Lab & pathology prices at San Luis Valley Health Conejos County Hospital
La Jara, CO · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 17 Hydroxyprogesterone (83498) | $99.55 | $181 | 3.7× |
| Acetaminophen (80143) | $61.05 | $111 | 3.3× |
| Acetone, quantitative (82010) | $36.85 | $67 | 4.5× |
| Acetylcholine receptor binding antibody (86041) | $43.45 | $79 | 2.4× |
| Acetylcholn rcptr blckg antb (86042) | $43.45 | $79 | 2.4× |
| Acth (82024) | $30.80 | $56 | 0.8× |
| Acute hepatitis panel (80074) | $237.60 | $432 | 5.0× |
| Afb culture (87116) | $53.35 | $97 | 4.9× |
| Albumin body fluid (82042) | $9.35 | $17 | 1.2× |
| Albumin serum (82040) | $29.15 | $53 | 5.9× |
| Alcohol (82077) | $80.30 | $146 | 4.6× |
| Aldolase (82085) | $53.90 | $98 | 5.6× |
| Aldosterone (82088) | $96.80 | $176 | 2.4× |
| Alkaline phosphatase (84075) | $29.15 | $53 | 5.6× |
| Alkaline phosphatase isoenzymes (84080) | $93.50 | $170 | 6.3× |
| Allergen profile perennial allergen (86003) | $15.95 | $29 | 3.1× |
| Alpha-1-antitrypsin (82103) | $79.20 | $144 | 5.9× |
| Alpha-fetoprotein serum (82105) | $91.30 | $166 | 5.4× |
| Alt (84460) | $39.60 | $72 | 7.5× |
| Ammonia (82140) | $118.80 | $216 | 8.2× |
| Amylase (82150) | $60.50 | $110 | 9.3× |
| Ana (86038) | $116.60 | $212 | 9.6× |
| Ana titer (86039) | $40.15 | $73 | 3.6× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) | $82.50 | $150 | 6.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) | $88 | $160 | 4.9× |
| Angiotensin converting enzyme (82164) | $37.95 | $69 | 2.6× |
| Anti-mitochondrial antibody (86255) | $68.75 | $125 | 5.7× |
| Antithrombin iii activity (85300) | $113.85 | $207 | 9.6× |
| Apolipoprotein each (82172) | $29.15 | $53 | 1.4× |
| Assay anti-mullerian horm (82166) | $86.90 | $158 | 2.3× |
| Ast (84450) | $39.60 | $72 | 7.6× |
| B cells total count (86355) | $97.35 | $177 | 2.6× |
| Bcr/abl1 gene major bp (81206) | $437.80 | $796 | 2.7× |
| Bcr/abl1 gene minor bp (81207) | $227.70 | $414 | 1.6× |
| Beta 2 glycoprotein i antibody (86146) | $80.30 | $146 | 3.2× |
| Beta lactamase (87185) | $34.65 | $63 | 7.3× |
| Beta-2 microglobulin (82232) | $72.60 | $132 | 4.5× |
| Bilirubin direct (82248) | $36.30 | $66 | 7.2× |
| Bilirubin total (82247) | $34.65 | $63 | 6.9× |
| Blood count leukocyte wbc automated (85048) | $16.50 | $30 | 6.5× |
| Blood count reticulocyte automated (85045) | $45.65 | $83 | 11.4× |
| Blood gases any combination (82803) | $129.25 | $235 | 5.0× |
| Blood gases ph only (82800) | $32.45 | $59 | 3.0× |
| Blood gases w/o2 saturation (82805) | $184.25 | $335 | 2.3× |
| Blood typing serologic abo (86900) | $34.10 | $62 | 11.4× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) | $58.85 | $107 | 3.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) | $2,122.45 | $3,859 | 1.2× |
| C diff amplified probe (87493) | $91.30 | $166 | 2.4× |
| C-peptide (84681) | $80.30 | $146 | 3.9× |
| C-reactive protein (86140) | $52.25 | $95 | 10.1× |
| C2 complement functional (86161) | $91.30 | $166 | 7.6× |
| Ca 125 (86304) | $77.55 | $141 | 3.7× |
| Ca 15-3 (86300) | $113.85 | $207 | 5.5× |
| Calcium ionized (82330) | $67.65 | $123 | 4.9× |
| Calcium total (82310) | $31.90 | $58 | 6.2× |
| Calcium, random urine (82340) | $72.60 | $132 | 12.0× |
| Calprotectin fecal (83993) | $144.65 | $263 | 7.4× |
| Cancer antigen 19-9 (86301) | $113.85 | $207 | 5.5× |
| Carbamazepine total (80156) | $57.20 | $104 | 3.9× |
| Carbon monoxide (82375) | $72.60 | $132 | 5.9× |
| Cardiolipin antibody ea ig class (86147) | $113.85 | $207 | 4.5× |
| Cea (82378) | $75.35 | $137 | 4.0× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) | $53.35 | $97 | 9.5× |
| Ceruloplasmin (82390) | $52.80 | $96 | 4.9× |
| Chlamydia pneumoniae PCR (87486) | $40.15 | $73 | 1.1× |
| Chloride blood (82435) | $25.85 | $47 | 5.6× |
| Cholesterol total (82465) | $36.85 | $67 | 8.5× |
| Chorionic gonadotropin test (84702) | $116.60 | $212 | 7.7× |
| Ck mb fraction (82553) | $82.50 | $150 | 7.1× |
| Clot inhibit prot s total (85305) | $112.75 | $205 | 9.7× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) | $56.65 | $103 | 2.5× |
| Cmv antibody (86644) | $89.10 | $162 | 6.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $85.25 | $155 | 3.5× |
| Collagen cross links (82523) | $201.30 | $366 | 10.8× |
| Complement antigen ea component (86160) | $62.15 | $113 | 5.2× |
| Coombs test indirect titer (86886) | $156.75 | $285 | 30.3× |
| Copper (82525) | $67.65 | $123 | 5.5× |
| Cortisol saliva (82533) | $72.60 | $132 | 4.5× |
| Coxsackie a9 virus antibody (86658) | $76.45 | $139 | 5.9× |
| Creatine kinase total (82550) | $64.90 | $118 | 10.0× |
| Creatinine (82565) | $34.65 | $63 | 6.8× |
| Creatinine other source (82570) | $36.85 | $67 | 7.1× |
| Crystals fluid (89060) | $48.95 | $89 | 6.7× |
| Culture anaerobic (87075) | $113.85 | $207 | 12.0× |
| Culture blood (87040) | $87.45 | $159 | 8.5× |
| Culture urine (87086) | $45.65 | $83 | 5.7× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) | $49.50 | $90 | 6.1× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) | $63.80 | $116 | 6.8× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) | $821.15 | $1,493 | 3.8× |
| Cyclic citrullinated peptide ab (86200) | $29.70 | $54 | 2.3× |
| Cystatin c (82610) | $74.25 | $135 | 4.0× |
| Cytomegalovirus antibody igm (86645) | $89.10 | $162 | 5.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) | $75.35 | $137 | 3.7× |
| D-dimer quantitative (85379) | $95.70 | $174 | 9.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) | $48.95 | $89 | 3.6× |
| Dhea sulfate (82627) | $95.70 | $174 | 4.3× |
| Digoxin (80162) | $52.25 | $95 | 3.9× |
| DNA/RNA amplified probe (87150) | $656.70 | $1,194 | 18.7× |
| Drug assay salicylate (80179) | $61.05 | $111 | 3.3× |
| Drug screen quant everolimus (80169) | $106.70 | $194 | 7.8× |
| Drug screen quant levetiracetam (80177) | $64.35 | $117 | 4.9× |
| Drug screen quantitative oxcarbazepine (80183) | $88 | $160 | 6.6× |
| Drug test prsmv chem anlyzr (80307) | $117.15 | $213 | 1.9× |
| Drug test prsmv dir opt obs (80305) | $151.80 | $276 | 12.0× |
| Ear culture (87070) | $66.55 | $121 | 7.7× |
| Elastase pancreatic fecal quantitative (82653) | $152.35 | $277 | 6.6× |
| Electrolytes panel (80051) | $30.25 | $55 | 4.3× |
| Endomysial antibody each immunoglobulin class (86231) | $61.05 | $111 | 5.0× |
| Eosinophils urine (87205) | $50.60 | $92 | 11.9× |
| Erythropoietin (82668) | $84.15 | $153 | 4.5× |
| Estradiol (82670) | $130.90 | $238 | 4.7× |
| Estrogen fractionated (82671) | $96.80 | $176 | 3.0× |
| Extractable nuclear antigen antibody any method (86235) | $72.60 | $132 | 4.0× |
| F5 gene (81241) | $101.20 | $184 | 1.4× |
| Factor viii activity (85240) | $27.50 | $50 | 1.5× |
| Factor viii vw antigen (85246) | $141.90 | $258 | 6.2× |
| Fecal fat qualitative (82705) | $107.25 | $195 | 21.0× |
| Ferritin (82728) | $79.20 | $144 | 5.8× |
| Fibrinogen, activity (85384) | $119.35 | $217 | 12.3× |
| Folate serum (82746) | $79.75 | $145 | 5.4× |
| Folic acid rbc (82747) | $73.15 | $133 | 4.1× |
| Follicle stimulating hormone (fsh) (83001) | $80.30 | $146 | 4.3× |
| Gamma glutamyl transferase (82977) | $41.25 | $75 | 5.7× |
| Gammaglobulin ige (82785) | $65.45 | $119 | 4.0× |
| Gliadin antibody each immunoglobulin class (86258) | $28.05 | $51 | 2.3× |
| Glucose Fasting (82947) | $33.55 | $61 | 8.5× |
| Glucose other fluid (82945) | $36.85 | $67 | 9.4× |
| Glucose tolerance test (gtt) (82951) | $52.80 | $96 | 4.1× |
| Glycated hemoglobin (83036) | $59.95 | $109 | 6.2× |
| H pylori breath test (83013) | $200.75 | $365 | 3.0× |
| H pylori stool (87338) | $128.15 | $233 | 8.9× |
| Haptoglobin (83010) | $75.35 | $137 | 6.0× |
| Hcg ql (84703) | $51.70 | $94 | 6.9× |
| Hematocrit (hct) (85014) | $17.60 | $32 | 7.4× |
| Hemoglobin (85018) | $18.15 | $33 | 7.7× |
| Hemoglobin fractj/quantj chromotography (83021) | $68.20 | $124 | 3.8× |
| Hep a ab total (86708) | $55 | $100 | 4.4× |
| Heparin assay (85520) | $125.95 | $229 | 9.6× |
| Hepatitis a antibody igm (86709) | $74.25 | $135 | 6.6× |
| Hepatitis b core antibody igm (86705) | $74.25 | $135 | 6.3× |
| Hepatitis b core antibody total (86704) | $57.75 | $105 | 4.8× |
| Hepatitis b DNA quant (87517) | $273.35 | $497 | 6.4× |
| Hepatitis b surface ab (86706) | $60.50 | $110 | 5.6× |
| Hepatitis b surface antigen (87340) | $60.50 | $110 | 5.9× |
| Hepatitis be antigen (87350) | $64.90 | $118 | 5.6× |
| Hepatitis c antibody (86803) | $78.10 | $142 | 5.5× |
| Hepatitis c RNA quantitative (87522) | $107.80 | $196 | 2.5× |
| Herpes simplex virus by PCR (87529) | $210.65 | $383 | 6.0× |
| Heterophile antibody screen (86308) | $33.55 | $61 | 6.5× |
| Hexagonal phospholipid neutralization (85598) | $91.30 | $166 | 5.1× |
| Hfe gene (81256) | $156.75 | $285 | 2.4× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) | $63.25 | $115 | 4.6× |
| Hla b27 (86812) | $121.55 | $221 | 4.7× |
| Homocysteine level (83090) | $146.85 | $267 | 8.2× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) | $91.30 | $166 | 1.8× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) | $247.50 | $450 | 1.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $468.60 | $852 | 1.1× |
| Immunoassay analyte quantitative nos (83520) | $91.30 | $166 | 5.3× |
| Immunofixation electrophoresis (86334) | $72.60 | $132 | 3.2× |
| Immunoglobulin d (82784) | $48.95 | $89 | 5.3× |
| Immunoglobulin light chains free each (83521) | $85.25 | $155 | 4.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) | $22 | $40 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) | $100.65 | $183 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) | $188.10 | $342 | 4.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) | $77.55 | $141 | 2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) | $94.60 | $172 | 2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) | $31.90 | $58 | 0.4× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) | $341.55 | $621 | 1.3× |
| Influenza DNA amp probe (87502) | $125.40 | $228 | 1.3× |
| Insulin antibody (86337) | $131.45 | $239 | 6.1× |
| Insulin total (83525) | $82.50 | $150 | 7.2× |
| Iron (83540) | $50.60 | $92 | 7.8× |
| Iron binding capacity (83550) | $50.60 | $92 | 5.8× |
| Islet cell antibody (86341) | $130.90 | $238 | 5.6× |
| Jak2 gene (81270) | $244.75 | $445 | 2.7× |
| John cunningham antibody (86711) | $72.60 | $132 | 4.3× |
| Lactate (83605) | $78.10 | $142 | 6.8× |
| Lactate dehydrogenase (83615) | $40.15 | $73 | 6.6× |
| Lamotrigine (80175) | $101.20 | $184 | 7.6× |
| Legionella urine antigen (87449) | $64.35 | $117 | 5.4× |
| Leukocyte assessment fecal (89055) | $31.90 | $58 | 7.5× |
| Lipase (83690) | $62.15 | $113 | 9.0× |
| Lipoprotein (a) (83695) | $34.65 | $63 | 2.4× |
| Lipoprotein bld by nmr (83704) | $52.25 | $95 | 1.5× |
| Lithium (80178) | $50.60 | $92 | 7.7× |
| Luteinizing hormone (lh) (83002) | $84.70 | $154 | 4.6× |
| Lyme disease antibody (86617) | $61.05 | $111 | 3.9× |
| Magnesium (83735) | $48.95 | $89 | 7.3× |
| Manual differential (85007) | $24.75 | $45 | 6.5× |
| Metanephrines (83835) | $80.30 | $146 | 4.7× |
| Microalbumin urine (82043) | $39.05 | $71 | 6.8× |
| Mitochondrial antibody each (86381) | $73.15 | $133 | 2.9× |
| Mononuclear cell antigen (86356) | $52.25 | $95 | 2.0× |
| Mrsa PCR (87641) | $47.85 | $87 | 1.4× |
| Mthfr gene (81291) | $105.05 | $191 | 1.6× |
| Mumps antibody (86735) | $80.30 | $146 | 6.2× |
| Muscle-specific kinase antb (86366) | $288.75 | $525 | 15.7× |
| Mycoplasma pneumoniae by PCR (87581) | $40.15 | $73 | 1.1× |
| Myelin associated glycoprotein (mag) antibody (83516) | $75.35 | $137 | 6.5× |
| N.gonorrhoeae DNA amp prob (87591) | $77.55 | $141 | 2.2× |
| Natriuretic peptide (83880) | $157.85 | $287 | 4.0× |
| Nephelometry ea analyte (83883) | $48.40 | $88 | 3.6× |
| Occult blood other sources (82271) | $39.05 | $71 | 7.3× |
| Osmolality serum (83930) | $65.45 | $119 | 9.9× |
| Osmolality urine (83935) | $56.65 | $103 | 8.3× |
| Ova and parasite exam (87177) | $89.10 | $162 | 10.0× |
| Parathyroid hormone (83970) | $183.15 | $333 | 4.4× |
| Pertussis by PCR (87798) | $222.20 | $404 | 6.3× |
| Phenotype infect agent drug (87900) | $364.10 | $662 | 2.8× |
| Phenytoin level total (80185) | $78.10 | $142 | 5.9× |
| Phosphorus (84100) | $28.60 | $52 | 6.0× |
| Potassium (84132) | $20.35 | $37 | 4.3× |
| Potassium urine (84133) | $36.30 | $66 | 7.7× |
| Prealbumin (84134) | $72.60 | $132 | 5.0× |
| Procalcitonin (pct) (84145) | $147.40 | $268 | 5.4× |
| Progesterone (84144) | $77.55 | $141 | 3.7× |
| Prolactin (84146) | $77.55 | $141 | 4.0× |
| Protein c activity (85303) | $133.10 | $242 | 9.6× |
| Protein c antigen (85302) | $112.75 | $205 | 9.4× |
| Protein electrophoresis serum (84165) | $84.15 | $153 | 7.8× |
| Protein total other source (84157) | $39.05 | $71 | 9.8× |
| Protein total serum (84155) | $23.10 | $42 | 6.3× |
| Protein total urine (84156) | $50.60 | $92 | 13.8× |
| PSA free (84154) | $78.10 | $142 | 4.2× |
| Rbc antibody identification (86870) | $171.05 | $311 | 0.5× |
| Rbc antibody screen (86850) | $94.05 | $171 | 9.6× |
| Reagent strip/blood glucose (82948) | $14.30 | $26 | 2.8× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) | $130.35 | $237 | 10.8× |
| Renin (84244) | $96.80 | $176 | 4.4× |
| Resp virus 12-25 targets (87633) | $447.70 | $814 | 1.1× |
| Rheumatoid factor quant (86431) | $33.55 | $61 | 5.9× |
| Ristocetin cofactor (85245) | $111.65 | $203 | 4.9× |
| Rl immediate spin crossmatch (86920) | $80.85 | $147 | 0.4× |
| Rpr qual (86592) | $47.30 | $86 | 11.1× |
| Rpr titer (86593) | $23.10 | $42 | 5.3× |
| Rubella antibody (86762) | $107.25 | $195 | 7.5× |
| Rubeola antibody (86765) | $113.85 | $207 | 8.8× |
| Russell viper venom diluted (85613) | $57.20 | $104 | 6.0× |
| Sedimentation rate rbc automated (85652) | $33.55 | $61 | 12.4× |
| Sex hormone binding globulin (84270) | $45.10 | $82 | 2.1× |
| Sickle cell screen (85660) | $36.85 | $67 | 6.7× |
| Smear wet mount (87210) | $29.70 | $54 | 5.1× |
| Sodium (84295) | $19.25 | $35 | 4.0× |
| Sodium urine (84300) | $37.95 | $69 | 7.5× |
| Somatomedin (84305) | $122.65 | $223 | 5.8× |
| Staph a DNA amp probe (87640) | $47.85 | $87 | 1.4× |
| Strep a DNA amp probe (87651) | $70.40 | $128 | 2.0× |
| Strep b DNA amp probe (87653) | $53.90 | $98 | 1.5× |
| Susceptibility mic per plate (87186) | $50.05 | $91 | 5.8× |
| T cells cd4 count (86361) | $37.95 | $69 | 1.4× |
| T3 free (84481) | $132 | $240 | 7.8× |
| T3 reverse (84482) | $142.45 | $259 | 9.0× |
| T3 uptake (84479) | $53.35 | $97 | 8.2× |
| T4 (thyroxine) total (84436) | $53.35 | $97 | 7.8× |
| Tacrolimus (80197) | $147.40 | $268 | 10.7× |
| Tb test cell immun measure (86480) | $93.50 | $170 | 1.5× |
| Testosterone free (84402) | $88 | $160 | 3.5× |
| Testosterone total (84403) | $107.25 | $195 | 4.2× |
| Thiopurine drug metabolites (83789) | $75.35 | $137 | 3.1× |
| Thiopurine metabolites (80299) | $84.70 | $154 | 4.5× |
| Thrombin time plasma (85670) | $36.85 | $67 | 6.4× |
| Thyroglobulin antibody (86800) | $99.55 | $181 | 6.3× |
| Thyroid peroxidase antibody (86376) | $60.50 | $110 | 4.2× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) | $121.55 | $221 | 2.4× |
| Thyroxine free (ft4) (84439) | $75.35 | $137 | 8.4× |
| Tissue transglutaminase ea immunoglobulin class (86364) | $30.80 | $56 | 2.7× |
| Transferrin (84466) | $249.70 | $454 | 19.6× |
| Treponema pallidum antibody (86780) | $58.85 | $107 | 4.4× |
| Trichomonas vaginalis amplif (87661) | $63.25 | $115 | 1.8× |
| Triglycerides (84478) | $45.10 | $82 | 7.9× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) | $91.30 | $166 | 6.4× |
| Troponin t (84484) | $100.65 | $183 | 8.1× |
| Urea nitrogen quantitative (84520) | $32.45 | $59 | 8.2× |
| Urea nitrogen urine (84540) | $62.15 | $113 | 11.2× |
| Uric acid blood (84550) | $32.45 | $59 | 7.2× |
| Urinalysis auto w/micro (81001) | $37.95 | $69 | 12.0× |
| Urine Pregnancy Test POC (81025) | $28.05 | $51 | 3.3× |
| Valproic acid (80164) | $82.50 | $150 | 6.1× |
| Vancomycin (80202) | $95.15 | $173 | 7.0× |
| Varicella zoster antibody igg (86787) | $70.95 | $129 | 5.5× |
| Vitamin b-12 (82607) | $75.35 | $137 | 5.0× |
| Vitamin b1 whole blood (84425) | $121.55 | $221 | 5.7× |
| Vitamin b6 (84207) | $103.95 | $189 | 3.7× |
| Vitamin d 25 hydroxy (82306) | $85.25 | $155 | 2.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) | $105.05 | $191 | 2.7× |
| Vitamin e (84446) | $72.60 | $132 | 5.1× |
| Yeast id (87106) | $62.70 | $114 | 6.1× |
| Zinc (84630) | $60.50 | $110 | 5.3× |