Lab & pathology prices at Osborne County Memorial Hospital
Osborne, KS · every code in this section with a posted price and a Medicare benchmark.
357 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) | $124 | $146 | 3.2× |
| 5 Hiaa (83497) | $78 | $92 | 6.0× |
| Acetaminophen level (80143) | $69 | $81 | 3.7× |
| Actin smooth muscle antibody each (86015) | $30 | $35 | 2.5× |
| Afb culture (87116) | $71 | $84 | 6.6× |
| Agglutinins febrile (86000) | $75 | $88 | 10.7× |
| Albumin Fluid (82042) | $31 | $37 | 4.0× |
| Albumin serum (82040) | $32 | $38 | 6.5× |
| Aldolase (82085) | $48 | $56 | 4.9× |
| Aldosterone urine (82088) | $149.50 | $176 | 3.7× |
| Allerg sp igg quan or semiquan (86001) | $92 | $108 | 11.8× |
| Allergen specific ige (86003) | $26 | $30 | 5.0× |
| Allg Spec Ige Recomb Ea (86008) | $67 | $79 | 3.7× |
| Alpha-1-antitrypsin, total (82103) | $120 | $141 | 8.9× |
| Alpha-Fetoprotein L3 (82107) | $207 | $244 | 3.2× |
| Alpha-fetoprotein, serum (82105) | $145 | $170 | 8.6× |
| Alt (sgpt) (84460) | $42 | $49 | 7.9× |
| Ammonia (82140) | $92 | $108 | 6.3× |
| Amylase urine (82150) | $27 | $32 | 4.2× |
| Ana Titer (86039) | $31 | $36.50 | 2.8× |
| Angiotensin i enzyme test (82164) | $87 | $102 | 6.0× |
| Antibody aspergillus (86606) | $72 | $85 | 4.8× |
| Antibody cytomegalovirus cmv (86644) | $85 | $100 | 5.9× |
| Antibody cytomegalovirus cmv igm (86645) | $97 | $114 | 5.8× |
| Antibody herpes smplx type 1 (86695) | $85 | $100 | 6.4× |
| Antibody identification (86870) | $125 | $147 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $127 | $149 | 8.4× |
| Antibody mumps (86735) | $128 | $150 | 9.8× |
| Antibody Protozoa Nes (86753) | $126 | $148 | 10.2× |
| Antibody rubeola (86765) | $132 | $155 | 10.2× |
| Antibody screen (86850) | $105 | $123 | 10.7× |
| Antibody treponema pallidum (86780) | $66 | $78 | 5.0× |
| Antigen typing (86905) | $21 | $25 | 5.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $21 | $25 | 4.1× |
| Antinuclear antibodies (86038) | $55 | $65 | 4.5× |
| Antistreptolysin o titer (86060) | $54 | $64 | 7.4× |
| Antithrombin iii antigen (85301) | $106 | $125 | 9.8× |
| Arsenic Urine (82175) | $88 | $103 | 4.6× |
| Assay Nephelometry Not Spec (83883) | $149 | $175.50 | 11.0× |
| Assay of acth (82024) | $183 | $215 | 4.7× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $28 | $33 | 1.6× |
| Assay of anti-mullerian hormone (82166) | $130 | $153 | 3.4× |
| Assay of blood chloride (82435) | $32 | $38 | 7.0× |
| Assay of c-peptide (84681) | $105 | $124 | 5.0× |
| Assay of erythropoietin (82668) | $106 | $125 | 5.6× |
| Assay of ferritin (82728) | $68 | $80 | 5.0× |
| Assay of gammaglobulin igm (82784) | $72 | $85 | 7.7× |
| Assay of gentamicin (80170) | $69 | $81 | 4.2× |
| Assay of homocystine (83090) | $220 | $259 | 12.3× |
| Assay of metanephrines (83835) | $265.50 | $312.50 | 15.7× |
| Assay of parathormone (83970) | $183 | $215 | 4.4× |
| Assay of phenobarbital (80184) | $77 | $90 | 5.0× |
| Assay of prealbumin (84134) | $85 | $100 | 5.8× |
| Assay of somatomedin (84305) | $162 | $191 | 7.6× |
| Assay of tacrolimus (80197) | $251 | $295 | 18.3× |
| Assay of urine vma (84585) | $71 | $84 | 4.6× |
| Assay Ph Body Fluid Nos (83986) | $53.50 | $63 | 14.9× |
| Ast (sgot) (84450) | $42 | $49 | 8.1× |
| Bartonella antibody (86611) | $67 | $79 | 6.6× |
| Bcr/abl1 gene major bp (81206) | $440 | $517.50 | 2.7× |
| Bcr/abl1 gene minor bp (81207) | $219 | $258 | 1.5× |
| Beta Lactamase (87185) | $26 | $31 | 5.5× |
| Beta-2 microglobulin (82232) | $92 | $108 | 5.7× |
| Bilirubin direct (82248) | $32 | $38 | 6.4× |
| Bilirubin total (82247) | $32 | $38 | 6.4× |
| Bl Smear W/Diff Wbc Count (85007) | $33 | $39 | 8.7× |
| Blood count reticulocyte automated (85045) | $105 | $124 | 26.3× |
| Blood gases (82803) | $119 | $140 | 4.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $111 | $131 | 7.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15 | $18 | 3.4× |
| Blood typing abo (86900) | $237 | $279 | 79.3× |
| Blood typing serologic rh (d) (86901) | $71 | $84 | 23.7× |
| Body fluid cell count (89051) | $58 | $68 | 10.4× |
| Brca1&2 seq & full dup/del (81162) | $2,802 | $3,297 | 1.5× |
| Breath Alcohol Test (82075) | $57 | $67 | 1.9× |
| C diff amplified probe (87493) | $128 | $150 | 3.4× |
| C-reactive protein (86140) | $45.50 | $53.50 | 8.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $77 | $90 | 5.9× |
| Ca 125 (86304) | $121 | $142 | 5.8× |
| Ca 19-9 (86301) | $120 | $141 | 5.8× |
| Ca 27 29 (86300) | $118 | $138.50 | 5.7× |
| Calcium ionized (82330) | $77 | $91 | 5.6× |
| Calcium total (82310) | $131 | $154 | 25.4× |
| Calcium urine (82340) | $45 | $53 | 7.5× |
| Calculus Spectroscopy (82365) | $78 | $92 | 6.0× |
| Calprotectin, fecal (83993) | $235 | $277 | 12.0× |
| Calr gene com variants (81219) | $425 | $500 | 3.5× |
| Carbamazepine (tegretol) total (80156) | $115 | $135 | 7.9× |
| Carbon dioxide (82374) | $32 | $38 | 6.6× |
| Carboxyhemoglobin Quantitative (82375) | $57 | $67 | 4.6× |
| Carcinoembryonic antigen (82378) | $85 | $100 | 4.5× |
| Cardiolipin ab igg (86147) | $113.50 | $133.50 | 4.5× |
| Catecholamines fraction plasma (82384) | $192.50 | $226.50 | 7.6× |
| Chloride urine (82436) | $67 | $79 | 11.7× |
| Cholesterol total (82465) | $45 | $53 | 10.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $607 | $714 | 4.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $110 | $129 | 3.1× |
| Citrate (82507) | $118 | $139 | 4.2× |
| Ckmb (82553) | $77 | $90 | 6.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $90 | $106 | 3.7× |
| Compatibility test antiglob (86922) | $118 | $139 | 0.8× |
| Complement c3 (86160) | $67 | $79 | 5.6× |
| Complement total ch50 (86162) | $122 | $143 | 6.0× |
| Concentration Infectious Agent (87015) | $85 | $100 | 12.7× |
| Coombs direct (86880) | $60 | $70 | 11.1× |
| Copper urine (82525) | $76 | $89 | 6.1× |
| Cortisol free (82530) | $83 | $98 | 5.0× |
| Cortisol total (82533) | $121 | $142 | 7.4× |
| Creatine kinase total (82550) | $60 | $70 | 9.2× |
| Creatinine blood (82565) | $45 | $53 | 8.8× |
| Creatinine clearance (82575) | $63 | $74 | 6.7× |
| Creatinine other source (82570) | $45 | $53 | 8.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $66 | $78 | 8.2× |
| Culture Aerobic Identify (87077) | $53 | $62 | 6.6× |
| Culture anaerobic (87075) | $64 | $75 | 6.8× |
| Culture blood (87040) | $95 | $112 | 9.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $51 | $60 | 6.6× |
| Culture fungus id yeast (87106) | $95 | $112 | 9.2× |
| Culture fungus other (87102) | $53 | $62 | 6.3× |
| Culture genital (87070) | $44.50 | $52.50 | 5.2× |
| Culture screen only (87081) | $45 | $53 | 6.8× |
| Culture stool (87045) | $41 | $48 | 4.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $29 | $34 | 5.6× |
| Culture urine (87086) | $49 | $58 | 6.1× |
| Culture urine id ea isolate (87088) | $61 | $72 | 7.5× |
| Cyclic Citrullinated Peptide (86200) | $116 | $137 | 9.0× |
| Cystatin c (82610) | $128 | $150 | 6.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $326 | $383 | 7.6× |
| Cytopath cell enhance tech (88112) | $96 | $113 | 2.0× |
| Cytp concentration smears & interpretation (88108) | $96 | $113 | 2.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $265 | $312 | 5.5× |
| D-Dimer (85379) | $124.50 | $146 | 12.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $128 | $150 | 7.7× |
| Dhea sulfate (82627) | $105 | $124 | 4.7× |
| Digoxin (80162) | $59.50 | $69.50 | 4.5× |
| Dilantin (80185) | $74 | $87.50 | 5.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $71 | $84 | 5.2× |
| DNA/RNA direct probe (87149) | $61 | $72 | 3.0× |
| Drug Assay Amiodarone (80151) | $183 | $215 | 9.8× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $116 | $137 | 6.2× |
| Drug assay itraconazole (80189) | $104 | $122 | 3.8× |
| Drug assay methotrexate (80204) | $99 | $117 | 2.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $128 | $150 | 9.7× |
| Drug Scrn Quan Levetiracetam (80177) | $46 | $54 | 3.5× |
| Drug scrn quant oxcarbazepin (80183) | $107 | $126 | 8.1× |
| Drug test prsmv chem anlyzr (80307) | $216 | $254 | 3.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $179 | $210 | 14.2× |
| Ebv viral capsid (86665) | $99 | $116 | 5.5× |
| Ehrlichia antibody (86666) | $152 | $179 | 14.9× |
| Elastase pancreatic fecal quantitative (82653) | $331 | $389 | 14.4× |
| Electrolyte panel (80051) | $99 | $117 | 14.1× |
| Endomysial antibody iga (86255) | $84 | $99 | 7.0× |
| Eosinophil count (85048) | $18 | $21 | 7.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $107 | $126 | 7.0× |
| Estradiol (82670) | $164 | $193 | 5.9× |
| Estriol (82677) | $91 | $107 | 3.8× |
| Estrogens total (82672) | $105 | $124 | 4.8× |
| Estrone (82679) | $55 | $65 | 2.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $55.50 | $65 | 7.6× |
| F2 gene analysis 20210g >a variant (81240) | $237 | $279 | 3.6× |
| F5 gene (81241) | $268 | $315 | 3.7× |
| Factor ii activity (85210) | $313 | $368 | 24.1× |
| Factor v activity (85220) | $237 | $279 | 13.4× |
| Factor viii ahg (85240) | $111 | $130 | 6.2× |
| Fecal fat qual (82705) | $52 | $61 | 10.2× |
| Fecal fat quant (82710) | $246 | $289 | 14.6× |
| Fetal chrmoml aneuploidy (81420) | $2,872 | $3,379 | 3.8× |
| Fetal congenital abnor assay three anal (81510) | $111 | $131 | 2.0× |
| Fibrinogen activity (85384) | $67 | $79 | 6.9× |
| Flow cytometry first marker (88184) | $245 | $288 | 0.7× |
| Folate serum (82746) | $82.50 | $97.50 | 5.6× |
| Folic acid rbc (82747) | $114 | $134 | 6.5× |
| Follicle Stimulating Hormone (83001) | $107 | $126 | 5.8× |
| Fructosamine (82985) | $58 | $68 | 3.5× |
| Ftl cgen abnor four anal (81511) | $269 | $316 | 1.8× |
| Gammaglobulin ige (82785) | $88 | $104 | 5.3× |
| Gastric Occult Blood (82271) | $111 | $131 | 20.9× |
| Ggt (82977) | $60 | $70 | 8.3× |
| Giardia antigen eia stool (87329) | $114 | $134 | 9.5× |
| Glucose (82947) | $26 | $31 | 6.6× |
| Glucose body fluid (82945) | $24 | $28 | 6.1× |
| Glucose post dose (82950) | $27 | $32 | 5.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $56 | $66 | 14.3× |
| Growth hormone (83003) | $70 | $82 | 4.2× |
| Haptoglobin (83010) | $75 | $88 | 6.0× |
| Hcg qualitative (84703) | $79 | $93 | 10.5× |
| Hcg quant (84702) | $82 | $96.50 | 5.4× |
| Hdl Cholesterol (83718) | $40 | $47 | 4.9× |
| Hematocrit (85014) | $31 | $36 | 13.1× |
| Hemoglobin (85018) | $31 | $36 | 13.1× |
| Hemoglobin a1c (83036) | $61.50 | $72.50 | 6.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $82 | $96 | 4.5× |
| Hepatitis a antibody total (86708) | $66.50 | $78 | 5.4× |
| Hepatitis a igm (86709) | $74 | $87 | 6.6× |
| Hepatitis b core ab igm (86705) | $79 | $93 | 6.7× |
| Hepatitis b core antibody total (86704) | $85 | $100 | 7.1× |
| Hepatitis B Surface Ab (86706) | $75 | $88 | 7.0× |
| Hepatitis B Surface Antigen (87340) | $42.50 | $50 | 4.1× |
| Hepatitis c antibody (86803) | $61.50 | $72.50 | 4.3× |
| Hepatitis C Genotype (87902) | $689 | $811 | 2.7× |
| Herpes culture (87252) | $179 | $210 | 6.9× |
| Herpes simplex type 2 (86696) | $87 | $102 | 4.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $60 | $70.50 | 11.6× |
| Histamine plasma (83088) | $66 | $78 | 2.2× |
| Histoplasma antibody (86698) | $87 | $102 | 6.3× |
| Histoplasma antigen urine (87385) | $138 | $162 | 10.4× |
| Hla-b27 (86812) | $108 | $127 | 4.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $189 | $222 | 2.8× |
| Hydroxyprogesterone 17-d (83498) | $114 | $134 | 4.2× |
| Iaad ia clostridium difficile toxin (87324) | $105 | $124 | 8.8× |
| Iaad ia cryptosporidium (87328) | $70 | $82 | 5.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $83 | $98 | 3.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $240 | $282 | 16.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $165 | $194 | 4.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $65 | $77 | 5.4× |
| Iaad Ia Streptococcus Group A (87430) | $83 | $98 | 4.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $234 | $275 | 5.5× |
| Iadna nos amplified probe tq each organism (87798) | $232 | $273 | 6.6× |
| Iadna nos quantification each organism (87799) | $344 | $405 | 8.0× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $803 | $945 | 3.1× |
| If cryptosporidium antigen (87272) | $108 | $127 | 9.0× |
| Immunfix e-phorsis/urine/csf (86335) | $149 | $175 | 5.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $55 | $65 | 3.7× |
| Immunoassay nonantibody (83516) | $92 | $108.50 | 8.0× |
| Immunofixj Electrophoresis Serum (86334) | $122 | $143 | 5.5× |
| Immunoglobulin light chains free each (83521) | $149 | $175 | 8.6× |
| Immunohistochemistry (88342) | $317 | $373 | 2.0× |
| India ink prep (87210) | $36 | $42 | 6.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $102.50 | $120.50 | 1.5× |
| Inhibin a (86336) | $113 | $133 | 7.2× |
| Inhibin b (83520) | $105.50 | $124.50 | 6.1× |
| Insitu hybridization (fish) (88365) | $384 | $452 | 2.5× |
| Insulin total (83525) | $73 | $86 | 6.4× |
| Iron (83540) | $51 | $59.50 | 7.9× |
| Iron binding capacity (83550) | $59 | $69.50 | 6.8× |
| Islet cell antibody (86341) | $187 | $220 | 7.9× |
| Jak2 gene analysis (81270) | $400 | $471 | 4.4× |
| Lactic acid (83605) | $70.50 | $82.50 | 6.1× |
| Ldh (83615) | $29 | $34 | 4.8× |
| Ldh isoenzymes (83625) | $22 | $26 | 1.7× |
| Lead (83655) | $68 | $80 | 5.6× |
| Legionella antibody (86713) | $85 | $100 | 5.6× |
| Legionella antigen urine (87449) | $90 | $106 | 7.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $43 | $51 | 10.1× |
| Lh (83002) | $107 | $126 | 5.8× |
| Lipase (83690) | $39 | $46 | 5.7× |
| Lithium (80178) | $46 | $54 | 7.0× |
| Lyme disease antibody (86618) | $92 | $108 | 5.4× |
| Lyme disease antibody confirm (86617) | $127 | $149 | 8.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $133 | $156 | 0.8× |
| Magnesium (83735) | $39 | $46 | 5.8× |
| Mass spectrometry qual/quan (83789) | $206 | $242 | 8.5× |
| Meat fibers, feces (89160) | $154 | $181 | 31.8× |
| Mercury (83825) | $116 | $136 | 7.1× |
| Methotrexate (80299) | $101 | $119 | 5.4× |
| Methylmalonic acid serum (83921) | $337 | $396 | 15.9× |
| Microalbumin urine (82043) | $49 | $57.50 | 8.5× |
| Microbe susceptible diffuse (87181) | $486 | $572 | 102.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $328 | $386 | 6.8× |
| Microsomal antibodies (86376) | $103.50 | $122 | 7.1× |
| Mopath procedure level 1 (81400) | $286 | $336 | 4.5× |
| Mrsa amp probe (87641) | $114 | $134 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $500 | $588 | 7.7× |
| Mucin synovial fluid ropes test (83872) | $196 | $231 | 33.4× |
| Natriuretic peptide (83880) | $250 | $294 | 6.4× |
| Nuclear antigen antibody (86235) | $103 | $121 | 5.7× |
| Occult blood stool (82272) | $111 | $130 | 26.2× |
| Osmolality serum (83930) | $39 | $46 | 5.9× |
| Osmolality urine (83935) | $120 | $141 | 17.6× |
| Ova and parasite direct-id lca (87177) | $49 | $58 | 5.5× |
| Pancreatic polypeptide (83519) | $235 | $277 | 12.8× |
| Phenylalanine (84030) | $46 | $54 | 8.4× |
| Phosphatase alkaline (84075) | $39 | $46 | 7.5× |
| Phosphorus blood (84100) | $32 | $38 | 6.8× |
| Phosphorus urine (84105) | $95 | $112 | 16.4× |
| Platelet neutralization (85597) | $188 | $221 | 10.5× |
| Potassium (84132) | $32 | $38 | 6.7× |
| Potassium urine (84133) | $34 | $40 | 7.2× |
| Primidone (80188) | $77 | $90 | 4.6× |
| Progesterone (84144) | $85 | $100 | 4.1× |
| Prolactin (84146) | $105 | $124 | 5.4× |
| Protein body fluid (84157) | $34.50 | $40.50 | 8.6× |
| Protein c activity (85303) | $179 | $210 | 12.9× |
| Protein electrophoresis serum (84165) | $61 | $71.50 | 5.7× |
| Protein Electrophoresis Urine (84166) | $55 | $64.50 | 3.1× |
| Protein S Functional (85306) | $207 | $244 | 13.5× |
| Protein Total Serum (84155) | $22.50 | $26.50 | 6.1× |
| Protein urine (84156) | $42 | $49 | 11.4× |
| PSA free (84154) | $9 | $10 | 0.5× |
| Quantiferon tb gold (86480) | $192 | $226 | 3.1× |
| Reducing substances, stool (84376) | $54 | $63 | 9.8× |
| Renin activity plasma (84244) | $68 | $80 | 3.1× |
| Resp virus 3-5 targets (87631) | $513 | $604 | 3.6× |
| Reticulocyte Count (85046) | $81 | $95 | 14.5× |
| Rheumatoid factor quant (86431) | $45 | $53 | 7.9× |
| Rickettsia antibody (86757) | $126.50 | $149 | 6.5× |
| Rsv (87807) | $74 | $87 | 5.6× |
| Rubella antibody (86762) | $38 | $45 | 2.6× |
| Russell viper venom time diluted (85613) | $40 | $47 | 4.2× |
| Saccharomyces ab iga (86671) | $66 | $78 | 5.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $266 | $313 | 6.3× |
| Sed rate automated (85652) | $54 | $63 | 20.0× |
| Sensitivity mic (87186) | $31.50 | $37 | 3.6× |
| Sex hormone binding globulin (84270) | $161 | $189 | 7.4× |
| Smear acid fast (87206) | $58 | $68 | 10.8× |
| Smear complex stain (87209) | $90 | $106 | 5.0× |
| Smear gram stain (87205) | $64 | $75 | 15.0× |
| Sodium (84295) | $29 | $34 | 6.0× |
| Sodium urine (84300) | $32 | $38 | 6.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $71 | $83 | 0.6× |
| Special stains group 1 (88312) | $98 | $115 | 2.0× |
| Specific gravity body fluid (84315) | $10 | $12 | 3.0× |
| Stool Cultr Aerobic Bact Ea (87046) | $91 | $107 | 9.6× |
| Strep a assay w/optic (87880) | $68 | $80 | 4.1× |
| Surg path level iii (88304) | $122 | $144 | 2.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $48 | $57 | 1.8× |
| Surgical pathology level IV (88305) | $214 | $252 | 4.5× |
| Susceptibility study antimicrobial disk method (87184) | $92 | $108 | 12.3× |
| T3 free (84481) | $121 | $142 | 7.1× |
| T3 reverse (84482) | $120 | $141 | 7.6× |
| T3 total (84480) | $78 | $92 | 5.5× |
| T3 uptake (84479) | $48 | $57 | 7.4× |
| T4 Free (84439) | $60 | $70 | 6.7× |
| T4 total (84436) | $47 | $55.50 | 6.8× |
| Tb intradermal test (86580) | $40 | $47 | 1.5× |
| Testosterone free (84402) | $196.50 | $231 | 7.7× |
| Testosterone total (84403) | $113 | $133 | 4.4× |
| Thyroglobulin (84432) | $111 | $131 | 6.9× |
| Thyroglobulin Ab (86800) | $86 | $101 | 5.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $575 | $677 | 11.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $64 | $75 | 5.6× |
| Transferrin (84466) | $111 | $131 | 8.7× |
| Triglycerides (84478) | $43 | $51 | 7.5× |
| Troponin (84484) | $91 | $107 | 7.3× |
| Troponin i qualitative (84512) | $138 | $162 | 13.7× |
| Urea nitrogen (84520) | $32 | $38 | 8.1× |
| Uric acid blood (84550) | $40 | $47 | 8.8× |
| Uric acid other source (84560) | $26.50 | $31 | 5.2× |
| Urinalysis microscopic only (81015) | $9 | $11 | 3.0× |
| Urinalysis w/microscopic (81001) | $18 | $21 | 5.7× |
| Urine pregnancy test (81025) | $64 | $75 | 7.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $24.50 | $28.50 | 10.9× |
| Valproic acid level (80164) | $99 | $117 | 7.3× |
| Vancomycin trough (80202) | $111 | $131 | 8.2× |
| Varicella-zoster antibody (86787) | $174 | $205 | 13.5× |
| Vdrl csf (86592) | $36 | $42 | 8.4× |
| Virus antibody nos (86790) | $77 | $90 | 6.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $106 | $125 | 3.1× |
| Vitamin A (84590) | $173 | $203 | 14.9× |
| Vitamin b-12 (82607) | $69 | $81 | 4.6× |
| Vitamin b1 (thiamine) (84425) | $113 | $133 | 5.3× |
| Vitamin b6 (84207) | $163 | $192 | 5.8× |
| Vitamin D 25-Hydroxy (82306) | $176 | $207 | 5.9× |
| Vitamin e serum (84446) | $164 | $193 | 11.6× |
| West nile virus ab, igm (86788) | $77 | $91 | 4.6× |
| West nile virus antibody (86789) | $26 | $31 | 1.8× |
| Zinc (84630) | $77 | $90 | 6.8× |