Lab & pathology prices at Hodgeman County Health Center
Jetmore, KS · every code in this section with a posted price and a Medicare benchmark.
374 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $108 | $135 | 9.7× |
| Acetaminophen level (80143) | $164.80 | $206 | 8.8× |
| Actin smooth muscle antibody each (86015) | $36 | $45 | 3.0× |
| Actinomyces antibody (86602) | $32 | $40 | 3.1× |
| Activated protein c resistance (85307) | $176 | $220 | 11.5× |
| Acute hepatitis panel (80074) | $203.20 | $254 | 4.3× |
| Acylcarnitine Plasma (82017) | $204 | $255 | 12.1× |
| Afb culture (87116) | $79.20 | $99 | 7.3× |
| Albumin Fluid (82042) | $30.40 | $38 | 3.9× |
| Albumin serum (82040) | $39.20 | $49 | 7.9× |
| Aldolase (82085) | $59.20 | $74 | 6.1× |
| Aldosterone urine (82088) | $185.60 | $232 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $65.60 | $82 | 4.4× |
| Allergen specific ige (86003) | $36 | $45 | 6.9× |
| Allg Spec Ige Recomb Ea (86008) | $139.20 | $174 | 7.8× |
| Alpha-1-antitrypsin phenotype (82104) | $160 | $200 | 11.1× |
| Alpha-1-antitrypsin, total (82103) | $85.60 | $107 | 6.4× |
| Alpha-fetoprotein, serum (82105) | $56 | $70 | 3.3× |
| Alt (sgpt) (84460) | $40 | $50 | 7.5× |
| Ammonia (82140) | $91.20 | $114 | 6.3× |
| Amylase urine (82150) | $74.40 | $93 | 11.5× |
| Ana Titer (86039) | $70.40 | $88 | 6.3× |
| Angiotensin i enzyme test (82164) | $100 | $125 | 6.8× |
| Antibody Absorption (86978) | $76.80 | $96 | 1.4× |
| Antibody aspergillus (86606) | $76.80 | $96 | 5.1× |
| Antibody cytomegalovirus cmv (86644) | $120 | $150 | 8.3× |
| Antibody cytomegalovirus cmv igm (86645) | $120 | $150 | 7.1× |
| Antibody helicobacter pylori (86677) | $170 | $212.50 | 10.1× |
| Antibody herpes smplx type 1 (86695) | $92 | $115 | 7.0× |
| Antibody john cunningham virus (86711) | $49.60 | $62 | 2.9× |
| Antibody Protozoa Nes (86753) | $68 | $85 | 5.5× |
| Antibody rubeola (86765) | $220 | $275 | 17.1× |
| Antibody screen (86850) | $79.20 | $99 | 8.1× |
| Antibody treponema pallidum (86780) | $86.40 | $108 | 6.5× |
| Antibody; Coccidioides (86635) | $72 | $90 | 6.3× |
| Antigen typing (86905) | $58.40 | $73 | 15.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $100 | $125 | 8.3× |
| Antinuclear antibodies (86038) | $109.60 | $137 | 9.1× |
| Antistreptolysin o titer (86060) | $56 | $70 | 7.7× |
| Antithrombin iii activity (85300) | $156 | $195 | 13.2× |
| Apolipoprotein b (82172) | $64 | $80 | 3.0× |
| Arsenic Urine (82175) | $72 | $90 | 3.8× |
| Aspergillus ag eia (87305) | $204 | $255 | 17.0× |
| Assay carboxyhb qual (82376) | $56 | $70 | 4.0× |
| Assay Nephelometry Not Spec (83883) | $127.20 | $159 | 9.4× |
| Assay of acth (82024) | $181.60 | $227 | 4.7× |
| Assay of androstenedione (82157) | $141.60 | $177 | 4.8× |
| Assay of anti-mullerian hormone (82166) | $88.80 | $111 | 2.3× |
| Assay of blood chloride (82435) | $32.80 | $41 | 7.1× |
| Assay of c-peptide (84681) | $83.20 | $104 | 4.0× |
| Assay of ceruloplasmin (82390) | $72 | $90 | 6.7× |
| Assay of erythropoietin (82668) | $108.80 | $136 | 5.8× |
| Assay of ferritin (82728) | $103.20 | $129 | 7.6× |
| Assay of gammaglobulin igm (82784) | $88.80 | $111 | 9.5× |
| Assay of gastrin (82941) | $101.60 | $127 | 5.8× |
| Assay of metanephrines (83835) | $107.20 | $134 | 6.3× |
| Assay of parathormone (83970) | $256.80 | $321 | 6.2× |
| Assay of phenobarbital (80184) | $64 | $80 | 4.2× |
| Assay of prealbumin (84134) | $73.60 | $92 | 5.0× |
| Assay of somatomedin (84305) | $144 | $180 | 6.8× |
| Assay of tacrolimus (80197) | $65.60 | $82 | 4.8× |
| Assay of vitamin k (84597) | $259.20 | $324 | 18.9× |
| Assay Ph Body Fluid Nos (83986) | $28.80 | $36 | 8.0× |
| Assay Thiopurine S-Methyltransferase (84433) | $504 | $630 | 22.7× |
| Ast (sgot) (84450) | $40 | $50 | 7.7× |
| B cells total count (86355) | $160 | $200 | 4.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $143.20 | $179 | 5.6× |
| Beta Lactamase (87185) | $24 | $30 | 5.1× |
| Beta-2 microglobulin (82232) | $50.40 | $63 | 3.1× |
| Bilirubin direct (82248) | $39.20 | $49 | 7.8× |
| Bilirubin total (82247) | $44 | $55 | 8.8× |
| Bl Smear W/Diff Wbc Count (85007) | $36.80 | $46 | 9.7× |
| Blastomyces antibody (86612) | $210.40 | $263 | 16.3× |
| Blood count reticulocyte automated (85045) | $94.40 | $118 | 23.7× |
| Blood gases w/02 saturation (82805) | $188 | $235 | 2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $45.60 | $57 | 2.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $80 | $100 | 12.6× |
| Blood typing abo (86900) | $45.60 | $57 | 15.3× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $89.60 | $112 | 5.5× |
| Blood typing serologic rh (d) (86901) | $42.40 | $53 | 14.2× |
| Blood typing serologic rh phenotyping complete (86906) | $56 | $70 | 7.2× |
| Body fluid cell count (89051) | $142.40 | $178 | 25.4× |
| C diff amplified probe (87493) | $126.40 | $158 | 3.4× |
| C-reactive protein (86140) | $56.80 | $71 | 11.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $89.60 | $112 | 6.9× |
| Ca 125 (86304) | $89.60 | $112 | 4.3× |
| Ca 19-9 (86301) | $116 | $145 | 5.6× |
| Ca 27 29 (86300) | $95.20 | $119 | 4.6× |
| Cadmium level (82300) | $76.80 | $96 | 3.2× |
| Calcium ionized (82330) | $72.80 | $91 | 5.3× |
| Calcium total (82310) | $63.20 | $79 | 12.2× |
| Calculus Spectroscopy (82365) | $92 | $115 | 7.1× |
| Calprotectin, fecal (83993) | $176 | $220 | 9.0× |
| Carbamazepine (tegretol) total (80156) | $147.20 | $184 | 10.1× |
| Carbon dioxide (82374) | $45.60 | $57 | 9.3× |
| Carcinoembryonic antigen (82378) | $143.20 | $179 | 7.6× |
| Cardiolipin ab igg (86147) | $192 | $240 | 7.5× |
| Chemiluminescent assay (82397) | $208 | $260 | 14.7× |
| Chloride urine (82436) | $32.80 | $41 | 5.7× |
| Cholesterol total (82465) | $39.20 | $49 | 9.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $629.60 | $787 | 5.0× |
| Chromogranin a (86316) | $118.40 | $148 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $85.60 | $107 | 2.4× |
| Clot factor viii vw antigen (85246) | $208 | $260 | 9.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $276 | $345 | 11.5× |
| Cold agglutinin titer (86157) | $72.80 | $91 | 9.0× |
| Collagen cross links (82523) | $120 | $150 | 6.4× |
| Compatibility test antiglob (86922) | $84.80 | $106 | 0.5× |
| Complement c3 (86160) | $86.40 | $108 | 7.2× |
| Complement total ch50 (86162) | $95.20 | $119 | 4.7× |
| Concentration Infectious Agent (87015) | $43.20 | $54 | 6.5× |
| Coombs direct (86880) | $72.80 | $91 | 13.5× |
| Copper urine (82525) | $108 | $135 | 8.7× |
| Cortisol free (82530) | $246.40 | $308 | 14.7× |
| Cortisol total (82533) | $98.40 | $123 | 6.0× |
| Creatine kinase total (82550) | $59.20 | $74 | 9.1× |
| Creatinine blood (82565) | $56.80 | $71 | 11.1× |
| Creatinine other source (82570) | $48 | $60 | 9.3× |
| Crossmatch immediate spin (86920) | $204 | $255 | 1.3× |
| Cryoglobulin (82595) | $40 | $50 | 6.2× |
| Cryptococcus antibody (86641) | $116 | $145 | 8.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $51.20 | $64 | 6.3× |
| Culture Aerobic Identify (87077) | $70.40 | $88 | 8.7× |
| Culture anaerobic (87075) | $98.40 | $123 | 10.4× |
| Culture blood (87040) | $104 | $130 | 10.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $39.20 | $49 | 5.1× |
| Culture fungus id yeast (87106) | $61.60 | $77 | 6.0× |
| Culture fungus other (87102) | $132.80 | $166 | 15.8× |
| Culture genital (87070) | $70.40 | $88 | 8.2× |
| Culture screen only (87081) | $80 | $100 | 12.1× |
| Culture stool (87045) | $91.20 | $114 | 9.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24 | $30 | 4.6× |
| Culture urine (87086) | $70.40 | $88 | 8.7× |
| Cyclic Citrullinated Peptide (86200) | $79.20 | $99 | 6.1× |
| Cystatin c (82610) | $112 | $140 | 6.0× |
| Cytopath cell enhance tech (88112) | $110 | $137.50 | 2.3× |
| Cytp concentration smears & interpretation (88108) | $80 | $100 | 2.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,425.60 | $1,782 | 9.1× |
| D-Dimer (85379) | $128.80 | $161 | 12.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $68.80 | $86 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $180.80 | $226 | 2.6× |
| Dhea (82626) | $108.80 | $136 | 4.3× |
| Dhea sulfate (82627) | $124 | $155 | 5.6× |
| Digoxin (80162) | $132 | $165 | 9.9× |
| Dilantin (80185) | $88 | $110 | 6.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $100 | $125 | 7.3× |
| Drug assay adalimumab (80145) | $208 | $260 | 5.4× |
| Drug assay felbamate (80167) | $176 | $220 | 9.4× |
| Drug Assay Lacosamide (80235) | $313.60 | $392 | 11.6× |
| Drug assay voriconazole (80285) | $389.60 | $487 | 14.4× |
| Drug screen quant zonisamide (80203) | $107.20 | $134 | 8.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $152 | $190 | 11.5× |
| Drug Scrn Quan Levetiracetam (80177) | $51.20 | $64 | 3.9× |
| Drug scrn quant oxcarbazepin (80183) | $51.20 | $64 | 3.9× |
| Drug test prsmv chem anlyzr (80307) | $180 | $225 | 2.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $119.20 | $149 | 9.5× |
| Ebv viral capsid (86665) | $102.40 | $128 | 5.6× |
| Ehrlichia antibody (86666) | $227.20 | $284 | 22.3× |
| Elastase pancreatic fecal quantitative (82653) | $240 | $300 | 10.4× |
| Electrolyte panel (80051) | $52.80 | $66 | 7.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $102.40 | $128 | 8.5× |
| Endomysial antibody iga (86255) | $100 | $125 | 8.3× |
| Eosinophil count (85048) | $32 | $40 | 12.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $101.60 | $127 | 6.6× |
| Estradiol (82670) | $199.20 | $249 | 7.1× |
| Estriol (82677) | $84.80 | $106 | 3.5× |
| Estrogens total (82672) | $148 | $185 | 6.8× |
| Estrone (82679) | $100.80 | $126 | 4.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $119.20 | $149 | 16.3× |
| Fecal fat qual (82705) | $80 | $100 | 15.7× |
| Fibrin degradation products (85362) | $109.60 | $137 | 15.9× |
| Fibrinogen antigen (85385) | $173.60 | $217 | 12.0× |
| Flow cytometry first marker (88184) | $209.60 | $262 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $89.60 | $112 | 7.4× |
| Folate serum (82746) | $104.80 | $131 | 7.1× |
| Folic acid rbc (82747) | $76 | $95 | 4.3× |
| Follicle Stimulating Hormone (83001) | $115.20 | $144 | 6.2× |
| Fructosamine (82985) | $50.40 | $63 | 3.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $61.60 | $77 | 6.0× |
| Gammaglobulin ige (82785) | $84 | $105 | 5.1× |
| Ggt (82977) | $64.80 | $81 | 9.0× |
| Giardia antigen eia stool (87329) | $96 | $120 | 8.0× |
| Gliadin antibody each immunoglobulin class (86258) | $100 | $125 | 8.3× |
| Glucose (82947) | $41.60 | $52 | 10.6× |
| Glucose Blood Test (82962) | $16 | $20 | 4.9× |
| Glucose body fluid (82945) | $52 | $65 | 13.2× |
| Glucose post dose (82950) | $59.20 | $74 | 12.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $108 | $135 | 8.4× |
| Gonadotropin releasing hormone (83727) | $226.40 | $283 | 13.2× |
| Growth hormone (83003) | $80 | $100 | 4.8× |
| Haptoglobin (83010) | $83.20 | $104 | 6.6× |
| Hcg qualitative (84703) | $58.40 | $73 | 7.8× |
| Hcg quant (84702) | $98.40 | $123 | 6.5× |
| Heavy metal quant each (83018) | $55.20 | $69 | 2.5× |
| Hematocrit (85014) | $40 | $50 | 16.9× |
| Hemoglobin (85018) | $41.60 | $52 | 17.6× |
| Hemoglobin a1c (83036) | $83.20 | $104 | 8.6× |
| Hemoglobin electrophoresis (83020) | $81.60 | $102 | 6.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $40 | $50 | 4.9× |
| Hepatitis a antibody total (86708) | $56 | $70 | 4.5× |
| Hepatitis a igm (86709) | $82.40 | $103 | 7.3× |
| Hepatitis b core ab igm (86705) | $86.40 | $108 | 7.3× |
| Hepatitis b core antibody total (86704) | $86.40 | $108 | 7.2× |
| Hepatitis B Surface Ab (86706) | $76 | $95 | 7.1× |
| Hepatitis B Surface Antigen (87340) | $71.20 | $89 | 6.9× |
| Hepatitis c antibody (86803) | $94.40 | $118 | 6.6× |
| Herpes simplex type 2 (86696) | $103.20 | $129 | 5.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $33.60 | $42 | 6.5× |
| Histoplasma antibody (86698) | $376 | $470 | 27.3× |
| Histoplasma antigen urine (87385) | $116 | $145 | 8.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $76 | $95 | 5.5× |
| Hla typing a/b/c multiple antigens (86813) | $223.20 | $279 | 3.8× |
| Hla-b27 (86812) | $80.80 | $101 | 3.1× |
| Human epididymis protein 4 (86305) | $382.40 | $478 | 18.4× |
| Hydroxyprogesterone 17-d (83498) | $142.40 | $178 | 5.2× |
| Iaad ia clostridium difficile toxin (87324) | $105.60 | $132 | 8.8× |
| Iaad ia cryptosporidium (87328) | $128 | $160 | 9.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $104 | $130 | 4.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $94.40 | $118 | 6.6× |
| Iaad ia rotavirus (87425) | $45.60 | $57 | 3.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $67.20 | $84 | 1.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $80 | $100 | 6.7× |
| Iaadiadoo not otherwise specified (87899) | $152.80 | $191 | 9.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $252 | $315 | 7.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $363.20 | $454 | 8.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $85.60 | $107 | 2.4× |
| Iadna nos amplified probe tq each organism (87798) | $267.20 | $334 | 7.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $113.60 | $142 | 3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $720 | $900 | 1.7× |
| Igg subclasses (82787) | $108 | $135 | 13.5× |
| Immunfix e-phorsis/urine/csf (86335) | $327.20 | $409 | 11.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $164.80 | $206 | 11.0× |
| Immunoassay nonantibody (83516) | $319.20 | $399 | 27.7× |
| Immunodiffusion Ouchterlony (86331) | $64 | $80 | 5.3× |
| Immunofixj Electrophoresis Serum (86334) | $160 | $200 | 7.2× |
| Immunoglobulin light chains free each (83521) | $240 | $300 | 13.9× |
| Immunohistochemistry (88342) | $342.40 | $428 | 2.2× |
| India ink prep (87210) | $45.60 | $57 | 7.8× |
| Inhibin b (83520) | $201.60 | $252 | 11.7× |
| Insulin free (83527) | $191.20 | $239 | 14.8× |
| Insulin total (83525) | $83.20 | $104 | 7.3× |
| Iron (83540) | $66.40 | $83 | 10.3× |
| Iron binding capacity (83550) | $75.20 | $94 | 8.6× |
| Irradiation of blood product (86945) | $26.40 | $33 | 0.8× |
| Islet cell antibody (86341) | $140 | $175 | 5.9× |
| Koh Prep (87220) | $45.60 | $57 | 10.7× |
| Lactic acid (83605) | $95.20 | $119 | 8.2× |
| Ldh (83615) | $44.80 | $56 | 7.4× |
| LDL cholesterol direct (83721) | $54.40 | $68 | 5.2× |
| Lead (83655) | $92 | $115 | 7.6× |
| Legionella antigen urine (87449) | $137.60 | $172 | 11.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $56 | $70 | 13.1× |
| Level ii surg pathology grossµscopic exam (88302) | $81.60 | $102 | 2.4× |
| Level v surg pathology grossµscopic exam (88307) | $352.80 | $441 | 1.1× |
| Level vi surg pathology grossµscopic exam (88309) | $500.80 | $626 | 0.7× |
| Lh (83002) | $112.80 | $141 | 6.1× |
| Lipase (83690) | $62.40 | $78 | 9.1× |
| Listeria ab (86609) | $44 | $55 | 3.4× |
| Lithium (80178) | $72.80 | $91 | 11.0× |
| Lyme disease antibody (86618) | $249.60 | $312 | 14.7× |
| Lyme disease antibody confirm (86617) | $163.20 | $204 | 10.5× |
| Magnesium (83735) | $58.40 | $73 | 8.7× |
| Mercury (83825) | $72.80 | $91 | 4.5× |
| Methotrexate (80299) | $181.20 | $226.50 | 9.7× |
| Methylmalonic acid serum (83921) | $338.40 | $423 | 16.0× |
| Microalbumin urine (82043) | $75.20 | $94 | 13.0× |
| Microbe susceptible diffuse (87181) | $22.40 | $28 | 4.7× |
| Microsomal antibodies (86376) | $80 | $100 | 5.5× |
| Mitochondrial antibody each (86381) | $60 | $75 | 2.4× |
| Mrsa amp probe (87641) | $96.80 | $121 | 2.8× |
| Mycoplasma antibody (86738) | $85.60 | $107 | 6.5× |
| Myoglobin urine (83874) | $88.80 | $111 | 6.9× |
| Natriuretic peptide (83880) | $207.20 | $259 | 5.3× |
| Niacin (84591) | $104 | $130 | 6.1× |
| Nk cells total count (86357) | $160 | $200 | 4.2× |
| Nuclear antigen antibody (86235) | $108 | $135 | 6.0× |
| Occult blood stool (82272) | $36.80 | $46 | 8.7× |
| Organic Acids Qual Each (83919) | $214.40 | $268 | 13.0× |
| Osmolality serum (83930) | $48.80 | $61 | 7.4× |
| Osmolality urine (83935) | $52.80 | $66 | 7.7× |
| Ova and parasite direct-id lca (87177) | $64.80 | $81 | 7.3× |
| Pancreatic polypeptide (83519) | $708 | $885 | 38.5× |
| Phosphatase alkaline (84075) | $39.20 | $49 | 7.6× |
| Phosphorus blood (84100) | $40.80 | $51 | 8.6× |
| Pooling blood platelets (86965) | $107.20 | $134 | 0.7× |
| Potassium (84132) | $39.20 | $49 | 8.2× |
| Potassium urine (84133) | $24 | $30 | 5.1× |
| Pregnenolone (84140) | $75.20 | $94 | 3.6× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $40 | $50 | 0.3× |
| Procalcitonin (pct) (84145) | $109.60 | $137 | 4.0× |
| Progesterone (84144) | $109.60 | $137 | 5.3× |
| Prolactin (84146) | $127.20 | $159 | 6.6× |
| Protein body fluid (84157) | $22.40 | $28 | 5.6× |
| Protein c activity (85303) | $140.80 | $176 | 10.2× |
| Protein electrophoresis serum (84165) | $80.80 | $101 | 7.5× |
| Protein Electrophoresis Urine (84166) | $66.40 | $83 | 3.7× |
| Protein total by refractometry any source (84160) | $48 | $60 | 8.6× |
| Protein Total Serum (84155) | $39.20 | $49 | 10.7× |
| Protein urine (84156) | $52.80 | $66 | 14.4× |
| PSA free (84154) | $74.40 | $93 | 4.0× |
| Quantiferon tb gold (86480) | $184 | $230 | 3.0× |
| Rbc pretx incubatj w/chemicl (86970) | $17.60 | $22 | 0.3× |
| Renin activity plasma (84244) | $124 | $155 | 5.6× |
| Respiratory Virus (86756) | $118.40 | $148 | 7.5× |
| Reticulocyte separation (86972) | $160 | $200 | 1.0× |
| Rheumatoid factor quant (86431) | $68 | $85 | 12.0× |
| Rickettsia antibody (86757) | $197.60 | $247 | 10.2× |
| Rsv (87807) | $104 | $130 | 7.9× |
| Rubella antibody (86762) | $86.40 | $108 | 6.0× |
| Russell viper venom time diluted (85613) | $100 | $125 | 10.4× |
| Saccharomyces ab iga (86671) | $76 | $95 | 6.2× |
| Salicylate (80179) | $137.60 | $172 | 7.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $132 | $165 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $80 | $100 | 1.9× |
| Sed rate automated (85652) | $45.60 | $57 | 16.9× |
| Sensitivity mic (87186) | $115.20 | $144 | 13.3× |
| Serotonin Release Assay (86022) | $510.40 | $638 | 27.8× |
| Sex hormone binding globulin (84270) | $202.40 | $253 | 9.3× |
| Sickle cell screen (85660) | $72 | $90 | 13.1× |
| Smear acid fast (87206) | $36.80 | $46 | 6.8× |
| Smear complex stain (87209) | $85.60 | $107 | 4.8× |
| Smear gram stain (87205) | $56.80 | $71 | 13.3× |
| Sodium (84295) | $39.20 | $49 | 8.1× |
| Sodium urine (84300) | $23.20 | $29 | 4.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $112.80 | $141 | 0.9× |
| Special stains group 1 (88312) | $138.40 | $173 | 2.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $80 | $100 | 8.5× |
| Strep a assay w/optic (87880) | $88 | $110 | 5.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $480 | $600 | 5.2× |
| Sulfhemoglobin quant (83060) | $40 | $50 | 4.5× |
| Surg path level iii (88304) | $136 | $170 | 2.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $23.20 | $29 | 0.9× |
| Surgical pathology level IV (88305) | $208.80 | $261 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $200 | $250 | 4.3× |
| T cells, total count (86359) | $160 | $200 | 4.2× |
| T3 free (84481) | $159.20 | $199 | 9.4× |
| T3 reverse (84482) | $135.20 | $169 | 8.6× |
| T3 total (84480) | $73.60 | $92 | 5.2× |
| T3 uptake (84479) | $32 | $40 | 4.9× |
| T4 Free (84439) | $80 | $100 | 8.9× |
| T4 total (84436) | $36.80 | $46 | 5.4× |
| Tb intradermal test (86580) | $44 | $55 | 1.7× |
| Testosterone free (84402) | $174.40 | $218 | 6.8× |
| Testosterone total (84403) | $174.40 | $218 | 6.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $80 | $100 | 12.4× |
| Thyroglobulin (84432) | $170.40 | $213 | 10.6× |
| Thyroglobulin Ab (86800) | $93.60 | $117 | 5.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $452.80 | $566 | 8.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $108 | $135 | 9.4× |
| Tissue Culture Lymphocyte (88230) | $705.60 | $882 | 6.1× |
| Topiramate (80201) | $153.60 | $192 | 12.9× |
| Toxin or antitoxin assay (87230) | $100 | $125 | 5.1× |
| Transferrin (84466) | $70.40 | $88 | 5.5× |
| Triglycerides (84478) | $39.20 | $49 | 6.8× |
| Troponin (84484) | $140 | $175 | 11.2× |
| Urea nitrogen (84520) | $48 | $60 | 12.2× |
| Urea nitrogen urine (84540) | $38.40 | $48 | 6.9× |
| Uric acid blood (84550) | $40.80 | $51 | 9.0× |
| Urinalysis w/microscopic (81001) | $64.80 | $81 | 20.4× |
| Urine pregnancy test (81025) | $58.40 | $73 | 6.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $45.60 | $57 | 20.3× |
| Valproic acid level (80164) | $106.40 | $133 | 7.9× |
| Vancomycin trough (80202) | $132 | $165 | 9.7× |
| Varicella-zoster antibody (86787) | $107.20 | $134 | 8.3× |
| Vdrl csf (86592) | $48 | $60 | 11.2× |
| Virus antibody nos (86790) | $124.80 | $156 | 9.7× |
| Vitamin A (84590) | $77.60 | $97 | 6.7× |
| Vitamin b-12 (82607) | $98.40 | $123 | 6.5× |
| Vitamin b1 (thiamine) (84425) | $84 | $105 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $269.60 | $337 | 9.1× |
| Vitamin e serum (84446) | $92 | $115 | 6.5× |
| West nile virus ab, igm (86788) | $71.20 | $89 | 4.2× |
| West nile virus antibody (86789) | $71.20 | $89 | 4.9× |
| Zinc (84630) | $66.40 | $83 | 5.8× |