Lab & pathology prices at Memorial Hospital
Dumas, TX · every code in this section with a posted price and a Medicare benchmark.
642 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) | $377.60 | $472 | 9.8× |
| 17-Hydroxycorticosteroids (83491) | $172 | $215 | 9.6× |
| 5 Hiaa (83497) | $77.20 | $96.50 | 6.0× |
| 5 Nucleotidase (83915) | $128 | $160 | 11.5× |
| Acetylcholinesterase (82013) | $365.60 | $457 | 29.7× |
| Activated protein c resistance (85307) | $117.20 | $146.50 | 7.7× |
| Acute hepatitis panel (80074) | $784.80 | $981 | 16.5× |
| Acylcarnitine Plasma (82017) | $381.60 | $477 | 22.6× |
| Adenovirus ag, if (87260) | $62.40 | $78 | 4.3× |
| Adenovirus antibody (86603) | $117.60 | $147 | 9.1× |
| Afb culture (87116) | $132.80 | $166 | 12.3× |
| Agglutinins febrile (86000) | $103.20 | $129 | 14.8× |
| Albumin Fluid (82042) | $97.60 | $122 | 12.5× |
| Albumin serum (82040) | $70.40 | $88 | 14.2× |
| Aldolase (82085) | $116 | $145 | 11.9× |
| Aldosterone urine (82088) | $162.40 | $203 | 4.0× |
| Alkaline phosphatase isoenzymes (84080) | $200 | $250 | 13.5× |
| Allerg sp igg quan or semiquan (86001) | $38.40 | $48 | 4.9× |
| Allergen specific ige (86003) | $45.60 | $57 | 8.7× |
| Alpha-1-antitrypsin phenotype (82104) | $159.20 | $199 | 11.0× |
| Alpha-1-antitrypsin, total (82103) | $159.20 | $199 | 11.8× |
| Alpha-fetoprotein amniotic (82106) | $188.80 | $236 | 11.1× |
| Alpha-Fetoprotein L3 (82107) | $115.20 | $144 | 1.8× |
| Alpha-fetoprotein, serum (82105) | $194.40 | $243 | 11.6× |
| Alt (sgpt) (84460) | $24.80 | $31 | 4.7× |
| Aluminum (82108) | $116.80 | $146 | 4.6× |
| Amikacin trough (80150) | $120 | $150 | 8.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $516 | $645 | 30.6× |
| Ammonia (82140) | $155.20 | $194 | 10.7× |
| Amylase urine (82150) | $172 | $215 | 26.5× |
| Ana Titer (86039) | $72.80 | $91 | 6.5× |
| Angiotensin i enzyme test (82164) | $106 | $132.50 | 7.3× |
| Anti-phosphatidylserine antibody (86148) | $101.60 | $127 | 6.3× |
| Antibody Absorption (86978) | $310.40 | $388 | 5.2× |
| Antibody aspergillus (86606) | $153.60 | $192 | 10.2× |
| Antibody coxiella burnetii q fever (86638) | $76 | $95 | 6.3× |
| Antibody cytomegalovirus cmv (86644) | $129.60 | $162 | 9.0× |
| Antibody cytomegalovirus cmv igm (86645) | $91.20 | $114 | 5.4× |
| Antibody Detection Nos If (87299) | $133.60 | $167 | 8.3× |
| Antibody Encephalitis Eastern Equine (86652) | $189.60 | $237 | 14.4× |
| Antibody Encephalitis St. Louis (86653) | $60.80 | $76 | 4.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $155.60 | $194.50 | 11.9× |
| Antibody helicobacter pylori (86677) | $63.20 | $79 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $106.40 | $133 | 7.4× |
| Antibody herpes smplx type 1 (86695) | $88 | $110 | 6.7× |
| Antibody HIV-2 (86702) | $159.20 | $199 | 11.8× |
| Antibody identification (86870) | $697.20 | $871.50 | 1.9× |
| Antibody identification leukocyte antibodies (86021) | $73.60 | $92 | 4.9× |
| Antibody influenza virus (86710) | $90.40 | $113 | 6.7× |
| Antibody Listeria Monocytogenes (86723) | $148 | $185 | 11.2× |
| Antibody mumps (86735) | $106.40 | $133 | 8.2× |
| Antibody Protozoa Nes (86753) | $184.80 | $231 | 14.9× |
| Antibody rubeola (86765) | $116.80 | $146 | 9.1× |
| Antibody screen (86850) | $98.40 | $123 | 10.1× |
| Antibody treponema pallidum (86780) | $90.40 | $113 | 6.8× |
| Antibody; Coccidioides (86635) | $228 | $285 | 19.9× |
| Antigen typing (86905) | $320.80 | $401 | 83.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $78.40 | $98 | 15.1× |
| Antinuclear antibodies (86038) | $61.60 | $77 | 5.1× |
| Antistreptolysin o titer (86060) | $97.60 | $122 | 13.4× |
| Antithrombin iii activity (85300) | $121.60 | $152 | 10.3× |
| Antithrombin iii antigen (85301) | $121.60 | $152 | 11.2× |
| Apolipoprotein b (82172) | $58.40 | $73 | 2.8× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $654.40 | $818 | 54.3× |
| Arsenic Urine (82175) | $124 | $155 | 6.5× |
| Assay galactose transferase (82775) | $324 | $405 | 15.4× |
| Assay Lipoprotein Pla2 (83698) | $100.80 | $126 | 2.2× |
| Assay Nephelometry Not Spec (83883) | $119.20 | $149 | 8.8× |
| Assay of acth (82024) | $299.20 | $374 | 7.7× |
| Assay of androstenedione (82157) | $128.80 | $161 | 4.4× |
| Assay of blood chloride (82435) | $91.20 | $114 | 19.8× |
| Assay of blood fatty acids (82725) | $171.20 | $214 | 9.1× |
| Assay of c-peptide (84681) | $184 | $230 | 8.8× |
| Assay of calcitonin (82308) | $141.60 | $177 | 5.3× |
| Assay of ceruloplasmin (82390) | $91.20 | $114 | 8.5× |
| Assay of corticosterone (82528) | $193.60 | $242 | 8.6× |
| Assay of creatine (82540) | $142.80 | $178.50 | 30.8× |
| Assay of cyclosporine (80158) | $299.20 | $374 | 16.6× |
| Assay of erythropoietin (82668) | $201.60 | $252 | 10.7× |
| Assay of ethosuximide (80168) | $75.20 | $94 | 4.6× |
| Assay of ferritin (82728) | $155.20 | $194 | 11.4× |
| Assay of g6pd enzyme (82955) | $151.20 | $189 | 15.6× |
| Assay of gammaglobulin igm (82784) | $91.20 | $114 | 9.8× |
| Assay of gastrin (82941) | $128 | $160 | 7.3× |
| Assay of gentamicin (80170) | $124 | $155 | 7.6× |
| Assay of glucagon (82943) | $216 | $270 | 15.1× |
| Assay of homocystine (83090) | $136 | $170 | 7.6× |
| Assay of lipoprotein(a) (83695) | $54.80 | $68.50 | 3.8× |
| Assay of metanephrines (83835) | $104 | $130 | 6.1× |
| Assay of osteocalcin (83937) | $127.20 | $159 | 4.3× |
| Assay of parathormone (83970) | $235.20 | $294 | 5.7× |
| Assay of phenobarbital (80184) | $130.40 | $163 | 8.5× |
| Assay of phosphatase acid total (84060) | $91.20 | $114 | 11.9× |
| Assay of prealbumin (84134) | $144.80 | $181 | 9.9× |
| Assay of procainamide (80190) | $153.60 | $192 | 2.6× |
| Assay of proinsulin (84206) | $101.60 | $127 | 3.8× |
| Assay of prostate specific antigen complexed (84152) | $112 | $140 | 6.1× |
| Assay of selenium (84255) | $100.80 | $126 | 3.9× |
| Assay of serotonin (84260) | $299.20 | $374 | 9.7× |
| Assay of sialic acid (84275) | $133.60 | $167 | 9.9× |
| Assay of somatomedin (84305) | $186.40 | $233 | 8.8× |
| Assay of tacrolimus (80197) | $242.40 | $303 | 17.7× |
| Assay of transcortin (84449) | $164.80 | $206 | 9.2× |
| Assay of urine vma (84585) | $77.60 | $97 | 5.0× |
| Assay of vitamin k (84597) | $228 | $285 | 16.6× |
| Assay of volatiles (84600) | $149.60 | $187 | 8.7× |
| Assay Ph Body Fluid Nos (83986) | $56.80 | $71 | 15.9× |
| Ast (sgot) (84450) | $24.80 | $31 | 4.8× |
| Autologous Blood Process (86890) | $158.40 | $198 | 0.9× |
| Automated rbc count (85041) | $38 | $47.50 | 12.6× |
| B cells total count (86355) | $107.60 | $134.50 | 2.9× |
| Bartonella antibody (86611) | $104 | $130 | 10.2× |
| Bcr/abl1 gene major bp (81206) | $348.80 | $436 | 2.1× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $111.20 | $139 | 4.4× |
| Beta hydroxybutyrate (82010) | $149.60 | $187 | 18.3× |
| Beta-2 microglobulin (82232) | $150.40 | $188 | 9.3× |
| Bile acids, total (82239) | $104 | $130 | 6.1× |
| Bilirubin direct (82248) | $53.60 | $67 | 10.7× |
| Bilirubin total (82247) | $63.20 | $79 | 12.6× |
| Biotinidase ea specimen (82261) | $141.60 | $177 | 8.4× |
| Bl Smear W/Diff Wbc Count (85007) | $48 | $60 | 12.6× |
| Blastomyces antibody (86612) | $84.80 | $106 | 6.6× |
| Bleeding time (85002) | $88.80 | $111 | 18.4× |
| Blood count reticulocyte automated (85045) | $72.80 | $91 | 18.2× |
| Blood gases (82803) | $229.60 | $287 | 8.8× |
| Blood Ph - Ph Venous (82800) | $68 | $85 | 6.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $216.80 | $271 | 34.1× |
| Blood typing abo (86900) | $116 | $145 | 38.8× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $104 | $130 | 6.4× |
| Blood typing serologic rh (d) (86901) | $56.80 | $71 | 19.0× |
| Blood typing serologic rh phenotyping complete (86906) | $242.40 | $303 | 31.3× |
| Body fluid cell count (89051) | $116 | $145 | 20.7× |
| Body fluid cell count (89050) | $116 | $145 | 24.6× |
| Bordetella antibody (86615) | $104 | $130 | 7.9× |
| Brca1&2 185&5385&6174 var (81212) | $768 | $960 | 1.7× |
| Brucella antibody (86622) | $188.80 | $236 | 21.1× |
| C diff amplified probe (87493) | $41.60 | $52 | 1.1× |
| C-reactive protein (86140) | $191.20 | $239 | 36.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $151.20 | $189 | 11.7× |
| C1q binding assay (86332) | $126.80 | $158.50 | 5.2× |
| Ca 125 (86304) | $223.20 | $279 | 10.7× |
| Ca 19-9 (86301) | $236.80 | $296 | 11.4× |
| Ca 27 29 (86300) | $165.20 | $206.50 | 7.9× |
| Calcium ionized (82330) | $174.40 | $218 | 12.7× |
| Calcium total (82310) | $91.20 | $114 | 17.7× |
| Calcium urine (82340) | $57.60 | $72 | 9.6× |
| Calculus Spectroscopy (82365) | $116.80 | $146 | 9.1× |
| California encephalitis ab (86651) | $60.80 | $76 | 4.6× |
| Calprotectin, fecal (83993) | $314.40 | $393 | 16.0× |
| Candida antibody (86628) | $122.80 | $153.50 | 10.2× |
| Carb deficient transferrin (82373) | $357.60 | $447 | 19.8× |
| Carbamazepine (tegretol) total (80156) | $231.20 | $289 | 15.9× |
| Carbamazepine free (80157) | $119.20 | $149 | 9.0× |
| Carbon dioxide (82374) | $22.40 | $28 | 4.6× |
| Carboxyhemoglobin Quantitative (82375) | $60.80 | $76 | 4.9× |
| Carcinoembryonic antigen (82378) | $200 | $250 | 10.5× |
| Cardiolipin ab igg (86147) | $136.80 | $171 | 5.4× |
| Carnitine (82379) | $141.60 | $177 | 8.4× |
| Carotene (82380) | $95.20 | $119 | 10.3× |
| Catecholamines fraction plasma (82384) | $193.60 | $242 | 7.7× |
| Catecholamines Total Urine (82382) | $219.20 | $274 | 8.0× |
| Cathepsin-d (enzyme) level (82387) | $295.20 | $369 | 16.3× |
| Cd4 absolute count (86361) | $173.60 | $217 | 6.5× |
| Cell marker study (88182) | $51.20 | $64 | 1.0× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $359.20 | $449 | 2.6× |
| Cftr gene com variants (81220) | $272.80 | $341 | 0.5× |
| Cftr gene full sequence (81223) | $2,673.60 | $3,342 | 5.4× |
| Chemiluminescent assay (82397) | $231.20 | $289 | 16.4× |
| Chlamydia antibody (86631) | $141.60 | $177 | 12.0× |
| Chlamydia Igm Antibody (86632) | $49.60 | $62 | 3.9× |
| Chloride other source (82438) | $73.60 | $92 | 14.7× |
| Chloride urine (82436) | $80.80 | $101 | 14.1× |
| Cholesterol total (82465) | $56.80 | $71 | 13.1× |
| Cholinesterase rbc (82482) | $76 | $95 | 7.7× |
| Cholinesterase serum (82480) | $76 | $95 | 9.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $270.40 | $338 | 2.2× |
| Chromium urine (82495) | $78.40 | $98 | 3.9× |
| Chromogranin a (86316) | $119.20 | $149 | 5.7× |
| Chromosome karyotype study (88280) | $236.80 | $296 | 7.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $90.40 | $113 | 2.6× |
| Citrate (82507) | $57.60 | $72 | 2.1× |
| Ckmb (82553) | $97.60 | $122 | 8.5× |
| Clot factor viii vw antigen (85246) | $458.40 | $573 | 20.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $160 | $200 | 8.9× |
| Cmv PCR (87496) | $435.20 | $544 | 12.4× |
| Cns DNA amp probe type 12-25 (87483) | $1,640.80 | $2,051 | 3.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $172 | $215 | 7.1× |
| Cold agglutinin titer (86157) | $112 | $140 | 13.9× |
| Collagen cross links (82523) | $160.80 | $201 | 8.6× |
| Compatibility test antiglob (86922) | $156 | $195 | 0.9× |
| Complement c3 (86160) | $134.40 | $168 | 11.2× |
| Complement total ch50 (86162) | $195.20 | $244 | 9.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $209.60 | $262 | 17.5× |
| Concentration Infectious Agent (87015) | $61.60 | $77 | 9.2× |
| Coombs direct (86880) | $24.80 | $31 | 4.6× |
| Copper urine (82525) | $122.40 | $153 | 9.9× |
| Cortisol free (82530) | $116 | $145 | 6.9× |
| Cortisol total (82533) | $185.60 | $232 | 11.4× |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) | $226.40 | $283 | 19.1× |
| Creatine kinase total (82550) | $60 | $75 | 9.2× |
| Creatinine blood (82565) | $64.40 | $80.50 | 12.6× |
| Creatinine clearance (82575) | $128.80 | $161 | 13.6× |
| Creatinine other source (82570) | $61.60 | $77 | 11.9× |
| Cryofibrinogen (82585) | $88.80 | $111 | 6.3× |
| Cryoglobulin (82595) | $90.40 | $113 | 14.0× |
| Cryptococcal Antigen (87327) | $172 | $215 | 12.8× |
| Cryptococcus antibody (86641) | $120 | $150 | 8.3× |
| Culture Aerobic Identify (87077) | $76 | $95 | 9.4× |
| Culture anaerobic (87075) | $157.60 | $197 | 16.6× |
| Culture blood (87040) | $209.60 | $262 | 20.3× |
| Culture chlamydia (87110) | $110.40 | $138 | 5.6× |
| Culture fungus blood (87103) | $135.60 | $169.50 | 6.6× |
| Culture fungus id yeast (87106) | $146.40 | $183 | 14.2× |
| Culture fungus other (87102) | $236.80 | $296 | 28.2× |
| Culture genital (87070) | $131.60 | $164.50 | 15.3× |
| Culture screen only (87081) | $121.60 | $152 | 18.3× |
| Culture stool (87045) | $77.60 | $97 | 8.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $196.80 | $246 | 38.0× |
| Culture typing other methods (87158) | $264.80 | $331 | 34.2× |
| Culture urine (87086) | $184 | $230 | 22.8× |
| Culture urine id ea isolate (87088) | $35.20 | $44 | 4.4× |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) | $179.20 | $224 | 23.2× |
| Cyclic amp (82030) | $464 | $580 | 18.0× |
| Cyclic Citrullinated Peptide (86200) | $82.40 | $103 | 6.4× |
| Cystatin c (82610) | $230.40 | $288 | 12.4× |
| Cytogenetics 10-30 (88273) | $270.40 | $338 | 7.8× |
| Cytogenetics DNA probe (88271) | $270.40 | $338 | 12.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,378.40 | $2,973 | 2.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $263.60 | $329.50 | 6.2× |
| Cytopath cell enhance tech (88112) | $45.60 | $57 | 0.9× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $115.20 | $144 | 4.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $94.40 | $118 | 1.8× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $82.40 | $103 | 4.4× |
| D-Dimer (85379) | $209.60 | $262 | 20.6× |
| Deoxyribonuclease antibody (86215) | $118.80 | $148.50 | 9.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $91.20 | $114 | 5.5× |
| Dhea (82626) | $219.20 | $274 | 8.7× |
| Dhea sulfate (82627) | $209.60 | $262 | 9.4× |
| Digoxin (80162) | $163.20 | $204 | 12.3× |
| Dihydrotestosterone (82642) | $111.20 | $139 | 3.8× |
| Dilantin (80185) | $124 | $155 | 9.4× |
| Dipropylacetic acid free (80165) | $108 | $135 | 8.0× |
| Dna Antibody Single Stranded (86226) | $228 | $285 | 18.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $93.20 | $116.50 | 6.8× |
| Drug assay adalimumab (80145) | $276.80 | $346 | 7.2× |
| Drug assay flecainide (80181) | $64.80 | $81 | 3.5× |
| Drug Assay Infliximab (80230) | $272 | $340 | 7.1× |
| Drug Screen Quant Gabapentin (80171) | $223.20 | $279 | 10.3× |
| Drug screen quant zonisamide (80203) | $141.60 | $177 | 10.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $119.20 | $149 | 9.0× |
| Drug Scrn Quan Levetiracetam (80177) | $298.40 | $373 | 22.5× |
| Drug test prsmv chem anlyzr (80307) | $91.20 | $114 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $91.20 | $114 | 7.2× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $169.60 | $212 | 9.9× |
| Ebv viral capsid (86665) | $117.60 | $147 | 6.5× |
| Echinococcus ab igg (86682) | $168.40 | $210.50 | 12.9× |
| Electrolyte panel (80051) | $100 | $125 | 14.3× |
| Encephalitis Western Equine (86654) | $60.80 | $76 | 4.6× |
| Endomysial antibody iga (86255) | $146.40 | $183 | 12.1× |
| Entamoeba histolytica antigen (87337) | $96.80 | $121 | 8.1× |
| Enterovirus antibody (86658) | $91.20 | $114 | 7.0× |
| Enzyme cell activity (82657) | $384 | $480 | 17.3× |
| Eosinophil count (85048) | $61.60 | $77 | 24.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $117.60 | $147 | 7.7× |
| Estradiol (82670) | $130 | $162.50 | 4.7× |
| Estriol (82677) | $91.20 | $114 | 3.8× |
| Estrogens total (82672) | $222.80 | $278.50 | 10.3× |
| Estrone (82679) | $91.20 | $114 | 3.7× |
| Ethylene glycol (82693) | $184 | $230 | 12.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $288.80 | $361 | 2.9× |
| Everolimus (80169) | $180 | $225 | 13.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $92 | $115 | 12.6× |
| F2 gene analysis 20210g >a variant (81240) | $340.80 | $426 | 5.2× |
| F5 gene (81241) | $514.40 | $643 | 7.0× |
| Factor ii activity (85210) | $112.80 | $141 | 8.7× |
| Factor ix activity (85250) | $236.80 | $296 | 12.4× |
| Factor v activity (85220) | $297.60 | $372 | 16.9× |
| Factor vii assay (85230) | $295.20 | $369 | 16.5× |
| Factor viii ahg (85240) | $256.80 | $321 | 14.3× |
| Factor viii related antigen (85244) | $225.60 | $282 | 11.0× |
| Factor viii vw multimetric (85247) | $116.80 | $146 | 5.1× |
| Factor xi assay (85270) | $248.80 | $311 | 13.9× |
| Factor xii assay (85280) | $346.40 | $433 | 17.9× |
| Fat stain (89125) | $117.60 | $147 | 20.0× |
| Fecal fat qual (82705) | $209.60 | $262 | 41.1× |
| Fetal bleed screen (85461) | $82.40 | $103 | 8.8× |
| Fetal fibronectin (82731) | $294.40 | $368 | 4.6× |
| Fibrin degradation products (85362) | $120 | $150 | 17.4× |
| Fibrinogen activity (85384) | $124 | $155 | 12.8× |
| Fibrinolytic Plasminogen (85415) | $217.60 | $272 | 12.7× |
| Flow cytometry first marker (88184) | $120 | $150 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $216 | $270 | 17.9× |
| Fmr1 gene detection (81243) | $376 | $470 | 6.6× |
| Folate serum (82746) | $151.20 | $189 | 10.3× |
| Folic acid rbc (82747) | $246 | $307.50 | 13.9× |
| Follicle Stimulating Hormone (83001) | $146 | $182.50 | 7.9× |
| Fractionation ketosteroids (83593) | $315.20 | $394 | 11.1× |
| Francisella Tularensis (86668) | $103.20 | $129 | 7.3× |
| Fresh frozen plasma thawing each unit (86927) | $115.20 | $144 | 0.7× |
| Fructosamine (82985) | $184.40 | $230.50 | 11.0× |
| Gammaglobulin ige (82785) | $65.60 | $82 | 4.0× |
| Gastric Occult Blood (82271) | $88 | $110 | 16.5× |
| Ggt (82977) | $94 | $117.50 | 13.1× |
| Giardia antigen eia stool (87329) | $74.40 | $93 | 6.2× |
| Giardia lamblia antibody (86674) | $120 | $150 | 8.2× |
| Gliadin antibody each immunoglobulin class (86258) | $38.40 | $48 | 3.2× |
| Glucose (82947) | $78.40 | $98 | 19.9× |
| Glucose Blood Test (82962) | $72.80 | $91 | 22.2× |
| Glucose body fluid (82945) | $78.40 | $98 | 19.9× |
| Glucose post dose (82950) | $103.20 | $129 | 21.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $36.40 | $45.50 | 9.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $155.60 | $194.50 | 12.1× |
| Growth hormone (83003) | $153.60 | $192 | 9.2× |
| Haptoglobin (83010) | $146.40 | $183 | 11.6× |
| Hba1/hba2 gene (81257) | $590 | $737.50 | 5.8× |
| Hcg qualitative (84703) | $119.20 | $149 | 15.9× |
| Hcg quant (84702) | $158 | $197.50 | 10.5× |
| Hdl Cholesterol (83718) | $40 | $50 | 4.9× |
| Heavy metal quant each (83018) | $150.40 | $188 | 6.8× |
| Hemagglutination inhibition (86280) | $64 | $80 | 7.8× |
| Hematocrit (85014) | $45.60 | $57 | 19.2× |
| Hemoglobin (85018) | $45.60 | $57 | 19.2× |
| Hemoglobin a1c (83036) | $117.60 | $147 | 12.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $56.80 | $71 | 3.1× |
| Hemoglobin electrophoresis (83020) | $56.80 | $71 | 4.4× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $144.80 | $181 | 18.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $117.60 | $147 | 14.3× |
| Hemoglobin plasma (83051) | $61.60 | $77 | 8.4× |
| Hemoglobin urine (83069) | $48 | $60 | 12.2× |
| Heparin assay (85520) | $280 | $350 | 21.4× |
| Hepatitis a antibody total (86708) | $97.60 | $122 | 7.9× |
| Hepatitis a igm (86709) | $132 | $165 | 11.7× |
| Hepatitis b core ab igm (86705) | $116.80 | $146 | 9.9× |
| Hepatitis b core antibody total (86704) | $98.40 | $123 | 8.2× |
| Hepatitis B Surface Antigen (87340) | $168.80 | $211 | 16.3× |
| Hepatitis b virus genotyping (87912) | $569.60 | $712 | 2.2× |
| Hepatitis be antibody (86707) | $74.80 | $93.50 | 6.5× |
| Hepatitis Be Antigen (87350) | $74.80 | $93.50 | 6.5× |
| Hepatitis c antibody (86803) | $89.60 | $112 | 6.3× |
| Hepatitis C Genotype (87902) | $471.20 | $589 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $135.20 | $169 | 3.9× |
| Hepatitis delta ab (86692) | $149.20 | $186.50 | 8.7× |
| Hepatitis delta ag (87380) | $188.80 | $236 | 10.3× |
| Herpes culture (87252) | $428 | $535 | 16.4× |
| Herpes simplex type 2 (86696) | $97.60 | $122 | 5.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $82.40 | $103 | 15.9× |
| Heterophile antibody titer (86309) | $124 | $155 | 19.2× |
| Hexa gene analysis common variants (81255) | $263.20 | $329 | 5.1× |
| Hfe gene (81256) | $210.40 | $263 | 3.2× |
| Histamine plasma (83088) | $184.80 | $231 | 6.3× |
| Histoplasma antibody (86698) | $61.60 | $77 | 4.5× |
| Histoplasma antigen urine (87385) | $175.20 | $219 | 13.2× |
| HIV-1 antibody (86701) | $159.20 | $199 | 17.9× |
| Hla ii low resolution one antigen equivalent ea (81377) | $212.80 | $266 | 2.2× |
| Hla ii typing 1 allele hr (81383) | $212.80 | $266 | 1.9× |
| Hla typing a/b/c multiple antigens (86813) | $445.60 | $557 | 7.7× |
| Hla-b27 (86812) | $201.60 | $252 | 7.8× |
| Hpv types 16 & 18 only (87625) | $86.80 | $108.50 | 2.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $197.60 | $247 | 2.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $324 | $405 | 9.2× |
| Htlv-i antibody (86687) | $136 | $170 | 15.0× |
| Htlv-ii antibody (86688) | $136 | $170 | 9.7× |
| Htt gene analysis detect abnormal alleles (81271) | $441.60 | $552 | 3.2× |
| Hydroxyprogesterone 17-d (83498) | $186.40 | $233 | 6.9× |
| Hydroxyproline total (83505) | $413.60 | $517 | 17.0× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $121.60 | $152 | 6.7× |
| Iaad ia clostridium difficile toxin (87324) | $174.40 | $218 | 14.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $104 | $130 | 10.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $239.20 | $299 | 9.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $124 | $155 | 8.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $48 | $60 | 1.4× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $201.60 | $252 | 16.8× |
| Iaad Ia Streptococcus Group A (87430) | $81.60 | $102 | 4.9× |
| Iaadi inffluenza a virus (87276) | $58.40 | $73 | 3.6× |
| Iaadi influenza b virus (87275) | $15.20 | $19 | 1.2× |
| Iaadi respiratory synctial virus (87280) | $62.40 | $78 | 4.6× |
| Iaadiadoo not otherwise specified (87899) | $188 | $235 | 11.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $568 | $710 | 16.2× |
| Iadna hepatitis b virus quantification (87517) | $195.60 | $244.50 | 4.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $436 | $545 | 10.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $365.60 | $457 | 10.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $413.60 | $517 | 4.9× |
| Iadna human papillomavirus high-risk types (87624) | $76 | $95 | 2.2× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $428.80 | $536 | 10.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $73.20 | $91.50 | 2.1× |
| Iadna nos amplified probe tq each organism (87798) | $350.40 | $438 | 10.0× |
| Iadna nos quantification each organism (87799) | $427.20 | $534 | 10.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $43.20 | $54 | 1.2× |
| If cryptosporidium antigen (87272) | $74.40 | $93 | 6.2× |
| Igg subclasses (82787) | $187.20 | $234 | 23.3× |
| Immunfix e-phorsis/urine/csf (86335) | $118.80 | $148.50 | 4.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $224 | $280 | 14.9× |
| Immunoassay nonantibody (83516) | $141.60 | $177 | 12.3× |
| Immunofixj Electrophoresis Serum (86334) | $190 | $237.50 | 8.5× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $240.80 | $301 | 20.1× |
| Immunoglobulin assay (86023) | $571.20 | $714 | 45.8× |
| Immunohistochemistry (88342) | $124 | $155 | 0.7× |
| India ink prep (87210) | $61.60 | $77 | 10.6× |
| Influenza a/b ag eia (87400) | $101.60 | $127 | 7.2× |
| Inhibin a (86336) | $118.80 | $148.50 | 7.6× |
| Inhibin b (83520) | $192 | $240 | 11.1× |
| Insitu hybridization (fish) (88365) | $496.40 | $620.50 | 2.9× |
| Insulin antibodies (86337) | $188.80 | $236 | 8.8× |
| Insulin free (83527) | $49.60 | $62 | 3.8× |
| Insulin total (83525) | $128 | $160 | 11.2× |
| Intrinsic factor antibody (86340) | $229.60 | $287 | 15.2× |
| Iron (83540) | $100 | $125 | 15.5× |
| Iron binding capacity (83550) | $135.20 | $169 | 15.5× |
| Irradiation of blood product (86945) | $117.60 | $147 | 3.1× |
| Islet cell antibody (86341) | $126.80 | $158.50 | 5.4× |
| Jak2 gene analysis (81270) | $243.20 | $304 | 2.7× |
| Ketosteroids 17; total (83586) | $337.60 | $422 | 26.4× |
| Koh Prep (87220) | $68.80 | $86 | 16.1× |
| Lactic acid (83605) | $270.80 | $338.50 | 23.4× |
| Lactoferrin fecal qualitative (83630) | $100.80 | $126 | 5.1× |
| Ldh (83615) | $96.80 | $121 | 16.0× |
| Ldh isoenzymes (83625) | $228 | $285 | 17.8× |
| LDL cholesterol direct (83721) | $81.60 | $102 | 7.8× |
| Lead (83655) | $117.60 | $147 | 9.7× |
| Legionella antibody (86713) | $45.60 | $57 | 3.0× |
| Legionella antigen urine (87449) | $189.60 | $237 | 15.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $88 | $110 | 20.6× |
| Leukocyte histamine release test (86343) | $31.20 | $39 | 2.5× |
| Level ii surg pathology grossµscopic exam (88302) | $32 | $40 | 0.9× |
| Level v surg pathology grossµscopic exam (88307) | $320.80 | $401 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $766.40 | $958 | 0.9× |
| Lh (83002) | $145.60 | $182 | 7.9× |
| Lidocaine level (80176) | $144.80 | $181 | 9.9× |
| Lipase (83690) | $153.60 | $192 | 22.3× |
| Lipoprotein Bld Hr Fraction (83701) | $158.40 | $198 | 4.7× |
| Listeria ab (86609) | $93.60 | $117 | 7.3× |
| Lithium (80178) | $121.60 | $152 | 18.4× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) | $466.40 | $583 | 2.6× |
| Lyme disease antibody (86618) | $138.80 | $173.50 | 8.2× |
| Lyme disease antibody confirm (86617) | $108 | $135 | 7.0× |
| Lymph Choriomeningitis Ab (86727) | $193.60 | $242 | 15.0× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $146.80 | $183.50 | 0.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $145.60 | $182 | 0.9× |
| Magnesium (83735) | $77.20 | $96.50 | 11.5× |
| Malaria antibody (86750) | $97.60 | $122 | 7.4× |
| Malaria smear (87207) | $133.20 | $166.50 | 22.2× |
| Manual cell count each (85032) | $76.80 | $96 | 17.8× |
| Mass spectrometry qual/quan (83789) | $218 | $272.50 | 9.0× |
| Meat fibers, feces (89160) | $64 | $80 | 13.2× |
| Mercury (83825) | $144.40 | $180.50 | 8.9× |
| Methotrexate (80299) | $174.40 | $218 | 9.4× |
| Methylmalonic acid serum (83921) | $255.20 | $319 | 12.0× |
| Microalbumin urine (82043) | $127.20 | $159 | 22.0× |
| Microsomal antibodies (86376) | $91.20 | $114 | 6.3× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $190.40 | $238 | 0.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $633.60 | $792 | 0.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $626.40 | $783 | 52.0× |
| Molecular pathology procedure level 2 (81401) | $629.60 | $787 | 4.6× |
| Mopath procedure level 4 (81403) | $206.40 | $258 | 1.1× |
| Mopath procedure level 5 (81404) | $1,034.40 | $1,293 | 3.8× |
| Mrsa amp probe (87641) | $107.20 | $134 | 3.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $358.40 | $448 | 0.9× |
| Msh2 gene dup/delete variant (81297) | $200.80 | $251 | 0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $602.40 | $753 | 0.9× |
| Msh6 gene dup/delete variant (81300) | $224 | $280 | 0.9× |
| Mthfr Gene Analysis Common Variants (81291) | $313.60 | $392 | 4.8× |
| Muramidase (85549) | $59.20 | $74 | 3.2× |
| Mycoplasma antibody (86738) | $216 | $270 | 16.3× |
| Mycoplasma culture (87109) | $160.80 | $201 | 10.4× |
| Mycoplasma genitalium PCR (87563) | $191.20 | $239 | 5.4× |
| Myelin basic protein csf (83873) | $97.60 | $122 | 5.7× |
| Myoglobin urine (83874) | $152.80 | $191 | 11.8× |
| Natriuretic peptide (83880) | $144.80 | $181 | 3.7× |
| Neutralization test, viral (86382) | $112 | $140 | 6.6× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $152.80 | $191 | 1.2× |
| Nfct ds bv&vaginitis DNA alg (81514) | $309.60 | $387 | 1.2× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $418.40 | $523 | 5.8× |
| Niacin (84591) | $190.40 | $238 | 11.2× |
| Nitroblue tetrazolium dye test to measure white blood cell function (86384) | $187.20 | $234 | 13.8× |
| Nk cells total count (86357) | $90.40 | $113 | 2.4× |
| Nmr Lipoprofile (83704) | $56.80 | $71 | 1.7× |
| Nuclear antigen antibody (86235) | $88 | $110 | 4.9× |
| Obstetric panel (80081) | $745.60 | $932 | 10.0× |
| Occult blood stool (82272) | $71.20 | $89 | 16.8× |
| Oligoclonal bands (83916) | $97.60 | $122 | 3.6× |
| Organic Acids Qual Each (83919) | $392.80 | $491 | 23.9× |
| Organic Acids Total Quantitative Each Specimen (83918) | $262.40 | $328 | 11.1× |
| Osmolality serum (83930) | $98.80 | $123.50 | 14.9× |
| Osmolality urine (83935) | $91.20 | $114 | 13.4× |
| Osmotic fragility rbc incubated (85557) | $285.60 | $357 | 21.4× |
| Ova 1 (81503) | $1,067.20 | $1,334 | 1.2× |
| Ova and parasite direct-id lca (87177) | $73.60 | $92 | 8.3× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Pancreatic elastase fecal (82656) | $312.80 | $391 | 27.1× |
| Pancreatic polypeptide (83519) | $229.60 | $287 | 12.5× |
| Parainfluenza ag if (87279) | $164 | $205 | 10.0× |
| Particle Agglutination Screen Each Antibody (86403) | $117.60 | $147 | 10.2× |
| Parvovirus antibody (86747) | $111.20 | $139 | 7.4× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $121.60 | $152 | 2.3× |
| Pertussis dfa (87265) | $116 | $145 | 9.7× |
| Phenylalanine (84030) | $112 | $140 | 20.4× |
| Phenytoin free (80186) | $72.80 | $91 | 5.3× |
| Phosphatase acid prostatic (84066) | $98.40 | $123 | 10.2× |
| Phosphatase alkaline (84075) | $91.20 | $114 | 17.6× |
| Phospholipid Neutralization Hexagonal (85598) | $82 | $102.50 | 4.6× |
| Phosphorus blood (84100) | $64.80 | $81 | 13.7× |
| Phosphorus urine (84105) | $52.80 | $66 | 9.1× |
| Pinworm exam (87172) | $96.80 | $121 | 22.7× |
| Platelet aggregation (85576) | $61.60 | $77 | 2.5× |
| Platelet count (85049) | $72.80 | $91 | 16.2× |
| Platelet neutralization (85597) | $63.20 | $79 | 3.5× |
| Pms2 gene analysis duplication/deletion variants (81319) | $191.20 | $239 | 0.9× |
| Pms2 gene analysis full sequence (81317) | $634.40 | $793 | 0.9× |
| Pooling blood platelets (86965) | $88 | $110 | 0.5× |
| Porphyrins qn & fraction urine (84120) | $218.80 | $273.50 | 14.9× |
| Potassium (84132) | $73.60 | $92 | 15.5× |
| Potassium urine (84133) | $57.60 | $72 | 12.2× |
| Primidone (80188) | $174 | $217.50 | 10.5× |
| Procalcitonin (pct) (84145) | $356 | $445 | 13.1× |
| Progesterone (84144) | $98.40 | $123 | 4.7× |
| Prolactin (84146) | $172 | $215 | 8.9× |
| Prostaglandin Ea (84150) | $307.20 | $384 | 7.4× |
| Protein body fluid (84157) | $98.40 | $123 | 24.6× |
| Protein c activity (85303) | $202.40 | $253 | 14.6× |
| Protein c antigen (85302) | $349.60 | $437 | 29.1× |
| Protein electrophoresis serum (84165) | $195.60 | $244.50 | 18.2× |
| Protein Electrophoresis Urine (84166) | $62 | $77.50 | 3.5× |
| Protein S Functional (85306) | $200 | $250 | 13.1× |
| Protein s total (85305) | $450 | $562.50 | 38.8× |
| Protein Total Serum (84155) | $102.40 | $128 | 27.9× |
| Protein urine (84156) | $90 | $112.50 | 24.5× |
| Protein Western Blot (84182) | $187.20 | $234 | 6.4× |
| Protein westrn blot i&r blood/other fluid (84181) | $347.20 | $434 | 20.4× |
| Protoporphyrin rbc quantitative (84202) | $76.80 | $96 | 5.4× |
| PSA free (84154) | $203.20 | $254 | 11.0× |
| Quantiferon tb gold (86480) | $217.60 | $272 | 3.5× |
| Quinidine (80194) | $153.60 | $192 | 10.5× |
| Rbc antibody elution (86860) | $116 | $145 | 0.7× |
| Rbc pretx incubatj w/chemicl (86970) | $334.40 | $418 | 5.6× |
| Rbc serum pretx incubj drugs (86975) | $97.60 | $122 | 0.2× |
| Renin activity plasma (84244) | $119.20 | $149 | 5.4× |
| Reptilase test (85635) | $115.20 | $144 | 11.7× |
| Respiratory viral panel PCR (87633) | $857.60 | $1,072 | 2.1× |
| Rheumatoid Factor Qual (86430) | $91.20 | $114 | 14.9× |
| Rheumatoid factor quant (86431) | $33.60 | $42 | 5.9× |
| Rickettsia antibody (86757) | $243.20 | $304 | 12.6× |
| Rotavirus (86759) | $169.60 | $212 | 9.3× |
| Rpr Titer (86593) | $88.80 | $111 | 20.2× |
| Rsv (87807) | $179.20 | $224 | 13.7× |
| Rubella antibody (86762) | $99.20 | $124 | 6.9× |
| Russell viper venom time diluted (85613) | $50.40 | $63 | 5.3× |
| Saccharomyces ab iga (86671) | $109.60 | $137 | 8.9× |
| Salmonella antibody (86768) | $103.20 | $129 | 7.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $108.80 | $136 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $160.80 | $201 | 3.8× |
| Sedimentation rate (85651) | $76.80 | $96 | 18.0× |
| Semen analysis sperm presence&/motility sprm (89321) | $52.80 | $66 | 4.4× |
| Sensitivity mic (87186) | $103.20 | $129 | 11.9× |
| Serotonin Release Assay (86022) | $383.20 | $479 | 20.9× |
| Sex hormone binding globulin (84270) | $58.40 | $73 | 2.7× |
| Sickle cell screen (85660) | $155.20 | $194 | 28.2× |
| Sirolimus (rapamycin) (80195) | $193.60 | $242 | 14.1× |
| Smear acid fast (87206) | $103.20 | $129 | 19.1× |
| Smear complex stain (87209) | $68.80 | $86 | 3.8× |
| Smear gram stain (87205) | $72.80 | $91 | 17.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $543.20 | $679 | 4.0× |
| Sodium (84295) | $100 | $125 | 20.8× |
| Sodium other source (84302) | $95.20 | $119 | 19.6× |
| Sodium urine (84300) | $59.20 | $74 | 11.7× |
| Somatostatin (84307) | $162.40 | $203 | 8.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $66.40 | $83 | 0.5× |
| Special stains group 1 (88312) | $211.20 | $264 | 4.0× |
| Spectrophotometry (84311) | $106.80 | $133.50 | 13.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $154.40 | $193 | 16.4× |
| Strep a assay w/optic (87880) | $94.40 | $118 | 5.7× |
| Strep b DNA amp probe (87653) | $148 | $185 | 4.2× |
| Sulfate urine (84392) | $56.80 | $71 | 10.3× |
| Surg path level iii (88304) | $44 | $55 | 0.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $4.80 | $6 | 0.2× |
| Surgical pathology level IV (88305) | $44 | $55 | 0.8× |
| Susceptibility study antimicrobial disk method (87184) | $106.40 | $133 | 14.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $120.80 | $151 | 2.6× |
| T cells, total count (86359) | $90.40 | $113 | 2.4× |
| T3 free (84481) | $146.40 | $183 | 8.6× |
| T3 reverse (84482) | $145.60 | $182 | 9.2× |
| T3 total (84480) | $150.40 | $188 | 10.6× |
| T3 uptake (84479) | $100 | $125 | 15.5× |
| T4 Free (84439) | $166.40 | $208 | 18.4× |
| T4 total (84436) | $123.20 | $154 | 17.9× |
| Tb intradermal test (86580) | $70.40 | $88 | 2.4× |
| Test for acetone/ketones (82009) | $76.80 | $96 | 17.0× |
| Test for urine cystines (82615) | $112 | $140 | 11.7× |
| Testosterone free (84402) | $138.40 | $173 | 5.4× |
| Testosterone total (84403) | $104.80 | $131 | 4.1× |
| Theophylline (80198) | $160 | $200 | 11.3× |
| Thin prep pap (88142) | $116 | $145 | 5.7× |
| Thrombin time plasma (85670) | $98.40 | $123 | 17.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $142.80 | $178.50 | 22.1× |
| Thyroglobulin (84432) | $103.20 | $129 | 6.4× |
| Thyroglobulin Ab (86800) | $40 | $50 | 2.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $637.60 | $797 | 12.5× |
| Thyroxine binding globulin (84442) | $188.80 | $236 | 12.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $38.40 | $48 | 3.3× |
| Tissue Culture Lymphocyte (88230) | $236.80 | $296 | 2.0× |
| Tobramycin peak (80200) | $128 | $160 | 7.9× |
| Topiramate (80201) | $214.40 | $268 | 18.0× |
| Toxoplasma ab igm (86778) | $88.80 | $111 | 6.2× |
| Toxoplasma antibody igg (86777) | $70.40 | $88 | 4.9× |
| Transferrin (84466) | $120.80 | $151 | 9.5× |
| Triglycerides (84478) | $55.60 | $69.50 | 9.7× |
| Troponin (84484) | $168.80 | $211 | 13.5× |
| Tyrosine (84510) | $219.20 | $274 | 20.6× |
| Ugt1a1 gene analysis common variants (81350) | $340.80 | $426 | 1.5× |
| Unlisted transfusion medicine procedure (86999) | $176 | $220 | 6.1× |
| Urea nitrogen (84520) | $91.20 | $114 | 23.1× |
| Urea nitrogen urine (84540) | $102 | $127.50 | 18.3× |
| Uric acid blood (84550) | $22.40 | $28 | 5.0× |
| Uric acid other source (84560) | $61.60 | $77 | 12.1× |
| Urinalysis microscopic only (81015) | $43.20 | $54 | 14.2× |
| Urinalysis qual/semiquant except immunoassays (81005) | $64 | $80 | 29.5× |
| Urinalysis w/microscopic (81001) | $68 | $85 | 21.5× |
| Urine pregnancy test (81025) | $101.60 | $127 | 11.8× |
| Urine volume measurement (81050) | $43.20 | $54 | 11.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $43.20 | $54 | 19.2× |
| Valproic acid level (80164) | $188.80 | $236 | 13.9× |
| Vancomycin trough (80202) | $80.80 | $101 | 6.0× |
| Varicella-zoster antibody (86787) | $188.80 | $236 | 14.7× |
| Vasoactive intestinal peptide (vip) (84586) | $139.20 | $174 | 3.9× |
| Vdrl csf (86592) | $83.60 | $104.50 | 19.6× |
| Very long chain fatty acids (82726) | $190.40 | $238 | 9.6× |
| Virus antibody nos (86790) | $127.20 | $159 | 9.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $160.80 | $201 | 4.7× |
| Virus inoculate tissue addl (87253) | $260.80 | $326 | 12.9× |
| Vitamin A (84590) | $90.40 | $113 | 7.8× |
| Vitamin b-12 (82607) | $136 | $170 | 9.0× |
| Vitamin b-2 (riboflavin) (84252) | $141.60 | $177 | 7.0× |
| Vitamin b1 (thiamine) (84425) | $187.20 | $234 | 8.8× |
| Vitamin b6 (84207) | $297.60 | $372 | 10.6× |
| Vitamin C (82180) | $148 | $185 | 15.0× |
| Vitamin D 25-Hydroxy (82306) | $185.60 | $232 | 6.3× |
| Vitamin e serum (84446) | $188.80 | $236 | 13.3× |
| Von willebrand factor activity (85245) | $80.80 | $101 | 3.5× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $144.80 | $181 | 16.8× |
| West nile virus ab, igm (86788) | $103.60 | $129.50 | 6.1× |
| West nile virus antibody (86789) | $148 | $185 | 10.3× |
| Yersinia antibody (86793) | $176 | $220 | 13.3× |
| Zinc (84630) | $104 | $130 | 9.1× |