Lab & pathology prices at Rush County Memorial Hospital
La Crosse, KS · every code in this section with a posted price and a Medicare benchmark.
328 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) | $156.60 | $174 | 4.1× |
| 17-Hydroxycorticosteroids (83491) | $126 | $140 | 7.0× |
| 5 Hiaa (83497) | $153.90 | $171 | 11.9× |
| Acute hepatitis panel (80074) | $189 | $210 | 4.0× |
| Afb culture (87116) | $92.70 | $103 | 8.6× |
| Agglutinins febrile (86000) | $62.10 | $69 | 8.9× |
| Aldolase (82085) | $36.90 | $41 | 3.8× |
| Aldosterone urine (82088) | $203.40 | $226 | 5.0× |
| Allerg sp igg quan or semiquan (86001) | $32.40 | $36 | 4.1× |
| Allergen specific ige (86003) | $90 | $100 | 17.2× |
| Alpha-1-antitrypsin, total (82103) | $89.10 | $99 | 6.6× |
| Alpha-fetoprotein, serum (82105) | $83.25 | $92.50 | 5.0× |
| Alt (sgpt) (84460) | $24.30 | $27 | 4.6× |
| Ammonia (82140) | $87.30 | $97 | 6.0× |
| Amylase urine (82150) | $52.20 | $58 | 8.1× |
| Ana Titer (86039) | $47.70 | $53 | 4.3× |
| Angiotensin i enzyme test (82164) | $87.30 | $97 | 6.0× |
| Antibody aspergillus (86606) | $126 | $140 | 8.4× |
| Antibody cytomegalovirus cmv (86644) | $126.90 | $141 | 8.8× |
| Antibody cytomegalovirus cmv igm (86645) | $103.50 | $115 | 6.1× |
| Antibody haemophilus influenza (86684) | $113.40 | $126 | 7.2× |
| Antibody helicobacter pylori (86677) | $68.85 | $76.50 | 4.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $93.60 | $104 | 6.5× |
| Antibody identification leukocyte antibodies (86021) | $37.35 | $41.50 | 2.5× |
| Antibody mumps (86735) | $81 | $90 | 6.2× |
| Antibody rubeola (86765) | $80.10 | $89 | 6.2× |
| Antibody screen (86850) | $60.30 | $67 | 6.2× |
| Antibody treponema pallidum (86780) | $74.25 | $82.50 | 5.6× |
| Antibody; Coccidioides (86635) | $118.80 | $132 | 10.4× |
| Antinuclear antibodies (86038) | $132.30 | $147 | 10.9× |
| Antistreptolysin o titer (86060) | $79.20 | $88 | 10.8× |
| Antithrombin iii activity (85300) | $92.70 | $103 | 7.8× |
| Aspergillus ag eia (87305) | $85.50 | $95 | 7.1× |
| Assay Nephelometry Not Spec (83883) | $95.40 | $106 | 7.0× |
| Assay of acth (82024) | $203.40 | $226 | 5.3× |
| Assay of c-peptide (84681) | $98.10 | $109 | 4.7× |
| Assay of creatine (82540) | $47.70 | $53 | 10.3× |
| Assay of erythropoietin (82668) | $124.20 | $138 | 6.6× |
| Assay of ethosuximide (80168) | $87.30 | $97 | 5.3× |
| Assay of ferritin (82728) | $117.90 | $131 | 8.7× |
| Assay of g6pd enzyme (82955) | $93.60 | $104 | 9.6× |
| Assay of gammaglobulin igm (82784) | $130.95 | $145.50 | 14.1× |
| Assay of gastrin (82941) | $119.70 | $133 | 6.8× |
| Assay of gentamicin (80170) | $71.10 | $79 | 4.3× |
| Assay of homocystine (83090) | $283.50 | $315 | 15.8× |
| Assay of metanephrines (83835) | $81 | $90 | 4.8× |
| Assay of parathormone (83970) | $203.40 | $226 | 4.9× |
| Assay of phenobarbital (80184) | $94.50 | $105 | 6.2× |
| Assay of prealbumin (84134) | $90 | $100 | 6.2× |
| Assay of serotonin (84260) | $160.20 | $178 | 5.2× |
| Assay of somatomedin (84305) | $161.10 | $179 | 7.6× |
| Assay of tacrolimus (80197) | $118.80 | $132 | 8.7× |
| Assay of urine vma (84585) | $110.70 | $123 | 7.1× |
| Ast (sgot) (84450) | $45 | $50 | 8.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $81 | $90 | 3.2× |
| Beta Lactamase (87185) | $71.10 | $79 | 15.0× |
| Beta-2 microglobulin (82232) | $74.70 | $83 | 4.6× |
| Bilirubin direct (82248) | $37.80 | $42 | 7.5× |
| Bilirubin total (82247) | $40.50 | $45 | 8.1× |
| Bl Smear W/Diff Wbc Count (85007) | $31.50 | $35 | 8.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $94.50 | $105 | 27.6× |
| Blastomyces antibody (86612) | $125.10 | $139 | 9.7× |
| Blood Count Automated Differential Wbc Count (85004) | $21.60 | $24 | 3.3× |
| Blood count reticulocyte automated (85045) | $104.40 | $116 | 26.2× |
| Blood gases (82803) | $121.50 | $135 | 4.7× |
| Blood typing abo (86900) | $43.20 | $48 | 14.4× |
| Blood typing serologic rh (d) (86901) | $42.30 | $47 | 14.1× |
| C diff amplified probe (87493) | $164.70 | $183 | 4.4× |
| C-reactive protein (86140) | $58.50 | $65 | 11.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $144 | $160 | 11.1× |
| Ca 125 (86304) | $72.90 | $81 | 3.5× |
| Ca 19-9 (86301) | $72.90 | $81 | 3.5× |
| Ca 27 29 (86300) | $72.90 | $81 | 3.5× |
| Cadmium level (82300) | $90.90 | $101 | 3.8× |
| Calcium ionized (82330) | $71.10 | $79 | 5.2× |
| Calcium total (82310) | $40.50 | $45 | 7.8× |
| Calculus analysis (82370) | $90 | $100 | 7.2× |
| Calprotectin, fecal (83993) | $43.20 | $48 | 2.2× |
| Candida antibody (86628) | $72.90 | $81 | 6.1× |
| Carbamazepine (tegretol) total (80156) | $142.20 | $158 | 9.8× |
| Carboxyhemoglobin Quantitative (82375) | $81 | $90 | 6.6× |
| Carcinoembryonic antigen (82378) | $127.80 | $142 | 6.7× |
| Cardiolipin ab igg (86147) | $90 | $100 | 3.5× |
| Catecholamines Total Urine (82382) | $142.20 | $158 | 5.2× |
| Cell marker study (88182) | $236.70 | $263 | 4.9× |
| Chemiluminescent assay (82397) | $71.10 | $79 | 5.0× |
| Chloride other source (82438) | $24.30 | $27 | 4.9× |
| Chloride urine (82436) | $37.80 | $42 | 6.6× |
| Cholesterol total (82465) | $35.10 | $39 | 8.1× |
| Chromogranin a (86316) | $99 | $110 | 4.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $82.80 | $92 | 2.4× |
| Ckmb (82553) | $94.50 | $105 | 8.2× |
| Clotting time (85345) | $59.40 | $66 | 12.7× |
| Cold agglutinin titer (86157) | $66.60 | $74 | 8.3× |
| Complement c3 (86160) | $82.80 | $92 | 6.9× |
| Complement total ch50 (86162) | $99.90 | $111 | 4.9× |
| Concentration Infectious Agent (87015) | $47.70 | $53 | 7.1× |
| Coombs direct (86880) | $33.30 | $37 | 6.2× |
| Cortisol free (82530) | $113.40 | $126 | 6.8× |
| Cortisol total (82533) | $109.80 | $122 | 6.7× |
| Creatine kinase total (82550) | $58.50 | $65 | 9.0× |
| Creatinine blood (82565) | $40.50 | $45 | 7.9× |
| Creatinine clearance (82575) | $45 | $50 | 4.8× |
| Creatinine other source (82570) | $57.60 | $64 | 11.1× |
| Crossmatch immediate spin (86920) | $91.80 | $102 | 0.6× |
| Cryoglobulin (82595) | $24.30 | $27 | 3.8× |
| Culture Aerobic Identify (87077) | $66.60 | $74 | 8.2× |
| Culture anaerobic (87075) | $43.20 | $48 | 4.6× |
| Culture blood (87040) | $81 | $90 | 7.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $40.50 | $45 | 5.3× |
| Culture fungus id yeast (87106) | $75.60 | $84 | 7.3× |
| Culture genital (87070) | $48.60 | $54 | 5.6× |
| Culture screen only (87081) | $36 | $40 | 5.4× |
| Culture stool (87045) | $43.20 | $48 | 4.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $33.30 | $37 | 6.4× |
| Culture urine (87086) | $62.10 | $69 | 7.7× |
| Culture urine id ea isolate (87088) | $35.55 | $39.50 | 4.4× |
| Cyclic Citrullinated Peptide (86200) | $62.10 | $69 | 4.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $85.50 | $95 | 2.0× |
| D-Dimer (85379) | $94.50 | $105 | 9.3× |
| D-Dimer (85378) | $77.40 | $86 | 8.0× |
| Dhea (82626) | $109.80 | $122 | 4.3× |
| Dhea sulfate (82627) | $142.20 | $158 | 6.4× |
| Digoxin (80162) | $94.50 | $105 | 7.1× |
| Dilantin (80185) | $94.50 | $105 | 7.1× |
| Diphtheria antitoxoid (86648) | $92.70 | $103 | 6.1× |
| Dna Antibody Single Stranded (86226) | $85.50 | $95 | 7.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $73.80 | $82 | 5.4× |
| Dna/Rna Amplified Probe (87150) | $118.80 | $132 | 3.4× |
| Drug screen quant zonisamide (80203) | $113.40 | $126 | 8.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $97.20 | $108 | 7.3× |
| Drug Scrn Quan Levetiracetam (80177) | $71.10 | $79 | 5.4× |
| Drug scrn quant oxcarbazepin (80183) | $94.50 | $105 | 7.1× |
| Drug test prsmv chem anlyzr (80307) | $173.25 | $192.50 | 2.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $49.50 | $55 | 3.9× |
| Ebv viral capsid (86665) | $73.80 | $82 | 4.1× |
| Electrolyte panel (80051) | $37.80 | $42 | 5.4× |
| Endomysial antibody iga (86255) | $62.10 | $69 | 5.2× |
| Entamoeba histolytica antigen (87337) | $84.60 | $94 | 7.1× |
| Eosinophil count (85048) | $18.90 | $21 | 7.4× |
| Estradiol (82670) | $161.10 | $179 | 5.8× |
| Estriol (82677) | $123.30 | $137 | 5.1× |
| Estrogen fractionated (82671) | $77.40 | $86 | 2.4× |
| Estrone (82679) | $75.60 | $84 | 3.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $94.50 | $105 | 12.9× |
| F5 gene (81241) | $202.50 | $225 | 2.8× |
| Factor viii ahg (85240) | $150.30 | $167 | 8.4× |
| Fecal fat quant (82710) | $108.90 | $121 | 6.5× |
| Flow cytometry first marker (88184) | $202.50 | $225 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $100.80 | $112 | 8.4× |
| Folate serum (82746) | $136.80 | $152 | 9.3× |
| Folic acid rbc (82747) | $115.20 | $128 | 6.5× |
| Follicle Stimulating Hormone (83001) | $125.10 | $139 | 6.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $97.65 | $108.50 | 9.5× |
| Gammaglobulin ige (82785) | $113.40 | $126 | 6.9× |
| Gastric acid analy w/ph ea spe (82930) | $47.70 | $53 | 7.1× |
| Ggt (82977) | $27.90 | $31 | 3.9× |
| Giardia antigen eia stool (87329) | $56.70 | $63 | 4.7× |
| Glucose (82947) | $35.10 | $39 | 8.9× |
| Glucose body fluid (82945) | $35.10 | $39 | 8.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $90 | $100 | 7.0× |
| Growth hormone (83003) | $132.30 | $147 | 7.9× |
| Haptoglobin (83010) | $66.60 | $74 | 5.3× |
| Hcg qualitative (84703) | $75.60 | $84 | 10.1× |
| Hcg quant (84702) | $97.65 | $108.50 | 6.5× |
| Hdl Cholesterol (83718) | $43.20 | $48 | 5.3× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $26.10 | $29 | 1.2× |
| Hematocrit (85014) | $23.40 | $26 | 9.9× |
| Hemoglobin (85018) | $35.10 | $39 | 14.8× |
| Hemoglobin a1c (83036) | $63.90 | $71 | 6.6× |
| Hemoglobin electrophoresis (83020) | $115.20 | $128 | 9.0× |
| Hepatitis a antibody total (86708) | $90 | $100 | 7.3× |
| Hepatitis a igm (86709) | $71.10 | $79 | 6.3× |
| Hepatitis b core ab igm (86705) | $63.90 | $71 | 5.4× |
| Hepatitis b core antibody total (86704) | $60.30 | $67 | 5.0× |
| Hepatitis B Surface Ab (86706) | $90 | $100 | 8.4× |
| Hepatitis B Surface Antigen (87340) | $57.60 | $64 | 5.6× |
| Hepatitis c antibody (86803) | $80.10 | $89 | 5.6× |
| Hepatitis C Genotype (87902) | $614.70 | $683 | 2.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $45.90 | $51 | 8.9× |
| Hfe gene (81256) | $432 | $480 | 6.6× |
| Histoplasma antibody (86698) | $72.90 | $81 | 5.3× |
| Histoplasma antigen urine (87385) | $116.10 | $129 | 8.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $87.30 | $97 | 6.4× |
| Hla-b27 (86812) | $71.10 | $79 | 2.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $222.30 | $247 | 6.3× |
| Hydroxyprogesterone 17-d (83498) | $130.05 | $144.50 | 4.8× |
| Iaad ia clostridium difficile toxin (87324) | $63 | $70 | 5.3× |
| Iaad ia cryptosporidium (87328) | $56.70 | $63 | 4.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $66.60 | $74 | 2.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $75.60 | $84 | 5.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $78.30 | $87 | 5.6× |
| Iaad ia rotavirus (87425) | $84.60 | $94 | 7.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $63 | $70 | 5.3× |
| Iaadi inffluenza a virus (87276) | $84.60 | $94 | 5.3× |
| Iaadi influenza b virus (87275) | $84.60 | $94 | 6.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $316.80 | $352 | 7.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $129.60 | $144 | 1.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $88.65 | $98.50 | 2.5× |
| Iadna nos amplified probe tq each organism (87798) | $214.65 | $238.50 | 6.1× |
| Iadna nos quantification each organism (87799) | $307.80 | $342 | 7.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,206.90 | $1,341 | 2.9× |
| Igg subclasses (82787) | $80.10 | $89 | 10.0× |
| Immunfix e-phorsis/urine/csf (86335) | $159.30 | $177 | 5.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $214.65 | $238.50 | 14.3× |
| Immunoassay nonantibody (83516) | $87.75 | $97.50 | 7.6× |
| Immunofixj Electrophoresis Serum (86334) | $130.50 | $145 | 5.8× |
| Immunohistochemistry (88342) | $354.60 | $394 | 2.3× |
| India ink prep (87210) | $13.95 | $15.50 | 2.4× |
| Inhibin b (83520) | $46.35 | $51.50 | 2.7× |
| Insulin total (83525) | $96.30 | $107 | 8.4× |
| Iron (83540) | $49.95 | $55.50 | 7.7× |
| Iron binding capacity (83550) | $90.90 | $101 | 10.4× |
| Islet cell antibody (86341) | $99.90 | $111 | 4.2× |
| Jak2 gene analysis (81270) | $117 | $130 | 1.3× |
| Koh Prep (87220) | $30.60 | $34 | 7.2× |
| Lactic acid (83605) | $83.70 | $93 | 7.2× |
| Ldh (83615) | $49.50 | $55 | 8.2× |
| Lead (83655) | $45.90 | $51 | 3.8× |
| Legionella antigen urine (87449) | $81.90 | $91 | 6.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $36 | $40 | 8.4× |
| Level ii surg pathology grossµscopic exam (88302) | $104.40 | $116 | 3.0× |
| Level v surg pathology grossµscopic exam (88307) | $318.60 | $354 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $429.30 | $477 | 0.6× |
| Lh (83002) | $122.40 | $136 | 6.6× |
| Lipase (83690) | $62.10 | $69 | 9.0× |
| Lithium (80178) | $47.70 | $53 | 7.2× |
| Lyme disease antibody (86618) | $90 | $100 | 5.3× |
| Lyme disease antibody confirm (86617) | $117 | $130 | 7.6× |
| Lymphocyte transformation (86353) | $234 | $260 | 4.8× |
| Magnesium (83735) | $51.30 | $57 | 7.7× |
| Mass spectrometry qual/quan (83789) | $222.30 | $247 | 9.2× |
| Mercury (83825) | $71.10 | $79 | 4.4× |
| Methotrexate (80299) | $116.10 | $129 | 6.2× |
| Microalbumin urine (82043) | $29.25 | $32.50 | 5.1× |
| Microbe susceptible diffuse (87181) | $27.90 | $31 | 5.9× |
| Microsomal antibodies (86376) | $72 | $80 | 4.9× |
| Mog-igg1 antibody flow cytometry each (86363) | $104.40 | $116 | 2.8× |
| Mrsa amp probe (87641) | $189 | $210 | 5.4× |
| Muramidase (85549) | $62.10 | $69 | 3.3× |
| Mycoplasma antibody (86738) | $125.10 | $139 | 9.4× |
| Myoglobin urine (83874) | $99.90 | $111 | 7.7× |
| Natriuretic peptide (83880) | $127.80 | $142 | 3.3× |
| Nuclear antigen antibody (86235) | $66.60 | $74 | 3.7× |
| Occult blood stool (82272) | $19.35 | $21.50 | 4.6× |
| Osmolality urine (83935) | $67.50 | $75 | 9.9× |
| Ova and parasite direct-id lca (87177) | $45.90 | $51 | 5.2× |
| Pancreatic polypeptide (83519) | $75.60 | $84 | 4.1× |
| Particle Agglutination Screen Each Antibody (86403) | $28.80 | $32 | 2.5× |
| Phenotype Infect Agent Drug (87900) | $1,831.50 | $2,035 | 14.1× |
| Phosphatase alkaline (84075) | $78.75 | $87.50 | 15.2× |
| Phosphorus blood (84100) | $40.50 | $45 | 8.5× |
| Platelet count (85049) | $35.10 | $39 | 7.8× |
| Potassium (84132) | $35.10 | $39 | 7.4× |
| Progesterone (84144) | $99 | $110 | 4.7× |
| Prolactin (84146) | $137.70 | $153 | 7.1× |
| Prostaglandin Ea (84150) | $137.70 | $153 | 3.3× |
| Protein body fluid (84157) | $45 | $50 | 11.3× |
| Protein c antigen (85302) | $99 | $110 | 8.2× |
| Protein electrophoresis serum (84165) | $189 | $210 | 17.6× |
| Protein Electrophoresis Urine (84166) | $139.50 | $155 | 7.8× |
| Protein s total (85305) | $126 | $140 | 10.9× |
| Protein Total Serum (84155) | $41.40 | $46 | 11.3× |
| Protein urine (84156) | $45 | $50 | 12.3× |
| PSA free (84154) | $91.80 | $102 | 5.0× |
| Quantiferon tb gold (86480) | $161.10 | $179 | 2.6× |
| Reagent strip/blood glucose (82948) | $22.50 | $25 | 4.5× |
| Renin activity plasma (84244) | $142.20 | $158 | 6.5× |
| Rheumatoid factor quant (86431) | $55.80 | $62 | 9.8× |
| Rubella antibody (86762) | $40.50 | $45 | 2.8× |
| Russell viper venom time diluted (85613) | $45 | $50 | 4.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $90 | $100 | 2.1× |
| Sedimentation rate (85651) | $37.80 | $42 | 8.9× |
| Semen analysis w/count (89310) | $49.50 | $55 | 5.7× |
| Sensitivity mic (87186) | $67.50 | $75 | 7.8× |
| Sex hormone binding globulin (84270) | $86.40 | $96 | 4.0× |
| Sickle cell screen (85660) | $24.30 | $27 | 4.4× |
| Sirolimus (rapamycin) (80195) | $32.40 | $36 | 2.4× |
| Smear acid fast (87206) | $66.60 | $74 | 12.4× |
| Smear gram stain (87205) | $24.30 | $27 | 5.7× |
| Sodium (84295) | $37.80 | $42 | 7.9× |
| Sodium urine (84300) | $35.10 | $39 | 6.9× |
| Soluble transferrin receptor (84238) | $186.30 | $207 | 5.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $99.90 | $111 | 0.8× |
| Special stains group 1 (88312) | $99.90 | $111 | 2.1× |
| Spectrophotometry (84311) | $217.80 | $242 | 26.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $37.80 | $42 | 4.0× |
| Strep a assay w/optic (87880) | $121.50 | $135 | 7.4× |
| Surg path level iii (88304) | $142.20 | $158 | 3.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $47.70 | $53 | 1.8× |
| Surgical pathology level IV (88305) | $229.50 | $255 | 4.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $108 | $120 | 2.3× |
| T3 free (84481) | $123.30 | $137 | 7.3× |
| T3 reverse (84482) | $118.80 | $132 | 7.5× |
| T3 total (84480) | $99 | $110 | 7.0× |
| T3 uptake (84479) | $28.80 | $32 | 4.5× |
| T4 Free (84439) | $64.80 | $72 | 7.2× |
| T4 total (84436) | $42.30 | $47 | 6.2× |
| Tb intradermal test (86580) | $22.50 | $25 | 0.8× |
| Testosterone total (84403) | $126.90 | $141 | 4.9× |
| Tetanus antibody (86774) | $102.60 | $114 | 6.9× |
| Theophylline (80198) | $107.10 | $119 | 7.6× |
| Thyroglobulin (84432) | $180 | $200 | 11.2× |
| Thyroglobulin Ab (86800) | $81 | $90 | 5.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $562.50 | $625 | 11.1× |
| Topiramate (80201) | $85.50 | $95 | 7.2× |
| Transferrin (84466) | $94.50 | $105 | 7.4× |
| Triglycerides (84478) | $24.30 | $27 | 4.2× |
| Troponin (84484) | $123.30 | $137 | 9.9× |
| Urea nitrogen (84520) | $35.10 | $39 | 8.9× |
| Uric acid blood (84550) | $28.80 | $32 | 6.4× |
| Urinalysis w/microscopic (81001) | $34.20 | $38 | 10.8× |
| Urine pregnancy test (81025) | $60.30 | $67 | 7.0× |
| Urine volume measurement (81050) | $35.10 | $39 | 9.6× |
| Valproic acid level (80164) | $115.20 | $128 | 8.5× |
| Vancomycin trough (80202) | $104.40 | $116 | 7.7× |
| Varicella-zoster antibody (86787) | $77.40 | $86 | 6.0× |
| Vasoactive intestinal peptide (vip) (84586) | $76.50 | $85 | 2.2× |
| Viscosity serum (85810) | $59.40 | $66 | 5.1× |
| Vitamin A (84590) | $85.50 | $95 | 7.4× |
| Vitamin b-12 (82607) | $119.70 | $133 | 7.9× |
| Vitamin b1 (thiamine) (84425) | $122.40 | $136 | 5.8× |
| Vitamin b6 (84207) | $197.10 | $219 | 7.0× |
| Vitamin D 25-Hydroxy (82306) | $255.60 | $284 | 8.6× |
| Vitamin e serum (84446) | $75.60 | $84 | 5.3× |
| West nile virus ab, igm (86788) | $80.10 | $89 | 4.8× |
| West nile virus antibody (86789) | $80.10 | $89 | 5.6× |
| Zinc (84630) | $75.60 | $84 | 6.6× |