Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (CPT 83864)
83864 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
28 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
Compare interactively — search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $62.50 | $125 | $28.50 | 2.2× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $75.37 | $167.47 | $28.50 | 2.6× |
| Foothills Hospital | Boulder, CO | $86 | $172 | $28.50 | 3.0× |
| UCHealth University of Colorado Hospital | Aurora, CO | $95.38 | $272.50 | $28.50 | 3.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $96.35 | $321.16 | $28.50 | 3.4× |
| Longs Peak Hospital | Longmont, CO | $112.41 | $321.16 | $28.50 | 3.9× |
| UCHealth Broomfield Hospital | Broomfield, CO | $112.41 | $321.16 | $28.50 | 3.9× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $112.41 | $321.16 | $28.50 | 3.9× |
| Denver Health Medical Center | Denver, CO | $124.30 | $355.12 | $28.50 | 4.4× |
| Star Valley Medical Center | Afton, WY | $126 | $180 | $28.50 | 4.4× |
| Community Hospital Grand Junction | Grand Junction, CO | $129.92 | $232 | $28.50 | 4.6× |
| Ivinson Memorial Hospital | Laramie, WY | $189 | $189 | $28.50 | 6.6× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $218.27 | $218.27 | $28.50 | 7.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $225 | $375 | $28.50 | 7.9× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $277.05 | $461.75 | $28.50 | 9.7× |
| UCHealth Greeley Hospital | Greeley, CO | $421.92 | $703.20 | $28.50 | 14.8× |
| Poudre Valley Hospital | Fort Collins, CO | $492.24 | $703.20 | $28.50 | 17.3× |
| Medical Center of the Rockies | Loveland, CO | $492.24 | $703.20 | $28.50 | 17.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $512.80 | $641 | $28.50 | 18.0× |
| Medical City Dallas | Dallas, TX | $1,085.90 | $1,085.90 | $28.50 | 38.1× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,259.25 | $1,259.25 | $28.50 | 44.2× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $2,938.72 | $2,938.72 | $28.50 | 103.1× |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $187.05 | $28.50 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $308.33 | $28.50 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $308.33 | $28.50 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $308.33 | $28.50 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $308.33 | $28.50 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $308.33 | $28.50 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.