Lab & pathology prices at Copiah County Medical Center
Hazlehurst, MS · every code in this section with a posted price and a Medicare benchmark.
355 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) | $291.36 | $291.36 | 7.6× |
| 5 Hiaa (83497) | $95 | $95 | 7.4× |
| Acute hepatitis panel (80074) | $373 | $373 | 7.8× |
| Afb culture (87116) | $151 | $151 | 14.0× |
| Agglutinins febrile (86000) | $90 | $90 | 12.9× |
| Albumin serum (82040) | $57 | $57 | 11.5× |
| Aldolase (82085) | $105 | $105 | 10.8× |
| Aldosterone urine (82088) | $216 | $216 | 5.3× |
| Alkaline phosphatase isoenzymes (84080) | $122.56 | $122.56 | 8.3× |
| Allergen specific ige (86003) | $52 | $52 | 10.0× |
| Alpha-1-antitrypsin, total (82103) | $105 | $105 | 7.8× |
| Alpha-fetoprotein, serum (82105) | $205 | $205 | 12.2× |
| Alt (sgpt) (84460) | $66 | $66 | 12.5× |
| Amikacin trough (80150) | $69 | $69 | 4.6× |
| Ammonia (82140) | $138 | $138 | 9.5× |
| Amylase urine (82150) | $101 | $101 | 15.6× |
| Ana Titer (86039) | $107 | $107 | 9.6× |
| Angiotensin i enzyme test (82164) | $87.88 | $87.88 | 6.0× |
| Antibody coxiella burnetii q fever (86638) | $35 | $35 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $130 | $130 | 9.0× |
| Antibody cytomegalovirus cmv igm (86645) | $144 | $144 | 8.5× |
| Antibody helicobacter pylori (86677) | $125 | $125 | 7.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $149 | $149 | 10.4× |
| Antibody herpes smplx type 1 (86695) | $142 | $142 | 10.8× |
| Antibody mumps (86735) | $117 | $117 | 9.0× |
| Antibody rubeola (86765) | $75.44 | $75.44 | 5.9× |
| Antibody screen (86850) | $165 | $165 | 16.9× |
| Antibody treponema pallidum (86780) | $97 | $97 | 7.3× |
| Antigen typing (86905) | $113 | $113 | 29.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $150 | $150 | 12.4× |
| Antinuclear antibodies (86038) | $107 | $107 | 8.9× |
| Antistreptolysin o titer (86060) | $70 | $70 | 9.6× |
| Antithrombin iii activity (85300) | $144 | $144 | 12.2× |
| Assay of acth (82024) | $229 | $229 | 5.9× |
| Assay of blood chloride (82435) | $48 | $48 | 10.4× |
| Assay of c-peptide (84681) | $130 | $130 | 6.2× |
| Assay of ceruloplasmin (82390) | $96 | $96 | 8.9× |
| Assay of cyclosporine (80158) | $206 | $206 | 11.4× |
| Assay of ferritin (82728) | $125 | $125 | 9.2× |
| Assay of gammaglobulin igm (82784) | $53 | $53 | 5.7× |
| Assay of gastrin (82941) | $75 | $75 | 4.3× |
| Assay of gentamicin (80170) | $154 | $154 | 9.4× |
| Assay of homocystine (83090) | $123.03 | $123.03 | 6.9× |
| Assay of metanephrines (83835) | $149 | $149 | 8.8× |
| Assay of parathormone (83970) | $244 | $244 | 5.9× |
| Assay of phenobarbital (80184) | $120 | $120 | 7.8× |
| Assay of phosphatase acid total (84060) | $121 | $121 | 15.8× |
| Assay of prealbumin (84134) | $102 | $102 | 7.0× |
| Assay of procainamide (80190) | $93 | $93 | 1.6× |
| Assay of prostate specific antigen complexed (84152) | $129 | $129 | 7.0× |
| Assay of somatomedin (84305) | $197 | $197 | 9.3× |
| Assay of tacrolimus (80197) | $190 | $190 | 13.8× |
| Assay of urine vma (84585) | $115 | $115 | 7.4× |
| Assay Ph Body Fluid Nos (83986) | $41 | $41 | 11.5× |
| Ast (sgot) (84450) | $64 | $64 | 12.4× |
| Automated rbc count (85041) | $26 | $26 | 8.6× |
| Bartonella antibody (86611) | $88 | $88 | 8.6× |
| Bartonella DNA amp probe (87471) | $289.44 | $289.44 | 8.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $168 | $168 | 6.6× |
| Beta hydroxybutyrate (82010) | $65 | $65 | 8.0× |
| Bilirubin direct (82248) | $49 | $49 | 9.8× |
| Bilirubin total (82247) | $41 | $41 | 8.2× |
| Bl Smear W/Diff Wbc Count (85007) | $56.50 | $56.50 | 14.9× |
| Blood gases (82803) | $240 | $240 | 9.2× |
| Blood typing abo (86900) | $110 | $110 | 36.8× |
| Blood typing serologic rh (d) (86901) | $110 | $110 | 36.8× |
| Body fluid cell count (89051) | $117 | $117 | 20.9× |
| Brca1&2 seq & full dup/del (81162) | $3,771.42 | $3,771.42 | 2.1× |
| C-reactive protein (86140) | $103 | $103 | 19.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $92 | $92 | 7.1× |
| Ca 125 (86304) | $178 | $178 | 8.6× |
| Ca 19-9 (86301) | $140 | $140 | 6.7× |
| Ca 27 29 (86300) | $156 | $156 | 7.5× |
| Calcium total (82310) | $44 | $44 | 8.5× |
| Calculus Spectroscopy (82365) | $120 | $120 | 9.3× |
| Calprotectin, fecal (83993) | $146 | $146 | 7.4× |
| Carbamazepine (tegretol) total (80156) | $145 | $145 | 10.0× |
| Carbon dioxide (82374) | $40 | $40 | 8.2× |
| Carboxyhemoglobin Quantitative (82375) | $94 | $94 | 7.6× |
| Carcinoembryonic antigen (82378) | $175 | $175 | 9.2× |
| Cardiolipin ab igg (86147) | $183 | $183 | 7.2× |
| Catecholamines fraction plasma (82384) | $212.63 | $212.63 | 8.4× |
| Catecholamines Total Urine (82382) | $186 | $186 | 6.8× |
| Cd4 absolute count (86361) | $200 | $200 | 7.5× |
| Chemiluminescent assay (82397) | $108 | $108 | 7.6× |
| Cholesterol total (82465) | $56 | $56 | 12.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $160 | $160 | 4.6× |
| Citrate (82507) | $206.15 | $206.15 | 7.4× |
| Ckmb (82553) | $165 | $165 | 14.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $94 | $94 | 3.9× |
| Cold agglutinin screen (86156) | $73 | $73 | 9.0× |
| Compatibility test antiglob (86922) | $220 | $220 | 1.4× |
| Complement c3 (86160) | $78 | $78 | 6.5× |
| Complement total ch50 (86162) | $137 | $137 | 6.7× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $88 | $88 | 7.3× |
| Coombs direct (86880) | $70 | $70 | 13.0× |
| Cortisol free (82530) | $165 | $165 | 9.9× |
| Cortisol total (82533) | $145 | $145 | 8.9× |
| Creatine kinase total (82550) | $86 | $86 | 13.2× |
| Creatinine blood (82565) | $43 | $43 | 8.4× |
| Creatinine clearance (82575) | $114 | $114 | 12.1× |
| Creatinine other source (82570) | $53 | $53 | 10.2× |
| Culture anaerobic (87075) | $150 | $150 | 15.8× |
| Culture blood (87040) | $200 | $200 | 19.4× |
| Culture chlamydia (87110) | $134 | $134 | 6.8× |
| Culture fungus other (87102) | $141 | $141 | 16.8× |
| Culture genital (87070) | $200 | $200 | 23.2× |
| Culture screen only (87081) | $66 | $66 | 10.0× |
| Culture stool (87045) | $200 | $200 | 21.2× |
| Culture urine (87086) | $200 | $200 | 24.8× |
| Cyclic Citrullinated Peptide (86200) | $72 | $72 | 5.6× |
| Cystatin c (82610) | $124 | $124 | 6.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $279 | $279 | 6.5× |
| Cytopath cell enhance tech (88112) | $301 | $301 | 6.4× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Other Outpatient (88147) | $119 | $119 | 2.4× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $133 | $133 | 7.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) | $138 | $138 | 6.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $136.55 | $136.55 | 5.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $96 | $96 | 5.2× |
| D-Dimer (85379) | $155 | $155 | 15.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $101 | $101 | 6.1× |
| Dhea sulfate (82627) | $54 | $54 | 2.4× |
| Digoxin (80162) | $120 | $120 | 9.0× |
| Dilantin (80185) | $130 | $130 | 9.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $118 | $118 | 8.6× |
| Drug assay adalimumab (80145) | $168 | $168 | 4.4× |
| Drug Screen Quant Gabapentin (80171) | $145 | $145 | 6.7× |
| Drug screen quant zonisamide (80203) | $119 | $119 | 9.0× |
| Drug Scrn Quan Levetiracetam (80177) | $182 | $182 | 13.7× |
| Drug scrn quant oxcarbazepin (80183) | $91.20 | $91.20 | 6.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $78.20 | $78.20 | 6.2× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $267 | $267 | 15.6× |
| Ebv viral capsid (86665) | $53 | $53 | 2.9× |
| Elastase pancreatic fecal quantitative (82653) | $91.88 | $91.88 | 4.0× |
| Electrolyte panel (80051) | $87 | $87 | 12.4× |
| Endomysial antibody iga (86255) | $95 | $95 | 7.9× |
| Eosinophil count (85048) | $33 | $33 | 13.0× |
| Estradiol (82670) | $133 | $133 | 4.8× |
| Estrogens total (82672) | $50 | $50 | 2.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $76 | $76 | 10.4× |
| F5 gene (81241) | $246 | $246 | 3.4× |
| Fat stain (89125) | $50 | $50 | 8.5× |
| Fecal fat qual (82705) | $36 | $36 | 7.1× |
| Flow cytometry first marker (88184) | $366 | $366 | 1.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $69 | $69 | 5.7× |
| Folate serum (82746) | $115 | $115 | 7.8× |
| Follicle Stimulating Hormone (83001) | $144 | $144 | 7.8× |
| Fresh frozen plasma thawing each unit (86927) | $230 | $230 | 1.5× |
| Gammaglobulin ige (82785) | $135 | $135 | 8.2× |
| Ggt (82977) | $55 | $55 | 7.6× |
| Giardia ag by if (87269) | $99 | $99 | 7.3× |
| Giardia antigen eia stool (87329) | $81.50 | $81.50 | 6.8× |
| Giardia lamblia antibody (86674) | $82 | $82 | 5.6× |
| Gliadin antibody each immunoglobulin class (86258) | $171 | $171 | 14.2× |
| Glucose (82947) | $41 | $41 | 10.4× |
| Glucose body fluid (82945) | $68 | $68 | 17.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $55 | $55 | 14.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $127 | $127 | 9.9× |
| Haloperidol (haldol) (80173) | $116 | $116 | 7.4× |
| Haptoglobin (83010) | $109 | $109 | 8.7× |
| Hcg qualitative (84703) | $121 | $121 | 16.1× |
| Hcg quant (84702) | $163 | $163 | 10.8× |
| Hdl Cholesterol (83718) | $66 | $66 | 8.1× |
| Heavy metal quant each (83018) | $107.63 | $107.63 | 4.9× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $116 | $116 | 5.5× |
| Hematocrit (85014) | $40 | $40 | 16.9× |
| Hemoglobin (85018) | $36 | $36 | 15.2× |
| Hemoglobin a1c (83036) | $87 | $87 | 9.0× |
| Hemoglobin electrophoresis (83020) | $143 | $143 | 11.1× |
| Heparin neutralization (85525) | $87 | $87 | 7.3× |
| Hepatitis a antibody total (86708) | $107 | $107 | 8.6× |
| Hepatitis a igm (86709) | $108 | $108 | 9.6× |
| Hepatitis b core ab igm (86705) | $108 | $108 | 9.2× |
| Hepatitis b core antibody total (86704) | $116 | $116 | 9.6× |
| Hepatitis B Surface Ab (86706) | $118 | $118 | 11.0× |
| Hepatitis B Surface Antigen (87340) | $106 | $106 | 10.3× |
| Hepatitis be antibody (86707) | $89 | $89 | 7.7× |
| Hepatitis Be Antigen (87350) | $87 | $87 | 7.5× |
| Hepatitis c antibody (86803) | $133 | $133 | 9.3× |
| Hepatitis C Genotype (87902) | $387 | $387 | 1.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $276 | $276 | 7.9× |
| Herpes simplex type 2 (86696) | $176 | $176 | 9.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $76 | $76 | 14.7× |
| HIV confirmation (86689) | $144 | $144 | 7.4× |
| Hla ii typing 1 locus lr (81376) | $339.88 | $339.88 | 2.8× |
| Hla-b27 (86812) | $83 | $83 | 3.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $337.93 | $337.93 | 5.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $226.10 | $226.10 | 6.4× |
| Iaad ia clostridium difficile toxin (87324) | $122 | $122 | 10.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $172 | $172 | 7.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $200 | $200 | 13.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $169 | $169 | 12.1× |
| Iaad ia rotavirus (87425) | $146 | $146 | 12.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $180 | $180 | 5.1× |
| Iaad Ia Streptococcus Group A (87430) | $90.80 | $90.80 | 5.4× |
| Iaadi inffluenza a virus (87276) | $99 | $99 | 6.2× |
| Iaadi influenza b virus (87275) | $98.96 | $98.96 | 8.1× |
| Iaadi respiratory synctial virus (87280) | $98.80 | $98.80 | 7.4× |
| Iaadiadoo not otherwise specified (87899) | $76.08 | $76.08 | 4.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $90.80 | $90.80 | 1.3× |
| Iadna hepatitis b virus quantification (87517) | $248.50 | $248.50 | 5.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $417.50 | $417.50 | 9.7× |
| Iadna herpes virus-6 amplified probe tq (87532) | $80 | $80 | 2.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $427 | $427 | 5.0× |
| Iadna human papillomavirus high-risk types (87624) | $199.50 | $199.50 | 5.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $158 | $158 | 4.5× |
| Iadna nos amplified probe tq each organism (87798) | $253.26 | $253.26 | 7.2× |
| Iadna nos quantification each organism (87799) | $154 | $154 | 3.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $227.50 | $227.50 | 6.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $416.78 | $416.78 | 1.0× |
| If cryptosporidium antigen (87272) | $12 | $12 | 1.0× |
| Immunoassay nonantibody (83516) | $73 | $73 | 6.3× |
| Immunoelectrophoresis serum (86320) | $216 | $216 | 7.2× |
| Immunofixj Electrophoresis Serum (86334) | $149 | $149 | 6.7× |
| Immunoglobulin light chains free each (83521) | $111 | $111 | 6.4× |
| Immunohistochemistry (88342) | $350 | $350 | 2.3× |
| India ink prep (87210) | $61 | $61 | 10.5× |
| Influenza a/b ag eia (87400) | $89.76 | $89.76 | 6.4× |
| Influenza DNA amp probe (87502) | $378.74 | $378.74 | 4.0× |
| Inhibin b (83520) | $92 | $92 | 5.3× |
| Insitu hybridization (fish) (88365) | $770 | $770 | 5.0× |
| Insulin antibodies (86337) | $154 | $154 | 7.2× |
| Insulin total (83525) | $105 | $105 | 9.2× |
| Interleukin 6 (83529) | $98.96 | $98.96 | 5.7× |
| Intrinsic factor antibody (86340) | $83 | $83 | 5.5× |
| Iron (83540) | $62 | $62 | 9.6× |
| Iron binding capacity (83550) | $73 | $73 | 8.4× |
| Islet cell antibody (86341) | $135 | $135 | 5.7× |
| Lactic acid (83605) | $313.50 | $313.50 | 27.1× |
| Ldh (83615) | $61 | $61 | 10.1× |
| Lead (83655) | $76 | $76 | 6.3× |
| Legionella antigen urine (87449) | $84.08 | $84.08 | 7.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $34 | $34 | 8.0× |
| Level v surg pathology grossµscopic exam (88307) | $350 | $350 | 1.1× |
| Lh (83002) | $158 | $158 | 8.5× |
| Lidocaine level (80176) | $144 | $144 | 9.8× |
| Lipase (83690) | $113 | $113 | 16.4× |
| Lithium (80178) | $117 | $117 | 17.7× |
| Lyme disease antibody (86618) | $147 | $147 | 8.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $350 | $350 | 2.3× |
| Magnesium (83735) | $78 | $78 | 11.6× |
| Manual reticulocyte count (85044) | $55 | $55 | 12.8× |
| Methotrexate (80299) | $88.20 | $88.20 | 4.7× |
| Methylmalonic acid serum (83921) | $116 | $116 | 5.5× |
| Microalbumin urine (82043) | $69 | $69 | 11.9× |
| Microsomal antibodies (86376) | $100 | $100 | 6.9× |
| Mthfr Gene Analysis Common Variants (81291) | $278.98 | $278.98 | 4.3× |
| Mycophenolic acid (80180) | $147.76 | $147.76 | 8.2× |
| Mycoplasma antibody (86738) | $120 | $120 | 9.1× |
| Mycoplasma DNA probe (87580) | $83 | $83 | 4.1× |
| Myoglobin urine (83874) | $147 | $147 | 11.4× |
| Natriuretic peptide (83880) | $209 | $209 | 5.3× |
| Nuclear antigen antibody (86235) | $147.92 | $147.92 | 8.2× |
| Occult blood stool (82272) | $37 | $37 | 8.7× |
| Osmolality serum (83930) | $83 | $83 | 12.6× |
| Osmolality urine (83935) | $84 | $84 | 12.3× |
| Ova and parasite direct-id lca (87177) | $93 | $93 | 10.4× |
| Oxalate urine (83945) | $114 | $114 | 7.9× |
| Pancreatic polypeptide (83519) | $101 | $101 | 5.5× |
| Particle Agglutination Screen Each Antibody (86403) | $55 | $55 | 4.8× |
| Parvovirus antibody (86747) | $55 | $55 | 3.7× |
| Phosphatase acid prostatic (84066) | $86 | $86 | 8.9× |
| Phosphatase alkaline (84075) | $44 | $44 | 8.5× |
| Phospholipid Neutralization Hexagonal (85598) | $40 | $40 | 2.2× |
| Phosphorus blood (84100) | $50 | $50 | 10.5× |
| Phosphorus urine (84105) | $49.40 | $49.40 | 8.5× |
| Platelet count (85049) | $61 | $61 | 13.6× |
| Porphyrins qn & fraction urine (84120) | $135 | $135 | 9.2× |
| Potassium (84132) | $50 | $50 | 10.5× |
| Potassium urine (84133) | $55 | $55 | 11.6× |
| Primidone (80188) | $95 | $95 | 5.7× |
| Procalcitonin (pct) (84145) | $180 | $180 | 6.6× |
| Progesterone (84144) | $130 | $130 | 6.2× |
| Prolactin (84146) | $168 | $168 | 8.7× |
| Protein body fluid (84157) | $74 | $74 | 18.5× |
| Protein c activity (85303) | $153 | $153 | 11.1× |
| Protein electrophoresis serum (84165) | $111 | $111 | 10.3× |
| Protein S Functional (85306) | $136 | $136 | 8.9× |
| Protein total by refractometry any source (84160) | $45 | $45 | 8.0× |
| Protein Total Serum (84155) | $36 | $36 | 9.8× |
| Protein urine (84156) | $57 | $57 | 15.5× |
| Quantiferon tb gold (86480) | $234 | $234 | 3.8× |
| Quinidine (80194) | $101 | $101 | 6.9× |
| Reagent strip/blood glucose (82948) | $24.44 | $24.44 | 4.8× |
| Renin activity plasma (84244) | $151 | $151 | 6.9× |
| Rheumatoid Factor Qual (86430) | $72 | $72 | 11.7× |
| Rickettsia antibody (86757) | $78.50 | $78.50 | 4.1× |
| Rpr Titer (86593) | $26.12 | $26.12 | 5.9× |
| Rubella antibody (86762) | $90 | $90 | 6.3× |
| Russell viper venom time diluted (85613) | $59 | $59 | 6.2× |
| Saccharomyces ab iga (86671) | $92 | $92 | 7.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $204 | $204 | 4.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $168.52 | $168.52 | 4.0× |
| Sedimentation rate (85651) | $53 | $53 | 12.4× |
| Sex hormone binding globulin (84270) | $173 | $173 | 8.0× |
| Sickle cell screen (85660) | $76 | $76 | 13.8× |
| Sirolimus (rapamycin) (80195) | $195 | $195 | 14.2× |
| Smear acid fast (87206) | $73 | $73 | 13.5× |
| Smear gram stain (87205) | $57 | $57 | 13.3× |
| Sodium (84295) | $41 | $41 | 8.5× |
| Sodium urine (84300) | $55 | $55 | 10.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $343 | $343 | 2.9× |
| Special stains group 1 (88312) | $350 | $350 | 7.4× |
| Specific gravity body fluid (84315) | $20 | $20 | 6.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $223 | $223 | 1.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $44 | $44 | 4.7× |
| Strep a assay w/optic (87880) | $79 | $79 | 4.8× |
| Strep a DNA amp probe (87651) | $180.06 | $180.06 | 5.1× |
| Sulfate urine (84392) | $34.20 | $34.20 | 6.2× |
| Surg path level iii (88304) | $166 | $166 | 3.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $92 | $92 | 3.5× |
| Surgical pathology level IV (88305) | $271 | $271 | 5.8× |
| Susceptibility study antimicrobial disk method (87184) | $76 | $76 | 10.2× |
| T3 free (84481) | $123 | $123 | 7.3× |
| T3 reverse (84482) | $113 | $113 | 7.2× |
| T3 total (84480) | $120 | $120 | 8.5× |
| T3 uptake (84479) | $73 | $73 | 11.3× |
| T4 Free (84439) | $98 | $98 | 10.9× |
| T4 total (84436) | $76 | $76 | 11.1× |
| T4-neonatal (84437) | $28 | $28 | 4.3× |
| Tb intradermal test (86580) | $52 | $52 | 2.0× |
| Test for acetone/ketones (82009) | $65 | $65 | 14.4× |
| Testosterone free (84402) | $208 | $208 | 8.2× |
| Testosterone total (84403) | $154 | $154 | 6.0× |
| Theophylline (80198) | $121 | $121 | 8.6× |
| Thin prep pap (88142) | $138 | $138 | 6.8× |
| Thyroglobulin Ab (86800) | $104 | $104 | 6.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $34 | $34 | 2.9× |
| Tobramycin peak (80200) | $156 | $156 | 9.7× |
| Toxoplasma ab igm (86778) | $74.45 | $74.45 | 5.2× |
| Toxoplasma antibody igg (86777) | $123 | $123 | 8.5× |
| Transferrin (84466) | $78 | $78 | 6.1× |
| Triglycerides (84478) | $61 | $61 | 10.6× |
| Troponin (84484) | $174 | $174 | 14.0× |
| Urea nitrogen (84520) | $37 | $37 | 9.4× |
| Urea nitrogen urine (84540) | $29 | $29 | 5.2× |
| Uric acid blood (84550) | $64 | $64 | 14.2× |
| Uric acid other source (84560) | $46 | $46 | 9.1× |
| Urinalysis microscopic only (81015) | $29 | $29 | 9.5× |
| Urinalysis w/microscopic (81001) | $64 | $64 | 20.2× |
| Urine pregnancy test (81025) | $86 | $86 | 10.0× |
| Urine volume measurement (81050) | $30 | $30 | 8.2× |
| Valproic acid level (80164) | $130 | $130 | 9.6× |
| Vancomycin trough (80202) | $156 | $156 | 11.5× |
| Varicella-zoster antibody (86787) | $118 | $118 | 9.2× |
| Vdrl csf (86592) | $58 | $58 | 13.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $198 | $198 | 5.8× |
| Vitamin b-12 (82607) | $120 | $120 | 8.0× |
| Vitamin b1 (thiamine) (84425) | $38 | $38 | 1.8× |
| Vitamin b6 (84207) | $140 | $140 | 5.0× |
| Vitamin C (82180) | $58.80 | $58.80 | 5.9× |
| Vitamin D 25-Hydroxy (82306) | $156 | $156 | 5.3× |
| West nile virus ab, igm (86788) | $165 | $165 | 9.8× |
| West nile virus antibody (86789) | $91.20 | $91.20 | 6.3× |
| Zinc (84630) | $17 | $17 | 1.5× |