Lab & pathology prices at St. Thomas More Hospital

Canon City, CO · every code in this section with a posted price and a Medicare benchmark.

357 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Acetaminophen (80143) $75.48 $188.68 4.0×
Acetone, quantitative (82010) $53.50 $133.75 6.5×
Acetylcholine receptor binding antibody (86041) $22.08 $55.20 1.2×
Acetylcholn rcptr blckg antb (86042) $22.08 $55.20 1.2×
Acetylcholn rcptr modlg antb (86043) $14.46 $36.15 1.2×
Activated protein c resistance (85307) $100.29 $250.72 6.5×
Acute hepatitis panel (80074) $261.89 $654.72 5.5×
Afb concentration (87015) $37.44 $93.60 5.6×
Afb culture (87116) $90.20 $225.49 8.4×
Afb smear (87206) $29.56 $73.90 5.5×
Albumin body fluid (82042) $25.32 $63.28 3.3×
Albumin serum (82040) $31.35 $78.37 6.3×
Alcohol (82077) $75.48 $188.68 4.4×
Alkaline phosphatase (84075) $31.31 $78.27 6.0×
Alpha-fetoprotein serum (82105) $101.49 $253.72 6.1×
Alt (84460) $29.10 $72.75 5.5×
Ammonia (82140) $100.47 $251.16 6.9×
Amylase (82150) $72.32 $180.79 11.2×
Ana (86038) $73.15 $182.87 6.1×
Ana titer (86039) $67.54 $168.84 6.1×
Anti-mitochondrial antibody (86255) $66.74 $166.85 5.5×
Antibody; Helicobacter pylori (86677) $81.36 $203.39 4.8×
Antistreptolysin o titer (86060) $31.39 $78.47 4.3×
Antithrombin iii activity (85300) $72.06 $180.13 6.1×
Assay anti-mullerian horm (82166) $46.35 $115.86 1.2×
Ast (84450) $31.31 $78.27 6.0×
Autologous blood or component, collection processing and storage; predeposited (86890) $785.75 $1,964.36 4.4×
B cells total count (86355) $99.12 $247.80 2.6×
Basic metabolic panel calcium ionized (80047) $52.92 $132.28 3.9×
Beta lactamase (87185) $26.11 $65.27 5.5×
Bilirubin direct (82248) $31.35 $78.37 6.2×
Bilirubin total (82247) $28.16 $70.39 5.6×
Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) $114.46 $286.13 3.8×
Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) $680.43 $1,701.06 3.8×
Blood count leukocyte wbc automated (85048) $18.56 $46.38 7.3×
Blood count reticulocyte automated (85045) $26.19 $65.46 6.6×
Blood gases any combination (82803) $108.47 $271.17 4.2×
Blood gases ph only (82800) $47.50 $118.73 4.3×
Blood gases w/o2 saturation (82805) $159.08 $397.68 2.0×
Blood typing rbc antigens (86905) $162.70 $406.74 42.5×
Blood typing serologic abo (86900) $63.18 $157.94 21.1×
Blood typing serologic rh (d) (86901) $37.08 $92.68 12.4×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $162.70 $406.74 25.6×
Bone marrow smear interpretation (85097) $1,652.86 $4,132.13 1.9×
Breath alcohol test (82075) $66.17 $165.42 2.2×
C diff amplified probe (87493) $197.64 $494.10 5.3×
C-reactive protein (86140) $31.31 $78.27 6.0×
C-reactive protein high sensitivity (86141) $78.30 $195.74 6.0×
Ca 125 (86304) $114.46 $286.13 5.5×
Ca 15-3 (86300) $114.46 $286.13 5.5×
Calcium ionized (82330) $76.60 $191.50 5.6×
Calcium total (82310) $28.92 $72.28 5.6×
Calcium, random urine (82340) $36.05 $90.11 6.0×
Cancer antigen 19-9 (86301) $114.46 $286.13 5.5×
Car ion chnnlpath inc 10 gns (81413) $514.66 $1,286.63 0.9×
Car ion chnnlpath inc 2 gns (81414) $514.66 $1,286.63 0.9×
Carbamazepine total (80156) $80.05 $200.12 5.5×
Carbon dioxide (82374) $50.62 $126.54 10.4×
Carbon monoxide (82375) $69.11 $172.77 5.6×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $169.68 $424.20 3.6×
Cea (82378) $114.75 $286.87 6.1×
Cell count body fluid (89050) $21.16 $52.88 4.5×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $51.20 $127.98 9.1×
Cftr gene com variants (81220) $330.25 $825.61 0.6×
Chg fresh frozen plasma thawing each unit (86927) $785.75 $1,964.36 4.4×
Chloride blood (82435) $19.95 $49.86 4.3×
Chloride other source (82438) $27.43 $68.57 5.5×
Chloride urine (82436) $28.18 $70.45 4.9×
Cholesterol total (82465) $24.96 $62.38 5.7×
Chorionic gonadotropin test (84702) $96 $239.98 6.4×
Chromosome analysis 15-20 cells (88262) $698.71 $1,746.76 5.6×
Chromosome analysis 20-25 cells (88264) $165.10 $412.75 1.1×
Chromosome analysis for genetic defects, additional cells counted, each study (88285) $106.51 $266.27 4.0×
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $140.68 $351.69 4.2×
Ck mb fraction (82553) $71.04 $177.59 6.2×
Clostridium ag eia (87324) $67.27 $168.17 5.6×
Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) $366.73 $916.81 0.9×
Coagulation time activated (85347) $26.46 $66.14 6.2×
Compatibility each unit electronic (86923) $463.46 $1,158.65 2.6×
Complement antigen ea component (86160) $66.04 $165.10 5.5×
Cortisol saliva (82533) $89.66 $224.13 5.5×
Creatine kinase isoenzymes (82552) $118.38 $295.95 8.8×
Creatine kinase total (82550) $35.82 $89.55 5.5×
Creatinine (82565) $30.72 $76.79 6.0×
Creatinine clearance (82575) $70.39 $175.97 7.4×
Creatinine other source (82570) $40.31 $100.77 7.8×
Crossmatch ahg (86922) $463.46 $1,158.65 2.6×
Cryptococcal antigen (87327) $81.85 $204.62 6.1×
Cryptosporidium ag eia (87328) $67.27 $168.17 4.9×
Cryptosporidium ag if (87272) $63.08 $157.70 5.3×
Crystals fluid (89060) $42.08 $105.18 5.7×
Culture anaerobic (87075) $57.59 $143.97 6.1×
Culture blood (87040) $92.15 $230.36 8.9×
Culture fungus blood (87103) $41.93 $104.82 2.0×
Culture fungus skin hair nail (87101) $50.13 $125.32 6.5×
Culture stool (87045) $63.99 $159.96 6.8×
Culture urine (87086) $54.40 $135.99 6.7×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $69.42 $173.54 8.6×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $39.74 $99.34 4.9×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $52.87 $132.17 5.6×
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $38.40 $95.99 7.4×
Cyclosporine (80158) $135.99 $339.97 7.5×
Cytogenetics 25-99 (88274) $177.95 $444.87 4.2×
Cytomeg DNA amp probe (87496) $96.93 $242.31 2.8×
Cytopath cell enhance tech (88112) $201.07 $502.67 3.7×
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $383.45 $958.61 2.1×
Cytp eval fine needle aspirate interp & report (88173) $201.07 $502.67 3.7×
Cytp urine 3-5 probes cmptr (88121) $680.43 $1,701.06 3.8×
Cytp urne 3-5 probes ea spec (88120) $785.75 $1,964.36 4.4×
D-dimer quantitative (85379) $50.56 $126.39 5.0×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $83.12 $207.78 6.0×
Digoxin (80162) $80 $199.98 6.0×
Direct antiglobulin test (86880) $42.88 $107.18 8.0×
Drug assay methotrexate (80204) $69.35 $173.36 1.8×
Drug assay salicylate (80179) $75.48 $188.68 4.0×
Drug screen quantitative oxcarbazepine (80183) $69.47 $173.67 5.2×
Drug test prsmv chem anlyzr (80307) $51.20 $127.98 0.8×
Drug test prsmv dir opt obs (80305) $42.54 $106.34 3.4×
Drug test prsmv instrmnt (80306) $12.80 $31.99 0.7×
Ear culture (87070) $57.59 $143.97 6.7×
Electrolytes panel (80051) $70.39 $175.97 10.0×
Enterovirus by PCR (87498) $113.98 $284.94 3.2×
Eosinophils urine (87205) $32 $80 7.5×
Estradiol (82670) $169.03 $422.57 6.0×
Ethylene glycol (82693) $83.51 $208.77 5.6×
Eval amniotic fluid protein (84112) $350.28 $875.69 3.6×
Extractable nuclear antigen antibody any method (86235) $169.58 $423.94 9.5×
F2 gene analysis (81240) $257.74 $644.34 3.9×
F5 gene (81241) $320.10 $800.23 4.4×
Factor viii activity (85240) $126.82 $317.04 7.1×
Ferritin (82728) $82.41 $206.01 6.0×
Fetal chrmoml microdeltj (81422) $514.66 $1,286.63 0.7×
Fetal fibronectin (82731) $361.07 $902.66 5.6×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $43.39 $108.46 5.6×
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $41.60 $103.99 4.4×
Fibrinogen, activity (85384) $47.61 $119.01 4.9×
Flow cytometry first marker (88184) $785.75 $1,964.36 2.1×
Folate serum (82746) $89.60 $223.98 6.1×
Folic acid rbc (82747) $94.64 $236.60 5.4×
Follicle stimulating hormone (fsh) (83001) $112.42 $281.05 6.1×
Frozen blood, each unit; freezing (includes preparation) and thawing (86932) $281.78 $704.45 7.2×
Fungus isolation culture (87102) $55.78 $139.44 6.6×
Gamma glutamyl transferase (82977) $43.54 $108.84 6.0×
Gammaglobulin ige (82785) $92.34 $230.84 5.6×
Gentamicin (80170) $91.88 $229.70 5.6×
Giardia antigen (87329) $65.96 $164.89 5.5×
Glucose Fasting (82947) $26.24 $65.59 6.7×
Glucose other fluid (82945) $24.93 $62.31 6.3×
Glucose post glucose dose (82950) $31.35 $78.37 6.6×
Glycated hemoglobin (83036) $58.70 $146.74 6.0×
Haptoglobin (83010) $46.80 $116.98 3.7×
Hcg ql (84703) $62.07 $155.17 8.3×
Hematocrit (hct) (85014) $13.02 $32.54 5.5×
Hemoglobin (85018) $13.02 $32.54 5.5×
Hemoglobin plasma (83051) $41.12 $102.80 5.6×
Heparin assay (85520) $127.99 $319.96 9.8×
Heparin-protamine tolerance test Other Outpatient (85530) $74.14 $185.34 5.7×
Hepatitis a antibody igm (86709) $63.12 $157.79 5.6×
Hepatitis b core antibody igm (86705) $61.70 $154.25 5.2×
Hepatitis b surface ab (86706) $77.44 $193.58 7.2×
Hepatitis b surface antigen (87340) $57.59 $143.97 5.6×
Hepatitis c antibody (86803) $78.48 $196.18 5.5×
Hepatitis d quantification (87523) $51.41 $128.52 1.2×
Herpes simplex virus by PCR (87529) $158.64 $396.58 4.5×
Heterophile antibody screen (86308) $47.99 $119.97 9.3×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $126.18 $315.43 5.2×
HIV-1 antibody (86701) $49.76 $124.40 5.6×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $63.36 $158.39 4.6×
HIV-2 antibody (86702) $68.62 $171.54 5.1×
Hla b27 (86812) $162.64 $406.60 6.3×
Homocysteine level (83090) $102.04 $255.10 5.7×
Homogenization tissue (87176) $32 $80 5.4×
Hpv high-risk types (87624) $183.53 $458.81 5.2×
Hpv low-risk types (87623) $183.53 $458.81 5.2×
Hpv types 16 & 18 only (87625) $183.53 $458.81 4.5×
Hrdtry cardmypy gene panel (81439) $514.66 $1,286.63 0.9×
Iaadi herpes smplx virus type 1 (87274) $67.27 $168.17 5.6×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $52.86 $132.14 1.0×
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $243.68 $609.18 1.7×
Immunofixation electrophoresis (86334) $135.15 $337.87 6.0×
Immunofixation urine (86335) $161.41 $403.52 5.5×
Immunoglobulin d (82784) $31.37 $78.42 3.4×
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $785.75 $1,964.36 2.1×
Immunoperoxidase (88342) $785.75 $1,964.36 4.4×
In situ hybridization 1st probe stain (88365) $383.45 $958.61 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $65.96 $164.89 4.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $65.66 $164.15 4.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $62.82 $157.03 4.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) $40.17 $100.42 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $193.01 $482.52 5.5×
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) $383.95 $959.86 13.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $167.34 $418.34 4.0×
Influenza a ag eia (87400) $23.68 $59.19 1.7×
Influenza assay w/optic (87804) $50.31 $125.76 3.0×
Influenza DNA amp probe (87502) $272.70 $681.74 2.8×
Inhibin a (86336) $72.56 $181.40 4.7×
Insulin total (83525) $62.88 $157.20 5.5×
Iron (83540) $75.94 $189.85 11.7×
Iron binding capacity (83550) $63.36 $158.39 7.2×
Koh prep (87220) $23.47 $58.66 5.5×
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $114.46 $286.13 2.9×
Lactate (83605) $56.77 $141.92 4.9×
Lactate dehydrogenase (83615) $36.46 $91.15 6.0×
LDL direct (83721) $52.45 $131.11 5.0×
Leflunomide (80193) $68.80 $171.98 1.8×
Legionella culture (87081) $110.76 $276.88 16.7×
Legionella urine antigen (87449) $87.09 $217.71 7.3×
Leukocyte assessment fecal (89055) $28.80 $72 6.7×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $114.46 $286.13 2.9×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $201.07 $502.67 3.7×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $207.97 $519.92 3.8×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $785.75 $1,964.36 2.1×
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $1,652.86 $4,132.13 1.9×
Lipase (83690) $60.16 $150.38 8.7×
Lithium (80178) $47.36 $118.39 7.2×
Liver ds alys 3 bmrk srm alg (81517) $604.08 $1,510.20 3.4×
Luteinizing hormone (lh) (83002) $112.05 $280.12 6.1×
M/phmtrc alys ishquant/semiq (88377) $328.64 $821.60 1.8×
Magnesium (83735) $45.43 $113.57 6.8×
Malaria smear (87207) $37.45 $93.62 6.3×
Manual differential (85007) $22.53 $56.31 5.9×
Metanephrines (83835) $305.88 $764.70 18.1×
Methemoglobin quant (83050) $47.92 $119.79 5.8×
Microalbumin urine (82043) $46.79 $116.96 8.1×
Mold id (87107) $67.55 $168.86 6.5×
Molecular cytogenetics DNA probe each (88271) $120.06 $300.15 5.6×
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $225.14 $562.84 4.4×
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) $785.75 $1,964.36 2.1×
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $785.75 $1,964.36 4.4×
Mrsa PCR (87641) $196.77 $491.92 5.6×
Mthfr gene (81291) $228.65 $571.61 3.5×
Muscle-specific kinase antb (86366) $22.08 $55.20 1.2×
Myoglobin (83874) $97.67 $244.16 7.6×
N.gonorrhoeae DNA amp prob (87591) $193.01 $482.52 5.5×
Nasal smear for eosinophils (89190) $35.20 $87.98 6.1×
Natriuretic peptide (83880) $197.28 $493.18 5.0×
Nk cells total count (86357) $90.11 $225.27 2.4×
Occult bld feces 1-3 tests (82272) $18.24 $45.58 4.3×
Occult blood screening (82270) $19.69 $49.21 4.5×
Oncology prostate prob score (81539) $450.92 $1,127.30 0.6×
Osmolality serum (83930) $37.06 $92.64 5.6×
Osmolality urine (83935) $41.22 $103.04 6.0×
Ova and parasite exam (87177) $49.88 $124.69 5.6×
Parathyroid hormone (83970) $227 $567.48 5.5×
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $785.75 $1,964.36 2.1×
Pathology clinical consultation hi mdm 41-60 min (80505) $291.36 $728.40 1.6×
Pathology clinical consultation mod mdm 21-40min (80504) $218.52 $546.30 1.2×
Pathology clinical consultation sf mdm 5-20 min (80503) $72.81 $182.02 1.3×
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $1,652.86 $4,132.13 1.9×
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $680.43 $1,701.06 3.8×
Pathology examination of specimen during surgery (88329) $114.46 $286.13 1.8×
Pertussis by PCR (87798) $192.05 $480.11 5.5×
Ph body fluid (83986) $20.04 $50.09 5.6×
Phenobarbital (80184) $65.89 $164.71 4.3×
Phenytoin (dilantin) free (80186) $77.18 $192.94 5.6×
Phenytoin level total (80185) $72.92 $182.29 5.5×
Phosphorus (84100) $26.24 $65.59 5.5×
Platelet aggregation ea agent (85576) $118.14 $295.35 4.7×
Platelet count automated (85049) $25.59 $63.97 5.7×
Pooling of platelets or other blood products (86965) $463.46 $1,158.65 2.6×
Potassium (84132) $26.24 $65.59 5.5×
Potassium urine (84133) $28.04 $70.10 5.9×
Prealbumin (84134) $63.36 $158.39 4.3×
Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) $281.78 $704.45 4.5×
Procalcitonin (pct) (84145) $145.64 $364.08 5.4×
Progesterone (84144) $85.66 $214.14 4.1×
Prolactin (84146) $117.25 $293.11 6.1×
Protein c activity (85303) $142.15 $355.37 10.3×
Protein electrophoresis serum (84165) $71.42 $178.53 6.6×
Protein electrophoresis urine (84166) $107.86 $269.65 6.0×
Protein s antigen, free (85306) $84.29 $210.71 5.5×
Protein total other source (84157) $31.35 $78.37 7.8×
Protein total serum (84155) $24.57 $61.42 6.7×
Protein total urine (84156) $28.80 $72 7.8×
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $25.81 $64.52 6.6×
Rbc antibody elution (86860) $463.46 $1,158.65 2.6×
Rbc antibody identification (86870) $785.75 $1,964.36 2.1×
Rbc antibody screen (86850) $281.78 $704.45 28.8×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $151.03 $377.57 11.5×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $151.03 $377.57 7.8×
Resp virus 6-11 targets (87632) $1,024.35 $2,560.87 4.7×
Rheumatoid factor quant (86431) $34.34 $85.85 6.1×
Rl immediate spin crossmatch (86920) $463.46 $1,158.65 2.6×
Rotavirus ag eia (87425) $65.96 $164.89 5.5×
Rpr qual (86592) $40.68 $101.70 9.5×
Rsv DNA/RNA amp probe (87634) $213.83 $534.56 3.0×
Rubella antibody (86762) $87.09 $217.71 6.1×
Russell viper venom diluted (85613) $59.12 $147.78 6.2×
Sedimentation rate rbc automated (85652) $21.12 $52.78 7.8×
Sedimentation rate rbc non-automated (85651) $21.12 $52.78 4.9×
SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Other Outpatient (81327) $113.92 $284.79 0.6×
Shiga-like toxin ag eia (87427) $65.23 $163.07 5.4×
Sialidase enzyme assay (87905) $27.46 $68.63 2.2×
Sickle cell screen (85660) $30.96 $77.38 5.6×
Smear wet mount (87210) $28.16 $70.39 4.8×
So gsap cl fr cpy nmbr&mcrst (81463) $823.20 $2,058 0.6×
So gsap cll fr DNA/DNA&RNA (81462) $823.20 $2,058 0.7×
So gsap cll fr mcrstl ins (81464) $823.20 $2,058 0.3×
So gsap DNA cpy nmbr&mcrstl (81458) $823.20 $2,058 0.8×
So neo gsap DNA mcrstl ins (81457) $823.20 $2,058 0.9×
So neo gsap DNA/DNA&RNA (81459) $823.20 $2,058 0.3×
Sodium (84295) $28.16 $70.39 5.9×
Sodium other source (84302) $29.41 $73.51 6.1×
Sodium urine (84300) $54.59 $136.47 10.8×
Special stains group i (88312) $201.07 $502.67 3.7×
Special stains group ii (88313) $201.07 $502.67 1.4×
Specific gravity except urine (84315) $16.40 $40.98 5.0×
Splitting of blood or blood products, each unit (86985) $463.46 $1,158.65 2.6×
Staph a DNA amp probe (87640) $196.77 $491.92 5.6×
Strep a ag ia (87430) $65.96 $164.89 3.9×
Strep a assay w/optic (87880) $58.28 $145.69 3.5×
Strep a DNA amp probe (87651) $106.89 $267.21 3.0×
Surg path level 1 (88300) $114.46 $286.13 3.8×
Susceptibility mic per plate (87186) $53.11 $132.77 6.1×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $31.10 $77.75 6.5×
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $79.90 $199.75 10.7×
T cells cd4 count (86361) $109.47 $273.66 4.1×
T3 free (84481) $102.47 $256.16 6.0×
T3 uptake (84479) $39.16 $97.90 6.1×
T4 (thyroxine) total (84436) $41.56 $103.88 6.0×
Tacrolimus (80197) $122.99 $307.46 9.0×
Tb test cell immun measure (86480) $347.44 $868.59 5.6×
Testosterone bioavailable (84410) $46.54 $116.34 0.9×
Testosterone total (84403) $156.18 $390.44 6.1×
Theophylline (80198) $77.83 $194.57 5.5×
Thrombin time plasma (85670) $32.41 $81.01 5.6×
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $36.46 $91.14 5.6×
Thyroxine free (ft4) (84439) $60.16 $150.38 6.7×
Tissue culture bone marrow (88237) $708.04 $1,770.08 4.9×
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $413.36 $1,033.38 2.9×
Tissue culture lymphocyte (88230) $206.69 $516.71 1.8×
Tobramycin (80200) $90.35 $225.87 5.6×
Transferrin (84466) $70.23 $175.57 5.5×
Treponema pallidum antibody (86780) $69.34 $173.35 5.2×
Trichrome stain (87209) $112 $280 6.2×
Triglycerides (84478) $34.80 $87 6.1×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $77.98 $194.95 5.5×
Troponin t (84484) $75.99 $189.96 6.1×
Urea nitrogen quantitative (84520) $28.16 $70.39 7.1×
Urea nitrogen urine (84540) $26.61 $66.52 4.8×
Uric acid blood (84550) $26.88 $67.19 5.9×
Uric acid other source (84560) $28.04 $70.10 5.5×
Urinalysis auto w/micro (81001) $45.43 $113.57 14.3×
Urinalysis microscopic only (81015) $19.86 $49.65 6.5×
Urine bacteria culture (87088) $45.40 $113.48 5.6×
Urine Pregnancy Test POC (81025) $62.07 $155.17 7.2×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $24.96 $62.38 11.1×
Valproic acid (80164) $83.20 $207.99 6.1×
Vancomycin (80202) $125.43 $313.56 9.3×
Varicella zoster antibody igg (86787) $77.97 $194.91 6.1×
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $131.19 $327.96 6.7×
Vitamin b-12 (82607) $85.12 $212.79 5.6×
Vitamin d 25 hydroxy (82306) $147.43 $368.56 5.0×
Volatiles (84600) $90.12 $225.29 5.3×
Xm archive tissue molec anal (88363) $108.32 $270.78 3.6×
Yeast id (87106) $67.55 $168.86 6.5×
Z t cells total count (86359) $103.46 $258.64 2.7×