Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (CPT 86696)
86696 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.
103 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 | $10.91 | $59 | $19.35 | 0.6× |
| Banner North Colorado Medical Center | Greeley, CO | $15.75 | $59 | $19.35 | 0.8× |
| Foothills Hospital | Boulder, CO | $20 | $40 | $19.35 | 1.0× |
| Sterling Regional MedCenter | Sterling, CO | $24.01 | $59 | $19.35 | 1.2× |
| Banner Wyoming Medical Center | Casper, WY | $24.78 | $59 | $19.35 | 1.3× |
| Delta County Memorial Hospital | Delta, CO | $28.65 | $47.75 | $19.35 | 1.5× |
| Lincoln Health Hospital | Hugo, CO | $29 | $29 | $19.35 | 1.5× |
| Denver Health Medical Center | Denver, CO | $32.75 | $93.56 | $19.35 | 1.7× |
| Montrose Regional Health | Montrose, CO | $33.75 | $45 | $19.35 | 1.7× |
| Memorial Hospital of Converse County | Douglas, WY | $35.06 | $61.50 | $19.35 | 1.8× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $41.06 | $59 | $19.35 | 2.1× |
| Parkview Medical Center | Pueblo, CO | $43.20 | $108 | $19.35 | 2.2× |
| East Morgan County Hospital | Brush, CO | $43.60 | $59 | $19.35 | 2.3× |
| Platte County Hospital | Wheatland, WY | $44.60 | $59 | $19.35 | 2.3× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $57.65 | $57.65 | $19.35 | 3.0× |
| Evanston Regional Hospital | Evanston, WY | $62.41 | $104.01 | $19.35 | 3.2× |
| Southwest Memorial Hospital | Cortez, CO | $62.50 | $124.50 | $19.35 | 3.2× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $63.15 | $105.25 | $19.35 | 3.3× |
| Wray Community District Hospital | Wray, CO | $63.76 | $85.02 | $19.35 | 3.3× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $64.50 | $107 | $19.35 | 3.3× |
| Regional West Medical Center | Scottsbluff, NE | $64.80 | $108 | $19.35 | 3.3× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $65.03 | $86.70 | $19.35 | 3.4× |
| Sublette County Health | Pinedale, WY | $65.70 | $73 | $19.35 | 3.4× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $66 | $66 | $19.35 | 3.4× |
| Yuma District Hospital | Yuma, CO | $66.75 | $89 | $19.35 | 3.4× |
| Rangely District Hospital | Rangely, CO | $67.02 | $103.11 | $19.35 | 3.5× |
| UCHealth Greeley Hospital | Greeley, CO | $68.40 | $114 | $19.35 | 3.5× |
| Washakie Medical Center | Worland, WY | $69.80 | $59 | $19.35 | 3.6× |
| Sheridan Memorial Hospital | Sheridan, WY | $71.60 | $89.50 | $19.35 | 3.7× |
| Community Hospital Grand Junction | Grand Junction, CO | $71.68 | $128 | $19.35 | 3.7× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $76 | $76 | $19.35 | 3.9× |
| Kit Carson County Memorial Hospital | Burlington, CO | $76.74 | $90.29 | $19.35 | 4.0× |
| Memorial Hospital of Carbon County | Rawlins, WY | $78 | $104 | $19.35 | 4.0× |
| Grand River Medical Center | Rifle, CO | $78.75 | $157.50 | $19.35 | 4.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $79 | $158 | $19.35 | 4.1× |
| Star Valley Medical Center | Afton, WY | $79.10 | $113 | $19.35 | 4.1× |
| Poudre Valley Hospital | Fort Collins, CO | $79.80 | $114 | $19.35 | 4.1× |
| Medical Center of the Rockies | Loveland, CO | $79.80 | $114 | $19.35 | 4.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $81.90 | $91 | $19.35 | 4.2× |
| St. Elizabeth Hospital | Fort Morgan, CO | $82.98 | $207.43 | $19.35 | 4.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $84.28 | $280.91 | $19.35 | 4.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $87.15 | $249 | $19.35 | 4.5× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $87.25 | $87.25 | $19.35 | 4.5× |
| Parkland Memorial Hospital | Dallas, TX | $94.40 | $236 | $19.35 | 4.9× |
| Campbell County Health | Gillette, WY | $95.40 | $106 | $19.35 | 4.9× |
| Longs Peak Hospital | Longmont, CO | $98.32 | $280.91 | $19.35 | 5.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $98.32 | $280.91 | $19.35 | 5.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $98.32 | $280.91 | $19.35 | 5.1× |
| Rio Grande Hospital | Del Norte, CO | $99.98 | $133.30 | $19.35 | 5.2× |
| Niobrara County Hospital District | Lusk, WY | $100.80 | $126 | $19.35 | 5.2× |
| St. John's Medical Center | Jackson, WY | $101.50 | $101.50 | $19.35 | 5.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $102.53 | $170.88 | $19.35 | 5.3× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $102.85 | $187 | $19.35 | 5.3× |
| St. Anthony Summit Medical Center | Frisco, CO | $103.25 | $258.11 | $19.35 | 5.3× |
| St. Mary-Corwin Hospital | Pueblo, CO | $108.47 | $271.17 | $19.35 | 5.6× |
| Family Health West Hospital | Fruita, CO | $108.50 | $155 | $19.35 | 5.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $108.62 | $241.38 | $19.35 | 5.6× |
| Ivinson Memorial Hospital | Laramie, WY | $109 | $109 | $19.35 | 5.6× |
| Haxtun Hospital District | Haxtun, CO | $114.08 | $117 | $19.35 | 5.9× |
| Mercy Hospital Durango | Durango, CO | $114.19 | $285.47 | $19.35 | 5.9× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $115.30 | $164.71 | $19.35 | 6.0× |
| Vail Health Hospital | Vail, CO | $125.25 | $167 | $19.35 | 6.5× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $127 | $127 | $19.35 | 6.6× |
| Melissa Memorial Hospital | Holyoke, CO | $135.20 | $169 | $19.35 | 7.0× |
| Memorial Hospital at Craig | Craig, CO | $135.71 | $208.79 | $19.35 | 7.0× |
| Gunnison Valley Hospital | Gunnison, CO | $138.12 | $162.50 | $19.35 | 7.1× |
| Aspen Valley Hospital | Aspen, CO | $140 | $140 | $19.35 | 7.2× |
| St. Thomas More Hospital | Canon City, CO | $151.03 | $377.57 | $19.35 | 7.8× |
| Estes Park Medical Center | Estes Park, CO | $153 | $204 | $19.35 | 7.9× |
| Cody Regional Health | Cody, WY | $160.09 | $188.34 | $19.35 | 8.3× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $161.50 | $190 | $19.35 | 8.3× |
| Middle Park Medical Center | Kremmling, CO | $166.44 | $208.04 | $19.35 | 8.6× |
| Powell Valley Healthcare | Powell, WY | $167.20 | $196.70 | $19.35 | 8.6× |
| Longmont United Hospital | Longmont, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| St. Anthony Hospital | Lakewood, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| Penrose Hospital | Colorado Springs, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| St. Anthony North Health Campus | Westminster, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| OrthoColorado Hospital | Lakewood, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $169.43 | $423.57 | $19.35 | 8.8× |
| Crook County Medical Services District | Sundance, WY | $175.95 | $234.60 | $19.35 | 9.1× |
| Weston County Health Services | Newcastle, WY | $186 | $186 | $19.35 | 9.6× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $196 | $196 | $19.35 | 10.1× |
| Prowers Medical Center | Lamar, CO | $204 | $340 | $19.35 | 10.5× |
| Valley View Hospital | Glenwood Springs, CO | $204.85 | $241 | $19.35 | 10.6× |
| Johnson County Healthcare Center | Buffalo, WY | $224 | $224 | $19.35 | 11.6× |
| Animas Surgical Hospital | Durango, CO | $300 | $300 | $19.35 | 15.5× |
| HCA HealthOne Rose Medical Center | Denver, CO | $365 | $365 | $19.35 | 18.9× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $449.34 | $449.34 | $19.35 | 23.2× |
| AdventHealth Porter | Denver, CO | $470.47 | $470.47 | $19.35 | 24.3× |
| AdventHealth Avista | Louisville, CO | $470.47 | $470.47 | $19.35 | 24.3× |
| AdventHealth Littleton | Littleton, CO | $470.47 | $470.47 | $19.35 | 24.3× |
| AdventHealth Parker | Parker, CO | $470.47 | $470.47 | $19.35 | 24.3× |
| AdventHealth Castle Rock | Castle Rock, CO | $470.47 | $470.47 | $19.35 | 24.3× |
| Medical City Dallas | Dallas, TX | $542.14 | $542.14 | $19.35 | 28.0× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $737.74 | $737.74 | $19.35 | 38.1× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,360.05 | $1,360.05 | $19.35 | 70.3× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $82.91 | $19.35 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $133.72 | $19.35 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $151.25 | $19.35 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $162.85 | $19.35 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $163.22 | $19.35 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $171.34 | $19.35 | — |
| North Big Horn Hospital District | Lovell, WY | — | $228.50 | $19.35 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.