Lab & pathology prices at Tyler Holmes Memorial Hospital
Winona, MS · every code in this section with a posted price and a Medicare benchmark.
329 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) | $190.50 | $254 | 4.9× |
| 5 Hiaa (83497) | $89.63 | $119.50 | 6.9× |
| Activated protein c resistance (85307) | $52.50 | $70 | 3.4× |
| Acute hepatitis panel (80074) | $337.50 | $450 | 7.1× |
| Albumin serum (82040) | $73.88 | $98.50 | 14.9× |
| Aldolase (82085) | $135.75 | $181 | 14.0× |
| Aldosterone urine (82088) | $92.06 | $122.75 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $16.50 | $22 | 1.1× |
| Allergen specific ige (86003) | $42.19 | $56.25 | 8.1× |
| Allg Spec Ige Recomb Ea (86008) | $176.25 | $235 | 9.8× |
| Alpha-1-antitrypsin phenotype (82104) | $56.25 | $75 | 3.9× |
| Alpha-1-antitrypsin, total (82103) | $39.75 | $53 | 3.0× |
| Alpha-fetoprotein, serum (82105) | $101.25 | $135 | 6.0× |
| Alt (sgpt) (84460) | $78.75 | $105 | 14.9× |
| Amikacin trough (80150) | $82.82 | $110.42 | 5.5× |
| Ammonia (82140) | $75.75 | $101 | 5.2× |
| Amylase urine (82150) | $71.25 | $95 | 11.0× |
| Angiotensin i enzyme test (82164) | $45 | $60 | 3.1× |
| Antibody cytomegalovirus cmv (86644) | $61.50 | $82 | 4.3× |
| Antibody cytomegalovirus cmv igm (86645) | $61.50 | $82 | 3.6× |
| Antibody Encephalitis Eastern Equine (86652) | $35.18 | $46.90 | 2.7× |
| Antibody Encephalitis St. Louis (86653) | $35.18 | $46.90 | 2.7× |
| Antibody helicobacter pylori (86677) | $96 | $128 | 5.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $39 | $52 | 2.7× |
| Antibody herpes smplx type 1 (86695) | $84 | $112 | 6.4× |
| Antibody identification (86870) | $318.75 | $425 | 1.0× |
| Antibody mumps (86735) | $81 | $108 | 6.2× |
| Antibody rubeola (86765) | $49.50 | $66 | 3.8× |
| Antibody treponema pallidum (86780) | $113.59 | $151.45 | 8.6× |
| Antibody; Coccidioides (86635) | $57.75 | $77 | 5.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $63.86 | $85.15 | 5.3× |
| Antinuclear antibodies (86038) | $72 | $96 | 6.0× |
| Antistreptolysin o titer (86060) | $78.75 | $105 | 10.8× |
| Antithrombin iii activity (85300) | $45 | $60 | 3.8× |
| Antithrombin iii antigen (85301) | $45 | $60 | 4.2× |
| Apolipoprotein b (82172) | $45 | $60 | 2.1× |
| Arsenic Urine (82175) | $367.74 | $490.31 | 19.4× |
| Aspergillus ag eia (87305) | $337.50 | $450 | 28.2× |
| Assay Nephelometry Not Spec (83883) | $148.84 | $198.45 | 10.9× |
| Assay of acth (82024) | $120.75 | $161 | 3.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $117.75 | $157 | 6.8× |
| Assay of blood chloride (82435) | $61.50 | $82 | 13.4× |
| Assay of c-peptide (84681) | $75 | $100 | 3.6× |
| Assay of ceruloplasmin (82390) | $18.75 | $25 | 1.7× |
| Assay of erythropoietin (82668) | $79.50 | $106 | 4.2× |
| Assay of ferritin (82728) | $126.75 | $169 | 9.3× |
| Assay of gammaglobulin igm (82784) | $87.75 | $117 | 9.4× |
| Assay of gastrin (82941) | $95.63 | $127.50 | 5.4× |
| Assay of gentamicin (80170) | $89.25 | $119 | 5.4× |
| Assay of homocystine (83090) | $81 | $108 | 4.5× |
| Assay of lipoprotein(a) (83695) | $107.70 | $143.60 | 7.5× |
| Assay of metanephrines (83835) | $196.50 | $262 | 11.6× |
| Assay of parathormone (83970) | $348.75 | $465 | 8.4× |
| Assay of phenobarbital (80184) | $71.25 | $95 | 4.7× |
| Assay of prealbumin (84134) | $75 | $100 | 5.1× |
| Assay of serotonin (84260) | $131.25 | $175 | 4.2× |
| Assay of somatomedin (84305) | $59.25 | $79 | 2.8× |
| Assay of tacrolimus (80197) | $486.75 | $649 | 35.5× |
| Assay of urine vma (84585) | $93.56 | $124.75 | 6.0× |
| Assay of vitamin k (84597) | $244.95 | $326.60 | 17.9× |
| Ast (sgot) (84450) | $78.75 | $105 | 15.2× |
| Bartonella antibody (86611) | $109.55 | $146.06 | 10.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $103.50 | $138 | 4.1× |
| Bilirubin direct (82248) | $61.50 | $82 | 12.3× |
| Bl Smear W/Diff Wbc Count (85007) | $35.25 | $47 | 9.3× |
| Blood gases (82803) | $253.50 | $338 | 9.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.75 | $21 | 3.6× |
| Blood typing abo (86900) | $33 | $44 | 11.0× |
| Blood typing serologic rh (d) (86901) | $33 | $44 | 11.0× |
| Body fluid cell count (89051) | $36 | $48 | 6.4× |
| Bordetella antibody (86615) | $237.75 | $317 | 18.0× |
| Brca1&2 seq & full dup/del (81162) | $2,812.50 | $3,750 | 1.5× |
| C diff amplified probe (87493) | $222.75 | $297 | 6.0× |
| C-reactive protein (86140) | $39 | $52 | 7.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $97.31 | $129.75 | 7.5× |
| C1q binding assay (86332) | $103.31 | $137.75 | 4.2× |
| Ca 125 (86304) | $63.75 | $85 | 3.1× |
| Ca 19-9 (86301) | $42.75 | $57 | 2.1× |
| Ca 27 29 (86300) | $81 | $108 | 3.9× |
| Calcium ionized (82330) | $11.25 | $15 | 0.8× |
| Calcium total (82310) | $61.50 | $82 | 11.9× |
| Calcium urine (82340) | $22.50 | $30 | 3.7× |
| Calculus Quantitative Chemical (82360) | $135.75 | $181 | 10.5× |
| California encephalitis ab (86651) | $35.18 | $46.90 | 2.7× |
| Calprotectin, fecal (83993) | $241.50 | $322 | 12.3× |
| Candida antibody (86628) | $97.31 | $129.75 | 8.1× |
| Candida DNA dir probe (87480) | $48.75 | $65 | 2.4× |
| Carbamazepine (tegretol) total (80156) | $84 | $112 | 5.8× |
| Carbon dioxide (82374) | $61.50 | $82 | 12.6× |
| Carboxyhemoglobin Quantitative (82375) | $136.31 | $181.75 | 11.1× |
| Carcinoembryonic antigen (82378) | $177.75 | $237 | 9.4× |
| Cardiolipin ab igg (86147) | $63 | $84 | 2.5× |
| Catecholamines fraction plasma (82384) | $190.88 | $254.50 | 7.6× |
| Cd4 absolute count (86361) | $136.50 | $182 | 5.1× |
| Chemiluminescent assay (82397) | $667.69 | $890.25 | 47.3× |
| Chlamydia antibody (86631) | $84.38 | $112.50 | 7.1× |
| Chloride urine (82436) | $23.85 | $31.80 | 4.1× |
| Cholesterol total (82465) | $61.50 | $82 | 14.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $57.38 | $76.50 | 1.6× |
| Ckmb (82553) | $143.25 | $191 | 12.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $109.88 | $146.50 | 4.6× |
| Cold agglutinin titer (86157) | $58.50 | $78 | 7.3× |
| Compatibility test antiglob (86922) | $161.25 | $215 | 1.1× |
| Complement c3 (86160) | $100.50 | $134 | 8.4× |
| Coombs direct (86880) | $62.25 | $83 | 11.5× |
| Coombs Test Indirect Qual (86885) | $61.32 | $81.75 | 10.7× |
| Copper urine (82525) | $78.75 | $105 | 6.3× |
| Cortisol free (82530) | $58.13 | $77.50 | 3.5× |
| Cortisol total (82533) | $164.06 | $218.75 | 10.1× |
| Creatine kinase total (82550) | $78.75 | $105 | 12.1× |
| Creatinine blood (82565) | $51 | $68 | 10.0× |
| Creatinine clearance (82575) | $117.75 | $157 | 12.4× |
| Creatinine other source (82570) | $98.25 | $131 | 19.0× |
| Culture anaerobic (87075) | $127.80 | $170.40 | 13.5× |
| Culture blood (87040) | $82.50 | $110 | 8.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $244.97 | $326.63 | 31.8× |
| Culture fungus other (87102) | $38.25 | $51 | 4.5× |
| Culture genital (87070) | $79.50 | $106 | 9.2× |
| Culture screen only (87081) | $61.88 | $82.50 | 9.3× |
| Culture stool (87045) | $135.75 | $181 | 14.4× |
| Culture urine (87086) | $135.75 | $181 | 16.8× |
| Cyclic Citrullinated Peptide (86200) | $233.25 | $311 | 18.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $300 | $400 | 7.0× |
| D-Dimer (85378) | $148.50 | $198 | 15.3× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $18.75 | $25 | 0.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $66 | $88 | 4.0× |
| Detect agnt mult DNA ampli (87801) | $93.75 | $125 | 1.3× |
| Dhea sulfate (82627) | $56.62 | $75.50 | 2.5× |
| Digoxin (80162) | $137.25 | $183 | 10.3× |
| Dilantin (80185) | $99 | $132 | 7.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $122.62 | $163.50 | 8.9× |
| Drug Assay Amiodarone (80151) | $200.63 | $267.50 | 10.8× |
| Drug Assay Lacosamide (80235) | $187.50 | $250 | 6.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $324.75 | $433 | 24.5× |
| Drug Scrn Quan Levetiracetam (80177) | $128.25 | $171 | 9.7× |
| Drug test prsmv chem anlyzr (80307) | $93.75 | $125 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $15.75 | $21 | 1.3× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $31.88 | $42.50 | 1.9× |
| Echinococcus ab igg (86682) | $172.50 | $230 | 13.3× |
| Elastase pancreatic fecal quantitative (82653) | $702 | $936 | 30.6× |
| Electrolyte panel (80051) | $143.25 | $191 | 20.4× |
| Encephalitis Western Equine (86654) | $35.18 | $46.90 | 2.7× |
| Enterovirus antibody (86658) | $314.25 | $419 | 24.1× |
| Enzyme cell activity (82657) | $393.75 | $525 | 17.8× |
| Eosinophil count (85048) | $35.25 | $47 | 13.9× |
| Estradiol (82670) | $33 | $44 | 1.2× |
| Estrogen fractionated (82671) | $86.25 | $115 | 2.7× |
| F5 gene (81241) | $184.50 | $246 | 2.5× |
| Factor ii activity (85210) | $1,010.25 | $1,347 | 77.8× |
| Fecal fat quant (82710) | $90.75 | $121 | 5.4× |
| Fibrinogen activity (85384) | $60 | $80 | 6.2× |
| Folate serum (82746) | $117.75 | $157 | 8.0× |
| Follicle Stimulating Hormone (83001) | $156.75 | $209 | 8.4× |
| Fructosamine (82985) | $37.50 | $50 | 2.2× |
| Galectin-3 serum (82777) | $287.06 | $382.75 | 6.5× |
| Gammaglobulin ige (82785) | $74.25 | $99 | 4.5× |
| Gardner vag DNA dir probe (87510) | $48.75 | $65 | 2.4× |
| Gastric Occult Blood (82271) | $35.25 | $47 | 6.6× |
| Ggt (82977) | $49.50 | $66 | 6.9× |
| Glucagon tolerance test (82946) | $187.50 | $250 | 10.6× |
| Glucose (82947) | $61.50 | $82 | 15.6× |
| Glucose Blood Test (82962) | $13.50 | $18 | 4.1× |
| Glucose body fluid (82945) | $31.05 | $41.40 | 7.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $225 | $300 | 17.5× |
| Haptoglobin (83010) | $87.75 | $117 | 7.0× |
| Hba1/hba2 gene dup/del vrnts (81269) | $225 | $300 | 1.1× |
| Hcg qualitative (84703) | $56.25 | $75 | 7.5× |
| Hcg quant (84702) | $98.25 | $131 | 6.5× |
| Hematocrit (85014) | $45 | $60 | 19.0× |
| Hemoglobin (85018) | $45 | $60 | 19.0× |
| Hemoglobin a1c (83036) | $61.50 | $82 | 6.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $26.25 | $35 | 1.5× |
| Hepatitis a igm (86709) | $101.25 | $135 | 9.0× |
| Hepatitis b core antibody total (86704) | $49.50 | $66 | 4.1× |
| Hepatitis B Surface Ab (86706) | $86.06 | $114.75 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $46.50 | $62 | 4.5× |
| Hepatitis c antibody (86803) | $211.50 | $282 | 14.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $61.50 | $82 | 11.9× |
| Histamine plasma (83088) | $175.50 | $234 | 5.9× |
| Histoplasma antigen urine (87385) | $252.94 | $337.25 | 19.1× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $86.25 | $115 | 6.3× |
| Hla-b27 (86812) | $117.75 | $157 | 4.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $197.44 | $263.25 | 5.6× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $75.75 | $101 | 4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $184.50 | $246 | 12.8× |
| Iaad ia rotavirus (87425) | $111 | $148 | 9.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $56.25 | $75 | 1.6× |
| Iaad Ia Streptococcus Group A (87430) | $61.50 | $82 | 3.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $281.25 | $375 | 3.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $41.25 | $55 | 1.2× |
| Iadna nos amplified probe tq each organism (87798) | $386.62 | $515.50 | 11.0× |
| Iadna nos quantification each organism (87799) | $233.63 | $311.50 | 5.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $80.62 | $107.50 | 2.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $337.50 | $450 | 1.3× |
| If cryptosporidium antigen (87272) | $33 | $44 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) | $148.84 | $198.45 | 5.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $66.38 | $88.50 | 4.4× |
| Immunoassay nonantibody (83516) | $412.50 | $550 | 35.8× |
| Immunofixj Electrophoresis Serum (86334) | $75 | $100 | 3.4× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $150 | $200 | 12.5× |
| India ink prep (87210) | $33 | $44 | 5.7× |
| Influenza DNA amp probe (87502) | $150 | $200 | 1.6× |
| Inhibin b (83520) | $97.88 | $130.50 | 5.7× |
| Insulin antibodies (86337) | $269.06 | $358.75 | 12.6× |
| Insulin total (83525) | $89.81 | $119.75 | 7.9× |
| Intrinsic factor antibody (86340) | $112.50 | $150 | 7.5× |
| Iron (83540) | $58.88 | $78.50 | 9.1× |
| Iron binding capacity (83550) | $56.25 | $75 | 6.4× |
| Lactic acid (83605) | $87.75 | $117 | 7.6× |
| Lactoferrin fecal qualitative (83630) | $112.50 | $150 | 5.7× |
| Ldh (83615) | $78.75 | $105 | 13.0× |
| LDL cholesterol direct (83721) | $55.69 | $74.25 | 5.3× |
| Lead (83655) | $267.38 | $356.50 | 22.1× |
| Legionella antigen urine (87449) | $42 | $56 | 3.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $45 | $60 | 10.5× |
| Lh (83002) | $78.75 | $105 | 4.3× |
| Lipase (83690) | $71.25 | $95 | 10.3× |
| Lipopro bld electrophoretic (83700) | $278.81 | $371.75 | 24.8× |
| Lithium (80178) | $78.75 | $105 | 11.9× |
| Lyme disease antibody (86618) | $79.50 | $106 | 4.7× |
| Lyme disease antibody confirm (86617) | $17.25 | $23 | 1.1× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $18.75 | $25 | 0.5× |
| Magnesium (83735) | $65.25 | $87 | 9.7× |
| Manual reticulocyte count (85044) | $61.50 | $82 | 14.3× |
| Mercury (83825) | $419.25 | $559 | 25.8× |
| Methotrexate (80299) | $293.93 | $391.90 | 15.8× |
| Methylmalonic acid serum (83921) | $136.50 | $182 | 6.4× |
| Microalbumin urine (82043) | $62.25 | $83 | 10.8× |
| Microsomal antibodies (86376) | $108 | $144 | 7.4× |
| Mitochondrial antibody each (86381) | $45 | $60 | 1.8× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $277.50 | $370 | 23.0× |
| Mrsa amp probe (87641) | $79.69 | $106.25 | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $481.50 | $642 | 7.4× |
| Mucin synovial fluid ropes test (83872) | $307.50 | $410 | 52.5× |
| Muramidase (85549) | $95.63 | $127.50 | 5.1× |
| Mycophenolic acid (80180) | $302.25 | $403 | 16.7× |
| Mycoplasma antibody (86738) | $147 | $196 | 11.1× |
| Myoglobin urine (83874) | $118.50 | $158 | 9.2× |
| Natriuretic peptide (83880) | $187.88 | $250.50 | 4.8× |
| Nfct ds bv&vaginitis DNA alg (81514) | $146.25 | $195 | 0.6× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $315 | $420 | 4.4× |
| Nuclear antigen antibody (86235) | $21.38 | $28.50 | 1.2× |
| Occult blood stool (82272) | $35.25 | $47 | 8.3× |
| Orthopoxvirus Amp Prb Each (87593) | $200.63 | $267.50 | 3.9× |
| Osmolality serum (83930) | $46.50 | $62 | 7.0× |
| Osmolality urine (83935) | $46.50 | $62 | 6.8× |
| Ova and parasite direct-id lca (87177) | $59.63 | $79.50 | 6.7× |
| Pancreatic polypeptide (83519) | $464.06 | $618.75 | 25.2× |
| Particle Agglutination Screen Each Antibody (86403) | $83.85 | $111.80 | 7.3× |
| Parvovirus antibody (86747) | $236.25 | $315 | 15.7× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $187.50 | $250 | 2.7× |
| Phosphatase alkaline (84075) | $85.12 | $113.50 | 16.4× |
| Phosphorus blood (84100) | $61.50 | $82 | 13.0× |
| Platelet count (85049) | $42 | $56 | 9.4× |
| Pml/raralpha com breakpoints (81315) | $690 | $920 | 3.3× |
| Potassium (84132) | $69.75 | $93 | 14.7× |
| Potassium urine (84133) | $33.75 | $45 | 7.1× |
| Primidone (80188) | $123.75 | $165 | 7.5× |
| Procalcitonin (pct) (84145) | $215.25 | $287 | 7.9× |
| Progesterone (84144) | $112.50 | $150 | 5.4× |
| Prolactin (84146) | $183.75 | $245 | 9.5× |
| Protein c activity (85303) | $92.82 | $123.75 | 6.7× |
| Protein c antigen (85302) | $97.50 | $130 | 8.1× |
| Protein electrophoresis serum (84165) | $117.75 | $157 | 11.0× |
| Protein S Functional (85306) | $117.19 | $156.25 | 7.6× |
| Protein s total (85305) | $163.88 | $218.50 | 14.1× |
| Protein Total Serum (84155) | $61.50 | $82 | 16.8× |
| Protein urine (84156) | $78.75 | $105 | 21.5× |
| Protein Western Blot (84182) | $91.88 | $122.50 | 3.1× |
| PSA free (84154) | $56.25 | $75 | 3.1× |
| Quantiferon tb gold (86480) | $310.50 | $414 | 5.0× |
| Renin activity plasma (84244) | $92.06 | $122.75 | 4.2× |
| Respiratory Virus (86756) | $222.75 | $297 | 14.0× |
| Rheumatoid factor quant (86431) | $20.25 | $27 | 3.6× |
| Rickettsia antibody (86757) | $105.75 | $141 | 5.5× |
| Rubella antibody (86762) | $130.50 | $174 | 9.1× |
| Salicylate (80179) | $117.75 | $157 | 6.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $78.75 | $105 | 1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $150 | $200 | 3.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $375 | $500 | 2.6× |
| Sedimentation rate (85651) | $39 | $52 | 9.1× |
| Sex hormone binding globulin (84270) | $44.25 | $59 | 2.0× |
| Smear complex stain (87209) | $59.63 | $79.50 | 3.3× |
| Smear gram stain (87205) | $39 | $52 | 9.1× |
| Sodium (84295) | $59.25 | $79 | 12.3× |
| Sodium urine (84300) | $51.75 | $69 | 10.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $161.25 | $215 | 1.1× |
| Strep a assay w/optic (87880) | $31.50 | $42 | 1.9× |
| T cells, total count (86359) | $270 | $360 | 7.2× |
| T3 free (84481) | $212.25 | $283 | 12.5× |
| T3 reverse (84482) | $101.25 | $135 | 6.4× |
| T3 total (84480) | $28.50 | $38 | 2.0× |
| T3 uptake (84479) | $78.75 | $105 | 12.2× |
| T4 Free (84439) | $93.75 | $125 | 10.4× |
| T4 total (84436) | $78.38 | $104.50 | 11.4× |
| Tb intradermal test (86580) | $25.50 | $34 | 1.0× |
| Test for acetone/ketones (82009) | $33 | $44 | 7.3× |
| Testosterone total (84403) | $51 | $68 | 2.0× |
| Thrombin time plasma (85670) | $96.70 | $128.93 | 16.8× |
| Thyroglobulin Ab (86800) | $93 | $124 | 5.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $135.75 | $181 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $97.88 | $130.50 | 8.5× |
| Tobramycin peak (80200) | $83.25 | $111 | 5.2× |
| Transferrin (84466) | $89.25 | $119 | 7.0× |
| Trichomonas vagin dir probe (87660) | $48.75 | $65 | 2.4× |
| Triglycerides (84478) | $78.75 | $105 | 13.7× |
| Troponin (84484) | $111.75 | $149 | 9.0× |
| Urea nitrogen (84520) | $92.25 | $123 | 23.4× |
| Urea Nitrogen Clearance (84545) | $53.85 | $71.80 | 7.5× |
| Uric acid blood (84550) | $61.50 | $82 | 13.6× |
| Urinalysis microscopic only (81015) | $33 | $44 | 10.8× |
| Urinalysis qual/semiquant except immunoassays (81005) | $30 | $40 | 13.8× |
| Urinalysis w/microscopic (81001) | $78.75 | $105 | 24.8× |
| Urine pregnancy test (81025) | $46.50 | $62 | 5.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $23.25 | $31 | 10.3× |
| Valproic acid level (80164) | $157.12 | $209.50 | 11.6× |
| Vancomycin trough (80202) | $141 | $188 | 10.4× |
| Varicella-zoster antibody (86787) | $39 | $52 | 3.0× |
| Vasopressin (84588) | $67.50 | $90 | 2.0× |
| Vdrl csf (86592) | $36.75 | $49 | 8.6× |
| Vitamin A (84590) | $43.50 | $58 | 3.7× |
| Vitamin b-12 (82607) | $156.75 | $209 | 10.4× |
| Vitamin b1 (thiamine) (84425) | $183.75 | $245 | 8.7× |
| Vitamin b6 (84207) | $363.75 | $485 | 12.9× |
| Vitamin D 25-Hydroxy (82306) | $209.82 | $279.75 | 7.1× |
| Vitamin e serum (84446) | $43.50 | $58 | 3.1× |
| West nile virus ab, igm (86788) | $35.18 | $46.90 | 2.1× |
| West nile virus antibody (86789) | $79.46 | $105.95 | 5.5× |
| Zinc (84630) | $36.75 | $49 | 3.2× |