Lab & pathology prices at Hot Springs County Memorial Hospital

Thermopolis, WY · every code in this section with a posted price and a Medicare benchmark.

416 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $167.50 $167.50 6.2×
5-Hiaa (83497) $64 $64 5.0×
Acetaminophen (80143) $313 $313 16.8×
Acetone serum qual (82009) $89 $89 19.7×
Acetylcholine receptor binding antibody (86041) $293 $293 15.9×
Acth (82024) $455 $455 11.8×
Acth stim adrenal insuff (80400) $392 $392 12.0×
Actin smooth muscle antibody each (86015) $207 $207 17.2×
Acute hepatitis panel (80074) $500 $500 10.5×
Afb concentration (87015) $80 $80 12.0×
Afb culture (87116) $270 $270 25.0×
Afb smear (87206) $104 $104 19.3×
Albumin body fluid (82042) $112 $112 14.4×
Albumin serum (82040) $72 $72 14.5×
Alcohol (82077) $218 $218 12.6×
Aldosterone (82088) $489 $489 12.0×
Alkaline phosphatase (84075) $122 $122 23.6×
Alkaline phosphatase isoenzymes (84080) $178 $178 12.0×
Allergen profile perennial allergen (86003) $56 $56 10.7×
Alpha-1-antitrypsin (82103) $56 $56 4.2×
Alpha-fetoprotein serum (82105) $208 $208 12.4×
Alt (84460) $112 $112 21.1×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $583 $583 34.6×
Ammonia (82140) $184 $184 12.6×
Amylase (82150) $142 $142 21.9×
Ana (86038) $134 $134 11.1×
Ana titer (86039) $123.50 $123.50 11.1×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $144 $144 11.0×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $153 $153 10.0×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $171 $171 9.4×
Androstenedione (82157) $307 $307 10.5×
Angiotensin converting enzyme (82164) $181 $181 12.4×
Anti-mitochondrial antibody (86255) $141 $141 11.7×
Antibody identification platelet antibodies (86022) $501 $501 27.3×
Antibody west nile virus igm (86788) $181 $181 10.7×
Antibody; Helicobacter pylori (86677) $223 $223 13.2×
Antistreptolysin o titer (86060) $124 $124 17.0×
Antithrombin iii activity (85300) $283 $283 23.9×
Antithrombin iii antigen (85301) $262 $262 24.2×
Aqaprn-4 antb flo cytmtry ea (86053) $80 $80 2.1×
Arsenic (82175) $199 $199 10.5×
Aspergillus antigen (87305) $250 $250 20.9×
Assay anti-mullerian horm (82166) $84 $84 2.2×
Assay of vitamin not otherwise specified (84591) $171 $171 10.0×
Ast (84450) $104 $104 20.1×
B cells total count (86355) $210 $210 5.6×
Basic metabolic panel calcium ionized (80047) $319 $319 23.2×
Beta-2 microglobulin (82232) $225 $225 13.9×
Bile acids total (82239) $204 $204 11.9×
Bilirubin direct (82248) $77.50 $77.50 15.4×
Bilirubin total (82247) $89 $89 17.7×
Biotinidase (82261) $30 $30 1.8×
Bleeding time (85002) $119 $119 24.7×
Blood count leukocyte wbc automated (85048) $57 $57 22.4×
Blood count; automated differential WBC count Other Outpatient (85004) $74 $74 11.4×
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $59 $59 19.5×
Blood gases any combination (82803) $321 $321 12.3×
Blood gases ph only (82800) $131 $131 11.9×
Blood gases w/o2 saturation (82805) $318 $318 4.0×
Blood typing rbc antigens (86905) $884 $884 230.8×
Blood typing serologic abo (86900) $171 $171 57.2×
Blood typing serologic rh (d) (86901) $92 $92 30.8×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $188.50 $188.50 29.7×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $3,169 $3,169 1.7×
Brucella antibody (86622) $189.50 $189.50 21.2×
C diff amplified probe (87493) $296 $296 7.9×
C-peptide (84681) $236 $236 11.3×
C-reactive protein (86140) $138 $138 26.6×
C-reactive protein high sensitivity (86141) $160 $160 12.4×
Ca 125 (86304) $228 $228 11.0×
Ca 15-3 (86300) $255 $255 12.3×
Cadmium (82300) $240 $240 10.2×
Calcitonin (82308) $246 $246 9.2×
Calcium ionized (82330) $191 $191 14.0×
Calcium total (82310) $83.50 $83.50 16.2×
Calcium, random urine (82340) $98 $98 16.3×
Calculus; X-ray diffraction Other Outpatient (82370) $194 $194 15.5×
Calprotectin fecal (83993) $423 $423 21.5×
Cancer antigen 19-9 (86301) $260 $260 12.5×
Carbamazepine total (80156) $201 $201 13.8×
Carbon dioxide (82374) $61 $61 12.5×
Carbon monoxide (82375) $229 $229 18.6×
Cardiolipin antibody ea ig class (86147) $255 $255 10.0×
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $238 $238 14.1×
Catecholamines fractionated (82384) $410 $410 16.2×
Cea (82378) $224 $224 11.8×
Cell count body fluid (89050) $152 $152 32.2×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $145 $145 25.9×
Ceruloplasmin (82390) $137 $137 12.8×
Cftr gene com variants (81220) $829 $829 1.5×
Chemiluminescent assay (82397) $237 $237 16.8×
Chlamydia pneumoniae PCR (87486) $301 $301 8.6×
Chloride blood (82435) $67 $67 14.6×
Chloride urine (82436) $90 $90 15.7×
Cholesterol total (82465) $77 $77 17.7×
Cholinesterase serum (82480) $123 $123 15.6×
Chorionic gonadotropin test (84702) $280.50 $280.50 18.6×
Chromium (82495) $238 $238 11.7×
Chromogenic substrate assay (85130) $199 $199 16.7×
Chromogranin a (86316) $280 $280 13.5×
Ck mb fraction (82553) $200 $200 17.3×
Clostridium ag eia (87324) $193 $193 16.1×
Clotting funct activity (85397) $239 $239 7.7×
Cmv antibody (86644) $51 $51 3.5×
Collagen cross links (82523) $270 $270 14.5×
Complement antigen ea component (86160) $44 $44 3.7×
Complement total (ch50) (86162) $315 $315 15.5×
Coombs test indirect titer (86886) $292 $292 56.4×
Copper (82525) $153 $153 12.3×
Cortisol free (82530) $260 $260 15.6×
Cortisol saliva (82533) $239 $239 14.7×
Creatine kinase total (82550) $128 $128 19.7×
Creatinine (82565) $77 $77 15.0×
Creatinine clearance (82575) $210.50 $210.50 22.3×
Creatinine other source (82570) $86 $86 16.6×
Crossmatch ahg (86922) $249 $249 1.4×
Cryofibrinogen (82585) $94 $94 6.6×
Cryoglobulins (82595) $131 $131 20.2×
Cryptosporidium ag eia (87328) $161 $161 11.6×
Cryptosporidium ag if (87272) $144 $144 12.0×
Crystals fluid (89060) $115 $115 15.7×
Culture anaerobic (87075) $213 $213 22.5×
Culture blood (87040) $226 $226 21.9×
Culture stool (87045) $149 $149 15.8×
Culture urine (87086) $132 $132 16.4×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $101 $101 12.5×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $144 $144 17.8×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $99.50 $99.50 10.5×
Cyclic citrullinated peptide ab (86200) $234 $234 18.1×
Cyclosporine (80158) $231 $231 12.8×
Cystatin c (82610) $126 $126 6.8×
Cytomeg DNA amp probe (87496) $443 $443 12.6×
Cytomegalovirus antibody igm (86645) $70 $70 4.2×
Cytopath cell enhance tech (88112) $271 $271 5.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $183 $183 6.9×
Cytopathology, smears, any other source; screening and interpretation (88160) $168 $168 5.7×
Cytp eval fine needle aspirate interp & report (88173) $334 $334 6.3×
D-dimer quantitative (85379) $300 $300 29.5×
Deoxyribonuclease antibody (86215) $158 $158 11.9×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $177 $177 12.9×
Dhea (82626) $280 $280 11.1×
Dhea sulfate (82627) $271 $271 12.2×
Digoxin (80162) $203 $203 15.3×
Dihydrotestosterone (82642) $111 $111 3.8×
Direct antiglobulin test (86880) $107 $107 19.9×
Drug assay infliximab (80230) $279 $279 7.2×
Drug assay salicylate (80179) $301 $301 16.1×
Drug screen quant levetiracetam (80177) $219 $219 16.5×
Drug screen quantitative oxcarbazepine (80183) $218 $218 16.5×
Drug test prsmv chem anlyzr (80307) $399 $399 6.4×
Drug test prsmv dir opt obs (80305) $69.50 $69.50 5.5×
Ear culture (87070) $168 $168 19.5×
Elastase pancreatic fecal quantitative (82653) $58 $58 2.5×
Electrolytes panel (80051) $149 $149 21.3×
Endomysial antibody each immunoglobulin class (86231) $183 $183 15.1×
Eosinophils urine (87205) $79 $79 18.5×
Erythropoietin (82668) $225 $225 12.0×
Estradiol (82670) $264.50 $264.50 9.5×
Estriol (82677) $162 $162 6.7×
Estrone (82679) $276 $276 11.1×
Eval amniotic fluid protein (84112) $326 $326 3.3×
Extractable nuclear antigen antibody any method (86235) $225 $225 12.5×
F2 gene analysis (81240) $528 $528 8.0×
F5 gene (81241) $201 $201 2.7×
Factor v activity (85220) $296 $296 16.8×
Factor viii activity (85240) $189 $189 10.6×
Factor viii vw antigen (85246) $350 $350 15.3×
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $288 $288 17.1×
Ferritin (82728) $168 $168 12.3×
Fetal fibronectin (82731) $175 $175 2.7×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $151 $151 16.1×
Fibrinogen, activity (85384) $153 $153 15.7×
Flow cytometry first marker (88184) $281 $281 0.8×
Folate serum (82746) $176 $176 12.0×
Folic acid rbc (82747) $140 $140 7.9×
Follicle stimulating hormone (fsh) (83001) $219 $219 11.8×
Francisella tularensis ab (86668) $155 $155 10.9×
Ftl cgen abnor four anal (81511) $313 $313 2.0×
Fungus isolation culture (87102) $241 $241 28.7×
Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) $30 $30 1.4×
Gamma glutamyl transferase (82977) $113 $113 15.7×
Gammaglobulin ige (82785) $188 $188 11.4×
Gastrin (82941) $246 $246 14.0×
Gentamicin (80170) $219 $219 13.4×
Giardia antigen (87329) $149 $149 12.4×
Gliadin antibody each immunoglobulin class (86258) $166.50 $166.50 13.8×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $47.50 $47.50 14.5×
Glucose Fasting (82947) $71 $71 18.1×
Glucose other fluid (82945) $106.50 $106.50 27.1×
Glucose post glucose dose (82950) $116 $116 24.4×
Glucose-6-pd (82955) $126 $126 13.0×
Glycated hemoglobin (83036) $125 $125 12.9×
Growth hormone (hgh) (83003) $174 $174 10.4×
Growth hormone, human (HGH), antibody Other Outpatient (86277) $141 $141 9.0×
H pylori stool (87338) $254 $254 17.7×
Haptoglobin (83010) $164 $164 13.0×
Hcg ql (84703) $145 $145 19.3×
HDL cholesterol (83718) $100 $100 12.2×
Hematocrit (hct) (85014) $53.50 $53.50 22.6×
Hematocrit spun (85013) $52 $52 7.4×
Hemoglobin (85018) $53 $53 22.4×
Hemoglobin electrophoresis (83020) $45 $45 3.5×
Hep a ab total (86708) $166 $166 13.4×
Hepatitis a antibody igm (86709) $152 $152 13.5×
Hepatitis b core antibody igm (86705) $157 $157 13.3×
Hepatitis b core antibody total (86704) $147 $147 12.2×
Hepatitis b surface ab (86706) $147 $147 13.7×
Hepatitis b surface antigen (87340) $138 $138 13.4×
Hepatitis c antibody (86803) $188 $188 13.2×
Hepatitis c genotype (87902) $1,085 $1,085 4.2×
Hepatitis c RNA quantitative (87522) $751 $751 17.5×
Hepatitis d quantification (87523) $311 $311 7.3×
Herpes simplex virus by PCR (87529) $372 $372 10.6×
Heterophile antibody screen (86308) $106 $106 20.5×
Hfe gene (81256) $433 $433 6.6×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $263 $263 10.9×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $171 $171 12.5×
Hla b27 (86812) $308 $308 11.9×
Homocysteine level (83090) $266 $266 14.8×
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $249 $249 12.9×
Iaad ia sarscov & influenza virus types a&b (87428) $215.50 $215.50 3.1×
Iaad ia severe aqt respir synd coronavirus (87426) $113.50 $113.50 3.2×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $192 $192 3.7×
Iadna-DNA/RNA probe tq 12-25 (87507) $1,030 $1,030 2.5×
Igg subclass 1 (82787) $147 $147 18.3×
Immunoassay analyte quantitative nos (83520) $235.50 $235.50 13.6×
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) $110 $110 6.1×
Immunoassay infectious agent antibody quan nos (86317) $100 $100 6.7×
Immunofixation electrophoresis (86334) $270 $270 12.1×
Immunofixation urine (86335) $285 $285 9.7×
Immunoglobulin d (82784) $146.50 $146.50 15.8×
Immunoglobulin light chains free each (83521) $58 $58 3.4×
Immunoperoxidase (88342) $401 $401 2.3×
In situ hybridization 1st probe stain (88365) $456 $456 2.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $261 $261 18.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $119.50 $119.50 7.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $202 $202 15.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) $95 $95 2.3×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $355 $355 5.1×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $571 $571 13.3×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $236 $236 6.7×
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) $638 $638 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $674 $674 7.9×
Influenza assay w/optic (87804) $91 $91 5.5×
Inhibin a (86336) $138 $138 8.9×
Insulin total (83525) $139.06 $139.06 12.2×
Iron (83540) $101 $101 15.6×
Iron binding capacity (83550) $113 $113 12.9×
Islet cell antibody (86341) $217 $217 9.2×
Jak2 gene (81270) $850 $850 9.3×
Koh prep (87220) $98 $98 23.0×
Lactate (83605) $173 $173 15.0×
Lactate dehydrogenase (83615) $109 $109 18.0×
Lamotrigine (80175) $219 $219 16.5×
LDL direct (83721) $116 $116 11.0×
Lead (83655) $146 $146 12.1×
Legionella culture (87081) $115 $115 17.3×
Legionella urine antigen (87449) $193 $193 16.1×
Leukocyte assessment fecal (89055) $87 $87 20.4×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $275 $275 7.2×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $336 $336 6.3×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $442 $442 8.3×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $767 $767 2.1×
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $1,055 $1,055 1.3×
Lipase (83690) $144 $144 20.9×
Lithium (80178) $117 $117 17.7×
Luteinizing hormone (lh) (83002) $219 $219 11.8×
Lyme disease antibody (86618) $212 $212 12.4×
M/phmtrc alys in situ hybridization ea probe mnl (88368) $438 $438 1.2×
Magnesium (83735) $110 $110 16.4×
Manual differential (85007) $78 $78 20.5×
Manual reticulocyte count (85044) $96 $96 22.3×
Mercury (83825) $175 $175 10.8×
Metanephrines (83835) $362 $362 21.4×
Methylmalonic acid serum (83921) $394 $394 18.6×
Microalbumin urine (82043) $117 $117 20.2×
Mitochondrial antibody each (86381) $165 $165 6.5×
Mold id (87107) $139 $139 13.5×
Mononuclear cell antigen (86356) $145 $145 5.4×
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $465 $465 2.7×
Mrsa PCR (87641) $219 $219 6.2×
Mumps antibody (86735) $157 $157 12.0×
Mycoplasma antibody (86738) $161 $161 12.2×
Mycoplasma pneumoniae by PCR (87581) $304 $304 8.7×
Myelin associated glycoprotein (mag) antibody (83516) $209 $209 18.1×
Myoglobin (83874) $196 $196 15.2×
N.gonorrhoeae DNA amp prob (87591) $289 $289 8.2×
Natriuretic peptide (83880) $297 $297 7.6×
Nfct ds chrnc hcv 6 assays (81596) $308 $308 4.3×
Occult bld feces 1-3 tests (82272) $58 $58 13.7×
Occult blood other sources (82271) $60 $60 11.3×
Occult blood screening (82270) $57 $57 13.0×
Oligoclonal bands (83916) $299 $299 10.9×
Osmolality serum (83930) $131 $131 19.8×
Osmolality urine (83935) $136 $136 19.9×
Ova and parasite exam (87177) $121.50 $121.50 13.7×
Parathyroid hormone (83970) $340 $340 8.2×
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $263 $263 1.5×
Pertussis by PCR (87798) $386 $386 11.0×
Phenobarbital (80184) $184 $184 12.0×
Phenylalanine (84030) $169 $169 30.7×
Phenytoin level total (80185) $202 $202 15.2×
Phosphorus (84100) $79 $79 16.7×
Phosphorus urine (84105) $89 $89 15.4×
Platelet count automated (85049) $77 $77 17.2×
Porphyrins urine quantitation & fractionation (84120) $289 $289 19.6×
Potassium (84132) $80 $80 16.8×
Potassium urine (84133) $93 $93 19.7×
Prealbumin (84134) $179 $179 12.3×
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86971) $177 $177 1.0×
Primidone (80188) $90 $90 5.4×
Procalcitonin (pct) (84145) $258 $258 9.5×
Progesterone (84144) $224 $224 10.7×
Prolactin (84146) $252 $252 13.0×
Protein c activity (85303) $384 $384 27.7×
Protein c antigen (85302) $319 $319 26.6×
Protein electrophoresis serum (84165) $260 $260 24.2×
Protein electrophoresis urine (84166) $306 $306 17.2×
Protein s antigen, free (85306) $292 $292 19.1×
Protein total other source (84157) $118 $118 29.5×
Protein total serum (84155) $73.50 $73.50 20.0×
Protein total urine (84156) $91 $91 24.8×
PSA free (84154) $169 $169 9.2×
Rbc antibody identification (86870) $371 $371 1.0×
Rbc antibody screen (86850) $167 $167 17.1×
Receptor assay non-endocrine specify receptor (84238) $284 $284 7.8×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $135 $135 10.2×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $196 $196 10.1×
Renin (84244) $283 $283 12.9×
Resp virus 12-25 targets (87633) $1,505 $1,505 3.6×
Reticyte/hgb concentrate (85046) $143 $143 25.7×
Rh phenotyping complete (86906) $180 $180 23.2×
Rheumatoid factor quant (86431) $112 $112 19.8×
Rickettsia antibody (86757) $213 $213 11.0×
Rl immediate spin crossmatch (86920) $241 $241 1.4×
Rotavirus ag eia (87425) $203 $203 16.9×
Rpr qual (86592) $113 $113 26.5×
Rubella antibody (86762) $126 $126 8.8×
Rubeola antibody (86765) $149 $149 11.6×
Russell viper venom diluted (85613) $180 $180 18.8×
Sedimentation rate rbc automated (85652) $74 $74 27.4×
Semen analysis post vasectomy (89321) $124 $124 10.3×
Sex hormone binding globulin (84270) $193 $193 8.9×
Shiga-like toxin ag eia (87427) $120 $120 10.0×
Sickle cell screen (85660) $111 $111 20.1×
Sirolimus (80195) $214 $214 15.6×
Skin test tuberculosis intradermal (86580) $80 $80 2.7×
Smear wet mount (87210) $81 $81 13.9×
Sodium (84295) $82 $82 17.0×
Sodium urine (84300) $109 $109 21.5×
Somatomedin (84305) $150.84 $150.84 7.1×
Special stains group i (88312) $224 $224 4.2×
Special stains group ii (88313) $215 $215 1.6×
Specific gravity except urine (84315) $47 $47 14.3×
Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) $177 $177 1.0×
Staph a DNA amp probe (87640) $213 $213 6.1×
Strep a ag ia (87430) $109 $109 6.5×
Strep a assay w/optic (87880) $115 $115 7.0×
Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) $110 $110 1.2×
Surg path level 1 (88300) $136 $136 4.6×
Susceptibility mic per plate (87186) $163 $163 18.8×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $156 $156 32.8×
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $121 $121 16.2×
T3 free (84481) $224 $224 13.2×
T3 reverse (84482) $316 $316 20.1×
T3 uptake (84479) $124 $124 19.2×
T4 (thyroxine) total (84436) $122 $122 17.8×
Tacrolimus (80197) $277 $277 20.2×
Tb test cell immun measure (86480) $359 $359 5.8×
Testosterone bioavailable (84410) $276 $276 5.4×
Testosterone free (84402) $265 $265 10.4×
Testosterone total (84403) $261 $261 10.1×
Thiopurine drug metabolites (83789) $45 $45 1.9×
Thiopurine metabolites (80299) $221 $221 11.9×
Thrombin time plasma (85670) $71 $71 12.3×
Thyroglobulin (84432) $199 $199 12.4×
Thyroglobulin antibody (86800) $165.05 $165.05 10.4×
Thyroid peroxidase antibody (86376) $160 $160 11.0×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $550 $550 10.8×
Thyroxine binding globulin (84442) $150 $150 10.1×
Thyroxine free (ft4) (84439) $161 $161 17.8×
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $29.50 $29.50 4.6×
Tissue transglutaminase ea immunoglobulin class (86364) $187 $187 16.2×
Topiramate (80201) $232 $232 19.5×
Toxoplasma antibody igg (86777) $168 $168 11.7×
Transferrin (84466) $152 $152 11.9×
Treponema pallidum antibody (86780) $83 $83 6.3×
Trichrome stain (87209) $129 $129 7.2×
Triglycerides (84478) $107 $107 18.6×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $188 $188 13.3×
Troponin t (84484) $243 $243 19.5×
Tyrosine (84510) $95 $95 8.9×
Urea nitrogen quantitative (84520) $72 $72 18.2×
Urea nitrogen urine (84540) $94 $94 16.9×
Uric acid blood (84550) $92 $92 20.4×
Uric acid other source (84560) $84 $84 16.5×
Urinalysis auto w/micro (81001) $85 $85 26.8×
Urinalysis microscopic only (81015) $61 $61 20.0×
Urine Pregnancy Test POC (81025) $114 $114 13.2×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $64 $64 28.4×
Valproic acid (80164) $188 $188 13.9×
Vancomycin (80202) $218 $218 16.1×
Varicella zoster antibody igg (86787) $135 $135 10.5×
Viral culture non-respiratory (87252) $360 $360 13.8×
Viscosity (85810) $200 $200 17.1×
Vitamin a (84590) $238 $238 20.5×
Vitamin b-12 (82607) $175 $175 11.6×
Vitamin b1 whole blood (84425) $259 $259 12.2×
Vitamin b6 (84207) $347 $347 12.3×
Vitamin d 25 hydroxy (82306) $286 $286 9.7×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $427 $427 11.1×
Vitamin e (84446) $186.50 $186.50 13.2×
Vma (84585) $281 $281 18.1×
West nile virus antibody (86789) $181 $181 12.6×
Yeast id (87106) $21 $21 2.0×
Zinc (84630) $192 $192 16.9×