Lab & pathology prices at Salem Memorial District Hospital
Salem, MO · every code in this section with a posted price and a Medicare benchmark.
599 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) | $114.19 | $152.25 | 3.0× |
| 17-Hydroxycorticosteroids (83491) | $24.38 | $32.50 | 1.4× |
| 5 Hiaa (83497) | $106.31 | $141.75 | 8.2× |
| 5 Nucleotidase (83915) | $26.06 | $34.75 | 2.3× |
| Acetaminophen level (80143) | $110.25 | $147 | 5.9× |
| Acetylcholine receptor binding antibody (86041) | $204.75 | $273 | 11.1× |
| Activated protein c resistance (85307) | $200.81 | $267.75 | 13.1× |
| Acute hepatitis panel (80074) | $220.50 | $294 | 4.6× |
| Acylcarnitine Plasma (82017) | $224.44 | $299.25 | 13.3× |
| Adamts13 activity (85397) | $271.69 | $362.25 | 8.8× |
| Afb culture (87116) | $118.13 | $157.50 | 10.9× |
| Agglutinins febrile (86000) | $47.25 | $63 | 6.8× |
| Albumin Fluid (82042) | $37.78 | $50.38 | 4.9× |
| Albumin serum (82040) | $43.31 | $57.75 | 8.7× |
| Aldolase (82085) | $98.44 | $131.25 | 10.1× |
| Aldosterone urine (82088) | $350.44 | $467.25 | 8.6× |
| Alkaline phosphatase isoenzymes (84080) | $47.25 | $63 | 3.2× |
| Allerg sp igg quan or semiquan (86001) | $24.45 | $32.60 | 3.1× |
| Allergen specific ige (86003) | $24.45 | $32.60 | 4.7× |
| Allg Spec Ige Recomb Ea (86008) | $24.45 | $32.60 | 1.4× |
| Alpha-1-antitrypsin phenotype (82104) | $192.94 | $257.25 | 13.3× |
| Alpha-1-antitrypsin, total (82103) | $96.47 | $128.62 | 7.2× |
| Alpha-fetoprotein, serum (82105) | $90.56 | $120.75 | 5.4× |
| Alt (sgpt) (84460) | $47.25 | $63 | 8.9× |
| Aluminum (82108) | $145.69 | $194.25 | 5.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $630 | $840 | 37.3× |
| Amino Acids, Single Quantitation (82131) | $74.81 | $99.75 | 3.3× |
| Aminolevulinic acid (ala) (82135) | $47.25 | $63 | 2.9× |
| Ammonia (82140) | $114.19 | $152.25 | 7.8× |
| Amylase urine (82150) | $90.56 | $120.75 | 14.0× |
| Angiotensin i enzyme test (82164) | $98.44 | $131.25 | 6.7× |
| Anti-phosphatidylserine antibody (86148) | $301.22 | $401.62 | 18.7× |
| Antibody aspergillus (86606) | $39.38 | $52.50 | 2.6× |
| Antibody cytomegalovirus cmv (86644) | $61.78 | $82.38 | 4.3× |
| Antibody cytomegalovirus cmv igm (86645) | $90.56 | $120.75 | 5.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $133.88 | $178.50 | 10.2× |
| Antibody helicobacter pylori (86677) | $126 | $168 | 7.5× |
| Antibody herpes smplx type 1 (86695) | $64.97 | $86.62 | 4.9× |
| Antibody identification (86870) | $451.50 | $602 | 1.3× |
| Antibody identification leukocyte antibodies (86021) | $212.63 | $283.50 | 14.1× |
| Antibody influenza virus (86710) | $47.25 | $63 | 3.5× |
| Antibody mumps (86735) | $92.53 | $123.38 | 7.1× |
| Antibody neisseria meningitidis (86741) | $114.19 | $152.25 | 8.7× |
| Antibody Protozoa Nes (86753) | $70.88 | $94.50 | 5.7× |
| Antibody rubeola (86765) | $37.88 | $50.50 | 2.9× |
| Antibody screen (86850) | $113.25 | $151 | 11.6× |
| Antibody treponema pallidum (86780) | $36.19 | $48.25 | 2.7× |
| Antibody; Coccidioides (86635) | $37.88 | $50.50 | 3.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $228.75 | $305 | 44.2× |
| Antinuclear antibodies (86038) | $90.56 | $120.75 | 7.5× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $19.50 | $26 | 3.4× |
| Antistreptolysin o titer (86060) | $47.25 | $63 | 6.5× |
| Antithrombin iii activity (85300) | $342.56 | $456.75 | 28.9× |
| Apc gene full sequence (81201) | $1,925.25 | $2,567 | 2.5× |
| Apolipoprotein b (82172) | $42.10 | $56.12 | 2.0× |
| Arsenic Urine (82175) | $96.47 | $128.62 | 5.1× |
| Aspergillus ag eia (87305) | $107.44 | $143.25 | 9.0× |
| Assay galactose transferase (82775) | $259.88 | $346.50 | 12.3× |
| Assay Lipoprotein Pla2 (83698) | $42.56 | $56.75 | 0.9× |
| Assay myeloperoxidase (83876) | $66 | $88 | 1.3× |
| Assay Nephelometry Not Spec (83883) | $137.82 | $183.75 | 10.1× |
| Assay of 17-hydroxypregnenolone (84143) | $66.56 | $88.75 | 2.9× |
| Assay of acth (82024) | $110.25 | $147 | 2.9× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $102.38 | $136.50 | 5.9× |
| Assay of androstenedione (82157) | $110.25 | $147 | 3.8× |
| Assay of blood chloride (82435) | $39.38 | $52.50 | 8.6× |
| Assay of c-peptide (84681) | $78.75 | $105 | 3.8× |
| Assay of calcitonin (82308) | $47.25 | $63 | 1.8× |
| Assay of ceruloplasmin (82390) | $47.25 | $63 | 4.4× |
| Assay of cyclosporine (80158) | $173.25 | $231 | 9.6× |
| Assay of erythropoietin (82668) | $98.44 | $131.25 | 5.2× |
| Assay of ethosuximide (80168) | $22.88 | $30.50 | 1.4× |
| Assay of ferritin (82728) | $90.56 | $120.75 | 6.6× |
| Assay of g6pd enzyme (82955) | $43.31 | $57.75 | 4.5× |
| Assay of gammaglobulin igm (82784) | $70.88 | $94.50 | 7.6× |
| Assay of gastrin (82941) | $33 | $44 | 1.9× |
| Assay of gentamicin (80170) | $133.88 | $178.50 | 8.2× |
| Assay of homocystine (83090) | $200.81 | $267.75 | 11.2× |
| Assay of homovanillic acid (83150) | $36.75 | $49 | 1.6× |
| Assay of lipoprotein(a) (83695) | $70.88 | $94.50 | 4.9× |
| Assay of manganese (83785) | $236.25 | $315 | 8.9× |
| Assay of metanephrines (83835) | $204.75 | $273 | 12.1× |
| Assay of osteocalcin (83937) | $110.25 | $147 | 3.7× |
| Assay of parathormone (83970) | $137.82 | $183.75 | 3.3× |
| Assay of phenobarbital (80184) | $102.38 | $136.50 | 6.7× |
| Assay of phosphatase acid total (84060) | $94.50 | $126 | 12.4× |
| Assay of prealbumin (84134) | $90.56 | $120.75 | 6.2× |
| Assay of proinsulin (84206) | $232.31 | $309.75 | 8.7× |
| Assay of pyruvate (84210) | $98.44 | $131.25 | 6.8× |
| Assay of selenium (84255) | $66.94 | $89.25 | 2.6× |
| Assay of serotonin (84260) | $149.06 | $198.75 | 4.8× |
| Assay of somatomedin (84305) | $126 | $168 | 5.9× |
| Assay of tacrolimus (80197) | $259.88 | $346.50 | 18.9× |
| Assay of transcortin (84449) | $102.38 | $136.50 | 5.7× |
| Assay of urine vma (84585) | $110.25 | $147 | 7.1× |
| Assay of vitamin k (84597) | $330.75 | $441 | 24.1× |
| Assay of volatiles (84600) | $102.38 | $136.50 | 6.0× |
| Assay Ph Body Fluid Nos (83986) | $36.19 | $48.25 | 10.1× |
| Ast (sgot) (84450) | $47.25 | $63 | 9.1× |
| Automated rbc count (85041) | $28.31 | $37.75 | 9.4× |
| B cells total count (86355) | $122.06 | $162.75 | 3.2× |
| Bartonella antibody (86611) | $70.88 | $94.50 | 7.0× |
| Bcr/abl1 gene major bp (81206) | $283.50 | $378 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $283.50 | $378 | 2.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $232.31 | $309.75 | 9.1× |
| Beta Lactamase (87185) | $7.88 | $10.50 | 1.7× |
| Beta-2 microglobulin (82232) | $86.63 | $115.50 | 5.4× |
| Bilirubin direct (82248) | $47.25 | $63 | 9.4× |
| Bilirubin total (82247) | $59.06 | $78.75 | 11.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $21.19 | $28.25 | 6.2× |
| Blastomyces antibody (86612) | $39.38 | $52.50 | 3.1× |
| Bleeding time (85002) | $43.31 | $57.75 | 9.0× |
| Blood Count Automated Differential Wbc Count (85004) | $74.81 | $99.75 | 11.6× |
| Blood count reticulocyte automated (85045) | $39.38 | $52.50 | 9.9× |
| Blood gases (82803) | $129.94 | $173.25 | 5.0× |
| Blood gases w/02 saturation (82805) | $212.63 | $283.50 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $28.31 | $37.75 | 6.5× |
| Blood Ph - Ph Venous (82800) | $43.31 | $57.75 | 3.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $225 | $300 | 35.4× |
| Blood typing abo (86900) | $150 | $200 | 50.2× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $145.69 | $194.25 | 8.9× |
| Blood typing serologic rh (d) (86901) | $52.12 | $69.50 | 17.4× |
| Body fluid cell count (89051) | $70.88 | $94.50 | 12.7× |
| Bordetella antibody (86615) | $53.16 | $70.88 | 4.0× |
| Brca1&2 seq & full dup/del (81162) | $3,375 | $4,500 | 1.8× |
| Breath Alcohol Test (82075) | $24.38 | $32.50 | 0.8× |
| Brucella antibody (86622) | $92.54 | $123.38 | 10.4× |
| C-reactive protein (86140) | $41.34 | $55.12 | 8.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $74.81 | $99.75 | 5.8× |
| Ca 125 (86304) | $39.38 | $52.50 | 1.9× |
| Ca 19-9 (86301) | $86.63 | $115.50 | 4.2× |
| Ca 27 29 (86300) | $129.94 | $173.25 | 6.2× |
| Cadmium level (82300) | $114.19 | $152.25 | 4.8× |
| Calcium ionized (82330) | $43.31 | $57.75 | 3.2× |
| Calcium total (82310) | $32.72 | $43.62 | 6.3× |
| Calcium urine (82340) | $28.31 | $37.75 | 4.7× |
| Calculus Spectroscopy (82365) | $113.56 | $151.41 | 8.8× |
| Calprotectin, fecal (83993) | $204.75 | $273 | 10.4× |
| Candida antibody (86628) | $139.78 | $186.38 | 11.6× |
| Carb deficient transferrin (82373) | $212.63 | $283.50 | 11.8× |
| Carbamazepine (tegretol) total (80156) | $110.25 | $147 | 7.6× |
| Carbamazepine free (80157) | $43.31 | $57.75 | 3.3× |
| Carbon dioxide (82374) | $37.78 | $50.38 | 7.7× |
| Carboxyhemoglobin Quantitative (82375) | $86.63 | $115.50 | 7.0× |
| Carcinoembryonic antigen (82378) | $114.19 | $152.25 | 6.0× |
| Cardiolipin ab igg (86147) | $43.31 | $57.75 | 1.7× |
| Carnitine (82379) | $240.19 | $320.25 | 14.2× |
| Carotene (82380) | $19.74 | $26.32 | 2.1× |
| Catecholamines fraction plasma (82384) | $126 | $168 | 5.0× |
| Cd4 absolute count (86361) | $173.25 | $231 | 6.5× |
| Cftr gene com variants (81220) | $635.91 | $847.88 | 1.1× |
| Chemiluminescent assay (82397) | $137.81 | $183.75 | 9.8× |
| Chlamydia antibody (86631) | $82.69 | $110.25 | 7.0× |
| Chlamydia Igm Antibody (86632) | $86.62 | $115.50 | 6.8× |
| Chloride other source (82438) | $41.34 | $55.12 | 8.3× |
| Chloride urine (82436) | $33 | $44 | 5.7× |
| Cholesterol total (82465) | $39.38 | $52.50 | 9.1× |
| Cholinesterase rbc (82482) | $28.31 | $37.75 | 2.9× |
| Cholinesterase serum (82480) | $43.31 | $57.75 | 5.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $383.90 | $511.88 | 3.1× |
| Chromium urine (82495) | $118.13 | $157.50 | 5.8× |
| Chromogranin a (86316) | $114.94 | $153.25 | 5.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $98.44 | $131.25 | 2.8× |
| Citrate (82507) | $181.13 | $241.50 | 6.5× |
| Ck isoenzymes (82552) | $90.56 | $120.75 | 6.8× |
| Ckmb (82553) | $168.86 | $225.14 | 14.6× |
| Clot factor viii vw antigen (85246) | $194.42 | $259.23 | 8.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $236.25 | $315 | 13.2× |
| Clot factor xiii fibrin stab (85290) | $62.25 | $83 | 3.8× |
| Clot retraction (85170) | $74.81 | $99.75 | 4.6× |
| Clozapine level (80159) | $94.50 | $126 | 4.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $137.82 | $183.75 | 5.7× |
| Cold agglutinin titer (86157) | $43.31 | $57.75 | 5.4× |
| Collagen cross links (82523) | $181.13 | $241.50 | 9.7× |
| Compatibility test antiglob (86922) | $300 | $400 | 1.8× |
| Complement c3 (86160) | $141.75 | $189 | 11.8× |
| Complement total ch50 (86162) | $90.56 | $120.75 | 4.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $90.56 | $120.75 | 7.5× |
| Comprehensive review of data (88325) | $228.75 | $305 | 1.3× |
| Concentration Infectious Agent (87015) | $11.81 | $15.75 | 1.8× |
| Coombs direct (86880) | $85.50 | $114 | 15.9× |
| Coombs Test Indirect Qual (86885) | $228.75 | $305 | 40.0× |
| Copper urine (82525) | $92.53 | $123.38 | 7.5× |
| Cortisol free (82530) | $133.88 | $178.50 | 8.0× |
| Cortisol total (82533) | $116.16 | $154.88 | 7.1× |
| Creatine kinase total (82550) | $70.88 | $94.50 | 10.9× |
| Creatinine blood (82565) | $40.13 | $53.50 | 7.8× |
| Creatinine clearance (82575) | $49.97 | $66.62 | 5.3× |
| Creatinine other source (82570) | $57.47 | $76.62 | 11.1× |
| Cryofibrinogen (82585) | $23.53 | $31.38 | 1.7× |
| Cryoglobulin (82595) | $78.75 | $105 | 12.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $94.50 | $126 | 11.7× |
| Culture Aerobic Identify (87077) | $36.94 | $49.25 | 4.6× |
| Culture anaerobic (87075) | $236.25 | $315 | 24.9× |
| Culture blood (87040) | $157.50 | $210 | 15.3× |
| Culture chlamydia (87110) | $45 | $60 | 2.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $137.81 | $183.75 | 17.9× |
| Culture fungus blood (87103) | $94.50 | $126 | 4.6× |
| Culture fungus id yeast (87106) | $96.47 | $128.62 | 9.3× |
| Culture fungus other (87102) | $137.81 | $183.75 | 16.4× |
| Culture genital (87070) | $100.97 | $134.62 | 11.7× |
| Culture screen only (87081) | $106.31 | $141.75 | 16.0× |
| Culture stool (87045) | $106.31 | $141.75 | 11.3× |
| Culture urine id ea isolate (87088) | $59.06 | $78.75 | 7.3× |
| Cyanide (82600) | $114.19 | $152.25 | 5.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $38.63 | $51.50 | 2.7× |
| Cyclic amp (82030) | $102.38 | $136.50 | 4.0× |
| Cyclic Citrullinated Peptide (86200) | $165.38 | $220.50 | 12.8× |
| Cyp2c19 gene com variants (81225) | $354.38 | $472.50 | 1.2× |
| Cyp2d6 gene com variants (81226) | $413.44 | $551.25 | 0.9× |
| Cystatin c (82610) | $114.19 | $152.25 | 6.2× |
| Cytogenetics DNA probe (88271) | $181.13 | $241.50 | 8.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,307.38 | $3,076.50 | 2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $614.25 | $819 | 14.3× |
| Cytopath cell enhance tech (88112) | $76.50 | $102 | 1.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $51.75 | $69 | 1.4× |
| Cytp concentration smears & interpretation (88108) | $51.75 | $69 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $76.50 | $102 | 1.5× |
| Cytp fna eval dx 1st each site (88172) | $228.75 | $305 | 1.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $55.50 | $74 | 3.0× |
| D-Dimer (85379) | $98.44 | $131.25 | 9.7× |
| Deoxyribonuclease antibody (86215) | $29.06 | $38.75 | 2.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $90.56 | $120.75 | 5.5× |
| Dhea (82626) | $90.56 | $120.75 | 3.6× |
| Dhea sulfate (82627) | $102.38 | $136.50 | 4.6× |
| Digoxin (80162) | $102.38 | $136.50 | 7.7× |
| Dilantin (80185) | $102.38 | $136.50 | 7.7× |
| Dipropylacetic acid free (80165) | $11.81 | $15.75 | 0.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $155.53 | $207.38 | 11.3× |
| DNA/RNA direct probe (87149) | $47.25 | $63 | 2.4× |
| Drug Assay Infliximab (80230) | $216.56 | $288.75 | 5.6× |
| Drug assay voriconazole (80285) | $177.19 | $236.25 | 6.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $189 | $252 | 14.3× |
| Drug Scrn Quan Levetiracetam (80177) | $106.31 | $141.75 | 8.0× |
| Drug test prsmv chem anlyzr (80307) | $131.90 | $175.88 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $33.38 | $44.50 | 2.6× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $133.88 | $178.50 | 7.8× |
| Ebv viral capsid (86665) | $25.66 | $34.21 | 1.4× |
| Echinococcus ab igg (86682) | $104.34 | $139.12 | 8.0× |
| Ehrlichia antibody (86666) | $70.88 | $94.50 | 7.0× |
| Elastase pancreatic fecal quantitative (82653) | $371.25 | $495 | 16.2× |
| Electrolyte panel (80051) | $86.63 | $115.50 | 12.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $567 | $756 | 9.2× |
| Endomysial antibody iga (86255) | $90.56 | $120.75 | 7.5× |
| Enterovirus antibody (86658) | $27.69 | $36.92 | 2.1× |
| Eosinophil count (85048) | $23.63 | $31.50 | 9.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $24.91 | $33.21 | 1.6× |
| Estradiol (82670) | $127.97 | $170.62 | 4.6× |
| Estriol (82677) | $133.88 | $178.50 | 5.5× |
| Estrogen fractionated (82671) | $346.50 | $462 | 10.7× |
| Estrogens total (82672) | $165.38 | $220.50 | 7.6× |
| Estrone (82679) | $74.81 | $99.75 | 3.0× |
| Everolimus (80169) | $145.69 | $194.25 | 10.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $39.38 | $52.50 | 5.4× |
| F2 gene analysis 20210g >a variant (81240) | $192.94 | $257.25 | 2.9× |
| F5 gene (81241) | $504 | $672 | 6.9× |
| Factor ii activity (85210) | $208.69 | $278.25 | 16.1× |
| Factor inhibitor test (85335) | $271.69 | $362.25 | 21.1× |
| Factor ix activity (85250) | $212.62 | $283.50 | 11.2× |
| Factor v activity (85220) | $208.69 | $278.25 | 11.8× |
| Factor vii assay (85230) | $189 | $252 | 10.6× |
| Factor viii ahg (85240) | $126 | $168 | 7.0× |
| Factor xi assay (85270) | $98.44 | $131.25 | 5.5× |
| Fecal fat qual (82705) | $39.38 | $52.50 | 7.7× |
| Fecal fat quant (82710) | $204.75 | $273 | 12.2× |
| Fetal fibronectin (82731) | $527.63 | $703.50 | 8.2× |
| Fibrin degradation products (85362) | $90.56 | $120.75 | 13.1× |
| Fibrinogen activity (85384) | $82.69 | $110.25 | 8.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $43.31 | $57.75 | 2.8× |
| Fibrinolytic Plasminogen (85415) | $163.78 | $218.38 | 9.5× |
| Flow cytometry first marker (88184) | $814.03 | $1,085.37 | 2.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $78.75 | $105 | 6.5× |
| Fmr1 gene detection (81243) | $311.06 | $414.75 | 5.5× |
| Folate serum (82746) | $68.16 | $90.88 | 4.6× |
| Folic acid rbc (82747) | $133.88 | $178.50 | 7.6× |
| Follicle Stimulating Hormone (83001) | $208.69 | $278.25 | 11.2× |
| Francisella Tularensis (86668) | $93.71 | $124.95 | 6.6× |
| Frozen Section (88331) | $228.75 | $305 | 1.3× |
| Fructosamine (82985) | $43.31 | $57.75 | 2.6× |
| Galectin-3 serum (82777) | $78.75 | $105 | 1.8× |
| Gammaglobulin ige (82785) | $24.45 | $32.60 | 1.5× |
| Gastric acid analy w/ph ea spe (82930) | $90.56 | $120.75 | 13.5× |
| Gastric Occult Blood (82271) | $29.06 | $38.75 | 5.5× |
| Genome sequence analysis (81425) | $5,167.50 | $6,890 | 1.0× |
| Ggt (82977) | $43.31 | $57.75 | 6.0× |
| Giardia antigen eia stool (87329) | $110.25 | $147 | 9.2× |
| Giardia lamblia antibody (86674) | $26.81 | $35.75 | 1.8× |
| Gliadin antibody each immunoglobulin class (86258) | $78.54 | $104.72 | 6.5× |
| Glucose (82947) | $39.38 | $52.50 | 10.0× |
| Glucose Blood Test (82962) | $25.13 | $33.50 | 7.7× |
| Glucose body fluid (82945) | $39.38 | $52.50 | 10.0× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $29.06 | $38.75 | 7.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $47.25 | $63 | 3.7× |
| Growth hormone (83003) | $90.56 | $120.75 | 5.4× |
| Haloperidol (haldol) (80173) | $43.31 | $57.75 | 2.7× |
| Haptoglobin (83010) | $90.56 | $120.75 | 7.2× |
| Hcg qualitative (84703) | $78.75 | $105 | 10.5× |
| Hcg quant (84702) | $112.50 | $150 | 7.5× |
| Hdl Cholesterol (83718) | $78.75 | $105 | 9.6× |
| Heavy metal quant each (83018) | $152.72 | $203.62 | 7.0× |
| Hematocrit (85014) | $42.47 | $56.62 | 17.9× |
| Hemoglobin (85018) | $28.31 | $37.75 | 11.9× |
| Hemoglobin a1c (83036) | $11.25 | $15 | 1.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $82.69 | $110.25 | 4.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $68.91 | $91.88 | 8.4× |
| Hemoglobin plasma (83051) | $70.88 | $94.50 | 9.7× |
| Hemoglobin urine (83069) | $40.13 | $53.50 | 10.2× |
| Hemoglobin-oxygen affinity (82820) | $66.94 | $89.25 | 5.0× |
| Hemosiderin urine (83070) | $89.55 | $119.40 | 18.9× |
| Heparin assay (85520) | $192.94 | $257.25 | 14.7× |
| Hepatitis a antibody total (86708) | $28.31 | $37.75 | 2.3× |
| Hepatitis a igm (86709) | $86.63 | $115.50 | 7.7× |
| Hepatitis b core ab igm (86705) | $78.75 | $105 | 6.7× |
| Hepatitis b core antibody total (86704) | $57.84 | $77.12 | 4.8× |
| Hepatitis B Surface Ab (86706) | $41.25 | $55 | 3.8× |
| Hepatitis B Surface Antigen (87340) | $39.38 | $52.50 | 3.8× |
| Hepatitis be antibody (86707) | $74.81 | $99.75 | 6.5× |
| Hepatitis Be Antigen (87350) | $74.81 | $99.75 | 6.5× |
| Hepatitis c ab confirm (86804) | $287.44 | $383.25 | 18.6× |
| Hepatitis c antibody (86803) | $70.88 | $94.50 | 5.0× |
| Hepatitis C Genotype (87902) | $507.94 | $677.25 | 2.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $127.97 | $170.62 | 3.6× |
| Hepatitis delta ag (87380) | $133.88 | $178.50 | 7.3× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,312.50 | $1,750 | 1.0× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,116.94 | $1,489.25 | 0.9× |
| Herpes culture (87252) | $134.16 | $178.88 | 5.1× |
| Herpes simplex type 2 (86696) | $59.06 | $78.75 | 3.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $47.25 | $63 | 9.1× |
| Hfe gene (81256) | $291.38 | $388.50 | 4.5× |
| Hgb quant transcut carboxyhem (88740) | $40.13 | $53.50 | 4.3× |
| Histamine plasma (83088) | $82.69 | $110.25 | 2.8× |
| Histoplasma antibody (86698) | $64.60 | $86.12 | 4.7× |
| Histoplasma antigen urine (87385) | $126 | $168 | 9.5× |
| HIV confirmation (86689) | $192.94 | $257.25 | 10.0× |
| HIV-1 antibody (86701) | $228.38 | $304.50 | 25.7× |
| HIV-1 genotype (87901) | $661.50 | $882 | 2.6× |
| Hla ii low resolution one antigen equivalent ea (81377) | $98.44 | $131.25 | 1.0× |
| Hla ii typing 1 allele hr (81383) | $98.44 | $131.25 | 0.9× |
| Hla-b27 (86812) | $70.88 | $94.50 | 2.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $173.25 | $231 | 2.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $157.50 | $210 | 4.5× |
| Hydroxyprogesterone 17-d (83498) | $59.44 | $79.25 | 2.2× |
| Hydroxyproline total (83505) | $417.38 | $556.50 | 17.2× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $114.19 | $152.25 | 6.3× |
| Iaad ia clostridium difficile toxin (87324) | $184.28 | $245.70 | 15.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $65.25 | $87 | 2.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $228.38 | $304.50 | 15.9× |
| Iaad ia rotavirus (87425) | $82.69 | $110.25 | 6.9× |
| Iaadiadoo not otherwise specified (87899) | $102.38 | $136.50 | 6.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $82.69 | $110.25 | 1.2× |
| Iadna hepatitis b virus quantification (87517) | $531.56 | $708.75 | 12.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $381.94 | $509.25 | 8.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $322.88 | $430.50 | 3.8× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $192.94 | $257.25 | 4.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $98.44 | $131.25 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $259.88 | $346.50 | 7.4× |
| Iadna nos quantification each organism (87799) | $330.75 | $441 | 7.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $118.13 | $157.50 | 3.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $775.69 | $1,034.25 | 1.9× |
| If cryptosporidium antigen (87272) | $59.06 | $78.75 | 4.9× |
| Igg subclasses (82787) | $39.38 | $52.50 | 4.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $27.56 | $36.75 | 1.8× |
| Immunoassay nonantibody (83516) | $133.88 | $178.50 | 11.6× |
| Immunodiffusion not elsewhere specified (86329) | $204.75 | $273 | 14.6× |
| Immunodiffusion Ouchterlony (86331) | $200.81 | $267.75 | 16.8× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $74.81 | $99.75 | 3.2× |
| Immunofixj Electrophoresis Serum (86334) | $116.16 | $154.88 | 5.2× |
| Immunoglobulin assay (86023) | $212.63 | $283.50 | 17.1× |
| Immunohistochemistry (88342) | $112.50 | $150 | 0.7× |
| India ink prep (87210) | $23.06 | $30.75 | 4.0× |
| Influenza a/b ag eia (87400) | $165.38 | $220.50 | 11.7× |
| Inhibin a (86336) | $139.78 | $186.38 | 9.0× |
| Inhibin b (83520) | $181.13 | $241.50 | 10.5× |
| Insitu hybridization (fish) (88365) | $228.75 | $305 | 1.3× |
| Insitu hybridization auto (88367) | $300 | $400 | 0.8× |
| Insitu hybridization manual (88368) | $446.25 | $595 | 1.2× |
| Insulin antibodies (86337) | $232.31 | $309.75 | 10.9× |
| Insulin free (83527) | $129.94 | $173.25 | 10.0× |
| Insulin total (83525) | $96.47 | $128.62 | 8.4× |
| Intraop cyto path consult 1 (88333) | $1,004.25 | $1,339 | 1.2× |
| Intrinsic factor antibody (86340) | $106.31 | $141.75 | 7.0× |
| Iron (83540) | $70.88 | $94.50 | 11.0× |
| Iron binding capacity (83550) | $94.50 | $126 | 10.8× |
| Irradiation of blood product (86945) | $51.75 | $69 | 1.4× |
| Islet cell antibody (86341) | $185.06 | $246.75 | 7.9× |
| Jak2 gene analysis (81270) | $393.75 | $525 | 4.3× |
| Ketosteroids 17; total (83586) | $102.38 | $136.50 | 8.0× |
| Koh Prep (87220) | $48.84 | $65.12 | 11.4× |
| Lactic acid (83605) | $98.44 | $131.25 | 8.5× |
| Lactoferrin fecal qualitative (83630) | $48.84 | $65.12 | 2.5× |
| Lactogen placental (83632) | $106.31 | $141.75 | 5.3× |
| Ldh (83615) | $68.34 | $91.12 | 11.3× |
| Ldh isoenzymes (83625) | $104.34 | $139.12 | 8.2× |
| LDL cholesterol direct (83721) | $47.54 | $63.38 | 4.5× |
| Lead (83655) | $84.66 | $112.88 | 7.0× |
| Legionella antibody (86713) | $118.13 | $157.50 | 7.7× |
| Legionella antigen urine (87449) | $110.25 | $147 | 9.2× |
| Legionella pneumophila dfa (87278) | $118.13 | $157.50 | 7.6× |
| Leptospira antibody (86720) | $39.38 | $52.50 | 2.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $23.63 | $31.50 | 5.5× |
| Leukocyte histamine release test (86343) | $68.53 | $91.38 | 5.5× |
| Level ii surg pathology grossµscopic exam (88302) | $75 | $100 | 2.0× |
| Level v surg pathology grossµscopic exam (88307) | $446.25 | $595 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $525 | $700 | 0.7× |
| Lh (83002) | $131.25 | $175 | 7.1× |
| Lipase (83690) | $51.19 | $68.25 | 7.4× |
| Lipoprotein Bld Hr Fraction (83701) | $43.31 | $57.75 | 1.3× |
| Listeria ab (86609) | $37.88 | $50.50 | 2.9× |
| Lithium (80178) | $86.63 | $115.50 | 13.1× |
| Lyme disease antibody (86618) | $70.88 | $94.50 | 4.2× |
| Lyme disease antibody confirm (86617) | $129.94 | $173.25 | 8.4× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $354.38 | $472.50 | 2.1× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $446.25 | $595 | 1.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $228.75 | $305 | 1.3× |
| Macroscopic exam parasite (87169) | $18.94 | $25.25 | 4.4× |
| Magnesium (83735) | $52.78 | $70.38 | 7.9× |
| Malaria smear (87207) | $59.06 | $78.75 | 9.9× |
| Manual Diff Wbc Count B-Coat (85009) | $70.88 | $94.50 | 14.0× |
| Manual reticulocyte count (85044) | $39.38 | $52.50 | 9.1× |
| Mass spectrometry qual/quan (83789) | $114.19 | $152.25 | 4.7× |
| Mcg interphase insitu 25 (88274) | $141.75 | $189 | 3.3× |
| Mercury (83825) | $47.25 | $63 | 2.9× |
| Metabolic Panel Ionized Ca (80047) | $98.44 | $131.25 | 7.2× |
| Methotrexate (80299) | $157.50 | $210 | 8.4× |
| Methylmalonic acid serum (83921) | $322.88 | $430.50 | 15.2× |
| Microalbumin urine (82043) | $29.30 | $39.08 | 5.1× |
| Microsomal antibodies (86376) | $92.54 | $123.38 | 6.4× |
| Molecular pathology procedure level 2 (81401) | $519.76 | $693 | 3.8× |
| Molecular pathology procedure level 7 (81406) | $460.69 | $614.25 | 1.6× |
| Mononuclear cell antigen (86356) | $177.19 | $236.25 | 6.6× |
| Mopath procedure level 3 (81402) | $555.19 | $740.25 | 3.7× |
| Mopath procedure level 4 (81403) | $279.56 | $372.75 | 1.5× |
| Mopath procedure level 5 (81404) | $393.75 | $525 | 1.4× |
| Mopath procedure level 9 (81408) | $659.99 | $879.99 | 0.3× |
| Morphometric analysis tumor (88358) | $228.75 | $305 | 1.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $921.38 | $1,228.50 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $562.50 | $750 | 8.6× |
| Mucin synovial fluid ropes test (83872) | $25.13 | $33.50 | 4.3× |
| Muramidase (85549) | $66.75 | $89 | 3.6× |
| Muscle-specific kinase (musk) antibody (86366) | $1,012.50 | $1,350 | 55.0× |
| Mycoplasma antibody (86738) | $90.56 | $120.75 | 6.8× |
| Myelin basic protein csf (83873) | $70.88 | $94.50 | 4.1× |
| Myoglobin urine (83874) | $104.34 | $139.12 | 8.1× |
| Natriuretic peptide (83880) | $200.81 | $267.75 | 5.1× |
| Neutralization test, viral (86382) | $86.63 | $115.50 | 5.1× |
| Niacin (84591) | $106.31 | $141.75 | 6.2× |
| Nmr Lipoprofile (83704) | $82.69 | $110.25 | 2.4× |
| Nuclear antigen antibody (86235) | $106.31 | $141.75 | 5.9× |
| Occult blood stool (82272) | $29.06 | $38.75 | 6.9× |
| Oligoclonal bands (83916) | $47.25 | $63 | 1.7× |
| Organic Acids Qual Each (83919) | $708.75 | $945 | 43.1× |
| Organic Acids Total Quantitative Each Specimen (83918) | $708.75 | $945 | 30.0× |
| Osmolality serum (83930) | $47.25 | $63 | 7.1× |
| Osmolality urine (83935) | $47.25 | $63 | 6.9× |
| Ova and parasite direct-id lca (87177) | $90.56 | $120.75 | 10.2× |
| Oxalate urine (83945) | $85.88 | $114.50 | 5.9× |
| Pancreatic polypeptide (83519) | $131.91 | $175.88 | 7.2× |
| Particle Agglutination Screen Each Antibody (86403) | $86.62 | $115.50 | 7.5× |
| Parvovirus antibody (86747) | $29.06 | $38.75 | 1.9× |
| Phenylalanine (84030) | $120.10 | $160.12 | 21.8× |
| Phenytoin free (80186) | $126 | $168 | 9.2× |
| Phosphatase acid prostatic (84066) | $102.38 | $136.50 | 10.6× |
| Phosphatase alkaline (84075) | $82.69 | $110.25 | 16.0× |
| Phosphorus blood (84100) | $43.31 | $57.75 | 9.1× |
| Phosphorus urine (84105) | $24.38 | $32.50 | 4.2× |
| Platelet aggregation (85576) | $196.88 | $262.50 | 7.9× |
| Platelet count (85049) | $37.88 | $50.50 | 8.5× |
| Pooling blood platelets (86965) | $228.75 | $305 | 1.3× |
| Porphobilinogen urine quant (84110) | $46.88 | $62.50 | 5.6× |
| Porphyrins qn & fraction urine (84120) | $90.56 | $120.75 | 6.2× |
| Porphyrins urine qual (84119) | $74.81 | $99.75 | 5.6× |
| Potassium (84132) | $40.13 | $53.50 | 8.4× |
| Potassium urine (84133) | $36.19 | $48.25 | 7.7× |
| Pregnanediol (84135) | $126 | $168 | 5.9× |
| Pregnanetriol (84138) | $126 | $168 | 6.0× |
| Primidone (80188) | $47.25 | $63 | 2.8× |
| Procainamide napa (80192) | $114.19 | $152.25 | 6.8× |
| Procalcitonin (pct) (84145) | $212.63 | $283.50 | 7.8× |
| Progesterone (84144) | $86.63 | $115.50 | 4.2× |
| Prolactin (84146) | $90.56 | $120.75 | 4.7× |
| Prostaglandin Ea (84150) | $385.88 | $514.50 | 9.2× |
| Protein body fluid (84157) | $64.22 | $85.62 | 16.1× |
| Protein c antigen (85302) | $200.81 | $267.75 | 16.7× |
| Protein electrophoresis serum (84165) | $141.75 | $189 | 13.2× |
| Protein Electrophoresis Urine (84166) | $141.75 | $189 | 8.0× |
| Protein S Functional (85306) | $185.06 | $246.75 | 12.1× |
| Protein s total (85305) | $212.63 | $283.50 | 18.3× |
| Protein Total Serum (84155) | $78.75 | $105 | 21.5× |
| Protein urine (84156) | $43.31 | $57.75 | 11.8× |
| Protein Western Blot (84182) | $135.38 | $180.50 | 4.6× |
| PSA free (84154) | $74.81 | $99.75 | 4.1× |
| Quantiferon tb gold (86480) | $200.81 | $267.75 | 3.2× |
| Quinidine (80194) | $252 | $336 | 17.3× |
| Reducing substances, stool (84376) | $100.13 | $133.50 | 18.2× |
| Renin activity plasma (84244) | $139.78 | $186.38 | 6.4× |
| Respiratory viral panel PCR (87633) | $752.06 | $1,002.75 | 1.8× |
| Respiratory Virus (86756) | $21.28 | $28.38 | 1.3× |
| Reticulocyte Count (85046) | $51.19 | $68.25 | 9.2× |
| Rheumatoid Factor Qual (86430) | $7.50 | $10 | 1.2× |
| Rheumatoid factor quant (86431) | $30 | $40 | 5.3× |
| Rickettsia antibody (86757) | $86.63 | $115.50 | 4.5× |
| Rotavirus (86759) | $27.56 | $36.75 | 1.5× |
| Rubella antibody (86762) | $39.38 | $52.50 | 2.7× |
| Russell viper venom time diluted (85613) | $141.75 | $189 | 14.8× |
| Saccharomyces ab iga (86671) | $145.69 | $194.25 | 11.9× |
| Salicylate (80179) | $110.25 | $147 | 5.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $96.47 | $128.62 | 1.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $72.84 | $97.12 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $287.44 | $383.25 | 2.0× |
| Sedimentation rate (85651) | $39.38 | $52.50 | 9.2× |
| Semen analysis complete (89320) | $102.38 | $136.50 | 8.3× |
| Semen analysis w/count (89310) | $43.31 | $57.75 | 5.0× |
| Sensitivity mic (87186) | $39.38 | $52.50 | 4.6× |
| Serotonin Release Assay (86022) | $145.69 | $194.25 | 7.9× |
| Serpina1 gene (81332) | $326.81 | $435.75 | 7.5× |
| Sex hormone binding globulin (84270) | $18.94 | $25.25 | 0.9× |
| Sickle cell screen (85660) | $20.44 | $27.25 | 3.7× |
| Sirolimus (rapamycin) (80195) | $228.38 | $304.50 | 16.6× |
| Smear acid fast (87206) | $55.13 | $73.50 | 10.2× |
| Smear gram stain (87205) | $38.63 | $51.50 | 9.0× |
| Sodium (84295) | $47.25 | $63 | 9.8× |
| Sodium other source (84302) | $39.38 | $52.50 | 8.1× |
| Sodium urine (84300) | $39.38 | $52.50 | 7.8× |
| Soluble transferrin receptor (84238) | $354.38 | $472.50 | 9.7× |
| Somatostatin (84307) | $91.31 | $121.75 | 5.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $51.75 | $69 | 0.4× |
| Special stains group 1 (88312) | $76.50 | $102 | 1.5× |
| Specific gravity body fluid (84315) | $23.63 | $31.50 | 7.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $187.50 | $250 | 1.1× |
| Strep a assay w/optic (87880) | $78.75 | $105 | 4.8× |
| Strep a DNA amp probe (87651) | $78.75 | $105 | 2.2× |
| Sugars single quant (84378) | $161.44 | $215.25 | 14.0× |
| Surg path level iii (88304) | $112.50 | $150 | 2.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $37.50 | $50 | 1.3× |
| Surgical pathology level IV (88305) | $113.25 | $151 | 2.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $196.88 | $262.50 | 4.2× |
| T cells, total count (86359) | $133.88 | $178.50 | 3.5× |
| T3 free (84481) | $114.19 | $152.25 | 6.7× |
| T3 reverse (84482) | $102.38 | $136.50 | 6.5× |
| T3 total (84480) | $72.84 | $97.12 | 5.1× |
| T4 Free (84439) | $50.44 | $67.25 | 5.6× |
| T4 total (84436) | $86.63 | $115.50 | 12.6× |
| Tb intradermal test (86580) | $19.69 | $26.25 | 0.7× |
| Test for acetone/ketones (82009) | $82.69 | $110.25 | 18.3× |
| Testosterone free (84402) | $140.16 | $186.88 | 5.5× |
| Testosterone total (84403) | $90.56 | $120.75 | 3.5× |
| Tetanus antibody (86774) | $106.31 | $141.75 | 7.2× |
| Theophylline (80198) | $110.25 | $147 | 7.8× |
| Thiocyanate (84430) | $192.94 | $257.25 | 16.6× |
| Thromboxane urine (84431) | $78.75 | $105 | 2.2× |
| Thyroglobulin (84432) | $100.04 | $133.38 | 6.2× |
| Thyroglobulin Ab (86800) | $30 | $40 | 1.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $504 | $672 | 9.9× |
| Thyroxine binding globulin (84442) | $43.31 | $57.75 | 2.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $173.25 | $231 | 15.0× |
| Tissue Culture Lymphocyte (88230) | $523.68 | $698.25 | 4.5× |
| Topiramate (80201) | $94.50 | $126 | 7.9× |
| Toxin or antitoxin assay (87230) | $39.38 | $52.50 | 2.0× |
| Toxoplasma ab igm (86778) | $64.22 | $85.62 | 4.5× |
| Toxoplasma antibody igg (86777) | $88.60 | $118.12 | 6.2× |
| Transferrin (84466) | $86.63 | $115.50 | 6.8× |
| Trichinella antibody (86784) | $51.19 | $68.25 | 4.1× |
| Triglycerides (84478) | $70.88 | $94.50 | 12.3× |
| Troponin (84484) | $133.88 | $178.50 | 10.7× |
| Ugt1a1 gene analysis common variants (81350) | $350.44 | $467.25 | 1.5× |
| Urea nitrogen (84520) | $40.13 | $53.50 | 10.2× |
| Urea Nitrogen Clearance (84545) | $90.56 | $120.75 | 12.6× |
| Urea nitrogen urine (84540) | $86.63 | $115.50 | 15.6× |
| Uric acid blood (84550) | $39.38 | $52.50 | 8.7× |
| Uric acid other source (84560) | $30 | $40 | 5.9× |
| Urinalysis microscopic only (81015) | $30 | $40 | 9.8× |
| Urinalysis w/microscopic (81001) | $44.54 | $59.38 | 14.0× |
| Urine volume measurement (81050) | $28.31 | $37.75 | 7.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $51.19 | $68.25 | 22.8× |
| Urobilinogen (84578) | $31.50 | $42 | 7.0× |
| Urobilinogen quantitative (84580) | $94.50 | $126 | 9.9× |
| Valproic acid level (80164) | $94.50 | $126 | 7.0× |
| Vancomycin trough (80202) | $145.69 | $194.25 | 10.8× |
| Varicella-zoster antibody (86787) | $94.50 | $126 | 7.3× |
| Vasoactive intestinal peptide (vip) (84586) | $315 | $420 | 8.9× |
| Vasopressin (84588) | $94.50 | $126 | 2.8× |
| Vdrl csf (86592) | $39.38 | $52.50 | 9.2× |
| Very long chain fatty acids (82726) | $295.31 | $393.75 | 15.0× |
| Virus antibody nos (86790) | $80.72 | $107.62 | 6.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $149.62 | $199.50 | 4.4× |
| Virus inoculation, shell via (87254) | $43.31 | $57.75 | 2.2× |
| Viscosity serum (85810) | $37.88 | $50.50 | 3.2× |
| Vitamin A (84590) | $43.31 | $57.75 | 3.7× |
| Vitamin b-12 (82607) | $98.44 | $131.25 | 6.5× |
| Vitamin b-2 (riboflavin) (84252) | $181.13 | $241.50 | 8.9× |
| Vitamin b1 (thiamine) (84425) | $240.19 | $320.25 | 11.3× |
| Vitamin b6 (84207) | $252 | $336 | 9.0× |
| Vitamin C (82180) | $43.31 | $57.75 | 4.4× |
| Vitamin D 25-Hydroxy (82306) | $141.75 | $189 | 4.8× |
| Vitamin e serum (84446) | $38.63 | $51.50 | 2.7× |
| Von willebrand factor activity (85245) | $90.56 | $120.75 | 3.9× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $43.31 | $57.75 | 5.0× |
| West nile virus antibody (86789) | $59.06 | $78.75 | 4.1× |
| Zinc (84630) | $78.75 | $105 | 6.9× |