S Functional (85306) | $49.50 | $66 | 3.2× |
| Protein Total Serum (84155) | $27.75 | $37 | 7.6× |
| Protein urine (84156) | $90 | $120 | 24.5× |
| PSA free (84154) | $134.25 | $179 | 7.3× |
| Quantiferon tb gold (86480) | $139.50 | $186 | 2.3× |
| Rbc antibody elution (86860) | $354 | $472 | 2.0× |
| Renin activity plasma (84244) | $49.50 | $66 | 2.3× |
| Rheumatoid factor quant (86431) | $40.50 | $54 | 7.1× |
| Rickettsia antibody (86757) | $53.25 | $71 | 2.8× |
| Rubella antibody (86762) | $75 | $100 | 5.2× |
| Salicylate (80179) | $101.25 | $135 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $97.50 | $130 | 1.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $81.75 | $109 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $339 | $452 | 2.4× |
| Sedimentation rate (85651) | $52.50 | $70 | 12.3× |
| Semen analysis sperm presence&/motility sprm (89321) | $64.50 | $86 | 5.4× |
| Sensitivity mic (87186) | $150 | $200 | 17.3× |
| Sex hormone binding globulin (84270) | $85.50 | $114 | 3.9× |
| Sickle cell screen (85660) | $66 | $88 | 12.0× |
| Smear acid fast (87206) | $43.50 | $58 | 8.1× |
| Smear complex stain (87209) | $33.75 | $45 | 1.9× |
| Smear gram stain (87205) | $58.50 | $78 | 13.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $465.75 | $621 | 3.4× |
| Sodium (84295) | $27.75 | $37 | 5.8× |
| Sodium urine (84300) | $75 | $100 | 14.8× |
| Strep a assay w/optic (87880) | $53.25 | $71 | 3.2× |
| Strep a DNA amp probe (87651) | $52.50 | $70 | 1.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $148.50 | $198 | 3.2× |
| T3 free (84481) | $119.25 | $159 | 7.0× |
| T3 reverse (84482) | $69.75 | $93 | 4.4× |
| T3 total (84480) | $155.25 | $207 | 10.9× |
| T3 uptake (84479) | $79.50 | $106 | 12.3× |
| T4 Free (84439) | $113.25 | $151 | 12.6× |
| T4 total (84436) | $57 | $76 | 8.3× |
| Tb intradermal test (86580) | $31.50 | $42 | 1.1× |
| Test for acetone/ketones (82009) | $60.75 | $81 | 13.4× |
| Testosterone free (84402) | $150 | $200 | 5.9× |
| Testosterone total (84403) | $185.25 | $247 | 7.2× |
| Thyroglobulin Ab (86800) | $39.75 | $53 | 2.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $21.75 | $29 | 1.9× |
| Topiramate (80201) | $115.50 | $154 | 9.7× |
| Toxoplasma ab igm (86778) | $60.75 | $81 | 4.2× |
| Tpmt gene com variants (81335) | $375 | $500 | 2.1× |
| Transferrin (84466) | $127.50 | $170 | 10.0× |
| Triglycerides (84478) | $26.25 | $35 | 4.6× |
| Troponin (84484) | $98.25 | $131 | 7.9× |
| Urea nitrogen (84520) | $25.50 | $34 | 6.5× |
| Uric acid blood (84550) | $45.75 | $61 | 10.1× |
| Urinalysis microscopic only (81015) | $18 | $24 | 5.9× |
| Urinalysis w/microscopic (81001) | $55.50 | $74 | 17.5× |
| Urine microalbumin (protein) analysis (82044) | $19.50 | $26 | 3.1× |
| Urine pregnancy test (81025) | $53.62 | $71.50 | 6.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $32.25 | $43 | 14.3× |
| Valproic acid level (80164) | $79.50 | $106 | 5.9× |
| Vancomycin trough (80202) | $103.50 | $138 | 7.6× |
| Varicella-zoster antibody (86787) | $126 | $168 | 9.8× |
| Vasoactive intestinal peptide (vip) (84586) | $79.50 | $106 | 2.3× |
| Vdrl csf (86592) | $54 | $72 | 12.6× |
| Virus antibody nos (86790) | $55.50 | $74 | 4.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $100.50 | $134 | 3.0× |
| Vitamin A (84590) | $45.75 | $61 | 3.9× |
| Vitamin b-12 (82607) | $210.75 | $281 | 14.0× |
| Vitamin b1 (thiamine) (84425) | $108 | $144 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $150 | $200 | 5.1× |
| Vitamin e serum (84446) | $45.75 | $61 | 3.2× |
| Von willebrand factor activity (85245) | $235.50 | $314 | 10.3× |
| West nile virus ab, igm (86788) | $72 | $96 | 4.3× |
| West nile virus antibody (86789) | $77.25 | $103 | 5.4× |
| Zinc (84630) | $110.25 | $147 | 9.7× |