Virus isol shell vial techn (CPT 87254)
87254 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.
214 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 |
|---|---|---|---|---|---|
| HCA Florida Trinity Hospital | Trinity, FL | $1.99 | $1.99 | $19.56 | 0.1× |
| Delray Medical Center | Delray Beach, FL | $4.44 | $5.91 | $19.56 | 0.2× |
| Baptist Hospital | Pensacola, FL | $6.62 | $44.14 | $19.56 | 0.3× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $6.62 | $44.14 | $19.56 | 0.3× |
| West Boca Medical Center | Boca Raton, FL | $8.25 | $11 | $19.56 | 0.4× |
| North Okaloosa Medical Center | Crestview, FL | $9.90 | $55.02 | $19.56 | 0.5× |
| Florida Coast Medical Center | Port St. Lucie, FL | $11.17 | $14.90 | $19.56 | 0.6× |
| Mount Sinai Medical Center | Miami Beach, FL | $11.82 | $11.82 | $19.56 | 0.6× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $12.32 | $85 | $19.56 | 0.6× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $12.88 | $17.18 | $19.56 | 0.7× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $13.72 | $65.32 | $19.56 | 0.7× |
| Coral Gables Hospital | Coral Gables, FL | $14.16 | $14.16 | $19.56 | 0.7× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $14.70 | $21 | $19.56 | 0.8× |
| Parrish Medical Center | Titusville, FL | $14.80 | $37 | $19.56 | 0.8× |
| HCA Florida Bayonet Point Hospital | Hudson, FL | $15.12 | $15.12 | $19.56 | 0.8× |
| Good Samaritan Medical Center | West Palm Beach, FL | $15.27 | $20.36 | $19.56 | 0.8× |
| St. Mary's Medical Center | West Palm Beach, FL | $15.27 | $20.36 | $19.56 | 0.8× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $16.28 | $44 | $19.56 | 0.8× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $16.28 | $44 | $19.56 | 0.8× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $16.28 | $44 | $19.56 | 0.8× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $16.28 | $44 | $19.56 | 0.8× |
| Denver Health Medical Center | Denver, CO | $19.25 | $54.98 | $19.56 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $19.56 | — | $19.56 | 1.0× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $20 | $33 | $19.56 | 1.0× |
| Lower Keys Medical Center | Key West, FL | $21.12 | $78.22 | $19.56 | 1.1× |
| Memorial Regional Hospital | Hollywood, FL | $22.40 | $32 | $19.56 | 1.1× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $22.40 | $32 | $19.56 | 1.1× |
| Memorial Hospital West | Pembroke Pines, FL | $22.40 | $32 | $19.56 | 1.1× |
| Memorial Hospital Miramar | Miramar, FL | $22.40 | $32 | $19.56 | 1.1× |
| Hialeah Hospital | Hialeah, FL | $22.68 | $22.68 | $19.56 | 1.2× |
| Broward Health North | Pompano Beach, FL | $22.89 | $22.89 | $19.56 | 1.2× |
| Broward Health Medical Center | Fort Lauderdale, FL | $23.10 | $23.10 | $19.56 | 1.2× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $23.31 | $23.31 | $19.56 | 1.2× |
| Broward Health Coral Springs | Coral Springs, FL | $23.31 | $23.31 | $19.56 | 1.2× |
| Banner North Colorado Medical Center | Greeley, CO | $23.72 | $85 | $19.56 | 1.2× |
| Jackson Hospital | Marianna, FL | $25 | $47 | $19.56 | 1.3× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $26.25 | $26.25 | $19.56 | 1.3× |
| Santa Rosa Medical Center | Milton, FL | $26.88 | $179.18 | $19.56 | 1.4× |
| North Shore Medical Center | Miami, FL | $27.25 | $27.25 | $19.56 | 1.4× |
| HCA Florida West Hospital | Pensacola, FL | $30.35 | $30.35 | $19.56 | 1.6× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $33.36 | $83.40 | $19.56 | 1.7× |
| Doctors Memorial Hospital | Perry, FL | $34.80 | $87 | $19.56 | 1.8× |
| Banner Wyoming Medical Center | Casper, WY | $35.70 | $85 | $19.56 | 1.8× |
| Sterling Regional MedCenter | Sterling, CO | $36.55 | $85 | $19.56 | 1.9× |
| Holy Cross Hospital | Fort Lauderdale, FL | $36.80 | $56.60 | $19.56 | 1.9× |
| Lee Memorial Hospital | Fort Myers, FL | $37.40 | $187 | $19.56 | 1.9× |
| Gulf Coast Medical Center | Fort Myers, FL | $37.40 | $187 | $19.56 | 1.9× |
| Cape Coral Hospital | Cape Coral, FL | $37.40 | $187 | $19.56 | 1.9× |
| Bethesda Hospital East | Boynton Beach, FL | $39 | $60 | $19.56 | 2.0× |
| Homestead Hospital | Homestead, FL | $39 | $60 | $19.56 | 2.0× |
| Doctors Hospital | Coral Gables, FL | $39 | $60 | $19.56 | 2.0× |
| West Kendall Baptist Hospital | Miami, FL | $39 | $60 | $19.56 | 2.0× |
| Fishermen's Community Hospital | Marathon, FL | $39 | $60 | $19.56 | 2.0× |
| Mariners Hospital | Tavernier, FL | $39 | $60 | $19.56 | 2.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $40.15 | $73 | $19.56 | 2.1× |
| Flagler Hospital | Saint Augustine, FL | $40.15 | $73 | $19.56 | 2.1× |
| UF Health Shands Hospital | Gainesville, FL | $40.15 | $73 | $19.56 | 2.1× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $40.15 | $73 | $19.56 | 2.1× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $41.58 | $154 | $19.56 | 2.1× |
| Nemours Children's Hospital, Florida | Orlando, FL | $42 | $42 | $19.56 | 2.1× |
| UF Health Jacksonville | Jacksonville, FL | $44.22 | $80.40 | $19.56 | 2.3× |
| Naples Community Hospital | Naples, FL | $46.40 | $116 | $19.56 | 2.4× |
| Sarasota Memorial Hospital | Sarasota, FL | $46.40 | $116 | $19.56 | 2.4× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $46.40 | $116 | $19.56 | 2.4× |
| Parkland Memorial Hospital | Dallas, TX | $46.60 | $116.50 | $19.56 | 2.4× |
| Boca Raton Regional Hospital | Boca Raton, FL | $47.45 | $73 | $19.56 | 2.4× |
| Halifax Health Medical Center | Daytona Beach, FL | $47.60 | $59.50 | $19.56 | 2.4× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $47.60 | $59.50 | $19.56 | 2.4× |
| HCA Florida Brandon Hospital | Brandon, FL | $48.27 | $48.27 | $19.56 | 2.5× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $50 | $125 | $19.56 | 2.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $50 | $125 | $19.56 | 2.6× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $53.46 | $85 | $19.56 | 2.7× |
| Kit Carson County Memorial Hospital | Burlington, CO | $55.51 | $65.30 | $19.56 | 2.8× |
| Yuma District Hospital | Yuma, CO | $56.62 | $75.50 | $19.56 | 2.9× |
| East Morgan County Hospital | Brush, CO | $56.78 | $85 | $19.56 | 2.9× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $58.68 | $58.68 | $19.56 | 3.0× |
| Platte County Hospital | Wheatland, WY | $59.67 | $85 | $19.56 | 3.1× |
| Washakie Medical Center | Worland, WY | $60.18 | $85 | $19.56 | 3.1× |
| Delta County Memorial Hospital | Delta, CO | $60.30 | $100.50 | $19.56 | 3.1× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $60.45 | $93 | $19.56 | 3.1× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $60.45 | $93 | $19.56 | 3.1× |
| Cleveland Clinic Hospital | Weston, FL | $60.45 | $93 | $19.56 | 3.1× |
| HCA Florida Twin Cities Hospital | Niceville, FL | $63 | $63 | $19.56 | 3.2× |
| Palmetto General Hospital | Hialeah, FL | $63.96 | $63.96 | $19.56 | 3.3× |
| HCA Florida JFK Hospital | Atlantis, FL | $64 | $64 | $19.56 | 3.3× |
| HCA Florida Citrus Hospital | Inverness, FL | $64.15 | $64.15 | $19.56 | 3.3× |
| HCA Florida Capital Hospital | Tallahassee, FL | $64.30 | $64.30 | $19.56 | 3.3× |
| Foothills Hospital | Boulder, CO | $65 | $130 | $19.56 | 3.3× |
| Evanston Regional Hospital | Evanston, WY | $65.80 | $109.66 | $19.56 | 3.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $68.25 | $195 | $19.56 | 3.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $68.40 | $228 | $19.56 | 3.5× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $72.26 | $180.65 | $19.56 | 3.7× |
| Johnson County Healthcare Center | Buffalo, WY | $73 | $73 | $19.56 | 3.7× |
| AdventHealth Fish Memorial | Orange City, FL | $74.18 | $74.18 | $19.56 | 3.8× |
| Longs Peak Hospital | Longmont, CO | $79.80 | $228 | $19.56 | 4.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $79.80 | $228 | $19.56 | 4.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $79.80 | $228 | $19.56 | 4.1× |
| Community Hospital Grand Junction | Grand Junction, CO | $81.76 | $146 | $19.56 | 4.2× |
| Calhoun-Liberty Hospital | Blountstown, FL | $84 | $120 | $19.56 | 4.3× |
| Wellington Regional Medical Center | Wellington, FL | $85.50 | $114 | $19.56 | 4.4× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $85.75 | $85.75 | $19.56 | 4.4× |
| HCA HealthOne Rose Medical Center | Denver, CO | $86 | $86 | $19.56 | 4.4× |
| Oviedo Medical Center | Oviedo, FL | $86.63 | $86.63 | $19.56 | 4.4× |
| HCA Florida Lake City Hospital | Lake City, FL | $90.50 | $90.50 | $19.56 | 4.6× |
| Baptist Hospital of Miami | Miami, FL | $92.30 | $142 | $19.56 | 4.7× |
| South Miami Hospital | South Miami, FL | $92.30 | $142 | $19.56 | 4.7× |
| UCF Lake Nona Hospital | Orlando, FL | $92.95 | $92.95 | $19.56 | 4.8× |
| HCA Florida North Florida Hospital | Gainesville, FL | $95.17 | $95.17 | $19.56 | 4.9× |
| Southwest Memorial Hospital | Cortez, CO | $98.50 | $196.50 | $19.56 | 5.0× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $100.02 | $100.02 | $19.56 | 5.1× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $100.80 | $224 | $19.56 | 5.2× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $100.80 | $112 | $19.56 | 5.2× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $101.50 | $203 | $19.56 | 5.2× |
| Tampa General Hospital | Tampa, FL | $105 | $300 | $19.56 | 5.4× |
| HCA Florida Ocala Hospital | Ocala, FL | $105.44 | $105.44 | $19.56 | 5.4× |
| George Washington University Hospital | Washington, DC | $106 | $265 | $19.56 | 5.4× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $106 | $265 | $19.56 | 5.4× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $109.22 | $109.22 | $19.56 | 5.6× |
| St. Mary-Corwin Hospital | Pueblo, CO | $109.59 | $273.96 | $19.56 | 5.6× |
| St. Elizabeth Hospital | Fort Morgan, CO | $112.57 | $281.41 | $19.56 | 5.8× |
| Longmont United Hospital | Longmont, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| St. Anthony Hospital | Lakewood, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| Penrose Hospital | Colorado Springs, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| St. Anthony North Health Campus | Westminster, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| OrthoColorado Hospital | Lakewood, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $112.78 | $281.95 | $19.56 | 5.8× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $113.10 | $174 | $19.56 | 5.8× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $113.53 | $113.53 | $19.56 | 5.8× |
| St. Anthony Summit Medical Center | Frisco, CO | $114.32 | $285.79 | $19.56 | 5.8× |
| Mease Dunedin Hospital | Dunedin, FL | $114.60 | $191 | $19.56 | 5.9× |
| Winter Haven Hospital | Winter Haven, FL | $114.60 | $191 | $19.56 | 5.9× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $114.60 | $191 | $19.56 | 5.9× |
| St. Anthony's Hospital | Saint Petersburg, FL | $114.60 | $191 | $19.56 | 5.9× |
| St. Joseph's Hospital | Tampa, FL | $114.60 | $191 | $19.56 | 5.9× |
| Bartow Regional Medical Center | Bartow, FL | $114.60 | $191 | $19.56 | 5.9× |
| Morton Plant Hospital | Clearwater, FL | $114.60 | $191 | $19.56 | 5.9× |
| South Florida Baptist Hospital | Plant City, FL | $114.60 | $191 | $19.56 | 5.9× |
| Mease Countryside Hospital | Safety Harbor, FL | $114.60 | $191 | $19.56 | 5.9× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $114.60 | $191 | $19.56 | 5.9× |
| UCHealth Greeley Hospital | Greeley, CO | $115.80 | $193 | $19.56 | 5.9× |
| St. John's Medical Center | Jackson, WY | $120 | $120 | $19.56 | 6.1× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $123.15 | $205.25 | $19.56 | 6.3× |
| Mercy Hospital Durango | Durango, CO | $126.42 | $316.05 | $19.56 | 6.5× |
| St. Thomas More Hospital | Canon City, CO | $131.19 | $327.96 | $19.56 | 6.7× |
| Poudre Valley Hospital | Fort Collins, CO | $135.10 | $193 | $19.56 | 6.9× |
| Medical Center of the Rockies | Loveland, CO | $135.10 | $193 | $19.56 | 6.9× |
| Rangely District Hospital | Rangely, CO | $135.63 | $208.66 | $19.56 | 6.9× |
| Sheridan Memorial Hospital | Sheridan, WY | $136 | $170 | $19.56 | 7.0× |
| Rio Grande Hospital | Del Norte, CO | $139.36 | $185.81 | $19.56 | 7.1× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $144 | $144 | $19.56 | 7.4× |
| Jupiter Medical Center | Jupiter, FL | $145 | $145 | $19.56 | 7.4× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $147 | $147 | $19.56 | 7.5× |
| Howard University Hospital | Washington, DC | $147.55 | $184.44 | $19.56 | 7.5× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $151.62 | $216.60 | $19.56 | 7.8× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $160.95 | $268.25 | $19.56 | 8.2× |
| MedStar Georgetown University Hospital | Washington, DC | $163.24 | $251.14 | $19.56 | 8.3× |
| Vail Health Hospital | Vail, CO | $166.12 | $221.50 | $19.56 | 8.5× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $167.30 | $239 | $19.56 | 8.6× |
| Middle Park Medical Center | Kremmling, CO | $168.12 | $210.14 | $19.56 | 8.6× |
| Ascension Sacred Heart Bay | Panama City, FL | $170.86 | $427.14 | $19.56 | 8.7× |
| Larkin Community Hospital | South Miami, FL | $171.50 | $245 | $19.56 | 8.8× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $188.28 | $470.70 | $19.56 | 9.6× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $196 | $196 | $19.56 | 10.0× |
| HCA Florida Englewood Hospital | Englewood, FL | $198.78 | $198.78 | $19.56 | 10.2× |
| MedStar Washington Hospital Center | Washington, DC | $208.99 | $321.53 | $19.56 | 10.7× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $211.75 | $211.75 | $19.56 | 10.8× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $216.45 | $216.45 | $19.56 | 11.1× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $227.20 | $227.20 | $19.56 | 11.6× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $232.73 | $232.73 | $19.56 | 11.9× |
| Manatee Memorial Hospital | Bradenton, FL | $234 | $585 | $19.56 | 12.0× |
| Lakewood Ranch Medical Center | Bradenton, FL | $234 | $585 | $19.56 | 12.0× |
| AdventHealth Sebring | Sebring, FL | $246.07 | $246.07 | $19.56 | 12.6× |
| Aspen Valley Hospital | Aspen, CO | $271 | $271 | $19.56 | 13.9× |
| Sibley Memorial Hospital | Washington, DC | $286 | $286 | $19.56 | 14.6× |
| AdventHealth Orlando | Orlando, FL | $288 | $288 | $19.56 | 14.7× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $301 | $301 | $19.56 | 15.4× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $301.91 | $301.91 | $19.56 | 15.4× |
| AdventHealth Carrollwood | Tampa, FL | $301.91 | $301.91 | $19.56 | 15.4× |
| AdventHealth Tampa | Tampa, FL | $301.91 | $301.91 | $19.56 | 15.4× |
| AdventHealth Riverview | Riverview, FL | $301.91 | $301.91 | $19.56 | 15.4× |
| Desoto Memorial Hospital | Arcadia, FL | $302.50 | $605 | $19.56 | 15.5× |
| AdventHealth Porter | Denver, CO | $313.16 | $313.16 | $19.56 | 16.0× |
| AdventHealth Avista | Louisville, CO | $313.16 | $313.16 | $19.56 | 16.0× |
| AdventHealth Littleton | Littleton, CO | $313.16 | $313.16 | $19.56 | 16.0× |
| AdventHealth Parker | Parker, CO | $313.16 | $313.16 | $19.56 | 16.0× |
| AdventHealth Castle Rock | Castle Rock, CO | $313.16 | $313.16 | $19.56 | 16.0× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $315.43 | $315.43 | $19.56 | 16.1× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $329 | $329 | $19.56 | 16.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $365.73 | $365.73 | $19.56 | 18.7× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $369.47 | $369.47 | $19.56 | 18.9× |
| Prowers Medical Center | Lamar, CO | $381.60 | $636 | $19.56 | 19.5× |
| AdventHealth Ocala | Ocala, FL | $388.16 | $388.16 | $19.56 | 19.8× |
| Valley View Hospital | Glenwood Springs, CO | $423.30 | $498 | $19.56 | 21.6× |
| HCA Florida Lawnwood Hospital | Fort Pierce, FL | $455 | $455 | $19.56 | 23.3× |
| Medical City Dallas | Dallas, TX | $501 | $501 | $19.56 | 25.6× |
| HCA Florida Putnam Hospital | Palatka, FL | $594.50 | $594.50 | $19.56 | 30.4× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $598.56 | $598.56 | $19.56 | 30.6× |
| HCA Florida South Tampa Hospital | Tampa, FL | $691.43 | $691.43 | $19.56 | 35.3× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $691.75 | $691.75 | $19.56 | 35.4× |
| HCA Florida Largo Hospital | Largo, FL | $766.20 | $766.20 | $19.56 | 39.2× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $956.73 | $956.73 | $19.56 | 48.9× |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $36.68 | $19.56 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $91.50 | $19.56 | — |
| North Big Horn Hospital District | Lovell, WY | — | $143.50 | $19.56 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $146.65 | $19.56 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $217.08 | $19.56 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $246.07 | $19.56 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $246.07 | $19.56 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $246.07 | $19.56 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.