Lab & pathology prices at Saunders Medical Center
Wahoo, NE · every code in this section with a posted price and a Medicare benchmark.
362 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) | $270.75 | $361 | 7.0× |
| 5 Hiaa (83497) | $142.50 | $190 | 11.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $96.75 | $129 | 8.0× |
| Actin smooth muscle antibody each (86015) | $150 | $200 | 12.4× |
| Activated protein c resistance (85307) | $42 | $56 | 2.7× |
| Acute hepatitis panel (80074) | $317.25 | $423 | 6.7× |
| Afb culture (87116) | $144.75 | $193 | 13.4× |
| Albumin serum (82040) | $41.25 | $55 | 8.3× |
| Aldolase (82085) | $91.50 | $122 | 9.4× |
| Aldosterone urine (82088) | $345.75 | $461 | 8.5× |
| Alkaline phosphatase isoenzymes (84080) | $108.75 | $145 | 7.4× |
| Allergen specific ige (86003) | $50.25 | $67 | 9.6× |
| Allg Spec Ige Recomb Ea (86008) | $97.50 | $130 | 5.4× |
| Alpha-1-antitrypsin phenotype (82104) | $154.50 | $206 | 10.7× |
| Alpha-1-antitrypsin, total (82103) | $158.25 | $211 | 11.8× |
| Alpha-fetoprotein, serum (82105) | $114.75 | $153 | 6.8× |
| Alt (sgpt) (84460) | $61.50 | $82 | 11.6× |
| Amikacin trough (80150) | $34.50 | $46 | 2.3× |
| Ammonia (82140) | $133.50 | $178 | 9.2× |
| Amylase urine (82150) | $98.25 | $131 | 15.2× |
| Ana Titer (86039) | $96 | $128 | 8.6× |
| Angiotensin i enzyme test (82164) | $146.25 | $195 | 10.0× |
| Antibody aspergillus (86606) | $69.75 | $93 | 4.6× |
| Antibody cytomegalovirus cmv (86644) | $150 | $200 | 10.4× |
| Antibody cytomegalovirus cmv igm (86645) | $184.50 | $246 | 10.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $137.25 | $183 | 10.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $113.25 | $151 | 7.9× |
| Antibody herpes smplx type 1 (86695) | $5.40 | $7.20 | 0.4× |
| Antibody HIV-2 (86702) | $89.25 | $119 | 6.6× |
| Antibody identification (86870) | $250.50 | $334 | 0.7× |
| Antibody mumps (86735) | $120 | $160 | 9.2× |
| Antibody rubeola (86765) | $108 | $144 | 8.4× |
| Antibody screen (86850) | $93.75 | $125 | 9.6× |
| Antibody treponema pallidum (86780) | $94.50 | $126 | 7.1× |
| Antibody; Coccidioides (86635) | $69.75 | $93 | 6.1× |
| Antigen typing (86905) | $190.50 | $254 | 49.7× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $96.75 | $129 | 8.0× |
| Antinuclear antibodies (86038) | $98.25 | $131 | 8.1× |
| Antistreptolysin o titer (86060) | $93 | $124 | 12.7× |
| Antithrombin iii activity (85300) | $175.50 | $234 | 14.8× |
| Antithrombin iii antigen (85301) | $183 | $244 | 16.9× |
| Apolipoprotein b (82172) | $138 | $184 | 6.5× |
| Aquaporin-4 Antb Elisa (86051) | $294 | $392 | 25.5× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $204.75 | $273 | 17.0× |
| Assay of acth (82024) | $261 | $348 | 6.8× |
| Assay of c-peptide (84681) | $201 | $268 | 9.7× |
| Assay of ceruloplasmin (82390) | $106.50 | $142 | 9.9× |
| Assay of cyclosporine (80158) | $171.75 | $229 | 9.5× |
| Assay of erythropoietin (82668) | $184.50 | $246 | 9.8× |
| Assay of ferritin (82728) | $150 | $200 | 11.0× |
| Assay of gammaglobulin igm (82784) | $100.50 | $134 | 10.8× |
| Assay of gastrin (82941) | $168.75 | $225 | 9.6× |
| Assay of homocystine (83090) | $260.25 | $347 | 14.5× |
| Assay of metanephrines (83835) | $267 | $356 | 15.8× |
| Assay of parathormone (83970) | $275.25 | $367 | 6.7× |
| Assay of phenobarbital (80184) | $144.75 | $193 | 9.5× |
| Assay of prealbumin (84134) | $93 | $124 | 6.4× |
| Assay of selenium (84255) | $81.75 | $109 | 3.2× |
| Assay of somatomedin (84305) | $193.50 | $258 | 9.1× |
| Assay of tacrolimus (80197) | $197.25 | $263 | 14.4× |
| Ast (sgot) (84450) | $61.50 | $82 | 11.9× |
| B cells total count (86355) | $82.50 | $110 | 2.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $159 | $212 | 6.2× |
| Beta hydroxybutyrate (82010) | $93 | $124 | 11.4× |
| Beta Lactamase (87185) | $42.75 | $57 | 9.0× |
| Beta-2 microglobulin (82232) | $156 | $208 | 9.6× |
| Bilirubin direct (82248) | $57.75 | $77 | 11.5× |
| Bilirubin total (82247) | $57 | $76 | 11.4× |
| Bl Smear W/Diff Wbc Count (85007) | $61.50 | $82 | 16.2× |
| Blastomyces antibody (86612) | $46.50 | $62 | 3.6× |
| Blood gases (82803) | $217.50 | $290 | 8.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39 | $52 | 8.9× |
| Blood Ph - Ph Venous (82800) | $87.75 | $117 | 8.0× |
| Blood typing abo (86900) | $60 | $80 | 20.1× |
| Blood typing serologic rh (d) (86901) | $58.50 | $78 | 19.6× |
| Body fluid cell count (89051) | $116.25 | $155 | 20.8× |
| Breath Alcohol Test (82075) | $58.88 | $78.50 | 2.0× |
| C diff amplified probe (87493) | $84.75 | $113 | 2.3× |
| C-reactive protein (86140) | $104.62 | $139.50 | 20.2× |
| Ca 125 (86304) | $151.50 | $202 | 7.3× |
| Ca 19-9 (86301) | $182.25 | $243 | 8.8× |
| Ca 27 29 (86300) | $174.75 | $233 | 8.4× |
| Calcium ionized (82330) | $127.50 | $170 | 9.3× |
| Calcium total (82310) | $47.25 | $63 | 9.2× |
| Calcium urine (82340) | $68.25 | $91 | 11.3× |
| Calculus Spectroscopy (82365) | $129.75 | $173 | 10.1× |
| Calprotectin, fecal (83993) | $360 | $480 | 18.3× |
| Calr gene com variants (81219) | $306.75 | $409 | 2.5× |
| Carbamazepine (tegretol) total (80156) | $63.75 | $85 | 4.4× |
| Carboxyhemoglobin Quantitative (82375) | $24 | $32 | 1.9× |
| Carcinoembryonic antigen (82378) | $159.75 | $213 | 8.4× |
| Cardiolipin ab igg (86147) | $129.75 | $173 | 5.1× |
| Catecholamines fraction plasma (82384) | $219.75 | $293 | 8.7× |
| Chemiluminescent assay (82397) | $172.50 | $230 | 12.2× |
| Cholesterol total (82465) | $67.50 | $90 | 15.5× |
| Chromium urine (82495) | $93.75 | $125 | 4.6× |
| Chromogranin a (86316) | $312 | $416 | 15.0× |
| Chromosome karyotype study (88280) | $128.25 | $171 | 3.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $136.50 | $182 | 3.9× |
| Clozapine level (80159) | $48 | $64 | 2.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $120 | $160 | 5.0× |
| Compatibility test antiglob (86922) | $210 | $280 | 1.2× |
| Complement c3 (86160) | $93.75 | $125 | 7.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $116.25 | $155 | 9.7× |
| Concentration Infectious Agent (87015) | $43.50 | $58 | 6.5× |
| Coombs direct (86880) | $81 | $108 | 15.0× |
| Copper urine (82525) | $149.25 | $199 | 12.0× |
| Cortisol free (82530) | $134.25 | $179 | 8.0× |
| Cortisol total (82533) | $141 | $188 | 8.7× |
| Creatine kinase total (82550) | $92.25 | $123 | 14.2× |
| Creatinine blood (82565) | $62.25 | $83 | 12.2× |
| Creatinine clearance (82575) | $93 | $124 | 9.8× |
| Creatinine other source (82570) | $79.50 | $106 | 15.3× |
| Crossmatch immediate spin (86920) | $180 | $240 | 1.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $93 | $124 | 11.5× |
| Culture Aerobic Identify (87077) | $87.75 | $117 | 10.9× |
| Culture anaerobic (87075) | $105 | $140 | 11.1× |
| Culture blood (87040) | $210.75 | $281 | 20.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $108 | $144 | 14.0× |
| Culture fungus id yeast (87106) | $93 | $124 | 9.0× |
| Culture fungus other (87102) | $108 | $144 | 12.8× |
| Culture genital (87070) | $127.50 | $170 | 14.8× |
| Culture screen only (87081) | $50.25 | $67 | 7.6× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $396.75 | $529 | 1.8× |
| Culture urine (87086) | $86.25 | $115 | 10.7× |
| Cyclic Citrullinated Peptide (86200) | $159 | $212 | 12.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $333.75 | $445 | 7.8× |
| Cytopath cell enhance tech (88112) | $112.50 | $150 | 2.1× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $80.25 | $107 | 2.1× |
| Cytp concentration smears & interpretation (88108) | $112.50 | $150 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $151.50 | $202 | 2.8× |
| D-Dimer (85379) | $161.25 | $215 | 15.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $93 | $124 | 5.6× |
| Detect agnt mult DNA ampli (87801) | $182.25 | $243 | 2.6× |
| Dhea (82626) | $205.50 | $274 | 8.1× |
| Dhea sulfate (82627) | $205.50 | $274 | 9.2× |
| Digoxin (80162) | $120 | $160 | 9.0× |
| Dilantin (80185) | $116.25 | $155 | 8.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $123 | $164 | 9.0× |
| Dna/Rna Amplified Probe (87150) | $62.25 | $83 | 1.8× |
| DNA/RNA direct probe (87149) | $39 | $52 | 1.9× |
| Drug assay felbamate (80167) | $38.25 | $51 | 2.1× |
| Drug Assay Infliximab (80230) | $193.50 | $258 | 5.0× |
| Drug Assay Lacosamide (80235) | $231.75 | $309 | 8.5× |
| Drug Screen Quant Gabapentin (80171) | $189.75 | $253 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $135.75 | $181 | 10.2× |
| Drug Scrn Quan Levetiracetam (80177) | $220.50 | $294 | 16.6× |
| Drug scrn quant oxcarbazepin (80183) | $183 | $244 | 13.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $192 | $256 | 15.2× |
| Ebv viral capsid (86665) | $127.50 | $170 | 7.0× |
| Ehrlichia antibody (86666) | $93 | $124 | 9.1× |
| Elastase pancreatic fecal quantitative (82653) | $174 | $232 | 7.6× |
| Electrolyte panel (80051) | $105 | $140 | 15.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $81.75 | $109 | 6.8× |
| Endomysial antibody iga (86255) | $116.25 | $155 | 9.6× |
| Eosinophil count (85048) | $72 | $96 | 28.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $117.75 | $157 | 7.7× |
| Estradiol (82670) | $157.50 | $210 | 5.6× |
| Estriol (82677) | $112.50 | $150 | 4.7× |
| Estrogen fractionated (82671) | $240.75 | $321 | 7.5× |
| Estrone (82679) | $154.50 | $206 | 6.2× |
| Everolimus (80169) | $116.25 | $155 | 8.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $66 | $88 | 9.0× |
| F2 gene analysis 20210g >a variant (81240) | $270.75 | $361 | 4.1× |
| Fat stain (89125) | $49.50 | $66 | 8.4× |
| Fibrinogen activity (85384) | $106.88 | $142.50 | 11.0× |
| Flow cytometry first marker (88184) | $188.25 | $251 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $169.50 | $226 | 14.1× |
| Folate serum (82746) | $139.50 | $186 | 9.5× |
| Follicle Stimulating Hormone (83001) | $117.75 | $157 | 6.3× |
| Francisella Tularensis (86668) | $100.50 | $134 | 7.1× |
| Fructosamine (82985) | $24.75 | $33 | 1.5× |
| Gammaglobulin ige (82785) | $117.75 | $157 | 7.2× |
| Ggt (82977) | $74.25 | $99 | 10.3× |
| Giardia antigen eia stool (87329) | $139.50 | $186 | 11.6× |
| Gliadin antibody each immunoglobulin class (86258) | $149.25 | $199 | 12.4× |
| Glucose (82947) | $57 | $76 | 14.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $58.50 | $78 | 14.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $116.25 | $155 | 9.0× |
| Glycosylated hb home device (83037) | $15.75 | $21 | 1.6× |
| Haptoglobin (83010) | $125.25 | $167 | 10.0× |
| Hcg qualitative (84703) | $123.75 | $165 | 16.5× |
| Hcg quant (84702) | $130.12 | $173.50 | 8.6× |
| Hdl Cholesterol (83718) | $59.25 | $79 | 7.2× |
| Heavy metal quant each (83018) | $51 | $68 | 2.3× |
| Hematocrit (85014) | $36 | $48 | 15.2× |
| Hematocrit spun (85013) | $10.50 | $14 | 1.5× |
| Hemoglobin (85018) | $21.38 | $28.50 | 9.0× |
| Hemoglobin a1c (83036) | $72.75 | $97 | 7.5× |
| Hepatitis a antibody total (86708) | $120.75 | $161 | 9.7× |
| Hepatitis a igm (86709) | $105 | $140 | 9.3× |
| Hepatitis b core ab igm (86705) | $96.75 | $129 | 8.2× |
| Hepatitis b core antibody total (86704) | $100.50 | $134 | 8.3× |
| Hepatitis B Surface Ab (86706) | $112.50 | $150 | 10.5× |
| Hepatitis B Surface Antigen (87340) | $102.75 | $137 | 9.9× |
| Hepatitis c antibody (86803) | $116.25 | $155 | 8.1× |
| Hepatitis C Genotype (87902) | $600.75 | $801 | 2.3× |
| Herpes simplex type 2 (86696) | $5.40 | $7.20 | 0.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $46.50 | $62 | 9.0× |
| Histoplasma antibody (86698) | $108.75 | $145 | 7.9× |
| HIV-1 antibody (86701) | $89.25 | $119 | 10.0× |
| Hla b 27 disease association lc (81374) | $263.25 | $351 | 3.5× |
| Homogenization tissue (87176) | $35.25 | $47 | 6.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $236.25 | $315 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $201 | $268 | 7.4× |
| Iaad ia clostridium difficile toxin (87324) | $139.50 | $186 | 11.6× |
| Iaad ia cryptosporidium (87328) | $83.25 | $111 | 6.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $81.75 | $109 | 3.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $186 | $248 | 12.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $98.25 | $131 | 2.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $147 | $196 | 2.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $353.25 | $471 | 8.2× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $135.75 | $181 | 1.9× |
| Iadna nos amplified probe tq each organism (87798) | $252 | $336 | 7.2× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $618 | $824 | 2.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $93.75 | $125 | 2.7× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $309 | $412 | 1.2× |
| Igg subclasses (82787) | $209.25 | $279 | 26.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $139.50 | $186 | 9.3× |
| Immunoassay nonantibody (83516) | $149.25 | $199 | 12.9× |
| Immunofixj Electrophoresis Serum (86334) | $162 | $216 | 7.3× |
| Immunoglobulin light chains free each (83521) | $190.50 | $254 | 11.0× |
| Immunohistochemistry (88342) | $151.50 | $202 | 0.9× |
| India ink prep (87210) | $40.50 | $54 | 7.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $133.50 | $178 | 1.9× |
| Influenza DNA amp probe (87502) | $162.75 | $217 | 1.7× |
| Inhibin b (83520) | $189 | $252 | 10.9× |
| Insitu hybridization (fish) (88365) | $99.75 | $133 | 0.6× |
| Insulin antibodies (86337) | $177.75 | $237 | 8.3× |
| Insulin total (83525) | $157.50 | $210 | 13.8× |
| Intrinsic factor antibody (86340) | $123.75 | $165 | 8.2× |
| Iron (83540) | $118.50 | $158 | 18.3× |
| Iron binding capacity (83550) | $74.25 | $99 | 8.5× |
| Islet cell antibody (86341) | $240 | $320 | 10.2× |
| Jak2 Targeted Sequence Analysis (81279) | $209.25 | $279 | 1.1× |
| Lactic acid (83605) | $122.25 | $163 | 10.6× |
| Lactoferrin fecal qualitative (83630) | $135.75 | $181 | 6.9× |
| Ldh (83615) | $64.50 | $86 | 10.7× |
| LDL cholesterol direct (83721) | $72 | $96 | 6.9× |
| Lead (83655) | $74.25 | $99 | 6.1× |
| Legionella antigen urine (87449) | $154.50 | $206 | 12.9× |
| Level ii surg pathology grossµscopic exam (88302) | $125.25 | $167 | 3.2× |
| Level v surg pathology grossµscopic exam (88307) | $285 | $380 | 0.8× |
| Level vi surg pathology grossµscopic exam (88309) | $156 | $208 | 0.2× |
| Lh (83002) | $111 | $148 | 6.0× |
| Lipase (83690) | $113.62 | $151.50 | 16.5× |
| Lithium (80178) | $93.75 | $125 | 14.2× |
| Lyme disease antibody (86618) | $154.50 | $206 | 9.1× |
| Lyme disease antibody confirm (86617) | $162.75 | $217 | 10.5× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $176.25 | $235 | 0.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $193.50 | $258 | 1.1× |
| Macroscopic exam parasite (87169) | $13.50 | $18 | 3.1× |
| Magnesium (83735) | $79.50 | $106 | 11.9× |
| Mass spectrometry qual/quan (83789) | $144.75 | $193 | 6.0× |
| Methylmalonic acid serum (83921) | $352.50 | $470 | 16.6× |
| Microalbumin urine (82043) | $96 | $128 | 16.6× |
| Microsomal antibodies (86376) | $139.50 | $186 | 9.6× |
| Mitochondrial antibody each (86381) | $150 | $200 | 5.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $176.62 | $235.50 | 14.7× |
| Mononuclear cell antigen (86356) | $172.50 | $230 | 6.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $246 | $328 | 1.3× |
| Mycoplasma culture (87109) | $75 | $100 | 4.9× |
| Natriuretic peptide (83880) | $258.75 | $345 | 6.6× |
| Nk cells total count (86357) | $82.50 | $110 | 2.2× |
| Nuclear antigen antibody (86235) | $154.50 | $206 | 8.6× |
| Obstetric panel (80081) | $267.75 | $357 | 3.6× |
| Osmolality serum (83930) | $89.25 | $119 | 13.5× |
| Osmolality urine (83935) | $125.25 | $167 | 18.4× |
| Pancreatic polypeptide (83519) | $96.75 | $129 | 5.3× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $234 | $312 | 3.3× |
| Phenytoin free (80186) | $108.75 | $145 | 7.9× |
| Phosphatase alkaline (84075) | $42.38 | $56.50 | 8.2× |
| Phosphorus blood (84100) | $53.25 | $71 | 11.2× |
| Platelet count (85049) | $63.75 | $85 | 14.2× |
| Potassium (84132) | $44.25 | $59 | 9.3× |
| Potassium urine (84133) | $50.25 | $67 | 10.6× |
| Pregnenolone (84140) | $193.50 | $258 | 9.4× |
| Procalcitonin (pct) (84145) | $240 | $320 | 8.8× |
| Progesterone (84144) | $123.75 | $165 | 5.9× |
| Prolactin (84146) | $187.50 | $250 | 9.7× |
| Protein c activity (85303) | $218.25 | $291 | 15.8× |
| Protein electrophoresis serum (84165) | $123.75 | $165 | 11.5× |
| Protein Electrophoresis Urine (84166) | $142.50 | $190 | 8.0× |
| Protein S Functional (85306) | $243.75 | $325 | 15.9× |
| Protein Total Serum (84155) | $50.25 | $67 | 13.7× |
| Protein urine (84156) | $70.50 | $94 | 19.2× |
| PSA free (84154) | $159 | $212 | 8.6× |
| Quantiferon tb gold (86480) | $213 | $284 | 3.4× |
| Rbc antibody elution (86860) | $153.38 | $204.50 | 0.9× |
| Reagent strip/blood glucose (82948) | $7.50 | $10 | 1.5× |
| Ref consult prep elsewhere (88321) | $309 | $412 | 8.0× |
| Renin activity plasma (84244) | $219 | $292 | 10.0× |
| Reticulocyte Count (85046) | $54.75 | $73 | 9.8× |
| Rheumatoid factor quant (86431) | $69.75 | $93 | 12.3× |
| Rickettsia antibody (86757) | $132 | $176 | 6.8× |
| Rsv (87807) | $78 | $104 | 6.0× |
| Rubella antibody (86762) | $77.25 | $103 | 5.4× |
| Russell viper venom time diluted (85613) | $61.50 | $82 | 6.4× |
| Salicylate (80179) | $192 | $256 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $133.50 | $178 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $66 | $88 | 1.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $429 | $572 | 3.0× |
| Sed rate automated (85652) | $45.75 | $61 | 16.9× |
| Sensitivity mic (87186) | $102.75 | $137 | 11.9× |
| Sex hormone binding globulin (84270) | $133.50 | $178 | 6.1× |
| Sickle cell screen (85660) | $64.50 | $86 | 11.7× |
| Smear acid fast (87206) | $69.75 | $93 | 12.9× |
| Smear gram stain (87205) | $60 | $80 | 14.1× |
| Sodium (84295) | $44.25 | $59 | 9.2× |
| Sodium urine (84300) | $67.50 | $90 | 13.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $70.50 | $94 | 0.5× |
| Special stains group 1 (88312) | $129.75 | $173 | 2.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $91.50 | $122 | 0.5× |
| Strep a assay w/optic (87880) | $53.62 | $71.50 | 3.2× |
| Strep b DNA amp probe (87653) | $154.50 | $206 | 4.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $139.50 | $186 | 1.5× |
| Surg path level iii (88304) | $150.75 | $201 | 2.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $31.50 | $42 | 1.0× |
| Surgical pathology level IV (88305) | $190.50 | $254 | 3.5× |
| Susceptibility study antimicrobial disk method (87184) | $54.75 | $73 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $82.50 | $110 | 1.8× |
| T cells, total count (86359) | $82.50 | $110 | 2.2× |
| T3 free (84481) | $198 | $264 | 11.7× |
| T3 reverse (84482) | $193.50 | $258 | 12.3× |
| T3 total (84480) | $111 | $148 | 7.8× |
| T4 Free (84439) | $102 | $136 | 11.3× |
| T4 total (84436) | $82.50 | $110 | 12.0× |
| Tb intradermal test (86580) | $23.25 | $31 | 0.8× |
| Testosterone free (84402) | $169.50 | $226 | 6.7× |
| Testosterone total (84403) | $129.75 | $173 | 5.0× |
| Thin prep pap (88142) | $65.25 | $87 | 3.2× |
| Thrombin time plasma (85670) | $61.50 | $82 | 10.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $61.50 | $82 | 9.5× |
| Thyroglobulin (84432) | $193.50 | $258 | 12.0× |
| Thyroglobulin Ab (86800) | $107.25 | $143 | 6.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $48 | $64 | 0.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $150 | $200 | 13.0× |
| Tissue culture bone marrow (88237) | $394.50 | $526 | 2.7× |
| Topiramate (80201) | $201 | $268 | 16.9× |
| Transferrin (84466) | $108 | $144 | 8.5× |
| Triglycerides (84478) | $54.75 | $73 | 9.5× |
| Troponin (84484) | $220.50 | $294 | 17.7× |
| Urea nitrogen (84520) | $54 | $72 | 13.7× |
| Uric acid blood (84550) | $64.50 | $86 | 14.3× |
| Urinalysis microscopic only (81015) | $27 | $36 | 8.9× |
| Urinalysis w/microscopic (81001) | $32.62 | $43.50 | 10.3× |
| Urine pregnancy test (81025) | $75 | $100 | 8.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $17.62 | $23.50 | 7.8× |
| Valproic acid level (80164) | $147 | $196 | 10.9× |
| Vancomycin trough (80202) | $159 | $212 | 11.7× |
| Varicella-zoster antibody (86787) | $117.75 | $157 | 9.1× |
| Vdrl csf (86592) | $42.75 | $57 | 10.0× |
| Vitamin A (84590) | $154.50 | $206 | 13.3× |
| Vitamin b-12 (82607) | $146.25 | $195 | 9.7× |
| Vitamin b1 (thiamine) (84425) | $192.75 | $257 | 9.1× |
| Vitamin b6 (84207) | $174.75 | $233 | 6.2× |
| Vitamin D 25-Hydroxy (82306) | $183 | $244 | 6.2× |
| Vitamin e serum (84446) | $192 | $256 | 13.5× |
| Voltage-gated calcium channel antibody each (86596) | $49.50 | $66 | 4.1× |
| West nile virus ab, igm (86788) | $119.25 | $159 | 7.1× |
| West nile virus antibody (86789) | $119.25 | $159 | 8.3× |
| Zinc (84630) | $82.50 | $110 | 7.2× |