CarePrice

Ivinson Memorial Hospital

, Laramie

ProcedureCodeCash Price
ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATIONJ7611$4.50
SODIUM CHLORIDE 0.9 % FOR NEBULIZATIONJ7699$4.50
PREDNISONE 5 MG TABLETJ7512$5.12
AZATHIOPRINE 50 MG TABLETJ7500$6.46
ALBUTEROL INHALATION SOLUTIONJ7613$8.34
HB RADIANT-TECH TC 99M PERTECHNETATE PER MCIA9512$9
CYCLOSPORINE MODIFIED 25 MG CAPSULEJ7515$10.51
TACROLIMUS 0.5 MG CAPSULE IMMEDIATE-RELEASEJ7507$11.89
CREATININE BLOOD82565$12
Assay of neonatal thyroxine84437$12
METHYLPREDNISOLONE 4 MG TABLETJ7509$12.61
Assay of blood chloride82435$15
Assay of serum potassium84132$15
Assay blood carbon dioxide82374$15
LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATIONJ7614$15.29
BLOOD OCCULT PEROX ACTIV OTH S82271$17
Rbc osmotic fragility85555$20
HB NEUROMYELITIS OPTICA/APQ4 AB ELISA SENDOUT86051$21
COLLECTION VENOUS BLOOD36415$22
HB ACTIN (SMOOTH MUSCLE) AB, EA SENDOUT86015$22
HB ANCA TITER, EA AB SENDOUT86037$22
HB NEUROMYELITIS OPTICA AB (NMO) IFA SENDOUT86052$22
HB ENDOMYSIAL ANTIBODY SENDOUT86231$22
IM ADMIN 1ST/ONLY COMPONENT90460$22
IM ADMIN EACH ADDL COMPONENT90461$22
MICROSCOPIC EXAM OF URINE81015$23
Assay of urine sulfate84392$23
BILIRUBIN TOTAL82247$24
METRONIDAZOLE IN NS IV SYRINGE 5 MG/ML (NICU/PEDS)J1836$25
ANTIHEMOPHILIC FACTOR-VWF 1 000 UNIT-2 400 UNIT INTRAVENOUS SOLUTIONJ7187$25
HB TISSUE TRANSGLUTAMINASE, EA IG86364$25
HB GLIADIN AB, EA IG86258$25
HB IMH PYXIS-CATH FEMALE KITA4353$25
PHENYTOIN SODIUM IV SOLUTION 50 MG/MLJ1165$25
INJECTION DIPHENHYDRAMINE HCLJ1200$25
BUMETANIDE 0.25 MG/ML INJECTION SOLUTIONJ1939$25
INJ ONDANSETRON HYDROCHLORIDEJ2405$25
INJECTION PROMETHAZINE HCL TOJ2550$25
OXYTOCIN 10 UNIT/ML INJECTION SOLUTIONJ2590$25
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTIONJ3105$25
NORMAL SALINE SOLUTION 1000CCJ7030$25
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTIONJ9255$25
URINE PREGNANCY TEST81025$26
HB CAPILLARY DRAWING CHARGE36416$26
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$26.28
HB CC PYXIS-ARM SLING LGA4565$26.67
Anti-phospholipid antibody86148$27
Assay of biotinidase82261$27
HB BREAST TOMO UNI DIAG77061$27
HB BREAST TOMO BILAT DIAG77062$27
HB RADIANT-SCREEN DIGITAL BREAST TOMOSYNTHESIS-BILATERAL77063$27
HB RADIANT-DIGITAL BREAST TOMOSYNTHESIS-UNILATERALG0279$27
MORPHINE 2 MG/ML INJECTION SYRINGEJ2270$27.39
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTIONJ7060$27.57
HB EMS NON-COV MILES PAST CLOSEST FACA0888$28
INJ KETOROLAC TROMETHAMINEJ1885$28.75
Allg spec ige multiallg scr86005$29
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTIONJ2370$29.34
Urinalysis volume measure81050$30
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTIONJ2765$30.73
HB IMH PYXIS-CATHETER FOLEY 16-5A4338$31.67
FUROSEMIDE 10 MG/ML INJECTION SOLUTIONJ1940$31.96
GLUCOSE BLOOD REAGENT STRIP82948$32
HB IMH PYXIS-POST OP SHOE MALE LL3260$32
HYDRALAZINE 20 MG/ML INJECTION SOLUTIONJ0360$32.09
URINALYSIS81003$32.33
Assay of protein serum84155$33
Tissue homogenization cultr87176$33
HB DECALCIFICATION PROCEDURE88311$33
HB EMS-GROUND MILEAGEA0425$33
NALBUPHINE 10 MG/ML INJECTION SOLUTIONJ2300$33.70
BILIRUBIN DIRECT82248$34
Heparin neutralization85525$34
HB KAPPA/LAMBDA FREE LIGHT CHAINS SENDOUT83521$34
INJECTION VITAMIN B-12J3420$34
Assay of serum albumin82040$35
Hcg free betachain test84704$35
Wet mounts/ w preparationsQ0111$35
INJ DEXAMETHASONE SOD PHOSPHJ1100$35.09
Assay alkaline phosphatase84075$36
Glucose other fluid82945$36.50
Assay of triglycerides84478$37
CULTURE BACTERIAL AERBIC ISOLT87077$37
Cortisol free82530$37
MEGESTROL 40 MG TABLETJ8999$37.23
Assay of serum sodium84295$37.50
BLOOD COUNT HEMATOCRIT85014$38
Assay of cryoglobulin82595$38
INFLUENZA VIRUS VACCINE 6-35M90657$38
Assay of cpk in blood82552$38
SPEECH AUDIOMETRY THRESHOLD92555$38
BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTIONJ0665$38.81
Assay bld/serum cholesterol82465$39
Assay of blood lipoprotein83721$39
HB VISUAL REINFORCEMENT AUDIOMETRY (VRA)92579$39
Allg spec ige crude xtrc ea86003$39.25
Stool cultr aerobic bact ea87046$39.50
Assay ph body fluid nos83986$39.67
Automated leukocyte count85048$40
Assay of blood pku84030$40