Lab & pathology prices at Johnson County Hospital
Tecumseh, NE · every code in this section with a posted price and a Medicare benchmark.
341 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) | $317 | $317 | 8.2× |
| 5 Hiaa (83497) | $158 | $158 | 12.2× |
| Acetaminophen level (80143) | $243 | $243 | 13.0× |
| Acetylcholine receptor binding antibody (86041) | $287 | $287 | 15.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $202 | $202 | 16.8× |
| Acth stimulation panel adrenal (80400) | $232 | $232 | 7.1× |
| Actin smooth muscle antibody each (86015) | $165 | $165 | 13.7× |
| Acute hepatitis panel (80074) | $355.50 | $355.50 | 7.5× |
| Albumin serum (82040) | $55 | $55 | 11.1× |
| Aldolase (82085) | $157 | $157 | 16.2× |
| Aldosterone urine (82088) | $305 | $305 | 7.5× |
| Allergen specific ige (86003) | $44 | $44 | 8.4× |
| Allg Spec Ige Recomb Ea (86008) | $280 | $280 | 15.6× |
| Alpha-1-antitrypsin phenotype (82104) | $165 | $165 | 11.4× |
| Alpha-1-antitrypsin, total (82103) | $165 | $165 | 12.3× |
| Alpha-fetoprotein, serum (82105) | $129 | $129 | 7.7× |
| Alt (sgpt) (84460) | $58 | $58 | 10.9× |
| Ammonia (82140) | $152 | $152 | 10.4× |
| Amylase urine (82150) | $108 | $108 | 16.7× |
| Ana Titer (86039) | $83 | $83 | 7.4× |
| Angiotensin i enzyme test (82164) | $162 | $162 | 11.1× |
| Antibody Absorption (86978) | $157 | $157 | 2.6× |
| Antibody coxiella burnetii q fever (86638) | $263 | $263 | 21.7× |
| Antibody cytomegalovirus cmv (86644) | $159 | $159 | 11.0× |
| Antibody cytomegalovirus cmv igm (86645) | $198 | $198 | 11.8× |
| Antibody Detection Nos If (87299) | $341 | $341 | 21.2× |
| Antibody HIV-2 (86702) | $104 | $104 | 7.7× |
| Antibody identification (86870) | $206 | $206 | 0.6× |
| Antibody mumps (86735) | $118 | $118 | 9.0× |
| Antibody Protozoa Nes (86753) | $125 | $125 | 10.1× |
| Antibody rubeola (86765) | $114 | $114 | 8.9× |
| Antibody screen (86850) | $138 | $138 | 14.1× |
| Antibody treponema pallidum (86780) | $80 | $80 | 6.0× |
| Antigen typing (86905) | $224 | $224 | 58.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $178 | $178 | 14.8× |
| Antinuclear antibodies (86038) | $121 | $121 | 10.0× |
| Antistreptolysin o titer (86060) | $240 | $240 | 32.9× |
| Antithrombin iii antigen (85301) | $172 | $172 | 15.9× |
| Arsenic Urine (82175) | $232 | $232 | 12.2× |
| Assay of acth (82024) | $302 | $302 | 7.8× |
| Assay of androstenedione (82157) | $102 | $102 | 3.5× |
| Assay of anti-mullerian hormone (82166) | $337 | $337 | 8.7× |
| Assay of blood chloride (82435) | $54 | $54 | 11.7× |
| Assay of c-peptide (84681) | $160 | $160 | 7.7× |
| Assay of ceruloplasmin (82390) | $121 | $121 | 11.3× |
| Assay of cyclosporine (80158) | $135 | $135 | 7.5× |
| Assay of erythropoietin (82668) | $213 | $213 | 11.3× |
| Assay of ferritin (82728) | $148 | $148 | 10.9× |
| Assay of gammaglobulin igm (82784) | $111 | $111 | 11.9× |
| Assay of gastrin (82941) | $186 | $186 | 10.6× |
| Assay of gentamicin (80170) | $123 | $123 | 7.5× |
| Assay of homocystine (83090) | $254 | $254 | 14.2× |
| Assay of metanephrines (83835) | $269 | $269 | 15.9× |
| Assay of parathormone (83970) | $295 | $295 | 7.1× |
| Assay of phenobarbital (80184) | $162 | $162 | 10.6× |
| Assay of prealbumin (84134) | $129 | $129 | 8.8× |
| Assay of proinsulin (84206) | $251 | $251 | 9.4× |
| Assay of somatomedin (84305) | $228 | $228 | 10.7× |
| Assay of tacrolimus (80197) | $234 | $234 | 17.0× |
| Assay of vitamin k (84597) | $191 | $191 | 13.9× |
| Ast (sgot) (84450) | $77 | $77 | 14.9× |
| Bartonella antibody (86611) | $109 | $109 | 10.7× |
| Bcr/abl1 gene major bp (81206) | $941 | $941 | 5.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $283 | $283 | 11.1× |
| Beta-2 microglobulin (82232) | $158 | $158 | 9.8× |
| Bilirubin direct (82248) | $63 | $63 | 12.5× |
| Bilirubin total (82247) | $64 | $64 | 12.7× |
| Bl Smear W/Diff Wbc Count (85007) | $62 | $62 | 16.3× |
| Blood count reticulocyte automated (85045) | $66 | $66 | 16.5× |
| Blood gases (82803) | $276 | $276 | 10.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $59 | $59 | 13.5× |
| Blood typing abo (86900) | $104 | $104 | 34.8× |
| Blood typing serologic rh (d) (86901) | $106 | $106 | 35.5× |
| Blood typing serologic rh phenotyping complete (86906) | $236 | $236 | 30.5× |
| Body fluid cell count (89051) | $196 | $196 | 35.0× |
| C diff amplified probe (87493) | $184 | $184 | 4.9× |
| C-reactive protein (86140) | $115 | $115 | 22.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $122 | $122 | 9.4× |
| Ca 125 (86304) | $151 | $151 | 7.3× |
| Ca 19-9 (86301) | $202 | $202 | 9.7× |
| Calcium ionized (82330) | $140 | $140 | 10.2× |
| Calcium total (82310) | $63 | $63 | 12.2× |
| Calcium urine (82340) | $81 | $81 | 13.4× |
| Calculus Spectroscopy (82365) | $205 | $205 | 15.9× |
| Calprotectin, fecal (83993) | $517 | $517 | 26.3× |
| Candida DNA dir probe (87480) | $119 | $119 | 5.9× |
| Carbamazepine (tegretol) total (80156) | $148 | $148 | 10.2× |
| Carbamazepine free (80157) | $113 | $113 | 8.5× |
| Carboxyhemoglobin Quantitative (82375) | $163 | $163 | 13.2× |
| Carcinoembryonic antigen (82378) | $174 | $174 | 9.2× |
| Cardiolipin ab igg (86147) | $102 | $102 | 4.0× |
| Chemiluminescent assay (82397) | $226 | $226 | 16.0× |
| Cholesterol total (82465) | $78 | $78 | 17.9× |
| Chromogranin a (86316) | $243 | $243 | 11.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $148 | $148 | 4.2× |
| Ck isoenzymes (82552) | $62 | $62 | 4.6× |
| Ckmb (82553) | $197 | $197 | 17.1× |
| Clozapine level (80159) | $192 | $192 | 9.5× |
| Cold agglutinin screen (86156) | $125 | $125 | 15.5× |
| Collagen cross links (82523) | $306 | $306 | 16.4× |
| Compatibility test antiglob (86922) | $307 | $307 | 1.7× |
| Compatibility Test Incubate (86921) | $146 | $146 | 0.8× |
| Complement c3 (86160) | $120 | $120 | 10.0× |
| Coombs direct (86880) | $90 | $90 | 16.7× |
| Coombs Test Indirect Qual (86885) | $64 | $64 | 11.2× |
| Copper urine (82525) | $164 | $164 | 13.2× |
| Cortisol total (82533) | $158 | $158 | 9.7× |
| Creatine kinase total (82550) | $105 | $105 | 16.1× |
| Creatinine blood (82565) | $70 | $70 | 13.7× |
| Creatinine other source (82570) | $101 | $101 | 19.5× |
| Crossmatch immediate spin (86920) | $181.50 | $181.50 | 1.0× |
| Cryoglobulin (82595) | $194 | $194 | 30.0× |
| Cryptococcal Antigen (87327) | $158 | $158 | 11.8× |
| Culture Aerobic Identify (87077) | $111 | $111 | 13.7× |
| Culture anaerobic (87075) | $138 | $138 | 14.6× |
| Culture blood (87040) | $231 | $231 | 22.4× |
| Culture chlamydia (87110) | $168 | $168 | 8.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $140 | $140 | 18.2× |
| Culture fungus id yeast (87106) | $128 | $128 | 12.4× |
| Culture genital (87070) | $147 | $147 | 17.1× |
| Culture screen only (87081) | $81.50 | $81.50 | 12.3× |
| Culture stool (87045) | $134 | $134 | 14.2× |
| Culture typing if ea antiserum (87140) | $168 | $168 | 30.2× |
| Culture urine (87086) | $103.50 | $103.50 | 12.8× |
| Cyclic Citrullinated Peptide (86200) | $74 | $74 | 5.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $222 | $222 | 5.2× |
| Cytopath cell enhance tech (88112) | $146 | $146 | 2.7× |
| D-Dimer (85378) | $200 | $200 | 20.6× |
| Deoxyribonuclease antibody (86215) | $45 | $45 | 3.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $139 | $139 | 8.4× |
| Dhea sulfate (82627) | $252 | $252 | 11.3× |
| Digoxin (80162) | $146 | $146 | 11.0× |
| Dilantin (80185) | $156 | $156 | 11.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $123 | $123 | 9.0× |
| Drug assay methotrexate (80204) | $229 | $229 | 5.9× |
| Drug assay vedolizumab (80280) | $469 | $469 | 12.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $198 | $198 | 14.9× |
| Drug Scrn Quan Levetiracetam (80177) | $243 | $243 | 18.3× |
| Drug test prsmv chem anlyzr (80307) | $347 | $347 | 5.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $155 | $155 | 12.3× |
| Ebv viral capsid (86665) | $123 | $123 | 6.8× |
| Ehrlichia antibody (86666) | $219 | $219 | 21.5× |
| Elastase pancreatic fecal quantitative (82653) | $186 | $186 | 8.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $154 | $154 | 12.7× |
| Endomysial antibody iga (86255) | $285 | $285 | 23.7× |
| Enzyme cell activity (82657) | $690 | $690 | 31.1× |
| Eosinophil count (85048) | $49 | $49 | 19.3× |
| Estradiol (82670) | $182 | $182 | 6.5× |
| Estrogen fractionated (82671) | $102 | $102 | 3.2× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $248 | $248 | 2.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $86 | $86 | 11.7× |
| Factor v activity (85220) | $297 | $297 | 16.8× |
| Factor viii ahg (85240) | $290 | $290 | 16.2× |
| Fecal fat qual (82705) | $52 | $52 | 10.2× |
| Fetal hemoglobin, chemical (83030) | $66 | $66 | 6.1× |
| Fibrinogen activity (85384) | $114 | $114 | 11.7× |
| Flow cytometry first marker (88184) | $293 | $293 | 0.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $131 | $131 | 10.9× |
| Folate serum (82746) | $156 | $156 | 10.6× |
| Folic acid rbc (82747) | $276 | $276 | 15.6× |
| Follicle Stimulating Hormone (83001) | $151 | $151 | 8.1× |
| Francisella Tularensis (86668) | $326 | $326 | 23.0× |
| Gammaglobulin ige (82785) | $174 | $174 | 10.6× |
| Gardner vag DNA dir probe (87510) | $119 | $119 | 5.9× |
| Ggt (82977) | $90 | $90 | 12.5× |
| Giardia antigen eia stool (87329) | $143 | $143 | 11.9× |
| Glucose (82947) | $60 | $60 | 15.3× |
| Glucose body fluid (82945) | $61 | $61 | 15.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $253 | $253 | 19.7× |
| Haptoglobin (83010) | $134 | $134 | 10.7× |
| Hcg qualitative (84703) | $139 | $139 | 18.5× |
| Hcg quant (84702) | $160 | $160 | 10.6× |
| Hdl Cholesterol (83718) | $70 | $70 | 8.5× |
| Hematocrit (85014) | $46 | $46 | 19.4× |
| Hemoglobin (85018) | $44 | $44 | 18.6× |
| Hemoglobin a1c (83036) | $99 | $99 | 10.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $221 | $221 | 12.2× |
| Hemoglobin electrophoresis (83020) | $241 | $241 | 18.7× |
| Hemolysins/agglutinins auto screen (86940) | $227 | $227 | 25.9× |
| Hepatitis a antibody total (86708) | $138 | $138 | 11.1× |
| Hepatitis a igm (86709) | $142 | $142 | 12.6× |
| Hepatitis b core ab igm (86705) | $138 | $138 | 11.7× |
| Hepatitis b core antibody total (86704) | $135 | $135 | 11.2× |
| Hepatitis B Surface Ab (86706) | $90.50 | $90.50 | 8.4× |
| Hepatitis B Surface Antigen (87340) | $115 | $115 | 11.1× |
| Hepatitis be antibody (86707) | $107 | $107 | 9.2× |
| Hepatitis Be Antigen (87350) | $126 | $126 | 10.9× |
| Hepatitis c antibody (86803) | $140 | $140 | 9.8× |
| Hepatitis C Genotype (87902) | $719 | $719 | 2.8× |
| Herpes culture (87252) | $240 | $240 | 9.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $93 | $93 | 18.0× |
| Hfe gene (81256) | $795 | $795 | 12.2× |
| Histoplasma antigen urine (87385) | $318 | $318 | 24.0× |
| HIV-1 antibody (86701) | $122 | $122 | 13.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $92 | $92 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $166 | $166 | 6.1× |
| Iaad ia cryptosporidium (87328) | $120 | $120 | 8.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $412 | $412 | 39.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $119 | $119 | 4.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $281 | $281 | 19.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $103 | $103 | 2.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $103.50 | $103.50 | 8.6× |
| Iaadiadoo not otherwise specified (87899) | $115 | $115 | 7.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $114 | $114 | 3.2× |
| Iadna babesia microti amplified probe technique (87469) | $137 | $137 | 3.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $114 | $114 | 3.2× |
| Iadna hepatitis b virus quantification (87517) | $361 | $361 | 8.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $546 | $546 | 12.7× |
| Iadna human papillomavirus high-risk types (87624) | $89 | $89 | 2.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $148 | $148 | 4.2× |
| Iadna nos amplified probe tq each organism (87798) | $335 | $335 | 9.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,054 | $1,054 | 2.5× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $316 | $316 | 1.2× |
| Igg subclasses (82787) | $191 | $191 | 23.8× |
| Immunfix e-phorsis/urine/csf (86335) | $254 | $254 | 8.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $205 | $205 | 13.7× |
| Immunoassay nonantibody (83516) | $94 | $94 | 8.2× |
| Immunofixj Electrophoresis Serum (86334) | $225 | $225 | 10.1× |
| Immunoglobulin light chains free each (83521) | $222 | $222 | 12.9× |
| Immunohistochemistry (88342) | $359 | $359 | 2.0× |
| Inhibin b (83520) | $337 | $337 | 19.5× |
| Insulin antibodies (86337) | $291 | $291 | 13.6× |
| Insulin total (83525) | $151 | $151 | 13.2× |
| Iron (83540) | $78 | $78 | 12.1× |
| Iron binding capacity (83550) | $96 | $96 | 11.0× |
| Irradiation of blood product (86945) | $713 | $713 | 18.4× |
| Islet cell antibody (86341) | $369 | $369 | 15.7× |
| Jak2 gene analysis (81270) | $795 | $795 | 8.7× |
| Lactic acid (83605) | $162.50 | $162.50 | 14.0× |
| Ldh (83615) | $81 | $81 | 13.4× |
| LDL cholesterol direct (83721) | $146 | $146 | 13.9× |
| Lead (83655) | $96 | $96 | 7.9× |
| Legionella antigen urine (87449) | $280 | $280 | 23.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $81 | $81 | 19.0× |
| Level ii surg pathology grossµscopic exam (88302) | $223 | $223 | 5.7× |
| Level v surg pathology grossµscopic exam (88307) | $522 | $522 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $824 | $824 | 1.0× |
| Lh (83002) | $135 | $135 | 7.3× |
| Lipase (83690) | $135 | $135 | 19.6× |
| Lithium (80178) | $101 | $101 | 15.3× |
| Lyme disease antibody (86618) | $171 | $171 | 10.0× |
| Lyme disease antibody confirm (86617) | $207 | $207 | 13.4× |
| Macroscopic exam parasite (87169) | $64 | $64 | 14.8× |
| Magnesium (83735) | $168 | $168 | 25.1× |
| Methotrexate (80299) | $220 | $220 | 11.8× |
| Methylmalonic acid serum (83921) | $356 | $356 | 16.8× |
| Microalbumin urine (82043) | $161 | $161 | 27.9× |
| Microsomal antibodies (86376) | $148 | $148 | 10.2× |
| Mitochondrial antibody each (86381) | $168 | $168 | 6.6× |
| Muscle-specific kinase (musk) antibody (86366) | $112 | $112 | 6.1× |
| Myoglobin urine (83874) | $168 | $168 | 13.0× |
| Natriuretic peptide (83880) | $296 | $296 | 7.5× |
| Neutralization test, viral (86382) | $180 | $180 | 10.6× |
| Nuclear antigen antibody (86235) | $121 | $121 | 6.7× |
| Osmolality serum (83930) | $108 | $108 | 16.3× |
| Osmolality urine (83935) | $105 | $105 | 15.4× |
| Ova and parasite direct-id lca (87177) | $101 | $101 | 11.3× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $360 | $360 | 5.1× |
| Phosphatase alkaline (84075) | $85 | $85 | 16.4× |
| Phosphorus blood (84100) | $64 | $64 | 13.5× |
| Potassium (84132) | $75 | $75 | 15.8× |
| Potassium urine (84133) | $63 | $63 | 13.3× |
| Procalcitonin (pct) (84145) | $260 | $260 | 9.6× |
| Progesterone (84144) | $146 | $146 | 7.0× |
| Prolactin (84146) | $240 | $240 | 12.4× |
| Protein c antigen (85302) | $118 | $118 | 9.8× |
| Protein electrophoresis serum (84165) | $133 | $133 | 12.4× |
| Protein Electrophoresis Urine (84166) | $154 | $154 | 8.6× |
| Protein s total (85305) | $123 | $123 | 10.6× |
| Protein Total Serum (84155) | $64 | $64 | 17.4× |
| Protein urine (84156) | $111 | $111 | 30.2× |
| PSA free (84154) | $74 | $74 | 4.0× |
| Quantiferon tb gold (86480) | $211 | $211 | 3.4× |
| Rbc antibody elution (86860) | $189 | $189 | 1.1× |
| Renin activity plasma (84244) | $220 | $220 | 10.0× |
| Respiratory viral panel PCR (87633) | $940 | $940 | 2.3× |
| Rheumatoid factor quant (86431) | $77 | $77 | 13.6× |
| Rickettsia antibody (86757) | $146 | $146 | 7.5× |
| Rsv (87807) | $164.50 | $164.50 | 12.6× |
| Rubella antibody (86762) | $18 | $18 | 1.3× |
| Russell viper venom time diluted (85613) | $113 | $113 | 11.8× |
| Salicylate (80179) | $234 | $234 | 12.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $240 | $240 | 4.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $105 | $105 | 2.5× |
| Sarscov2 & inf a&b amp prb (87636) | $792 | $792 | 5.6× |
| Sedimentation rate (85651) | $59 | $59 | 13.8× |
| Semen analysis (89322) | $175 | $175 | 11.3× |
| Sensitivity mic (87186) | $123 | $123 | 14.2× |
| Sex hormone binding globulin (84270) | $88 | $88 | 4.0× |
| Sickle cell screen (85660) | $38 | $38 | 6.9× |
| Smear gram stain (87205) | $69 | $69 | 16.2× |
| Sodium (84295) | $58 | $58 | 12.1× |
| Sodium urine (84300) | $67 | $67 | 13.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $157 | $157 | 1.1× |
| Special stains group 1 (88312) | $182 | $182 | 3.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $87.50 | $87.50 | 9.3× |
| Strep a assay w/optic (87880) | $128 | $128 | 7.7× |
| Strep b DNA amp probe (87653) | $201 | $201 | 5.7× |
| Surg path level iii (88304) | $202 | $202 | 3.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $83 | $83 | 2.8× |
| Surgical pathology level IV (88305) | $338 | $338 | 6.2× |
| Susceptibility study antimicrobial disk method (87184) | $100 | $100 | 13.4× |
| T3 free (84481) | $222 | $222 | 13.1× |
| T3 total (84480) | $136 | $136 | 9.6× |
| T4 Free (84439) | $135 | $135 | 15.0× |
| T4 total (84436) | $88 | $88 | 12.8× |
| Tb intradermal test (86580) | $24 | $24 | 0.8× |
| Testosterone total (84403) | $170 | $170 | 6.6× |
| Thin prep pap (88142) | $158 | $158 | 7.8× |
| Thyroglobulin Ab (86800) | $131 | $131 | 8.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $122 | $122 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $168 | $168 | 14.6× |
| Topiramate (80201) | $261 | $261 | 21.9× |
| Toxin or antitoxin assay (87230) | $166 | $166 | 8.4× |
| Toxoplasma ab igm (86778) | $135 | $135 | 9.4× |
| Toxoplasma antibody igg (86777) | $118 | $118 | 8.2× |
| Transferrin (84466) | $145.50 | $145.50 | 11.4× |
| Trichomonas vagin dir probe (87660) | $124 | $124 | 6.2× |
| Triglycerides (84478) | $70 | $70 | 12.2× |
| Troponin (84484) | $243 | $243 | 19.5× |
| Urea nitrogen (84520) | $61 | $61 | 15.4× |
| Uric acid blood (84550) | $67 | $67 | 14.8× |
| Urinalysis microscopic only (81015) | $19 | $19 | 6.2× |
| Urinalysis w/microscopic (81001) | $72 | $72 | 22.7× |
| Urine pregnancy test (81025) | $104 | $104 | 12.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $50 | $50 | 22.2× |
| Valproic acid level (80164) | $171 | $171 | 12.6× |
| Vancomycin trough (80202) | $190 | $190 | 14.0× |
| Vasoactive intestinal peptide (vip) (84586) | $73 | $73 | 2.1× |
| Vasopressin (84588) | $186 | $186 | 5.5× |
| Vdrl csf (86592) | $38 | $38 | 8.9× |
| Virus antibody nos (86790) | $60.50 | $60.50 | 4.7× |
| Viscosity serum (85810) | $197 | $197 | 16.9× |
| Vitamin A (84590) | $178 | $178 | 15.3× |
| Vitamin b-12 (82607) | $158 | $158 | 10.5× |
| Vitamin b1 (thiamine) (84425) | $229 | $229 | 10.8× |
| Vitamin b6 (84207) | $246 | $246 | 8.8× |
| Vitamin D 25-Hydroxy (82306) | $262 | $262 | 8.9× |
| Vitamin e serum (84446) | $184 | $184 | 13.0× |
| West nile virus antibody (86789) | $140 | $140 | 9.7× |
| Zinc (84630) | $126 | $126 | 11.1× |