Lab & pathology prices at Garden County Health Services
Oshkosh, NE · every code in this section with a posted price and a Medicare benchmark.
369 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) | $290 | $427 | 7.5× |
| 17-Hydroxycorticosteroids (83491) | $417 | $613 | 23.3× |
| 5 Hiaa (83497) | $144 | $212 | 11.2× |
| Acute hepatitis panel (80074) | $602 | $886 | 12.6× |
| Adenovirus antibody (86603) | $247 | $363 | 19.2× |
| Albumin serum (82040) | $50 | $74 | 10.1× |
| Aldosterone urine (82088) | $323 | $475 | 7.9× |
| Alkaline phosphatase isoenzymes (84080) | $155 | $228 | 10.5× |
| Allergen specific ige (86003) | $63 | $93 | 12.1× |
| Alpha-1-antitrypsin phenotype (82104) | $161 | $237 | 11.1× |
| Alpha-1-antitrypsin, total (82103) | $161 | $237 | 12.0× |
| Alpha-fetoprotein, serum (82105) | $222 | $327 | 13.2× |
| Alt (sgpt) (84460) | $83 | $122 | 15.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $300 | $441 | 17.8× |
| Amino Acids Quant 2-5 (82136) | $294 | $433 | 15.0× |
| Amino Acids, Single Quantitation (82131) | $273 | $402 | 11.9× |
| Ammonia (82140) | $133 | $196 | 9.1× |
| Amylase urine (82150) | $93 | $137 | 14.4× |
| Ana Titer (86039) | $89 | $131 | 8.0× |
| Angiotensin i enzyme test (82164) | $139 | $205 | 9.5× |
| Anti-phosphatidylserine antibody (86148) | $129 | $190 | 8.0× |
| Antibody aspergillus (86606) | $163 | $240 | 10.8× |
| Antibody cytomegalovirus cmv (86644) | $146 | $214 | 10.1× |
| Antibody cytomegalovirus cmv igm (86645) | $158 | $232 | 9.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $127 | $187 | 8.8× |
| Antibody herpes smplx type 1 (86695) | $100 | $147 | 7.6× |
| Antibody identification (86870) | $189 | $278 | 0.5× |
| Antibody mumps (86735) | $106 | $156 | 8.1× |
| Antibody Protozoa Nes (86753) | $74 | $109 | 6.0× |
| Antibody rubeola (86765) | $129 | $190 | 10.0× |
| Antibody screen (86850) | $104 | $153 | 10.6× |
| Antibody; Coccidioides (86635) | $128 | $188 | 11.2× |
| Antigen typing (86905) | $114 | $168 | 29.8× |
| Antinuclear antibodies (86038) | $120 | $176 | 9.9× |
| Antistreptolysin o titer (86060) | $95 | $140 | 13.0× |
| Antithrombin iii activity (85300) | $190 | $280 | 16.0× |
| Apolipoprotein b (82172) | $127 | $187 | 6.0× |
| Arsenic Urine (82175) | $124 | $182 | 6.5× |
| Aspergillus ag eia (87305) | $182 | $267 | 15.2× |
| Assay of acth (82024) | $276 | $406 | 7.1× |
| Assay of blood chloride (82435) | $48 | $71 | 10.4× |
| Assay of c-peptide (84681) | $139 | $205 | 6.7× |
| Assay of calcitonin (82308) | $191 | $281 | 7.1× |
| Assay of ceruloplasmin (82390) | $100 | $147 | 9.3× |
| Assay of erythropoietin (82668) | $213 | $313 | 11.3× |
| Assay of ferritin (82728) | $163 | $240 | 12.0× |
| Assay of g6pd enzyme (82955) | $137 | $202 | 14.1× |
| Assay of gammaglobulin igm (82784) | $88 | $130 | 9.5× |
| Assay of gentamicin (80170) | $182 | $268 | 11.1× |
| Assay of homocystine (83090) | $224 | $329 | 12.5× |
| Assay of manganese (83785) | $159 | $234 | 6.0× |
| Assay of metanephrines (83835) | $424.50 | $624.50 | 25.1× |
| Assay of parathormone (83970) | $290 | $427 | 7.0× |
| Assay of phenobarbital (80184) | $154 | $227 | 10.1× |
| Assay of prealbumin (84134) | $158 | $232 | 10.8× |
| Assay of prostate specific antigen complexed (84152) | $143 | $210 | 7.8× |
| Assay of selenium (84255) | $213 | $313 | 8.3× |
| Assay of serotonin (84260) | $277 | $407 | 8.9× |
| Assay of somatomedin (84305) | $270 | $397 | 12.7× |
| Assay of tacrolimus (80197) | $213 | $313 | 15.5× |
| Assay of transcortin (84449) | $133 | $196 | 7.4× |
| Assay of urine vma (84585) | $167 | $245 | 10.8× |
| Ast (sgot) (84450) | $67 | $99 | 12.9× |
| Bcr/abl1 gene major bp (81206) | $854 | $1,256 | 5.2× |
| Beta-2 microglobulin (82232) | $156 | $230 | 9.6× |
| Bilirubin direct (82248) | $62 | $91 | 12.4× |
| Bilirubin total (82247) | $62 | $91 | 12.4× |
| Bl Smear W/Diff Wbc Count (85007) | $88 | $130 | 23.2× |
| Blood count reticulocyte automated (85045) | $67 | $99 | 16.8× |
| Blood gases (82803) | $226 | $333 | 8.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35.50 | $52.50 | 8.1× |
| Blood Ph - Ph Venous (82800) | $95 | $140 | 8.6× |
| Blood typing abo (86900) | $66 | $97 | 22.1× |
| Blood typing serologic rh (d) (86901) | $62 | $91 | 20.7× |
| Body fluid cell count (89051) | $176 | $259 | 31.4× |
| Brucella antibody (86622) | $138 | $203 | 15.5× |
| C-reactive protein (86140) | $142 | $209 | 27.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $100 | $147 | 7.7× |
| Ca 125 (86304) | $176 | $259 | 8.5× |
| Ca 19-9 (86301) | $276 | $406 | 13.3× |
| Ca 27 29 (86300) | $165 | $243 | 7.9× |
| Cadmium level (82300) | $151 | $222 | 6.4× |
| Calcium ionized (82330) | $154 | $227 | 11.3× |
| Calcium total (82310) | $133 | $195 | 25.8× |
| Calcium urine (82340) | $78 | $114 | 12.9× |
| Calculus Spectroscopy (82365) | $150 | $221 | 11.6× |
| Calprotectin, fecal (83993) | $530 | $779 | 27.0× |
| Candida DNA dir probe (87480) | $52 | $76 | 2.6× |
| Carbamazepine (tegretol) total (80156) | $132 | $194 | 9.1× |
| Carbon dioxide (82374) | $69 | $101 | 14.1× |
| Carboxyhemoglobin Quantitative (82375) | $151 | $222 | 12.3× |
| Carcinoembryonic antigen (82378) | $151 | $222 | 8.0× |
| Cardiolipin ab igg (86147) | $146 | $215 | 5.7× |
| Carnitine (82379) | $241 | $355 | 14.3× |
| Carotene (82380) | $123 | $181 | 13.3× |
| Catecholamines fraction plasma (82384) | $208 | $306 | 8.2× |
| Chemiluminescent assay (82397) | $225.50 | $332 | 16.0× |
| Chloride urine (82436) | $69 | $102 | 12.0× |
| Cholesterol total (82465) | $53 | $78 | 12.2× |
| Chromogranin a (86316) | $209 | $308 | 10.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $133 | $196 | 3.8× |
| Citrate (82507) | $195 | $287 | 7.0× |
| Ck isoenzymes (82552) | $131 | $192 | 9.8× |
| Ckmb (82553) | $187 | $275 | 16.2× |
| Clot factor viii vw antigen (85246) | $254 | $374 | 11.1× |
| Clozapine level (80159) | $78 | $114 | 3.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $265 | $389.50 | 11.0× |
| Cold agglutinin screen (86156) | $112 | $165 | 13.9× |
| Compatibility test antiglob (86922) | $201 | $295 | 1.1× |
| Compatibility Test Incubate (86921) | $124 | $182 | 0.7× |
| Complement c3 (86160) | $103 | $151.50 | 8.6× |
| Coombs direct (86880) | $75 | $111 | 13.9× |
| Copper urine (82525) | $141 | $208 | 11.4× |
| Cortisol free (82530) | $175 | $257 | 10.5× |
| Cortisol total (82533) | $165 | $243 | 10.1× |
| Creatine kinase total (82550) | $144 | $212 | 22.1× |
| Creatinine blood (82565) | $75 | $111 | 14.6× |
| Creatinine clearance (82575) | $110 | $162 | 11.6× |
| Creatinine other source (82570) | $104 | $153 | 20.1× |
| Crossmatch immediate spin (86920) | $163 | $240 | 0.9× |
| Cryoglobulin (82595) | $88 | $130 | 13.6× |
| Culture Aerobic Identify (87077) | $81 | $119 | 10.0× |
| Culture anaerobic (87075) | $123 | $181 | 13.0× |
| Culture blood (87040) | $222 | $326 | 21.5× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $167 | $245 | 21.7× |
| Culture fungus id yeast (87106) | $123 | $181 | 11.9× |
| Culture fungus other (87102) | $199 | $293 | 23.7× |
| Culture genital (87070) | $102 | $150 | 11.8× |
| Culture screen only (87081) | $83 | $122.50 | 12.5× |
| Culture stool (87045) | $131 | $192 | 13.9× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $198 | $291 | 0.9× |
| Culture urine id ea isolate (87088) | $97 | $142 | 12.0× |
| Cyclic Citrullinated Peptide (86200) | $143 | $211 | 11.0× |
| Cytopath cell enhance tech (88112) | $139 | $205 | 2.6× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $36 | $53 | 1.9× |
| D-Dimer (85379) | $216 | $318 | 21.2× |
| Detect agnt mult DNA ampli (87801) | $363 | $534 | 5.2× |
| Dhea (82626) | $312 | $459 | 12.3× |
| Dhea sulfate (82627) | $159 | $234 | 7.2× |
| Digoxin (80162) | $124 | $182 | 9.3× |
| Dilantin (80185) | $141 | $207 | 10.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $114 | $167 | 8.3× |
| Dna/Rna Amplified Probe (87150) | $41 | $61 | 1.2× |
| Drug assay adalimumab (80145) | $507.50 | $746 | 13.2× |
| Drug assay voriconazole (80285) | $88 | $130 | 3.2× |
| Drug Screen Quant Gabapentin (80171) | $152 | $224 | 7.0× |
| Drug screen quant zonisamide (80203) | $93 | $137 | 7.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $185 | $272 | 14.0× |
| Drug Scrn Quan Levetiracetam (80177) | $324 | $476 | 24.5× |
| Drug scrn quant oxcarbazepin (80183) | $184 | $270 | 13.9× |
| Drug test prsmv chem anlyzr (80307) | $314 | $462 | 5.1× |
| Ebv viral capsid (86665) | $139 | $205 | 7.7× |
| Ehrlichia antibody (86666) | $207.50 | $305 | 20.4× |
| Elastase pancreatic fecal quantitative (82653) | $143 | $210 | 6.2× |
| Electrolyte panel (80051) | $124 | $182 | 17.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $197 | $289 | 16.3× |
| Endomysial antibody iga (86255) | $257 | $378 | 21.3× |
| Eosinophil count (85048) | $41 | $61 | 16.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $139 | $205 | 9.1× |
| Estradiol (82670) | $170 | $250 | 6.1× |
| Estriol (82677) | $151 | $222 | 6.2× |
| Estrogen fractionated (82671) | $60 | $88 | 1.9× |
| Estrogens total (82672) | $284 | $418 | 13.1× |
| Estrone (82679) | $203 | $298 | 8.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $86 | $126.50 | 11.7× |
| F5 gene (81241) | $328 | $482 | 4.5× |
| Factor v activity (85220) | $273 | $402 | 15.5× |
| Factor viii ahg (85240) | $287 | $422 | 16.0× |
| Factor xiii solubility screen (85291) | $251 | $369 | 27.6× |
| Fecal fat quant (82710) | $279 | $411 | 16.6× |
| Fibrinogen activity (85384) | $127 | $187 | 13.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $226 | $333 | 14.6× |
| Folate serum (82746) | $190 | $280 | 12.9× |
| Follicle Stimulating Hormone (83001) | $142 | $209 | 7.6× |
| Francisella Tularensis (86668) | $117 | $172 | 8.3× |
| Gammaglobulin ige (82785) | $137 | $202 | 8.3× |
| Gardner vag DNA dir probe (87510) | $52 | $76 | 2.6× |
| Ggt (82977) | $118 | $174 | 16.4× |
| Giardia antigen eia stool (87329) | $137 | $202 | 11.4× |
| Gliadin antibody each immunoglobulin class (86258) | $151 | $222 | 12.5× |
| Glucose (82947) | $63 | $92 | 16.0× |
| Glucose body fluid (82945) | $66 | $97 | 16.8× |
| Glucose post dose (82950) | $84 | $124 | 17.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $84 | $124 | 21.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $206 | $303 | 16.0× |
| Growth hormone (83003) | $114 | $168 | 6.8× |
| Haptoglobin (83010) | $114 | $167 | 9.1× |
| Hcg qualitative (84703) | $146 | $215 | 19.4× |
| Hcg quant (84702) | $154 | $227 | 10.2× |
| Hdl Cholesterol (83718) | $213 | $313 | 26.0× |
| Hematocrit (85014) | $39 | $58 | 16.5× |
| Hemoglobin (85018) | $31 | $45.50 | 13.1× |
| Hemoglobin a1c (83036) | $75 | $111 | 7.7× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $75 | $111 | 4.2× |
| Hemoglobin electrophoresis (83020) | $68 | $100 | 5.3× |
| Hepatitis a antibody total (86708) | $144 | $212 | 11.6× |
| Hepatitis a igm (86709) | $137 | $202 | 12.2× |
| Hepatitis b core antibody total (86704) | $118 | $173 | 9.8× |
| Hepatitis B Surface Ab (86706) | $133 | $196 | 12.4× |
| Hepatitis B Surface Antigen (87340) | $129 | $190 | 12.5× |
| Hepatitis be antibody (86707) | $136 | $200 | 11.8× |
| Hepatitis Be Antigen (87350) | $91 | $134 | 7.9× |
| Hepatitis c ab confirm (86804) | $418 | $615 | 27.0× |
| Hepatitis c antibody (86803) | $132 | $194 | 9.3× |
| Hepatitis C Genotype (87902) | $233 | $343 | 0.9× |
| Herpes simplex type 2 (86696) | $109 | $160 | 5.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $83 | $122 | 16.0× |
| Hfe gene (81256) | $277 | $408 | 4.2× |
| Histoplasma antigen urine (87385) | $245 | $360 | 18.5× |
| HIV-1 antibody (86701) | $100 | $147 | 11.2× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $115 | $169 | 8.4× |
| Hla-b27 (86812) | $312 | $459 | 12.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $241 | $354 | 3.6× |
| Hydroxyprogesterone 17-d (83498) | $170 | $250 | 6.3× |
| Iaad ia clostridium difficile toxin (87324) | $206 | $303 | 17.2× |
| Iaad ia cryptosporidium (87328) | $127 | $187 | 9.2× |
| Iaad ia rotavirus (87425) | $141 | $207 | 11.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $167 | $245 | 4.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $137 | $202 | 11.4× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $79.50 | 3.2× |
| Iaadiadoo not otherwise specified (87899) | $80.50 | $118 | 5.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $78 | $114 | 2.2× |
| Iadna human papillomavirus high-risk types (87624) | $162 | $238 | 4.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $262 | $385 | 7.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $132 | $194 | 3.8× |
| Iadna nos amplified probe tq each organism (87798) | $297 | $437 | 8.5× |
| Iadna nos quantification each organism (87799) | $512 | $753 | 12.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $607 | $893 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $369 | $542 | 12.6× |
| Immunoassay nonantibody (83516) | $147.50 | $217 | 12.8× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $83 | $122 | 5.2× |
| Immunofixj Electrophoresis Serum (86334) | $401 | $590 | 17.9× |
| Immunoglobulin light chains free each (83521) | $313 | $461 | 18.1× |
| Immunohistochemistry (88342) | $258 | $379 | 1.5× |
| Influenza a/b ag eia (87400) | $167 | $245 | 11.8× |
| Inhibin b (83520) | $239 | $352 | 13.8× |
| Insulin antibodies (86337) | $304 | $447 | 14.2× |
| Insulin free (83527) | $95 | $140 | 7.3× |
| Insulin total (83525) | $149 | $219 | 13.0× |
| Iron (83540) | $62 | $91 | 9.6× |
| Iron binding capacity (83550) | $81 | $119 | 9.3× |
| Islet cell antibody (86341) | $287 | $422 | 12.2× |
| Lactic acid (83605) | $125 | $184 | 10.8× |
| Lactoferrin fecal qualitative (83630) | $110 | $162 | 5.6× |
| Ldh (83615) | $78 | $114 | 12.9× |
| Lead (83655) | $104 | $153 | 8.6× |
| Legionella antigen urine (87449) | $206 | $303 | 17.2× |
| Lh (83002) | $146 | $215 | 7.9× |
| Lipase (83690) | $110 | $162 | 16.0× |
| Lithium (80178) | $103 | $151 | 15.6× |
| Lyme disease antibody (86618) | $184 | $270 | 10.8× |
| Lyme disease antibody confirm (86617) | $120 | $176 | 7.7× |
| Magnesium (83735) | $120 | $176 | 17.9× |
| Malaria smear (87207) | $40 | $59 | 6.7× |
| Mercury (83825) | $148 | $217 | 9.1× |
| Methotrexate (80299) | $215 | $316 | 11.5× |
| Microalbumin urine (82043) | $168 | $247 | 29.1× |
| Microsomal antibodies (86376) | $119.50 | $175.50 | 8.2× |
| Mitochondrial antibody each (86381) | $151 | $222 | 5.9× |
| Muramidase (85549) | $104 | $153 | 5.5× |
| Mycoplasma antibody (86738) | $129 | $190 | 9.7× |
| Myoglobin urine (83874) | $144 | $212 | 11.1× |
| Natriuretic peptide (83880) | $262 | $385 | 6.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $129 | $190 | 0.9× |
| Nuclear antigen antibody (86235) | $184 | $270 | 10.3× |
| Organic Acids Total Quantitative Each Specimen (83918) | $360 | $530 | 15.3× |
| Osmolality serum (83930) | $110 | $162 | 16.6× |
| Osmolality urine (83935) | $88 | $130 | 12.9× |
| Ova and parasite direct-id lca (87177) | $97 | $142 | 10.9× |
| Oxalate urine (83945) | $124 | $182 | 8.6× |
| Parvovirus antibody (86747) | $114 | $167 | 7.6× |
| Phosphatase alkaline (84075) | $53 | $78 | 10.2× |
| Phosphorus blood (84100) | $110 | $162 | 23.2× |
| Phosphorus urine (84105) | $62 | $91 | 10.7× |
| Platelet count (85049) | $71 | $105 | 15.8× |
| Potassium (84132) | $54 | $79.50 | 11.3× |
| Potassium urine (84133) | $58 | $85 | 12.3× |
| Pregnenolone (84140) | $245 | $360 | 11.9× |
| Primidone (80188) | $142 | $209 | 8.6× |
| Procalcitonin (pct) (84145) | $209 | $308 | 7.7× |
| Progesterone (84144) | $127 | $187 | 6.1× |
| Prolactin (84146) | $179 | $263 | 9.2× |
| Protein body fluid (84157) | $58 | $85 | 14.5× |
| Protein c activity (85303) | $148 | $217 | 10.7× |
| Protein c antigen (85302) | $318 | $467 | 26.5× |
| Protein electrophoresis serum (84165) | $137 | $202 | 12.8× |
| Protein Electrophoresis Urine (84166) | $142 | $209 | 8.0× |
| Protein S Functional (85306) | $252 | $371 | 16.4× |
| Protein s total (85305) | $285 | $419 | 24.5× |
| Protein Total Serum (84155) | $163.50 | $240 | 44.6× |
| Protein urine (84156) | $86 | $126 | 23.4× |
| PSA free (84154) | $125 | $184 | 6.8× |
| Quantiferon tb gold (86480) | $226 | $333 | 3.6× |
| Quinidine (80194) | $118 | $174 | 8.1× |
| Reagent strip/blood glucose (82948) | $34 | $50.50 | 6.7× |
| Renin activity plasma (84244) | $460 | $676 | 20.9× |
| Respiratory viral panel PCR (87633) | $262 | $385 | 0.6× |
| Rheumatoid factor quant (86431) | $77 | $113.50 | 13.6× |
| Rickettsia antibody (86757) | $128 | $188 | 6.6× |
| Rsv (87807) | $144 | $212 | 11.0× |
| Rubella antibody (86762) | $82 | $120 | 5.7× |
| Russell viper venom time diluted (85613) | $175 | $257 | 18.3× |
| Saccharomyces ab iga (86671) | $20 | $29 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $97 | $142 | 2.3× |
| Sed rate automated (85652) | $45 | $66 | 16.7× |
| Sedimentation rate (85651) | $53 | $78 | 12.4× |
| Sensitivity mic (87186) | $185 | $272 | 21.4× |
| Serotonin Release Assay (86022) | $544 | $800 | 29.6× |
| Sex hormone binding globulin (84270) | $161 | $237 | 7.4× |
| Sickle cell screen (85660) | $89 | $131 | 16.2× |
| Sirolimus (rapamycin) (80195) | $318 | $467 | 23.2× |
| Smear acid fast (87206) | $76 | $112 | 14.1× |
| Smear complex stain (87209) | $90 | $132 | 5.0× |
| Smear gram stain (87205) | $61 | $89 | 14.3× |
| Sodium (84295) | $53 | $78 | 11.0× |
| Sodium urine (84300) | $71 | $105 | 14.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $211 | $310 | 1.5× |
| Special stains group 1 (88312) | $148 | $217 | 2.7× |
| Spectrophotometry (84311) | $180 | $265 | 22.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $83 | $122 | 8.8× |
| Surg path level iii (88304) | $194 | $285 | 3.6× |
| Surgical pathology level IV (88305) | $261 | $384 | 4.8× |
| T3 free (84481) | $330 | $486 | 19.5× |
| T3 reverse (84482) | $241 | $354 | 15.3× |
| T3 total (84480) | $115 | $169 | 8.1× |
| T3 uptake (84479) | $67 | $99 | 10.4× |
| T4 Free (84439) | $103 | $151 | 11.4× |
| T4 total (84436) | $80 | $118 | 11.6× |
| Tb intradermal test (86580) | $71 | $105 | 2.4× |
| Testosterone free (84402) | $175 | $257 | 6.9× |
| Testosterone total (84403) | $165 | $243 | 6.4× |
| Theophylline (80198) | $124 | $182 | 8.8× |
| Thin prep pap (88142) | $110 | $162 | 5.4× |
| Thrombin time plasma (85670) | $83 | $122 | 14.4× |
| Thyroglobulin Ab (86800) | $127 | $187 | 8.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $409 | $601 | 8.0× |
| Thyroxine binding globulin (84442) | $137 | $202 | 9.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $151 | $222 | 13.1× |
| Tobramycin peak (80200) | $129 | $190 | 8.0× |
| Topiramate (80201) | $237 | $349 | 19.9× |
| Toxoplasma ab igm (86778) | $161 | $237 | 11.2× |
| Transferrin (84466) | $127 | $187 | 10.0× |
| Trichinella antibody (86784) | $96 | $141 | 7.6× |
| Trichomonas vagin dir probe (87660) | $52 | $76 | 2.6× |
| Troponin (84484) | $213 | $313 | 17.1× |
| Urea nitrogen (84520) | $53 | $78 | 13.4× |
| Urea nitrogen urine (84540) | $69 | $101 | 12.4× |
| Uric acid blood (84550) | $61 | $89 | 13.5× |
| Uric acid other source (84560) | $69 | $101 | 13.6× |
| Urinalysis microscopic only (81015) | $27 | $39 | 8.9× |
| Urinalysis w/microscopic (81001) | $66 | $97 | 20.8× |
| Urine pregnancy test (81025) | $45 | $66 | 5.2× |
| Urine volume measurement (81050) | $27 | $39 | 7.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $45 | $66 | 20.0× |
| Valproic acid level (80164) | $150 | $220 | 11.1× |
| Vancomycin trough (80202) | $162 | $238 | 12.0× |
| Varicella-zoster antibody (86787) | $131 | $192 | 10.2× |
| Vdrl csf (86592) | $58 | $86 | 13.6× |
| Vitamin A (84590) | $175 | $257 | 15.1× |
| Vitamin b-12 (82607) | $182 | $268 | 12.1× |
| Vitamin b-2 (riboflavin) (84252) | $354 | $521 | 17.5× |
| Vitamin b1 (thiamine) (84425) | $228 | $336 | 10.7× |
| Vitamin b6 (84207) | $218 | $320 | 7.8× |
| Vitamin C (82180) | $165 | $243 | 16.7× |
| Vitamin D 25-Hydroxy (82306) | $198 | $291 | 6.7× |
| Vitamin e serum (84446) | $185 | $272 | 13.0× |
| West nile virus ab, igm (86788) | $148 | $217 | 8.8× |
| West nile virus antibody (86789) | $148 | $217 | 10.3× |
| Zinc (84630) | $136 | $200 | 11.9× |