CarePrice

Weston County Health Services

, Newcastle

ProcedureCodeCash Price
HG A1C LEVEL LT 7.0%3044F< $1
2019-ncov diagnostic pU0001< $1
HEMOGLOBIN A1C LEVEL >9.0%3046F< $1
HG A1C>EQUAL 7.0%<8.0%3051F< $1
HG A1C>EQUAL 8.0%<EQUAL 9.0%3052F< $1
Alanine amino (alt) (sgpt)84460$2
BIPAP UNIT PURCHASEE0601$5
ALBUTEROL INHALATION SOLUTIONJ7613$5.87
IPRATROPIUM BROMIDE INHALATIONJ7644$5.87
IPRATROPIUM .02% .5MG/2.5J7620$5.92
METHYLPREDNISOLONE 4 MG TABLETJ7509$5.94
MYCOPHENOLATE 250 MGJ7517$6.02
TACROLIMUS 0.5 MG CAPSULE IMMEDIATE-RELEASEJ7507$6.20
ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAMJ7608$6.28
PR STERILE GAUZE <= 16 SQ INA6402$6.50
DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)J8540$6.61
SODIUM CHLORIDE 0.9 % FOR NEBULIZATIONJ7699$6.67
DME supply or accessory, nosA9999$7
BLD BONE MILLA4649$7
LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATIONJ7614$7.22
PREDNISONE 5 MG TABLETJ7512$7.81
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MGJ7626$14.98
METHOTREXATE SODIUM 2.5 MG TABLETJ8610$15.05
PR CONFORM BAND N/S W<3"/YDA6442$27.50
Automated diff wbc count85004$29
HB CAPILLARY DRAWING CHARGE36416$30
BLOOD OCCULT PEROX ACTIVITY82270$33
Assay of biotinidase82261$34
Galactose transferase test82776$34
PR BEDSIDE DRAINAGE BAGA4357$34
URINALYSIS81002$37
URINALYSIS81003$37
MICROSCOPIC EXAM OF URINE81015$37
RT THPY TO INC RESP FUNC 2 +G0239$37
PR INJECTION, CLINDAMYCIN PHOSPS0077$38.29
COLLECTION VENOUS BLOOD36415$40
Body fluid specific gravity84315$40
Ur albumin semiquantitative82044$42
LIDOCAINE IN D5W 4 MG/ML INFUSION PREMIX (FOR PAIN)J2001$43.57
GLUCOSE BLOOD82947$45.51
HB POTASSIUM FECES84999$48
BLOOD COUNT HEMATOCRIT85014$48
BLOOD COUNT HEMGLOBIN85018$48
Assay of serum albumin82040$50
BILIRUBIN DIRECT82248$50
Automated leukocyte count85048$51
Automated platelet count85049$51
Allg spec ige crude xtrc ea86003$51
HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE OFFICE TO A LABORATORY99000$51.33
TISSUE EXAM KOH PREP OF SKIN87220$53
Bl smear w/diff wbc count85007$54
PT DRY NDL 1OR2 MUSCLES 1UNIT20560$55
URINALYSIS TEST PROCEDURE81099$55
Assay alkaline phosphatase84075$57.50
PT ESTIM UNATT/NONWOUND 1UNIT97014$57.50
Assay of calcium82310$58.50
FUROSEMIDE 10 MG/ML INJECTION SOLUTIONJ1940$58.80
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$58.88
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTIONJ1630$58.94
INJECTION VITAMIN B-12J3420$58.99
INJ KETOROLAC TROMETHAMINEJ1885$59.23
OXYTOCIN 10 UNIT/ML INJECTION SOLUTIONJ2590$59.38
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTIONJ2765$59.40
MIDAZOLAM (PF) 5 MG/ML NASALJ2250$59.42
INJECTION GARAMYCIN GENTAMICINJ1580$59.51
INJ ONDANSETRON HYDROCHLORIDEJ2405$59.67
OP SPEC COLL COVID19C9803$60
AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE ISO-OSMOTIC IVJ0282$60.30
PHENYTOIN SODIUM IV SOLUTION 50 MG/MLJ1165$60.30
INJECTION PROMETHAZINE HCL TOJ2550$60.52
FENTANYL INFUSION 2500 MCG/50 MLJ3010$60.61
DROPERIDOL 2.5 MG/ML INJECTION SOLUTIONJ1790$60.72
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTIONJ3411$60.79
D5 WATER 1000ML SNIVJ7070$60.80
MORPHINE 2 MG/ML INJECTION SYRINGEJ2270$60.83
Other source albumin quan ea82042$61
Assay blood carbon dioxide82374$61
Assay of urine chloride82436$61
Assay of hemosiderin qual83070$61
Assay of blood pku84030$61
Assay of triglycerides84478$61
PT INFRARED 1UNIT97026$61
VANCOMYCIN 1 000 MG INTRAVENOUS INJECTIONJ3370$61.30
INJECTION DIPHENHYDRAMINE HCLJ1200$61.31
BUMETANIDE 0.25 MG/ML INJECTION SOLUTIONJ1939$61.32
INJECTION LORAZEPAMJ2060$61.89
Lactate (ld) (ldh) enzyme83615$62
Assay of phosphorus84100$62
Assay of urine sodium84300$62
SMEAR PRIM SRC WET MOUNT87210$62
Trichomonas assay w/optic87808$62
PR SKIN BARRIER LIQUID PER OZA4369$62
Assay of blood chloride82435$63
Assay bld/serum cholesterol82465$63
Gtt-added samples82952$63
Assay of urine potassium84133$63
Assay of serum sodium84295$63
Assay of sweat sodium84302$63
HB MISC MINIMAL LAB HANDLING99001$63
INJ DEXAMETHASONE SOD PHOSPHJ1100$63.63