Lab & pathology prices at Community Medical Center, Inc
Falls City, NE · every code in this section with a posted price and a Medicare benchmark.
352 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) | $215 | $326 | 5.6× |
| Acetaminophen level (80143) | $152 | $231 | 8.2× |
| Actin smooth muscle antibody each (86015) | $96 | $146 | 8.0× |
| Acute hepatitis panel (80074) | $185 | $280 | 3.9× |
| Afb culture (87116) | $44 | $66 | 4.1× |
| Albumin Fluid (82042) | $48 | $72.50 | 6.2× |
| Albumin serum (82040) | $43 | $65 | 8.7× |
| Aldolase (82085) | $48 | $73 | 4.9× |
| Aldosterone urine (82088) | $188 | $285 | 4.6× |
| Allergen specific ige (86003) | $36 | $55 | 6.9× |
| Alpha-1-antitrypsin, total (82103) | $106 | $160 | 7.9× |
| Alpha-fetoprotein, serum (82105) | $184 | $279 | 11.0× |
| Alt (sgpt) (84460) | $44 | $66 | 8.3× |
| Ammonia (82140) | $123 | $186 | 8.4× |
| Amylase urine (82150) | $67 | $102 | 10.3× |
| Ana Titer (86039) | $76 | $115 | 6.8× |
| Angiotensin i enzyme test (82164) | $92 | $139 | 6.3× |
| Anti-phosphatidylserine antibody (86148) | $73 | $110 | 4.5× |
| Antibody aspergillus (86606) | $118 | $179 | 7.8× |
| Antibody coxiella burnetii q fever (86638) | $119 | $181 | 9.8× |
| Antibody cytomegalovirus cmv (86644) | $101 | $153 | 7.0× |
| Antibody cytomegalovirus cmv igm (86645) | $113 | $171 | 6.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $104 | $158 | 7.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $43 | $65 | 3.0× |
| Antibody herpes smplx type 1 (86695) | $53 | $80 | 4.0× |
| Antibody mumps (86735) | $70 | $106 | 5.4× |
| Antibody rubeola (86765) | $65 | $99 | 5.0× |
| Antibody screen (86850) | $81 | $123 | 8.3× |
| Antibody treponema pallidum (86780) | $50 | $75 | 3.8× |
| Antibody; Coccidioides (86635) | $69 | $104 | 6.0× |
| Antinuclear antibodies (86038) | $110 | $167 | 9.1× |
| Antistreptolysin o titer (86060) | $77 | $116 | 10.5× |
| Antithrombin iii activity (85300) | $156 | $237 | 13.2× |
| Apolipoprotein b (82172) | $280 | $424 | 13.3× |
| Arsenic Urine (82175) | $58 | $88 | 3.1× |
| Assay Nephelometry Not Spec (83883) | $63 | $96 | 4.6× |
| Assay of acth (82024) | $164 | $248 | 4.2× |
| Assay of androstenedione (82157) | $168.50 | $255 | 5.8× |
| Assay of c-peptide (84681) | $164 | $249 | 7.9× |
| Assay of calcitonin (82308) | $89 | $135 | 3.3× |
| Assay of ceruloplasmin (82390) | $63 | $95 | 5.9× |
| Assay of ferritin (82728) | $116 | $176 | 8.5× |
| Assay of gammaglobulin igm (82784) | $75 | $113 | 8.1× |
| Assay of gentamicin (80170) | $168 | $255 | 10.3× |
| Assay of homocystine (83090) | $158 | $240 | 8.8× |
| Assay of homovanillic acid (83150) | $167 | $253 | 7.5× |
| Assay of metanephrines (83835) | $152 | $231 | 9.0× |
| Assay of parathormone (83970) | $337 | $511 | 8.2× |
| Assay of prealbumin (84134) | $70 | $106 | 4.8× |
| Assay of proinsulin (84206) | $53 | $81 | 2.0× |
| Assay of selenium (84255) | $129 | $196 | 5.1× |
| Assay of somatomedin (84305) | $157 | $238 | 7.4× |
| Assay of tacrolimus (80197) | $125 | $190 | 9.1× |
| Assay of urine vma (84585) | $63 | $96 | 4.1× |
| Assay Ph Body Fluid Nos (83986) | $36 | $54 | 10.1× |
| Assay Thiopurine S-Methyltransferase (84433) | $396 | $600 | 17.9× |
| Ast (sgot) (84450) | $50 | $75 | 9.7× |
| B cells total count (86355) | $87 | $132 | 2.3× |
| Bartonella antibody (86611) | $40 | $61 | 3.9× |
| Bcr/abl1 gene major bp (81206) | $465 | $704 | 2.8× |
| Bcr/abl1 gene minor bp (81207) | $465 | $704 | 3.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $129 | $196 | 5.1× |
| Beta-2 microglobulin (82232) | $92 | $139 | 5.7× |
| Bilirubin direct (82248) | $64 | $97 | 12.7× |
| Bilirubin total (82247) | $64 | $97 | 12.7× |
| Bilirubin total transcutaneous (88720) | $15 | $22 | 3.0× |
| Bl Smear W/Diff Wbc Count (85007) | $39 | $59 | 10.3× |
| Blastomyces antibody (86612) | $75 | $113 | 5.8× |
| Blood gases (82803) | $136 | $206 | 5.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22 | $33 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $88 | $134 | 20.1× |
| Blood typing abo (86900) | $43 | $65 | 14.4× |
| Blood typing serologic rh (d) (86901) | $43 | $65 | 14.4× |
| Blood typing serologic rh phenotyping complete (86906) | $216 | $327 | 27.9× |
| Body fluid cell count (89051) | $78 | $118 | 13.9× |
| C diff amplified probe (87493) | $93 | $141 | 2.5× |
| C-reactive protein (86140) | $67 | $102 | 12.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $152 | $231 | 11.7× |
| C1q binding assay (86332) | $67 | $102 | 2.7× |
| Ca 125 (86304) | $173 | $262 | 8.3× |
| Ca 19-9 (86301) | $106 | $161 | 5.1× |
| Ca 27 29 (86300) | $136 | $206 | 6.5× |
| Calcium ionized (82330) | $106 | $160 | 7.7× |
| Calcium total (82310) | $43 | $65 | 8.3× |
| Calcium urine (82340) | $44 | $66.50 | 7.3× |
| Calculus Spectroscopy (82365) | $83 | $125 | 6.4× |
| Calprotectin, fecal (83993) | $403 | $611 | 20.5× |
| Candida DNA dir probe (87480) | $75 | $113 | 3.7× |
| Carbamazepine (tegretol) total (80156) | $116 | $176 | 8.0× |
| Carboxyhemoglobin Quantitative (82375) | $50 | $75 | 4.1× |
| Carcinoembryonic antigen (82378) | $142 | $215 | 7.5× |
| Cardiolipin ab igg (86147) | $128 | $194 | 5.0× |
| Carotene (82380) | $75 | $113 | 8.1× |
| Catecholamines fraction plasma (82384) | $144 | $218 | 5.7× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $245.50 | $371.50 | 1.8× |
| Cholesterol total (82465) | $43 | $65 | 9.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $137 | $208 | 3.9× |
| Ckmb (82553) | $135 | $204 | 11.7× |
| Clot factor viii vw antigen (85246) | $87 | $132 | 3.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $148.50 | $225 | 8.3× |
| Cold agglutinin titer (86157) | $64 | $97 | 7.9× |
| Collagen cross links (82523) | $182 | $275 | 9.7× |
| Compatibility test antiglob (86922) | $183 | $278 | 1.0× |
| Complement c3 (86160) | $70 | $106 | 5.8× |
| Complement total ch50 (86162) | $139 | $211 | 6.8× |
| Coombs direct (86880) | $64 | $97 | 11.9× |
| Copper urine (82525) | $83 | $126 | 6.7× |
| Cortisol free (82530) | $146 | $221.50 | 8.7× |
| Cortisol total (82533) | $79 | $119 | 4.8× |
| Creatine kinase total (82550) | $67 | $102 | 10.3× |
| Creatinine blood (82565) | $43 | $65 | 8.4× |
| Creatinine clearance (82575) | $88 | $134 | 9.3× |
| Creatinine other source (82570) | $58 | $88 | 11.2× |
| Culture Aerobic Identify (87077) | $75 | $113 | 9.3× |
| Culture anaerobic (87075) | $116 | $176 | 12.2× |
| Culture blood (87040) | $152 | $231 | 14.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $110 | $167 | 14.3× |
| Culture fungus id yeast (87106) | $99 | $150 | 9.6× |
| Culture genital (87070) | $86 | $130 | 10.0× |
| Culture screen only (87081) | $57 | $87 | 8.6× |
| Culture urine (87086) | $65 | $99 | 8.1× |
| Cyclic Citrullinated Peptide (86200) | $156 | $236 | 12.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $271 | $411 | 6.3× |
| Cytopath cell enhance tech (88112) | $84 | $127 | 1.6× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $38 | $58 | 1.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $75 | $114 | 2.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $230 | $348 | 4.3× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $45 | $68 | 2.4× |
| D-Dimer (85379) | $105 | $159 | 10.3× |
| Deoxycortisol (82634) | $80 | $121 | 2.7× |
| Desoxycorticosterone (82633) | $80 | $121 | 2.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $48 | $72 | 2.9× |
| Detect agnt mult DNA ampli (87801) | $208 | $315 | 3.0× |
| Dhea (82626) | $152 | $231 | 6.0× |
| Dhea sulfate (82627) | $150 | $227 | 6.7× |
| Digoxin (80162) | $99 | $150 | 7.5× |
| Dilantin (80185) | $116 | $176 | 8.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $74 | $112 | 5.4× |
| Drug Assay Infliximab (80230) | $528 | $800 | 13.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $129 | $196 | 9.7× |
| Drug Scrn Quan Levetiracetam (80177) | $129 | $196 | 9.7× |
| Drug test prsmv chem anlyzr (80307) | $53 | $81 | 0.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $173 | $262 | 13.7× |
| Endomysial antibody iga (86255) | $145 | $220 | 12.0× |
| Enzyme cell activity (82657) | $468 | $709 | 21.1× |
| Estradiol (82670) | $203 | $308 | 7.3× |
| Estrone (82679) | $20 | $31 | 0.8× |
| Ethylene glycol (82693) | $87 | $132 | 5.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $252 | $382 | 2.6× |
| Everolimus (80169) | $100 | $152 | 7.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $81 | $123 | 11.1× |
| F2 gene analysis 20210g >a variant (81240) | $161 | $244 | 2.5× |
| F5 gene (81241) | $547 | $829 | 7.5× |
| Factor viii ahg (85240) | $191 | $290 | 10.7× |
| Fecal fat qual (82705) | $42 | $63 | 8.2× |
| Fetal fibronectin (82731) | $263 | $398 | 4.1× |
| Fibrinogen activity (85384) | $86 | $131 | 8.8× |
| Flow cytometry first marker (88184) | $792 | $1,200 | 2.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $93 | $141 | 7.7× |
| Folate serum (82746) | $99 | $150 | 6.7× |
| Folic acid rbc (82747) | $85 | $129 | 4.8× |
| Follicle Stimulating Hormone (83001) | $184 | $279 | 9.9× |
| Frozen Section (88331) | $349.50 | $529.50 | 2.0× |
| Gammaglobulin ige (82785) | $108 | $163 | 6.6× |
| Gardner vag DNA dir probe (87510) | $75 | $113 | 3.7× |
| Ggt (82977) | $38 | $58 | 5.3× |
| Giardia antigen eia stool (87329) | $118 | $179 | 9.8× |
| Glucose (82947) | $43 | $65 | 10.9× |
| Glucose body fluid (82945) | $32 | $49 | 8.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $38 | $58 | 9.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $123 | $186 | 9.6× |
| Growth hormone (83003) | $96 | $146 | 5.8× |
| Haptoglobin (83010) | $82 | $124 | 6.5× |
| Hcg qualitative (84703) | $99 | $150 | 13.2× |
| Hcg quant (84702) | $147 | $223 | 9.8× |
| Heavy metal quant each (83018) | $118 | $179 | 5.4× |
| Hematocrit (85014) | $38 | $57 | 16.0× |
| Hemoglobin (85018) | $38 | $57 | 16.0× |
| Hemoglobin a1c (83036) | $67 | $102 | 6.9× |
| Heparin assay (85520) | $186 | $282 | 14.2× |
| Hepatitis a antibody total (86708) | $106 | $161 | 8.6× |
| Hepatitis a igm (86709) | $67 | $102 | 6.0× |
| Hepatitis b core ab igm (86705) | $71 | $108 | 6.0× |
| Hepatitis b core antibody total (86704) | $67 | $101 | 5.6× |
| Hepatitis B Surface Ab (86706) | $69 | $104 | 6.4× |
| Hepatitis be antibody (86707) | $71 | $108 | 6.1× |
| Hepatitis Be Antigen (87350) | $96 | $146 | 8.3× |
| Hepatitis c antibody (86803) | $101 | $153 | 7.1× |
| Herpes simplex type 2 (86696) | $80 | $121 | 4.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $61 | $92 | 11.8× |
| Hfe gene (81256) | $100 | $151 | 1.5× |
| Histoplasma antibody (86698) | $94 | $143 | 6.8× |
| Histoplasma antigen urine (87385) | $227 | $344 | 17.1× |
| HIV-1 antibody (86701) | $39 | $59 | 4.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $75 | $114 | 5.5× |
| Hla-b27 (86812) | $119 | $181 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $140 | $212 | 5.2× |
| Iaad ia clostridium difficile toxin (87324) | $118 | $179 | 9.8× |
| Iaad ia cryptosporidium (87328) | $90 | $137 | 6.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $75 | $114 | 7.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $152 | $231 | 10.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $58 | $88 | 1.6× |
| Iadna hepatitis b virus quantification (87517) | $223 | $338 | 5.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $271 | $410 | 6.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $213 | $323 | 2.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $137 | $208 | 3.9× |
| Iadna nos amplified probe tq each organism (87798) | $229.50 | $347.50 | 6.5× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $218 | $330 | 0.8× |
| Igg subclasses (82787) | $107 | $162 | 13.3× |
| Immunfix e-phorsis/urine/csf (86335) | $132 | $200 | 4.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $116 | $176 | 7.7× |
| Immunoassay nonantibody (83516) | $96 | $146 | 8.3× |
| Immunodiffusion Ouchterlony (86331) | $28 | $43 | 2.3× |
| Immunofixj Electrophoresis Serum (86334) | $63 | $96 | 2.8× |
| Immunoglobulin assay (86023) | $106 | $160 | 8.5× |
| Immunohisto Antibody Slide (88344) | $53 | $81 | 0.1× |
| Immunohistochemistry (88342) | $214 | $324 | 1.2× |
| India ink prep (87210) | $29 | $44 | 5.0× |
| Influenza DNA amp probe (87502) | $98 | $148 | 1.0× |
| Inhibin b (83520) | $187 | $284 | 10.8× |
| Insitu hybridization (fish) (88365) | $216 | $327 | 1.2× |
| Insulin antibodies (86337) | $79 | $120 | 3.7× |
| Insulin total (83525) | $114 | $173 | 10.0× |
| Iron (83540) | $48 | $72.50 | 7.4× |
| Iron binding capacity (83550) | $74 | $112 | 8.5× |
| Islet cell antibody (86341) | $229 | $347 | 9.7× |
| Jak2 gene analysis (81270) | $328 | $496.50 | 3.6× |
| Koh Prep (87220) | $40 | $61 | 9.4× |
| Lactic acid (83605) | $80 | $121 | 6.9× |
| Lactoferrin fecal qualitative (83630) | $92 | $139 | 4.7× |
| Ldh (83615) | $51 | $77 | 8.4× |
| LDL cholesterol direct (83721) | $56 | $85 | 5.3× |
| Lead (83655) | $63 | $96 | 5.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $55 | $84 | 12.9× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $110 | 1.9× |
| Level v surg pathology grossµscopic exam (88307) | $234 | $355 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $391 | $593 | 0.5× |
| Lh (83002) | $123 | $186 | 6.6× |
| Lipase (83690) | $70 | $106 | 10.2× |
| Lithium (80178) | $63 | $96 | 9.5× |
| Lyme disease antibody (86618) | $77 | $117 | 4.5× |
| Lyme disease antibody confirm (86617) | $63 | $96 | 4.1× |
| Lymphocyte transformation (86353) | $891 | $1,350 | 18.2× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $157 | $238 | 0.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $141 | $214 | 0.8× |
| Magnesium (83735) | $63 | $96 | 9.4× |
| Manual reticulocyte count (85044) | $43 | $65 | 10.0× |
| Mercury (83825) | $67 | $102 | 4.1× |
| Methotrexate (80299) | $129 | $196 | 6.9× |
| Methylmalonic acid serum (83921) | $297 | $450 | 14.0× |
| Microalbumin urine (82043) | $44 | $66 | 7.6× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $143 | $217 | 2.6× |
| Microsomal antibodies (86376) | $85.50 | $129 | 5.9× |
| Mitochondrial antibody each (86381) | $96 | $146 | 3.8× |
| Mopath procedure level 4 (81403) | $507 | $768 | 2.7× |
| Muramidase (85549) | $77 | $116 | 4.1× |
| Myoglobin urine (83874) | $103 | $156 | 8.0× |
| Natriuretic peptide (83880) | $142 | $215 | 3.6× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $132 | $200 | 1.0× |
| Niacin (84591) | $108 | $164 | 6.3× |
| Nuclear antigen antibody (86235) | $108 | $164 | 6.0× |
| Oncology prostate biochemical assay 4 proteins (81539) | $1,056 | $1,600 | 1.4× |
| Osmolality serum (83930) | $67 | $101 | 10.1× |
| Osmolality urine (83935) | $69 | $104 | 10.1× |
| Ova and parasite direct-id lca (87177) | $55 | $84 | 6.2× |
| Parvovirus antibody (86747) | $79 | $120 | 5.3× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $58 | $88 | 0.8× |
| Phenylalanine (84030) | $143 | $217 | 26.0× |
| Phosphatase alkaline (84075) | $57.50 | $87.50 | 11.1× |
| Phosphorus urine (84105) | $46 | $70 | 8.0× |
| Platelet count (85049) | $48 | $73 | 10.7× |
| Pml/raralpha com breakpoints (81315) | $980 | $1,485 | 4.7× |
| Potassium (84132) | $43 | $65 | 9.0× |
| Potassium urine (84133) | $43 | $65 | 9.1× |
| Procalcitonin (pct) (84145) | $329 | $499 | 12.1× |
| Progesterone (84144) | $179 | $271 | 8.6× |
| Prolactin (84146) | $117 | $178 | 6.0× |
| Protein body fluid (84157) | $44 | $66 | 11.0× |
| Protein c activity (85303) | $190 | $288 | 13.7× |
| Protein electrophoresis serum (84165) | $199 | $302 | 18.5× |
| Protein Electrophoresis Urine (84166) | $74 | $112 | 4.2× |
| Protein S Functional (85306) | $183 | $278 | 11.9× |
| Protein Total Serum (84155) | $48 | $73 | 13.1× |
| Protein urine (84156) | $43 | $65 | 11.7× |
| PSA free (84154) | $82.50 | $125 | 4.5× |
| Quantiferon tb gold (86480) | $203 | $308 | 3.3× |
| Ref consult prep elsewhere (88321) | $61 | $93 | 1.6× |
| Renin activity plasma (84244) | $72 | $109 | 3.3× |
| Rheumatoid factor quant (86431) | $67 | $102 | 11.8× |
| Rickettsia antibody (86757) | $102 | $154 | 5.3× |
| Rsv (87807) | $77 | $116 | 5.9× |
| Rubella antibody (86762) | $67 | $101 | 4.7× |
| Russell viper venom time diluted (85613) | $238 | $360 | 24.8× |
| Saccharomyces ab iga (86671) | $28 | $43 | 2.3× |
| Salicylate (80179) | $99 | $150 | 5.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116 | $176 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $57 | $86 | 1.4× |
| Sedimentation rate (85651) | $43 | $65 | 10.1× |
| Sensitivity mic (87186) | $90 | $136 | 10.4× |
| Sex hormone binding globulin (84270) | $89 | $135 | 4.1× |
| Smear acid fast (87206) | $58 | $88 | 10.8× |
| Smear gram stain (87205) | $43 | $65 | 10.1× |
| Sodium (84295) | $43 | $65 | 8.9× |
| Sodium urine (84300) | $40 | $60 | 7.9× |
| Soluble transferrin receptor (84238) | $205 | $310 | 5.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $103 | $156 | 0.7× |
| Special stains group 1 (88312) | $120 | $182 | 2.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $73 | $110 | 0.4× |
| Strep a assay w/optic (87880) | $67 | $102 | 4.1× |
| Surg path level iii (88304) | $98 | $148 | 1.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $44 | $66 | 1.5× |
| Surgical pathology level IV (88305) | $152 | $230 | 2.8× |
| T cells, total count (86359) | $87 | $132 | 2.3× |
| T3 free (84481) | $156 | $236 | 9.2× |
| T3 reverse (84482) | $160 | $242 | 10.2× |
| T3 total (84480) | $79 | $120 | 5.6× |
| T4 Free (84439) | $94 | $143 | 10.4× |
| T4 total (84436) | $62 | $94 | 9.0× |
| Tb ag response t-cell susp (86481) | $210 | $318 | 2.1× |
| Tb intradermal test (86580) | $22 | $33 | 0.7× |
| Test for acetone/ketones (82009) | $55 | $83 | 12.2× |
| Testosterone total (84403) | $157.50 | $239 | 6.1× |
| Tetanus antibody (86774) | $109 | $165 | 7.4× |
| Theophylline (80198) | $129 | $196 | 9.1× |
| Thyroglobulin (84432) | $79 | $120 | 4.9× |
| Thyroglobulin Ab (86800) | $75 | $114 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $275 | $417 | 5.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $118 | $179 | 10.2× |
| Toxoplasma ab igm (86778) | $86 | $130 | 6.0× |
| Toxoplasma antibody igg (86777) | $75 | $113 | 5.2× |
| Transferrin (84466) | $61.50 | $93 | 4.8× |
| Trichomonas vagin dir probe (87660) | $64 | $97 | 3.2× |
| Triglycerides (84478) | $50 | $75 | 8.7× |
| Troponin (84484) | $118 | $179 | 9.5× |
| Urea nitrogen (84520) | $45 | $68 | 11.4× |
| Uric acid blood (84550) | $55 | $83 | 12.2× |
| Urinalysis w/microscopic (81001) | $43 | $65 | 13.6× |
| Valproic acid level (80164) | $129 | $196 | 9.5× |
| Vancomycin trough (80202) | $127 | $193 | 9.4× |
| Varicella-zoster antibody (86787) | $99 | $150 | 7.7× |
| Vdrl csf (86592) | $32 | $49 | 7.5× |
| Very long chain fatty acids (82726) | $205 | $311 | 10.4× |
| Vitamin A (84590) | $102 | $154 | 8.8× |
| Vitamin b-12 (82607) | $94 | $142 | 6.2× |
| Vitamin b1 (thiamine) (84425) | $135 | $205 | 6.4× |
| Vitamin b6 (84207) | $191 | $289 | 6.8× |
| Vitamin D 25-Hydroxy (82306) | $195.50 | $296.50 | 6.6× |
| Vitamin e serum (84446) | $104 | $158 | 7.3× |
| Von willebrand factor activity (85245) | $157 | $238 | 6.8× |
| West nile virus ab, igm (86788) | $90.50 | $137 | 5.4× |
| West nile virus antibody (86789) | $162 | $245 | 11.3× |
| Zinc (84630) | $83 | $126 | 7.3× |