Lab & pathology prices at South Big Horn County Hospital (Three Rivers Health)

Basin, WY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $301.35 $401.80 11.1×
5-Hiaa (83497) $97.88 $130.50 7.6×
Acetaminophen (80143) $129.15 $172.20 6.9×
Acetone, quantitative (82010) $63.30 $84.40 7.7×
Acth (82024) $347.62 $463.50 9.0×
Acth stim adrenal insuff (80400) $146.85 $195.80 4.5×
Actin smooth muscle antibody each (86015) $174.75 $233 14.5×
Activated protein c resistance (85307) $193.12 $257.50 12.6×
Acute hepatitis panel (80074) $36.15 $48.20 0.8×
Afb concentration (87015) $48.15 $64.20 7.2×
Afb culture (87116) $74.32 $99.10 6.9×
Afb smear (87206) $74.70 $99.60 13.9×
Albumin body fluid (82042) $69.22 $92.30 8.9×
Albumin serum (82040) $47.32 $63.10 9.6×
Alcohol (82077) $93.68 $124.90 5.4×
Aldolase (82085) $59.47 $79.30 6.1×
Aldosterone (82088) $415.95 $554.60 10.2×
Alkaline phosphatase (84075) $47.32 $63.10 9.1×
Alkaline phosphatase isoenzymes (84080) $209.32 $279.10 14.2×
Allergen profile perennial allergen (86003) $85.28 $113.70 16.3×
Alpha-1-antitrypsin (82103) $132.90 $177.20 9.9×
Alpha-fetoprotein serum (82105) $66.53 $88.70 4.0×
Alt (84460) $47.32 $63.10 8.9×
Ammonia (82140) $111.38 $148.50 7.6×
Amylase (82150) $82.88 $110.50 12.8×
Ana (86038) $39.08 $52.10 3.2×
Ana titer (86039) $49.80 $66.40 4.5×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $48.15 $64.20 3.7×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $174.75 $233 11.4×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $77.62 $103.50 4.3×
Androstenedione (82157) $259.27 $345.70 8.9×
Angiotensin converting enzyme (82164) $146.62 $195.50 10.0×
Anti-mitochondrial antibody (86255) $174.75 $233 14.5×
Anti-phosphatidylserine antibody (86148) $59.03 $78.70 3.7×
Antibody; Helicobacter pylori (86677) $95.32 $127.10 5.7×
Antistreptolysin o titer (86060) $39.08 $52.10 5.4×
Antithrombin iii activity (85300) $205.65 $274.20 17.4×
Antithrombin iii antigen (85301) $252 $336 23.3×
Arsenic (82175) $117.68 $156.90 6.2×
Aspergillus antigen (87305) $140.93 $187.90 11.8×
Assay anti-mullerian horm (82166) $123.45 $164.60 3.2×
Ast (84450) $47.32 $63.10 9.1×
B cells total count (86355) $174.68 $232.90 4.6×
Basic metabolic panel calcium ionized (80047) $134.48 $179.30 9.8×
Bcr/abl1 gene major bp (81206) $803.10 $1,070.80 4.9×
Beta 2 glycoprotein i antibody (86146) $95.62 $127.50 3.8×
Beta-2 microglobulin (82232) $192.52 $256.70 11.9×
Bilirubin direct (82248) $54.53 $72.70 10.9×
Bilirubin total (82247) $54.53 $72.70 10.9×
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $43.12 $57.50 14.3×
Blood gases any combination (82803) $218.55 $291.40 8.4×
Blood gases w/o2 saturation (82805) $218.55 $291.40 2.8×
Blood typing serologic abo (86900) $19.42 $25.90 6.5×
Blood typing serologic rh (d) (86901) $36.38 $48.50 12.2×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $106.35 $141.80 16.7×
C-peptide (84681) $195.75 $261 9.4×
C-reactive protein (86140) $64.28 $85.70 12.4×
C-reactive protein high sensitivity (86141) $53.40 $71.20 4.1×
Ca 125 (86304) $145.73 $194.30 7.0×
Ca 15-3 (86300) $220.27 $293.70 10.6×
Cadmium (82300) $88.57 $118.10 3.7×
Calcium ionized (82330) $71.03 $94.70 5.2×
Calcium total (82310) $57.08 $76.10 11.1×
Calcium, random urine (82340) $45.38 $60.50 7.5×
Calculus; X-ray diffraction Other Outpatient (82370) $136.20 $181.60 10.9×
Calprotectin fecal (83993) $315.83 $421.10 16.1×
Cancer antigen 19-9 (86301) $274.50 $366 13.2×
Carbamazepine total (80156) $107.18 $142.90 7.4×
Carbon dioxide (82374) $48.82 $65.10 10.0×
Carbon monoxide (82375) $102.22 $136.30 8.3×
Cardiolipin antibody ea ig class (86147) $52.12 $69.50 2.0×
Catecholamines fractionated (82384) $430.42 $573.90 17.0×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $289.35 $385.80 6.2×
Cea (82378) $114.38 $152.50 6.0×
Cell count body fluid (89050) $41.40 $55.20 8.8×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $36.75 $49 6.6×
Ceruloplasmin (82390) $57.53 $76.70 5.4×
Chemiluminescent assay (82397) $163.73 $218.30 11.6×
Chloride blood (82435) $57.08 $76.10 12.4×
Chloride urine (82436) $17.55 $23.40 3.1×
Cholesterol total (82465) $47.32 $63.10 10.9×
Chorionic gonadotropin test (84702) $127.57 $170.10 8.5×
Chromium (82495) $93.68 $124.90 4.6×
Chromogranin a (86316) $174.68 $232.90 8.4×
Citrate (82507) $45.38 $60.50 1.6×
Ck mb fraction (82553) $135 $180 11.7×
Clostridium ag eia (87324) $50.40 $67.20 4.2×
Clotting funct activity (85397) $628.28 $837.70 20.4×
Cmv antibody (86644) $174.45 $232.60 12.1×
Cold agglutinins titer (86157) $39 $52 4.8×
Complement antigen ea component (86160) $108.30 $144.40 9.0×
Copper (82525) $174.30 $232.40 14.0×
Cortisol free (82530) $32.85 $43.80 2.0×
Cortisol saliva (82533) $182.32 $243.10 11.2×
COVID-19 antibody (86769) $81.07 $108.10 1.9×
Creatine kinase total (82550) $78.15 $104.20 12.0×
Creatinine (82565) $51.82 $69.10 10.1×
Creatinine other source (82570) $37.65 $50.20 7.3×
Crossmatch ahg (86922) $93.60 $124.80 0.5×
Cryptosporidium ag eia (87328) $139.80 $186.40 10.1×
Cryptosporidium ag if (87272) $47.18 $62.90 3.9×
Crystals fluid (89060) $40.12 $53.50 5.5×
Culture anaerobic (87075) $42.68 $56.90 4.5×
Culture blood (87040) $66.15 $88.20 6.4×
Culture stool (87045) $65.18 $86.90 6.9×
Culture urine (87086) $77.93 $103.90 9.7×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $46.28 $61.70 5.7×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $65.93 $87.90 8.2×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $63.68 $84.90 6.7×
Cyclic citrullinated peptide ab (86200) $87.75 $117 6.8×
Cyclosporine (80158) $245.10 $326.80 13.6×
Cytomegalovirus antibody igm (86645) $54.68 $72.90 3.2×
Cytopath cell enhance tech (88112) $67.12 $89.50 1.3×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $100.50 $134 3.8×
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $126.75 $169 0.7×
Cytp eval fine needle aspirate interp & report (88173) $367.50 $490 6.9×
D-dimer quantitative (85379) $136.27 $181.70 13.4×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $36.75 $49 2.7×
Dhea (82626) $148.05 $197.40 5.9×
Dhea sulfate (82627) $258.90 $345.20 11.6×
Digoxin (80162) $111.38 $148.50 8.4×
Direct antiglobulin test (86880) $64.95 $86.60 12.1×
DNA/RNA amplified probe (87150) $69.22 $92.30 2.0×
Drug assay salicylate (80179) $129.15 $172.20 6.9×
Drug screen quant levetiracetam (80177) $134.18 $178.90 10.1×
Drug screen quantitative oxcarbazepine (80183) $125.78 $167.70 9.5×
Drug test prsmv chem anlyzr (80307) $92.93 $123.90 1.5×
Drug test prsmv dir opt obs (80305) $291 $388 23.1×
Ear culture (87070) $95.02 $126.70 11.0×
Electrolytes panel (80051) $98.48 $131.30 14.0×
Eosinophils urine (87205) $27.08 $36.10 6.3×
Erythropoietin (82668) $192.38 $256.50 10.2×
Estradiol (82670) $198.75 $265 7.1×
Estrone (82679) $18.52 $24.70 0.7×
Extractable nuclear antigen antibody any method (86235) $170.77 $227.70 9.5×
F2 gene analysis (81240) $389.70 $519.60 5.9×
F5 gene (81241) $229.42 $305.90 3.1×
Factor ix activity (85250) $290.62 $387.50 15.3×
Factor v activity (85220) $290.62 $387.50 16.5×
Factor viii activity (85240) $297.15 $396.20 16.6×
Factor viii vw antigen (85246) $628.28 $837.70 27.4×
Factor xi activity (85270) $290.62 $387.50 16.2×
Factor xii (hageman) (85280) $290.62 $387.50 15.0×
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $139.43 $185.90 8.3×
Ferritin (82728) $97.20 $129.60 7.1×
Fibrinogen, activity (85384) $77.03 $102.70 7.9×
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $180.08 $240.10 11.6×
Flow cytometry first marker (88184) $159.45 $212.60 0.4×
Folate serum (82746) $132.38 $176.50 9.0×
Follicle stimulating hormone (fsh) (83001) $120.22 $160.30 6.5×
Fungus isolation culture (87102) $88.57 $118.10 10.5×
Gamma glutamyl transferase (82977) $76.57 $102.10 10.6×
Gammaglobulin ige (82785) $57.38 $76.50 3.5×
Gentamicin (80170) $104.55 $139.40 6.4×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $24 $32 7.3×
Glucose Fasting (82947) $47.32 $63.10 12.0×
Glucose other fluid (82945) $14.25 $19 3.6×
Glucose post glucose dose (82950) $35.47 $47.30 7.5×
Glucose tolerance test (gtt) (82951) $108.07 $144.10 8.4×
Glycated hemoglobin (83036) $93 $124 9.6×
Gtt-added samples (82952) $35.47 $47.30 9.0×
H pylri clrthmcn rst amp prb (87513) $476.92 $635.90 13.6×
Haptoglobin (83010) $16.58 $22.10 1.3×
Hcg ql (84703) $39.08 $52.10 5.2×
Heavy metal quan each nes (83018) $75.97 $101.30 3.5×
Hematocrit (hct) (85014) $21.98 $29.30 9.3×
Hemoglobin (85018) $24.83 $33.10 10.5×
Hemoglobin electrophoresis (83020) $100.35 $133.80 7.8×
Hemoglobin fractj/quantj chromotography (83021) $33.60 $44.80 1.9×
Hep a ab total (86708) $47.70 $63.60 3.8×
Hepatitis b core antibody igm (86705) $36.15 $48.20 3.1×
Hepatitis b core antibody total (86704) $47.70 $63.60 4.0×
Hepatitis b surface ab (86706) $47.70 $63.60 4.4×
Hepatitis b surface antigen (87340) $47.70 $63.60 4.6×
Hepatitis be antibody (86707) $47.70 $63.60 4.1×
Hepatitis be antigen (87350) $47.70 $63.60 4.1×
Hepatitis c antibody (86803) $47.70 $63.60 3.3×
Hepatitis c genotype (87902) $580.72 $774.30 2.3×
Hepatitis c RNA quantitative (87522) $73.35 $97.80 1.7×
Hepatitis d quantification (87523) $141.68 $188.90 3.3×
Herpes simplex virus by PCR (87529) $476.92 $635.90 13.6×
Heterophile antibody screen (86308) $43.28 $57.70 8.4×
Hexagonal phospholipid neutralization (85598) $327.38 $436.50 18.2×
Hfe gene (81256) $664.88 $886.50 10.2×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $87 $116 3.6×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $63.15 $84.20 4.6×
Hla b27 (86812) $232.35 $309.80 9.0×
Homocysteine level (83090) $223.12 $297.50 12.5×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $143.40 $191.20 2.8×
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $172.12 $229.50 1.2×
Iadna-DNA/RNA probe tq 12-25 (87507) $873.08 $1,164.10 2.1×
Igg subclass 1 (82787) $49.80 $66.40 6.2×
Immunoassay analyte quantitative nos (83520) $123.45 $164.60 7.1×
Immunofixation electrophoresis (86334) $101.18 $134.90 4.5×
Immunofixation urine (86335) $42.22 $56.30 1.4×
Immunoglobulin d (82784) $99.52 $132.70 10.7×
Immunoperoxidase (88342) $77.25 $103 0.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $104.48 $139.30 7.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $104.48 $139.30 8.0×
Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) $47.18 $62.90 3.5×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $480.45 $640.60 11.2×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) $68.40 $91.20 3.4×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $69.22 $92.30 2.0×
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $643.50 $858 15.0×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) $68.40 $91.20 3.4×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $798 $1,064 9.4×
Influenza assay w/optic (87804) $80.74 $107.65 4.9×
Influenza DNA amp probe (87502) $194.92 $259.90 2.0×
Insulin total (83525) $191.10 $254.80 16.7×
Iron (83540) $94.72 $126.30 14.6×
Iron binding capacity (83550) $39.08 $52.10 4.5×
Jak2 gene (81270) $228.68 $304.90 2.5×
Koh prep (87220) $45.38 $60.50 10.6×
Lactate (83605) $42.08 $56.10 3.6×
Lactate dehydrogenase (83615) $56.70 $75.60 9.4×
Lamotrigine (80175) $111.38 $148.50 8.4×
LDL direct (83721) $72.30 $96.40 6.9×
Lead (83655) $134.25 $179 11.1×
Legionella culture (87081) $46.28 $61.70 7.0×
Legionella urine antigen (87449) $71.70 $95.60 6.0×
Leukocyte assessment fecal (89055) $145.73 $194.30 34.1×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $58.12 $77.50 1.1×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $63.19 $84.25 1.2×
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $632.62 $843.50 1.7×
Lipase (83690) $77.03 $102.70 11.2×
Lithium (80178) $53.40 $71.20 8.1×
Luteinizing hormone (lh) (83002) $108.98 $145.30 5.9×
Lyme disease antibody (86617) $99.22 $132.30 6.4×
Lyme disease antibody (86618) $90.60 $120.80 5.3×
M/phmtrc alys ishquant/semiq (88377) $759.08 $1,012.10 4.4×
Macroscopic exam parasite (87169) $25.88 $34.50 6.0×
Magnesium (83735) $74.03 $98.70 11.0×
Manual differential (85007) $26.33 $35.10 6.9×
Mercury (83825) $83.62 $111.50 5.1×
Metanephrines (83835) $371.17 $494.90 21.9×
Methylmalonic acid serum (83921) $397.95 $530.60 18.8×
Microalbumin urine (82043) $45.38 $60.50 7.9×
Mononuclear cell antigen (86356) $145.05 $193.40 5.4×
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) $632.70 $843.60 3.6×
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $282.19 $376.25 1.6×
Mrsa PCR (87641) $81.68 $108.90 2.3×
Mthfr gene (81291) $259.95 $346.60 4.0×
Mumps antibody (86735) $34.95 $46.60 2.7×
Muscle-specific kinase antb (86366) $309.83 $413.10 16.8×
Myelin associated glycoprotein (mag) antibody (83516) $181.27 $241.70 15.7×
Myoglobin (83874) $90.07 $120.10 7.0×
N.gonorrhoeae DNA amp prob (87591) $74.62 $99.50 2.1×
Natriuretic peptide (83880) $190.16 $253.55 4.8×
Nfct ds chrnc hcv 6 assays (81596) $258.23 $344.30 3.6×
Nk cells total count (86357) $81.07 $108.10 2.1×
Occult bld feces 1-3 tests (82272) $29.33 $39.10 6.9×
Occult blood other sources (82271) $26.17 $34.90 4.9×
Occult blood screening (82270) $29.33 $39.10 6.7×
Osmolality serum (83930) $45.38 $60.50 6.9×
Osmolality urine (83935) $15.15 $20.20 2.2×
Ova and parasite exam (87177) $83.62 $111.50 9.4×
Oxalate urine (83945) $29.40 $39.20 2.0×
Pancreatic polypeptide (83519) $309.83 $413.10 16.8×
Parathyroid hormone (83970) $171.52 $228.70 4.2×
Pertussis by PCR (87798) $476.92 $635.90 13.6×
Ph body fluid (83986) $49.20 $65.60 13.7×
Phenobarbital (80184) $90.07 $120.10 5.9×
Phenytoin (dilantin) free (80186) $70.57 $94.10 5.1×
Phenytoin level total (80185) $101.70 $135.60 7.7×
Phosphorus (84100) $51.82 $69.10 10.9×
Pinworm exam (87172) $42.15 $56.20 9.9×
Platelet count automated (85049) $22.58 $30.10 5.0×
Platelet neutralization (85597) $44.78 $59.70 2.5×
Potassium (84132) $53.70 $71.60 11.3×
Potassium urine (84133) $38.25 $51 8.1×
Prealbumin (84134) $102 $136 7.0×
Pregnenolone (84140) $127.50 $170 6.2×
Procalcitonin (pct) (84145) $181.35 $241.80 6.7×
Progesterone (84144) $164.32 $219.10 7.9×
Prolactin (84146) $123.22 $164.30 6.4×
Protein c activity (85303) $266.33 $355.10 19.2×
Protein c antigen (85302) $398.10 $530.80 33.1×
Protein electrophoresis serum (84165) $111.38 $148.50 10.4×
Protein electrophoresis urine (84166) $42.22 $56.30 2.4×
Protein s antigen, free (85306) $204.15 $272.20 13.3×
Protein total other source (84157) $37.65 $50.20 9.4×
Protein total serum (84155) $37.65 $50.20 10.3×
Protein total urine (84156) $37.65 $50.20 10.3×
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $112.12 $149.50 28.5×
PSA free (84154) $84.38 $112.50 4.6×
Q fever antibody (86638) $124.05 $165.40 10.2×
Rbc antibody identification (86870) $234.60 $312.80 0.6×
Rbc antibody screen (86850) $72.82 $97.10 7.5×
Reagent strip/blood glucose (82948) $38.85 $51.80 7.7×
Receptor assay non-endocrine specify receptor (84238) $202.58 $270.10 5.5×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $91.20 $121.60 6.9×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $65.03 $86.70 3.4×
Renin (84244) $234.68 $312.90 10.7×
Reptilase test (85635) $145.73 $194.30 14.8×
Resp virus 3-5 targets (87631) $295.27 $393.70 2.1×
Reticyte/hgb concentrate (85046) $249.75 $333 44.8×
Rheumatoid factor quant (86431) $24.90 $33.20 4.4×
Rl immediate spin crossmatch (86920) $108.15 $144.20 0.6×
Rotavirus ag eia (87425) $72.30 $96.40 6.0×
Rpr qual (86592) $91.20 $121.60 21.4×
Rubella antibody (86762) $53.25 $71 3.7×
Rubeola antibody (86765) $149.40 $199.20 11.6×
Russell viper venom diluted (85613) $23.55 $31.40 2.5×
Russell viper venom time (includes venom); undiluted Other Outpatient (85612) $42.15 $56.20 2.4×
Sedimentation rate rbc automated (85652) $42.08 $56.10 15.6×
Selenium (84255) $173.85 $231.80 6.8×
Semen analysis post vasectomy (89321) $102.15 $136.20 8.5×
Serotonin (84260) $137.55 $183.40 4.4×
Sex hormone binding globulin (84270) $173.40 $231.20 8.0×
Sickle cell screen (85660) $45.22 $60.30 8.2×
Smear wet mount (87210) $36.08 $48.10 6.2×
Sodium (84295) $51.38 $68.50 10.7×
Sodium urine (84300) $38.25 $51 7.6×
Somatomedin (84305) $112.65 $150.20 5.3×
Special stains group i (88312) $59.81 $79.75 1.1×
Special stains group ii (88313) $189.75 $253 1.4×
Staph a DNA amp probe (87640) $81.68 $108.90 2.3×
Stone analysis (82365) $152.77 $203.70 11.8×
Strep a assay w/optic (87880) $48 $64 2.9×
Surg path level 1 (88300) $35.81 $47.75 1.2×
Susceptibility mic per plate (87186) $46.28 $61.70 5.4×
T3 free (84481) $35.33 $47.10 2.1×
T3 reverse (84482) $130.80 $174.40 8.3×
T3 uptake (84479) $6.60 $8.80 1.0×
T4 (thyroxine) total (84436) $63.15 $84.20 9.2×
Tacrolimus (80197) $250.92 $334.55 18.3×
Tb test cell immun measure (86480) $107.44 $143.25 1.7×
Testosterone free (84402) $296.55 $395.40 11.6×
Testosterone total (84403) $197.70 $263.60 7.7×
Thiopurine drug metabolites (83789) $64.35 $85.80 2.7×
Thrombin time plasma (85670) $180.08 $240.10 31.2×
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $58.12 $77.50 9.0×
Thyroglobulin (84432) $28.95 $38.60 1.8×
Thyroglobulin antibody (86800) $117.68 $156.90 7.4×
Thyroid peroxidase antibody (86376) $65.47 $87.30 4.5×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $440.48 $587.30 8.7×
Thyroxine free (ft4) (84439) $86.85 $115.80 9.6×
Tissue transglutaminase ea immunoglobulin class (86364) $190.65 $254.20 16.5×
Toxoplasma antibody igg (86777) $150.23 $200.30 10.4×
Transferrin (84466) $45.60 $60.80 3.6×
Treponema pallidum antibody (86780) $60.82 $81.10 4.6×
Trichomonas vagin dir probe (87660) $68.40 $91.20 3.4×
Trichrome stain (87209) $65.93 $87.90 3.7×
Triglycerides (84478) $74.10 $98.80 12.9×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $125.18 $166.90 8.8×
Troponin t (84484) $273.83 $365.10 22.0×
Urea nitrogen quantitative (84520) $37.65 $50.20 9.5×
Uric acid blood (84550) $57.08 $76.10 12.6×
Uric acid other source (84560) $81.98 $109.30 16.1×
Urinalysis auto w/micro (81001) $101.40 $135.20 32.0×
Urinalysis microscopic only (81015) $77.70 $103.60 25.5×
Urine Pregnancy Test POC (81025) $71.40 $95.20 8.3×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $23.70 $31.60 10.5×
Valproic acid (80164) $44.78 $59.70 3.3×
Vancomycin (80202) $66.97 $89.30 4.9×
Varicella zoster antibody igg (86787) $66.30 $88.40 5.1×
Viscosity (85810) $148.57 $198.10 12.7×
Vitamin a (84590) $105.82 $141.10 9.1×
Vitamin b-12 (82607) $121.12 $161.50 8.0×
Vitamin b1 whole blood (84425) $242.70 $323.60 11.4×
Vitamin b6 (84207) $353.85 $471.80 12.6×
Vitamin d 25 hydroxy (82306) $118.20 $157.60 4.0×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $32.25 $43 0.8×
Vitamin e (84446) $153.60 $204.80 10.8×
Yeast id (87106) $62.62 $83.50 6.1×
Z t cells total count (86359) $297.23 $396.30 7.9×
Zinc (84630) $141.45 $188.60 12.4×