Lab & pathology prices at UCHealth Pikes Peak Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acetaminophen (80143) $226.40 $283 12.1×
Acetone serum qual (82009) $49.60 $62 11.0×
Acetone, quantitative (82010) $109.60 $137 13.4×
Albumin serum (82040) $56 $70 11.3×
Alcohol (82077) $152 $190 8.8×
Alkaline phosphatase (84075) $31.20 $39 6.0×
Alt (84460) $60 $75 11.3×
Ammonia (82140) $154.40 $193 10.6×
Amylase (82150) $58.40 $73 9.0×
Antibody; Helicobacter pylori (86677) $102.40 $128 6.1×
Ast (84450) $58.40 $73 11.3×
Basic metabolic panel calcium ionized (80047) $100.80 $126 7.3×
Bilirubin direct (82248) $59.20 $74 11.8×
Bilirubin total (82247) $57.60 $72 11.5×
Blood count leukocyte wbc automated (85048) $17.60 $22 6.9×
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $27.20 $34 9.0×
Blood gases any combination (82803) $308 $385 11.8×
Blood gases ph only (82800) $76.80 $96 7.0×
Blood gases w/o2 saturation (82805) $289.60 $362 3.7×
Blood typing rbc antigens (86905) $92.63 $115.78 24.2×
Blood typing serologic abo (86900) $76.80 $96 25.7×
Blood typing serologic rh (d) (86901) $74.40 $93 24.9×
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $63.20 $79 4.0×
Breath alcohol test (82075) $82.40 $103 2.7×
C-reactive protein (86140) $88 $110 17.0×
C-reactive protein high sensitivity (86141) $140 $175 10.8×
Calcium ionized (82330) $88 $110 6.4×
Calcium total (82310) $58.40 $73 11.3×
Carbon dioxide (82374) $32.80 $41 6.7×
Carbon monoxide (82375) $137.60 $172 11.2×
Cell count body fluid (89050) $136.92 $171.15 29.0×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $165.40 $206.75 29.5×
Chloride blood (82435) $19.20 $24 4.2×
Chloride urine (82436) $25.60 $32 4.5×
Cholesterol total (82465) $38.40 $48 8.8×
Chorionic gonadotropin test (84702) $188 $235 12.5×
Ck mb fraction (82553) $74.40 $93 6.4×
Clostridium ag eia (87324) $76.80 $96 6.4×
Compatibility each unit electronic (86923) $318.40 $398 1.8×
COVID-19 antibody (86769) $108 $135 2.6×
Creatine kinase total (82550) $58.40 $73 9.0×
Creatinine (82565) $34.40 $43 6.7×
Creatinine clearance (82575) $112.80 $141 11.9×
Creatinine other source (82570) $58.40 $73 11.3×
Crossmatch ahg (86922) $275.40 $344.24 1.5×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $35.20 $44 4.4×
D-dimer quantitative (85379) $150.40 $188 14.8×
Digoxin (80162) $124 $155 9.3×
Direct antiglobulin test (86880) $36 $45 6.7×
Drug assay salicylate (80179) $228.80 $286 12.3×
Drug test prsmv dir opt obs (80305) $184.80 $231 14.7×
Drug test prsmv instrmnt (80306) $206.40 $258 12.0×
Electrolytes panel (80051) $69.60 $87 9.9×
Eosinophils urine (87205) $20.80 $26 4.9×
Ferritin (82728) $88 $110 6.5×
Gamma glutamyl transferase (82977) $58.40 $73 8.1×
Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) $103.20 $129 10.6×
Glucose Fasting (82947) $55.20 $69 14.0×
Glucose other fluid (82945) $33.02 $41.28 8.4×
Glucose post glucose dose (82950) $40 $50 8.4×
Glucose tolerance test (gtt) (82951) $41.60 $52 3.2×
Glycated hemoglobin (83036) $120.80 $151 12.4×
Gtt-added samples (82952) $24.80 $31 6.3×
Hcg ql (84703) $45.60 $57 6.1×
HDL cholesterol (83718) $40 $50 4.9×
Hematocrit (hct) (85014) $17.60 $22 7.4×
Hemoglobin (85018) $17.60 $22 7.4×
Heparin assay (85520) $40.80 $51 3.1×
Heterophile antibody screen (86308) $113.60 $142 21.9×
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $84 $105 6.1×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $108 $135 2.1×
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $444 $555 3.1×
Immunoassay analyte quantitative nos (83520) $184.34 $230.42 10.7×
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) $182.40 $228 10.1×
Immunoglobulin d (82784) $114.88 $143.59 12.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $56.80 $71 4.3×
Influenza assay w/optic (87804) $73.60 $92 4.4×
Influenza DNA amp probe (87502) $247.20 $309 2.6×
Iron (83540) $41.60 $52 6.4×
Iron binding capacity (83550) $38.40 $48 4.4×
Irradiation of blood product, each unit (86945) $116 $145 2.9×
Lactate (83605) $12.80 $16 1.1×
Lactate dehydrogenase (83615) $52 $65 8.6×
LDL direct (83721) $61.60 $77 5.9×
Legionella urine antigen (87449) $56.80 $71 4.7×
Lipase (83690) $44 $55 6.4×
Lithium (80178) $93.60 $117 14.2×
Magnesium (83735) $44 $55 6.6×
Manual differential (85007) $46.40 $58 12.2×
Methemoglobin quant (83050) $137.60 $172 16.8×
Microalbumin urine (82043) $87.20 $109 15.1×
Natriuretic peptide (83880) $208.80 $261 5.3×
Occult bld feces 1-3 tests (82272) $85.60 $107 20.2×
Occult blood other sources (82271) $62.40 $78 11.7×
Pertussis by PCR (87798) $387 $483.74 11.0×
Ph body fluid (83986) $33.60 $42 9.4×
Phenytoin level total (80185) $151.20 $189 11.4×
Phosphorus (84100) $32.80 $41 6.9×
Platelet count automated (85049) $30.40 $38 6.8×
Porphyrins total plasma (84311) $34.87 $43.58 4.3×
Potassium (84132) $30.40 $38 6.4×
Potassium urine (84133) $20.80 $26 4.4×
Protein total other source (84157) $68 $85 17.0×
Protein total serum (84155) $18.40 $23 5.0×
Protein total urine (84156) $59.20 $74 16.1×
Rbc antibody identification (86870) $511.13 $638.91 1.4×
Rbc antibody screen (86850) $158.40 $198 16.2×
Resp virus 3-5 targets (87631) $504.80 $631 3.5×
Reticyte/hgb concentrate (85046) $111.20 $139 20.0×
Rl immediate spin crossmatch (86920) $117.60 $147 0.7×
Rsv DNA/RNA amp probe (87634) $204 $255 2.9×
Sedimentation rate rbc automated (85652) $36.80 $46 13.6×
Sedimentation rate rbc non-automated (85651) $23.20 $29 5.4×
Skin test tuberculosis intradermal (86580) $2,406 $3,007.49 78.9×
Smear wet mount (87210) $28.80 $36 4.9×
Sodium (84295) $32.80 $41 6.8×
Sodium urine (84300) $32.80 $41 6.5×
Strep a ag ia (87430) $72.80 $91 4.3×
Strep a assay w/optic (87880) $72 $90 4.4×
Strep a DNA amp probe (87651) $102.40 $128 2.9×
T3 free (84481) $108.80 $136 6.4×
Thyroxine free (ft4) (84439) $53.60 $67 5.9×
Transferrin (84466) $82.40 $103 6.5×
Triglycerides (84478) $36 $45 6.3×
Troponin t (84484) $147.20 $184 11.8×
Urea nitrogen quantitative (84520) $27.20 $34 6.9×
Uric acid blood (84550) $30.40 $38 6.7×
Urinalysis auto w/micro (81001) $89.60 $112 28.3×
Urinalysis microscopic only (81015) $43.20 $54 14.2×
Urinalysis volume measure (81050) $31.20 $39 8.6×
Urine Pregnancy Test POC (81025) $108 $135 12.5×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $44 $55 19.6×
Valproic acid (80164) $171.20 $214 12.6×
Vancomycin (80202) $179.20 $224 13.2×
Vitamin b-12 (82607) $90.40 $113 6.0×
Vitamin d 25 hydroxy (82306) $208.69 $260.86 7.1×