CarePrice

Aspen Mountain Medical Center

, Rock Springs

ProcedureCodeCash Price
INJ ONDANSETRON HYDROCHLORIDEJ2405$1.17
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTIONJ0330$1.47
MIDAZOLAM (PF) 5 MG/ML NASALJ2250$1.65
INJECTION LORAZEPAMJ2060$3.15
HB CYTOPATH EVAL FNA IMMEDIATE EACH ADD EPISODE88177$4.17
INJECTION PROMETHAZINE HCL TOJ2550$4.29
HEPARIN (PORCINE) 5 000 UNIT/ML INJECTION SOLUTIONJ1644$4.47
DIVALPROEX 500 MG TABLET DELAYED RELEASEJ8499$4.71
NORMAL SALINE SOLUTION 1000CCJ7030$5.04
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACKJ7050$5.90
CEFAZOLIN 1 G/10 ML IV (WET SOLR VIAL)J0690$6.17
MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGEJ2175$6.27
FENTANYL INFUSION 2500 MCG/50 MLJ3010$6.63
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$6.93
NEOSTIGMINE 3MG SIMPJ2710$6.93
INJ DEXAMETHASONE SOD PHOSPHJ1100$7.42
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTIONJ3411$8.43
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTIONJ0295$8.54
LIDOCAINE HCL 20MG/ML INJECTJ2003$9.15
NORMAL SALINE INFUSION 500 MLJ7040$9.82
BLANKET WARMING LOWER BODY99070$10.98
INJ KETOROLAC TROMETHAMINEJ1885$11.70
LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGEJ7999$12.06
AMPICILLIN 1 GRAM SOLUTION FOR INJECTIONJ0290$12.21
BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTIONJ0665$12.31
MA PUN CYST ASPI 1+19001$14.19
Hemoglobin copper sulfate83026$15.12
HEMOSTATIC AGENT,GI,TOPICC1052$15.42
HB CAPILLARY DRAWING CHARGE36416$15.72
Assay of phosphorus84100$17.73
Body fluid specific gravity84315$19.41
BLOOD OCCULT PEROX ACTIV OTH C82272$19.41
Assay of serum potassium84132$19.41
PROPOFOL 10 MG/ML INTRAVENOUS EMULSIONJ2704$19.53
Assay of protein any source84160$19.62
Fibrinolysins screen i&r85390$20.13
Sugars single qual84376$20.82
Sugars multiple qual84377$20.82
Reticyte/hgb concentrate85046$20.82
GLUCOSE BLOOD TEST W/DEVICE82962$21.57
Assay ph body fluid nos83986$21.57
GLUCOSE BLOOD REAGENT STRIP82948$21.57
BLOOD OCCULT PEROX ACTIVITY82270$21.57
BLOOD OCCULT PEROX ACTIV OTH S82271$21.57
Assay bld/serum cholesterol82465$21.57
Assay of blood chloride82435$21.57
Assay of serum sodium84295$21.57
Assay of serum albumin82040$21.57
CREATININE BLOOD82565$21.57
Assay alkaline phosphatase84075$21.57
Allg spec ige crude xtrc ea86003$22.68
Allergen specific igg86001$22.68
Cytopath c/v index add-on88155$22.71
SMEAR PRIM SRC WET MOUNT87210$22.83
Urinalysis81005$23.61
MICROSCOPIC EXAM OF URINE81015$23.61
URINALYSIS81002$23.61
Urinalysis volume measure81050$23.61
Assay of protein serum84155$23.76
Gtt-added samples82952$23.76
UREA NITROGEN84520$23.76
URIC ACID BLOOD84550$23.76
Fecal bilirubin test82252$23.76
Assay blood carbon dioxide82374$23.76
BILIRUBIN TOTAL82247$23.76
BILIRUBIN DIRECT82248$23.76
Transferase (ast) (sgot)84450$23.76
Alanine amino (alt) (sgpt)84460$23.76
Assay of triglycerides84478$23.76
Assay of urine chloride82436$23.76
Lactate (ld) (ldh) enzyme83615$23.76
Assay of biotinidase82261$23.76
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IVJ3480$23.97
Exam feces for meat fibers89160$24.21
HB FROZEN SECTION EA ADDIT BLOCK88332$24.33
IRON83540$24.54
CULTURE TYPE PULSE FIELD GEL87152$24.63
Assay of phenylketones84035$24.78
URINALYSIS81003$24.90
Assay of urine hemoglobin83069$25.89
Test urine urobilinogen84578$25.89
BUN - BLOOD UREA NITROGEN84525$25.89
Assay of calcium82310$25.89
Assay of urine urobilinogen84583$25.89
KIT SYRINGE MRI POWER INJA4213$25.92
Macroscopic exam arthropod87168$26.40
Pinworm exam87172$26.40
Smear gram stain87205$26.40
TISSUE EXAM KOH PREP OF SKIN87220$26.40
Macroscopic exam parasite87169$26.40
Microbe susceptible diffuse87181$26.40
HB AFB IDENTIFICATION - MALDI87158$26.40
BLOOD COUNT HEMATOCRIT85014$26.46
BLOOD COUNT HEMGLOBIN85018$26.46
Spun microhematocrit85013$26.46
Exam synovial fluid crystals89060$27.12
COLLECTION VENOUS BLOOD36415$27.23
Assay of ggt82977$27.27
GLUCOSE BLOOD82947$28.02
Assay of protein other84157$28.02