Lab & pathology prices at Trego County Lemke Memorial Hospital
Wakeeney, KS · every code in this section with a posted price and a Medicare benchmark.
332 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) | $116.45 | $137 | 3.0× |
| 5 Hiaa (83497) | $63.75 | $75 | 4.9× |
| Acetaminophen level (80143) | $76.50 | $90 | 4.1× |
| Acute hepatitis panel (80074) | $181.90 | $214 | 3.8× |
| Afb culture (87116) | $63.75 | $75 | 5.9× |
| Albumin serum (82040) | $14.45 | $17 | 2.9× |
| Aldolase (82085) | $42.50 | $50 | 4.4× |
| Aldosterone urine (82088) | $162.35 | $191 | 4.0× |
| Allerg sp igg quan or semiquan (86001) | $39.95 | $47 | 5.1× |
| Allergen specific ige (86003) | $20.40 | $24 | 3.9× |
| Alpha-1-antitrypsin, total (82103) | $67.15 | $79 | 5.0× |
| Alpha-Fetoprotein L3 (82107) | $188.70 | $222 | 2.9× |
| Alpha-fetoprotein, serum (82105) | $73.10 | $86 | 4.4× |
| Alt (sgpt) (84460) | $14.88 | $17.50 | 2.8× |
| Ammonia (82140) | $65.45 | $77 | 4.5× |
| Amylase urine (82150) | $32.30 | $38 | 5.0× |
| Ana Titer (86039) | $55.25 | $65 | 5.0× |
| Angiotensin i enzyme test (82164) | $65.45 | $77 | 4.5× |
| Antibody aspergillus (86606) | $76.50 | $90 | 5.1× |
| Antibody cytomegalovirus cmv (86644) | $95.20 | $112 | 6.6× |
| Antibody cytomegalovirus cmv igm (86645) | $95.20 | $112 | 5.6× |
| Antibody herpes smplx type 1 (86695) | $84.15 | $99 | 6.4× |
| Antibody identification (86870) | $128.35 | $151 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $76.50 | $90 | 5.1× |
| Antibody mumps (86735) | $85.85 | $101 | 6.6× |
| Antibody rubeola (86765) | $90.10 | $106 | 7.0× |
| Antibody screen (86850) | $55.25 | $65 | 5.7× |
| Antibody treponema pallidum (86780) | $70.55 | $83 | 5.3× |
| Antigen typing (86905) | $56.10 | $66 | 14.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $39.10 | $46 | 7.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $35.70 | $42 | 3.0× |
| Antinuclear antibodies (86038) | $57.78 | $67.98 | 4.8× |
| Antistreptolysin o titer (86060) | $44.20 | $52 | 6.1× |
| Antithrombin iii antigen (85301) | $155.55 | $183 | 14.4× |
| Apolipoprotein b (82172) | $44.20 | $52 | 2.1× |
| Arsenic Urine (82175) | $25.50 | $30 | 1.3× |
| Assay Nephelometry Not Spec (83883) | $127.50 | $150 | 9.4× |
| Assay of 17-hydroxypregnenolone (84143) | $118.15 | $139 | 5.2× |
| Assay of acth (82024) | $156.40 | $184 | 4.0× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $79.90 | $94 | 4.6× |
| Assay of blood chloride (82435) | $10.63 | $12.50 | 2.3× |
| Assay of c-peptide (84681) | $88.40 | $104 | 4.2× |
| Assay of erythropoietin (82668) | $93.50 | $110 | 5.0× |
| Assay of ferritin (82728) | $67.15 | $79 | 4.9× |
| Assay of gammaglobulin igm (82784) | $65.45 | $77 | 7.0× |
| Assay of gentamicin (80170) | $73.48 | $86.45 | 4.5× |
| Assay of homocystine (83090) | $232.90 | $274 | 13.0× |
| Assay of lipoprotein(a) (83695) | $30.60 | $36 | 2.1× |
| Assay of metanephrines (83835) | $140.25 | $165 | 8.3× |
| Assay of parathormone (83970) | $204 | $240 | 4.9× |
| Assay of phenobarbital (80184) | $72.68 | $85.50 | 4.8× |
| Assay of prealbumin (84134) | $64.60 | $76 | 4.4× |
| Assay of somatomedin (84305) | $158.95 | $187 | 7.5× |
| Assay of tacrolimus (80197) | $124.95 | $147 | 9.1× |
| Assay of urine vma (84585) | $80.75 | $95 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $21.25 | $25 | 5.9× |
| Ast (sgot) (84450) | $15.30 | $18 | 3.0× |
| Automated rbc count (85041) | $14.45 | $17 | 4.8× |
| Bartonella antibody (86611) | $25.50 | $30 | 2.5× |
| Bcr/abl1 gene major bp (81206) | $255 | $300 | 1.6× |
| Bcr/abl1 gene minor bp (81207) | $270.30 | $318 | 1.9× |
| Beta Lactamase (87185) | $24.65 | $29 | 5.2× |
| Beta-2 microglobulin (82232) | $56.10 | $66 | 3.5× |
| Bile acids, total (82239) | $127.50 | $150 | 7.4× |
| Bilirubin direct (82248) | $27.20 | $32 | 5.4× |
| Bilirubin total (82247) | $28.05 | $33 | 5.6× |
| Bl Smear W/Diff Wbc Count (85007) | $10.20 | $12 | 2.7× |
| Bleeding time (85002) | $24.23 | $28.50 | 5.0× |
| Blood Count Automated Differential Wbc Count (85004) | $18.70 | $22 | 2.9× |
| Blood count reticulocyte automated (85045) | $105.78 | $124.45 | 26.5× |
| Blood gases (82803) | $90.10 | $106 | 3.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $45.05 | $53 | 2.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $17 | $20 | 3.9× |
| Blood typing abo (86900) | $63.75 | $75 | 21.3× |
| Blood typing serologic rh (d) (86901) | $51 | $60 | 17.1× |
| Body fluid cell count (89051) | $47.18 | $55.50 | 8.4× |
| C diff amplified probe (87493) | $99.45 | $117 | 2.7× |
| C-reactive protein (86140) | $40.80 | $48 | 7.9× |
| Ca 125 (86304) | $72.25 | $85 | 3.5× |
| Ca 19-9 (86301) | $72.25 | $85 | 3.5× |
| Ca 27 29 (86300) | $72.25 | $85 | 3.5× |
| Calcium ionized (82330) | $61.20 | $72 | 4.5× |
| Calcium total (82310) | $15.30 | $18 | 3.0× |
| Calcium urine (82340) | $29.75 | $35 | 4.9× |
| Calculus Quantitative Chemical (82360) | $65.45 | $77 | 5.1× |
| Calprotectin, fecal (83993) | $148.75 | $175 | 7.6× |
| Carbon dioxide (82374) | $11.31 | $13.30 | 2.3× |
| Carcinoembryonic antigen (82378) | $94.90 | $111.65 | 5.0× |
| Cardiolipin ab igg (86147) | $103.70 | $122 | 4.1× |
| Catecholamines fraction plasma (82384) | $153 | $180 | 6.1× |
| Chloride urine (82436) | $28.05 | $33 | 4.9× |
| Cholesterol total (82465) | $14.45 | $17 | 3.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $626.88 | $737.50 | 5.0× |
| Chromogranin a (86316) | $126.65 | $149 | 6.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $99.45 | $117 | 2.8× |
| Citrate (82507) | $131.75 | $155 | 4.7× |
| Ckmb (82553) | $72.04 | $84.75 | 6.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $255.85 | $301 | 10.6× |
| Collagen cross links (82523) | $120.70 | $142 | 6.5× |
| Compatibility test antiglob (86922) | $50.15 | $59 | 0.3× |
| Complement c3 (86160) | $71.87 | $84.55 | 6.0× |
| Complement total ch50 (86162) | $104.55 | $123 | 5.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $73.10 | $86 | 6.1× |
| Concentration Infectious Agent (87015) | $47.60 | $56 | 7.1× |
| Coombs direct (86880) | $30.60 | $36 | 5.7× |
| Copper urine (82525) | $35.70 | $42 | 2.9× |
| Cortisol free (82530) | $87.55 | $103 | 5.2× |
| Cortisol total (82533) | $80.75 | $95 | 5.0× |
| Creatine kinase total (82550) | $30.60 | $36 | 4.7× |
| Creatinine blood (82565) | $20.40 | $24 | 4.0× |
| Creatinine clearance (82575) | $32.73 | $38.50 | 3.5× |
| Creatinine other source (82570) | $30.18 | $35.50 | 5.8× |
| Crossmatch immediate spin (86920) | $61.20 | $72 | 0.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $40.80 | $48 | 5.0× |
| Culture Aerobic Identify (87077) | $38.68 | $45.50 | 4.8× |
| Culture anaerobic (87075) | $41.65 | $49 | 4.4× |
| Culture blood (87040) | $51 | $60 | 4.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $42.50 | $50 | 5.5× |
| Culture fungus id yeast (87106) | $52.40 | $61.65 | 5.1× |
| Culture fungus other (87102) | $38.25 | $45 | 4.5× |
| Culture genital (87070) | $36.12 | $42.50 | 4.2× |
| Culture screen only (87081) | $33.11 | $38.95 | 5.0× |
| Culture stool (87045) | $39.10 | $46 | 4.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24.65 | $29 | 4.8× |
| Culture urine (87086) | $34.86 | $41 | 4.3× |
| Culture urine id ea isolate (87088) | $35.53 | $41.80 | 4.4× |
| Cyclic Citrullinated Peptide (86200) | $63.75 | $75 | 4.9× |
| Cyp2d6 gene com variants (81226) | $428.15 | $503.70 | 0.9× |
| Cytogenetics DNA probe (88271) | $194.65 | $229 | 9.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $121.55 | $143 | 2.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $765 | $900 | 4.9× |
| D-Dimer (85379) | $96.90 | $114 | 9.5× |
| Deoxycortisol (82634) | $117.30 | $138 | 4.0× |
| Desoxycorticosterone (82633) | $117.30 | $138 | 3.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $57.80 | $68 | 3.5× |
| Detect agnt mult DNA ampli (87801) | $198.90 | $234 | 2.8× |
| Dhea sulfate (82627) | $106.25 | $125 | 4.8× |
| Digoxin (80162) | $72.25 | $85 | 5.4× |
| Dilantin (80185) | $73.95 | $87 | 5.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $79.90 | $94 | 5.8× |
| Drug Assay Amiodarone (80151) | $88.40 | $104 | 4.7× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $121.13 | $142.50 | 6.5× |
| Drug assay felbamate (80167) | $86.70 | $102 | 4.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $48.45 | $57 | 3.7× |
| Drug Scrn Quan Levetiracetam (80177) | $69.70 | $82 | 5.3× |
| Drug scrn quant oxcarbazepin (80183) | $75.65 | $89 | 5.7× |
| Drug test prsmv chem anlyzr (80307) | $200.60 | $236 | 3.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $37.40 | $44 | 3.0× |
| Ebv viral capsid (86665) | $84.15 | $99 | 4.6× |
| Electrolyte panel (80051) | $26.35 | $31 | 3.8× |
| Endomysial antibody iga (86255) | $66.30 | $78 | 5.5× |
| Eosinophil count (85048) | $12.75 | $15 | 5.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $119.85 | $141 | 7.8× |
| Estradiol (82670) | $164.90 | $194 | 5.9× |
| Estrogens total (82672) | $111.35 | $131 | 5.1× |
| Everolimus (80169) | $119 | $140 | 8.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $96.90 | $114 | 13.2× |
| F5 gene (81241) | $230.35 | $271 | 3.1× |
| Factor ii activity (85210) | $85.85 | $101 | 6.6× |
| Factor viii ahg (85240) | $123.25 | $145 | 6.9× |
| Fecal fat qual (82705) | $23.80 | $28 | 4.7× |
| Fibrinogen activity (85384) | $35.70 | $42 | 3.7× |
| Flow cytometry first marker (88184) | $229.50 | $270 | 0.7× |
| Folate serum (82746) | $83.02 | $97.68 | 5.6× |
| Follicle Stimulating Hormone (83001) | $94.48 | $111.15 | 5.1× |
| Fresh frozen plasma thawing each unit (86927) | $103.06 | $121.25 | 0.7× |
| Gammaglobulin ige (82785) | $83.30 | $98 | 5.1× |
| Ggt (82977) | $21.25 | $25 | 3.0× |
| Giardia antigen eia stool (87329) | $72.25 | $85 | 6.0× |
| Glucose (82947) | $11.90 | $14 | 3.0× |
| Glucose post dose (82950) | $27.20 | $32 | 5.7× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $19.55 | $23 | 5.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $64.60 | $76 | 5.0× |
| Growth hormone (83003) | $78.20 | $92 | 4.7× |
| Haptoglobin (83010) | $68.85 | $81 | 5.5× |
| Hcg qualitative (84703) | $45.90 | $54 | 6.1× |
| Hcg quant (84702) | $67.90 | $79.88 | 4.5× |
| Hdl Cholesterol (83718) | $23.80 | $28 | 2.9× |
| Hematocrit (85014) | $11.90 | $14 | 5.0× |
| Hemoglobin (85018) | $13.18 | $15.50 | 5.6× |
| Hemoglobin a1c (83036) | $47.60 | $56 | 4.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $66.30 | $78 | 3.7× |
| Hepatitis a antibody total (86708) | $61.20 | $72 | 4.9× |
| Hepatitis a igm (86709) | $66.30 | $78 | 5.9× |
| Hepatitis b core ab igm (86705) | $45.05 | $53 | 3.8× |
| Hepatitis b core antibody total (86704) | $58.65 | $69 | 4.9× |
| Hepatitis B Surface Ab (86706) | $61.20 | $72 | 5.7× |
| Hepatitis B Surface Antigen (87340) | $33.15 | $39 | 3.2× |
| Hepatitis c antibody (86803) | $59.50 | $70 | 4.2× |
| Hepatitis C Genotype (87902) | $726.75 | $855 | 2.8× |
| Herpes culture (87252) | $31.88 | $37.50 | 1.2× |
| Herpes simplex type 2 (86696) | $88.40 | $104 | 4.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $27.20 | $32 | 5.3× |
| Histoplasma antibody (86698) | $77.35 | $91 | 5.6× |
| Histoplasma antigen urine (87385) | $72.25 | $85 | 5.5× |
| Hla-b27 (86812) | $73.10 | $86 | 2.8× |
| Hydroxyprogesterone 17-d (83498) | $115.60 | $136 | 4.3× |
| Iaad ia clostridium difficile toxin (87324) | $72.25 | $85 | 6.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $79.05 | $93 | 3.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $108.80 | $128 | 7.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $72.25 | $85 | 5.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $57.80 | $68 | 1.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $72.25 | $85 | 6.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $212.50 | $250 | 5.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $79.05 | $93 | 2.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $99.45 | $117 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $195.50 | $230 | 5.6× |
| Iadna nos quantification each organism (87799) | $273.85 | $322.18 | 6.4× |
| If cryptosporidium antigen (87272) | $72.25 | $85 | 6.0× |
| Igvh somatic hypermutation (81263) | $721.23 | $848.50 | 2.4× |
| Immunfix e-phorsis/urine/csf (86335) | $85 | $100 | 2.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $58.65 | $69 | 3.9× |
| Immunoassay nonantibody (83516) | $60.35 | $71 | 5.2× |
| Immunodiffusion Ouchterlony (86331) | $119 | $140 | 9.9× |
| Immunofixj Electrophoresis Serum (86334) | $128.35 | $151 | 5.7× |
| Immunoglobulin light chains free each (83521) | $127.50 | $150 | 7.4× |
| India ink prep (87210) | $22.10 | $26 | 3.8× |
| Influenza DNA amp probe (87502) | $167.88 | $197.50 | 1.8× |
| Inhibin b (83520) | $48.45 | $57 | 2.8× |
| Insulin total (83525) | $67.15 | $79 | 5.9× |
| Iron (83540) | $34 | $40 | 5.3× |
| Iron binding capacity (83550) | $54.40 | $64 | 6.2× |
| Koh Prep (87220) | $24.23 | $28.50 | 5.7× |
| Lactic acid (83605) | $62.90 | $74 | 5.4× |
| Ldh (83615) | $33.54 | $39.45 | 5.6× |
| LDL cholesterol direct (83721) | $61.20 | $72 | 5.8× |
| Lead (83655) | $32.30 | $38 | 2.7× |
| Legionella antigen urine (87449) | $78.63 | $92.50 | 6.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $20.40 | $24 | 4.8× |
| Level v surg pathology grossµscopic exam (88307) | $324.83 | $382.15 | 1.0× |
| Lh (83002) | $94.56 | $111.25 | 5.1× |
| Lipase (83690) | $37.40 | $44 | 5.4× |
| Listeria ab (86609) | $45.05 | $53 | 3.5× |
| Lithium (80178) | $34.85 | $41 | 5.3× |
| Lyme disease antibody (86618) | $101.15 | $119 | 5.9× |
| Lyme disease antibody confirm (86617) | $134.30 | $158 | 8.7× |
| Magnesium (83735) | $34.85 | $41 | 5.2× |
| Mass spectrometry qual/quan (83789) | $255 | $300 | 10.6× |
| Meat fibers, feces (89160) | $85.85 | $101 | 17.7× |
| Mercury (83825) | $52.70 | $62 | 3.2× |
| Methylmalonic acid serum (83921) | $56.95 | $67 | 2.7× |
| Microalbumin urine (82043) | $33.11 | $38.95 | 5.7× |
| Microbe susceptible diffuse (87181) | $24.65 | $29 | 5.2× |
| Microsomal antibodies (86376) | $67.15 | $79 | 4.6× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $194.65 | $229 | 3.8× |
| Mopath procedure level 4 (81403) | $607.75 | $715 | 3.3× |
| Mucin synovial fluid ropes test (83872) | $138.55 | $163 | 23.6× |
| Natriuretic peptide (83880) | $96.05 | $113 | 2.4× |
| Nuclear antigen antibody (86235) | $68.85 | $81 | 3.8× |
| Occult blood stool (82272) | $18.28 | $21.50 | 4.3× |
| Osmolality serum (83930) | $38.25 | $45 | 5.8× |
| Osmolality urine (83935) | $41.65 | $49 | 6.1× |
| Ova and parasite direct-id lca (87177) | $45.90 | $54 | 5.2× |
| Oxalate urine (83945) | $45.05 | $53 | 3.1× |
| Pancreatic elastase fecal (82656) | $238 | $280 | 20.6× |
| Pancreatic polypeptide (83519) | $48.45 | $57 | 2.6× |
| Phosphatase alkaline (84075) | $15.30 | $18 | 3.0× |
| Phosphorus blood (84100) | $13.60 | $16 | 2.9× |
| Platelet count (85049) | $20.40 | $24 | 4.6× |
| Potassium (84132) | $13.60 | $16 | 2.9× |
| Potassium urine (84133) | $26.35 | $31 | 5.6× |
| Primidone (80188) | $70.55 | $83 | 4.3× |
| Procalcitonin (pct) (84145) | $142.38 | $167.50 | 5.2× |
| Progesterone (84144) | $94.35 | $111 | 4.5× |
| Prolactin (84146) | $104.55 | $123 | 5.4× |
| Protein c activity (85303) | $133.45 | $157 | 9.6× |
| Protein electrophoresis serum (84165) | $53.55 | $63 | 5.0× |
| Protein Electrophoresis Urine (84166) | $51 | $60 | 2.9× |
| Protein S Functional (85306) | $136.22 | $160.25 | 8.9× |
| Protein Total Serum (84155) | $11.90 | $14 | 3.2× |
| Protein urine (84156) | $24.86 | $29.25 | 6.8× |
| PSA free (84154) | $72.25 | $85 | 3.9× |
| Quantiferon tb gold (86480) | $175.10 | $206 | 2.8× |
| Reagent strip/blood glucose (82948) | $19.55 | $23 | 3.9× |
| Reducing substances, stool (84376) | $54.40 | $64 | 9.9× |
| Respiratory viral panel PCR (87633) | $4.25 | $5 | 0.0× |
| Respiratory Virus (86756) | $76.50 | $90 | 4.8× |
| Rheumatoid factor quant (86431) | $34 | $40 | 6.0× |
| Rickettsia antibody (86757) | $166.60 | $196 | 8.6× |
| Rpr Titer (86593) | $29.75 | $35 | 6.8× |
| Rubella antibody (86762) | $40.80 | $48 | 2.8× |
| Russell viper venom time diluted (85613) | $35.70 | $42 | 3.7× |
| Salicylate (80179) | $76.50 | $90 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $139.08 | $163.62 | 2.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $24.23 | $28.50 | 0.6× |
| Sedimentation rate (85651) | $17.85 | $21 | 4.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $55.25 | $65 | 4.6× |
| Sensitivity mic (87186) | $37.96 | $44.65 | 4.4× |
| Smear acid fast (87206) | $36.55 | $43 | 6.8× |
| Smear complex stain (87209) | $51 | $60 | 2.8× |
| Smear gram stain (87205) | $18.70 | $22 | 4.4× |
| Sodium (84295) | $13.60 | $16 | 2.8× |
| Sodium urine (84300) | $26.35 | $31 | 5.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $39.10 | $46 | 4.1× |
| Strep a assay w/optic (87880) | $57.80 | $68 | 3.5× |
| Surg path level iii (88304) | $138.98 | $163.50 | 2.9× |
| Surgical pathology level IV (88305) | $233.75 | $275 | 4.9× |
| Susceptibility study antimicrobial disk method (87184) | $34 | $40 | 4.5× |
| T3 free (84481) | $111.35 | $131 | 6.6× |
| T3 reverse (84482) | $109.65 | $129 | 7.0× |
| T3 total (84480) | $62.90 | $74 | 4.4× |
| T4 Free (84439) | $39.57 | $46.55 | 4.4× |
| T4 total (84436) | $24.23 | $28.50 | 3.5× |
| Testosterone free (84402) | $136.74 | $160.88 | 5.4× |
| Testosterone total (84403) | $138.55 | $163 | 5.4× |
| Thyroglobulin (84432) | $117.30 | $138 | 7.3× |
| Thyroglobulin Ab (86800) | $90.95 | $107 | 5.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $617.95 | $727 | 12.2× |
| Tissue Culture Lymphocyte (88230) | $774.35 | $911 | 6.6× |
| Transferrin (84466) | $102.85 | $121 | 8.1× |
| Triglycerides (84478) | $17 | $20 | 3.0× |
| Troponin (84484) | $93.50 | $110 | 7.5× |
| Urea nitrogen (84520) | $11.90 | $14 | 3.0× |
| Uric acid blood (84550) | $19.55 | $23 | 4.3× |
| Uric acid other source (84560) | $27.20 | $32 | 5.4× |
| Urinalysis w/microscopic (81001) | $13.60 | $16 | 4.3× |
| Urine pregnancy test (81025) | $36.55 | $43 | 4.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $12.75 | $15 | 5.7× |
| Valproic acid level (80164) | $86.70 | $102 | 6.4× |
| Vancomycin trough (80202) | $77.35 | $91 | 5.7× |
| Varicella-zoster antibody (86787) | $87.55 | $103 | 6.8× |
| Vdrl csf (86592) | $22.10 | $26 | 5.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $106.25 | $125 | 3.1× |
| Vitamin A (84590) | $62.05 | $73 | 5.3× |
| Vitamin b-12 (82607) | $75.65 | $89 | 5.0× |
| Vitamin b1 (thiamine) (84425) | $96.05 | $113 | 4.5× |
| Vitamin b6 (84207) | $185.30 | $218 | 6.6× |
| Vitamin D 25-Hydroxy (82306) | $163.42 | $192.25 | 5.5× |
| Vitamin e serum (84446) | $73.95 | $87 | 5.2× |
| West nile virus ab, igm (86788) | $99.45 | $117 | 5.9× |
| West nile virus antibody (86789) | $99.45 | $117 | 6.9× |
| Zinc (84630) | $38.25 | $45 | 3.4× |