Lab & pathology prices at Sedgwick County Memorial Hospital
Julesburg, CO · every code in this section with a posted price and a Medicare benchmark.
353 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) | $306 | $306 | 7.9× |
| 5 Hiaa (83497) | $117 | $117 | 9.1× |
| Acetaminophen level (80143) | $248 | $248 | 13.3× |
| Actin smooth muscle antibody each (86015) | $152 | $152 | 12.6× |
| Acute hepatitis panel (80074) | $229 | $229 | 4.8× |
| Afb culture (87116) | $167 | $167 | 15.5× |
| Albumin serum (82040) | $105 | $105 | 21.2× |
| Aldolase (82085) | $148 | $148 | 15.2× |
| Aldosterone urine (82088) | $245 | $245 | 6.0× |
| Alkaline phosphatase isoenzymes (84080) | $148 | $148 | 10.0× |
| Allerg sp igg quan or semiquan (86001) | $93 | $93 | 11.9× |
| Allergen specific ige (86003) | $306 | $306 | 58.6× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $49 | $49 | 6.1× |
| Alpha-1-antitrypsin, total (82103) | $148 | $148 | 11.0× |
| Alpha-fetoprotein, serum (82105) | $73 | $73 | 4.4× |
| Alt (sgpt) (84460) | $105 | $105 | 19.8× |
| Ammonia (82140) | $152 | $152 | 10.4× |
| Amylase urine (82150) | $105 | $105 | 16.2× |
| Angiotensin i enzyme test (82164) | $217 | $217 | 14.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $125 | $125 | 9.5× |
| Antibody herpes smplx type 1 (86695) | $76 | $76 | 5.8× |
| Antibody identification (86870) | $185 | $185 | 0.5× |
| Antibody mumps (86735) | $98 | $98 | 7.5× |
| Antibody Protozoa Nes (86753) | $121 | $121 | 9.8× |
| Antibody rubeola (86765) | $79 | $79 | 6.1× |
| Antibody screen (86850) | $124 | $124 | 12.7× |
| Antibody treponema pallidum (86780) | $54 | $54 | 4.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $181 | $181 | 34.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $96 | $96 | 8.0× |
| Antinuclear antibodies (86038) | $126 | $126 | 10.4× |
| Antistreptolysin o titer (86060) | $108 | $108 | 14.8× |
| Antithrombin iii activity (85300) | $206 | $206 | 17.4× |
| Arsenic Urine (82175) | $169 | $169 | 8.9× |
| Assay of acth (82024) | $245 | $245 | 6.3× |
| Assay of c-peptide (84681) | $166 | $166 | 8.0× |
| Assay of ceruloplasmin (82390) | $74 | $74 | 6.9× |
| Assay of cyclosporine (80158) | $60 | $60 | 3.3× |
| Assay of erythropoietin (82668) | $138 | $138 | 7.3× |
| Assay of ferritin (82728) | $149 | $149 | 10.9× |
| Assay of g6pd enzyme (82955) | $91 | $91 | 9.4× |
| Assay of gammaglobulin igm (82784) | $105 | $105 | 11.3× |
| Assay of gastrin (82941) | $204 | $204 | 11.6× |
| Assay of glucagon (82943) | $200 | $200 | 14.0× |
| Assay of homocystine (83090) | $355 | $355 | 19.8× |
| Assay of metanephrines (83835) | $232 | $232 | 13.7× |
| Assay of parathormone (83970) | $248 | $248 | 6.0× |
| Assay of phenobarbital (80184) | $129 | $129 | 8.4× |
| Assay of prealbumin (84134) | $213 | $213 | 14.6× |
| Assay of proinsulin (84206) | $46 | $46 | 1.7× |
| Assay of prostate specific antigen complexed (84152) | $211 | $211 | 11.5× |
| Assay of somatomedin (84305) | $250 | $250 | 11.8× |
| Assay of tacrolimus (80197) | $245 | $245 | 17.8× |
| Assay of vitamin k (84597) | $518 | $518 | 37.8× |
| Ast (sgot) (84450) | $105 | $105 | 20.3× |
| B cells total count (86355) | $194 | $194 | 5.1× |
| Bcr/abl1 gene major bp (81206) | $1,018 | $1,018 | 6.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $418 | $418 | 16.4× |
| Beta hydroxybutyrate (82010) | $228 | $228 | 27.9× |
| Bilirubin direct (82248) | $105 | $105 | 20.9× |
| Bilirubin total (82247) | $105 | $105 | 20.9× |
| Bl Smear W/Diff Wbc Count (85007) | $66 | $66 | 17.4× |
| Blood count reticulocyte automated (85045) | $79 | $79 | 19.8× |
| Blood gases (82803) | $278 | $278 | 10.7× |
| Blood gases w/02 saturation (82805) | $349 | $349 | 4.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $47 | $47 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $88 | $88 | 20.1× |
| Blood typing abo (86900) | $143 | $143 | 47.8× |
| Blood typing serologic rh (d) (86901) | $141 | $141 | 47.2× |
| Body fluid cell count (89051) | $87 | $87 | 15.5× |
| Breath Alcohol Test (82075) | $62 | $62 | 2.1× |
| C diff amplified probe (87493) | $160 | $160 | 4.3× |
| C-reactive protein (86140) | $129 | $129 | 24.9× |
| C1q binding assay (86332) | $186 | $186 | 7.6× |
| Ca 125 (86304) | $169 | $169 | 8.1× |
| Ca 19-9 (86301) | $200 | $200 | 9.6× |
| Ca 27 29 (86300) | $160 | $160 | 7.7× |
| Cadmium level (82300) | $167 | $167 | 7.1× |
| Calcium ionized (82330) | $103 | $103 | 7.5× |
| Calcium total (82310) | $105 | $105 | 20.3× |
| Calcium urine (82340) | $141 | $141 | 23.4× |
| Calculus Quantitative Chemical (82360) | $120 | $120 | 9.3× |
| Calprotectin, fecal (83993) | $576 | $576 | 29.3× |
| Carbamazepine (tegretol) total (80156) | $171 | $171 | 11.7× |
| Carcinoembryonic antigen (82378) | $175 | $175 | 9.2× |
| Cardiolipin ab igg (86147) | $85 | $85 | 3.3× |
| Catecholamines fraction plasma (82384) | $231 | $231 | 9.1× |
| Chemiluminescent assay (82397) | $273 | $273 | 19.3× |
| Chloride urine (82436) | $201 | $201 | 35.0× |
| Cholesterol total (82465) | $105 | $105 | 24.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $60 | $60 | 1.7× |
| Citrate (82507) | $199 | $199 | 7.2× |
| Ck isoenzymes (82552) | $117 | $117 | 8.7× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $351 | $351 | 19.6× |
| Cns DNA amp probe type 12-25 (87483) | $769 | $769 | 1.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $437 | $437 | 18.1× |
| Collagen cross links (82523) | $351 | $351 | 18.8× |
| Compatibility test antiglob (86922) | $132 | $132 | 0.7× |
| Complement c3 (86160) | $122 | $122 | 10.2× |
| Complement total ch50 (86162) | $156 | $156 | 7.7× |
| Concentration Infectious Agent (87015) | $125 | $125 | 18.7× |
| Coombs direct (86880) | $83 | $83 | 15.4× |
| Copper urine (82525) | $198 | $198 | 16.0× |
| Cortisol total (82533) | $103 | $103 | 6.3× |
| Creatinine blood (82565) | $103.50 | $103.50 | 20.2× |
| Creatinine clearance (82575) | $93 | $93 | 9.8× |
| Creatinine other source (82570) | $151 | $151 | 29.2× |
| Crossmatch immediate spin (86920) | $115 | $115 | 0.6× |
| Culture Aerobic Identify (87077) | $25 | $25 | 3.1× |
| Culture anaerobic (87075) | $46 | $46 | 4.9× |
| Culture blood (87040) | $148 | $148 | 14.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $121 | $121 | 15.7× |
| Culture fungus id yeast (87106) | $55 | $55 | 5.3× |
| Culture fungus other (87102) | $123 | $123 | 14.6× |
| Culture genital (87070) | $66 | $66 | 7.7× |
| Culture screen only (87081) | $79 | $79 | 11.9× |
| Culture stool (87045) | $95 | $95 | 10.1× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $377 | $377 | 1.7× |
| Culture urine (87086) | $121 | $121 | 15.0× |
| Culture urine id ea isolate (87088) | $25 | $25 | 3.1× |
| Cyclic Citrullinated Peptide (86200) | $123 | $123 | 9.5× |
| Cystatin c (82610) | $367 | $367 | 19.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $1,109 | $1,109 | 25.9× |
| D-Dimer (85379) | $216 | $216 | 21.2× |
| Deoxyribonuclease antibody (86215) | $82 | $82 | 6.2× |
| Dhea (82626) | $299 | $299 | 11.8× |
| Dhea sulfate (82627) | $132 | $132 | 5.9× |
| Digoxin (80162) | $167 | $167 | 12.6× |
| Dilantin (80185) | $167 | $167 | 12.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $62 | $62 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $282 | $282 | 21.3× |
| Drug scrn quant oxcarbazepin (80183) | $315 | $315 | 23.8× |
| Drug test prsmv chem anlyzr (80307) | $335.50 | $335.50 | 5.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $32 | $32 | 2.5× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $280 | $280 | 16.3× |
| Ebv viral capsid (86665) | $148 | $148 | 8.2× |
| Electrolyte panel (80051) | $127 | $127 | 18.1× |
| Endomysial antibody iga (86255) | $213 | $213 | 17.7× |
| Eosinophil count (85048) | $38 | $38 | 15.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $125 | $125 | 8.2× |
| Estradiol (82670) | $157 | $157 | 5.6× |
| Estrogens total (82672) | $161 | $161 | 7.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $29 | $29 | 4.0× |
| Factor viii ahg (85240) | $324 | $324 | 18.1× |
| Fecal fat qual (82705) | $80 | $80 | 15.7× |
| Fibrinogen activity (85384) | $132 | $132 | 13.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $91 | $91 | 7.6× |
| Folate serum (82746) | $109 | $109 | 7.4× |
| Follicle Stimulating Hormone (83001) | $135 | $135 | 7.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $81 | $81 | 7.8× |
| Gammaglobulin ige (82785) | $49 | $49 | 3.0× |
| Ggt (82977) | $102 | $102 | 14.2× |
| Giardia antigen eia stool (87329) | $90 | $90 | 7.5× |
| Glucose (82947) | $105 | $105 | 26.7× |
| Glucose Blood Test (82962) | $56 | $56 | 17.1× |
| Glucose body fluid (82945) | $69 | $69 | 17.6× |
| Glucose post dose (82950) | $133 | $133 | 28.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $340 | $340 | 26.4× |
| Growth hormone (83003) | $136 | $136 | 8.2× |
| Haptoglobin (83010) | $166 | $166 | 13.2× |
| Hcg qualitative (84703) | $97 | $97 | 12.9× |
| Hcg quant (84702) | $181 | $181 | 12.0× |
| Hematocrit (85014) | $38 | $38 | 16.0× |
| Hemoglobin (85018) | $38 | $38 | 16.0× |
| Hemoglobin a1c (83036) | $129 | $129 | 13.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $69 | $69 | 8.4× |
| Hemoglobin plasma (83051) | $103 | $103 | 14.1× |
| Heparin assay (85520) | $57 | $57 | 4.4× |
| Heparin neutralization (85525) | $57 | $57 | 4.8× |
| Hepatitis b core ab igm (86705) | $132 | $132 | 11.2× |
| Hepatitis b core antibody total (86704) | $98 | $98 | 8.1× |
| Hepatitis B Surface Ab (86706) | $109 | $109 | 10.1× |
| Hepatitis B Surface Antigen (87340) | $198 | $198 | 19.2× |
| Hepatitis c antibody (86803) | $228 | $228 | 16.0× |
| Hepatitis C Genotype (87902) | $783 | $783 | 3.0× |
| Herpes culture (87252) | $273 | $273 | 10.5× |
| Herpes simplex type 2 (86696) | $76 | $76 | 3.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $101 | $101 | 19.5× |
| Hfe gene (81256) | $442 | $442 | 6.8× |
| Histoplasma antigen urine (87385) | $284 | $284 | 21.4× |
| HIV confirmation (86689) | $100 | $100 | 5.2× |
| Hla b 27 disease association lc (81374) | $587.50 | $587.50 | 7.9× |
| Hpv types 16 & 18 only (87625) | $190 | $190 | 4.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $316 | $316 | 4.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $431 | $431 | 12.3× |
| Iaad ia cryptosporidium (87328) | $81 | $81 | 5.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $188 | $188 | 13.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $66 | $66 | 5.5× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $199 | $199 | 6.1× |
| Iaadiadoo not otherwise specified (87899) | $132 | $132 | 8.2× |
| Iadna hepatitis b virus quantification (87517) | $931 | $931 | 21.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $558 | $558 | 13.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $60 | $60 | 1.7× |
| Iadna nos amplified probe tq each organism (87798) | $419.50 | $419.50 | 12.0× |
| Iadna nos quantification each organism (87799) | $242 | $242 | 5.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $106 | $106 | 3.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $771 | $771 | 1.8× |
| Igg subclasses (82787) | $316 | $316 | 39.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $181.50 | $181.50 | 12.1× |
| Immunoassay nonantibody (83516) | $172 | $172 | 14.9× |
| Immunofixj Electrophoresis Serum (86334) | $211 | $211 | 9.4× |
| Immunoglobulin light chains free each (83521) | $176 | $176 | 10.2× |
| Immunohistochemistry (88342) | $166 | $166 | 0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient (87526) | $450 | $450 | 11.5× |
| Inhibin b (83520) | $289 | $289 | 16.7× |
| Insulin antibodies (86337) | $175 | $175 | 8.2× |
| Insulin total (83525) | $129 | $129 | 11.3× |
| Iron (83540) | $135 | $135 | 20.9× |
| Iron binding capacity (83550) | $125 | $125 | 14.3× |
| Islet cell antibody (86341) | $214 | $214 | 9.1× |
| Lactic acid (83605) | $65 | $65 | 5.6× |
| Lactoferrin fecal qualitative (83630) | $123 | $123 | 6.2× |
| Ldh (83615) | $89 | $89 | 14.7× |
| Ldh isoenzymes (83625) | $123 | $123 | 9.6× |
| LDL cholesterol direct (83721) | $114 | $114 | 10.9× |
| Lead (83655) | $161 | $161 | 13.3× |
| Legionella antigen urine (87449) | $80 | $80 | 6.7× |
| Level ii surg pathology grossµscopic exam (88302) | $151 | $151 | 3.8× |
| Level v surg pathology grossµscopic exam (88307) | $359 | $359 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $492 | $492 | 0.6× |
| Lh (83002) | $135 | $135 | 7.3× |
| Lipase (83690) | $142 | $142 | 20.6× |
| Lithium (80178) | $109 | $109 | 16.5× |
| Lyme disease antibody (86618) | $183 | $183 | 10.7× |
| Lyme disease antibody confirm (86617) | $436 | $436 | 28.1× |
| Magnesium (83735) | $149 | $149 | 22.2× |
| Malaria smear (87207) | $125 | $125 | 20.9× |
| Mass spectrometry qual/quan (83789) | $531 | $531 | 22.0× |
| Mercury (83825) | $295 | $295 | 18.1× |
| Methotrexate (80299) | $290 | $290 | 15.6× |
| Methylmalonic acid serum (83921) | $528 | $528 | 24.9× |
| Microalbumin urine (82043) | $201 | $201 | 34.8× |
| Microbe suscept macrobroth (87188) | $104 | $104 | 15.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $197 | $197 | 3.6× |
| Microsomal antibodies (86376) | $129 | $129 | 8.9× |
| Mitochondrial antibody each (86381) | $143 | $143 | 5.6× |
| Mog-igg1 antibody flow cytometry each (86363) | $1,163 | $1,163 | 30.8× |
| Mononuclear cell antigen (86356) | $194 | $194 | 7.2× |
| Mrsa amp probe (87641) | $177 | $177 | 5.0× |
| Mthfr Gene Analysis Common Variants (81291) | $170 | $170 | 2.6× |
| Muramidase (85549) | $134 | $134 | 7.1× |
| Mycoplasma antibody (86738) | $143 | $143 | 10.8× |
| Nasal smear for eosinophils (89190) | $60 | $60 | 10.4× |
| Natriuretic peptide (83880) | $200 | $200 | 5.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $214 | $214 | 0.8× |
| Niacin (84591) | $214 | $214 | 12.5× |
| Nk cells total count (86357) | $194 | $194 | 5.1× |
| Nuclear antigen antibody (86235) | $134 | $134 | 7.5× |
| Organic Acids Total Quantitative Each Specimen (83918) | $340 | $340 | 14.4× |
| Osmolality serum (83930) | $97 | $97 | 14.7× |
| Osmolality urine (83935) | $152 | $152 | 22.3× |
| Ova and parasite direct-id lca (87177) | $127 | $127 | 14.3× |
| Oxalate urine (83945) | $176 | $176 | 12.2× |
| Pancreatic elastase fecal (82656) | $586 | $586 | 50.8× |
| Pancreatic polypeptide (83519) | $134 | $134 | 7.3× |
| Parvovirus antibody (86747) | $99 | $99 | 6.6× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $119.50 | $119.50 | 1.7× |
| Phenylalanine (84030) | $268 | $268 | 48.7× |
| Phenytoin free (80186) | $167 | $167 | 12.1× |
| Phosphatase alkaline (84075) | $167 | $167 | 32.2× |
| Phospholipid Neutralization Hexagonal (85598) | $57 | $57 | 3.2× |
| Phosphorus blood (84100) | $105 | $105 | 22.2× |
| Phosphorus urine (84105) | $134 | $134 | 23.2× |
| Platelet count (85049) | $38 | $38 | 8.5× |
| Potassium (84132) | $105 | $105 | 22.1× |
| Potassium urine (84133) | $127 | $127 | 26.8× |
| Procalcitonin (pct) (84145) | $173 | $173 | 6.4× |
| Progesterone (84144) | $148 | $148 | 7.1× |
| Prolactin (84146) | $166 | $166 | 8.6× |
| Protein body fluid (84157) | $69 | $69 | 17.3× |
| Protein c activity (85303) | $90 | $90 | 6.5× |
| Protein electrophoresis serum (84165) | $129 | $129 | 12.0× |
| Protein S Functional (85306) | $149 | $149 | 9.7× |
| Protein Total Serum (84155) | $105 | $105 | 28.6× |
| Protein urine (84156) | $100 | $100 | 27.2× |
| PSA free (84154) | $297 | $297 | 16.2× |
| Quantiferon tb gold (86480) | $311 | $311 | 5.0× |
| Rbc antibody elution (86860) | $181 | $181 | 1.0× |
| Reagent strip/blood glucose (82948) | $24 | $24 | 4.8× |
| Renin activity plasma (84244) | $130 | $130 | 5.9× |
| Resp virus 3-5 targets (87631) | $375 | $375 | 2.6× |
| Rheumatoid factor quant (86431) | $80 | $80 | 14.1× |
| Rickettsia antibody (86757) | $166 | $166 | 8.6× |
| Rubella antibody (86762) | $197 | $197 | 13.7× |
| Russell viper venom time diluted (85613) | $84.50 | $84.50 | 8.8× |
| Saccharomyces ab iga (86671) | $347 | $347 | 28.3× |
| Salicylate (80179) | $109 | $109 | 5.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $128 | $128 | 2.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $148 | $148 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $194 | $194 | 1.4× |
| Sedimentation rate (85651) | $97 | $97 | 22.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $82 | $82 | 6.8× |
| Serotonin Release Assay (86022) | $517 | $517 | 28.1× |
| Sex hormone binding globulin (84270) | $264 | $264 | 12.1× |
| Sickle cell screen (85660) | $76 | $76 | 13.8× |
| Smear gram stain (87205) | $67 | $67 | 15.7× |
| Sodium (84295) | $105 | $105 | 21.8× |
| Sodium urine (84300) | $134 | $134 | 26.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $169 | $169 | 1.2× |
| Special stains group 1 (88312) | $202 | $202 | 3.7× |
| Stool Cultr Aerobic Bact Ea (87046) | $69 | $69 | 7.3× |
| Strep a assay w/optic (87880) | $50 | $50 | 3.0× |
| Strep a DNA amp probe (87651) | $57 | $57 | 1.6× |
| Sulfate urine (84392) | $130 | $130 | 23.7× |
| Surg path level iii (88304) | $169 | $169 | 3.1× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $200 | $200 | 6.6× |
| Surgical pathology level IV (88305) | $319 | $319 | 5.8× |
| T3 free (84481) | $127.50 | $127.50 | 7.5× |
| T3 reverse (84482) | $624 | $624 | 39.6× |
| T3 total (84480) | $156 | $156 | 11.0× |
| T3 uptake (84479) | $77 | $77 | 11.9× |
| T4 Free (84439) | $103 | $103 | 11.4× |
| T4 total (84436) | $105 | $105 | 15.3× |
| Tb intradermal test (86580) | $68 | $68 | 2.2× |
| Testosterone free (84402) | $156 | $156 | 6.1× |
| Testosterone total (84403) | $156 | $156 | 6.0× |
| Theophylline (80198) | $171 | $171 | 12.1× |
| Thin prep pap (88142) | $157 | $157 | 7.7× |
| Thrombin time plasma (85670) | $57 | $57 | 9.9× |
| Thyroglobulin (84432) | $125 | $125 | 7.8× |
| Thyroglobulin Ab (86800) | $102.50 | $102.50 | 6.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $238 | $238 | 4.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $141 | $141 | 12.2× |
| Topiramate (80201) | $273 | $273 | 22.9× |
| Toxoplasma ab igm (86778) | $111 | $111 | 7.7× |
| Toxoplasma antibody igg (86777) | $102 | $102 | 7.1× |
| Transferrin (84466) | $111 | $111 | 8.7× |
| Trichomonas vagin dir probe (87660) | $99 | $99 | 4.9× |
| Triglycerides (84478) | $105 | $105 | 18.3× |
| Troponin (84484) | $215 | $215 | 17.2× |
| Urea nitrogen (84520) | $103.50 | $103.50 | 26.2× |
| Urea Nitrogen Clearance (84545) | $81 | $81 | 11.3× |
| Uric acid blood (84550) | $105 | $105 | 23.2× |
| Uric acid other source (84560) | $130 | $130 | 25.6× |
| Urinalysis microscopic only (81015) | $41 | $41 | 13.4× |
| Urine pregnancy test (81025) | $76 | $76 | 8.8× |
| Valproic acid level (80164) | $194 | $194 | 14.3× |
| Vancomycin trough (80202) | $232 | $232 | 17.1× |
| Varicella-zoster antibody (86787) | $148 | $148 | 11.5× |
| Vasopressin (84588) | $272 | $272 | 8.0× |
| Vdrl csf (86592) | $95 | $95 | 22.2× |
| Virus antibody nos (86790) | $289 | $289 | 22.4× |
| Virus inoculate tissue addl (87253) | $161 | $161 | 8.0× |
| Vitamin A (84590) | $131 | $131 | 11.3× |
| Vitamin b-12 (82607) | $143 | $143 | 9.5× |
| Vitamin b-2 (riboflavin) (84252) | $211 | $211 | 10.4× |
| Vitamin b1 (thiamine) (84425) | $286 | $286 | 13.5× |
| Vitamin b6 (84207) | $258 | $258 | 9.2× |
| Vitamin D 25-Hydroxy (82306) | $184.50 | $184.50 | 6.2× |
| Vitamin e serum (84446) | $103 | $103 | 7.3× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $48 | $48 | 5.6× |
| West nile virus ab, igm (86788) | $134 | $134 | 8.0× |
| West nile virus antibody (86789) | $134 | $134 | 9.3× |
| Zinc (84630) | $129 | $129 | 11.3× |