Lab & pathology prices at Franklin County Memorial Hospital
Meadville, MS · every code in this section with a posted price and a Medicare benchmark.
339 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) | $212 | $212 | 5.5× |
| 5 Hiaa (83497) | $72 | $72 | 5.6× |
| 5 Nucleotidase (83915) | $46 | $46 | 4.1× |
| Acetaminophen level (80143) | $100 | $100 | 5.4× |
| Actin smooth muscle antibody each (86015) | $27 | $27 | 2.2× |
| Acute hepatitis panel (80074) | $164 | $164 | 3.4× |
| Afb culture (87116) | $44 | $44 | 4.1× |
| Albumin Fluid (82042) | $16 | $16 | 2.1× |
| Albumin serum (82040) | $30 | $30 | 6.1× |
| Aldolase (82085) | $33 | $33 | 3.4× |
| Aldosterone urine (82088) | $159 | $159 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $40 | $40 | 2.7× |
| Alpha-1-antitrypsin, total (82103) | $84 | $84 | 6.3× |
| Alpha-fetoprotein, serum (82105) | $18 | $18 | 1.1× |
| Alt (sgpt) (84460) | $28 | $28 | 5.3× |
| Amikacin trough (80150) | $90 | $90 | 6.0× |
| Ammonia (82140) | $78 | $78 | 5.4× |
| Amylase urine (82150) | $40 | $40 | 6.2× |
| Ana Titer (86039) | $53 | $53 | 4.7× |
| Antibody Absorption (86978) | $189 | $189 | 3.7× |
| Antibody cytomegalovirus cmv (86644) | $55 | $55 | 3.8× |
| Antibody cytomegalovirus cmv igm (86645) | $65 | $65 | 3.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $90 | $90 | 6.9× |
| Antibody helicobacter pylori (86677) | $114 | $114 | 6.8× |
| Antibody herpes smplx type 1 (86695) | $85.50 | $85.50 | 6.5× |
| Antibody HIV-2 (86702) | $92 | $92 | 6.8× |
| Antibody identification (86870) | $272 | $272 | 0.9× |
| Antibody mumps (86735) | $33 | $33 | 2.5× |
| Antibody rubeola (86765) | $90 | $90 | 7.0× |
| Antibody screen (86850) | $34 | $34 | 3.5× |
| Antibody treponema pallidum (86780) | $199 | $199 | 15.0× |
| Antigen typing (86905) | $494.50 | $494.50 | 129.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $269 | $269 | 51.9× |
| Antinuclear antibodies (86038) | $66 | $66 | 5.5× |
| Antistreptolysin o titer (86060) | $15 | $15 | 2.1× |
| Assay of acth (82024) | $222 | $222 | 5.7× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $49 | $49 | 2.8× |
| Assay of blood chloride (82435) | $40 | $40 | 8.7× |
| Assay of c-peptide (84681) | $92 | $92 | 4.4× |
| Assay of ceruloplasmin (82390) | $40 | $40 | 3.7× |
| Assay of cyclosporine (80158) | $49 | $49 | 2.7× |
| Assay of erythropoietin (82668) | $79 | $79 | 4.2× |
| Assay of ferritin (82728) | $82 | $82 | 6.0× |
| Assay of g6pd enzyme (82955) | $22 | $22 | 2.3× |
| Assay of gammaglobulin igm (82784) | $12 | $12 | 1.3× |
| Assay of gentamicin (80170) | $88 | $88 | 5.4× |
| Assay of homocystine (83090) | $46 | $46 | 2.6× |
| Assay of lipoprotein(a) (83695) | $60 | $60 | 4.2× |
| Assay of metanephrines (83835) | $87 | $87 | 5.1× |
| Assay of parathormone (83970) | $278 | $278 | 6.7× |
| Assay of phenobarbital (80184) | $68 | $68 | 4.4× |
| Assay of prealbumin (84134) | $28 | $28 | 1.9× |
| Assay of proinsulin (84206) | $80 | $80 | 3.0× |
| Assay of somatomedin (84305) | $278 | $278 | 13.1× |
| Assay of tacrolimus (80197) | $231 | $231 | 16.8× |
| Assay of urine vma (84585) | $59.50 | $59.50 | 3.8× |
| Assay of vitamin k (84597) | $504 | $504 | 36.7× |
| Assay Ph Body Fluid Nos (83986) | $21.50 | $21.50 | 6.0× |
| Ast (sgot) (84450) | $30 | $30 | 5.8× |
| Bartonella DNA amp probe (87471) | $529 | $529 | 15.1× |
| Beta-2 microglobulin (82232) | $60 | $60 | 3.7× |
| Bilirubin direct (82248) | $30 | $30 | 6.0× |
| Bilirubin total (82247) | $21 | $21 | 4.2× |
| Bl Smear W/Diff Wbc Count (85007) | $53 | $53 | 13.9× |
| Blood count reticulocyte automated (85045) | $34 | $34 | 8.5× |
| Blood gases (82803) | $126 | $126 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20 | $20 | 4.6× |
| Blood Ph - Ph Venous (82800) | $33 | $33 | 3.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $171 | $171 | 26.9× |
| Blood typing abo (86900) | $16 | $16 | 5.4× |
| Blood typing serologic rh (d) (86901) | $16 | $16 | 5.4× |
| Blood typing serologic rh phenotyping complete (86906) | $379 | $379 | 48.9× |
| Body fluid cell count (89051) | $92 | $92 | 16.4× |
| Bordetella antibody (86615) | $170 | $170 | 12.9× |
| C-reactive protein (86140) | $36 | $36 | 6.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $54 | $54 | 4.2× |
| Ca 125 (86304) | $100 | $100 | 4.8× |
| Ca 19-9 (86301) | $100 | $100 | 4.8× |
| Ca 27 29 (86300) | $100 | $100 | 4.8× |
| Calcium ionized (82330) | $29 | $29 | 2.1× |
| Calcium total (82310) | $30 | $30 | 5.8× |
| Calcium urine (82340) | $72 | $72 | 11.9× |
| Calculus Qualitative Analysis (82355) | $67 | $67 | 5.8× |
| Calculus Quantitative Chemical (82360) | $60 | $60 | 4.7× |
| Calprotectin, fecal (83993) | $600 | $600 | 30.6× |
| Carbamazepine (tegretol) total (80156) | $84 | $84 | 5.8× |
| Carbon dioxide (82374) | $40 | $40 | 8.2× |
| Carboxyhemoglobin Quantitative (82375) | $30 | $30 | 2.4× |
| Carcinoembryonic antigen (82378) | $116 | $116 | 6.1× |
| Cardiolipin ab igg (86147) | $83 | $83 | 3.3× |
| Catecholamines fraction plasma (82384) | $490 | $490 | 19.4× |
| Catecholamines Total Urine (82382) | $132 | $132 | 4.8× |
| Chlorinated hydrocarbons screen (82441) | $230 | $230 | 38.3× |
| Cholesterol total (82465) | $16 | $16 | 3.7× |
| Cholinesterase rbc (82482) | $40 | $40 | 4.1× |
| Chromium urine (82495) | $78 | $78 | 3.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $172 | $172 | 4.9× |
| Ck isoenzymes (82552) | $79 | $79 | 5.9× |
| Ckmb (82553) | $56 | $56 | 4.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $506 | $506 | 21.0× |
| Cold agglutinin screen (86156) | $40 | $40 | 5.0× |
| Compatibility test antiglob (86922) | $267 | $267 | 1.8× |
| Compatibility Test Incubate (86921) | $86 | $86 | 0.6× |
| Complement c3 (86160) | $48 | $48 | 4.0× |
| Coombs direct (86880) | $26 | $26 | 4.8× |
| Coombs Test Indirect Qual (86885) | $40 | $40 | 7.0× |
| Copper urine (82525) | $48 | $48 | 3.9× |
| Cortisol total (82533) | $96 | $96 | 5.9× |
| Creatine kinase total (82550) | $38 | $38 | 5.8× |
| Creatinine blood (82565) | $30 | $30 | 5.9× |
| Creatinine clearance (82575) | $53 | $53 | 5.6× |
| Creatinine other source (82570) | $28 | $28 | 5.4× |
| Crossmatch immediate spin (86920) | $113 | $113 | 0.8× |
| Cryoglobulin (82595) | $20 | $20 | 3.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $46 | $46 | 5.7× |
| Culture Aerobic Identify (87077) | $38 | $38 | 4.7× |
| Culture anaerobic (87075) | $115 | $115 | 12.1× |
| Culture blood (87040) | $60 | $60 | 5.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $27 | $27 | 3.5× |
| Culture fungus id yeast (87106) | $250 | $250 | 24.2× |
| Culture genital (87070) | $39 | $39 | 4.5× |
| Culture screen only (87081) | $30 | $30 | 4.5× |
| Culture stool (87045) | $60 | $60 | 6.4× |
| Culture urine (87086) | $46 | $46 | 5.7× |
| Cyclic Citrullinated Peptide (86200) | $60 | $60 | 4.6× |
| Cytopath cell enhance tech (88112) | $118 | $118 | 2.6× |
| Cytp concentration smears & interpretation (88108) | $132 | $132 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $225 | $225 | 5.0× |
| D-Dimer (85379) | $50 | $50 | 4.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $25 | $25 | 1.5× |
| Dhea sulfate (82627) | $132 | $132 | 5.9× |
| Digoxin (80162) | $78 | $78 | 5.9× |
| Dilantin (80185) | $76 | $76 | 5.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $79 | $79 | 5.7× |
| Drug screen quant zonisamide (80203) | $243 | $243 | 18.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $291 | $291 | 22.0× |
| Drug Scrn Quan Levetiracetam (80177) | $108 | $108 | 8.2× |
| Drug scrn quant oxcarbazepin (80183) | $30 | $30 | 2.3× |
| Drug test prsmv chem anlyzr (80307) | $130 | $130 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $22.50 | $22.50 | 1.8× |
| Ebv viral capsid (86665) | $100 | $100 | 5.5× |
| Electrolyte panel (80051) | $38 | $38 | 5.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $264 | $264 | 21.8× |
| Eosinophil count (85048) | $18 | $18 | 7.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $92 | $92 | 6.0× |
| Estradiol (82670) | $36 | $36 | 1.3× |
| Estriol (82677) | $46 | $46 | 1.9× |
| Estrogen fractionated (82671) | $146 | $146 | 4.5× |
| Estrogens total (82672) | $122 | $122 | 5.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $29 | $29 | 4.0× |
| F5 gene (81241) | $160 | $160 | 2.2× |
| Fecal fat qual (82705) | $40 | $40 | 7.8× |
| Fibrinogen activity (85384) | $53 | $53 | 5.5× |
| Folate serum (82746) | $80 | $80 | 5.4× |
| Follicle Stimulating Hormone (83001) | $108 | $108 | 5.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $249 | $249 | 24.1× |
| Gammaglobulin ige (82785) | $21 | $21 | 1.3× |
| Gastric Occult Blood (82271) | $40 | $40 | 7.5× |
| Ggt (82977) | $11 | $11 | 1.5× |
| Giardia antigen eia stool (87329) | $30 | $30 | 2.5× |
| Glucose (82947) | $22 | $22 | 5.6× |
| Glucose Blood Test (82962) | $18 | $18 | 5.5× |
| Glucose body fluid (82945) | $16 | $16 | 4.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $40 | $40 | 10.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $72 | $72 | 5.6× |
| Haptoglobin (83010) | $25 | $25 | 2.0× |
| Hcg qualitative (84703) | $46 | $46 | 6.1× |
| Hcg quant (84702) | $68 | $68 | 4.5× |
| Heavy metal quant each (83018) | $200 | $200 | 9.1× |
| Hematocrit (85014) | $14 | $14 | 5.9× |
| Hemoglobin (85018) | $14 | $14 | 5.9× |
| Hemoglobin a1c (83036) | $58 | $58 | 6.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $72 | $72 | 4.0× |
| Hepatitis a antibody total (86708) | $106 | $106 | 8.6× |
| Hepatitis a igm (86709) | $46 | $46 | 4.1× |
| Hepatitis b core ab igm (86705) | $79 | $79 | 6.7× |
| Hepatitis b core antibody total (86704) | $63 | $63 | 5.2× |
| Hepatitis B Surface Ab (86706) | $60 | $60 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $28 | $28 | 2.7× |
| Hepatitis be antibody (86707) | $67 | $67 | 5.8× |
| Hepatitis Be Antigen (87350) | $67 | $67 | 5.8× |
| Hepatitis c ab confirm (86804) | $596 | $596 | 38.5× |
| Hepatitis c antibody (86803) | $80 | $80 | 5.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $255 | $255 | 7.3× |
| Herpes simplex type 2 (86696) | $96 | $96 | 5.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $32 | $32 | 6.2× |
| HIV-1 antibody (86701) | $50 | $50 | 5.6× |
| Hla b 27 disease association lc (81374) | $69 | $69 | 0.9× |
| Hla-b27 (86812) | $93 | $93 | 3.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $96 | $96 | 2.7× |
| Iaad ia clostridium difficile toxin (87324) | $55 | $55 | 4.6× |
| Iaad ia cryptosporidium (87328) | $368 | $368 | 26.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $146 | $146 | 6.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $60 | $60 | 4.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $66 | $66 | 4.7× |
| Iaad ia rotavirus (87425) | $106 | $106 | 8.8× |
| Iadna candida species amplified probe tq (87481) | $105 | $105 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $199 | $199 | 8.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $306 | $306 | 7.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $186 | $186 | 5.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $172 | $172 | 4.9× |
| Iadna nos quantification each organism (87799) | $653 | $653 | 15.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $832 | $832 | 2.0× |
| Immunfix e-phorsis/urine/csf (86335) | $132 | $132 | 4.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $30 | $30 | 2.0× |
| Immunoassay nonantibody (83516) | $35 | $35 | 3.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $125 | $125 | 5.4× |
| Immunoelectrophoresis serum (86320) | $125 | $125 | 4.2× |
| Immunofixj Electrophoresis Serum (86334) | $178 | $178 | 8.0× |
| Immunoglobulin light chains free each (83521) | $140 | $140 | 8.1× |
| Immunohistochemistry (88342) | $56 | $56 | 0.4× |
| India ink prep (87210) | $22 | $22 | 3.8× |
| Inhibin b (83520) | $280 | $280 | 16.2× |
| Insulin antibodies (86337) | $65 | $65 | 3.0× |
| Insulin total (83525) | $56 | $56 | 4.9× |
| Intrinsic factor antibody (86340) | $45 | $45 | 3.0× |
| Iron (83540) | $38 | $38 | 5.9× |
| Iron binding capacity (83550) | $56 | $56 | 6.4× |
| Jak2 gene analysis (81270) | $388 | $388 | 4.2× |
| Lactic acid (83605) | $67 | $67 | 5.8× |
| Lactoferrin Fecal Quantitative (83631) | $126 | $126 | 6.4× |
| Ldh (83615) | $32 | $32 | 5.3× |
| Lead (83655) | $86 | $86 | 7.1× |
| Legionella antigen urine (87449) | $42 | $42 | 3.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $14 | $14 | 3.3× |
| Lh (83002) | $106 | $106 | 5.7× |
| Lipase (83690) | $44 | $44 | 6.4× |
| Lithium (80178) | $44 | $44 | 6.7× |
| Lyme disease antibody (86618) | $132 | $132 | 7.8× |
| Magnesium (83735) | $32 | $32 | 4.8× |
| Malaria smear (87207) | $43 | $43 | 7.2× |
| Manual reticulocyte count (85044) | $34 | $34 | 7.9× |
| Methotrexate (80299) | $108 | $108 | 5.8× |
| Methylmalonic acid serum (83921) | $411 | $411 | 19.4× |
| Microalbumin urine (82043) | $40 | $40 | 6.9× |
| Microsomal antibodies (86376) | $16 | $16 | 1.1× |
| Mitochondrial antibody each (86381) | $172 | $172 | 6.8× |
| Myoglobin urine (83874) | $82 | $82 | 6.3× |
| N.gonorrhoeae, DNA, dir prob (87590) | $199 | $199 | 7.4× |
| Natriuretic peptide (83880) | $168 | $168 | 4.3× |
| Nuclear antigen antibody (86235) | $79 | $79 | 4.4× |
| Osmolality serum (83930) | $28 | $28 | 4.2× |
| Osmolality urine (83935) | $28 | $28 | 4.1× |
| Ova and parasite direct-id lca (87177) | $52 | $52 | 5.8× |
| Oxalate urine (83945) | $185 | $185 | 12.8× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $80 | $80 | 1.1× |
| Phenytoin free (80186) | $59 | $59 | 4.3× |
| Phosphatase alkaline (84075) | $80 | $80 | 15.4× |
| Phosphorus blood (84100) | $26 | $26 | 5.5× |
| Phosphorus urine (84105) | $17 | $17 | 2.9× |
| Porphobilinogen urine quant (84110) | $159 | $159 | 18.8× |
| Porphyrins qn & fraction urine (84120) | $139 | $139 | 9.4× |
| Potassium (84132) | $28 | $28 | 5.9× |
| Potassium urine (84133) | $40 | $40 | 8.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $200 | $200 | 1.4× |
| Procainamide napa (80192) | $93 | $93 | 5.6× |
| Procalcitonin (pct) (84145) | $82 | $82 | 3.0× |
| Progesterone (84144) | $102 | $102 | 4.9× |
| Prolactin (84146) | $118 | $118 | 6.1× |
| Protein body fluid (84157) | $20 | $20 | 5.0× |
| Protein c antigen (85302) | $132 | $132 | 11.0× |
| Protein electrophoresis serum (84165) | $106 | $106 | 9.9× |
| Protein Electrophoresis Urine (84166) | $33 | $33 | 1.9× |
| Protein S Functional (85306) | $172 | $172 | 11.2× |
| Protein Total Serum (84155) | $34 | $34 | 9.3× |
| Protein urine (84156) | $22.50 | $22.50 | 6.1× |
| PSA free (84154) | $159 | $159 | 8.6× |
| Quantiferon tb gold (86480) | $150 | $150 | 2.4× |
| Rbc antibody elution (86860) | $272 | $272 | 1.9× |
| Rbc pretx incubatj w/chemicl (86970) | $158 | $158 | 3.1× |
| Renin activity plasma (84244) | $44 | $44 | 2.0× |
| Rheumatoid Factor Qual (86430) | $40 | $40 | 6.5× |
| Rheumatoid factor quant (86431) | $40 | $40 | 7.1× |
| Rickettsia antibody (86757) | $96 | $96 | 5.0× |
| Rpr Titer (86593) | $40 | $40 | 9.1× |
| Rsv (87807) | $53 | $53 | 4.0× |
| Rubella antibody (86762) | $42 | $42 | 2.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116 | $116 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $126 | $126 | 3.0× |
| Sedimentation rate (85651) | $22 | $22 | 5.2× |
| Sensitivity mic (87186) | $44 | $44 | 5.1× |
| Sex hormone binding globulin (84270) | $32 | $32 | 1.5× |
| Sickle cell screen (85660) | $30 | $30 | 5.4× |
| Smear acid fast (87206) | $22 | $22 | 4.1× |
| Smear gram stain (87205) | $20 | $20 | 4.7× |
| Sodium (84295) | $22 | $22 | 4.6× |
| Sodium urine (84300) | $25.50 | $25.50 | 5.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $120 | $120 | 1.0× |
| Special stains group 1 (88312) | $176 | $176 | 3.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $95 | $95 | 0.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $85 | $85 | 9.0× |
| Strep a assay w/optic (87880) | $66 | $66 | 4.0× |
| Sugars Multiple Qual (84377) | $22 | $22 | 4.0× |
| Surg path level iii (88304) | $167 | $167 | 3.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $50 | $50 | 2.0× |
| Surgical pathology level IV (88305) | $61 | $61 | 1.4× |
| T3 free (84481) | $104 | $104 | 6.1× |
| T3 reverse (84482) | $152 | $152 | 9.6× |
| T3 total (84480) | $82 | $82 | 5.8× |
| T3 uptake (84479) | $40 | $40 | 6.2× |
| T4 Free (84439) | $50 | $50 | 5.5× |
| T4 total (84436) | $93 | $93 | 13.5× |
| Tb intradermal test (86580) | $31 | $31 | 1.2× |
| Test for acetone/ketones (82009) | $22 | $22 | 4.9× |
| Testosterone free (84402) | $144 | $144 | 5.7× |
| Testosterone total (84403) | $140 | $140 | 5.4× |
| Theophylline (80198) | $79 | $79 | 5.6× |
| Thin prep pap (88142) | $55 | $55 | 2.7× |
| Thyroglobulin Ab (86800) | $54 | $54 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $40.50 | $40.50 | 3.5× |
| Tobramycin peak (80200) | $86 | $86 | 5.3× |
| Topiramate (80201) | $75 | $75 | 6.3× |
| Toxin or antitoxin assay (87230) | $82 | $82 | 4.2× |
| Toxoplasma ab igm (86778) | $79 | $79 | 5.5× |
| Toxoplasma antibody igg (86777) | $105 | $105 | 7.3× |
| Transferrin (84466) | $185 | $185 | 14.5× |
| Triglycerides (84478) | $30 | $30 | 5.2× |
| Troponin (84484) | $58 | $58 | 4.7× |
| Urea nitrogen (84520) | $16 | $16 | 4.1× |
| Uric acid blood (84550) | $28 | $28 | 6.2× |
| Uric acid other source (84560) | $27 | $27 | 5.3× |
| Urinalysis w/microscopic (81001) | $20 | $20 | 6.3× |
| Urine pregnancy test (81025) | $28 | $28 | 3.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $16 | $16 | 7.1× |
| Valproic acid level (80164) | $86 | $86 | 6.4× |
| Vancomycin trough (80202) | $79 | $79 | 5.8× |
| Varicella-zoster antibody (86787) | $82 | $82 | 6.4× |
| Vdrl csf (86592) | $14 | $14 | 3.3× |
| Virus antibody nos (86790) | $78 | $78 | 6.1× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $64 | $64 | 1.9× |
| Vitamin A (84590) | $40 | $40 | 3.4× |
| Vitamin b-12 (82607) | $90 | $90 | 6.0× |
| Vitamin b1 (thiamine) (84425) | $92 | $92 | 4.3× |
| Vitamin b6 (84207) | $67 | $67 | 2.4× |
| Vitamin C (82180) | $39 | $39 | 3.9× |
| Vitamin D 25-Hydroxy (82306) | $170 | $170 | 5.7× |
| Vitamin e serum (84446) | $38 | $38 | 2.7× |
| West nile virus antibody (86789) | $84 | $84 | 5.8× |
| Zinc (84630) | $12 | $12 | 1.1× |