Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (CPT 84377)
84377 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.
24 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Evanston Regional Hospital | Evanston, WY | $19.36 | $32.26 | $5.50 | 3.5× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $20.50 | $41 | $5.50 | 3.7× |
| Prowers Medical Center | Lamar, CO | $33.60 | $56 | $5.50 | 6.1× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $51.98 | $229 | $5.50 | 9.5× |
| Banner North Colorado Medical Center | Greeley, CO | $52.67 | $229 | $5.50 | 9.6× |
| Sterling Regional MedCenter | Sterling, CO | $75.57 | $229 | $5.50 | 13.7× |
| Banner Wyoming Medical Center | Casper, WY | $96.18 | $229 | $5.50 | 17.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $96.66 | $161.10 | $5.50 | 17.6× |
| Medical City Dallas | Dallas, TX | $98.42 | $98.42 | $5.50 | 17.9× |
| Johnson County Healthcare Center | Buffalo, WY | $111 | $111 | $5.50 | 20.2× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $140.84 | $229 | $5.50 | 25.6× |
| East Morgan County Hospital | Brush, CO | $141.06 | $229 | $5.50 | 25.6× |
| Washakie Medical Center | Worland, WY | $147.02 | $229 | $5.50 | 26.7× |
| Platte County Hospital | Wheatland, WY | $152.28 | $229 | $5.50 | 27.7× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $195.70 | $195.70 | $5.50 | 35.6× |
| Community Hospital Grand Junction | Grand Junction, CO | $253.12 | $452 | $5.50 | 46.0× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $281.37 | $281.37 | $5.50 | 51.2× |
| Denver Health Medical Center | Denver, CO | $349.28 | $997.92 | $5.50 | 63.5× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $352.75 | $352.75 | $5.50 | 64.1× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $396.15 | $660.25 | $5.50 | 72.0× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $443.61 | $985.80 | $5.50 | 80.7× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $659.14 | $659.14 | $5.50 | 119.8× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $795.82 | $795.82 | $5.50 | 144.7× |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $34.70 | $5.50 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.