Urobilinogen, urine; quantitative, timed specimen Facility (CPT 84580)

84580 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.

257 of 4255 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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HospitalLocationPosted cashPosted grossMedicare pays× Medicare
HCA Florida Largo Hospital Largo, FL $4.26 $4.26 $9.55 0.4×
HCA Florida South Shore Hospital Sun City Center, FL $4.26 $4.26 $9.55 0.4×
Henry Ford Rochester Hospital Rochester, MI $4.70 $10 $9.55 0.5×
Unity Health - White County Medical Center Searcy, AR $5 $20 $9.55 0.5×
Unity Health - Jacksonville Jacksonville, AR $5 $20 $9.55 0.5×
Unity Health - Newport Newport, AR $5 $20 $9.55 0.5×
Los Robles Hospital & Medical Center Thousand Oaks, CA $5.25 $5.25 $9.55 0.5×
Westfield Memorial Hospital, Inc Westfield, NY $6.16 $28 $9.55 0.6×
Henry Ford St. John Hospital Detroit, MI $6.63 $11.84 $9.55 0.7×
Henry Ford Warren Hospital Warren, MI $6.63 $11.84 $9.55 0.7×
Henry Ford River District Hospital East China, MI $6.63 $11.84 $9.55 0.7×
Dallas Regional Medical Center Mesquite, TX $9 $188 $9.55 0.9×
Lamb Healthcare Center Littlefield, TX $9 $22 $9.55 0.9×
Riverview Regional Medical Center Gadsden, AL $9 $139.75 $9.55 0.9×
North Vista Hospital North Las Vegas, NV $9 $139.75 $9.55 0.9×
Saint Mary's Regional Medical Center Reno, NV $9 $101 $9.55 0.9×
Garden Grove Hospital & Medical Center Garden Grove, CA $9 $9.66 $9.55 0.9×
West Anaheim Medical Center Anaheim, CA $9 $9.66 $9.55 0.9×
Huntington Beach Hospital Huntington Beach, CA $9 $9.66 $9.55 0.9×
La Palma Intercommunity Hospital La Palma, CA $9 $9.66 $9.55 0.9×
Lake Huron Medical Center Port Huron, MI $9 $117.01 $9.55 0.9×
Touro New Orleans, LA $9.52 $68 $9.55 1.0×
Lakeside Medical Center Belle Glade, FL $9.55 — $9.55 1.0×
Griffin Hospital Derby, CT $9.55 — $9.55 1.0×
St. Joseph's Medical Center Yonkers, NY $9.55 — $9.55 1.0×
Lincoln Medical & Mental Health Center Bronx, NY $9.55 — $9.55 1.0×
Jacobi Medical Center Bronx, NY $9.55 — $9.55 1.0×
Elmhurst Hospital Center Elmhurst, NY $9.55 — $9.55 1.0×
NYC Health + Hospitals/South Brooklyn Health Brooklyn, NY $9.55 — $9.55 1.0×
Metropolitan Hospital Center New York, NY $9.55 — $9.55 1.0×
Kings County Hospital Center Brooklyn, NY $9.55 — $9.55 1.0×
Bellevue Hospital Center New York, NY $9.55 — $9.55 1.0×
Queens Hospital Center Jamaica, NY $9.55 — $9.55 1.0×
Harlem Hospital Center New York, NY $9.55 — $9.55 1.0×
Woodhull Medical & Mental Health Center Brooklyn, NY $9.55 — $9.55 1.0×
Summa Health System
range across 3 matching MRF lines
Akron, OH $9.55–$144.50 $9.55–$144.50 $9.55 varies
University Hospital – UMMC Jackson, MS $9.60 $24 $9.55 1.0×
UMMC Madison Canton, MS $9.60 $24 $9.55 1.0×
Delhi Hospital Delhi, LA $9.75 $15 $9.55 1.0×
Albany Medical Center Hospital
range across 3 matching MRF lines
Albany, NY $10–$191 $20–$382 $9.55 varies
Glens Falls Hospital Glens Falls, NY $10 $20 $9.55 1.0×
Cambridge Health Alliance Cambridge, MA $10.58 $10.58 $9.55 1.1×
Valleywise Health Medical Center Phoenix, AZ $10.98 $30 $9.55 1.1×
Hurley Medical Center
range across 2 matching MRF lines
Flint, MI $11–$51.25 $11–$51.25 $9.55 varies
HCA Florida Blake Hospital Bradenton, FL $11.04 $11.04 $9.55 1.2×
Larkin Community Hospital Palm Springs Campus Hialeah, FL $11.20 $16 $9.55 1.2×
Larkin Community Hospital South Miami, FL $11.20 $16 $9.55 1.2×
Our Lady of the Lake Surgical Hospital Slidell, LA $11.46 — $9.55 1.2×
Hancock County Hospital Sneedville, TN $11.50 $50 $9.55 1.2×
Livingston Regional Hospital Livingston, TN $11.63 $40.95 $9.55 1.2×
Lima Memorial Health System
range across 2 matching MRF lines
Lima, OH $11.70–$34.20 $13–$38 $9.55 varies
Ochsner Rush Medical Center Meridian, MS $11.90 $34 $9.55 1.2×
Bristol Regional Medical Center Bristol, TN $12 $80 $9.55 1.3×
Holston Valley Medical Center Kingsport, TN $12 $80 $9.55 1.3×
Hawkins County Memorial Hospital Rogersville, TN $12 $80 $9.55 1.3×
Greeneville Community Hospital Greeneville, TN $12 $80 $9.55 1.3×
Lonesome Pine Hospital Big Stone Gap, VA $12 $80 $9.55 1.3×
Baylor Scott & White Medical Center - Temple Temple, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center - Hillcrest Waco, TX $12.10 $20.16 $9.55 1.3×
Tmc- Bonham Hospital Bonham, TX $12.10 $41.80 $9.55 1.3×
Baylor Scott & White Medical Center -taylor Taylor, TX $12.10 $20.16 $9.55 1.3×
Scott & White Hospital-round Rock Round Rock, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center- College Stati College Station, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center - Buda Buda, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Medical Center- Austin Austin, TX $12.10 $20.16 $9.55 1.3×
Baylor Scott & White Hospital Brenham Brenham, TX $12.10 $20.16 $9.55 1.3×
Summit Medical Center, LLC Edmond, OK $12.42 — $9.55 1.3×
Saint Thomas Hospital for Specialty Surgery Nashville, TN $12.42 — $9.55 1.3×
Saratoga Hospital
range across 2 matching MRF lines
Saratoga Springs, NY $13–$222.50 $26–$445 $9.55 varies
Henry Ford Macomb Hospital Clinton Township, MI $13.18 — $9.55 1.4×
Henry Ford Hospital Detroit, MI $13.18 — $9.55 1.4×
Henry Ford Wyandotte Hospital Wyandotte, MI $13.18 — $9.55 1.4×
Henry Ford West Bloomfield Hospital West Bloomfield, MI $13.18 — $9.55 1.4×
Catawba Valley Medical Center Hickory, NC $14 $24 $9.55 1.5×
Alamance Regional Medical Center Burlington, NC $14.44 $38 $9.55 1.5×
Cone Health Moses Cone Hospital Greensboro, NC $14.44 $38 $9.55 1.5×
Columbia Memorial Hospital Hudson, NY $14.50 $29 $9.55 1.5×
Humboldt Park Health Chicago, IL $14.70 $52.50 $9.55 1.5×
Hilton Head Medical Center Hilton Head Island, SC $15.26 — $9.55 1.6×
East Cooper Medical Center Mount Pleasant, SC $15.26 — $9.55 1.6×
Coastal Carolina Medical Center Hardeeville, SC $15.26 — $9.55 1.6×
Dunes Surgical Hospital Dakota Dunes, SD $15.35 — $9.55 1.6×
Henry Ford Genesys Hospital Grand Blanc, MI $15.44 $36.75 $9.55 1.6×
University Medical Center New Orleans New Orleans, LA $16.72 $76 $9.55 1.8×
Manning Family Children's New Orleans, LA $16.74 $62 $9.55 1.8×
John H Stroger Jr Hospital Chicago, IL $16.80 $24 $9.55 1.8×
Provident Hospital of Chicago Chicago, IL $16.80 $24 $9.55 1.8×
Monterey Park Hospital Monterey Park, CA $17.50 $17.50 $9.55 1.8×
Duncan Regional Hospital, Inc Duncan, OK $20.46 — $9.55 2.1×
Ochsner Laird Hospital Union, MS $20.74 $34 $9.55 2.2×
Titus Regional Medical Center Mount Pleasant, TX $21 $35 $9.55 2.2×
Lowell General Hospital Lowell, MA $21 $30 $9.55 2.2×
Ochsner Scott Regional Morton, MS $21.42 $34 $9.55 2.2×
East Valley ER & Hospital
range across 2 matching MRF lines
Gilbert, AZ $21.60–$43.20 $48–$96 $9.55 varies
Alexandria Emergency Hospital
range across 2 matching MRF lines
Alexandria, LA $21.60–$43.20 $48–$96 $9.55 varies
Ochsner Watkins Hospital Quitman, MS $22.78 $34 $9.55 2.4×
Wilbarger General Hospital Vernon, TX $22.93 $38.22 $9.55 2.4×
Ochsner Stennis Hospital De Kalb, MS $23.46 $34 $9.55 2.5×
Summit Medical Center Casper, WY $25.42 $62 $9.55 2.7×
Ochsner Choctaw General Butler, AL $25.84 $34 $9.55 2.7×
El Campo Memorial Hospital El Campo, TX $26 $26 $9.55 2.7×
Palacios Community Medical Center Palacios, TX $26 $26 $9.55 2.7×
Mid Coast Medical Center - Central Llano, TX $26 $26 $9.55 2.7×
Mid Coast Medical Center-trinity Trinity, TX $26 $26 $9.55 2.7×
Garnet Health Medical Center Middletown, NY $26 $104 $9.55 2.7×
Community Hospital of Huntington Park Huntington Park, CA $26.32 $26.32 $9.55 2.8×
Memorial Hospital of Gardena Gardena, CA $26.32 $26.32 $9.55 2.8×
East Los Angeles Doctors Hospital Los Angeles, CA $26.32 $26.32 $9.55 2.8×
Coast Plaza Hospital Norwalk, CA $26.32 $26.32 $9.55 2.8×
William P. Clements Jr. University Hospital (UT Southwestern) Dallas, TX $26.50 $53 $9.55 2.8×
Lallie Kemp Regional Medical Center Independence, LA $26.72 $44.53 $9.55 2.8×
Jackson County Memorial Hospital Authority Altus, OK $28.65 $28.65 $9.55 3.0×
Northwest Surgical Hospital Oklahoma City, OK $28.65 — $9.55 3.0×
Community Hospital, LLC Oklahoma City, OK $28.65 — $9.55 3.0×
Harmon Memorial Hospital Hollis, OK $28.65 $28.65 $9.55 3.0×
Bellville Medical Center Bellville, TX $29 $29 $9.55 3.0×
Richardson Medical Center Rayville, LA $30 $40 $9.55 3.1×
Erie County Medical Center Buffalo, NY $30.23 — $9.55 3.2×
Colorado River Medical Center Needles, CA $30.80 $88 $9.55 3.2×
UP Health System - Bell Ishpeming, MI $30.90 $51.50 $9.55 3.2×
Rutherford Regional Medical Center Rutherfordton, NC $31.33 $78.32 $9.55 3.3×
CommonSpirit Saint Joseph Hospital - Mount Sterling Mount Sterling, KY $31.52 $86 $9.55 3.3×
Permian Regional Medical Center Andrews County Ho Andrews, TX $33 $66 $9.55 3.5×
Taylor Regional Hospital Hawkinsville, GA $34 $34 $9.55 3.6×
Our Lady of Lourdes Regional Medical Center Lafayette, LA $34.50 $69 $9.55 3.6×
Mt Sinai Hospital Medical Center Chicago, IL $34.59 $49.41 $9.55 3.6×
Holy Cross Hospital Chicago, IL $34.59 $49.41 $9.55 3.6×
INTEGRIS Miami Hospital Miami, OK $34.60 $173 $9.55 3.6×
INTEGRIS Grove Hospital Grove, OK $34.60 $173 $9.55 3.6×
Highpoint Health – Winchester with Ascension Saint Thomas Winchester, TN $34.96 $141.54 $9.55 3.7×
Castleview Hospital Price, UT $37.40 $68 $9.55 3.9×
Adventist Health Tillamook Tillamook, OR $41.04 $76 $9.55 4.3×
Lake Regional Hospital Osage Beach, MO $42 $140 $9.55 4.4×
Coosa Valley Medical Center Sylacauga, AL $43 $178 $9.55 4.5×
Kaiser Permanente Central Hospital Seattle, WA $43.20 $54 $9.55 4.5×
Providence Holy Family Hospital Spokane, WA $43.40 $62 $9.55 4.5×
Torrance Memorial Medical Center
range across 22 matching MRF lines
Torrance, CA $43.46–$7,209.44 $53–$8,792 $9.55 varies
Desoto Memorial Hospital Arcadia, FL $43.50 $87 $9.55 4.6×
Nebraska Medical Center Omaha, NE $44.98 $69.20 $9.55 4.7×
Bellevue Medical Center Bellevue, NE $44.98 $69.20 $9.55 4.7×
HCA Florida St. Lucie Hospital Port Saint Lucie, FL $45 $45 $9.55 4.7×
Pacifica Hospital of the Valley Sun Valley, CA $50 $50 $9.55 5.2×
Kaiser Permanente Moanalua Medical Center Honolulu, HI $50.25 $67 $9.55 5.3×
Hancock Regional Hospital Greenfield, IN $50.40 $63 $9.55 5.3×
Garnet Health Medical Center - Catskills Harris, NY $51.98 $281 $9.55 5.4×
Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital Callicoon, NY $51.98 $281 $9.55 5.4×
Chicot Memorial Medical Center Lake Village, AR $52.05 $52.05 $9.55 5.5×
Washington County Hospital and Nursing Home Chatom, AL $54.17 — $9.55 5.7×
Rapides Regional Medical Center Alexandria, LA $56 $56 $9.55 5.9×
LewisGale Hospital Pulaski Pulaski, VA $56 $56 $9.55 5.9×
Sweetwater Hospital Association Sweetwater, TN $56.23 $124.95 $9.55 5.9×
Resolute Health Hospital New Braunfels, TX $56.25 $75 $9.55 5.9×
Kaiser Foundation Hospital - Panorama City Panorama City, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Downey Downey, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital Fontana Fontana, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - South Bay Harbor City, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Zion San Diego, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - West La Los Angeles, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Orange County - Anahe Anaheim, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital, Riverside Riverside, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital-moreno Valley Moreno Valley, CA $57.20 $110 $9.55 6.0×
Kaiser Foundation Hospital - San Marcos San Marcos, CA $57.20 $110 $9.55 6.0×
Altru Hospital Grand Forks, ND $60.39 $99 $9.55 6.3×
Mount Auburn Hospital Cambridge, MA $63 $63 $9.55 6.6×
Vaughan Regional Medical Center Selma, AL $64.42 $184.07 $9.55 6.7×
Hialeah Hospital Hialeah, FL $66.22 $66.22 $9.55 6.9×
New England Baptist Hospital Boston, MA $70 $70 $9.55 7.3×
Children's Hospital of The King's Daughters Norfolk, VA $70.88 $78.75 $9.55 7.4×
Halifax Health Medical Center Daytona Beach, FL $71.20 $89 $9.55 7.5×
Halifax Health | UF Health Medical Center of Deltona Deltona, FL $71.20 $89 $9.55 7.5×
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital-santa Clara Santa Clara, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital and Rehab Center Vallejo, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Oakland/richmond Oakland, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - San Francisco San Francisco, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Sacramento Sacramento, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital San Rafael, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Fremont Fremont, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Redwood City Redwood City, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital-san Jose San Jose, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hosp So Sacramento Sacramento, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital-santa Rosa Santa Rosa, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Fresno Fresno, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital Manteca Manteca, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Antioch Antioch, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Vacaville Vacaville, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - Roseville Roseville, CA $72.24 $129 $9.55 7.6×
Kaiser Foundation Hospital - San Leandro San Leandro, CA $72.24 $129 $9.55 7.6×
Centerpoint Health – Versailles Versailles, KY $72.55 $181.38 $9.55 7.6×
Lahey Hospital & Medical Center Burlington, MA $75 $75 $9.55 7.9×
Tanner Medical Center/Carrollton
range across 2 matching MRF lines
Carrollton, GA $75.60–$134.40 $189–$336 $9.55 varies
Higgins General Hospital
range across 2 matching MRF lines
Bremen, GA $75.60–$134.40 $189–$336 $9.55 varies
Rockcastle Regional Hospital and Respiratory Care Center Mount Vernon, KY $79.80 $105 $9.55 8.4×
Sibley Memorial Hospital Washington, DC $84 $84 $9.55 8.8×
Lanai Community Hospital Lanai City, HI $85.55 $145 $9.55 9.0×
Kula Hospital Kula, HI $85.55 $145 $9.55 9.0×
Stephens County Hospital Toccoa, GA $85.80 $143 $9.55 9.0×
UAB Medical West Bessemer, AL $88.50 $118 $9.55 9.3×
Centerpoint Health – Georgetown Georgetown, KY $90.40 $226.01 $9.55 9.5×
Vista Medical Center East Waukegan, IL $90.49 $150.82 $9.55 9.5×
Salem Memorial District Hospital Salem, MO $94.50 $126 $9.55 9.9×
Clinch Valley Medical Center Richlands, VA $95.80 $239.51 $9.55 10.0×
Miami Valley Hospital Dayton, OH $102 $102 $9.55 10.7×
Atrium Medical Center Franklin, OH $102 $102 $9.55 10.7×
Upper Valley Medical Center Troy, OH $102 $102 $9.55 10.7×
UMMC Greenwood Greenwood, MS $104.80 $131 $9.55 11.0×
Springhill Medical Center Mobile, AL $105.60 $124.23 $9.55 11.1×
Coralvita Richardson Richardson, TX $108.90 $108.90 $9.55‡ 11.4×
Inova Alexandria Hospital Alexandria, VA $109 $218 $9.55 11.4×
Inova Loudoun Hospital Leesburg, VA $109 $218 $9.55 11.4×
Inova Fairfax Hospital Falls Church, VA $109 $218 $9.55 11.4×
Inova Fair Oaks Hospital Fairfax, VA $109 $218 $9.55 11.4×
Inova Mount Vernon Hospital Alexandria, VA $109 $218 $9.55 11.4×
Dolly Parton Children’s Hospital Knoxville, TN $109.20 $182 $9.55 11.4×
Heart of the Rockies Regional Medical Center Salida, CO $111.35 $131 $9.55 11.7×
Valley View Medical Center Fort Mohave, AZ $114 $190 $9.55 11.9×
Lake Cumberland Regional Hospital Somerset, KY $120.27 $300.68 $9.55 12.6×
Providence St. Joseph's Hospital Chewelah, WA $122.50 $175 $9.55 12.8×
St. Anthony Hospital Pendleton, OR $130.80 $192 $9.55 13.7×
CommonSpirit Saint Joseph Hospital - Bardstown Bardstown, KY $134.08 $316 $9.55 14.0×
Savoy Medical Center Mamou, LA $150.18 $250.30 $9.55 15.7×
Community Hospital McCook, NE $164.93 $183.25 $9.55 17.3×
Perry County Memorial Hospital Tell City, IN $214.90 $307 $9.55 22.5×
HCA Florida Westside Hospital Plantation, FL $222 $222 $9.55 23.2×
HCA Florida Putnam Hospital Palatka, FL $223.25 $223.25 $9.55 23.4×
Medical City Lewisville Lewisville, TX $228.45 $228.45 $9.55 23.9×
HCA Florida South Tampa Hospital Tampa, FL $270.24 $270.24 $9.55 28.3×
Southwestern Medical Center Lawton, OK $292.38 $730.96 $9.55 30.6×
Medical City Arlington Arlington, TX $299.77 $299.77 $9.55 31.4×
Mountain View Hospital Payson, UT $313.82 $313.82 $9.55 32.9×
Medical City Las Colinas Irving, TX $321.74 $321.74 $9.55 33.7×
HCA Florida Kendall Hospital Miami, FL $361 $361 $9.55 37.8×
Medical City Plano Plano, TX $441.91 $441.91 $9.55 46.3×
Medical City North Hills North Richland Hills, TX $504.65 $504.65 $9.55 52.8×
Medical City Fort Worth Fort Worth, TX $517.01 $517.01 $9.55 54.1×
Medical City Alliance Fort Worth, TX $577.86 $577.86 $9.55 60.5×
HCA Houston Healthcare Medical Center Houston, TX $622.47 $622.47 $9.55 65.2×
HCA Houston Healthcare Clear Lake Webster, TX $719.53 $719.53 $9.55 75.3×
Medical City Mckinney Mckinney, TX $990.82 $990.82 $9.55 103.8×
Medical City Dallas Dallas, TX $1,413.44 $1,413.44 $9.55 148.0×
HCA Houston Healthcare Conroe Conroe, TX $2,950.05 $2,950.05 $9.55 308.9×
Hiram W. Davis Medical Center Petersburg, VA — $12 $9.55‡ —
Ohio State University Hospitals Columbus, OH — $24 $9.55 —
James Cancer Hospital & Solove Research Institute Columbus, OH — $24 $9.55 —
Cuero Regional Hospital Cuero, TX — $46 $9.55 —
Cameron Regional Medical Center Cameron, MO — $51.50 $9.55 —
Keralty Hospital Miami, FL — $64 $9.55 —
Aspen Mountain Medical Center Rock Springs, WY — $64.75 $9.55 —
Pella Regional Health Center Pella, IA — $96 $9.55 —
Canyon Vista Medical Center Sierra Vista, AZ — $112 $9.55 —
Upstate University Hospital Syracuse, NY — $195 $9.55 —

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.

"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.

‡ Price taken from the hospital's inpatient list; no outpatient price posted.