UMMC Grenada Hospital — price list
← Hospital overviewVerified from UMMC Grenada Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
233 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 80048 BLOOD TEST Outpatient | 80048 HCPCS | $49.00 | $19.60 | $15.19 – $44.10 | $40.24 | |
| 80050 GENERAL HEALTH PANEL Outpatient | 80050 HCPCS | $131 | $52.40 | $58.00 – $121 | — | |
| 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM Outpatient | 80051 HCPCS | $41.00 | $16.40 | $12.71 – $36.90 | $16.93 | |
| 80053 BLOOD TEST Outpatient | 80053 HCPCS | $71.00 | $28.40 | $20.06 – $63.90 | $61.40 | |
| 80069 KIDNEY FUNCTION BLOOD TEST PANEL Outpatient | 80069 HCPCS | $51.00 | $20.40 | $15.81 – $45.90 | $45.89 | |
| 80074 ACUTE HEPATITIS PANEL Outpatient | 80074 HCPCS | $277 | $111 | $85.87 – $249 | $234 | |
| 80076 LIVER FUNCTION BLOOD TEST PANEL Outpatient | 80076 HCPCS | $48.00 | $19.20 | $14.88 – $43.20 | $28.48 | |
| 80150 AMIKACIN (ANTIBIOTIC) LEVEL Outpatient | 80150 HCPCS | $88.00 | $35.20 | $27.28 – $79.20 | — | |
| 80156 CARBAMAZEPINE LEVEL Outpatient | 80156 HCPCS | $85.00 | $34.00 | $26.35 – $76.50 | $85.00 | |
| 80162 DIGOXIN LEVEL Outpatient | 80162 HCPCS | $78.00 | $31.20 | $24.18 – $70.20 | $61.27 | |
| 80164 VALPROIC ACID LEVEL Outpatient | 80164 HCPCS | $79.00 | $31.60 | $24.49 – $71.10 | $79.00 | |
| 80170 GENTAMICIN (ANTIBIOTIC) LEVEL Outpatient | 80170 HCPCS | $75.00 | $30.00 | $23.25 – $67.50 | $58.13 | |
| 80178 LITHIUM LEVEL Outpatient | 80178 HCPCS | $38.00 | $15.20 | $11.78 – $34.20 | $15.76 | |
| 80184 PHENOBARBITAL LEVEL Outpatient | 80184 HCPCS | $48.00 | $19.20 | $14.88 – $43.20 | $32.09 | |
| 80185 PHENYTOIN LEVEL Outpatient | 80185 HCPCS | $77.00 | $30.80 | $23.87 – $69.30 | $43.61 | |
| 80186 PHENYTOIN LEVEL Outpatient | 80186 HCPCS | $80.00 | $32.00 | $24.80 – $72.00 | $45.32 | |
| 80198 THEOPHYLLINE LEVEL Outpatient | 80198 HCPCS | $83.00 | $33.20 | $25.73 – $74.70 | $34.57 | |
| 80200 TOBRAMYCIN (ANTIBIOTIC) LEVEL Outpatient | 80200 HCPCS | $88.00 | $35.20 | $27.28 – $79.20 | $35.78 | |
| 80201 TOPIRAMATE LEVEL Outpatient | 80201 HCPCS | $70.00 | $28.00 | $21.70 – $63.00 | $70.00 | |
| 80202 VANCOMYCIN (ANTIBIOTIC) LEVEL Outpatient | 80202 HCPCS | $79.00 | $31.60 | $24.49 – $71.10 | $44.88 | |
| 80299 QUANTITATION OF THERAPEUTIC DRUG Outpatient | 80299 HCPCS | $80.00 | $32.00 | $24.80 – $72.00 | $47.00 | |
| 80320 ALCOHOLS LEVELS Outpatient | 80320 HCPCS | $63.00 | $25.20 | $25.50 – $58.28 | $63.00 | |
| 81003 AUTOMATED URINALYSIS TEST Outpatient | 81003 HCPCS | $13.00 | $5.20 | $4.03 – $11.70 | $10.91 | |
| 81025 URINE PREGNANCY TEST Outpatient | 81025 HCPCS | $37.00 | $14.80 | $11.47 – $33.30 | $37.00 | |
| 81050 URINE VOLUME MEASUREMENT Outpatient | 81050 HCPCS | $18.00 | $7.20 | $5.58 – $16.20 | $14.21 | |
| 82009 KETONE BODIES ANALYSIS Outpatient | 82009 HCPCS | $26.00 | $10.40 | $8.06 – $23.40 | $26.00 | |
| 82040 ALBUMIN (PROTEIN) LEVEL Outpatient | 82040 HCPCS | $29.00 | $11.60 | $8.99 – $26.10 | $29.00 | |
| 82042 CEREBROSPINAL FLUID Outpatient | 82042 HCPCS | $29.00 | $11.60 | $8.99 – $26.10 | $29.00 | |
| 82043 URINE MICROALBUMIN (PROTEIN) LEVEL Outpatient | 82043 HCPCS | $34.00 | $13.60 | $10.54 – $30.60 | $14.17 | |
| 82085 ALDOLASE (ENZYME) LEVEL Outpatient | 82085 HCPCS | $57.00 | $22.80 | $17.67 – $51.30 | $48.17 |