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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $229 | $229 | 5.9× |
| Acute hepatitis panel (80074) | $373 | $373 | 7.8× |
| Agglutinins Febrile Each Antigen (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× |
| Anca screen each antibody (86036) | $150 | $150 | 12.4× |
| Angiotensin converting enzyme csf (82164) | $87.88 | $87.88 | 6.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $144 | $144 | 8.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $53 | $53 | 2.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $92 | $92 | 7.5× |
| 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 htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$143–$145 | $143–$145 | varies |
| Antibody Treponema Pallidum (86780) | $97 | $97 | 7.3× |
| Antigen typing (86905) | $113 | $113 | 29.5× |
| Antinuclear antibodies (86038) | $107 | $107 | 8.9× |
| Antistreptolysin o titer (86060) | $70 | $70 | 9.6× |
| Antithrombin iii activity (85300) | $144 | $144 | 12.2× |
| Assay Blood Carbon Dioxide (82374) | $40 | $40 | 8.2× |
| Assay of 5-hiaa (83497) | $95 | $95 | 7.4× |
| Assay of blood/uric acid (84550) | $64 | $64 | 14.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$25–$81 | $25–$81 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$132–$495 | $132–$495 | varies |
| Assay of metanephrines (83835) | $149 | $149 | 8.8× |
| Assay of phosphatase acid total (84060) | $121 | $121 | 15.8× |
| Assay of procainamide (80190) | $93 | $93 | 1.6× |
| Assay of prostate specific antigen complexed (84152) | $129 | $129 | 7.0× |
| Assay of serum potassium (84132) | $50 | $50 | 10.5× |
| Assay of urea nitrogen (84520) | $37 | $37 | 9.4× |
| Assay of urine vma (84585) | $115 | $115 | 7.4× |
| Assay of vitamin b-1 (84425) | $38 | $38 | 1.8× |
| Assay Ph Body Fluid Nos (83986) | $41 | $41 | 11.5× |
| Automated Leukocyte Count (85048) | $33 | $33 | 13.0× |
| Bartonella antibody (86611) | $88 | $88 | 8.6× |
| Beta 2 glycoprotein i antibody each (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× |
| Blood Count Red Blood Cell Automated (85041) | $26 | $26 | 8.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$30–$83 | $30–$83 | varies |
| Blood gas (82803) | $240 | $240 | 9.2× |
| Blood typing serologic abo (86900) | $110 | $110 | 36.8× |
| Brca1&2 gen full seq dup/del (81162) | $3,771.42 | $3,771.42 | 2.1× |
| C-Peptide (84681) | $130 | $130 | 6.2× |
| C-reactive protein (86140) | $103 | $103 | 19.9× |
| Ca 19-9 (86301) | $140 | $140 | 6.7× |
| Calcium total (82310) | $44 | $44 | 8.5× |
| Calculus Spectroscopy (82365) | $120 | $120 | 9.3× |
| Calprotectin Fecal (83993) | $146 | $146 | 7.4× |
| Cancer Antigen 125 (86304) | $178 | $178 | 8.6× |
| Cancer Antigen 27.29 (86300) | $156 | $156 | 7.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$140–$150 | $140–$150 | varies |
| Carboxyhemoglobin (82375) | $94 | $94 | 7.6× |
| Carcinoembryonic antigen (82378) | $175 | $175 | 9.2× |
| Cardiolipin ab iga (86147) | $183 | $183 | 7.2× |
| Catecholamines fractionated (82384) | $212.63 | $212.63 | 8.4× |
| Catecholamines total urine (82382) | $186 | $186 | 6.8× |
| Ccp antibody (86200) | $72 | $72 | 5.6× |
| Cell count csf (89051) | $117 | $117 | 20.9× |
| Ceruloplasmin (82390) | $96 | $96 | 8.9× |
| Chemiluminescent assay (82397) | $108 | $108 | 7.6× |
| Chloride Serum (82435) | $48 | $48 | 10.4× |
| Cholesterol total (82465) | $56 | $56 | 12.9× |
| Chorionic gonadotropin test (84702) | $163 | $163 | 10.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $160 | $160 | 4.6× |
| Citric acid urine (82507) | $206.15 | $206.15 | 7.4× |
| Ckmb (82553) | $165 | $165 | 14.3× |
| Clostridium Difficile (87324) | $122 | $122 | 10.2× |
| Cold agglutinin screen (86156) | $73 | $73 | 9.0× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$51–$198 | $51–$198 | varies |
| Compatibility test antiglob (86922) | $220 | $220 | 1.4× |
| Complement Antigen Each Component (86160) | $78 | $78 | 6.5× |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$135–$139 | $135–$139 | varies |
| Complement/Function Activity (86161) | $88 | $88 | 7.3× |
| Coombs direct (86880) | $70 | $70 | 13.0× |
| Cortisol free (82530) | $165 | $165 | 9.9× |
| Cortisol saliva (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 Urine (82570) | $53 | $53 | 10.2× |
| Crp High Sensitivity (86141) | $92 | $92 | 7.1× |
| Cryptococcus ag titer (87899) | $76.08 | $76.08 | 4.7× |
| Cryptosporidium (87272) | $12 | $12 | 1.0× |
| Culture afb (87116) | $151 | $151 | 14.0× |
| Culture Anaerobic (87075) | $150 | $150 | 15.8× |
| Culture blood (87040) | $200 | $200 | 19.4× |
| Culture chlamydia (87110) | $134 | $134 | 6.8× |
| Culture csf (87070) range across 8 matching MRF lines |
$128–$200 | $128–$200 | varies |
| Culture fungus (87102) | $141 | $141 | 16.8× |
| Culture screen only (87081) | $66 | $66 | 10.0× |
| Culture stool (87045) | $200 | $200 | 21.2× |
| Culture urine (87086) | $200 | $200 | 24.8× |
| Cyclosporine (80158) | $206 | $206 | 11.4× |
| Cystatin C (82610) | $124 | $124 | 6.7× |
| Cytomegalovirus igg (86644) | $130 | $130 | 9.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $138 | $138 | 6.8× |
| Cytopath Cell Enhance Tech (88112) | $301 | $301 | 6.4× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $119 | $119 | 2.4× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $133 | $133 | 7.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $136.55 | $136.55 | 5.1× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $138 | $138 | 6.0× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $96 | $96 | 5.2× |
| Detect Agent Nos Dna Amp (87798) | $253.26 | $253.26 | 7.2× |
| Detect Agent Nos Dna Quant (87799) | $154 | $154 | 3.6× |
| Dgp Antibody Each Ig Class (86258) | $171 | $171 | 14.2× |
| Dhea-S (82627) | $54 | $54 | 2.4× |
| Digoxin (80162) | $120 | $120 | 9.0× |
| Dna Antibody Native/Double Stranded (86225) | $118 | $118 | 8.6× |
| Drug assay adalimumab (80145) | $168 | $168 | 4.4× |
| Drug Screen Quant Zonisamide (80203) | $119 | $119 | 9.0× |
| Drug Screen Quantitative Gabapentin (80171) | $145 | $145 | 6.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $182 | $182 | 13.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $91.20 | $91.20 | 6.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $78.20 | $78.20 | 6.2× |
| Drug Test Prsmv Instrmnt (80306) | $267 | $267 | 15.6× |
| El-1 Fecal Quantitative (82653) | $91.88 | $91.88 | 4.0× |
| Electrolyte panel (80051) | $87 | $87 | 12.4× |
| Estradiol serum (82670) | $133 | $133 | 4.8× |
| Estrogen total (82672) | $50 | $50 | 2.3× |
| Exam Synovial Fluid Crystals (89060) | $76 | $76 | 10.4× |
| Factor v leiden mutation (81241) | $246 | $246 | 3.4× |
| Fat stain feces urine/respir secretions (89125) | $50 | $50 | 8.5× |
| Fecal Fat Qualitative (82705) | $36 | $36 | 7.1× |
| Ferritin (82728) | $125 | $125 | 9.2× |
| Fibrin Degradation Quant (85379) | $155 | $155 | 15.2× |
| Flow cytometry first marker (88184) | $366 | $366 | 1.1× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$69–$121 | $69–$121 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $69 | $69 | 5.7× |
| Folic Acid 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× |
| Gastrin (82941) | $75 | $75 | 4.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $416.78 | $416.78 | 1.0× |
| Genet Virus Isolate Hsv (87255) | $198 | $198 | 5.8× |
| Gentamicin (80170) | $154 | $154 | 9.4× |
| Ggt (82977) range across 2 matching MRF lines |
$44–$66 | $44–$66 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$75–$88 | $75–$88 | varies |
| Giardia lamblia antibody (86674) | $82 | $82 | 5.6× |
| Glucose body fluid (82945) | $68 | $68 | 17.3× |
| Glucose Serum (82947) | $41 | $41 | 10.4× |
| Glucose tolerance test (gtt) (82951) | $127 | $127 | 9.9× |
| Gonadotropin Chorionic Qualitative (84703) | $121 | $121 | 16.1× |
| Gtt-added samples (82952) | $55 | $55 | 14.0× |
| H Pylori (C-13) Breath (83013) | $337.93 | $337.93 | 5.0× |
| Haloperidol (80173) | $116 | $116 | 7.4× |
| Haptoglobin (83010) | $109 | $109 | 8.7× |
| Hdl Cholesterol (83718) | $66 | $66 | 8.1× |
| Heavy metal qualitative any analytes (83015) | $116 | $116 | 5.5× |
| Helicobacter Pylori Stool (87338) | $200 | $200 | 13.9× |
| 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× |
| Hep a ab igm (86709) | $108 | $108 | 9.6× |
| Heparin Neutralization (85525) | $87 | $87 | 7.3× |
| Hepatitis a antibody total (86708) | $107 | $107 | 8.6× |
| Hepatitis b core ab igm (86705) | $108 | $108 | 9.2× |
| Hepatitis b core ab total (86704) | $116 | $116 | 9.6× |
| Hepatitis B Surface Antibody (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× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$406–$429 | $406–$429 | varies |
| Herpes simplex type 2 (86696) | $176 | $176 | 9.1× |
| Heterophile Antibody Screen (86308) | $76 | $76 | 14.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $172 | $172 | 7.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $427 | $427 | 5.0× |
| Hla ii typing 1 locus lr (81376) | $339.88 | $339.88 | 2.8× |
| Hla-b27 (86812) | $83 | $83 | 3.2× |
| Homocysteine (83090) | $123.03 | $123.03 | 6.9× |
| Hpv High-Risk Types (87624) | $199.50 | $199.50 | 5.7× |
| Hsv Dna Amp Probe (87529) | $226.10 | $226.10 | 6.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $169 | $169 | 12.1× |
| 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 giardia (87269) | $99 | $99 | 7.3× |
| Iaadi inffluenza a virus (87276) | $99 | $99 | 6.2× |
| Iaadi respiratory synctial virus (87280) | $98.80 | $98.80 | 7.4× |
| Iadna Bartonella Amplified Probe Technique (87471) | $289.44 | $289.44 | 8.2× |
| Iadna Cytomegalovirus Quantification (87497) | $279 | $279 | 6.5× |
| 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 Herpes Virus-6 Amplified Probe Tq (87532) | $80 | $80 | 2.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $158 | $158 | 4.5× |
| Ig Light Chains Free Each (83521) | $111 | $111 | 6.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $101 | $101 | 5.5× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$34–$112 | $34–$112 | varies |
| Immunoelectrophoresis Serum (86320) | $216 | $216 | 7.2× |
| Immunofixation electrophoresis (86334) | $149 | $149 | 6.7× |
| Immunohistochemistry (88342) | $350 | $350 | 2.3× |
| In situ hybridization 1st probe stain (88365) | $770 | $770 | 5.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $98.96 | $98.96 | 8.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) | $83 | $83 | 4.1× |
| Influenza a/b ag eia (87400) | $89.76 | $89.76 | 6.4× |
| Influenza assay w/optic (87804) | $101 | $101 | 6.1× |
| Influenza DNA amp probe (87502) | $378.74 | $378.74 | 4.0× |
| Inhibin b (83520) | $92 | $92 | 5.3× |
| 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× |
| Lactate (ld) (ldh) enzyme (83615) | $61 | $61 | 10.1× |
| Lead (83655) | $76 | $76 | 6.3× |
| Legionella antigen urine (87449) | $84.08 | $84.08 | 7.0× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$10–$58 | $10–$58 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $92 | $92 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $350 | $350 | 1.1× |
| Lidocaine (80176) | $144 | $144 | 9.8× |
| Lipase (83690) | $113 | $113 | 16.4× |
| Lithium (80178) | $117 | $117 | 17.7× |
| Luteinizing Hormone (Lh) (83002) | $158 | $158 | 8.5× |
| Lyme disease antibody (86618) | $147 | $147 | 8.6× |
| Magnesium Urine (83735) | $78 | $78 | 11.6× |
| Methylmalonic acid serum (83921) | $116 | $116 | 5.5× |
| Microalbumin, quantitative (82043) | $69 | $69 | 11.9× |
| Microsomal Antibodies Each (86376) | $100 | $100 | 6.9× |
| Mthfr Gene Analysis Common Variants (81291) | $278.98 | $278.98 | 4.3× |
| Mumps antibody (86735) | $117 | $117 | 9.0× |
| Mycophenolic Acid (80180) | $147.76 | $147.76 | 8.2× |
| Mycoplasma antibody (86738) | $120 | $120 | 9.1× |
| Myoglobin urine (83874) | $147 | $147 | 11.4× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$192–$226 | $192–$226 | varies |
| Nuclear antigen antibody (86235) | $147.92 | $147.92 | 8.2× |
| Occult blood feces (82272) | $37 | $37 | 8.7× |
| Osmolality serum (83930) | $83 | $83 | 12.6× |
| Osmolality Urine (83935) | $84 | $84 | 12.3× |
| Ova and parasites smears (87177) | $93 | $93 | 10.4× |
| Oxalate urine (83945) | $114 | $114 | 7.9× |
| Particle Agglutination Screen Each Antibody (86403) | $55 | $55 | 4.8× |
| Parvovirus antibody (86747) | $55 | $55 | 3.7× |
| Phenobarbital Level (80184) | $120 | $120 | 7.8× |
| Phenytoin (Dilantin) (80185) | $130 | $130 | 9.8× |
| Phosphatase acid prostatic (84066) | $86 | $86 | 8.9× |
| Phosphatase alkaline (84075) | $44 | $44 | 8.5× |
| Phospholipid Neutralization Hexagonal (85598) | $40 | $40 | 2.2× |
| Phosphorus Serum (84100) | $50 | $50 | 10.5× |
| Phosphorus urine (84105) | $49.40 | $49.40 | 8.5× |
| Platelet count automated (85049) | $61 | $61 | 13.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $135 | $135 | 9.2× |
| Potassium Urine (84133) | $55 | $55 | 11.6× |
| Prealbumin (84134) | $102 | $102 | 7.0× |
| 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 Electrophoretic Fractj&Quantj Serum (84165) | $111 | $111 | 10.3× |
| Protein S Free (85306) | $136 | $136 | 8.9× |
| Protein Total Refractometry Any Src (84160) | $45 | $45 | 8.0× |
| Protein total serum (84155) | $36 | $36 | 9.8× |
| Protein Total Urine (84156) | $57 | $57 | 15.5× |
| Pth Intact (83970) | $244 | $244 | 5.9× |
| Q Fever Antibody (86638) | $35 | $35 | 2.9× |
| Quantiferon tb gold plus (86480) | $234 | $234 | 3.8× |
| Quantitative assay drug (80299) | $88.20 | $88.20 | 4.7× |
| Quantitative Screen Metals (83018) | $107.63 | $107.63 | 4.9× |
| Quinidine (80194) | $101 | $101 | 6.9× |
| Rbc antibody screen (86850) | $165 | $165 | 16.9× |
| Reagent Strip/Blood Glucose (82948) | $24.44 | $24.44 | 4.8× |
| Renin activity plasma (84244) | $151 | $151 | 6.9× |
| Reticulocyte Count Manual (85044) | $55 | $55 | 12.8× |
| Rh (86901) | $110 | $110 | 36.8× |
| Rheumatoid Factor Qualitative (86430) | $72 | $72 | 11.7× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$44–$156 | $44–$156 | varies |
| Rotavirus ag eia (87425) | $146 | $146 | 12.2× |
| Rpr qualitative (86592) | $58 | $58 | 13.6× |
| Rubella Antibody (86762) | $90 | $90 | 6.3× |
| Rubeola antibody (86765) | $75.44 | $75.44 | 5.9× |
| Russell Viper Venom Time Diluted (85613) | $59 | $59 | 6.2× |
| 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× |
| Sickling of rbc reduction (85660) | $76 | $76 | 13.8× |
| Sirolimus (80195) | $195 | $195 | 14.2× |
| Skin test tuberculosis intradermal (86580) | $52 | $52 | 2.0× |
| Smear acid fast (87206) | $73 | $73 | 13.5× |
| Smear gram stain (87205) | $57 | $57 | 13.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $61 | $61 | 10.5× |
| Sodium Serum (84295) | $41 | $41 | 8.5× |
| Sodium Urine (84300) | $55 | $55 | 10.9× |
| Somatomedin (84305) | $197 | $197 | 9.3× |
| Special Stains Group 1 (88312) | $350 | $350 | 7.4× |
| Special Stains Group 2 (88313) | $343 | $343 | 2.9× |
| 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× |
| Surgical pathology level IV (88305) | $271 | $271 | 5.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $76 | $76 | 10.2× |
| Syphilis Test Non-Trep Quant (86593) | $26.12 | $26.12 | 5.9× |
| T cells absolute cd4 count (86361) | $200 | $200 | 7.5× |
| 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× |
| Tacrolimus (80197) | $190 | $190 | 13.8× |
| Test for acetone/ketones (82009) | $65 | $65 | 14.4× |
| Testosterone total (84403) | $154 | $154 | 6.0× |
| Testosterone, Free (84402) | $208 | $208 | 8.2× |
| Theophylline (80198) | $121 | $121 | 8.6× |
| Thyroglobulin Antibody (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 (86777) | $123 | $123 | 8.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $64 | $64 | 12.4× |
| Transferrin (84466) | $78 | $78 | 6.1× |
| Trichomonas Vaginalis Amplif (87661) | $227.50 | $227.50 | 6.5× |
| Triglycerides (84478) | $61 | $61 | 10.6× |
| Troponin Quant (84484) | $174 | $174 | 14.0× |
| Tumor Immunohistochem/Manual (88360) | $350 | $350 | 2.3× |
| Urea nitrogen urine (84540) | $29 | $29 | 5.2× |
| Uric acid other source (84560) | $46 | $46 | 9.1× |
| Urinalysis Microscopic Only (81015) | $29 | $29 | 9.5× |
| Urinalysis Volume Measure (81050) | $30 | $30 | 8.2× |
| Urine Pregnancy Test (81025) | $86 | $86 | 10.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $64 | $64 | 20.2× |
| Valproic acid (80164) | $130 | $130 | 9.6× |
| Vancomycin (80202) | $156 | $156 | 11.5× |
| Varicella-zoster antibody (86787) | $118 | $118 | 9.2× |
| Vit D 1 25-Dihydroxy (82652) | $291.36 | $291.36 | 7.6× |
| Vitamin b-12 (82607) | $120 | $120 | 8.0× |
| 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× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.