Lab & pathology prices at Arkansas Valley Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $160 $266 4.2×
17-Hydroxycorticosteroids (83491) $75 $125 4.2×
5 Hiaa (83497) $98 $163 7.6×
Activated protein c resistance (85307) $205 $341 13.4×
Afb culture (87116) $136 $226 12.6×
Albumin Fluid (82042) $59 $98 7.6×
Albumin serum (82040) $50 $83 10.1×
Aldolase (82085) $10 $16 1.0×
Aldosterone urine (82088) $7 $11 0.2×
Alpha-1-antitrypsin, total (82103) $74 $123 5.5×
Alpha-fetoprotein, serum (82105) $88 $146 5.2×
Alt (sgpt) (84460) $33.50 $55.50 6.3×
Amikacin trough (80150) $5 $8 0.3×
Amino Acids, Single Quantitation (82131) $218 $363.50 9.5×
Ammonia (82140) $113 $189 7.8×
Amylase urine (82150) $53 $88 8.2×
Antibody cytomegalovirus cmv (86644) $55 $91 3.8×
Antibody cytomegalovirus cmv igm (86645) $55 $91 3.3×
Antibody epstein-barr eb virus early antigen ea (86663) $61 $102 4.6×
Antibody helicobacter pylori (86677) $75 $124.50 4.5×
Antibody Herpes Smplx Non-Specific Type Test (86694) $254 $424 17.7×
Antibody herpes smplx type 1 (86695) $62 $103 4.7×
Antibody identification (86870) $169 $282 0.4×
Antibody identification leukocyte antibodies (86021) $122 $203 8.1×
Antibody mumps (86735) $11 $19 0.8×
Antibody rubeola (86765) $60 $100 4.7×
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $77 $128 14.9×
Antinuclear antibodies (86038) $99 $165 8.2×
Antistreptolysin o titer (86060) $30.50 $50.50 4.2×
Antithrombin iii activity (85300) $119 $198.50 10.0×
Assay of acth (82024) $105 $175 2.7×
Assay of blood chloride (82435) $62 $103 13.5×
Assay of c-peptide (84681) $79 $132 3.8×
Assay of cyclosporine (80158) $123 $205 6.8×
Assay of erythropoietin (82668) $54 $90 2.9×
Assay of ethosuximide (80168) $71 $119 4.3×
Assay of ferritin (82728) $89 $149 6.5×
Assay of gammaglobulin igm (82784) $61 $102 6.6×
Assay of gentamicin (80170) $209 $349 12.8×
Assay of homocystine (83090) $56 $93 3.1×
Assay of lipoprotein(a) (83695) $8 $14 0.6×
Assay of metanephrines (83835) $83.50 $139 4.9×
Assay of parathormone (83970) $176 $294 4.3×
Assay of prealbumin (84134) $61 $101 4.2×
Assay of prostate specific antigen complexed (84152) $30 $50 1.6×
Assay of serotonin (84260) $68 $114 2.2×
Assay of somatomedin (84305) $42 $70 2.0×
Assay of tacrolimus (80197) $200 $333 14.6×
Assay of urine vma (84585) $89 $149 5.7×
Assay Ph Body Fluid Nos (83986) $24 $40 6.7×
Ast (sgot) (84450) $73 $121 14.1×
Beta 2 Glycoprotein I Antibody,Ea (86146) $136 $226 5.3×
Beta Lactamase (87185) $76 $127 16.0×
Bile acids, total (82239) $4 $6 0.2×
Bilirubin direct (82248) $29 $48 5.8×
Bilirubin total (82247) $50 $83 10.0×
Bilirubin total transcutaneous (88720) $19 $31 3.8×
Bl Smear W/Diff Wbc Count (85007) $11 $19 2.9×
Bleeding time (85002) $62 $103 12.9×
Blood gases (82803) $39 $65 1.5×
Blood gases w/02 saturation (82805) $166 $276 2.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $32 $53 2.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $37 $62 8.4×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $40 $66 6.3×
Blood typing abo (86900) $48 $80 16.1×
Blood typing serologic rh (d) (86901) $48 $80 16.1×
Body fluid cell count (89051) $84.50 $140.50 15.1×
C-reactive protein (86140) $49 $82 9.5×
Ca 125 (86304) $29 $48 1.4×
Ca 19-9 (86301) $11 $19 0.5×
Ca 27 29 (86300) $12 $20.50 0.6×
Calcium ionized (82330) $82 $137 6.0×
Calcium total (82310) $50 $83 9.7×
Calcium urine (82340) $71 $119 11.8×
Calculus Quantitative Chemical (82360) $85 $142 6.6×
Calprotectin, fecal (83993) $88 $147 4.5×
Carbamazepine (tegretol) total (80156) $109 $182 7.5×
Carbon dioxide (82374) $53 $88 10.9×
Carboxyhemoglobin Quantitative (82375) $97 $161 7.9×
Carcinoembryonic antigen (82378) $21 $35 1.1×
Cardiolipin ab igg (86147) $97 $161 3.8×
Catecholamines fraction plasma (82384) $174 $290 6.9×
Cell marker study (88182) $193 $322 3.5×
Chloride other source (82438) $62 $103 12.4×
Chloride urine (82436) $53 $88 9.2×
Chrom count break 50-100/20/2 (88248) $339 $565 2.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $22 $37 0.6×
Citrate (82507) $169 $282 6.1×
Ck isoenzymes (82552) $97 $161 7.2×
Ckmb (82553) $71 $119 6.1×
Cold agglutinin titer (86157) $79 $132 9.8×
Compatibility test antiglob (86922) $184 $307 1.0×
Compatibility Test Incubate (86921) $184 $307 1.0×
Complement c3 (86160) $106 $177 8.8×
Complement total ch50 (86162) $137 $229 6.7×
Coombs direct (86880) $64 $107 11.9×
Cortisol total (82533) $59.50 $99 3.7×
Creatine kinase total (82550) $43 $71 6.6×
Creatinine blood (82565) $50 $83 9.8×
Creatinine clearance (82575) $124 $206 13.1×
Creatinine other source (82570) $92 $153 17.8×
Crossmatch immediate spin (86920) $184 $307 1.0×
Cryoglobulin (82595) $226 $376 34.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $49 $81 6.1×
Culture Aerobic Identify (87077) $44.50 $73.50 5.5×
Culture anaerobic (87075) $175 $291 18.5×
Culture blood (87040) $122 $203 11.8×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $64 $107 8.3×
Culture fungus blood (87103) $125 $208 6.1×
Culture fungus id yeast (87106) $27 $45 2.6×
Culture fungus other (87102) $104.50 $174 12.4×
Culture genital (87070) $75 $125 8.7×
Culture screen only (87081) $78.50 $130.50 11.8×
Culture stool (87045) $90 $150 9.5×
Culture urine (87086) $36.50 $60.50 4.5×
Cyclic Citrullinated Peptide (86200) $10 $16 0.8×
Cystatin c (82610) $16 $27 0.9×
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $37.50 $62.50 1.0×
Cytp concentration smears & interpretation (88108) $56 $93 1.4×
D-Dimer (85379) $95 $159 9.3×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $100 $167 6.0×
Detect agnt mult DNA ampli (87801) $22 $37 0.3×
Dhea (82626) $64 $107 2.5×
Dhea sulfate (82627) $36 $60 1.6×
Digoxin (80162) $109 $181 8.2×
Dilantin (80185) $127 $211 9.6×
Dipropylacetic acid free (80165) $79 $132 5.8×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $57 $95 4.1×
Dna/Rna Amplified Probe (87150) $1,502 $2,504 42.8×
Drug Screen Quantitative Lamotrigine (80175) $155 $258 11.7×
Drug Scrn Quan Levetiracetam (80177) $38 $64 2.9×
Drug test prsmv chem anlyzr (80307) $34 $56 0.5×
Ebv viral capsid (86665) $25 $42 1.4×
Elastase pancreatic fecal quantitative (82653) $62 $104 2.7×
Electrolyte panel (80051) $75 $125 10.7×
Endomysial antibody iga (86255) $104 $173 8.6×
Eosinophil count (85048) $25 $42 9.8×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $25 $42 1.6×
Estriol (82677) $99 $165 4.1×
Estrogen fractionated (82671) $90 $150 2.8×
Estrogens total (82672) $66 $110 3.0×
Eval c/v amniotic fluid protein qual ea specimen (84112) $88 $146 0.9×
F2 gene analysis 20210g >a variant (81240) $173 $288 2.6×
Factor vii assay (85230) $178 $296 9.9×
Factor viii ahg (85240) $207 $345 11.6×
Fecal fat qual (82705) $5 $8 1.0×
Fecal fat quant (82710) $83 $139 4.9×
Fetal fibronectin (82731) $257 $428 4.0×
Fibrinogen activity (85384) $99 $165 10.2×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $97 $162 8.0×
Follicle Stimulating Hormone (83001) $84 $140 4.5×
Fresh frozen plasma thawing each unit (86927) $374 $623 2.1×
Fructosamine (82985) $7 $12 0.4×
Fungus Identification, Mold - Fungal Identification, Mold (87107) $27 $45 2.6×
Gammaglobulin ige (82785) $18 $30 1.1×
Ggt (82977) $64 $106 8.9×
Giardia antigen eia stool (87329) $55 $92 4.6×
Glucose (82947) $66 $110 16.8×
Glucose body fluid (82945) $66 $110 16.8×
Glucose post dose (82950) $66 $110 13.9×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $28 $47 7.1×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $79 $132 6.1×
Haptoglobin (83010) $58 $96 4.6×
Hcg qualitative (84703) $48 $80 6.4×
Hcg quant (84702) $151 $251 10.0×
Hdl Cholesterol (83718) $123 $205 15.0×
Hematocrit (85014) $16 $26.50 6.8×
Hematocrit spun (85013) $29 $49 4.1×
Hemoglobin (85018) $28 $47 11.8×
Hemoglobin a1c (83036) $61 $102 6.3×
Hemoglobin electrophoresis (83020) $113 $189 8.8×
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $53 $89 6.9×
Hemoglobin Methemoglobin Quantitative (83050) $110 $183 13.4×
Hepatitis a antibody total (86708) $73 $121 5.9×
Hepatitis a igm (86709) $244 $407 21.7×
Hepatitis b core ab igm (86705) $61 $102 5.2×
Hepatitis b core antibody total (86704) $62 $103 5.1×
Hepatitis B Surface Ab (86706) $129 $215 12.0×
Hepatitis B Surface Antigen (87340) $111 $185 10.7×
Hepatitis be antibody (86707) $59 $98 5.1×
Hepatitis Be Antigen (87350) $59 $98 5.1×
Hepatitis c antibody (86803) $128 $213.50 9.0×
Hepatitis C Probe&Rvrs Trnsc (87521) $99 $165 2.8×
Herpes culture (87252) $147 $245 5.6×
Herpes simplex type 2 (86696) $64.50 $107 3.3×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $94 $156 18.1×
HIV-1 antibody (86701) $79 $131 8.9×
Hla-b27 (86812) $118 $196 4.6×
Hpylori Drug Administration (83014) $61 $101 7.8×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $31 $52 0.9×
Iaad ia clostridium difficile toxin (87324) $95 $158 7.9×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $50 $83 3.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $82 $136 5.9×
Iaad ia rotavirus (87425) $18 $30 1.5×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $53 $88 2.3×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $82 $136 1.2×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $346 $576 8.1×
Iadna HIV-1 quant & reverse transcription (87536) $437 $728 5.1×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $22 $37 0.6×
Iadna nos amplified probe tq each organism (87798) $86 $144 2.5×
Iadna nos quantification each organism (87799) $62 $104 1.4×
Iadna trichomonas vaginalis amplified probe tech (87661) $27 $45 0.8×
Iadna-DNA/RNA probe tq 12-25 (87507) $595 $992 1.4×
Immunfix e-phorsis/urine/csf (86335) $50 $83 1.7×
Immunoassay nonantibody (83516) $118 $196.50 10.2×
Immunoassay technique for escherichia coli 0157 e. coli (87335) $32 $53 2.5×
Immunoassay with direct visual observation for streptococcus (87802) $226 $376 17.8×
Immunoelectrophoresis serum (86320) $211 $352 7.1×
Immunohistochemistry (88342) $73 $122 0.4×
India ink prep (87210) $40 $66 6.9×
Insulin total (83525) $135 $225 11.8×
Iron (83540) $35 $59 5.4×
Iron binding capacity (83550) $40 $67 4.6×
Islet cell antibody (86341) $59 $98 2.5×
Ketosteroids 17; total (83586) $56 $94 4.4×
Lactic acid (83605) $121 $202 10.5×
Lactoferrin fecal qualitative (83630) $62 $103 3.1×
Ldh (83615) $59 $98 9.8×
Ldh isoenzymes (83625) $66 $110 5.2×
LDL cholesterol direct (83721) $68 $113 6.5×
Lead (83655) $54 $90 4.5×
Legionella antigen urine (87449) $68 $113 5.7×
Level ii surg pathology gross&microscopic exam (88302) $68 $114 1.7×
Level v surg pathology gross&microscopic exam (88307) $223 $371 0.6×
Level vi surg pathology gross&microscopic exam (88309) $281 $468 0.3×
Lh (83002) $84 $140 4.5×
Lipase (83690) $61 $102 8.9×
Lithium (80178) $61 $102 9.2×
Lyme disease antibody (86618) $154 $256 9.0×
Magnesium (83735) $50 $83 7.5×
Malaria smear (87207) $62 $103 10.4×
Manual reticulocyte count (85044) $61 $101 14.2×
Metabolic Panel Ionized Ca (80047) $19 $31 1.4×
Microalbumin urine (82043) $56 $94 9.7×
Microsomal antibodies (86376) $67.50 $113 4.6×
Mycoplasma antibody (86738) $88 $147 6.6×
Myoglobin urine (83874) $65 $109 5.0×
N.gonorrhoeae, DNA, dir prob (87590) $53 $88 2.0×
Natriuretic peptide (83880) $61.50 $102 1.6×
Neutralization test, viral (86382) $70 $116 4.1×
Nuclear antigen antibody (86235) $60 $100 3.3×
Osmolality serum (83930) $91 $152 13.8×
Osmolality urine (83935) $67 $111 9.8×
Oxalate urine (83945) $70 $117 4.8×
Pancreatic polypeptide (83519) $135 $225 7.3×
Pertussis dfa (87265) $194 $323 16.2×
Phenylalanine (84030) $148 $246 26.9×
Phosphatase alkaline (84075) $59 $98 11.4×
Phosphorus blood (84100) $56 $93 11.8×
Pinworm exam (87172) $62 $103 14.5×
Platelet count (85049) $35 $58 7.8×
Platelet neutralization (85597) $134 $223 7.5×
Potassium (84132) $30 $50.50 6.3×
Potassium urine (84133) $52 $86 11.0×
Procalcitonin (pct) (84145) $94 $156 3.5×
Progesterone (84144) $90 $150 4.3×
Prolactin (84146) $116 $194 6.0×
Protein body fluid (84157) $74 $123.50 18.5×
Protein c activity (85303) $174 $290 12.6×
Protein c antigen (85302) $214 $357 17.8×
Protein electrophoresis serum (84165) $73 $121 6.8×
Protein Electrophoresis Urine (84166) $82 $137 4.6×
Protein S Functional (85306) $177 $295 11.6×
Protein s total (85305) $184 $306 15.8×
Protein Total Serum (84155) $55 $92 15.0×
Protein urine (84156) $73 $122 19.9×
Prothrombin time substitution (85611) $37 $61 9.4×
PSA free (84154) $83 $139 4.5×
Quantiferon tb gold (86480) $32 $54 0.5×
Renin activity plasma (84244) $8 $13 0.4×
Respiratory viral panel PCR (87633) $836 $1,393 2.0×
Rheumatoid factor quant (86431) $3 $5 0.5×
Rubella antibody (86762) $41.50 $69 2.9×
Russell viper venom time diluted (85613) $84 $140 8.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $71 $118 1.4×
Sedimentation rate (85651) $37 $61 8.7×
Semen Analysis Presence and/or Motility of Sperm (89300) $68 $114 6.9×
Sensitivity mic (87186) $127 $212 14.7×
Sex hormone binding globulin (84270) $13 $21 0.6×
Sirolimus (rapamycin) (80195) $28 $46 2.0×
Smear acid fast (87206) $79 $131.50 14.7×
Smear gram stain (87205) $30.50 $50.50 7.1×
Sodium (84295) $46 $77 9.6×
Sodium urine (84300) $56.50 $94 11.2×
Soluble transferrin receptor (84238) $188 $313 5.1×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $60 $100 0.4×
Special stains group 1 (88312) $78 $130 1.4×
Specific gravity body fluid (84315) $23 $38 7.0×
Stool Cultr Aerobic Bact Ea (87046) $26 $44 2.8×
Strep a assay w/optic (87880) $51 $85 3.1×
Strep a DNA amp probe (87651) $76 $127 2.2×
Surg path level iii (88304) $88 $146 1.6×
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $49 $82 1.6×
Surgical pathology level IV (88305) $118 $196 2.1×
Susceptibility study antimicrobial disk method (87184) $110 $183 14.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $116 $194 2.5×
T3 free (84481) $136 $226 8.0×
T3 total (84480) $96 $160 6.8×
T3 uptake (84479) $105 $175 16.2×
T4 Free (84439) $73 $121 8.1×
T4 total (84436) $85 $142 12.4×
Test for acetone/ketones (82009) $57 $95 12.6×
Testosterone free (84402) $152 $254 6.0×
Testosterone total (84403) $158 $264 6.1×
Theophylline (80198) $132 $220 9.3×
Thromboplastin time prtl substit plasma frctj ea (85732) $39 $65 6.0×
Thyroglobulin Ab (86800) $121 $201 7.6×
Thyroid Stimulating Immunoglobulin (84445) $39 $65 0.8×
Tissue culture bone marrow (88237) $700 $1,167 4.9×
Tobramycin peak (80200) $77 $129 4.8×
Topiramate (80201) $199 $332 16.7×
Toxoplasma antibody igg (86777) $67 $111 4.7×
Transferrin (84466) $66 $110 5.2×
Triglycerides (84478) $76 $126 13.2×
Troponin (84484) $20 $34 1.6×
Urea nitrogen (84520) $53 $89 13.4×
Urea nitrogen urine (84540) $55 $92 9.9×
Uric acid blood (84550) $60 $100 13.3×
Uric acid other source (84560) $88 $146 17.3×
Urinalysis microscopic only (81015) $31 $52 10.2×
Urinalysis w/microscopic (81001) $42 $70 13.2×
Urine volume measurement (81050) $11 $18 3.0×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $23 $38 10.2×
Vancomycin trough (80202) $130 $217 9.6×
Varicella-zoster antibody (86787) $55 $92 4.3×
Vasopressin (84588) $230 $383 6.8×
Vdrl csf (86592) $2 $3 0.5×
Virus antibody nos (86790) $106 $176 8.2×
Virus id non-immunologic oth/thn cytopathic (87255) $13 $22 0.4×
Virus inoculation, shell via (87254) $20 $33 1.0×
Vitamin b-12 (82607) $25 $41 1.7×
Vitamin b1 (thiamine) (84425) $184 $307 8.7×
Vitamin b6 (84207) $7 $12 0.2×
Vitamin D 25-Hydroxy (82306) $137 $229 4.6×
Zinc (84630) $24 $40 2.1×