CarePrice

Sheridan Memorial Hospital

, Sheridan

ProcedureCodeCash Price
DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMENQ0167$1.41
PREDNISONE 5 MG TABLETJ7512$1.53
AZATHIOPRINE 50 MG TABLETJ7500$1.60
DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)J8540$2.08
IPRATROPIUM BROMIDE INHALATIONJ7644$2.82
PR MEDICAL HOME, INITIAL PLANS0280$2.82
PR MEDICAL HOME, MAINTENANCES0281$2.82
TACROLIMUS 0.5 MG CAPSULE IMMEDIATE-RELEASEJ7507$3.29
PREDNISOLN 5MG 15MG 5ML SUJ7510$3.30
Naltrexone, depot formJ2315$3.76
Galactose transferase test82776$4.23
POSTPARTUM CARE VISIT (PRENATAL)0503F$5.17
URINALYSIS81003$6.04
Assay of blood pku84030$6.11
Assay of neonatal thyroxine84437$6.11
PERCUT ALLERGY SKIN TESTS95004$6.58
HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGEJ7325$6.58
INJ TRIAMCINOLONE ACETONIDEJ3301$6.85
Automated leukocyte count85048$7.05
TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTIONJ3260$7.30
MYCOPHENOLATE 250 MGJ7517$7.47
INJ ONDANSETRON HYDROCHLORIDEJ2405$7.51
GLUCOSE BLOOD TEST W/DEVICE82962$7.52
BLOOD COUNT HEMGLOBIN85018$7.52
Urinalysis volume measure81050$7.52
PROGST\\OIL 50MG\\ML JJ2675$7.99
EMOTIONAL BEHAVIORAL ASSESSMT96127$8.15
INJ DEXAMETHASONE SOD PHOSPHJ1100$8.48
Assay of calcium82310$9.16
BILIRUBIN DIRECT82248$9.17
BLOOD COUNT HEMATOCRIT85014$9.22
METHOTREXATE SODIUM 2.5 MG TABLETJ8610$9.23
UREA NITROGEN84520$9.24
PROTEIN URINE84156$9.31
URINALYSIS81001$9.40
Urinalysis nonauto w/scope81000$9.40
Assay of urine sulfate84392$9.40
BLOOD OCCULT PEROX ACTIVITY82270$9.63
IRON83540$9.68
LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARDA6449$9.87
FUROSEMIDE 10MG/ML IVJ1938$10.16
BILIRUBIN TOTAL82247$10.25
BUPRENORPHINE 2 MGJ0571$10.26
HB CAPILLARY DRAWING CHARGE36416$10.34
DEPO-ESTRADIOL VIAL 5 MG/MLJ1000$10.34
INJECTION, ESTRADIOL VALERATE, UP TO 10 MGJ1380$10.34
HETEROPHILE ANTIBODIES SCREEN86308$10.43
Assay of phosphorus84100$10.50
Assay of serum potassium84132$10.50
Assay of serum sodium84295$10.50
BUMETANIDE 0.25 MG/ML INJECTION SOLUTIONJ1939$10.65
GLUCOSE BLOOD82947$10.68
COLLECTION VENOUS BLOOD36415$10.69
CREATININE BLOOD82565$10.72
BLOOD OCCULT PEROX ACTIV OTH S82271$10.81
HB NEWBORN SCREENS3620$10.81
INJECTION VITAMIN B-12J3420$10.88
INJECTION PROMETHAZINE HCL TOJ2550$11.10
ALBUMIN URINE82043$11.11
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTIONJ3490$11.16
ICUT ALLERGY TEST DRUG/BUG95024$11.28
Assay alkaline phosphatase84075$11.28
Assay ph body fluid nos83986$11.28
CHOR GONAD 1000UJ0725$11.28
MIDAZOLAM (PF) 5 MG/ML NASALJ2250$11.33
Transferase (ast) (sgot)84450$11.37
C-REACTIVE PROTEIN86140$11.62
Test for acetone/ketones82009$11.75
INFLUENZA VIRUS VACCINE90686$11.75
IM ADMIN EACH ADDL COMPONENT90461$11.86
URIC ACID BLOOD84550$11.91
Alanine amino (alt) (sgpt)84460$12.06
LEVETIRACETAM 1 000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACKJ1953$12.08
NORMAL SALINE INFUSION 500 MLJ7040$12.14
SMEAR PRIM SRC WET MOUNT87210$12.16
SED RATE (ESR)85652$12.22
IRON BINDING CAPACITY83550$12.22
Assay of urine potassium84133$12.22
CREATININE OTHER SOURCE82570$12.27
CULTURE URINE BACT W ISOLATION87088$12.69
Assay of blood chloride82435$12.69
ALLERGEN IMMUNOTHRPY SNGL INJ95115$12.69
INJ KETOROLAC TROMETHAMINEJ1885$12.69
MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGEJ2175$12.91
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$12.96
Allg spec ige crude xtrc ea86003$13.04
MORPHINE 2 MG/ML SDVJ2272$13.09
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACKJ7050$13.14
Assay bld/serum cholesterol82465$13.16
Assay of ggt82977$13.16
NORMAL SALINE SOLUTION 1000CCJ7030$13.19
Assay of serum albumin82040$13.29
INJECTION DIPHENHYDRAMINE HCLJ1200$13.40
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTIONJ2765$13.54
Assay blood carbon dioxide82374$13.63
PHYSICIAN REVIEW, INTERPRETATION, AND PATIENT MANAGEMENT OF HOME INR TESTING FOR PATIENT WITH EITHER MECHANICAL HEART VALVE(S), CHRONIC ATRIAL FIBRILLATION, OR VENOUS THROMBOEMBOLISM WHO MEETS MEDICARE COVERAGE CRITERIA; TESTING NOT OCCURRING MORE FREQUENG0250$13.63
Risk ascvd tst once pr 12 moG0537$13.63
Assay of urine sodium84300$13.63
Assay of urine/uric acid84560$13.63
EKG INTERPRETATION93010$13.63