Lab & pathology prices at UMMC Grenada
Grenada, MS · every code in this section with a posted price and a Medicare benchmark.
361 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 5 Hiaa (83497) | $30 | $75 | 2.3× |
| Acute hepatitis panel (80074) | $110.80 | $277 | 2.3× |
| Acylcarnitine Plasma (82017) | $39.60 | $99 | 2.3× |
| Afb culture (87116) | $25.20 | $63 | 2.3× |
| Albumin Fluid (82042) | $11.60 | $29 | 1.5× |
| Albumin serum (82040) | $11.60 | $29 | 2.3× |
| Aldolase (82085) | $22.80 | $57 | 2.3× |
| Aldosterone urine (82088) | $95.20 | $238 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $34.80 | $87 | 2.4× |
| Allergen specific ige (86003) | $12 | $30 | 2.3× |
| Alpha-1-antitrypsin, total (82103) | $24.80 | $62 | 1.8× |
| Alpha-fetoprotein, serum (82105) | $20.80 | $52 | 1.2× |
| Alt (sgpt) (84460) | $12.40 | $31 | 2.3× |
| Amikacin trough (80150) | $35.20 | $88 | 2.3× |
| Amino Acids, Single Quantitation (82131) | $31.60 | $79 | 1.4× |
| Ammonia (82140) | $28.40 | $71 | 1.9× |
| Amylase urine (82150) | $14 | $35 | 2.2× |
| Ana Titer (86039) | $22.80 | $57 | 2.0× |
| Anti-phosphatidylserine antibody (86148) | $16 | $40 | 1.0× |
| Antibody Absorption (86978) | $66 | $165 | 1.3× |
| Antibody aspergillus (86606) | $35.20 | $88 | 2.3× |
| Antibody cytomegalovirus cmv (86644) | $34 | $85 | 2.4× |
| Antibody cytomegalovirus cmv igm (86645) | $36.80 | $92 | 2.2× |
| Antibody Encephalitis Eastern Equine (86652) | $30.80 | $77 | 2.3× |
| Antibody Encephalitis St. Louis (86653) | $13.20 | $33 | 1.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $22 | $55 | 1.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $33.60 | $84 | 2.3× |
| Antibody herpes smplx type 1 (86695) | $30.80 | $77 | 2.3× |
| Antibody identification (86870) | $188.80 | $472 | 0.6× |
| Antibody identification leukocyte antibodies (86021) | $21.60 | $54 | 1.4× |
| Antibody mumps (86735) | $30.40 | $76 | 2.3× |
| Antibody rubeola (86765) | $30.40 | $76 | 2.4× |
| Antibody screen (86850) | $76.40 | $191 | 7.8× |
| Antibody; Coccidioides (86635) | $26.80 | $67 | 2.3× |
| Antigen typing (86905) | $188.80 | $472 | 49.3× |
| Antinuclear antibodies (86038) | $21.60 | $54 | 1.8× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $6.80 | $17 | 1.2× |
| Antithrombin iii activity (85300) | $28 | $70 | 2.4× |
| Arsenic Urine (82175) | $28 | $70 | 1.5× |
| Aspergillus ag eia (87305) | $42 | $105 | 3.5× |
| Assay Nephelometry Not Spec (83883) | $31.60 | $79 | 2.3× |
| Assay of acth (82024) | $90.40 | $226 | 2.3× |
| Assay of blood chloride (82435) | $10.80 | $27 | 2.3× |
| Assay of c-peptide (84681) | $48.40 | $121 | 2.3× |
| Assay of ceruloplasmin (82390) | $25.20 | $63 | 2.3× |
| Assay of ferritin (82728) | $32 | $80 | 2.3× |
| Assay of gammaglobulin igm (82784) | $21.60 | $54 | 2.3× |
| Assay of gentamicin (80170) | $30 | $75 | 1.8× |
| Assay of metanephrines (83835) | $34 | $85 | 2.0× |
| Assay of parathormone (83970) | $96.80 | $242 | 2.3× |
| Assay of phenobarbital (80184) | $19.20 | $48 | 1.3× |
| Assay of prealbumin (84134) | $18 | $45 | 1.2× |
| Assay Ph Body Fluid Nos (83986) | $7.20 | $18 | 2.0× |
| Ast (sgot) (84450) | $12.40 | $31 | 2.4× |
| Bartonella antibody (86611) | $22.40 | $56 | 2.2× |
| Bcr/abl1 gene major bp (81206) | $202.40 | $506 | 1.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $59.60 | $149 | 2.3× |
| Bilirubin direct (82248) | $11.60 | $29 | 2.3× |
| Bilirubin total (82247) | $11.60 | $29 | 2.3× |
| Biotinidase ea specimen (82261) | $38 | $95 | 2.3× |
| Bl Smear W/Diff Wbc Count (85007) | $4 | $10 | 1.1× |
| Blastomyces antibody (86612) | $30.40 | $76 | 2.4× |
| Blood count reticulocyte automated (85045) | $9.60 | $24 | 2.4× |
| Blood gases (82803) | $52 | $130 | 2.0× |
| Blood gases w/02 saturation (82805) | $66.40 | $166 | 0.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22 | $55 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.80 | $32 | 2.9× |
| Blood Ph - Ph Venous (82800) | $20 | $50 | 1.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $188.80 | $472 | 29.7× |
| Blood typing abo (86900) | $92 | $230 | 30.8× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $26.40 | $66 | 1.6× |
| Blood typing serologic rh (d) (86901) | $76.40 | $191 | 25.6× |
| Blood typing serologic rh phenotyping complete (86906) | $66 | $165 | 8.5× |
| Body fluid cell count (89051) | $13.20 | $33 | 2.4× |
| Body fluid cell count (89050) | $15.20 | $38 | 3.2× |
| Brucella antibody (86622) | $20.80 | $52 | 2.3× |
| C diff amplified probe (87493) | $82.40 | $206 | 2.2× |
| C-reactive protein (86140) | $10.80 | $27 | 2.1× |
| Ca 125 (86304) | $36.80 | $92 | 1.8× |
| Ca 19-9 (86301) | $36.80 | $92 | 1.8× |
| Ca 27 29 (86300) | $36.80 | $92 | 1.8× |
| Calcium ionized (82330) | $16.40 | $41 | 1.2× |
| Calcium total (82310) | $12 | $30 | 2.3× |
| Calcium urine (82340) | $14 | $35 | 2.3× |
| California encephalitis ab (86651) | $13.20 | $33 | 1.0× |
| Carbamazepine (tegretol) total (80156) | $34 | $85 | 2.3× |
| Carbon dioxide (82374) | $10.80 | $27 | 2.2× |
| Carboxyhemoglobin Quantitative (82375) | $17.20 | $43 | 1.4× |
| Carcinoembryonic antigen (82378) | $44.40 | $111 | 2.3× |
| Catecholamines fraction plasma (82384) | $76.80 | $192 | 3.0× |
| Cftr gene com variants (81220) | $130 | $325 | 0.2× |
| Chlamydia antibody (86631) | $27.60 | $69 | 2.3× |
| Chlamydia Igm Antibody (86632) | $29.60 | $74 | 2.3× |
| Chloride other source (82438) | $10.80 | $27 | 2.2× |
| Chloride urine (82436) | $11.60 | $29 | 2.0× |
| Cholesterol total (82465) | $10 | $25 | 2.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $361.60 | $904 | 2.9× |
| Chromosome analysis 20-25 cells (88264) | $272.80 | $682 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $76.40 | $191 | 2.2× |
| Cold agglutinin titer (86157) | $18.80 | $47 | 2.3× |
| Compatibility test antiglob (86922) | $125.20 | $313 | 0.9× |
| Complement c3 (86160) | $27.20 | $68 | 2.3× |
| Complement total ch50 (86162) | $47.60 | $119 | 2.3× |
| Concentration Infectious Agent (87015) | $14.40 | $36 | 2.2× |
| Coombs direct (86880) | $125.20 | $313 | 23.2× |
| Coombs Test Indirect Qual (86885) | $113.20 | $283 | 19.8× |
| Copper urine (82525) | $28.80 | $72 | 2.3× |
| Cortisol free (82530) | $39.20 | $98 | 2.3× |
| Cortisol total (82533) | $38 | $95 | 2.3× |
| Creatine kinase total (82550) | $17.60 | $44 | 2.7× |
| Creatinine blood (82565) | $12 | $30 | 2.3× |
| Creatinine clearance (82575) | $22 | $55 | 2.3× |
| Creatinine other source (82570) | $10.80 | $27 | 2.1× |
| Crossmatch immediate spin (86920) | $113.20 | $283 | 0.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $16.40 | $41 | 2.0× |
| Culture Aerobic Identify (87077) | $16.40 | $41 | 2.0× |
| Culture anaerobic (87075) | $10 | $25 | 1.1× |
| Culture blood (87040) | $28 | $70 | 2.7× |
| Culture chlamydia (87110) | $46 | $115 | 2.3× |
| Culture fungus id yeast (87106) | $24.40 | $61 | 2.4× |
| Culture fungus other (87102) | $19.60 | $49 | 2.3× |
| Culture genital (87070) | $23.20 | $58 | 2.7× |
| Culture screen only (87081) | $15.60 | $39 | 2.4× |
| Culture stool (87045) | $22 | $55 | 2.3× |
| Culture urine (87086) | $21.60 | $54 | 2.7× |
| Culture urine id ea isolate (87088) | $18.80 | $47 | 2.3× |
| Cyclic Citrullinated Peptide (86200) | $30.40 | $76 | 2.3× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $28 | $70 | 0.9× |
| Cytp concentration smears & interpretation (88108) | $69.60 | $174 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $138.80 | $347 | 3.1× |
| D-Dimer (85379) | $12 | $30 | 1.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $27.60 | $69 | 1.7× |
| Dhea (82626) | $55.20 | $138 | 2.2× |
| Digoxin (80162) | $31.20 | $78 | 2.3× |
| Dilantin (80185) | $30.80 | $77 | 2.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $32.40 | $81 | 2.4× |
| Drug test prsmv chem anlyzr (80307) | $10.80 | $27 | 0.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $16 | $40 | 1.3× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $50 | $125 | 2.9× |
| Ebv viral capsid (86665) | $65.20 | $163 | 3.6× |
| Echinococcus ab igg (86682) | $30.40 | $76 | 2.3× |
| Ehrlichia antibody (86666) | $23.60 | $59 | 2.3× |
| Electrolyte panel (80051) | $16.40 | $41 | 2.3× |
| Electronic crossmatch (86923) | $113.20 | $283 | 0.8× |
| Encephalitis Western Equine (86654) | $15.20 | $38 | 1.2× |
| Endomysial antibody iga (86255) | $27.20 | $68 | 2.3× |
| Enzyme cell activity (82657) | $22 | $55 | 1.0× |
| Eosinophil count (85048) | $6 | $15 | 2.4× |
| Estradiol (82670) | $65.20 | $163 | 2.3× |
| Estrogens total (82672) | $50.80 | $127 | 2.3× |
| Estrone (82679) | $58.40 | $146 | 2.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $16.80 | $42 | 2.3× |
| F2 gene analysis 20210g >a variant (81240) | $79.20 | $198 | 1.2× |
| Factor inhibitor test (85335) | $33.60 | $84 | 2.6× |
| Factor v activity (85220) | $41.20 | $103 | 2.3× |
| Fecal fat qual (82705) | $12 | $30 | 2.4× |
| Fetal bleed screen (85461) | $15.60 | $39 | 1.7× |
| Fetal fibronectin (82731) | $146 | $365 | 2.3× |
| Fibrinogen activity (85384) | $10 | $25 | 1.0× |
| Flow cytometry first marker (88184) | $188.80 | $472 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $28.40 | $71 | 2.4× |
| Folate serum (82746) | $29.20 | $73 | 2.0× |
| Follicle Stimulating Hormone (83001) | $43.60 | $109 | 2.3× |
| Frozen blood each unit thawing (86931) | $283.60 | $709 | 1.9× |
| Frozen Section (88331) | $184 | $460 | 1.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $24.40 | $61 | 2.4× |
| Galactose (82760) | $24.80 | $62 | 2.2× |
| Galactose transferase test (82776) | $12 | $30 | 1.0× |
| Gammaglobulin ige (82785) | $34 | $85 | 2.1× |
| Gardner Vag Dna Quant (87512) | $38.40 | $96 | 0.9× |
| Ggt (82977) | $16.80 | $42 | 2.3× |
| Giardia antigen eia stool (87329) | $28 | $70 | 2.3× |
| Giardia lamblia antibody (86674) | $14.80 | $37 | 1.0× |
| Glucose (82947) | $7 | $17.50 | 1.8× |
| Glucose Blood Test (82962) | $5.60 | $14 | 1.7× |
| Glucose body fluid (82945) | $4.80 | $12 | 1.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $4.80 | $12 | 1.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $30 | $75 | 2.3× |
| Haptoglobin (83010) | $29.20 | $73 | 2.3× |
| Hcg qualitative (84703) | $17.60 | $44 | 2.3× |
| Hcg quant (84702) | $20.40 | $51 | 1.4× |
| Hdl Cholesterol (83718) | $19.20 | $48 | 2.3× |
| Hematocrit (85014) | $5.60 | $14 | 2.4× |
| Hemoglobin (85018) | $5.60 | $14 | 2.4× |
| Hemoglobin a1c (83036) | $26.40 | $66 | 2.7× |
| Hemoglobin electrophoresis (83020) | $29.20 | $73 | 2.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $74.80 | $187 | 9.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $17.20 | $43 | 2.1× |
| Hemosiderin urine (83070) | $5.60 | $14 | 1.2× |
| Hepatitis a antibody total (86708) | $29.20 | $73 | 2.4× |
| Hepatitis b core antibody total (86704) | $27.20 | $68 | 2.3× |
| Hepatitis B Surface Antigen (87340) | $22 | $55 | 2.1× |
| Hepatitis be antibody (86707) | $27.20 | $68 | 2.4× |
| Hepatitis c antibody (86803) | $27.20 | $68 | 1.9× |
| Hepatitis C Genotype (87902) | $552.40 | $1,381 | 2.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $82.40 | $206 | 2.3× |
| Herpes culture (87252) | $60.80 | $152 | 2.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $12.40 | $31 | 2.4× |
| Histoplasma antibody (86698) | $29.20 | $73 | 2.1× |
| HIV confirmation (86689) | $127.60 | $319 | 6.6× |
| HIV-1 genotype (87901) | $552.40 | $1,381 | 2.1× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $32.40 | $81 | 2.4× |
| Hla-b27 (86812) | $60.40 | $151 | 2.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $82 | $205 | 2.3× |
| Hydroxyprogesterone 17-d (83498) | $51.20 | $128 | 1.9× |
| Iaad ia cryptosporidium (87328) | $28 | $70 | 2.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $33.60 | $84 | 2.3× |
| Iaad ia rotavirus (87425) | $12 | $30 | 1.0× |
| Iaadiadoo not otherwise specified (87899) | $16 | $40 | 1.0× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $82.40 | $206 | 2.3× |
| Iadna hepatitis b virus quantification (87517) | $82.40 | $206 | 1.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $188 | $470 | 2.2× |
| Iadna human papillomavirus high-risk types (87624) | $82.40 | $206 | 2.3× |
| Iadna nos amplified probe tq each organism (87798) | $77.20 | $193 | 2.2× |
| Iadna nos quantification each organism (87799) | $52.80 | $132 | 1.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $76.80 | $192 | 2.2× |
| Immunoassay nonantibody (83516) | $25.60 | $64 | 2.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $30 | $75 | 1.3× |
| Immunoelectrophoresis serum (86320) | $30 | $75 | 1.0× |
| Immunofixj Electrophoresis Serum (86334) | $52.40 | $131 | 2.3× |
| Immunohistochemistry (88342) | $188.80 | $472 | 1.3× |
| Inhibin a (86336) | $36.40 | $91 | 2.3× |
| Insulin total (83525) | $26.80 | $67 | 2.3× |
| Intraop cyto path consult 1 (88333) | $294.40 | $736 | 0.4× |
| Intrinsic factor antibody (86340) | $33.20 | $83 | 2.2× |
| Iron (83540) | $15.20 | $38 | 2.3× |
| Iron binding capacity (83550) | $20.40 | $51 | 2.3× |
| Irradiation of blood product (86945) | $39.60 | $99 | 1.2× |
| Koh Prep (87220) | $10 | $25 | 2.3× |
| Lactic acid (83605) | $13.60 | $34 | 1.2× |
| Lactoferrin fecal qualitative (83630) | $46 | $115 | 2.3× |
| Ldh (83615) | $13.60 | $34 | 2.3× |
| LDL cholesterol direct (83721) | $21.60 | $54 | 2.1× |
| Legionella antibody (86713) | $36 | $90 | 2.4× |
| Legionella antigen urine (87449) | $28 | $70 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $37.60 | $94 | 1.2× |
| Level v surg pathology grossµscopic exam (88307) | $184 | $460 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $294.40 | $736 | 0.4× |
| Lh (83002) | $43.60 | $109 | 2.4× |
| Lipase (83690) | $16 | $40 | 2.3× |
| Lithium (80178) | $15.20 | $38 | 2.3× |
| Lyme disease antibody (86618) | $36.80 | $92 | 2.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $121.60 | $304 | 0.8× |
| Magnesium (83735) | $18 | $45 | 2.7× |
| Manual cell count each (85032) | $10 | $25 | 2.3× |
| Manual reticulocyte count (85044) | $4.40 | $11 | 1.0× |
| Mass spectrometry qual/quan (83789) | $41.20 | $103 | 1.7× |
| Mercury (83825) | $35.20 | $88 | 2.2× |
| Metabolic Panel Ionized Ca (80047) | $20 | $50 | 1.5× |
| Methotrexate (80299) | $32 | $80 | 1.7× |
| Methylmalonic acid serum (83921) | $33.20 | $83 | 1.6× |
| Microalbumin urine (82043) | $13.60 | $34 | 2.4× |
| Microsomal antibodies (86376) | $26 | $65 | 1.8× |
| Mycoplasma antibody (86738) | $30.80 | $77 | 2.3× |
| Myelin basic protein csf (83873) | $40.40 | $101 | 2.3× |
| Myoglobin urine (83874) | $30 | $75 | 2.3× |
| Natriuretic peptide (83880) | $79.60 | $199 | 2.0× |
| Osmolality serum (83930) | $15.60 | $39 | 2.4× |
| Osmolality urine (83935) | $16 | $40 | 2.3× |
| Ova and parasite direct-id lca (87177) | $20.80 | $52 | 2.3× |
| Pancreatic polypeptide (83519) | $30.40 | $76 | 1.7× |
| Parvovirus antibody (86747) | $35.20 | $88 | 2.3× |
| Phenylalanine (84030) | $12 | $30 | 2.2× |
| Phenytoin free (80186) | $32 | $80 | 2.3× |
| Phosphatase alkaline (84075) | $12.40 | $31 | 2.4× |
| Phosphorus blood (84100) | $11.20 | $28 | 2.4× |
| Plasminogen (85420) | $13.60 | $34 | 2.1× |
| Platelet count (85049) | $10.40 | $26 | 2.3× |
| Pooling blood platelets (86965) | $113.20 | $283 | 0.8× |
| Porphobilinogen urine quant (84110) | $20 | $50 | 2.4× |
| Potassium (84132) | $10.80 | $27 | 2.3× |
| Potassium urine (84133) | $10 | $25 | 2.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $108.40 | $271 | 0.7× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $66 | $165 | 0.4× |
| Progesterone (84144) | $48.80 | $122 | 2.3× |
| Prolactin (84146) | $45.60 | $114 | 2.4× |
| Protein body fluid (84157) | $8.40 | $21 | 2.1× |
| Protein c activity (85303) | $28.40 | $71 | 2.1× |
| Protein c antigen (85302) | $28.40 | $71 | 2.4× |
| Protein electrophoresis serum (84165) | $69.20 | $173 | 6.4× |
| Protein Electrophoresis Urine (84166) | $63.60 | $159 | 3.6× |
| Protein S Functional (85306) | $28 | $70 | 1.8× |
| Protein s total (85305) | $27.20 | $68 | 2.3× |
| Protein Total Serum (84155) | $8.80 | $22 | 2.4× |
| Protein urine (84156) | $8.40 | $21 | 2.3× |
| Quantiferon tb gold (86480) | $70.40 | $176 | 1.1× |
| Rbc antibody elution (86860) | $125.20 | $313 | 0.9× |
| Renin activity plasma (84244) | $51.60 | $129 | 2.3× |
| Rheumatoid Factor Qual (86430) | $13.20 | $33 | 2.1× |
| Rheumatoid factor quant (86431) | $13.20 | $33 | 2.3× |
| Rickettsia antibody (86757) | $43.60 | $109 | 2.3× |
| Rpr Titer (86593) | $10.40 | $26 | 2.4× |
| Rsv (87807) | $37.60 | $94 | 2.9× |
| Rubella antibody (86762) | $33.60 | $84 | 2.3× |
| Russell viper venom time diluted (85613) | $13.60 | $34 | 1.4× |
| Sed rate automated (85652) | $3.20 | $8 | 1.2× |
| Sedimentation rate (85651) | $4.40 | $11 | 1.0× |
| Semen analysis sperm presence&/motility sprm (89321) | $24 | $60 | 2.0× |
| Semen analysis w/count (89310) | $48.80 | $122 | 5.7× |
| Sensitivity mic (87186) | $23.60 | $59 | 2.7× |
| Serotonin Release Assay (86022) | $22.80 | $57 | 1.2× |
| Sickle cell screen (85660) | $13.20 | $33 | 2.4× |
| Smear acid fast (87206) | $12.80 | $32 | 2.4× |
| Smear complex stain (87209) | $42 | $105 | 2.3× |
| Smear gram stain (87205) | $10 | $25 | 2.3× |
| Sodium (84295) | $11.60 | $29 | 2.4× |
| Sodium urine (84300) | $11.60 | $29 | 2.3× |
| Soluble transferrin receptor (84238) | $85.60 | $214 | 2.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $54.40 | $136 | 0.5× |
| Special stains group 1 (88312) | $54.40 | $136 | 1.2× |
| Splitting blood/blood products each unit (86985) | $113.20 | $283 | 0.8× |
| Stool Cultr Aerobic Bact Ea (87046) | $22 | $55 | 2.3× |
| Strep a assay w/optic (87880) | $28 | $70 | 1.7× |
| Surg path level iii (88304) | $54.40 | $136 | 1.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $29.60 | $74 | 1.2× |
| Surgical pathology level IV (88305) | $54.40 | $136 | 1.2× |
| Susceptibility study antimicrobial disk method (87184) | $15.60 | $39 | 2.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $58 | $145 | 1.2× |
| T3 free (84481) | $39.60 | $99 | 2.3× |
| T3 total (84480) | $33.20 | $83 | 2.3× |
| T4 Free (84439) | $21.20 | $53 | 2.4× |
| T4 total (84436) | $16 | $40 | 2.3× |
| Tb intradermal test (86580) | $29.60 | $74 | 1.2× |
| Test for acetone/ketones (82009) | $10.40 | $26 | 2.3× |
| Testosterone free (84402) | $59.60 | $149 | 2.3× |
| Testosterone total (84403) | $60.40 | $151 | 2.3× |
| Theophylline (80198) | $33.20 | $83 | 2.3× |
| Thin prep pap (88142) | $21.20 | $53 | 1.0× |
| Thyroglobulin Ab (86800) | $21.20 | $53 | 1.3× |
| Tissue Culture Lymphocyte (88230) | $144 | $360 | 1.2× |
| Tobramycin peak (80200) | $35.20 | $88 | 2.2× |
| Topiramate (80201) | $28 | $70 | 2.3× |
| Toxin or antitoxin assay (87230) | $19.60 | $49 | 1.0× |
| Toxoplasma ab igm (86778) | $34 | $85 | 2.4× |
| Toxoplasma antibody igg (86777) | $43.60 | $109 | 3.0× |
| Transferrin (84466) | $15.60 | $39 | 1.2× |
| Triglycerides (84478) | $12.40 | $31 | 2.2× |
| Troponin (84484) | $25.60 | $64 | 2.1× |
| Urea nitrogen (84520) | $9.20 | $23 | 2.3× |
| Urea nitrogen urine (84540) | $27.60 | $69 | 5.0× |
| Uric acid blood (84550) | $10.80 | $27 | 2.4× |
| Urinalysis microscopic only (81015) | $12 | $30 | 3.9× |
| Urinalysis w/microscopic (81001) | $4 | $10 | 1.3× |
| Urine pregnancy test (81025) | $14.80 | $37 | 1.7× |
| Urine volume measurement (81050) | $7.20 | $18 | 2.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $5.20 | $13 | 2.3× |
| Valproic acid level (80164) | $31.60 | $79 | 2.3× |
| Vancomycin trough (80202) | $31.60 | $79 | 2.3× |
| Varicella-zoster antibody (86787) | $30.40 | $76 | 2.4× |
| Vdrl csf (86592) | $10 | $25 | 2.3× |
| Very long chain fatty acids (82726) | $167.20 | $418 | 8.5× |
| Virus antibody nos (86790) | $29.20 | $73 | 2.3× |
| Vitamin b-12 (82607) | $35.20 | $88 | 2.3× |
| Vitamin b1 (thiamine) (84425) | $37.20 | $93 | 1.8× |
| Vitamin b6 (84207) | $37.20 | $93 | 1.3× |
| Vitamin D 25-Hydroxy (82306) | $69.20 | $173 | 2.3× |
| Vitamin e serum (84446) | $33.20 | $83 | 2.3× |
| Vol reduction of blood/prod (86960) | $125.20 | $313 | 0.9× |
| West nile virus ab, igm (86788) | $34.80 | $87 | 2.1× |
| West nile virus antibody (86789) | $32 | $80 | 2.2× |
| Zinc (84630) | $26.80 | $67 | 2.4× |