Lab & pathology prices at Ottawa County Health Center
Minneapolis, KS · every code in this section with a posted price and a Medicare benchmark.
359 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) | $118 | $118 | 3.1× |
| 5 Hiaa (83497) | $70 | $70 | 5.4× |
| Acetaminophen level (80143) | $40 | $40 | 2.1× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $165 | $165 | 9.0× |
| Acetylcholine receptor binding antibody (86041) | $150 | $150 | 8.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $160 | $160 | 13.3× |
| Actin smooth muscle antibody each (86015) | $30 | $30 | 2.5× |
| Actinomyces antibody (86602) | $27 | $27 | 2.7× |
| Acute hepatitis panel (80074) | $190 | $190 | 4.0× |
| Afb culture (87116) | $72.50 | $72.50 | 6.7× |
| Albumin Fluid (82042) | $125 | $125 | 16.1× |
| Albumin serum (82040) | $20 | $20 | 4.0× |
| Aldolase (82085) | $49 | $49 | 5.0× |
| Aldosterone urine (82088) | $171 | $171 | 4.2× |
| Alkaline phosphatase isoenzymes (84080) | $85 | $85 | 5.8× |
| Allergen specific ige (86003) | $21 | $21 | 4.0× |
| Alpha-1-antitrypsin phenotype (82104) | $115 | $115 | 8.0× |
| Alpha-1-antitrypsin, total (82103) | $75 | $75 | 5.6× |
| Alpha-fetoprotein, serum (82105) | $83 | $83 | 4.9× |
| Alt (sgpt) (84460) | $16 | $16 | 3.0× |
| Ammonia (82140) | $72 | $72 | 4.9× |
| Amylase urine (82150) | $37 | $37 | 5.7× |
| Antibody aspergillus (86606) | $79 | $79 | 5.2× |
| Antibody cytomegalovirus cmv (86644) | $109 | $109 | 7.6× |
| Antibody cytomegalovirus cmv igm (86645) | $109 | $109 | 6.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $82 | $82 | 6.3× |
| Antibody helicobacter pylori (86677) | $61 | $61 | 3.6× |
| Antibody herpes smplx type 1 (86695) | $90 | $90 | 6.8× |
| Antibody identification (86870) | $134 | $134 | 0.4× |
| Antibody mumps (86735) | $90 | $90 | 6.9× |
| Antibody rubeola (86765) | $99.50 | $99.50 | 7.7× |
| Antibody screen (86850) | $127.50 | $127.50 | 13.1× |
| Antigen typing (86905) | $61 | $61 | 15.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $35 | $35 | 2.9× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $55 | $55 | 4.6× |
| Antinuclear antibodies (86038) | $64 | $64 | 5.3× |
| Antistreptolysin o titer (86060) | $50 | $50 | 6.8× |
| Antithrombin iii activity (85300) | $61 | $61 | 5.1× |
| Antithrombin iii antigen (85301) | $40 | $40 | 3.7× |
| Arsenic Urine (82175) | $85 | $85 | 4.5× |
| Assay Nephelometry Not Spec (83883) | $70 | $70 | 5.1× |
| Assay of acth (82024) | $167 | $167 | 4.3× |
| Assay of anti-mullerian hormone (82166) | $145 | $145 | 3.8× |
| Assay of blood chloride (82435) | $13 | $13 | 2.8× |
| Assay of c-peptide (84681) | $98 | $98 | 4.7× |
| Assay of ceruloplasmin (82390) | $78 | $78 | 7.3× |
| Assay of cyclosporine (80158) | $95 | $95 | 5.3× |
| Assay of erythropoietin (82668) | $102 | $102 | 5.4× |
| Assay of ethosuximide (80168) | $25 | $25 | 1.5× |
| Assay of ferritin (82728) | $83 | $83 | 6.1× |
| Assay of gammaglobulin igm (82784) | $85 | $85 | 9.1× |
| Assay of homocystine (83090) | $240 | $240 | 13.4× |
| Assay of lipoprotein(a) (83695) | $56 | $56 | 3.9× |
| Assay of metanephrines (83835) | $144 | $144 | 8.5× |
| Assay of parathormone (83970) | $229 | $229 | 5.5× |
| Assay of phenobarbital (80184) | $78 | $78 | 5.1× |
| Assay of prealbumin (84134) | $67 | $67 | 4.6× |
| Assay of somatomedin (84305) | $165 | $165 | 7.8× |
| Assay of tacrolimus (80197) | $102 | $102 | 7.4× |
| Assay of volatiles (84600) | $81 | $81 | 4.7× |
| Assay Ph Body Fluid Nos (83986) | $27 | $27 | 7.5× |
| Ast (sgot) (84450) | $33 | $33 | 6.4× |
| Bcr/abl1 gene major bp (81206) | $430 | $430 | 2.6× |
| Bcr/abl1 gene minor bp (81207) | $430 | $430 | 3.0× |
| Beta hydroxybutyrate (82010) | $90 | $90 | 11.0× |
| Beta-2 microglobulin (82232) | $60 | $60 | 3.7× |
| Bilirubin direct (82248) | $35.50 | $35.50 | 7.1× |
| Bilirubin total (82247) | $34 | $34 | 6.8× |
| Bl Smear W/Diff Wbc Count (85007) | $15 | $15 | 3.9× |
| Blood count reticulocyte automated (85045) | $119 | $119 | 29.8× |
| Blood gases (82803) | $102 | $102 | 3.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18.50 | $18.50 | 4.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $36.50 | $36.50 | 5.7× |
| Blood typing abo (86900) | $294.50 | $294.50 | 98.5× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $60 | $60 | 3.7× |
| Blood typing serologic rh (d) (86901) | $87 | $87 | 29.1× |
| Blood typing serologic rh phenotyping complete (86906) | $74 | $74 | 9.5× |
| Body fluid cell count (89051) | $62 | $62 | 11.1× |
| Body fluid cell count (89050) | $41 | $41 | 8.7× |
| Bordetella antibody (86615) | $30 | $30 | 2.3× |
| C diff amplified probe (87493) | $105 | $105 | 2.8× |
| C-reactive protein (86140) | $44 | $44 | 8.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $84 | $84 | 6.5× |
| Ca 125 (86304) | $80 | $80 | 3.8× |
| Ca 19-9 (86301) | $80 | $80 | 3.8× |
| Ca 27 29 (86300) | $82.50 | $82.50 | 4.0× |
| Calcium ionized (82330) | $92 | $92 | 6.7× |
| Calcium total (82310) | $16 | $16 | 3.1× |
| Calcium urine (82340) | $47 | $47 | 7.8× |
| Calprotectin, fecal (83993) | $190 | $190 | 9.7× |
| Carbon dioxide (82374) | $16 | $16 | 3.3× |
| Carboxyhemoglobin Quantitative (82375) | $65 | $65 | 5.3× |
| Carcinoembryonic antigen (82378) | $106 | $106 | 5.6× |
| Cardiolipin ab igg (86147) | $116.50 | $116.50 | 4.6× |
| Catecholamines fraction plasma (82384) | $165 | $165 | 6.5× |
| Cholesterol total (82465) | $28 | $28 | 6.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $202.50 | $202.50 | 5.8× |
| Ck isoenzymes (82552) | $72 | $72 | 5.4× |
| Ckmb (82553) | $81 | $81 | 7.0× |
| Cmv PCR (87496) | $248 | $248 | 7.1× |
| Cold agglutinin titer (86157) | $47 | $47 | 5.8× |
| Compatibility test antiglob (86922) | $58 | $58 | 0.4× |
| Compatibility Test Incubate (86921) | $91 | $91 | 0.6× |
| Complement c3 (86160) | $96.50 | $96.50 | 8.0× |
| Complement total ch50 (86162) | $115 | $115 | 5.7× |
| Coombs direct (86880) | $33 | $33 | 6.1× |
| Coombs Test Indirect Qual (86885) | $125 | $125 | 21.9× |
| Cortisol free (82530) | $95 | $95 | 5.7× |
| Cortisol total (82533) | $91 | $91 | 5.6× |
| Creatine kinase total (82550) | $36.50 | $36.50 | 5.6× |
| Creatinine blood (82565) | $16.50 | $16.50 | 3.2× |
| Creatinine clearance (82575) | $53 | $53 | 5.6× |
| Creatinine other source (82570) | $35 | $35 | 6.8× |
| Crossmatch immediate spin (86920) | $65.50 | $65.50 | 0.4× |
| Culture Aerobic Identify (87077) | $45 | $45 | 5.6× |
| Culture anaerobic (87075) | $48 | $48 | 5.1× |
| Culture blood (87040) | $59 | $59 | 5.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $34 | $34 | 4.4× |
| Culture genital (87070) | $46.50 | $46.50 | 5.4× |
| Culture screen only (87081) | $35.50 | $35.50 | 5.4× |
| Culture stool (87045) | $46 | $46 | 4.9× |
| Culture urine (87086) | $47 | $47 | 5.8× |
| Cyclic Citrullinated Peptide (86200) | $39 | $39 | 3.0× |
| Cytopath cell enhance tech (88112) | $116 | $116 | 2.4× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $30 | $30 | 1.6× |
| D-Dimer (85379) | $101.50 | $101.50 | 10.0× |
| Dhea (82626) | $130 | $130 | 5.1× |
| Dhea sulfate (82627) | $104 | $104 | 4.7× |
| Digoxin (80162) | $84 | $84 | 6.3× |
| Dihydrotestosterone (82642) | $100 | $100 | 3.4× |
| Dilantin (80185) | $84 | $84 | 6.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $89 | $89 | 6.5× |
| Drug Assay Amiodarone (80151) | $100 | $100 | 5.4× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $137 | $137 | 7.3× |
| Drug Assay Lacosamide (80235) | $50 | $50 | 1.8× |
| Drug assay voriconazole (80285) | $114 | $114 | 4.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $49 | $49 | 3.7× |
| Drug Scrn Quan Levetiracetam (80177) | $49 | $49 | 3.7× |
| Drug scrn quant oxcarbazepin (80183) | $50 | $50 | 3.8× |
| Drug test prsmv chem anlyzr (80307) | $207.50 | $207.50 | 3.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $40 | $40 | 3.2× |
| Ebv viral capsid (86665) | $90 | $90 | 5.0× |
| Ehrlichia antibody (86666) | $330 | $330 | 32.4× |
| Elastase pancreatic fecal quantitative (82653) | $170 | $170 | 7.4× |
| Electrolyte panel (80051) | $30 | $30 | 4.3× |
| Electronic crossmatch (86923) | $235 | $235 | 1.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $50 | $50 | 4.1× |
| Endomysial antibody iga (86255) | $75 | $75 | 6.2× |
| Eosinophil count (85048) | $17.50 | $17.50 | 6.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $85 | $85 | 5.6× |
| Estradiol (82670) | $185 | $185 | 6.6× |
| Estrogens total (82672) | $128 | $128 | 5.9× |
| Estrone (82679) | $85 | $85 | 3.4× |
| Everolimus (80169) | $90 | $90 | 6.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $105 | $105 | 14.3× |
| F2 gene analysis 20210g >a variant (81240) | $110 | $110 | 1.7× |
| F5 gene (81241) | $105 | $105 | 1.4× |
| Factor ii activity (85210) | $290 | $290 | 22.3× |
| Factor inhibitor test (85335) | $90 | $90 | 7.0× |
| Fecal fat qual (82705) | $27.50 | $27.50 | 5.4× |
| Fibrinogen activity (85384) | $40 | $40 | 4.1× |
| Fibrinogen antigen (85385) | $265 | $265 | 18.3× |
| Flow cytometry first marker (88184) | $245 | $245 | 0.7× |
| Folate serum (82746) | $95 | $95 | 6.5× |
| Follicle Stimulating Hormone (83001) | $104 | $104 | 5.6× |
| Fructosamine (82985) | $57 | $57 | 3.4× |
| Gammaglobulin ige (82785) | $90 | $90 | 5.5× |
| Ggt (82977) | $22 | $22 | 3.1× |
| Giardia antigen eia stool (87329) | $90 | $90 | 7.5× |
| Gliadin antibody each immunoglobulin class (86258) | $35 | $35 | 2.9× |
| Glucose (82947) | $16 | $16 | 4.1× |
| Glucose Blood Test (82962) | $15 | $15 | 4.6× |
| Glucose body fluid (82945) | $20 | $20 | 5.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $22 | $22 | 5.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $69 | $69 | 5.4× |
| Growth hormone (83003) | $85 | $85 | 5.1× |
| Haptoglobin (83010) | $82 | $82 | 6.5× |
| Hcg qualitative (84703) | $51 | $51 | 6.8× |
| Hcg quant (84702) | $57 | $57 | 3.8× |
| Hdl Cholesterol (83718) | $25 | $25 | 3.1× |
| Hematocrit (85014) | $14.50 | $14.50 | 6.1× |
| Hemoglobin (85018) | $17.50 | $17.50 | 7.4× |
| Hemoglobin a1c (83036) | $58 | $58 | 6.0× |
| Hepatitis a antibody total (86708) | $65 | $65 | 5.2× |
| Hepatitis a igm (86709) | $70 | $70 | 6.2× |
| Hepatitis b core ab igm (86705) | $50 | $50 | 4.2× |
| Hepatitis b core antibody total (86704) | $65 | $65 | 5.4× |
| Hepatitis B Surface Ab (86706) | $71 | $71 | 6.6× |
| Hepatitis B Surface Antigen (87340) | $36.50 | $36.50 | 3.5× |
| Hepatitis be antibody (86707) | $60 | $60 | 5.2× |
| Hepatitis c antibody (86803) | $67 | $67 | 4.7× |
| Herpes culture (87252) | $130 | $130 | 5.0× |
| Herpes simplex type 2 (86696) | $95 | $95 | 4.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $25 | $25 | 4.8× |
| Hfe gene (81256) | $95 | $95 | 1.5× |
| Histoplasma antigen urine (87385) | $75 | $75 | 5.7× |
| Hla b 27 disease association lc (81374) | $144 | $144 | 1.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $137.50 | $137.50 | 3.9× |
| Hydroxyprogesterone 17-d (83498) | $125 | $125 | 4.6× |
| Iaad ia clostridium difficile toxin (87324) | $85 | $85 | 7.1× |
| Iaad ia cryptosporidium (87328) | $100 | $100 | 7.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $85 | $85 | 3.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $47.50 | $47.50 | 3.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $82.50 | $82.50 | 5.9× |
| Iaad ia rotavirus (87425) | $85 | $85 | 7.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $82.50 | $82.50 | 6.9× |
| Iaadiadoo not otherwise specified (87899) | $80 | $80 | 5.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $135 | $135 | 3.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $255 | $255 | 3.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $105 | $105 | 3.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $100 | $100 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $259 | $259 | 7.4× |
| Igg subclasses (82787) | $53 | $53 | 6.6× |
| Immunfix e-phorsis/urine/csf (86335) | $95 | $95 | 3.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $65 | $65 | 4.3× |
| Immunoassay nonantibody (83516) | $63 | $63 | 5.5× |
| Immunodiffusion Ouchterlony (86331) | $123 | $123 | 10.3× |
| Immunofixj Electrophoresis Serum (86334) | $140 | $140 | 6.3× |
| Immunoglobulin light chains free each (83521) | $97.50 | $97.50 | 5.6× |
| India ink prep (87210) | $20 | $20 | 3.4× |
| Influenza a/b ag eia (87400) | $80 | $80 | 5.7× |
| Influenza DNA amp probe (87502) | $140 | $140 | 1.5× |
| Inhibin b (83520) | $55 | $55 | 3.2× |
| Insulin total (83525) | $75 | $75 | 6.6× |
| Intrinsic factor antibody (86340) | $69 | $69 | 4.6× |
| Iron (83540) | $43 | $43 | 6.6× |
| Iron binding capacity (83550) | $64 | $64 | 7.3× |
| Islet cell antibody (86341) | $111 | $111 | 4.7× |
| Koh Prep (87220) | $30 | $30 | 7.0× |
| Lactic acid (83605) | $66 | $66 | 5.7× |
| Ldh (83615) | $37 | $37 | 6.1× |
| LDL cholesterol direct (83721) | $67.50 | $67.50 | 6.4× |
| Lead (83655) | $38 | $38 | 3.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $26 | $26 | 6.1× |
| Level ii surg pathology grossµscopic exam (88302) | $110 | $110 | 3.2× |
| Level v surg pathology grossµscopic exam (88307) | $380 | $380 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $515 | $515 | 0.7× |
| Lh (83002) | $100 | $100 | 5.4× |
| Lipase (83690) | $43 | $43 | 6.2× |
| Listeria ab (86609) | $46 | $46 | 3.6× |
| Lithium (80178) | $44 | $44 | 6.7× |
| Lyme disease antibody confirm (86617) | $140 | $140 | 9.0× |
| Macroscopic exam parasite (87169) | $35 | $35 | 8.1× |
| Magnesium (83735) | $39 | $39 | 5.8× |
| Meat fibers, feces (89160) | $90 | $90 | 18.6× |
| Mercury (83825) | $85 | $85 | 5.2× |
| Methotrexate (80299) | $95 | $95 | 5.1× |
| Methylmalonic acid serum (83921) | $226 | $226 | 10.7× |
| Microalbumin urine (82043) | $39.50 | $39.50 | 6.8× |
| Microsomal antibodies (86376) | $71.50 | $71.50 | 4.9× |
| Mitochondrial antibody each (86381) | $70 | $70 | 2.8× |
| Mthfr Gene Analysis Common Variants (81291) | $95 | $95 | 1.5× |
| Muscle-specific kinase (musk) antibody (86366) | $800 | $800 | 43.5× |
| Mycoplasma antibody (86738) | $108 | $108 | 8.2× |
| Myelin basic protein csf (83873) | $125 | $125 | 7.3× |
| Myoglobin urine (83874) | $67.50 | $67.50 | 5.2× |
| Natriuretic peptide (83880) | $105 | $105 | 2.7× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $150 | $150 | 2.1× |
| Nuclear antigen antibody (86235) | $75 | $75 | 4.2× |
| Occult blood stool (82272) | $10 | $10 | 2.4× |
| Oligoclonal bands (83916) | $125 | $125 | 4.6× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) | $595 | $595 | 1.2× |
| Osmolality urine (83935) | $50 | $50 | 7.3× |
| Ova and parasite direct-id lca (87177) | $48 | $48 | 5.4× |
| Pancreatic polypeptide (83519) | $137.25 | $137.25 | 7.5× |
| Phenylalanine (84030) | $28 | $28 | 5.1× |
| Phosphatase alkaline (84075) | $14 | $14 | 2.7× |
| Phosphorus blood (84100) | $15.50 | $15.50 | 3.3× |
| Pinworm exam (87172) | $25 | $25 | 5.9× |
| Platelet count (85049) | $23 | $23 | 5.1× |
| Potassium (84132) | $13 | $13 | 2.7× |
| Procalcitonin (pct) (84145) | $126 | $126 | 4.6× |
| Progesterone (84144) | $104 | $104 | 5.0× |
| Prolactin (84146) | $119 | $119 | 6.1× |
| Protein body fluid (84157) | $30 | $30 | 7.5× |
| Protein c activity (85303) | $125 | $125 | 9.0× |
| Protein c antigen (85302) | $45 | $45 | 3.7× |
| Protein electrophoresis serum (84165) | $301 | $301 | 28.0× |
| Protein Electrophoresis Urine (84166) | $55 | $55 | 3.1× |
| Protein S Functional (85306) | $150 | $150 | 9.8× |
| Protein s total (85305) | $45 | $45 | 3.9× |
| Protein Total Serum (84155) | $57.50 | $57.50 | 15.7× |
| Protein urine (84156) | $30 | $30 | 8.2× |
| Prothrombin time substitution (85611) | $25 | $25 | 6.3× |
| PSA free (84154) | $75 | $75 | 4.1× |
| Quantiferon tb gold (86480) | $185 | $185 | 3.0× |
| Reagent strip/blood glucose (82948) | $15.50 | $15.50 | 3.1× |
| Renin activity plasma (84244) | $110 | $110 | 5.0× |
| Resp virus 3-5 targets (87631) | $335 | $335 | 2.3× |
| Respiratory Virus (86756) | $25 | $25 | 1.6× |
| Rheumatoid factor quant (86431) | $41.50 | $41.50 | 7.3× |
| Rickettsia antibody (86757) | $182 | $182 | 9.4× |
| Rpr Titer (86593) | $35 | $35 | 8.0× |
| Rubella antibody (86762) | $45.50 | $45.50 | 3.2× |
| Russell viper venom time diluted (85613) | $97.50 | $97.50 | 10.2× |
| Saccharomyces ab iga (86671) | $41 | $41 | 3.3× |
| Salicylate (80179) | $70 | $70 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $162 | $162 | 3.2× |
| Sars-cov-2 covid19 w/optic (87811) | $66 | $66 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $2,220 | $2,220 | 15.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $600 | $600 | 4.2× |
| Sedimentation rate (85651) | $23 | $23 | 5.4× |
| Sensitivity mic (87186) | $54 | $54 | 6.2× |
| Sex hormone binding globulin (84270) | $177 | $177 | 8.1× |
| Sickle cell screen (85660) | $20 | $20 | 3.6× |
| Sirolimus (rapamycin) (80195) | $45 | $45 | 3.3× |
| Smear acid fast (87206) | $43.50 | $43.50 | 8.1× |
| Smear gram stain (87205) | $26.50 | $26.50 | 6.2× |
| Sodium (84295) | $16 | $16 | 3.3× |
| Sodium urine (84300) | $30 | $30 | 5.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $83 | $83 | 0.7× |
| Special stains group 1 (88312) | $105.50 | $105.50 | 2.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $49 | $49 | 5.2× |
| Strep a assay w/optic (87880) | $53.50 | $53.50 | 3.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $487.50 | $487.50 | 5.3× |
| Surg path level iii (88304) | $159 | $159 | 3.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $44 | $44 | 1.7× |
| Surgical pathology level IV (88305) | $280 | $280 | 5.8× |
| T3 free (84481) | $128 | $128 | 7.6× |
| T3 reverse (84482) | $126 | $126 | 8.0× |
| T3 total (84480) | $69 | $69 | 4.9× |
| T4 Free (84439) | $47 | $47 | 5.2× |
| T4 total (84436) | $26.50 | $26.50 | 3.9× |
| Tb intradermal test (86580) | $20 | $20 | 0.8× |
| Testosterone free (84402) | $150 | $150 | 5.9× |
| Testosterone total (84403) | $156 | $156 | 6.0× |
| Thin prep pap (88142) | $30 | $30 | 1.5× |
| Thrombin time plasma (85670) | $47 | $47 | 8.1× |
| Thromboplastin Inhibition Tissue (85705) | $135 | $135 | 14.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $35 | $35 | 5.4× |
| Thyroglobulin Ab (86800) | $97.50 | $97.50 | 6.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $645 | $645 | 12.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $95 | $95 | 8.2× |
| Topiramate (80201) | $100 | $100 | 8.4× |
| Transferrin (84466) | $118 | $118 | 9.2× |
| Triglycerides (84478) | $20 | $20 | 3.5× |
| Troponin (84484) | $105 | $105 | 8.4× |
| Urea nitrogen (84520) | $16 | $16 | 4.1× |
| Uric acid blood (84550) | $26 | $26 | 5.8× |
| Uric acid other source (84560) | $33 | $33 | 6.5× |
| Urinalysis w/microscopic (81001) | $20 | $20 | 6.3× |
| Urine microalbumin (protein) analysis (82044) | $20 | $20 | 3.2× |
| Urine pregnancy test (81025) | $32.50 | $32.50 | 3.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $15 | $15 | 6.7× |
| Valproic acid level (80164) | $90 | $90 | 6.6× |
| Vancomycin trough (80202) | $91 | $91 | 6.7× |
| Varicella-zoster antibody (86787) | $93 | $93 | 7.2× |
| Vdrl csf (86592) | $25 | $25 | 5.9× |
| Virus antibody nos (86790) | $50 | $50 | 3.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $115 | $115 | 3.4× |
| Viscosity serum (85810) | $55 | $55 | 4.7× |
| Vitamin A (84590) | $70 | $70 | 6.0× |
| Vitamin b-12 (82607) | $84 | $84 | 5.6× |
| Vitamin b1 (thiamine) (84425) | $100 | $100 | 4.7× |
| Vitamin b6 (84207) | $193 | $193 | 6.9× |
| Vitamin D 25-Hydroxy (82306) | $308.50 | $308.50 | 10.4× |
| Vitamin e serum (84446) | $80 | $80 | 5.6× |
| West nile virus ab, igm (86788) | $70 | $70 | 4.2× |
| West nile virus antibody (86789) | $50 | $50 | 3.5× |