Lab & pathology prices at Ellsworth County Medical Center
Ellsworth, KS · every code in this section with a posted price and a Medicare benchmark.
346 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) | $180 | $180 | 4.7× |
| 5 Hiaa (83497) | $65 | $65 | 5.0× |
| Acetaminophen level (80143) | $75.25 | $75.25 | 4.0× |
| Actin smooth muscle antibody each (86015) | $74 | $74 | 6.1× |
| Albumin serum (82040) | $46 | $46 | 9.3× |
| Aldolase (82085) | $69 | $69 | 7.1× |
| Aldosterone urine (82088) | $173 | $173 | 4.2× |
| Alkaline phosphatase isoenzymes (84080) | $130 | $130 | 8.8× |
| Allergen specific ige (86003) | $22 | $22 | 4.2× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $72 | $72 | 9.0× |
| Alpha-1-antitrypsin, total (82103) | $114 | $114 | 8.5× |
| Alpha-fetoprotein, serum (82105) | $119 | $119 | 7.1× |
| Alt (sgpt) (84460) | $45 | $45 | 8.5× |
| Ammonia (82140) | $125.50 | $125.50 | 8.6× |
| Amylase urine (82150) | $56 | $56 | 8.6× |
| Angiotensin i enzyme test (82164) | $70 | $70 | 4.8× |
| Antibody Absorption (86978) | $216 | $216 | 4.0× |
| Antibody cytomegalovirus cmv (86644) | $91.50 | $91.50 | 6.4× |
| Antibody cytomegalovirus cmv igm (86645) | $162 | $162 | 9.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $74.25 | $74.25 | 5.7× |
| Antibody helicobacter pylori (86677) | $70 | $70 | 4.2× |
| Antibody herpes smplx type 1 (86695) | $56 | $56 | 4.2× |
| Antibody HIV-2 (86702) | $82 | $82 | 6.1× |
| Antibody identification (86870) | $147 | $147 | 0.4× |
| Antibody mumps (86735) | $147 | $147 | 11.3× |
| Antibody rubeola (86765) | $154 | $154 | 12.0× |
| Antibody; Coccidioides (86635) | $153 | $153 | 13.3× |
| Antigen typing (86905) | $111 | $111 | 29.0× |
| Antinuclear antibodies (86038) | $75 | $75 | 6.2× |
| Antistreptolysin o titer (86060) | $17 | $17 | 2.3× |
| Antithrombin iii activity (85300) | $99 | $99 | 8.4× |
| Apolipoprotein b (82172) | $115 | $115 | 5.5× |
| Assay Nephelometry Not Spec (83883) | $99 | $99 | 7.3× |
| Assay of acth (82024) | $253 | $253 | 6.6× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $75.25 | $75.25 | 4.4× |
| Assay of androstenedione (82157) | $269 | $269 | 9.2× |
| Assay of blood chloride (82435) | $39.50 | $39.50 | 8.6× |
| Assay of c-peptide (84681) | $68 | $68 | 3.3× |
| Assay of ceruloplasmin (82390) | $84 | $84 | 7.8× |
| Assay of cyclosporine (80158) | $100.10 | $100.10 | 5.5× |
| Assay of erythropoietin (82668) | $160 | $160 | 8.5× |
| Assay of ethosuximide (80168) | $107 | $107 | 6.5× |
| Assay of ferritin (82728) | $66 | $66 | 4.8× |
| Assay of g6pd enzyme (82955) | $35 | $35 | 3.6× |
| Assay of gammaglobulin igm (82784) | $88.50 | $88.50 | 9.5× |
| Assay of gentamicin (80170) | $141 | $141 | 8.6× |
| Assay of homocystine (83090) | $72 | $72 | 4.0× |
| Assay of lipoprotein(a) (83695) | $60 | $60 | 4.2× |
| Assay of parathormone (83970) | $70 | $70 | 1.7× |
| Assay of phenobarbital (80184) | $144.50 | $144.50 | 9.4× |
| Assay of prealbumin (84134) | $95.25 | $95.25 | 6.5× |
| Assay of somatomedin (84305) | $142 | $142 | 6.7× |
| Assay of tacrolimus (80197) | $85 | $85 | 6.2× |
| Assay of vitamin k (84597) | $379 | $379 | 27.6× |
| Assay Ph Body Fluid Nos (83986) | $46.50 | $46.50 | 13.0× |
| Ast (sgot) (84450) | $41.25 | $41.25 | 8.0× |
| Automated rbc count (85041) | $35 | $35 | 11.6× |
| Bcr/abl1 gene major bp (81206) | $240 | $240 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $245 | $245 | 1.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $55 | $55 | 2.2× |
| Beta hydroxybutyrate (82010) | $204 | $204 | 25.0× |
| Beta-2 microglobulin (82232) | $86 | $86 | 5.3× |
| Bilirubin direct (82248) | $43.50 | $43.50 | 8.7× |
| Bilirubin total (82247) | $58.25 | $58.25 | 11.6× |
| Bl Smear W/Diff Wbc Count (85007) | $30 | $30 | 7.9× |
| Blastomyces antibody (86612) | $205 | $205 | 15.9× |
| Bleeding time (85002) | $39 | $39 | 8.1× |
| Blood count reticulocyte automated (85045) | $179 | $179 | 44.9× |
| Blood gases (82803) | $138 | $138 | 5.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $85 | $85 | 5.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.75 | $15.75 | 3.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $153 | $153 | 24.1× |
| Blood typing abo (86900) | $61 | $61 | 20.4× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $77 | $77 | 4.7× |
| Blood typing serologic rh (d) (86901) | $44 | $44 | 14.7× |
| Blood typing serologic rh phenotyping complete (86906) | $111 | $111 | 14.3× |
| Body fluid cell count (89051) | $125 | $125 | 22.3× |
| Bordetella antibody (86615) | $175 | $175 | 13.3× |
| C diff amplified probe (87493) | $154 | $154 | 4.1× |
| C-reactive protein (86140) | $68 | $68 | 13.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $120 | $120 | 9.3× |
| Ca 125 (86304) | $111 | $111 | 5.3× |
| Ca 19-9 (86301) | $111 | $111 | 5.3× |
| Ca 27 29 (86300) | $111 | $111 | 5.3× |
| Calcium ionized (82330) | $57.50 | $57.50 | 4.2× |
| Calcium total (82310) | $44.50 | $44.50 | 8.6× |
| Calcium urine (82340) | $30 | $30 | 5.0× |
| Calprotectin, fecal (83993) | $351 | $351 | 17.9× |
| Carbon dioxide (82374) | $42 | $42 | 8.6× |
| Carcinoembryonic antigen (82378) | $131.56 | $131.56 | 6.9× |
| Cardiolipin ab igg (86147) | $97.25 | $97.25 | 3.8× |
| Catecholamines fraction plasma (82384) | $175 | $175 | 6.9× |
| Cholesterol total (82465) | $37.25 | $37.25 | 8.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $186 | $186 | 5.3× |
| Ck isoenzymes (82552) | $104 | $104 | 7.8× |
| Ckmb (82553) | $122 | $122 | 10.6× |
| Cmv PCR (87496) | $460 | $460 | 13.1× |
| Cold agglutinin titer (86157) | $66 | $66 | 8.2× |
| Collagen cross links (82523) | $260 | $260 | 13.9× |
| Compatibility test antiglob (86922) | $160 | $160 | 1.0× |
| Complement c3 (86160) | $125 | $125 | 10.4× |
| Coombs direct (86880) | $59 | $59 | 10.9× |
| Coombs Test Indirect Qual (86885) | $76 | $76 | 13.3× |
| Copper urine (82525) | $34 | $34 | 2.7× |
| Cortisol free (82530) | $42 | $42 | 2.5× |
| Cortisol total (82533) | $113.07 | $113.07 | 6.9× |
| Creatine kinase total (82550) | $56 | $56 | 8.6× |
| Creatinine blood (82565) | $31 | $31 | 6.1× |
| Creatinine clearance (82575) | $81.50 | $81.50 | 8.6× |
| Creatinine other source (82570) | $33 | $33 | 6.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $97.50 | $97.50 | 12.1× |
| Culture Aerobic Identify (87077) | $103.50 | $103.50 | 12.8× |
| Culture anaerobic (87075) | $71.88 | $71.88 | 7.6× |
| Culture blood (87040) | $125 | $125 | 12.1× |
| Culture fungus blood (87103) | $81 | $81 | 4.0× |
| Culture genital (87070) | $56 | $56 | 6.5× |
| Culture screen only (87081) | $53 | $53 | 8.0× |
| Culture stool (87045) | $72 | $72 | 7.6× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $545 | $545 | 2.5× |
| Culture urine (87086) | $35 | $35 | 4.3× |
| Culture urine id ea isolate (87088) | $56 | $56 | 6.9× |
| Cyclic Citrullinated Peptide (86200) | $99 | $99 | 7.6× |
| Cytopath cell enhance tech (88112) | $79 | $79 | 1.6× |
| Cytopath Smear Other Source (88160) | $36 | $36 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $96 | $96 | 2.0× |
| Cytp fna eval dx 1st each site (88172) | $51 | $51 | 0.3× |
| D-Dimer (85379) | $74 | $74 | 7.3× |
| D-Dimer (85378) | $109 | $109 | 11.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $130 | $130 | 7.9× |
| Dhea (82626) | $142 | $142 | 5.6× |
| Dhea sulfate (82627) | $115 | $115 | 5.2× |
| Digoxin (80162) | $120 | $120 | 9.0× |
| Dilantin (80185) | $122 | $122 | 9.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $137 | $137 | 10.0× |
| Dna/Rna Amplified Probe (87150) | $54 | $54 | 1.5× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $207 | $207 | 11.1× |
| Drug Assay Lacosamide (80235) | $385 | $385 | 14.2× |
| Drug screen quant zonisamide (80203) | $162 | $162 | 12.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $227 | $227 | 17.1× |
| Drug Scrn Quan Levetiracetam (80177) | $82 | $82 | 6.2× |
| Drug scrn quant oxcarbazepin (80183) | $67 | $67 | 5.1× |
| Drug test prsmv chem anlyzr (80307) | $150.08 | $150.08 | 2.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $70 | $70 | 5.6× |
| Ebv viral capsid (86665) | $80.50 | $80.50 | 4.4× |
| Electrolyte panel (80051) | $62 | $62 | 8.8× |
| Endomysial antibody iga (86255) | $84 | $84 | 7.0× |
| Eosinophil count (85048) | $25 | $25 | 9.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $74.38 | $74.38 | 4.9× |
| Estradiol (82670) | $283 | $283 | 10.1× |
| Estrogens total (82672) | $147 | $147 | 6.8× |
| Everolimus (80169) | $200 | $200 | 14.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $228 | $228 | 31.1× |
| F2 gene analysis 20210g >a variant (81240) | $103 | $103 | 1.6× |
| F5 gene (81241) | $279 | $279 | 3.8× |
| Fecal fat qual (82705) | $30 | $30 | 5.9× |
| Fecal fat quant (82710) | $136 | $136 | 8.1× |
| Fibrinogen antigen (85385) | $241.50 | $241.50 | 16.7× |
| Folate serum (82746) | $133.25 | $133.25 | 9.1× |
| Follicle Stimulating Hormone (83001) | $124 | $124 | 6.7× |
| Fresh frozen plasma thawing each unit (86927) | $60 | $60 | 0.4× |
| Frozen Section (88331) | $80 | $80 | 0.5× |
| Gammaglobulin ige (82785) | $112 | $112 | 6.8× |
| Gastric Occult Blood (82271) | $28 | $28 | 5.3× |
| Ggt (82977) | $71 | $71 | 9.9× |
| Giardia antigen eia stool (87329) | $103.50 | $103.50 | 8.6× |
| Glucose (82947) | $32 | $32 | 8.1× |
| Glucose Blood Test (82962) | $9 | $9 | 2.7× |
| Glucose body fluid (82945) | $52 | $52 | 13.2× |
| Glucose post dose (82950) | $41 | $41 | 8.6× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $66 | $66 | 16.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $135 | $135 | 10.5× |
| Haptoglobin (83010) | $148.50 | $148.50 | 11.8× |
| Hcg qualitative (84703) | $77 | $77 | 10.2× |
| Hcg quant (84702) | $106.50 | $106.50 | 7.1× |
| Hdl Cholesterol (83718) | $70.50 | $70.50 | 8.6× |
| Hematocrit (85014) | $20.50 | $20.50 | 8.6× |
| Hemoglobin (85018) | $18.75 | $18.75 | 7.9× |
| Hemoglobin a1c (83036) | $55.25 | $55.25 | 5.7× |
| Hepatitis a antibody total (86708) | $62 | $62 | 5.0× |
| Hepatitis a igm (86709) | $70.25 | $70.25 | 6.2× |
| Hepatitis b core antibody total (86704) | $79 | $79 | 6.6× |
| Hepatitis B Surface Ab (86706) | $84 | $84 | 7.8× |
| Hepatitis B Surface Antigen (87340) | $55 | $55 | 5.3× |
| Hepatitis be antibody (86707) | $163.50 | $163.50 | 14.1× |
| Hepatitis Be Antigen (87350) | $98 | $98 | 8.5× |
| Hepatitis c antibody (86803) | $95.50 | $95.50 | 6.7× |
| Herpes culture (87252) | $119 | $119 | 4.6× |
| Herpes simplex type 2 (86696) | $56 | $56 | 2.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $44.75 | $44.75 | 8.6× |
| Hfe gene (81256) | $497 | $497 | 7.6× |
| Histoplasma antibody (86698) | $70 | $70 | 5.1× |
| Histoplasma antigen urine (87385) | $68 | $68 | 5.1× |
| HIV-1 antibody (86701) | $90 | $90 | 10.1× |
| HIV-2 probe&revrse trnscripj (87538) | $88 | $88 | 2.5× |
| Hla b 27 disease association lc (81374) | $190 | $190 | 2.6× |
| Iaad ia clostridium difficile toxin (87324) | $124 | $124 | 10.4× |
| Iaad ia cryptosporidium (87328) | $124 | $124 | 9.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $81 | $81 | 3.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $261 | $261 | 18.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $120 | $120 | 8.6× |
| Iaad ia rotavirus (87425) | $124 | $124 | 10.4× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $75 | $75 | 6.3× |
| Iaad Ia Streptococcus Group A (87430) | $77 | $77 | 4.6× |
| Iaadiadoo not otherwise specified (87899) | $103.50 | $103.50 | 6.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $80 | $80 | 2.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $795 | $795 | 18.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $102 | $102 | 2.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93.50 | $93.50 | 2.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $119 | $119 | 3.4× |
| Iadna nos amplified probe tq each organism (87798) | $195 | $195 | 5.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $639 | $639 | 1.5× |
| Igg subclasses (82787) | $61.50 | $61.50 | 7.7× |
| Immunfix e-phorsis/urine/csf (86335) | $75 | $75 | 2.6× |
| Immunoassay nonantibody (83516) | $75.50 | $75.50 | 6.5× |
| Immunofixj Electrophoresis Serum (86334) | $125.62 | $125.62 | 5.6× |
| Immunohistochemistry (88342) | $357 | $357 | 2.3× |
| India ink prep (87210) | $37 | $37 | 6.4× |
| Influenza a/b ag eia (87400) | $65 | $65 | 4.6× |
| Inhibin b (83520) | $115 | $115 | 6.7× |
| Insitu hybridization (fish) (88365) | $206 | $206 | 1.3× |
| Insulin total (83525) | $83.50 | $83.50 | 7.3× |
| Intraop cyto path consult 1 (88333) | $107 | $107 | 0.1× |
| Intrinsic factor antibody (86340) | $113 | $113 | 7.5× |
| Iron (83540) | $58 | $58 | 9.0× |
| Iron binding capacity (83550) | $75.50 | $75.50 | 8.6× |
| Koh Prep (87220) | $33 | $33 | 7.7× |
| Lactic acid (83605) | $77.50 | $77.50 | 6.7× |
| Ldh (83615) | $52 | $52 | 8.6× |
| LDL cholesterol direct (83721) | $82 | $82 | 7.8× |
| Lead (83655) | $44.50 | $44.50 | 3.7× |
| Legionella antibody (86713) | $125 | $125 | 8.2× |
| Legionella antigen urine (87449) | $162 | $162 | 13.5× |
| Level ii surg pathology grossµscopic exam (88302) | $64 | $64 | 1.9× |
| Level v surg pathology grossµscopic exam (88307) | $338 | $338 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $481 | $481 | 0.6× |
| Lh (83002) | $169 | $169 | 9.1× |
| Lipase (83690) | $60 | $60 | 8.7× |
| Lithium (80178) | $48.60 | $48.60 | 7.4× |
| Lyme disease antibody (86618) | $98 | $98 | 5.8× |
| Lyme disease antibody confirm (86617) | $147.12 | $147.12 | 9.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $119 | $119 | 0.8× |
| Magnesium (83735) | $59 | $59 | 8.8× |
| Mercury (83825) | $129 | $129 | 7.9× |
| Metabolic Panel Ionized Ca (80047) | $85 | $85 | 6.2× |
| Methotrexate (80299) | $153 | $153 | 8.2× |
| Methylmalonic acid serum (83921) | $131 | $131 | 6.2× |
| Microalbumin urine (82043) | $37 | $37 | 6.4× |
| Microsomal antibodies (86376) | $111.50 | $111.50 | 7.7× |
| Mitochondrial antibody each (86381) | $57 | $57 | 2.2× |
| Mthfr Gene Analysis Common Variants (81291) | $246 | $246 | 3.8× |
| Mycoplasma antibody (86738) | $161 | $161 | 12.2× |
| Myoglobin urine (83874) | $129.50 | $129.50 | 10.0× |
| Natriuretic peptide (83880) | $292 | $292 | 7.4× |
| Nuclear antigen antibody (86235) | $117 | $117 | 6.5× |
| Occult blood stool (82272) | $16 | $16 | 3.8× |
| Osmolality urine (83935) | $71 | $71 | 10.4× |
| Ova and parasite direct-id lca (87177) | $67 | $67 | 7.5× |
| Pancreatic polypeptide (83519) | $116 | $116 | 6.3× |
| Parvovirus antibody (86747) | $101 | $101 | 6.7× |
| Phosphatase alkaline (84075) | $44.50 | $44.50 | 8.6× |
| Phosphorus blood (84100) | $41 | $41 | 8.6× |
| Pinworm exam (87172) | $35 | $35 | 8.2× |
| Platelet count (85049) | $38.50 | $38.50 | 8.6× |
| Potassium (84132) | $39.50 | $39.50 | 8.3× |
| Potassium urine (84133) | $37 | $37 | 7.8× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $94 | $94 | 0.6× |
| Primidone (80188) | $167 | $167 | 10.1× |
| Procalcitonin (pct) (84145) | $318.92 | $318.92 | 11.7× |
| Progesterone (84144) | $154 | $154 | 7.4× |
| Prolactin (84146) | $138 | $138 | 7.1× |
| Protein body fluid (84157) | $79.25 | $79.25 | 19.8× |
| Protein c activity (85303) | $106.25 | $106.25 | 7.7× |
| Protein c antigen (85302) | $82 | $82 | 6.8× |
| Protein electrophoresis serum (84165) | $60 | $60 | 5.6× |
| Protein Total Serum (84155) | $51 | $51 | 13.9× |
| Protein urine (84156) | $37.50 | $37.50 | 10.2× |
| PSA free (84154) | $31 | $31 | 1.7× |
| Quantiferon tb gold (86480) | $288.02 | $288.02 | 4.6× |
| Rbc antibody elution (86860) | $139 | $139 | 0.9× |
| Renin activity plasma (84244) | $163.50 | $163.50 | 7.4× |
| Resp virus 3-5 targets (87631) | $750 | $750 | 5.3× |
| Rheumatoid factor quant (86431) | $58 | $58 | 10.2× |
| Rickettsia antibody (86757) | $157 | $157 | 8.1× |
| Rpr Titer (86593) | $32 | $32 | 7.3× |
| Rubella antibody (86762) | $67.12 | $67.12 | 4.7× |
| Russell viper venom time diluted (85613) | $147 | $147 | 15.3× |
| Saccharomyces ab iga (86671) | $104 | $104 | 8.5× |
| Salicylate (80179) | $71.75 | $71.75 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $211.50 | $211.50 | 4.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $105 | $105 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $231 | $231 | 1.6× |
| Sedimentation rate (85651) | $30.50 | $30.50 | 7.1× |
| Semen analysis sperm presence&/motility sprm (89321) | $104 | $104 | 8.6× |
| Sensitivity mic (87186) | $58 | $58 | 6.7× |
| Sirolimus (rapamycin) (80195) | $100 | $100 | 7.3× |
| Smear complex stain (87209) | $120 | $120 | 6.7× |
| Smear gram stain (87205) | $77 | $77 | 18.0× |
| Sodium (84295) | $41.50 | $41.50 | 8.6× |
| Sodium urine (84300) | $42 | $42 | 8.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $74.75 | $74.75 | 0.6× |
| Special stains group 1 (88312) | $96.25 | $96.25 | 2.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $62.50 | $62.50 | 6.6× |
| Strep a assay w/optic (87880) | $53.54 | $53.54 | 3.2× |
| Surg path level iii (88304) | $144.25 | $144.25 | 3.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $73 | $73 | 2.7× |
| Surgical pathology level IV (88305) | $242.50 | $242.50 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $221 | $221 | 4.7× |
| T3 free (84481) | $146 | $146 | 8.6× |
| T3 reverse (84482) | $102.75 | $102.75 | 6.5× |
| T3 total (84480) | $101 | $101 | 7.1× |
| T3 uptake (84479) | $59 | $59 | 9.1× |
| T4 Free (84439) | $38.25 | $38.25 | 4.2× |
| T4 total (84436) | $37 | $37 | 5.4× |
| Tb intradermal test (86580) | $13.50 | $13.50 | 0.5× |
| Testosterone free (84402) | $108 | $108 | 4.2× |
| Testosterone total (84403) | $108 | $108 | 4.2× |
| Thrombin time plasma (85670) | $117.50 | $117.50 | 20.4× |
| Thromboplastin Inhibition Tissue (85705) | $147 | $147 | 15.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $147 | $147 | 22.7× |
| Thyroglobulin (84432) | $158 | $158 | 9.8× |
| Thyroglobulin Ab (86800) | $64 | $64 | 4.0× |
| Topiramate (80201) | $152 | $152 | 12.8× |
| Transferrin (84466) | $99 | $99 | 7.8× |
| Triglycerides (84478) | $43 | $43 | 7.5× |
| Troponin (84484) | $87.25 | $87.25 | 7.0× |
| Urea nitrogen (84520) | $34 | $34 | 8.6× |
| Uric acid blood (84550) | $36.25 | $36.25 | 8.0× |
| Uric acid other source (84560) | $46 | $46 | 9.1× |
| Urinalysis microscopic only (81015) | $26.50 | $26.50 | 8.7× |
| Urinalysis w/microscopic (81001) | $12 | $12 | 3.8× |
| Urine pregnancy test (81025) | $22 | $22 | 2.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $9.10 | $9.10 | 4.0× |
| Valproic acid level (80164) | $125 | $125 | 9.2× |
| Vancomycin trough (80202) | $116.50 | $116.50 | 8.6× |
| Varicella-zoster antibody (86787) | $150 | $150 | 11.6× |
| Vdrl csf (86592) | $36 | $36 | 8.4× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $349 | $349 | 10.3× |
| Viscosity serum (85810) | $45 | $45 | 3.9× |
| Vitamin A (84590) | $106 | $106 | 9.1× |
| Vitamin b-12 (82607) | $106 | $106 | 7.0× |
| Vitamin b1 (thiamine) (84425) | $192 | $192 | 9.0× |
| Vitamin D 25-Hydroxy (82306) | $271 | $271 | 9.2× |
| Vitamin e serum (84446) | $112 | $112 | 7.9× |
| West nile virus ab, igm (86788) | $103 | $103 | 6.1× |
| West nile virus antibody (86789) | $103 | $103 | 7.2× |
| Zinc (84630) | $230 | $230 | 20.2× |