Lab & pathology prices at Grace Surgical Hospital
Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.
332 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) | $329.28 | $784 | 8.6× |
| Acth stimulation panel adrenal (80400) | $527.94 | $1,257 | 16.2× |
| Acute hepatitis panel (80074) | $421.26 | $1,003 | 8.8× |
| Afb culture (87116) | $119.28 | $284 | 11.0× |
| Albumin serum (82040) | $42.84 | $102 | 8.7× |
| Aldolase (82085) | $83.58 | $199 | 8.6× |
| Aldosterone urine (82088) | $349.02 | $831 | 8.6× |
| Alkaline phosphatase isoenzymes (84080) | $126.84 | $302 | 8.6× |
| Alpha-fetoprotein, serum (82105) | $143.64 | $342 | 8.6× |
| Alt (sgpt) (84460) | $45.78 | $109 | 8.6× |
| Ammonia (82140) | $124.74 | $297 | 8.6× |
| Amylase urine (82150) | $55.86 | $133 | 8.6× |
| Ana Titer (86039) | $119.70 | $285 | 10.7× |
| Angiotensin i enzyme test (82164) | $124.74 | $297 | 8.5× |
| Anti-phosphatidylserine antibody (86148) | $57.12 | $136 | 3.6× |
| Antibody cytomegalovirus cmv (86644) | $126.84 | $302 | 8.8× |
| Antibody helicobacter pylori (86677) | $87.36 | $208 | 5.2× |
| Antibody herpes smplx type 1 (86695) | $141.54 | $337 | 10.7× |
| Antibody HIV-2 (86702) | $144.48 | $344 | 10.7× |
| Antibody identification (86870) | $81.48 | $194 | 0.2× |
| Antibody identification leukocyte antibodies (86021) | $26.88 | $64 | 1.8× |
| Antibody mumps (86735) | $139.86 | $333 | 10.7× |
| Antibody rubeola (86765) | $137.76 | $328 | 10.7× |
| Antibody screen (86850) | $59.22 | $141 | 6.1× |
| Antibody treponema pallidum (86780) | $141.96 | $338 | 10.7× |
| Antigen typing (86905) | $228.90 | $545 | 59.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $258.72 | $616 | 49.9× |
| Antinuclear antibodies (86038) | $129.36 | $308 | 10.7× |
| Antistreptolysin o titer (86060) | $78.54 | $187 | 10.8× |
| Antithrombin iii activity (85300) | $45.36 | $108 | 3.8× |
| Apolipoprotein b (82172) | $133.14 | $317 | 6.3× |
| Assay Nephelometry Not Spec (83883) | $57.96 | $138 | 4.3× |
| Assay of acth (82024) | $330.54 | $787 | 8.6× |
| Assay of blood chloride (82435) | $11.76 | $28 | 2.6× |
| Assay of c-peptide (84681) | $178.50 | $425 | 8.6× |
| Assay of ceruloplasmin (82390) | $91.98 | $219 | 8.6× |
| Assay of ferritin (82728) | $117.18 | $279 | 8.6× |
| Assay of g6pd enzyme (82955) | $83.58 | $199 | 8.6× |
| Assay of gammaglobulin igm (82784) | $47.88 | $114 | 5.1× |
| Assay of homocystine (83090) | $144.06 | $343 | 8.0× |
| Assay of lipoprotein(a) (83695) | $110.88 | $264 | 7.7× |
| Assay of metanephrines (83835) | $145.74 | $347 | 8.6× |
| Assay of parathormone (83970) | $352.80 | $840 | 8.5× |
| Assay of prealbumin (84134) | $124.74 | $297 | 8.5× |
| Assay of selenium (84255) | $218.40 | $520 | 8.6× |
| Assay of tacrolimus (80197) | $223.02 | $531 | 16.2× |
| Assay of vitamin k (84597) | $89.46 | $213 | 6.5× |
| Assay Ph Body Fluid Nos (83986) | $30.66 | $73 | 8.6× |
| Ast (sgot) (84450) | $44.52 | $106 | 8.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $91.14 | $217 | 3.6× |
| Beta Lactamase (87185) | $9.66 | $23 | 2.0× |
| Bilirubin direct (82248) | $43.26 | $103 | 8.6× |
| Bilirubin total (82247) | $43.26 | $103 | 8.6× |
| Blood gases (82803) | $298.20 | $710 | 11.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $25.62 | $61 | 1.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $28.14 | $67 | 6.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $261.24 | $622 | 41.1× |
| Blood typing abo (86900) | $200.76 | $478 | 67.1× |
| Blood typing serologic rh (d) (86901) | $181.44 | $432 | 60.7× |
| Body fluid cell count (89051) | $89.88 | $214 | 16.1× |
| Body fluid cell count (89050) | $89.88 | $214 | 19.0× |
| C diff amplified probe (87493) | $475.86 | $1,133 | 12.8× |
| C-reactive protein (86140) | $55.86 | $133 | 10.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $138.18 | $329 | 10.7× |
| Ca 125 (86304) | $222.60 | $530 | 10.7× |
| Ca 27 29 (86300) | $307.86 | $733 | 14.8× |
| Calcium ionized (82330) | $41.58 | $99 | 3.0× |
| Calcium total (82310) | $44.10 | $105 | 8.5× |
| Calcium urine (82340) | $52.08 | $124 | 8.6× |
| Candida DNA dir probe (87480) | $112.56 | $268 | 5.6× |
| Carbamazepine (tegretol) total (80156) | $194.46 | $463 | 13.3× |
| Carbon dioxide (82374) | $27.72 | $66 | 5.7× |
| Carcinoembryonic antigen (82378) | $162.54 | $387 | 8.6× |
| Cardiolipin ab igg (86147) | $136.08 | $324 | 5.3× |
| Catecholamines fraction plasma (82384) | $216.30 | $515 | 8.6× |
| Chloride urine (82436) | $37.38 | $89 | 6.5× |
| Cholesterol total (82465) | $37.80 | $90 | 8.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $149.94 | $357 | 4.3× |
| Citrate (82507) | $237.72 | $566 | 8.6× |
| Clot factor viii vw antigen (85246) | $37.80 | $90 | 1.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $154.56 | $368 | 6.4× |
| Compatibility test antiglob (86922) | $367.50 | $875 | 2.1× |
| Complement c3 (86160) | $128.94 | $307 | 10.7× |
| Comprehensive review of data (88325) | $439.32 | $1,046 | 2.6× |
| Concentration Infectious Agent (87015) | $94.50 | $225 | 14.1× |
| Coombs direct (86880) | $246.12 | $586 | 45.7× |
| Copper urine (82525) | $106.26 | $253 | 8.6× |
| Cortisol free (82530) | $143.22 | $341 | 8.6× |
| Cortisol total (82533) | $120.96 | $288 | 7.4× |
| Creatine kinase total (82550) | $56.28 | $134 | 8.6× |
| Creatinine blood (82565) | $44.10 | $105 | 8.6× |
| Creatinine clearance (82575) | $81.48 | $194 | 8.6× |
| Creatinine other source (82570) | $44.52 | $106 | 8.6× |
| Crossmatch immediate spin (86920) | $415.38 | $989 | 2.4× |
| Culture Aerobic Identify (87077) | $96.18 | $229 | 11.9× |
| Culture anaerobic (87075) | $99.96 | $238 | 10.6× |
| Culture blood (87040) | $146.16 | $348 | 14.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $99.96 | $238 | 13.0× |
| Culture fungus blood (87103) | $98.70 | $235 | 4.8× |
| Culture fungus other (87102) | $119.28 | $284 | 14.2× |
| Culture genital (87070) | $121.80 | $290 | 14.1× |
| Culture screen only (87081) | $94.08 | $224 | 14.2× |
| Culture stool (87045) | $133.56 | $318 | 14.1× |
| Culture urine (87086) | $99.96 | $238 | 12.4× |
| Cyclic Citrullinated Peptide (86200) | $138.18 | $329 | 10.7× |
| Cytopath cell enhance tech (88112) | $166.32 | $396 | 3.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $142.80 | $340 | 3.8× |
| Cytopath Smear Other Source (88160) | $127.68 | $304 | 4.4× |
| Cytp concentration smears & interpretation (88108) | $142.80 | $340 | 3.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $314.16 | $748 | 6.0× |
| Cytp fna eval dx 1st each site (88172) | $185.64 | $442 | 1.1× |
| D-Dimer (85379) | $86.94 | $207 | 8.5× |
| Detect agent nos DNA dir (87797) | $74.34 | $177 | 2.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $170.10 | $405 | 10.3× |
| Dhea sulfate (82627) | $190.68 | $454 | 8.6× |
| Digoxin (80162) | $215.88 | $514 | 16.3× |
| Dilantin (80185) | $215.46 | $513 | 16.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $123.48 | $294 | 9.0× |
| Dna/Rna Amplified Probe (87150) | $86.52 | $206 | 2.5× |
| Drug Assay Lacosamide (80235) | $5.88 | $14 | 0.2× |
| Drug Scrn Quan Levetiracetam (80177) | $16.38 | $39 | 1.2× |
| Drug test prsmv chem anlyzr (80307) | $260.82 | $621 | 4.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $84 | $200 | 6.7× |
| Ebv viral capsid (86665) | $97.44 | $232 | 5.4× |
| Electrolyte panel (80051) | $63 | $150 | 9.0× |
| Electronic crossmatch (86923) | $303.24 | $722 | 1.8× |
| Endomysial antibody iga (86255) | $128.94 | $307 | 10.7× |
| Eosinophil count (85048) | $21.84 | $52 | 8.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $163.38 | $389 | 10.7× |
| Estradiol (82670) | $238.98 | $569 | 8.6× |
| Estrogen fractionated (82671) | $65.10 | $155 | 2.0× |
| Estrogens total (82672) | $185.64 | $442 | 8.6× |
| Estrone (82679) | $213.78 | $509 | 8.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $116.34 | $277 | 15.9× |
| F2 gene analysis 20210g >a variant (81240) | $293.16 | $698 | 4.5× |
| F5 gene (81241) | $293.16 | $698 | 4.0× |
| Factor viii ahg (85240) | $28.98 | $69 | 1.6× |
| Fibrinogen activity (85384) | $72.24 | $172 | 7.4× |
| Fibrinolytic Plasminogen (85415) | $146.16 | $348 | 8.5× |
| Folate serum (82746) | $126.42 | $301 | 8.6× |
| Follicle Stimulating Hormone (83001) | $159.60 | $380 | 8.6× |
| Fresh frozen plasma thawing each unit (86927) | $93.24 | $222 | 0.5× |
| Frozen Section (88331) | $208.74 | $497 | 1.2× |
| Gammaglobulin ige (82785) | $141.12 | $336 | 8.6× |
| Gardner vag DNA dir probe (87510) | $112.56 | $268 | 5.6× |
| Gastric Occult Blood (82271) | $28.14 | $67 | 5.3× |
| Ggt (82977) | $62.16 | $148 | 8.6× |
| Giardia antigen eia stool (87329) | $170.10 | $405 | 14.2× |
| Glucose (82947) | $34.02 | $81 | 8.7× |
| Glucose Blood Test (82962) | $20.58 | $49 | 6.3× |
| Glucose post dose (82950) | $41.16 | $98 | 8.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $34.02 | $81 | 8.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $110.46 | $263 | 8.6× |
| Hcg qualitative (84703) | $65.10 | $155 | 8.7× |
| Hcg quant (84702) | $60.06 | $143 | 4.0× |
| Hdl Cholesterol (83718) | $70.14 | $167 | 8.6× |
| Hematocrit (85014) | $20.58 | $49 | 8.7× |
| Hemoglobin (85018) | $20.58 | $49 | 8.7× |
| Hemoglobin a1c (83036) | $83.58 | $199 | 8.6× |
| Hepatitis a antibody total (86708) | $133.14 | $317 | 10.7× |
| Hepatitis a igm (86709) | $120.96 | $288 | 10.7× |
| Hepatitis b core ab igm (86705) | $126 | $300 | 10.7× |
| Hepatitis b core antibody total (86704) | $128.94 | $307 | 10.7× |
| Hepatitis B Surface Ab (86706) | $115.08 | $274 | 10.7× |
| Hepatitis B Surface Antigen (87340) | $139.44 | $332 | 13.5× |
| Hepatitis c antibody (86803) | $152.88 | $364 | 10.7× |
| Herpes culture (87252) | $368.76 | $878 | 14.1× |
| Herpes simplex type 2 (86696) | $207.06 | $493 | 10.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $55.86 | $133 | 10.8× |
| Hfe gene (81256) | $293.16 | $698 | 4.5× |
| HIV-1 antibody (86701) | $95.34 | $227 | 10.7× |
| Hla-b27 (86812) | $275.52 | $656 | 10.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $575.40 | $1,370 | 8.5× |
| Hsv Dna Quant (87530) | $302.82 | $721 | 7.1× |
| Iaad ia clostridium difficile toxin (87324) | $24.78 | $59 | 2.1× |
| Iaad ia HIV-1 (87390) | $250.32 | $596 | 10.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $249.06 | $593 | 10.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $106.68 | $254 | 7.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $170.10 | $405 | 12.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $85.26 | $203 | 7.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $563.64 | $1,342 | 16.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $605.22 | $1,441 | 14.1× |
| Iadna HIV-1 quant & reverse transcription (87536) | $1,202.04 | $2,862 | 14.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $563.64 | $1,342 | 16.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $149.94 | $357 | 4.3× |
| Iadna nos amplified probe tq each organism (87798) | $563.64 | $1,342 | 16.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $397.32 | $946 | 11.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $383.46 | $913 | 1.5× |
| Immunoassay nonantibody (83516) | $99.12 | $236 | 8.6× |
| Immunofixj Electrophoresis Serum (86334) | $239.40 | $570 | 10.7× |
| Immunoglobulin light chains free each (83521) | $47.46 | $113 | 2.7× |
| Immunohisto Antibody Slide (88344) | $189.42 | $451 | 0.5× |
| Immunohistochemistry (88342) | $228.90 | $545 | 1.3× |
| India ink prep (87210) | $60.48 | $144 | 10.4× |
| Influenza DNA amp probe (87502) | $234.78 | $559 | 2.5× |
| Inhibin b (83520) | $110.88 | $264 | 6.4× |
| Insitu hybridization (fish) (88365) | $143.64 | $342 | 0.8× |
| Insulin total (83525) | $98.28 | $234 | 8.6× |
| Intraop cyto path consult 1 (88333) | $59.22 | $141 | 0.1× |
| Iron (83540) | $55.86 | $133 | 8.6× |
| Iron binding capacity (83550) | $75.18 | $179 | 8.6× |
| Koh Prep (87220) | $60.48 | $144 | 14.2× |
| Lactic acid (83605) | $23.10 | $55 | 2.0× |
| Ldh (83615) | $52.08 | $124 | 8.6× |
| LDL cholesterol direct (83721) | $81.90 | $195 | 7.8× |
| Lead (83655) | $104.16 | $248 | 8.6× |
| Level ii surg pathology grossµscopic exam (88302) | $157.08 | $374 | 4.2× |
| Level v surg pathology grossµscopic exam (88307) | $481.74 | $1,147 | 1.3× |
| Level vi surg pathology grossµscopic exam (88309) | $975.24 | $2,322 | 1.2× |
| Lh (83002) | $158.76 | $378 | 8.6× |
| Lipase (83690) | $59.22 | $141 | 8.6× |
| Lithium (80178) | $13.44 | $32 | 2.0× |
| Lyme disease antibody (86618) | $181.86 | $433 | 10.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $1,727.04 | $4,112 | 10.1× |
| Magnesium (83735) | $57.54 | $137 | 8.6× |
| Methylmalonic acid serum (83921) | $141.12 | $336 | 6.7× |
| Microalbumin urine (82043) | $49.56 | $118 | 8.6× |
| Microbe susceptible diffuse (87181) | $77.28 | $184 | 16.3× |
| Microsomal antibodies (86376) | $155.82 | $371 | 10.7× |
| Mrsa amp probe (87641) | $397.32 | $946 | 11.3× |
| Mthfr Gene Analysis Common Variants (81291) | $776.58 | $1,849 | 11.9× |
| Mycoplasma culture (87109) | $217.56 | $518 | 14.1× |
| Myoglobin urine (83874) | $110.88 | $264 | 8.6× |
| Nasal smear for eosinophils (89190) | $77.28 | $184 | 13.3× |
| Natriuretic peptide (83880) | $238.98 | $569 | 6.1× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $1,738.80 | $4,140 | 13.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $238.14 | $567 | 0.9× |
| Nmr Lipoprofile (83704) | $267.12 | $636 | 7.8× |
| Nuclear antigen antibody (86235) | $191.94 | $457 | 10.7× |
| Obstetric panel (80081) | $682.92 | $1,626 | 9.1× |
| Occult blood stool (82272) | $7.98 | $19 | 1.9× |
| Osmolality serum (83930) | $56.70 | $135 | 8.6× |
| Osmolality urine (83935) | $58.80 | $140 | 8.6× |
| Ova and parasite direct-id lca (87177) | $125.58 | $299 | 14.1× |
| Oxalate urine (83945) | $110.46 | $263 | 7.6× |
| Pancreatic polypeptide (83519) | $38.64 | $92 | 2.1× |
| Phenytoin free (80186) | $223.02 | $531 | 16.2× |
| Phosphatase alkaline (84075) | $44.52 | $106 | 8.6× |
| Phospholipid Neutralization Hexagonal (85598) | $32.34 | $77 | 1.8× |
| Phosphorus blood (84100) | $41.16 | $98 | 8.7× |
| Phosphorus urine (84105) | $13.86 | $33 | 2.4× |
| Platelet aggregation (85576) | $177.66 | $423 | 7.1× |
| Platelet count (85049) | $38.64 | $92 | 8.6× |
| Platelet neutralization (85597) | $153.30 | $365 | 8.5× |
| Pooling blood platelets (86965) | $70.14 | $167 | 0.4× |
| Potassium (84132) | $11.76 | $28 | 2.5× |
| Potassium urine (84133) | $13.86 | $33 | 2.9× |
| Procalcitonin (pct) (84145) | $100.80 | $240 | 3.7× |
| Progesterone (84144) | $178.92 | $426 | 8.6× |
| Prolactin (84146) | $165.90 | $395 | 8.6× |
| Protein c activity (85303) | $110.46 | $263 | 8.0× |
| Protein c antigen (85302) | $102.48 | $244 | 8.5× |
| Protein electrophoresis serum (84165) | $91.98 | $219 | 8.6× |
| Protein S Functional (85306) | $130.20 | $310 | 8.5× |
| Protein Total Serum (84155) | $31.92 | $76 | 8.7× |
| Protein urine (84156) | $31.92 | $76 | 8.7× |
| PSA free (84154) | $157.50 | $375 | 8.6× |
| Quantiferon tb gold (86480) | $636.30 | $1,515 | 10.3× |
| Rbc antibody elution (86860) | $467.04 | $1,112 | 2.7× |
| Rbc pretx incubatj w/chemicl (86970) | $70.98 | $169 | 1.2× |
| Ref consult prep elsewhere (88321) | $356.16 | $848 | 9.5× |
| Renin activity plasma (84244) | $188.58 | $449 | 8.6× |
| Respiratory viral panel PCR (87633) | $563.64 | $1,342 | 1.4× |
| Reticulocyte Count (85046) | $42 | $100 | 7.5× |
| Rheumatoid factor quant (86431) | $60.90 | $145 | 10.7× |
| Rpr Titer (86593) | $47.88 | $114 | 10.9× |
| Rsv (87807) | $170.10 | $405 | 13.0× |
| Rubella antibody (86762) | $154.14 | $367 | 10.7× |
| Russell viper venom time diluted (85613) | $81.06 | $193 | 8.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $84.42 | $201 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $97.86 | $233 | 2.3× |
| Sarscov2 & inf a&b amp prb (87636) | $119.70 | $285 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $119.70 | $285 | 0.8× |
| Sed rate automated (85652) | $23.52 | $56 | 8.7× |
| Sensitivity mic (87186) | $17.64 | $42 | 2.0× |
| Sex hormone binding globulin (84270) | $186.06 | $443 | 8.6× |
| Sickle cell screen (85660) | $39.90 | $95 | 7.2× |
| Smear acid fast (87206) | $76.86 | $183 | 14.3× |
| Smear complex stain (87209) | $254.52 | $606 | 14.2× |
| Smear gram stain (87205) | $59.22 | $141 | 13.9× |
| Sodium (84295) | $11.76 | $28 | 2.4× |
| Sodium urine (84300) | $29.82 | $71 | 5.9× |
| Soluble transferrin receptor (84238) | $312.90 | $745 | 8.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $229.32 | $546 | 1.7× |
| Special stains group 1 (88312) | $165.06 | $393 | 3.2× |
| Splitting blood/blood products each unit (86985) | $184.80 | $440 | 1.1× |
| Staph aureus amplified probe (87640) | $59.22 | $141 | 1.7× |
| Strep a assay w/optic (87880) | $170.10 | $405 | 10.3× |
| Sulfate urine (84392) | $13.86 | $33 | 2.5× |
| Surg path level iii (88304) | $214.62 | $511 | 4.1× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $94.50 | $225 | 3.3× |
| Surgical pathology level IV (88305) | $381.78 | $909 | 7.3× |
| Susceptibility study antimicrobial disk method (87184) | $107.10 | $255 | 14.3× |
| T3 free (84481) | $145.74 | $347 | 8.6× |
| T3 total (84480) | $121.80 | $290 | 8.6× |
| T4 Free (84439) | $77.28 | $184 | 8.6× |
| T4 total (84436) | $59.22 | $141 | 8.6× |
| Test for acetone/ketones (82009) | $38.64 | $92 | 8.5× |
| Testosterone free (84402) | $217.98 | $519 | 8.6× |
| Testosterone total (84403) | $220.92 | $526 | 8.6× |
| Thrombin time plasma (85670) | $49.14 | $117 | 8.5× |
| Thyroglobulin (84432) | $137.76 | $328 | 8.6× |
| Thyroglobulin Ab (86800) | $169.68 | $404 | 10.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $238.98 | $569 | 4.7× |
| Transferrin (84466) | $109.20 | $260 | 8.6× |
| Trichomonas vagin dir probe (87660) | $112.56 | $268 | 5.6× |
| Triglycerides (84478) | $49.56 | $118 | 8.6× |
| Troponin (84484) | $84.84 | $202 | 6.8× |
| Urea nitrogen (84520) | $34.02 | $81 | 8.6× |
| Uric acid blood (84550) | $38.64 | $92 | 8.5× |
| Uric acid other source (84560) | $13.86 | $33 | 2.7× |
| Urinalysis microscopic only (81015) | $38.22 | $91 | 12.5× |
| Urinalysis w/microscopic (81001) | $41.58 | $99 | 13.1× |
| Urine pregnancy test (81025) | $82.74 | $197 | 9.6× |
| Urine volume measurement (81050) | $39.06 | $93 | 10.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $27.72 | $66 | 12.3× |
| Valproic acid level (80164) | $219.66 | $523 | 16.2× |
| Vancomycin trough (80202) | $219.66 | $523 | 16.2× |
| Varicella-zoster antibody (86787) | $137.76 | $328 | 10.7× |
| Vdrl csf (86592) | $45.78 | $109 | 10.7× |
| Vitamin A (84590) | $78.96 | $188 | 6.8× |
| Vitamin b-12 (82607) | $129.36 | $308 | 8.6× |
| Vitamin b-2 (riboflavin) (84252) | $119.70 | $285 | 5.9× |
| Vitamin b1 (thiamine) (84425) | $119.70 | $285 | 5.6× |
| Vitamin b6 (84207) | $119.70 | $285 | 4.3× |
| Vitamin C (82180) | $75.18 | $179 | 7.6× |
| Vitamin D 25-Hydroxy (82306) | $253.26 | $603 | 8.6× |
| Vitamin e serum (84446) | $121.80 | $290 | 8.6× |
| Von willebrand factor activity (85245) | $37.80 | $90 | 1.6× |
| West nile virus ab, igm (86788) | $180.18 | $429 | 10.7× |
| West nile virus antibody (86789) | $154.14 | $367 | 10.7× |
| Zinc (84630) | $97.86 | $233 | 8.6× |