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.

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $43.45 $79 2.4×
Acetylcholine receptor blocking antibody (86042) $43.45 $79 2.4×
Acth (82024) $30.80 $56 0.8×
Acute hepatitis panel (80074) $237.60 $432 5.0×
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 converting enzyme csf (82164) $37.95 $69 2.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $61.05 $111 3.9×
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 Epstein-Barr Eb Virus Viral Capsid Vca (86665) $88 $160 4.9×
Antibody HIV-1&HIV-2 single result (86703) $63.25 $115 4.6×
Antibody john cunningham virus (86711) $72.60 $132 4.3×
Antibody Titer (86886) $156.75 $285 30.3×
Antibody Treponema Pallidum (86780) $58.85 $107 4.4×
Antinuclear antibodies (86038) $116.60 $212 9.6×
Antithrombin iii activity (85300) $113.85 $207 9.6×
Apolipoprotein a1 (82172) $29.15 $53 1.4×
Assay Nephelometry Not Spec (83883) $48.40 $88 3.6×
Assay of anti-mullerian hormone (82166) $86.90 $158 2.3×
Assay of blood/uric acid (84550) $32.45 $59 7.2×
Assay of calcium in urine (82340) $72.60 $132 12.0×
Assay of gammaglobulin igm (82784) $48.95 $89 5.3×
Assay of lactic acid (83605) $78.10 $142 6.8×
Assay of metanephrines (83835) $80.30 $146 4.7×
Assay of serum potassium (84132) $20.35 $37 4.3×
Assay of urea nitrogen (84520) $32.45 $59 8.2×
Assay of vitamin b-1 (84425) $121.55 $221 5.7×
Assay spec xcp ur&breath ia (82077) $80.30 $146 4.6×
Automated Leukocyte Count (85048) $16.50 $30 6.5×
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 each (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×
Blood count reticulocyte automated (85045) $45.65 $83 11.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $24.75 $45 6.5×
Blood gas (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 typing serologic abo (86900) $34.10 $62 11.4×
Brca1&2 gen full seq dup/del (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×
Ca 19-9 (86301) $113.85 $207 5.5×
Calcium ionized (82330) $67.65 $123 4.9×
Calcium total (82310) $31.90 $58 6.2×
Calprotectin Fecal (83993) $144.65 $263 7.4×
Cancer Antigen 125 (86304) $77.55 $141 3.7×
Cancer Antigen 27.29 (86300) $113.85 $207 5.5×
Carbamazepine total (80156) $57.20 $104 3.9×
Carboxyhemoglobin (82375) $72.60 $132 5.9×
Carcinoembryonic antigen (82378) $75.35 $137 4.0×
Cardiolipin ab iga (86147) $113.85 $207 4.5×
Ccp antibody (86200) $29.70 $54 2.3×
Cell count csf (89051) $53.35 $97 9.5×
Ceruloplasmin (82390) $52.80 $96 4.9×
Chloride Serum (82435) $25.85 $47 5.6×
Cholesterol total (82465) $36.85 $67 8.5×
Chorionic gonadotropin test (84702) $116.60 $212 7.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $77.55 $141 2.2×
Ckmb (82553) $82.50 $150 7.1×
Clot Factor VIII Multimetric (85247) $56.65 $103 2.5×
Collagen crosslinks (82523) $201.30 $366 10.8×
Column Chromotography Quant (82542) $85.25 $155 3.5×
Complement Antigen Each Component (86160) $62.15 $113 5.2×
Complement/Function Activity (86161) $91.30 $166 7.6×
Copper urine (82525) $67.65 $123 5.5×
Cortisol saliva (82533) $72.60 $132 4.5×
Creatine kinase total (82550) $64.90 $118 10.0×
Creatinine blood (82565) $34.65 $63 6.8×
Creatinine Urine (82570) $36.85 $67 7.1×
Crossmatch immediate spin (86920) $80.85 $147 0.4×
Cryptococcus ag titer (87899) $22 $40 1.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $49.50 $90 6.1×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $821.15 $1,493 3.8×
Culture afb (87116) $53.35 $97 4.9×
Culture Anaerobic (87075) $113.85 $207 12.0×
Culture blood (87040) $87.45 $159 8.5×
Culture csf (87070) $66.55 $121 7.7×
Culture urine (87086) $45.65 $83 5.7×
Cystatin C (82610) $74.25 $135 4.0×
Cytomegalovirus igg (86644) $89.10 $162 6.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $75.35 $137 3.7×
Detect Agent Nos Dna Amp (87798) $222.20 $404 6.3×
Detect Agent Nos Dna Quant (87799) $188.10 $342 4.4×
Detect agnt mult DNA ampli (87801) $100.65 $183 1.4×
Dgp Antibody Each Ig Class (86258) $28.05 $51 2.3×
Dhea-S (82627) $95.70 $174 4.3×
Digoxin (80162) $52.25 $95 3.9×
Dna Antibody Native/Double Stranded (86225) $48.95 $89 3.6×
Dna/Rna Amplified Probe (87150) $656.70 $1,194 18.7×
Drug assay acetaminophen (80143) $61.05 $111 3.3×
Drug Assay Everolimus (80169) $106.70 $194 7.8×
Drug Screen Quantitative Lamotrigine (80175) $101.20 $184 7.6×
Drug Screen Quantitative Levetiracetam (80177) $64.35 $117 4.9×
Drug Screen Quantitative Oxcarbazepine (80183) $88 $160 6.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$34.65–$199.65 $63–$363 varies
Drug Test Prsmv Dir Opt Obs (80305) $151.80 $276 12.0×
El-1 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×
Enterovirus Antibody (86658) $76.45 $139 5.9×
Erythropoietin (82668) $84.15 $153 4.5×
Estradiol serum (82670) $130.90 $238 4.7×
Estrogens fractionated (82671) $96.80 $176 3.0×
Exam Synovial Fluid Crystals (89060) $48.95 $89 6.7×
Factor v leiden mutation (81241) $101.20 $184 1.4×
Factor viii assay (85240) $27.50 $50 1.5×
Fecal Fat Qualitative (82705) $107.25 $195 21.0×
Ferritin (82728) $79.20 $144 5.8×
Fibrin Degradation Quant (85379) $95.70 $174 9.4×
Fibrinogen activity (85384) $119.35 $217 12.3×
Fluorescent antibody screen (86255) $68.75 $125 5.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $130.35 $237 10.8×
Folic acid rbc (82747) $73.15 $133 4.1×
Folic Acid Serum (82746) $79.75 $145 5.4×
Follicle Stimulating Hormone (83001) $80.30 $146 4.3×
Fungi Identification Yeast (87106) $62.70 $114 6.1×
Gammaglobulin ige (82785) $65.45 $119 4.0×
Gases blood ph only (82800) $32.45 $59 3.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $468.60 $852 1.1×
Ggt (82977) $41.25 $75 5.7×
Glucose body fluid (82945) $36.85 $67 9.4×
Glucose Serum (82947) $33.55 $61 8.5×
Glucose tolerance test (gtt) (82951) $52.80 $96 4.1×
Gonadotropin Chorionic Qualitative (84703) $51.70 $94 6.9×
H Pylori (C-13) Breath (83013) $200.75 $365 3.0×
Haptoglobin (83010) $75.35 $137 6.0×
Helicobacter Pylori Stool (87338) $128.15 $233 8.9×
Hematocrit (85014) $17.60 $32 7.4×
Hemoglobin (85018) $18.15 $33 7.7×
Hemoglobin a1c (83036) $59.95 $109 6.2×
Hemoglobin Chromotography (83021) $68.20 $124 3.8×
Hep a ab igm (86709) $74.25 $135 6.6×
Heparin assay (85520) $125.95 $229 9.6×
Hepatitis a antibody total (86708) $55 $100 4.4×
Hepatitis b core ab igm (86705) $74.25 $135 6.3×
Hepatitis b core ab total (86704) $57.75 $105 4.8×
Hepatitis B Surface Antibody (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 Revrs Trnscrpj (87522) $107.80 $196 2.5×
Heterophile Antibody Screen (86308) $33.55 $61 6.5×
Hfe Gene (81256) $156.75 $285 2.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $31.90 $58 0.4×
Hla-b27 (86812) $121.55 $221 4.7×
Homocysteine (83090) $146.85 $267 8.2×
Hsv Dna Amp Probe (87529) $210.65 $383 6.0×
Hydroxyprogesterone 17-d (83498) $99.55 $181 3.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $40.15 $73 1.1×
Iadna Cytomegalovirus Quantification (87497) $94.60 $172 2.2×
Iadna Hepatitis B Virus Quantification (87517) $273.35 $497 6.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $40.15 $73 1.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $77.55 $141 2.2×
Ig Light Chains Free Each (83521) $85.25 $155 4.9×
Immunoassay nonantibody (83516) $75.35 $137 6.5×
Immunofixation electrophoresis (86334) $72.60 $132 3.2×
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 p.val617phe variant (81270) $244.75 $445 2.7×
Lactate (ld) (ldh) enzyme (83615) $40.15 $73 6.6×
Legionella antigen urine (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 Quan Part (83704) $52.25 $95 1.5×
Lithium (80178) $50.60 $92 7.7×
Luteinizing Hormone (Lh) (83002) $84.70 $154 4.6×
Magnesium Urine (83735) $48.95 $89 7.3×
Mass Spectrometry Quant (83789) $75.35 $137 3.1×
Microalbumin, quantitative (82043) $39.05 $71 6.8×
Microsomal Antibodies Each (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 Pcr (87641) $47.85 $87 1.4×
Mthfr Gene Analysis Common Variants (81291) $105.05 $191 1.6×
Mumps antibody (86735) $80.30 $146 6.2×
Muscle-Specific Kinase Antb (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×
Nuclear antigen antibody (86235) $72.60 $132 4.0×
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 parasites smears (87177) $89.10 $162 10.0×
Phenotype Infect Agent Drug (87900) $364.10 $662 2.8×
Phenytoin (Dilantin) (80185) $78.10 $142 5.9×
Phosphatase alkaline (84075) $29.15 $53 5.6×
Phospholipid Neutralization Hexagonal (85598) $91.30 $166 5.1×
Phosphorus Serum (84100) $28.60 $52 6.0×
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 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 Electrophoretic Fractj&Quantj 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 Total Urine (84156) $50.60 $92 13.8×
PSA free (84154) $78.10 $142 4.2×
Pth Intact (83970) $183.15 $333 4.4×
Quantiferon tb gold plus (86480) $93.50 $170 1.5×
Quantitative assay drug (80299) $84.70 $154 4.5×
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×
Renin activity plasma (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×
Rpr qualitative (86592) $47.30 $86 11.1×
Rubella Antibody (86762) $107.25 $195 7.5×
Rubeola antibody (86765) $113.85 $207 8.8×
Russell Viper Venom Time Diluted (85613) $57.20 $104 6.0×
Salicylate Level (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×
Sedimentation 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×
Sickling of rbc reduction (85660) $36.85 $67 6.7×
Smear gram stain (87205) $50.60 $92 11.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $29.70 $54 5.1×
Sodium Serum (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×
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×
Syphilis Test Non-Trep Quant (86593) $23.10 $42 5.3×
T cells absolute cd4 count (86361) $37.95 $69 1.4×
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×
Tacrolimus (80197) $147.40 $268 10.7×
Testosterone total (84403) $107.25 $195 4.2×
Testosterone, Free (84402) $88 $160 3.5×
Thrombin Time (85670) $36.85 $67 6.4×
Thyroglobulin Antibody (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×
Transferase Aspartate Amino Ast Sgot (84450) $39.60 $72 7.6×
Transferrin (84466) $249.70 $454 19.6×
Trichomonas Vaginalis Amplif (87661) $63.25 $115 1.8×
Triglycerides (84478) $45.10 $82 7.9×
Troponin Quant (84484) $100.65 $183 8.1×
Urea nitrogen urine (84540) $62.15 $113 11.2×
Urine Pregnancy Test (81025) $28.05 $51 3.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $37.95 $69 12.0×
Valproic acid (80164) $82.50 $150 6.1×
Vancomycin (80202) $95.15 $173 7.0×
Varicella-zoster antibody (86787) $70.95 $129 5.5×
Vit D 1 25-Dihydroxy (82652) $105.05 $191 2.7×
Vitamin b-12 (82607) $75.35 $137 5.0×
Vitamin B6 (84207) $103.95 $189 3.7×
Vitamin D 25-Hydroxy (82306) $85.25 $155 2.9×
Vitamin E (84446) $72.60 $132 5.1×
Von willebrand factor ag (85246) $141.90 $258 6.2×
Zinc (84630) $60.50 $110 5.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.