Lab & pathology prices at Covenant Medical Center
Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.
316 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $291.48 | $694 | 6.1× |
| Albumin Fluid (82042) | $40.74 | $97 | 5.2× |
| Albumin serum (82040) | $26.04 | $62 | 5.3× |
| Allergen specific ige (86003) | $24.78 | $59 | 4.7× |
| Alpha-Fetoprotein Serum (82105) | $88.20 | $210 | 5.3× |
| Alt (sgpt) (84460) | $27.72 | $66 | 5.2× |
| Ammonia (82140) | $76.44 | $182 | 5.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $515.34 | $1,227 | 5.3× |
| Amylase urine (82150) | $34.02 | $81 | 5.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $110.46 | $263 | 6.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $72.66 | $173 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $86.52 | $206 | 4.8× |
| Antibody HIV-1&HIV-2 single result (86703) | $341.46 | $813 | 24.9× |
| Antibody HIV-2 (86702) | $113.82 | $271 | 8.4× |
| Antibody Titer (86886) | $116.76 | $278 | 22.5× |
| Antibody Treponema Pallidum (86780) | $63 | $150 | 4.8× |
| Antigen typing (86905) | $227.64 | $542 | 59.4× |
| Antinuclear antibodies (86038) | $57.54 | $137 | 4.8× |
| Antistreptolysin o titer (86060) | $9.24 | $22 | 1.3× |
| Antithrombin iii activity (85300) | $67.20 | $160 | 5.7× |
| Apolipoprotein a1 (82172) | $26.46 | $63 | 1.3× |
| Assay Blood Carbon Dioxide (82374) | $25.62 | $61 | 5.3× |
| Assay Nephelometry Not Spec (83883) | $71.40 | $170 | 5.3× |
| Assay of blood/uric acid (84550) | $23.94 | $57 | 5.3× |
| Assay of calcium in urine (82340) | $31.50 | $75 | 5.2× |
| Assay of cpk in blood (82552) | $39.06 | $93 | 2.9× |
| Assay of gammaglobulin igm (82784) | $48.72 | $116 | 5.2× |
| Assay of lactic acid (83605) | $60.90 | $145 | 5.3× |
| Assay of serum potassium (84132) | $25.20 | $60 | 5.3× |
| Assay of urea nitrogen (84520) | $20.58 | $49 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $18.90 | $45 | 5.3× |
| Automated Leukocyte Count (85048) | $14.28 | $34 | 5.6× |
| B cells total count (86355) | $179.76 | $428 | 4.8× |
| Beta Lactamase (87185) | $10.50 | $25 | 2.2× |
| Bilirubin direct (82248) | $26.46 | $63 | 5.3× |
| Bilirubin total (82247) | $26.46 | $63 | 5.3× |
| Bilirubin total transcutaneous (88720) | $6.30 | $15 | 1.3× |
| Blood gas (82803) | $136.92 | $326 | 5.3× |
| Blood gases w/02 saturation (82805) | $413.70 | $985 | 5.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $83.58 | $199 | 5.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $23.10 | $55 | 5.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $227.64 | $542 | 35.8× |
| Blood typing serologic abo (86900) | $87.36 | $208 | 29.2× |
| Body fluid cell count (89050) | $56.28 | $134 | 11.9× |
| C diff amplified probe (87493) | $155.82 | $371 | 4.2× |
| C-reactive protein (86140) | $24.78 | $59 | 4.8× |
| Calcium ionized (82330) | $71.82 | $171 | 5.3× |
| Calcium total (82310) | $27.30 | $65 | 5.3× |
| Cancer Antigen 125 (86304) | $99.12 | $236 | 4.8× |
| Cancer Antigen 27.29 (86300) | $99.12 | $236 | 4.8× |
| Candida Dna Dir Probe (87480) | $84 | $200 | 4.2× |
| Carbamazepine total (80156) | $23.10 | $55 | 1.6× |
| Carboxyhemoglobin (82375) | $105.42 | $251 | 8.6× |
| Carcinoembryonic antigen (82378) | $99.54 | $237 | 5.3× |
| Ccp antibody (86200) | $61.74 | $147 | 4.8× |
| Cell count csf (89051) | $8.82 | $21 | 1.6× |
| Chloride other source (82438) | $26.46 | $63 | 5.3× |
| Chloride Serum (82435) | $24.36 | $58 | 5.3× |
| Chloride urine (82436) | $30.24 | $72 | 5.3× |
| Cholesterol total (82465) | $22.68 | $54 | 5.2× |
| Chorionic gonadotropin test (84702) | $78.96 | $188 | 5.2× |
| Chromogenic Substrate Assay (85130) | $74.34 | $177 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $116.76 | $278 | 3.3× |
| Clostridium Difficile (87324) | $49.98 | $119 | 4.2× |
| Cns DNA amp probe type 12-25 (87483) | $525 | $1,250 | 1.3× |
| Coagulation time activated (85347) | $24.36 | $58 | 5.7× |
| Compatibility test antiglob (86922) | $116.76 | $278 | 0.7× |
| Complement Antigen Each Component (86160) | $57.12 | $136 | 4.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $413.70 | $985 | 2.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $138.18 | $329 | 2.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $94.08 | $224 | 2.5× |
| Coombs direct (86880) | $43.68 | $104 | 8.1× |
| Cortisol saliva (82533) | $85.68 | $204 | 5.3× |
| Creatine kinase total (82550) | $34.02 | $81 | 5.2× |
| Creatinine blood (82565) | $26.88 | $64 | 5.3× |
| Creatinine clearance (82575) | $49.56 | $118 | 5.2× |
| Creatinine Urine (82570) | $27.30 | $65 | 5.3× |
| Crossmatch electronic (86923) | $116.76 | $278 | 0.7× |
| Crossmatch immediate spin (86920) | $116.76 | $278 | 0.7× |
| Crp High Sensitivity (86141) | $61.74 | $147 | 4.8× |
| Cryptosporidium (87272) | $15.12 | $36 | 1.3× |
| Cryptosporidium ag eia (87328) | $57.96 | $138 | 4.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $33.60 | $80 | 4.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $33.60 | $80 | 4.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $36.12 | $86 | 4.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $374.64 | $892 | 1.7× |
| Culture Anaerobic (87075) | $39.48 | $94 | 4.2× |
| Culture blood (87040) | $43.26 | $103 | 4.2× |
| Culture csf (87070) | $36.12 | $86 | 4.2× |
| Culture fungus (87102) | $35.28 | $84 | 4.2× |
| Culture fungus blood (87103) | $85.68 | $204 | 4.2× |
| Culture screen only (87081) | $27.72 | $66 | 4.2× |
| Culture stool (87045) | $39.48 | $94 | 4.2× |
| Culture urine (87086) | $33.60 | $80 | 4.2× |
| Cyclosporine (80158) | $40.74 | $97 | 2.3× |
| Cytomegalovirus igg (86644) | $68.46 | $163 | 4.8× |
| Cytopath Cell Enhance Tech (88112) | $138.18 | $329 | 2.6× |
| Cytp Concentration Smears & Interpretation (88108) | $94.08 | $224 | 2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $138.18 | $329 | 2.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $413.70 | $985 | 2.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $94.08 | $224 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $68.46 | $163 | 2.4× |
| Detect Agent Nos Dna Amp (87798) | $146.58 | $349 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $88.62 | $211 | 1.3× |
| Digoxin (80162) | $21 | $50 | 1.6× |
| Dna Antibody Native/Double Stranded (86225) | $65.52 | $156 | 4.8× |
| Dna/Rna Amplified Probe (87150) | $146.58 | $349 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $140.70 | $335 | 2.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $345.66 | $823 | 27.4× |
| Electrolyte panel (80051) | $42.84 | $102 | 6.1× |
| Enzyme cell activity (82657) | $265.02 | $631 | 12.0× |
| Eosinophil Smear (89190) | $9.24 | $22 | 1.6× |
| Estradiol serum (82670) | $146.58 | $349 | 5.2× |
| Exam Synovial Fluid Crystals (89060) | $11.34 | $27 | 1.5× |
| Factor viii assay (85240) | $101.64 | $242 | 5.7× |
| Ferritin (82728) | $71.40 | $170 | 5.2× |
| Fetal Fibronectin (82731) | $338.10 | $805 | 5.2× |
| Fetal screen rosette (85461) | $243.18 | $579 | 26.0× |
| Fibrin degradation products (85362) | $39.06 | $93 | 5.7× |
| Fibrin Degradation Quant (85379) | $57.54 | $137 | 5.7× |
| Fibrinogen activity (85384) | $55.02 | $131 | 5.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $87.78 | $209 | 5.7× |
| Flow cytometry first marker (88184) | $252.42 | $601 | 0.7× |
| Folic Acid Serum (82746) | $77.28 | $184 | 5.3× |
| Follicle Stimulating Hormone (83001) | $97.44 | $232 | 5.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $116.76 | $278 | 0.7× |
| Frozen Section (88331) | $338.52 | $806 | 2.0× |
| Fungi Identification Mold (87107) | $43.26 | $103 | 4.2× |
| Fungi Identification Yeast (87106) | $43.26 | $103 | 4.2× |
| Gammaglobulin ige (82785) | $86.52 | $206 | 5.3× |
| Gardner vag DNA dir probe (87510) | $84 | $200 | 4.2× |
| Gentamicin (80170) | $25.62 | $61 | 1.6× |
| Ggt (82977) | $37.80 | $90 | 5.2× |
| Giardia antigen (87329) | $49.98 | $119 | 4.2× |
| Glucose 2 hr pp (82950) | $24.78 | $59 | 5.2× |
| Glucose Blood Test (82962) | $17.22 | $41 | 5.3× |
| Glucose body fluid (82945) | $20.58 | $49 | 5.2× |
| Glucose Serum (82947) | $20.58 | $49 | 5.2× |
| Glucose tolerance test (gtt) (82951) | $67.62 | $161 | 5.3× |
| Gonadotropin Chorionic Qualitative (84703) | $39.48 | $94 | 5.3× |
| Gtt-added samples (82952) | $20.58 | $49 | 5.3× |
| H Pylori (C-13) Breath (83013) | $353.64 | $842 | 5.3× |
| H Pylori Drug Admin (83014) | $41.16 | $98 | 5.2× |
| Haptoglobin (83010) | $65.94 | $157 | 5.2× |
| Hdl Cholesterol (83718) | $42.84 | $102 | 5.2× |
| Hematocrit (85014) | $13.44 | $32 | 5.7× |
| Hemoglobin (85018) | $13.44 | $32 | 5.7× |
| Hemoglobin a1c (83036) | $50.82 | $121 | 5.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $140.28 | $334 | 17.1× |
| Hemoglobin plasma (83051) | $38.22 | $91 | 5.2× |
| Hep a ab igm (86709) | $53.76 | $128 | 4.8× |
| Heparin assay (85520) | $74.34 | $177 | 5.7× |
| Heparin-Protamine Tolerance Tst (85530) | $74.34 | $177 | 5.7× |
| Hepatitis a antibody total (86708) | $59.22 | $141 | 4.8× |
| Hepatitis b core ab igm (86705) | $55.86 | $133 | 4.7× |
| Hepatitis b core ab total (86704) | $57.54 | $137 | 4.8× |
| Hepatitis B Surface Antibody (86706) | $51.24 | $122 | 4.8× |
| Hepatitis B Surface Antigen (87340) | $43.26 | $103 | 4.2× |
| Hepatitis C Antibody (86803) | $68.04 | $162 | 4.8× |
| Heterophile Antibody Screen (86308) | $24.78 | $59 | 4.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $43.68 | $104 | 5.7× |
| Hiv Antigen W/Hiv Antibodies (87806) | $136.92 | $326 | 4.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $100.80 | $240 | 4.2× |
| Hiv-1 Antibody (86701) | $74.76 | $178 | 8.4× |
| HIV-1 p24 antigen (87390) | $186.48 | $444 | 7.8× |
| Homocysteine (83090) | $94.08 | $224 | 5.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $17.64 | $42 | 1.3× |
| Iaad ia shiga-like toxin (87427) | $49.98 | $119 | 4.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $44.10 | $105 | 1.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $122.64 | $292 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $146.58 | $349 | 4.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $116.76 | $278 | 3.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $179.76 | $428 | 1.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $944.16 | $2,248 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $808.08 | $1,924 | 2.2× |
| Immunfix e-phorsis/urine/csf (86335) | $139.86 | $333 | 4.8× |
| Immunoassay nonantibody (83516) | $60.48 | $144 | 5.2× |
| Immunofixation electrophoresis (86334) | $106.26 | $253 | 4.8× |
| Immunohistochemistry (88342) | $413.70 | $985 | 2.4× |
| In situ hybridization 1st probe stain (88365) | $413.70 | $985 | 2.4× |
| Influenza assay w/optic (87804) | $69.30 | $165 | 4.2× |
| Influenza DNA amp probe (87502) | $92.82 | $221 | 1.0× |
| Inhibin b (83520) | $45.36 | $108 | 2.6× |
| Insulin total (83525) | $60.06 | $143 | 5.3× |
| Iron (83540) | $34.02 | $81 | 5.3× |
| Iron Binding Capacity (83550) | $45.78 | $109 | 5.2× |
| Koh Prep (87220) | $18.06 | $43 | 4.2× |
| Lactate (ld) (ldh) enzyme (83615) | $31.92 | $76 | 5.3× |
| Lactoferrin fecal qualitative (83630) | $103.32 | $246 | 5.2× |
| LDL direct (83721) | $55.02 | $131 | 5.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $68.46 | $163 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $68.46 | $163 | 1.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $680.40 | $1,620 | 1.9× |
| Lipase (83690) | $36.12 | $86 | 5.2× |
| Lithium (80178) | $10.50 | $25 | 1.6× |
| Luteinizing Hormone (Lh) (83002) | $97.44 | $232 | 5.3× |
| Magnesium Urine (83735) | $35.28 | $84 | 5.3× |
| Metabolic panel ionized ca (80047) | $84 | $200 | 6.1× |
| Methotrexate (80204) | $87.36 | $208 | 2.3× |
| Microalbumin, quantitative (82043) | $30.24 | $72 | 5.2× |
| Mrsa Pcr (87641) | $44.10 | $105 | 1.3× |
| Natriuretic peptide (83880) | $206.22 | $491 | 5.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $179.76 | $428 | 0.7× |
| Nk cells total count (86357) | $179.76 | $428 | 4.8× |
| Nuclear antigen antibody (86235) | $85.26 | $203 | 4.8× |
| Occult blood feces (82272) | $22.26 | $53 | 5.3× |
| Occult Blood Other Sources (82271) | $28.14 | $67 | 5.3× |
| Osmolality serum (83930) | $34.86 | $83 | 5.3× |
| Osmolality Urine (83935) | $35.70 | $85 | 5.2× |
| Particle Agglut Antbdy Titr (86406) | $50.82 | $121 | 4.8× |
| Particle Agglutination Screen Each Antibody (86403) | $55.02 | $131 | 4.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,820.28 | $4,334 | 2.2× |
| Ph urine (81003) | $17.22 | $41 | 7.7× |
| Phenobarbital Level (80184) | $23.94 | $57 | 1.6× |
| Phenytoin (Dilantin) (80185) | $21 | $50 | 1.6× |
| Phosphatase alkaline (84075) | $27.30 | $65 | 5.3× |
| Phosphorus Serum (84100) | $24.78 | $59 | 5.2× |
| Phosphorus urine (84105) | $30.24 | $72 | 5.2× |
| Pinworm exam (87172) | $22.26 | $53 | 5.2× |
| Platelet Aggregation (85576) | $141.12 | $336 | 5.7× |
| Platelet Antibodies (86022) | $87.36 | $208 | 4.8× |
| Platelet count automated (85049) | $25.20 | $60 | 5.6× |
| Pooling blood platelets (86965) | $93.66 | $223 | 0.5× |
| Potassium Urine (84133) | $24.78 | $59 | 5.2× |
| Prealbumin (84134) | $76.44 | $182 | 5.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $26.46 | $63 | 0.4× |
| Procalcitonin (Pct) (84145) | $142.80 | $340 | 5.2× |
| Progesterone (84144) | $109.62 | $261 | 5.3× |
| Prolactin (84146) | $101.64 | $242 | 5.2× |
| Protein body fluid (84157) | $21 | $50 | 5.3× |
| Protein Electrophoresis Urine (84166) | $93.66 | $223 | 5.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $56.28 | $134 | 5.2× |
| Protein total serum (84155) | $19.32 | $46 | 5.3× |
| Protein Total Urine (84156) | $19.32 | $46 | 5.3× |
| Pth Intact (83970) | $216.72 | $516 | 5.3× |
| Quantitative assay drug (80299) | $29.40 | $70 | 1.6× |
| Rbc antibody elution (86860) | $116.76 | $278 | 0.7× |
| Rbc antibody identification (86870) | $227.64 | $542 | 0.6× |
| Rbc antibody screen (86850) | $39.06 | $93 | 4.0× |
| Resp virus 12-25 targets (87633) | $858.06 | $2,043 | 2.1× |
| Reticulated Platelet Assay (85055) | $235.62 | $561 | 6.6× |
| Reticulocyte Count (85046) | $31.50 | $75 | 5.7× |
| Rh (86901) | $26.46 | $63 | 8.8× |
| Rheumatoid factor quant (86431) | $26.88 | $64 | 4.7× |
| Ristocetin cofactor (85245) | $128.52 | $306 | 5.6× |
| Rotavirus ag eia (87425) | $36.12 | $86 | 3.0× |
| Rpr qualitative (86592) | $20.16 | $48 | 4.7× |
| Rsv Assay W/Optic (87807) | $54.60 | $130 | 4.2× |
| Rubella Antibody (86762) | $68.46 | $163 | 4.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $92.40 | $220 | 1.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $63 | $150 | 1.5× |
| Sarscov2 & inf a&b amp prb (87636) | $89.88 | $214 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $89.88 | $214 | 0.6× |
| Sedimentation rate (85651) | $24.36 | $58 | 5.7× |
| Sedimentation Rate, Automated (85652) | $15.12 | $36 | 5.6× |
| Semen Anal Sperm Detection (89321) | $18.90 | $45 | 1.6× |
| Semen analysis complete (89322) | $19.32 | $46 | 1.2× |
| Sensitivity mic (87186) | $36.12 | $86 | 4.2× |
| Sickling of rbc reduction (85660) | $31.08 | $74 | 5.6× |
| Sirolimus (80195) | $21.42 | $51 | 1.6× |
| Smear acid fast (87206) | $19.74 | $47 | 3.7× |
| Smear gram stain (87205) | $18.06 | $43 | 4.2× |
| Smear Special Stain (87207) | $25.20 | $60 | 4.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $24.36 | $58 | 4.2× |
| Sodium Serum (84295) | $25.20 | $60 | 5.2× |
| Sodium Urine (84300) | $26.46 | $63 | 5.2× |
| Special Stains Group 1 (88312) | $138.18 | $329 | 2.6× |
| Special Stains Group 2 (88313) | $94.08 | $224 | 0.7× |
| Specimen infect agnt concntj (87015) | $9.66 | $23 | 1.4× |
| Splitting Blood/Blood Products Each Unit (86985) | $116.76 | $278 | 0.7× |
| Staph a DNA amp probe (87640) | $53.34 | $127 | 1.5× |
| Stem cells total count (86367) | $370.44 | $882 | 4.8× |
| Stool cultr aerobic bact ea (87046) | $39.48 | $94 | 4.2× |
| Strep a assay w/optic (87880) | $69.30 | $165 | 4.2× |
| Strep a DNA amp probe (87651) | $50.82 | $121 | 1.4× |
| Strep b DNA amp probe (87653) | $146.58 | $349 | 4.2× |
| Surg path level iii (88304) | $138.18 | $329 | 2.6× |
| Surgical pathology level IV (88305) | $138.18 | $329 | 2.6× |
| Surgical pathology level vi (88309) | $1,764 | $4,200 | 2.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $19.74 | $47 | 4.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $31.08 | $74 | 4.2× |
| Sweat Collection Iontophoresis (89230) | $71.40 | $170 | 1.4× |
| Syphilis Test Non-Trep Quant (86593) | $21 | $50 | 4.8× |
| T cells absolute cd4 count (86361) | $127.68 | $304 | 4.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $223.86 | $533 | 4.8× |
| T cells total count (86359) | $179.76 | $428 | 4.8× |
| T3 Free (84481) | $10.92 | $26 | 0.6× |
| T3 Total (84480) | $74.34 | $177 | 5.2× |
| T3 Uptake (84479) | $34.02 | $81 | 5.3× |
| T4 Free (84439) | $47.46 | $113 | 5.3× |
| T4 total (84436) | $36.12 | $86 | 5.3× |
| Tacrolimus (80197) | $21.42 | $51 | 1.6× |
| Test for acetone/ketones (82009) | $23.94 | $57 | 5.3× |
| Testosterone total (84403) | $135.66 | $323 | 5.3× |
| Theophylline (80198) | $22.26 | $53 | 1.6× |
| Thrombin Time (85670) | $32.76 | $78 | 5.7× |
| Tobramycin peak (80200) | $25.20 | $60 | 1.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.30 | $65 | 5.3× |
| Transferrin (84466) | $67.20 | $160 | 5.3× |
| Trichomonas vagin dir probe (87660) | $84 | $200 | 4.2× |
| Trichomonas Vaginalis Amplif (87661) | $146.58 | $349 | 4.2× |
| Triglycerides (84478) | $30.24 | $72 | 5.3× |
| Troponin Quant (84484) | $65.52 | $156 | 5.3× |
| Tumor Immunohistochem/Manual (88360) | $413.70 | $985 | 2.4× |
| Urea nitrogen urine (84540) | $29.40 | $70 | 5.3× |
| Uric acid other source (84560) | $26.88 | $64 | 5.3× |
| Urinalysis Microscopic Only (81015) | $23.10 | $55 | 7.6× |
| Urinalysis Volume Measure (81050) | $27.72 | $66 | 7.6× |
| Urine Pregnancy Test (81025) | $65.10 | $155 | 7.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $23.94 | $57 | 7.6× |
| Valproic acid (80164) | $21.42 | $51 | 1.6× |
| Vancomycin (80202) | $21.42 | $51 | 1.6× |
| Vitamin b-12 (82607) | $79.38 | $189 | 5.3× |
| Vitamin D 25-Hydroxy (82306) | $155.40 | $370 | 5.3× |
| Von willebrand factor ag (85246) | $130.20 | $310 | 5.7× |
| Wbc Alkaline Phosphatase Count (85540) | $48.72 | $116 | 5.7× |