Lab & pathology prices at Franciscan Healthcare
West Point, NE · every code in this section with a posted price and a Medicare benchmark.
378 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) | $401 | $401 | 10.4× |
| Actin smooth muscle antibody each (86015) | $142 | $142 | 11.8× |
| Acute hepatitis panel (80074) | $456 | $456 | 9.6× |
| Afb culture (87116) | $144 | $144 | 13.3× |
| Albumin serum (82040) | $93 | $93 | 18.8× |
| Aldolase (82085) | $214 | $214 | 22.0× |
| Aldosterone urine (82088) | $167 | $167 | 4.1× |
| Alkaline phosphatase isoenzymes (84080) | $148 | $148 | 10.0× |
| Allergen specific ige (86003) | $75 | $75 | 14.4× |
| Alpha-1-antitrypsin phenotype (82104) | $164.50 | $164.50 | 11.4× |
| Alpha-1-antitrypsin, total (82103) | $254 | $254 | 18.9× |
| Alpha-fetoprotein, serum (82105) | $147 | $147 | 8.8× |
| Alt (sgpt) (84460) | $119 | $119 | 22.5× |
| Amino Acids, Single Quantitation (82131) | $280 | $280 | 12.2× |
| Ammonia (82140) | $261 | $261 | 17.9× |
| Amylase urine (82150) | $147 | $147 | 22.7× |
| Ana Titer (86039) | $239 | $239 | 21.4× |
| Angiotensin i enzyme test (82164) | $263 | $263 | 18.0× |
| Anti-phosphatidylserine antibody (86148) | $90 | $90 | 5.6× |
| Antibody Absorption (86978) | $248 | $248 | 4.0× |
| Antibody aspergillus (86606) | $48 | $48 | 3.2× |
| Antibody cytomegalovirus cmv (86644) | $162 | $162 | 11.3× |
| Antibody cytomegalovirus cmv igm (86645) | $380 | $380 | 22.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $113 | $113 | 8.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $226 | $226 | 15.7× |
| Antibody herpes smplx type 1 (86695) | $118 | $118 | 8.9× |
| Antibody identification (86870) | $232 | $232 | 0.6× |
| Antibody mumps (86735) | $163 | $163 | 12.5× |
| Antibody rubeola (86765) | $225 | $225 | 17.5× |
| Antibody screen (86850) | $149 | $149 | 15.3× |
| Antibody treponema pallidum (86780) | $101 | $101 | 7.6× |
| Antigen typing (86905) | $57 | $57 | 14.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $188 | $188 | 36.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $247 | $247 | 20.5× |
| Antinuclear antibodies (86038) | $275 | $275 | 22.7× |
| Antistreptolysin o titer (86060) | $185 | $185 | 25.3× |
| Antithrombin iii activity (85300) | $149 | $149 | 12.6× |
| Arsenic Urine (82175) | $432 | $432 | 22.8× |
| Assay of acth (82024) | $664 | $664 | 17.2× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $351 | $351 | 20.3× |
| Assay of androstenedione (82157) | $190 | $190 | 6.5× |
| Assay of blood chloride (82435) | $103 | $103 | 22.4× |
| Assay of c-peptide (84681) | $300 | $300 | 14.4× |
| Assay of cyclosporine (80158) | $110 | $110 | 6.1× |
| Assay of erythropoietin (82668) | $331 | $331 | 17.6× |
| Assay of ethosuximide (80168) | $129 | $129 | 7.9× |
| Assay of ferritin (82728) | $228 | $228 | 16.7× |
| Assay of g6pd enzyme (82955) | $114 | $114 | 11.8× |
| Assay of gammaglobulin igm (82784) | $166 | $166 | 17.8× |
| Assay of gastrin (82941) | $131 | $131 | 7.4× |
| Assay of gentamicin (80170) | $333 | $333 | 20.3× |
| Assay of homocystine (83090) | $419 | $419 | 23.4× |
| Assay of metanephrines (83835) | $525 | $525 | 31.0× |
| Assay of parathormone (83970) | $404 | $404 | 9.8× |
| Assay of phenobarbital (80184) | $272 | $272 | 17.8× |
| Assay of prealbumin (84134) | $195 | $195 | 13.4× |
| Assay of somatomedin (84305) | $139 | $139 | 6.5× |
| Assay of tacrolimus (80197) | $169 | $169 | 12.3× |
| Assay of vitamin k (84597) | $200 | $200 | 14.6× |
| Assay Thiopurine S-Methyltransferase (84433) | $629 | $629 | 28.4× |
| Ast (sgot) (84450) | $119 | $119 | 23.0× |
| B cells total count (86355) | $100 | $100 | 2.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $97 | $97 | 3.8× |
| Beta-2 microglobulin (82232) | $247 | $247 | 15.3× |
| Bile acids, total (82239) | $131 | $131 | 7.7× |
| Bilirubin direct (82248) | $86 | $86 | 17.1× |
| Bilirubin total (82247) | $114 | $114 | 22.7× |
| Biotinidase ea specimen (82261) | $67 | $67 | 4.0× |
| Bl Smear W/Diff Wbc Count (85007) | $80 | $80 | 21.1× |
| Blood count reticulocyte automated (85045) | $90 | $90 | 22.6× |
| Blood gases (82803) | $342 | $342 | 13.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $63 | $63 | 14.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $195 | $195 | 30.7× |
| Blood typing abo (86900) | $84 | $84 | 28.1× |
| Blood typing serologic rh (d) (86901) | $98 | $98 | 32.8× |
| Blood typing serologic rh phenotyping complete (86906) | $133.50 | $133.50 | 17.2× |
| Body fluid cell count (89051) | $192 | $192 | 34.3× |
| Bordetella antibody (86615) | $344 | $344 | 26.1× |
| C diff amplified probe (87493) | $359 | $359 | 9.6× |
| C-reactive protein (86140) | $169 | $169 | 32.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $258 | $258 | 19.9× |
| Ca 125 (86304) | $382 | $382 | 18.4× |
| Ca 19-9 (86301) | $334 | $334 | 16.0× |
| Ca 27 29 (86300) | $306 | $306 | 14.7× |
| Calcium ionized (82330) | $172 | $172 | 12.6× |
| Calcium total (82310) | $86 | $86 | 16.7× |
| Calcium urine (82340) | $118 | $118 | 19.6× |
| Calculus Spectroscopy (82365) | $208 | $208 | 16.1× |
| Calprotectin, fecal (83993) | $393 | $393 | 20.0× |
| Carbamazepine (tegretol) total (80156) | $259 | $259 | 17.8× |
| Carbon dioxide (82374) | $96 | $96 | 19.7× |
| Carboxyhemoglobin Quantitative (82375) | $194 | $194 | 15.7× |
| Carcinoembryonic antigen (82378) | $293 | $293 | 15.5× |
| Cardiolipin ab igg (86147) | $287 | $287 | 11.3× |
| Catecholamines fraction plasma (82384) | $361 | $361 | 14.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $314 | $314 | 2.3× |
| Chemiluminescent assay (82397) | $200 | $200 | 14.2× |
| Chloride urine (82436) | $109 | $109 | 19.0× |
| Cholesterol total (82465) | $106 | $106 | 24.4× |
| Chromium urine (82495) | $139 | $139 | 6.9× |
| Chromogranin a (86316) | $228 | $228 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $202 | $202 | 5.8× |
| Citrate (82507) | $125 | $125 | 4.5× |
| Ck isoenzymes (82552) | $179 | $179 | 13.4× |
| Ckmb (82553) | $179 | $179 | 15.5× |
| Clozapine level (80159) | $95 | $95 | 4.7× |
| Collagen cross links (82523) | $246 | $246 | 13.2× |
| Compatibility test antiglob (86922) | $287 | $287 | 1.6× |
| Complement c3 (86160) | $239 | $239 | 19.9× |
| Complement total ch50 (86162) | $485 | $485 | 23.9× |
| Coombs direct (86880) | $125 | $125 | 23.2× |
| Coombs Test Indirect Qual (86885) | $57 | $57 | 10.0× |
| Copper urine (82525) | $145 | $145 | 11.7× |
| Cortisol total (82533) | $235 | $235 | 14.4× |
| Creatine kinase total (82550) | $167 | $167 | 25.7× |
| Creatinine blood (82565) | $122 | $122 | 23.8× |
| Creatinine clearance (82575) | $249 | $249 | 26.3× |
| Creatinine other source (82570) | $125 | $125 | 24.1× |
| Crossmatch immediate spin (86920) | $172 | $172 | 1.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $324 | $324 | 40.1× |
| Culture Aerobic Identify (87077) | $105.50 | $105.50 | 13.1× |
| Culture blood (87040) | $327 | $327 | 31.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $307 | $307 | 39.8× |
| Culture genital (87070) | $221 | $221 | 25.6× |
| Culture screen only (87081) | $146 | $146 | 22.0× |
| Culture stool (87045) | $147 | $147 | 15.6× |
| Culture urine id ea isolate (87088) | $156 | $156 | 19.3× |
| Cyclic Citrullinated Peptide (86200) | $211 | $211 | 16.3× |
| Cytopath cell enhance tech (88112) | $170 | $170 | 3.1× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $146 | $146 | 3.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $180 | $180 | 3.3× |
| D-Dimer (85378) | $194 | $194 | 20.0× |
| Detect agnt mult DNA ampli (87801) | $354.50 | $354.50 | 5.0× |
| Dhea sulfate (82627) | $413 | $413 | 18.6× |
| Digoxin (80162) | $144 | $144 | 10.8× |
| Dilantin (80185) | $207 | $207 | 15.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $214 | $214 | 15.6× |
| Dna/Rna Amplified Probe (87150) | $252 | $252 | 7.2× |
| Drug Assay Amiodarone (80151) | $164 | $164 | 8.8× |
| Drug assay felbamate (80167) | $463 | $463 | 24.8× |
| Drug assay itraconazole (80189) | $229 | $229 | 8.4× |
| Drug Assay Lacosamide (80235) | $291 | $291 | 10.7× |
| Drug assay posaconazole (80187) | $140 | $140 | 5.2× |
| Drug screen quant zonisamide (80203) | $197 | $197 | 14.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $333 | $333 | 25.1× |
| Drug Scrn Quan Levetiracetam (80177) | $333 | $333 | 25.1× |
| Drug scrn quant oxcarbazepin (80183) | $146 | $146 | 11.0× |
| Drug test prsmv chem anlyzr (80307) | $402 | $402 | 6.5× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $319 | $319 | 18.6× |
| Ebv viral capsid (86665) | $113 | $113 | 6.2× |
| Electrolyte panel (80051) | $186 | $186 | 26.5× |
| Electronic crossmatch (86923) | $128 | $128 | 0.7× |
| Endomysial antibody iga (86255) | $181 | $181 | 15.0× |
| Eosinophil count (85048) | $70 | $70 | 27.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $113 | $113 | 7.4× |
| Estradiol (82670) | $260 | $260 | 9.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $270 | $270 | 2.8× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $114 | $114 | 15.6× |
| F2 gene analysis 20210g >a variant (81240) | $289 | $289 | 4.4× |
| F5 gene (81241) | $280 | $280 | 3.8× |
| Factor viii ahg (85240) | $442 | $442 | 24.7× |
| Factor xii assay (85280) | $501 | $501 | 25.9× |
| Fecal fat qual (82705) | $95 | $95 | 18.6× |
| Fetal bleed screen (85461) | $189 | $189 | 20.2× |
| Fetal fibronectin (82731) | $519 | $519 | 8.1× |
| Fetal hemoglobin, chemical (83030) | $152 | $152 | 14.2× |
| Fibrinogen activity (85384) | $184 | $184 | 18.9× |
| Flow cytometry first marker (88184) | $119 | $119 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $179 | $179 | 14.9× |
| Folate serum (82746) | $258 | $258 | 17.6× |
| Folic acid rbc (82747) | $649 | $649 | 36.8× |
| Follicle Stimulating Hormone (83001) | $246.50 | $246.50 | 13.3× |
| Francisella Tularensis (86668) | $207 | $207 | 14.6× |
| Frozen Section (88331) | $48 | $48 | 0.3× |
| Ftl cgen abnor four anal (81511) | $855 | $855 | 5.6× |
| Galactose (82760) | $64 | $64 | 5.7× |
| Galactose transferase test (82776) | $62 | $62 | 5.3× |
| Gammaglobulin ige (82785) | $207 | $207 | 12.6× |
| Ggt (82977) | $149 | $149 | 20.7× |
| Giardia antigen eia stool (87329) | $62 | $62 | 5.2× |
| Gliadin antibody each immunoglobulin class (86258) | $200 | $200 | 16.6× |
| Glucose (82947) | $96 | $96 | 24.4× |
| Glucose body fluid (82945) | $116 | $116 | 29.5× |
| Glucose post dose (82950) | $109 | $109 | 22.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $90 | $90 | 23.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $257 | $257 | 20.0× |
| Haptoglobin (83010) | $213 | $213 | 16.9× |
| Hcg qualitative (84703) | $110 | $110 | 14.6× |
| Hcg quant (84702) | $214 | $214 | 14.2× |
| Heavy metal quant each (83018) | $122 | $122 | 5.6× |
| Hematocrit (85014) | $69 | $69 | 29.1× |
| Hemoglobin (85018) | $63 | $63 | 26.6× |
| Hemoglobin a1c (83036) | $147 | $147 | 15.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $171 | $171 | 9.5× |
| Hemoglobin electrophoresis (83020) | $102 | $102 | 7.9× |
| Heparin assay (85520) | $328 | $328 | 25.1× |
| Hepatitis a antibody total (86708) | $202 | $202 | 16.3× |
| Hepatitis b core ab igm (86705) | $228 | $228 | 19.4× |
| Hepatitis b core antibody total (86704) | $200 | $200 | 16.6× |
| Hepatitis B Surface Ab (86706) | $217 | $217 | 20.2× |
| Hepatitis B Surface Antigen (87340) | $161 | $161 | 15.6× |
| Hepatitis c antibody (86803) | $221 | $221 | 15.5× |
| Herpes culture (87252) | $315 | $315 | 12.1× |
| Herpes simplex type 2 (86696) | $118 | $118 | 6.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $110 | $110 | 21.2× |
| Hfe gene (81256) | $285 | $285 | 4.4× |
| Histoplasma antibody (86698) | $204 | $204 | 14.8× |
| Histoplasma antigen urine (87385) | $353 | $353 | 26.6× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $176 | $176 | 12.8× |
| Hla-b27 (86812) | $446 | $446 | 17.3× |
| Hpv types 16 & 18 only (87625) | $167 | $167 | 4.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $272 | $272 | 4.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $317 | $317 | 9.0× |
| Hydroxyprogesterone 17-d (83498) | $64 | $64 | 2.4× |
| Iaad ia clostridium difficile toxin (87324) | $221 | $221 | 18.4× |
| Iaad ia cryptosporidium (87328) | $62 | $62 | 4.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $105 | $105 | 10.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $210 | $210 | 14.6× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $184 | $184 | 5.6× |
| Iaadiadoo not otherwise specified (87899) | $126 | $126 | 7.8× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $305 | $305 | 5.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $310 | $310 | 7.2× |
| Iadna human papillomavirus high-risk types (87624) | $183 | $183 | 5.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $211 | $211 | 6.0× |
| Iadna nos amplified probe tq each organism (87798) | $282 | $282 | 8.0× |
| Iadna nos quantification each organism (87799) | $236.50 | $236.50 | 5.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $114 | $114 | 3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $200 | $200 | 0.5× |
| Immunfix e-phorsis/urine/csf (86335) | $250 | $250 | 8.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $126 | $126 | 8.4× |
| Immunoassay nonantibody (83516) | $115 | $115 | 10.0× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $125 | $125 | 7.8× |
| Immunoassay tumor antigen qual/semiquantitative (86294) | $255 | $255 | 10.0× |
| Immunodiffusion Ouchterlony (86331) | $44 | $44 | 3.7× |
| Immunofixj Electrophoresis Serum (86334) | $336 | $336 | 15.0× |
| Immunohisto Antibody Slide (88344) | $235.50 | $235.50 | 0.6× |
| Immunohistochemistry (88342) | $127 | $127 | 0.7× |
| India ink prep (87210) | $75 | $75 | 12.9× |
| Influenza DNA amp probe (87502) | $226 | $226 | 2.4× |
| Inhibin b (83520) | $260.50 | $260.50 | 15.1× |
| Insitu hybridization auto (88367) | $417 | $417 | 1.1× |
| Insulin total (83525) | $282 | $282 | 24.7× |
| Intrinsic factor antibody (86340) | $217 | $217 | 14.4× |
| Iron (83540) | $129 | $129 | 19.9× |
| Jak2 gene analysis (81270) | $339 | $339 | 3.7× |
| Lactic acid (83605) | $236 | $236 | 20.4× |
| Lactoferrin fecal qualitative (83630) | $158 | $158 | 8.0× |
| Ldh (83615) | $139 | $139 | 23.0× |
| Ldh isoenzymes (83625) | $261 | $261 | 20.4× |
| LDL cholesterol direct (83721) | $112 | $112 | 10.7× |
| Lead (83655) | $110 | $110 | 9.1× |
| Legionella antigen urine (87449) | $163.50 | $163.50 | 13.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $101 | $101 | 23.7× |
| Level v surg pathology grossµscopic exam (88307) | $440 | $440 | 1.2× |
| Lh (83002) | $235 | $235 | 12.7× |
| Lipase (83690) | $202 | $202 | 29.3× |
| Lithium (80178) | $171 | $171 | 25.9× |
| Lyme disease antibody (86618) | $314 | $314 | 18.4× |
| Lyme disease antibody confirm (86617) | $114 | $114 | 7.4× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $163.50 | $163.50 | 0.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $174 | $174 | 1.0× |
| Magnesium (83735) | $137.50 | $137.50 | 20.5× |
| Mass spectrometry qual/quan (83789) | $69 | $69 | 2.9× |
| Mercury (83825) | $347 | $347 | 21.3× |
| Methylmalonic acid serum (83921) | $532 | $532 | 25.1× |
| Microalbumin urine (82043) | $179 | $179 | 31.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $108 | $108 | 2.0× |
| Microsomal antibodies (86376) | $264 | $264 | 18.1× |
| Mitochondrial antibody each (86381) | $264 | $264 | 10.4× |
| Mrsa amp probe (87641) | $227 | $227 | 6.5× |
| Mthfr Gene Analysis Common Variants (81291) | $315 | $315 | 4.8× |
| Muramidase (85549) | $116 | $116 | 6.2× |
| Myoglobin urine (83874) | $185.50 | $185.50 | 14.4× |
| Natriuretic peptide (83880) | $356 | $356 | 9.1× |
| Nk cells total count (86357) | $100 | $100 | 2.7× |
| Nuclear antigen antibody (86235) | $154 | $154 | 8.6× |
| Occult blood stool (82272) | $63 | $63 | 14.9× |
| Osmolality serum (83930) | $166 | $166 | 25.1× |
| Osmolality urine (83935) | $175 | $175 | 25.7× |
| Ova and parasite direct-id lca (87177) | $136 | $136 | 15.3× |
| Oxalate urine (83945) | $128 | $128 | 8.9× |
| Pancreatic polypeptide (83519) | $232 | $232 | 12.6× |
| Parvovirus antibody (86747) | $204 | $204 | 13.6× |
| Phosphatase alkaline (84075) | $82 | $82 | 15.8× |
| Phosphorus blood (84100) | $116 | $116 | 24.5× |
| Phosphorus urine (84105) | $134 | $134 | 23.2× |
| Plasminogen (85420) | $200 | $200 | 30.6× |
| Platelet count (85049) | $113 | $113 | 25.2× |
| Porphyrins qn & fraction urine (84120) | $140 | $140 | 9.5× |
| Potassium (84132) | $100 | $100 | 21.0× |
| Potassium urine (84133) | $110 | $110 | 23.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $116 | $116 | 0.7× |
| Pretx serum rbc antibody identification dilution (86976) | $86 | $86 | 2.9× |
| Procalcitonin (pct) (84145) | $321 | $321 | 11.8× |
| Progesterone (84144) | $248 | $248 | 11.9× |
| Prolactin (84146) | $326 | $326 | 16.8× |
| Protein body fluid (84157) | $114 | $114 | 28.5× |
| Protein c activity (85303) | $637 | $637 | 46.0× |
| Protein c antigen (85302) | $435 | $435 | 36.2× |
| Protein electrophoresis serum (84165) | $128 | $128 | 11.9× |
| Protein Electrophoresis Urine (84166) | $96 | $96 | 5.4× |
| Protein S Functional (85306) | $221 | $221 | 14.4× |
| Protein Total Serum (84155) | $117 | $117 | 31.9× |
| Protein urine (84156) | $96 | $96 | 26.2× |
| PSA free (84154) | $334 | $334 | 18.2× |
| Quantiferon tb gold (86480) | $244.50 | $244.50 | 3.9× |
| Rbc antibody elution (86860) | $210 | $210 | 1.2× |
| Rbc pretx incubatj w/chemicl (86970) | $203 | $203 | 3.3× |
| Reducing substances, stool (84376) | $80 | $80 | 14.5× |
| Ref consult prep elsewhere (88321) | $166 | $166 | 4.3× |
| Renin activity plasma (84244) | $334 | $334 | 15.2× |
| Reticulocyte separation (86972) | $201 | $201 | 1.1× |
| Rheumatoid factor quant (86431) | $138 | $138 | 24.3× |
| Rickettsia antibody (86757) | $501 | $501 | 25.9× |
| Rsv (87807) | $289 | $289 | 22.1× |
| Rubella antibody (86762) | $156 | $156 | 10.8× |
| Russell viper venom time diluted (85613) | $296 | $296 | 30.9× |
| Saccharomyces ab iga (86671) | $132 | $132 | 10.8× |
| Salicylate (80179) | $286 | $286 | 15.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $195.50 | $195.50 | 3.8× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $141 | $141 | 3.3× |
| Sarscov2 & inf a&b amp prb (87636) | $417 | $417 | 2.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $292 | $292 | 2.0× |
| Sed rate automated (85652) | $86 | $86 | 31.9× |
| Semen analysis sperm presence&/motility sprm (89321) | $196 | $196 | 16.3× |
| Sensitivity mic (87186) | $137 | $137 | 15.8× |
| Sex hormone binding globulin (84270) | $164 | $164 | 7.5× |
| Smear acid fast (87206) | $202.50 | $202.50 | 37.6× |
| Smear complex stain (87209) | $111 | $111 | 6.2× |
| Smear gram stain (87205) | $87 | $87 | 20.4× |
| Sodium (84295) | $107 | $107 | 22.2× |
| Sodium urine (84300) | $107 | $107 | 21.1× |
| Soluble transferrin receptor (84238) | $159 | $159 | 4.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $134 | $134 | 1.0× |
| Special stains group 1 (88312) | $163 | $163 | 3.0× |
| Spectrophotometry (84311) | $305 | $305 | 37.7× |
| Strep a assay w/optic (87880) | $100 | $100 | 6.0× |
| Surgical pathology level IV (88305) | $274 | $274 | 5.1× |
| T cells, total count (86359) | $167 | $167 | 4.4× |
| T3 free (84481) | $423 | $423 | 25.0× |
| T3 reverse (84482) | $322 | $322 | 20.4× |
| T3 total (84480) | $228 | $228 | 16.1× |
| T4 Free (84439) | $169 | $169 | 18.7× |
| T4 total (84436) | $153 | $153 | 22.3× |
| T4-neonatal (84437) | $60 | $60 | 9.3× |
| Tb ag response t-cell susp (86481) | $247 | $247 | 2.5× |
| Test for acetone/ketones (82009) | $134 | $134 | 29.6× |
| Testosterone total (84403) | $162 | $162 | 6.3× |
| Thin prep pap (88142) | $118.50 | $118.50 | 5.8× |
| Thrombin time plasma (85670) | $67 | $67 | 11.6× |
| Thyroglobulin Ab (86800) | $197 | $197 | 12.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $684 | $684 | 13.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $200 | $200 | 17.3× |
| Tobramycin peak (80200) | $150 | $150 | 9.3× |
| Transferrin (84466) | $171 | $171 | 13.4× |
| Triglycerides (84478) | $126 | $126 | 22.0× |
| Troponin (84484) | $298 | $298 | 23.9× |
| Urea nitrogen (84520) | $98 | $98 | 24.8× |
| Uric acid blood (84550) | $111 | $111 | 24.6× |
| Uric acid other source (84560) | $134 | $134 | 26.4× |
| Urinalysis microscopic only (81015) | $37 | $37 | 12.1× |
| Urinalysis w/microscopic (81001) | $100 | $100 | 31.5× |
| Urine pregnancy test (81025) | $110 | $110 | 12.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $63 | $63 | 28.0× |
| Valproic acid level (80164) | $281 | $281 | 20.8× |
| Vancomycin trough (80202) | $271 | $271 | 20.0× |
| Varicella-zoster antibody (86787) | $226 | $226 | 17.5× |
| Very long chain fatty acids (82726) | $83 | $83 | 4.2× |
| Virus antibody nos (86790) | $182 | $182 | 14.1× |
| Vitamin A (84590) | $206 | $206 | 17.7× |
| Vitamin b-12 (82607) | $252 | $252 | 16.7× |
| Vitamin b1 (thiamine) (84425) | $294 | $294 | 13.8× |
| Vitamin b6 (84207) | $405 | $405 | 14.4× |
| Vitamin D 25-Hydroxy (82306) | $251 | $251 | 8.5× |
| Vitamin e serum (84446) | $315 | $315 | 22.2× |
| West nile virus ab, igm (86788) | $107 | $107 | 6.4× |
| West nile virus antibody (86789) | $107 | $107 | 7.4× |
| Zinc (84630) | $137 | $137 | 12.0× |