Campbell County Memorial Hospital

, Gillette

ProcedureCodeCash Price
INJECT TESTOSTERONE CYPIONATEJ1071< $1
CULTURE URINE BACT W ISOLATION87088$1
INJ METHYLPREDNISOLONE ACETATEJ1050$1.07
GLUCOSE BLOOD TEST W/DEVICE82962$3.42
BLOOD COUNT HEMATOCRIT85014$3.60
INJ DEXAMETHASONE SOD PHOSPHJ1100$4
ALBUTEROL INHALATION SOLUTIONJ7613$4
IPRATROPIUM BROMIDE INHALATIONJ7644$4
GLUCOSE BLOOD REAGENT STRIP82948$4.50
URINALYSIS81001$5
PROTEIN URINE84156$5
Curette28861$5.23
BLOOD OCCULT PEROX ACTIV OTH S82271$6
SMEAR PRIM SRC WET MOUNT87210$6.20
SEDIMENTATION RATE ERYTHOCYTE85651$6.75
UREA NITROGEN84520$7
CULTURE BACTERIAL BLOOD87040$7
CULTURE BACTERIAL QN87071$7
RHEUMATOID FACTOR QN86431$7.08
Short Stretch 8CMX5M28851$7.13
CULTURE BACT COLONY CT URINE87086$7.14
IPRATROPIUM .02% .5MG/2.5J7620$7.50
CONCENTRATION INFECTIOUS AGENT87015$8
CULTURE PATHOGENIC ORGANISMS87081$8
INJECTION ONABOTULINUMTOXIN AJ0585$8
INJ TRIAMCINOLONE ACETONIDEJ3301$8
URIC ACID BLOOD84550$8.52
BILIRUBIN TOTAL82247$8.94
BILIRUBIN DIRECT82248$8.94
THYROID HORMORNE84479$9
SMEAR PRIM SRC SPECIAL STAIN87207$9
NORMAL SALINE SOLUTION 1000CCJ7030$9
CREATININE BLOOD82565$9.59
CREATININE OTHER SOURCE82570$9.77
C-REACTIVE PROTEIN86140$9.77
AMYLASE82150$10
Short Stretch 12CMX5M28853$10.45
ALBUMIN URINE82043$10.92
MICROSCOPIC EXAM OF URINE81015$11
APTT85730$11
CAST SUPPLIES SHORT ARM SPLINTQ4024$11
BLOOD COUNT COMPLETE CBC85027$12.21
IRON83540$12.23
CRETINE KINASE CK CPK TOTAL82550$12.29
LIPASE83690$13
MAGNESIUM83735$13
THYROXINE TOTAL84436$13
TROPONIN84484$13
FIBRIN DEGRATION D-DIMER QN85379$14
ANTISTREPTOLYSIN 0 TITER86060$14
IINJECTION DENOSUMABJ0897$14
GONADOTROPIN CHORIONIC HCG QN84703$14.16
BASIC METABOLIC PANAL80048$14.51
HEPATIC FUNCTION PANEL80076$14.51
CULTURE BACTERIAL AERBIC ISOLT87077$15
INJECTION LORAZEPAMJ2060$15
IRON BINDING CAPACITY83550$16
ANTINUCLEAR ANTIBODIES86038$16
HEPATITIS B CORE ANTIBODY86704$16
INJ ARIPIPRAZOLE EXT REL 1MGJ0401$16.03
SUSCEPTIBILITY STUDY MICRODIL87186$16.23
CALCULUS INFRARED SPECTRO82365$16.41
THYROXINE FREE84439$17.01
GAMMAGLOBULIN82784$18
ANTIBODY HIV-1 AND HIV-286703$19
FITTING/CHECK OF HEARING AIDV5011$19
NEUROSTIM ANALYSIS W/O PROG95970$19.66
COMPREHENSIVE METABOLIC PANEL80053$20
INFLUENZA VIRUS VACCINE 6-35M90657$20
INFLUENZA VIRUS VACCINE 3+YRS90658$20
INFLUENZA VIRUS VACCINE90686$20
DEVELOPMENTAL SCREENING96110$20
INJECT DEXAMETHASONE ACETATEJ1094$20
INJECTION PROMETHAZINE HCL TOJ2550$20
PROTEIN BLOOD84165$20.27
LIPID PANEL80061$21
Td Adult Preserv free90714$21
INJECTION DIPHENHYDRAMINE HCLJ1200$21
ANTINUCLEAR ANTIBODIES TITER86039$21.06
CRETINE KINASE CK CPK FRACTION82553$22
LAB INFLUENZA87804$22
DTAP-IPV-HIB-HEPB VACCINE IM90697$22
LAB INFLUENZA A OR B87400$22.62
LAB RESPIRATORY SYNCYTIAL87807$22.62
LAB STREPTOCOCCUS GRP A87880$22.62
DTaP UNDER 7 YRS OLD90700$22.85
LAB CLOSTRIDIUM DIFFICILE87324$23
LAB ENTAMOEBA HISTOLYTICA87338$23
HEARING AID CHECK MONAURAL92592$23
INJECTION VITAMIN B-12J3420$23
TRANSCUTANEOUS BILIRUBIN88720$23.50
EMR DPT VST MAYX REQ PHY/QHP99281$24.54
CRYO DESTRUCT LESION 2-1417003$25
URINALYSIS81002$25
URINALYSIS81003$25
ANTIBODY HERPES SIMPLEX TYPE186695$25
TISSUE EXAM KOH PREP OF SKIN87220$25
PEER SPEC SVC PER 15 MINH0038$25
FERRITIN82728$25.70
ANTIBODY EPSTEIN-BARR VIRUS86665$26.96