Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (CPT 86694)
86694 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.
82 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 |
|---|---|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins, CO | $8.14 | $44 | $14.39 | 0.6× |
| Banner North Colorado Medical Center | Greeley, CO | $11.75 | $44 | $14.39 | 0.8× |
| Community Hospital Grand Junction | Grand Junction, CO | $16.24 | $29 | $14.39 | 1.1× |
| Sterling Regional MedCenter | Sterling, CO | $17.91 | $44 | $14.39 | 1.2× |
| Banner Wyoming Medical Center | Casper, WY | $18.48 | $44 | $14.39 | 1.3× |
| Parkland Memorial Hospital | Dallas, TX | $19.40 | $48.50 | $14.39 | 1.3× |
| Denver Health Medical Center | Denver, CO | $19.98 | $57.07 | $14.39 | 1.4× |
| Sublette County Health | Pinedale, WY | $26.10 | $29 | $14.39 | 1.8× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $29.55 | $49.25 | $14.39 | 2.1× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $30.62 | $44 | $14.39 | 2.1× |
| East Morgan County Hospital | Brush, CO | $32.52 | $44 | $14.39 | 2.3× |
| Platte County Hospital | Wheatland, WY | $33.26 | $44 | $14.39 | 2.3× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $42 | $42 | $14.39 | 2.9× |
| Delta County Memorial Hospital | Delta, CO | $44.62 | $74.38 | $14.39 | 3.1× |
| Memorial Hospital of Converse County | Douglas, WY | $46.17 | $81 | $14.39 | 3.2× |
| Cody Regional Health | Cody, WY | $46.75 | $55 | $14.39 | 3.2× |
| UCHealth Greeley Hospital | Greeley, CO | $47.82 | $79.68 | $14.39 | 3.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $49.17 | $163.90 | $14.39 | 3.4× |
| Washakie Medical Center | Worland, WY | $52.05 | $44 | $14.39 | 3.6× |
| Evanston Regional Hospital | Evanston, WY | $55.55 | $92.59 | $14.39 | 3.9× |
| Poudre Valley Hospital | Fort Collins, CO | $55.78 | $79.68 | $14.39 | 3.9× |
| Medical Center of the Rockies | Loveland, CO | $55.78 | $79.68 | $14.39 | 3.9× |
| Longs Peak Hospital | Longmont, CO | $57.37 | $163.90 | $14.39 | 4.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $57.37 | $163.90 | $14.39 | 4.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $57.37 | $163.90 | $14.39 | 4.0× |
| Foothills Hospital | Boulder, CO | $67 | $134 | $14.39 | 4.7× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $68 | $136 | $14.39 | 4.7× |
| Star Valley Medical Center | Afton, WY | $71.40 | $102 | $14.39 | 5.0× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $72.45 | $80.50 | $14.39 | 5.0× |
| Melissa Memorial Hospital | Holyoke, CO | $78.40 | $98 | $14.39 | 5.4× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $78.66 | $112.36 | $14.39 | 5.5× |
| St. John's Medical Center | Jackson, WY | $80 | $80 | $14.39 | 5.6× |
| UCHealth University of Colorado Hospital | Aurora, CO | $81.24 | $232.12 | $14.39 | 5.6× |
| Grand River Medical Center | Rifle, CO | $83.25 | $166.50 | $14.39 | 5.8× |
| Aspen Valley Hospital | Aspen, CO | $85 | $85 | $14.39 | 5.9× |
| Memorial Hospital of Carbon County | Rawlins, WY | $89.25 | $119 | $14.39 | 6.2× |
| Parkview Medical Center | Pueblo, CO | $90 | $225 | $14.39 | 6.3× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $90 | $90 | $14.39 | 6.3× |
| Johnson County Healthcare Center | Buffalo, WY | $94.50 | $94.50 | $14.39 | 6.6× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $96.05 | $113 | $14.39 | 6.7× |
| St. Elizabeth Hospital | Fort Morgan, CO | $98.86 | $247.15 | $14.39 | 6.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $100.50 | $223.32 | $14.39 | 7.0× |
| Memorial Hospital at Craig | Craig, CO | $100.70 | $154.93 | $14.39 | 7.0× |
| Haxtun Hospital District | Haxtun, CO | $104.33 | $107 | $14.39 | 7.3× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $104.58 | $174.30 | $14.39 | 7.3× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $108.88 | $120.98 | $14.39 | 7.6× |
| Ivinson Memorial Hospital | Laramie, WY | $110.50 | $110.50 | $14.39 | 7.7× |
| AdventHealth Porter | Denver, CO | $115 | $115 | $14.39 | 8.0× |
| AdventHealth Avista | Louisville, CO | $115 | $115 | $14.39 | 8.0× |
| AdventHealth Littleton | Littleton, CO | $115 | $115 | $14.39 | 8.0× |
| AdventHealth Parker | Parker, CO | $115 | $115 | $14.39 | 8.0× |
| AdventHealth Castle Rock | Castle Rock, CO | $115 | $115 | $14.39 | 8.0× |
| Longmont United Hospital | Longmont, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| St. Anthony Hospital | Lakewood, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| Penrose Hospital | Colorado Springs, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| St. Anthony North Health Campus | Westminster, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| OrthoColorado Hospital | Lakewood, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $119.66 | $299.14 | $14.39 | 8.3× |
| Estes Park Medical Center | Estes Park, CO | $123.75 | $165 | $14.39 | 8.6× |
| Middle Park Medical Center | Kremmling, CO | $123.79 | $154.73 | $14.39 | 8.6× |
| Rangely District Hospital | Rangely, CO | $127.48 | $196.13 | $14.39 | 8.9× |
| Regional West Medical Center | Scottsbluff, NE | $135 | $225 | $14.39 | 9.4× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $151.36 | $151.36 | $14.39 | 10.5× |
| Wray Community District Hospital | Wray, CO | $151.42 | $201.89 | $14.39 | 10.5× |
| Niobrara County Hospital District | Lusk, WY | $153.60 | $192 | $14.39 | 10.7× |
| Family Health West Hospital | Fruita, CO | $155.05 | $221.50 | $14.39 | 10.8× |
| Vail Health Hospital | Vail, CO | $183 | $244 | $14.39 | 12.7× |
| Weston County Health Services | Newcastle, WY | $196 | $196 | $14.39 | 13.6× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $205.67 | $205.67 | $14.39 | 14.3× |
| HCA HealthOne Rose Medical Center | Denver, CO | $230 | $230 | $14.39 | 16.0× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $254 | $424 | $14.39 | 17.7× |
| Valley View Hospital | Glenwood Springs, CO | $256.70 | $302 | $14.39 | 17.8× |
| Medical City Dallas | Dallas, TX | $435.65 | $435.65 | $14.39 | 30.3× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $449.34 | $449.34 | $14.39 | 31.2× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $1,798.05 | $1,798.05 | $14.39 | 125.0× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,960.38 | $1,960.38 | $14.39 | 136.2× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $71.16 | $14.39 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $112.21 | $14.39 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $145.44 | $14.39 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $151.25 | $14.39 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $753.98 | $14.39 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $920.70 | $14.39 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.