Helicobacter Pylori Antibody Igg (CPT 86677)
86677 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.
218 of 309 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 |
|---|---|---|---|---|---|
| Lower Keys Medical Center | Key West, FL | $2.78 | $10.29 | $16.85 | 0.2× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $4.28 | $5.70 | $16.85 | 0.3× |
| St. Mary's Medical Center | West Palm Beach, FL | $5.15 | $6.87 | $16.85 | 0.3× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $5.27 | $7.53 | $16.85 | 0.3× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $5.77 | $5.77 | $16.85 | 0.3× |
| North Shore Medical Center | Miami, FL | $6.21 | $6.21 | $16.85 | 0.4× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $6.21 | $23 | $16.85 | 0.4× |
| HCA Florida Trinity Hospital | Trinity, FL | $6.23 | $6.23 | $16.85 | 0.4× |
| Delray Medical Center | Delray Beach, FL | $6.50 | $8.66 | $16.85 | 0.4× |
| Parrish Medical Center | Titusville, FL | $6.80 | $17 | $16.85 | 0.4× |
| Florida Coast Medical Center | Port St. Lucie, FL | $6.93 | $9.24 | $16.85 | 0.4× |
| Jay Hospital | Jay, FL | $7.80 | $52 | $16.85 | 0.5× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $7.86 | $21.25 | $16.85 | 0.5× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $7.86 | $21.25 | $16.85 | 0.5× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $7.86 | $21.25 | $16.85 | 0.5× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $7.86 | $21.25 | $16.85 | 0.5× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $8 | $8 | $16.85 | 0.5× |
| HCA Florida West Hospital | Pensacola, FL | $8.05 | $8.05 | $16.85 | 0.5× |
| HCA Florida North Florida Hospital | Gainesville, FL | $8.24 | $8.24 | $16.85 | 0.5× |
| Oviedo Medical Center | Oviedo, FL | $8.24 | $8.24 | $16.85 | 0.5× |
| HCA Florida Largo Hospital | Largo, FL | $8.66 | $8.66 | $16.85 | 0.5× |
| Santa Rosa Medical Center | Milton, FL | $8.91 | $59.40 | $16.85 | 0.5× |
| Baptist Hospital | Pensacola, FL | $9.15 | $61 | $16.85 | 0.5× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $9.15 | $61 | $16.85 | 0.5× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $9.90 | $9.90 | $16.85 | 0.6× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $10 | $10 | $16.85 | 0.6× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $10.02 | $10.02 | $16.85 | 0.6× |
| Sarasota Memorial Hospital | Sarasota, FL | $11.20 | $28 | $16.85 | 0.7× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $11.20 | $28 | $16.85 | 0.7× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $11.61 | $11.61 | $16.85 | 0.7× |
| HCA Florida Brandon Hospital | Brandon, FL | $12.28 | $12.28 | $16.85 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $12.92 | $18 | $16.85 | 0.8× |
| Halifax Health Medical Center | Daytona Beach, FL | $13.20 | $16.50 | $16.85 | 0.8× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $13.20 | $16.50 | $16.85 | 0.8× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $13.25 | $13.25 | $16.85 | 0.8× |
| HCA Florida Lake City Hospital | Lake City, FL | $13.50 | $13.50 | $16.85 | 0.8× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $14.43 | $78 | $16.85 | 0.9× |
| West Boca Medical Center | Boca Raton, FL | $15.61 | $20.81 | $16.85 | 0.9× |
| HCA Florida Englewood Hospital | Englewood, FL | $15.86 | $15.86 | $16.85 | 0.9× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $16.30 | $16.30 | $16.85 | 1.0× |
| HCA Florida Capital Hospital | Tallahassee, FL | $16.92 | $16.92 | $16.85 | 1.0× |
| HCA Florida Blake Hospital | Bradenton, FL | $19.63 | $19.63 | $16.85 | 1.2× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $20 | $20 | $16.85 | 1.2× |
| Banner North Colorado Medical Center | Greeley, CO | $20.83 | $78 | $16.85 | 1.2× |
| HCA Florida Twin Cities Hospital | Niceville, FL | $21 | $21 | $16.85 | 1.2× |
| UF Health Jacksonville | Jacksonville, FL | $21.71 | $39.48 | $16.85 | 1.3× |
| Coral Gables Hospital | Coral Gables, FL | $21.80 | $21.80 | $16.85 | 1.3× |
| HCA Florida Lawnwood Hospital | Fort Pierce, FL | $23.02 | $23.02 | $16.85 | 1.4× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $24.05 | $24.05 | $16.85 | 1.4× |
| Madison County Memorial Hospital | Madison, FL | $25.50 | $50.99 | $16.85 | 1.5× |
| Doctors Memorial Hospital | Perry, FL | $26.40 | $66 | $16.85 | 1.6× |
| UCF Lake Nona Hospital | Orlando, FL | $27.35 | $27.35 | $16.85 | 1.6× |
| Boca Raton Regional Hospital | Boca Raton, FL | $27.95 | $43 | $16.85 | 1.7× |
| Larkin Community Hospital | South Miami, FL | $28 | $40 | $16.85 | 1.7× |
| Denver Health Medical Center | Denver, CO | $30.19 | $86.26 | $16.85 | 1.8× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $31.50 | $45 | $16.85 | 1.9× |
| Sterling Regional MedCenter | Sterling, CO | $31.75 | $78 | $16.85 | 1.9× |
| Banner Wyoming Medical Center | Casper, WY | $32.76 | $78 | $16.85 | 1.9× |
| UF Health Leesburg Hospital | Leesburg, FL | $34.65 | $63 | $16.85 | 2.1× |
| Flagler Hospital | Saint Augustine, FL | $34.65 | $63 | $16.85 | 2.1× |
| UF Health Shands Hospital | Gainesville, FL | $34.65 | $63 | $16.85 | 2.1× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $34.65 | $63 | $16.85 | 2.1× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $34.90 | $87.25 | $16.85 | 2.1× |
| Delta County Memorial Hospital | Delta, CO | $36 | $60 | $16.85 | 2.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $36 | $40 | $16.85 | 2.1× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $38 | $95.02 | $16.85 | 2.3× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $48.50 | $48.50 | $16.85 | 2.9× |
| HCA Florida Bayonet Point Hospital | Hudson, FL | $48.74 | $48.74 | $16.85 | 2.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $48.75 | $75 | $16.85 | 2.9× |
| Cleveland Clinic Hospital | Weston, FL | $48.75 | $75 | $16.85 | 2.9× |
| Southwest Memorial Hospital | Cortez, CO | $53 | $105 | $16.85 | 3.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $53.50 | $107 | $16.85 | 3.2× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $54.29 | $78 | $16.85 | 3.2× |
| Palmetto General Hospital | Hialeah, FL | $55.10 | $55.10 | $16.85 | 3.3× |
| Holy Cross Hospital | Fort Lauderdale, FL | $55.25 | $85 | $16.85 | 3.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $56.80 | $71 | $16.85 | 3.4× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $57.30 | $191 | $16.85 | 3.4× |
| East Morgan County Hospital | Brush, CO | $57.64 | $78 | $16.85 | 3.4× |
| Platte County Hospital | Wheatland, WY | $58.97 | $78 | $16.85 | 3.5× |
| Hialeah Hospital | Hialeah, FL | $62.13 | $62.13 | $16.85 | 3.7× |
| Northwest Florida Community Hospital | Chipley, FL | $62.40 | $78 | $16.85 | 3.7× |
| Longs Peak Hospital | Longmont, CO | $66.85 | $191 | $16.85 | 4.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $66.85 | $191 | $16.85 | 4.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $66.85 | $191 | $16.85 | 4.0× |
| Doctors Memorial Hospital | Bonifay, FL | $71.32 | $158.50 | $16.85 | 4.2× |
| Star Valley Medical Center | Afton, WY | $74.20 | $106 | $16.85 | 4.4× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $75 | $124.50 | $16.85 | 4.5× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $75 | $75 | $16.85 | 4.5× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $75 | $75 | $16.85 | 4.5× |
| Ascension Sacred Heart Bay | Panama City, FL | $79.73 | $199.33 | $16.85 | 4.7× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $81.25 | $125 | $16.85 | 4.8× |
| St. Mary-Corwin Hospital | Pueblo, CO | $81.34 | $203.33 | $16.85 | 4.8× |
| St. Thomas More Hospital | Canon City, CO | $81.36 | $203.39 | $16.85 | 4.8× |
| Southeast Colorado Hospital | Springfield, CO | $83 | $104 | $16.85 | 4.9× |
| Longmont United Hospital | Longmont, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| St. Anthony Hospital | Lakewood, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| Penrose Hospital | Colorado Springs, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| St. Anthony North Health Campus | Westminster, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| OrthoColorado Hospital | Lakewood, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $84.76 | $211.88 | $16.85 | 5.0× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $87.86 | $219.65 | $16.85 | 5.2× |
| George E Weems Memorial Hospital | Apalachicola, FL | $88.20 | $126 | $16.85 | 5.2× |
| Grand River Medical Center | Rifle, CO | $89.50 | $179 | $16.85 | 5.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $89.55 | $199 | $16.85 | 5.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $89.60 | $256 | $16.85 | 5.3× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $91.25 | $91.25 | $16.85 | 5.4× |
| AdventHealth Deland | Deland, FL | $91.25 | $91.25 | $16.85 | 5.4× |
| Washakie Medical Center | Worland, WY | $92.27 | $78 | $16.85 | 5.5× |
| Rangely District Hospital | Rangely, CO | $92.44 | $142.21 | $16.85 | 5.5× |
| St. Anthony Summit Medical Center | Frisco, CO | $93.36 | $233.40 | $16.85 | 5.5× |
| Crook County Medical Services District | Sundance, WY | $94.88 | $126.50 | $16.85 | 5.6× |
| Melissa Memorial Hospital | Holyoke, CO | $95.20 | $119 | $16.85 | 5.6× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $95.32 | $127.10 | $16.85 | 5.7× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $95.81 | $95.81 | $16.85 | 5.7× |
| AdventHealth Lake Wales | Lake Wales, FL | $95.81 | $95.81 | $16.85 | 5.7× |
| MedStar Washington Hospital Center | Washington, DC | $97.87 | $150.57 | $16.85 | 5.8× |
| Powell Valley Healthcare | Powell, WY | $98.94 | $116.40 | $16.85 | 5.9× |
| Desoto Memorial Hospital | Arcadia, FL | $100 | $200 | $16.85 | 5.9× |
| AdventHealth Heart of Florida | Davenport, FL | $100.37 | $100.37 | $16.85 | 6.0× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $102.40 | $128 | $16.85 | 6.1× |
| Evanston Regional Hospital | Evanston, WY | $102.99 | $171.65 | $16.85 | 6.1× |
| Mercy Hospital Durango | Durango, CO | $103.25 | $258.12 | $16.85 | 6.1× |
| Prowers Medical Center | Lamar, CO | $103.50 | $172.50 | $16.85 | 6.1× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $104.40 | $174 | $16.85 | 6.2× |
| Calhoun-Liberty Hospital | Blountstown, FL | $106.40 | $152 | $16.85 | 6.3× |
| Kit Carson County Memorial Hospital | Burlington, CO | $106.99 | $125.88 | $16.85 | 6.3× |
| Wray Community District Hospital | Wray, CO | $109.30 | $145.73 | $16.85 | 6.5× |
| HCA Florida Highlands Hospital | Sebring, FL | $111.10 | $111.10 | $16.85 | 6.6× |
| Broward Health Medical Center | Fort Lauderdale, FL | $115.50 | $115.50 | $16.85 | 6.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $121 | $201.66 | $16.85 | 7.2× |
| UCHealth Greeley Hospital | Greeley, CO | $121.80 | $203 | $16.85 | 7.2× |
| Broward Health North | Pompano Beach, FL | $121.80 | $121.80 | $16.85 | 7.2× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $123.12 | $175.88 | $16.85 | 7.3× |
| Rio Grande Hospital | Del Norte, CO | $123.91 | $165.21 | $16.85 | 7.4× |
| Community Hospital Grand Junction | Grand Junction, CO | $124.60 | $222.50 | $16.85 | 7.4× |
| South Lincoln Medical Center | Kemmerer, WY | $128.58 | $171.44 | $16.85 | 7.6× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $129.20 | $152 | $16.85 | 7.7× |
| Memorial Hospital of Carbon County | Rawlins, WY | $135 | $180 | $16.85 | 8.0× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $140 | $140 | $16.85 | 8.3× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $140.59 | $140.59 | $16.85 | 8.3× |
| Poudre Valley Hospital | Fort Collins, CO | $142.10 | $203 | $16.85 | 8.4× |
| Medical Center of the Rockies | Loveland, CO | $142.10 | $203 | $16.85 | 8.4× |
| Parkland Memorial Hospital | Dallas, TX | $142.40 | $356 | $16.85 | 8.5× |
| Middle Park Medical Center | Kremmling, CO | $145.53 | $181.91 | $16.85 | 8.6× |
| Howard University Hospital | Washington, DC | $148.40 | $185.50 | $16.85 | 8.8× |
| Cody Regional Health | Cody, WY | $148.75 | $175 | $16.85 | 8.8× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $149 | $149 | $16.85 | 8.8× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $151.05 | $151.05 | $16.85 | 9.0× |
| Broward Health Coral Springs | Coral Springs, FL | $151.20 | $151.20 | $16.85 | 9.0× |
| MedStar Georgetown University Hospital | Washington, DC | $152.02 | $233.87 | $16.85 | 9.0× |
| Aspen Valley Hospital | Aspen, CO | $160 | $160 | $16.85 | 9.5× |
| Wellington Regional Medical Center | Wellington, FL | $162.38 | $216.50 | $16.85 | 9.6× |
| HCA Florida Ocala Hospital | Ocala, FL | $162.94 | $162.94 | $16.85 | 9.7× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $170 | $170 | $16.85 | 10.1× |
| Good Samaritan Medical Center | West Palm Beach, FL | $170.52 | $227.35 | $16.85 | 10.1× |
| Foothills Hospital | Boulder, CO | $173 | $346 | $16.85 | 10.3× |
| Sibley Memorial Hospital | Washington, DC | $176 | $176 | $16.85 | 10.4× |
| Johnson County Healthcare Center | Buffalo, WY | $176.50 | $176.50 | $16.85 | 10.5× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $178.50 | $178.50 | $16.85 | 10.6× |
| St. Elizabeth Hospital | Fort Morgan, CO | $179.68 | $449.18 | $16.85 | 10.7× |
| Manatee Memorial Hospital | Bradenton, FL | $185.20 | $463 | $16.85 | 11.0× |
| Lakewood Ranch Medical Center | Bradenton, FL | $185.20 | $463 | $16.85 | 11.0× |
| Ivinson Memorial Hospital | Laramie, WY | $188 | $188 | $16.85 | 11.2× |
| HCA Florida Kendall Hospital | Miami, FL | $190 | $190 | $16.85 | 11.3× |
| George Washington University Hospital | Washington, DC | $194 | $485 | $16.85 | 11.5× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $194 | $485 | $16.85 | 11.5× |
| Animas Surgical Hospital | Durango, CO | $215 | $215 | $16.85 | 12.8× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $223 | $223 | $16.85 | 13.2× |
| HCA Florida South Tampa Hospital | Tampa, FL | $227.75 | $227.75 | $16.85 | 13.5× |
| Weston County Health Services | Newcastle, WY | $231 | $231 | $16.85 | 13.7× |
| AdventHealth Porter | Denver, CO | $235.33 | $235.33 | $16.85 | 14.0× |
| AdventHealth Avista | Louisville, CO | $235.33 | $235.33 | $16.85 | 14.0× |
| AdventHealth Littleton | Littleton, CO | $235.33 | $235.33 | $16.85 | 14.0× |
| AdventHealth Parker | Parker, CO | $235.33 | $235.33 | $16.85 | 14.0× |
| AdventHealth Castle Rock | Castle Rock, CO | $235.33 | $235.33 | $16.85 | 14.0× |
| HCA Florida Westside Hospital | Plantation, FL | $258 | $258 | $16.85 | 15.3× |
| Bethesda Hospital East | Boynton Beach, FL | $259.35 | $399 | $16.85 | 15.4× |
| Baptist Hospital of Miami | Miami, FL | $259.35 | $399 | $16.85 | 15.4× |
| Homestead Hospital | Homestead, FL | $259.35 | $399 | $16.85 | 15.4× |
| South Miami Hospital | South Miami, FL | $259.35 | $399 | $16.85 | 15.4× |
| Doctors Hospital | Coral Gables, FL | $259.35 | $399 | $16.85 | 15.4× |
| West Kendall Baptist Hospital | Miami, FL | $259.35 | $399 | $16.85 | 15.4× |
| Fishermen's Community Hospital | Marathon, FL | $259.35 | $399 | $16.85 | 15.4× |
| Mariners Hospital | Tavernier, FL | $259.35 | $399 | $16.85 | 15.4× |
| AdventHealth Carrollwood | Tampa, FL | $260.09 | $260.09 | $16.85 | 15.4× |
| AdventHealth Tampa | Tampa, FL | $260.09 | $260.09 | $16.85 | 15.4× |
| AdventHealth Riverview | Riverview, FL | $260.09 | $260.09 | $16.85 | 15.4× |
| AdventHealth Dade City | Dade City, FL | $269.60 | $269.60 | $16.85 | 16.0× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $274.43 | $274.43 | $16.85 | 16.3× |
| HCA Florida Putnam Hospital | Palatka, FL | $281.50 | $281.50 | $16.85 | 16.7× |
| HCA Florida Northwest Hospital | Margate, FL | $300 | $300 | $16.85 | 17.8× |
| Memorial Regional Hospital | Hollywood, FL | $411.25 | $587.50 | $16.85 | 24.4× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $411.25 | $587.50 | $16.85 | 24.4× |
| Memorial Hospital West | Pembroke Pines, FL | $411.25 | $587.50 | $16.85 | 24.4× |
| Memorial Hospital Miramar | Miramar, FL | $411.25 | $587.50 | $16.85 | 24.4× |
| HCA Florida JFK Hospital | Atlantis, FL | $431 | $431 | $16.85 | 25.6× |
| AdventHealth Waterman | Tavares, FL | $495.73 | $495.73 | $16.85 | 29.4× |
| AdventHealth Orlando | Orlando, FL | $499 | $499 | $16.85 | 29.6× |
| HCA Florida Aventura Hospital | Aventura, FL | $640 | $640 | $16.85 | 38.0× |
| HCA Florida Mercy Hospital | Miami, FL | $692 | $692 | $16.85 | 41.1× |
| HCA Florida University Hospital | Davie, FL | $710 | $710 | $16.85 | 42.1× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $712.77 | $712.77 | $16.85 | 42.3× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $787.75 | $787.75 | $16.85 | 46.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $808.99 | $808.99 | $16.85 | 48.0× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $869.75 | $869.75 | $16.85 | 51.6× |
| Medical City Dallas | Dallas, TX | $1,100.41 | $1,100.41 | $16.85 | 65.3× |
| HCA Florida Citrus Hospital | Inverness, FL | $1,352.30 | $1,352.30 | $16.85 | 80.3× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,417.01 | $1,417.01 | $16.85 | 84.1× |
| HCA HealthOne Rose Medical Center | Denver, CO | $1,649 | $1,649 | $16.85 | 97.9× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $1,746.70 | $1,746.70 | $16.85 | 103.7× |
| Keralty Hospital | Miami, FL | — | $63 | $16.85 | — |
| North Big Horn Hospital District | Lovell, WY | — | $142 | $16.85 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $157.15 | $16.85 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $171.90 | $16.85 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $221.10 | $16.85 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $264.78 | $16.85 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $264.78 | $16.85 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $264.78 | $16.85 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.