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 |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $105.05 | $191 | 2.7× |
| Acetaminophen level (80143) | $61.05 | $111 | 3.3× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $43.45 | $79 | 2.4× |
| Acetylcholine receptor binding antibody (86041) | $43.45 | $79 | 2.4× |
| Acute hepatitis panel (80074) | $237.60 | $432 | 5.0× |
| Afb culture (87116) | $53.35 | $97 | 4.9× |
| Albumin Fluid (82042) | $9.35 | $17 | 1.2× |
| Albumin serum (82040) | $29.15 | $53 | 5.9× |
| Aldolase (82085) | $53.90 | $98 | 5.6× |
| Aldosterone urine (82088) | $96.80 | $176 | 2.4× |
| Alkaline phosphatase isoenzymes (84080) | $93.50 | $170 | 6.3× |
| Allergen specific ige (86003) | $15.95 | $29 | 3.1× |
| Alpha-1-antitrypsin, total (82103) | $79.20 | $144 | 5.9× |
| Alpha-fetoprotein, serum (82105) | $91.30 | $166 | 5.4× |
| Alt (sgpt) (84460) | $39.60 | $72 | 7.5× |
| Ammonia (82140) | $118.80 | $216 | 8.2× |
| Amylase urine (82150) | $60.50 | $110 | 9.3× |
| Ana Titer (86039) | $40.15 | $73 | 3.6× |
| Angiotensin i enzyme test (82164) | $37.95 | $69 | 2.6× |
| Antibody cytomegalovirus cmv (86644) | $89.10 | $162 | 6.2× |
| Antibody cytomegalovirus cmv igm (86645) | $89.10 | $162 | 5.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $82.50 | $150 | 6.3× |
| Antibody identification (86870) | $171.05 | $311 | 0.5× |
| Antibody john cunningham virus (86711) | $72.60 | $132 | 4.3× |
| Antibody mumps (86735) | $80.30 | $146 | 6.2× |
| Antibody rubeola (86765) | $113.85 | $207 | 8.8× |
| Antibody screen (86850) | $94.05 | $171 | 9.6× |
| Antibody treponema pallidum (86780) | $58.85 | $107 | 4.4× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $156.75 | $285 | 30.3× |
| Antinuclear antibodies (86038) | $116.60 | $212 | 9.6× |
| Antithrombin iii activity (85300) | $113.85 | $207 | 9.6× |
| Apolipoprotein b (82172) | $29.15 | $53 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $48.40 | $88 | 3.6× |
| Assay of acth (82024) | $30.80 | $56 | 0.8× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $80.30 | $146 | 4.6× |
| Assay of anti-mullerian hormone (82166) | $86.90 | $158 | 2.3× |
| Assay of blood chloride (82435) | $25.85 | $47 | 5.6× |
| Assay of c-peptide (84681) | $80.30 | $146 | 3.9× |
| Assay of ceruloplasmin (82390) | $52.80 | $96 | 4.9× |
| Assay of erythropoietin (82668) | $84.15 | $153 | 4.5× |
| Assay of ferritin (82728) | $79.20 | $144 | 5.8× |
| Assay of gammaglobulin igm (82784) | $48.95 | $89 | 5.3× |
| Assay of homocystine (83090) | $146.85 | $267 | 8.2× |
| Assay of lipoprotein(a) (83695) | $34.65 | $63 | 2.4× |
| Assay of metanephrines (83835) | $80.30 | $146 | 4.7× |
| Assay of parathormone (83970) | $183.15 | $333 | 4.4× |
| Assay of prealbumin (84134) | $72.60 | $132 | 5.0× |
| Assay of somatomedin (84305) | $122.65 | $223 | 5.8× |
| Assay of tacrolimus (80197) | $147.40 | $268 | 10.7× |
| Ast (sgot) (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,Ea (86146) | $80.30 | $146 | 3.2× |
| Beta hydroxybutyrate (82010) | $36.85 | $67 | 4.5× |
| 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× |
| Bl Smear W/Diff Wbc Count (85007) | $24.75 | $45 | 6.5× |
| Blood count reticulocyte automated (85045) | $45.65 | $83 | 11.4× |
| Blood gases (82803) | $129.25 | $235 | 5.0× |
| Blood gases w/02 saturation (82805) | $184.25 | $335 | 2.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $58.85 | $107 | 3.7× |
| Blood Ph - Ph Venous (82800) | $32.45 | $59 | 3.0× |
| Blood typing abo (86900) | $34.10 | $62 | 11.4× |
| Body fluid cell count (89051) | $53.35 | $97 | 9.5× |
| Brca1&2 seq & full dup/del (81162) | $2,122.45 | $3,859 | 1.2× |
| C diff amplified probe (87493) | $91.30 | $166 | 2.4× |
| C-reactive protein (86140) | $52.25 | $95 | 10.1× |
| Ca 125 (86304) | $77.55 | $141 | 3.7× |
| Ca 19-9 (86301) | $113.85 | $207 | 5.5× |
| Ca 27 29 (86300) | $113.85 | $207 | 5.5× |
| Calcium ionized (82330) | $67.65 | $123 | 4.9× |
| Calcium total (82310) | $31.90 | $58 | 6.2× |
| Calcium urine (82340) | $72.60 | $132 | 12.0× |
| Calprotectin, fecal (83993) | $144.65 | $263 | 7.4× |
| Carbamazepine (tegretol) total (80156) | $57.20 | $104 | 3.9× |
| Carboxyhemoglobin Quantitative (82375) | $72.60 | $132 | 5.9× |
| Carcinoembryonic antigen (82378) | $75.35 | $137 | 4.0× |
| Cardiolipin ab igg (86147) | $113.85 | $207 | 4.5× |
| Cd4 absolute count (86361) | $37.95 | $69 | 1.4× |
| Cholesterol total (82465) | $36.85 | $67 | 8.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $77.55 | $141 | 2.2× |
| Ckmb (82553) | $82.50 | $150 | 7.1× |
| Clot factor viii vw antigen (85246) | $141.90 | $258 | 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 c3 (86160) | $62.15 | $113 | 5.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $91.30 | $166 | 7.6× |
| Copper urine (82525) | $67.65 | $123 | 5.5× |
| Cortisol total (82533) | $72.60 | $132 | 4.5× |
| Creatine kinase total (82550) | $64.90 | $118 | 10.0× |
| Creatinine blood (82565) | $34.65 | $63 | 6.8× |
| Creatinine other source (82570) | $36.85 | $67 | 7.1× |
| Crossmatch immediate spin (86920) | $80.85 | $147 | 0.4× |
| Culture Aerobic Identify (87077) | $49.50 | $90 | 6.1× |
| Culture anaerobic (87075) | $113.85 | $207 | 12.0× |
| Culture blood (87040) | $87.45 | $159 | 8.5× |
| Culture fungus id yeast (87106) | $62.70 | $114 | 6.1× |
| Culture genital (87070) | $66.55 | $121 | 7.7× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $821.15 | $1,493 | 3.8× |
| Culture urine (87086) | $45.65 | $83 | 5.7× |
| Cyclic Citrullinated Peptide (86200) | $29.70 | $54 | 2.3× |
| Cystatin c (82610) | $74.25 | $135 | 4.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $94.60 | $172 | 2.2× |
| D-Dimer (85379) | $95.70 | $174 | 9.4× |
| Detect agnt mult DNA ampli (87801) | $100.65 | $183 | 1.4× |
| Dhea sulfate (82627) | $95.70 | $174 | 4.3× |
| Digoxin (80162) | $52.25 | $95 | 3.9× |
| Dilantin (80185) | $78.10 | $142 | 5.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $48.95 | $89 | 3.6× |
| Dna/Rna Amplified Probe (87150) | $656.70 | $1,194 | 18.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $101.20 | $184 | 7.6× |
| Drug Scrn Quan Levetiracetam (80177) | $64.35 | $117 | 4.9× |
| Drug scrn quant oxcarbazepin (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× |
| Ebv viral capsid (86665) | $88 | $160 | 4.9× |
| Elastase pancreatic fecal quantitative (82653) | $152.35 | $277 | 6.6× |
| Electrolyte panel (80051) | $30.25 | $55 | 4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $61.05 | $111 | 5.0× |
| Endomysial antibody iga (86255) | $68.75 | $125 | 5.7× |
| Enterovirus antibody (86658) | $76.45 | $139 | 5.9× |
| Eosinophil count (85048) | $16.50 | $30 | 6.5× |
| Estradiol (82670) | $130.90 | $238 | 4.7× |
| Estrogen fractionated (82671) | $96.80 | $176 | 3.0× |
| Everolimus (80169) | $106.70 | $194 | 7.8× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $48.95 | $89 | 6.7× |
| F5 gene (81241) | $101.20 | $184 | 1.4× |
| Factor viii ahg (85240) | $27.50 | $50 | 1.5× |
| Factor viii vw multimetric (85247) | $56.65 | $103 | 2.5× |
| Fecal fat qual (82705) | $107.25 | $195 | 21.0× |
| Fibrinogen activity (85384) | $119.35 | $217 | 12.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $130.35 | $237 | 10.8× |
| Folate serum (82746) | $79.75 | $145 | 5.4× |
| Folic acid rbc (82747) | $73.15 | $133 | 4.1× |
| Follicle Stimulating Hormone (83001) | $80.30 | $146 | 4.3× |
| Gammaglobulin ige (82785) | $65.45 | $119 | 4.0× |
| Gastric Occult Blood (82271) | $39.05 | $71 | 7.3× |
| Ggt (82977) | $41.25 | $75 | 5.7× |
| Gliadin antibody each immunoglobulin class (86258) | $28.05 | $51 | 2.3× |
| Glucose (82947) | $33.55 | $61 | 8.5× |
| Glucose body fluid (82945) | $36.85 | $67 | 9.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $52.80 | $96 | 4.1× |
| Haptoglobin (83010) | $75.35 | $137 | 6.0× |
| Hcg qualitative (84703) | $51.70 | $94 | 6.9× |
| Hcg quant (84702) | $116.60 | $212 | 7.7× |
| Hematocrit (85014) | $17.60 | $32 | 7.4× |
| Hemoglobin (85018) | $18.15 | $33 | 7.7× |
| Hemoglobin a1c (83036) | $59.95 | $109 | 6.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $68.20 | $124 | 3.8× |
| Heparin assay (85520) | $125.95 | $229 | 9.6× |
| Hepatitis a antibody total (86708) | $55 | $100 | 4.4× |
| Hepatitis a igm (86709) | $74.25 | $135 | 6.6× |
| Hepatitis b core ab igm (86705) | $74.25 | $135 | 6.3× |
| Hepatitis b core antibody total (86704) | $57.75 | $105 | 4.8× |
| 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× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $33.55 | $61 | 6.5× |
| Hfe gene (81256) | $156.75 | $285 | 2.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $63.25 | $115 | 4.6× |
| Hla-b27 (86812) | $121.55 | $221 | 4.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $200.75 | $365 | 3.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $210.65 | $383 | 6.0× |
| Hydroxyprogesterone 17-d (83498) | $99.55 | $181 | 3.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $128.15 | $233 | 8.9× |
| Iaadiadoo not otherwise specified (87899) | $22 | $40 | 1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $40.15 | $73 | 1.1× |
| Iadna hepatitis b virus quantification (87517) | $273.35 | $497 | 6.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $107.80 | $196 | 2.5× |
| Iadna HIV-1 quant & reverse transcription (87536) | $31.90 | $58 | 0.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $40.15 | $73 | 1.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $77.55 | $141 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $222.20 | $404 | 6.3× |
| Iadna nos quantification each organism (87799) | $188.10 | $342 | 4.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $63.25 | $115 | 1.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $468.60 | $852 | 1.1× |
| Immunoassay nonantibody (83516) | $75.35 | $137 | 6.5× |
| Immunofixj Electrophoresis Serum (86334) | $72.60 | $132 | 3.2× |
| Immunoglobulin light chains free each (83521) | $85.25 | $155 | 4.9× |
| India ink prep (87210) | $29.70 | $54 | 5.1× |
| Influenza DNA amp probe (87502) | $125.40 | $228 | 1.3× |
| Inhibin b (83520) | $91.30 | $166 | 5.3× |
| Insulin antibodies (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 analysis (81270) | $244.75 | $445 | 2.7× |
| Lactic acid (83605) | $78.10 | $142 | 6.8× |
| Ldh (83615) | $40.15 | $73 | 6.6× |
| Legionella antigen urine (87449) | $64.35 | $117 | 5.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $31.90 | $58 | 7.5× |
| Lh (83002) | $84.70 | $154 | 4.6× |
| Lipase (83690) | $62.15 | $113 | 9.0× |
| Lithium (80178) | $50.60 | $92 | 7.7× |
| Lyme disease antibody confirm (86617) | $61.05 | $111 | 3.9× |
| Magnesium (83735) | $48.95 | $89 | 7.3× |
| Mass spectrometry qual/quan (83789) | $75.35 | $137 | 3.1× |
| Methotrexate (80299) | $84.70 | $154 | 4.5× |
| Microalbumin urine (82043) | $39.05 | $71 | 6.8× |
| Microsomal antibodies (86376) | $60.50 | $110 | 4.2× |
| Mitochondrial antibody each (86381) | $73.15 | $133 | 2.9× |
| Mononuclear cell antigen (86356) | $52.25 | $95 | 2.0× |
| Mrsa amp probe (87641) | $47.85 | $87 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $105.05 | $191 | 1.6× |
| Muscle-specific kinase (musk) antibody (86366) | $288.75 | $525 | 15.7× |
| Natriuretic peptide (83880) | $157.85 | $287 | 4.0× |
| Nfct ds bv&vaginitis DNA alg (81514) | $341.55 | $621 | 1.3× |
| Nmr Lipoprofile (83704) | $52.25 | $95 | 1.5× |
| Nuclear antigen antibody (86235) | $72.60 | $132 | 4.0× |
| Osmolality serum (83930) | $65.45 | $119 | 9.9× |
| Osmolality urine (83935) | $56.65 | $103 | 8.3× |
| Ova and parasite direct-id lca (87177) | $89.10 | $162 | 10.0× |
| Phenotype Infect Agent Drug (87900) | $364.10 | $662 | 2.8× |
| Phosphatase alkaline (84075) | $29.15 | $53 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $91.30 | $166 | 5.1× |
| Phosphorus blood (84100) | $28.60 | $52 | 6.0× |
| Potassium (84132) | $20.35 | $37 | 4.3× |
| Potassium urine (84133) | $36.30 | $66 | 7.7× |
| Procalcitonin (pct) (84145) | $147.40 | $268 | 5.4× |
| Progesterone (84144) | $77.55 | $141 | 3.7× |
| Prolactin (84146) | $77.55 | $141 | 4.0× |
| Protein body fluid (84157) | $39.05 | $71 | 9.8× |
| 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 s total (85305) | $112.75 | $205 | 9.7× |
| Protein Total Serum (84155) | $23.10 | $42 | 6.3× |
| Protein urine (84156) | $50.60 | $92 | 13.8× |
| PSA free (84154) | $78.10 | $142 | 4.2× |
| Quantiferon tb gold (86480) | $93.50 | $170 | 1.5× |
| Reagent strip/blood glucose (82948) | $14.30 | $26 | 2.8× |
| Renin activity plasma (84244) | $96.80 | $176 | 4.4× |
| Respiratory viral panel PCR (87633) | $447.70 | $814 | 1.1× |
| Rheumatoid factor quant (86431) | $33.55 | $61 | 5.9× |
| Rpr Titer (86593) | $23.10 | $42 | 5.3× |
| Rubella antibody (86762) | $107.25 | $195 | 7.5× |
| Russell viper venom time diluted (85613) | $57.20 | $104 | 6.0× |
| Salicylate (80179) | $61.05 | $111 | 3.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $91.30 | $166 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $247.50 | $450 | 1.7× |
| Sed rate automated (85652) | $33.55 | $61 | 12.4× |
| Sensitivity mic (87186) | $50.05 | $91 | 5.8× |
| Sex hormone binding globulin (84270) | $45.10 | $82 | 2.1× |
| Sickle cell screen (85660) | $36.85 | $67 | 6.7× |
| Smear gram stain (87205) | $50.60 | $92 | 11.9× |
| Sodium (84295) | $19.25 | $35 | 4.0× |
| Sodium urine (84300) | $37.95 | $69 | 7.5× |
| Staph aureus amplified probe (87640) | $47.85 | $87 | 1.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $63.80 | $116 | 6.8× |
| Strep a DNA amp probe (87651) | $70.40 | $128 | 2.0× |
| Strep b DNA amp probe (87653) | $53.90 | $98 | 1.5× |
| T3 free (84481) | $132 | $240 | 7.8× |
| T3 reverse (84482) | $142.45 | $259 | 9.0× |
| T3 total (84480) | $91.30 | $166 | 6.4× |
| T3 uptake (84479) | $53.35 | $97 | 8.2× |
| T4 Free (84439) | $75.35 | $137 | 8.4× |
| T4 total (84436) | $53.35 | $97 | 7.8× |
| Testosterone free (84402) | $88 | $160 | 3.5× |
| Testosterone total (84403) | $107.25 | $195 | 4.2× |
| Thin prep pap (88142) | $75.35 | $137 | 3.7× |
| Thrombin time plasma (85670) | $36.85 | $67 | 6.4× |
| Thyroglobulin Ab (86800) | $99.55 | $181 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $121.55 | $221 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $30.80 | $56 | 2.7× |
| Transferrin (84466) | $249.70 | $454 | 19.6× |
| Triglycerides (84478) | $45.10 | $82 | 7.9× |
| Troponin (84484) | $100.65 | $183 | 8.1× |
| Urea nitrogen (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 w/microscopic (81001) | $37.95 | $69 | 12.0× |
| Urine pregnancy test (81025) | $28.05 | $51 | 3.3× |
| Valproic acid level (80164) | $82.50 | $150 | 6.1× |
| Vancomycin trough (80202) | $95.15 | $173 | 7.0× |
| Varicella-zoster antibody (86787) | $70.95 | $129 | 5.5× |
| Vdrl csf (86592) | $47.30 | $86 | 11.1× |
| Vitamin b-12 (82607) | $75.35 | $137 | 5.0× |
| Vitamin b1 (thiamine) (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 e serum (84446) | $72.60 | $132 | 5.1× |
| Von willebrand factor activity (85245) | $111.65 | $203 | 4.9× |
| Zinc (84630) | $60.50 | $110 | 5.3× |