Shoppable Services at Park City Hospital

General Disclosure

The two lists of standard charges displayed represent the pricing information for medical items and services required by the federal Hospital Price Transparency Rule. The pricing information does not necessarily reflect your financial responsibility for your hospital visit, for several reasons, including:

  • The listings reflect prices paid by your insurer for services provided during your hospital visit, which may not reflect your share of the costs for these services under the terms of your health plan.
  • The prices for your insurer are only available if your insurer covers the medical items or services under the terms of your health plan.
  • The actual medical items, including medications, and services that are furnished to you during your visit may vary from what is anticipated.
  • You may receive services or supplies from physicians, practitioners or contractors who are not employed by this hospital; the prices for such services or supplies are not listed here.
  • Your insurer may not be contracted with this hospital for all services. The posted prices will not apply to services for which your insurer has not contracted.

These listings do not guarantee pricing, coverage, benefits, or payments. Your financial liability will be based on the medical items and services billed by the hospital, the terms of your insurance policy, and the status of your benefits (i.e., deductibles, out of pocket maximum, co-insurance, and copays) at the time you receive care. Your eligibility and the amounts covered by your insurance are solely determined by your health insurance provider.

We encourage you to contact a Hospital Cost Estimation Specialist at (855) 442-8601 or INTCostEstimate@R1RCM.com or your insurer to obtain more precise information regarding your potential financial liability.

CDM Bill Item Service Code Service Description Payer Plan Name Inpatient Cash Price Inpatient Min Price Inpatient Max Price Inpatient Negotiated Price Outpatient Cash Price Outpatient Min Price Outpatient Max Price Outpatient Negotiated Price Charge Price
1700002492 1169850 76805 OB US >/= 14 WKS SNGL FETUS 1-800 Contacts 1-800 Contacts $438.51 $420.97 $526.21 $508.67 $438.51 $420.97 $526.21 $508.67 $584.68
1803446015 3620346 80053 COMPREHEN METABOLIC PANEL 1-800 Contacts 1-800 Contacts $80.96 $72.99 $97.15 $93.91 $80.96 $10.56 $97.15 $75.00 $107.94
1803446015 3620346 80053 COMPREHEN METABOLIC PANEL 1-800 Contacts 1-800 Contacts $76.03 $72.99 $97.15 $88.19 $76.03 $10.56 $97.15 $75.00 $101.37
1803446015 3620346 80053 COMPREHEN METABOLIC PANEL 1-800 Contacts 1-800 Contacts $80.96 $72.99 $97.15 $93.91 $80.96 $10.56 $97.15 $75.00 $107.94
1803446210 12461301 80326 AMPHETAMINE CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $83.94 $80.58 $100.73 $97.37 $83.94 $80.58 $100.73 $97.37 $111.92
1700002436 1169567 76700 US EXAM ABDOM COMPLETE 1-800 Contacts 1-800 Contacts $469.85 $451.06 $563.82 $545.03 $279.00 $268.00 $563.82 $268.00 $626.47
1803446568 4242159 82507 SO CITRATE 1-800 Contacts 1-800 Contacts $47.01 $45.13 $56.41 $54.53 $47.01 $27.80 $56.41 $54.53 $62.68
1805464230 4242331 85610 PROTHROMBIN TIME 1-800 Contacts 1-800 Contacts $34.27 $32.90 $41.12 $39.75 $31.00 $4.29 $41.12 $29.00 $45.69
1805464062 4242734 85045 RETICULOCYTE COUNT AUTO 1-800 Contacts 1-800 Contacts $24.56 $23.57 $29.47 $28.48 $24.56 $3.99 $29.47 $28.48 $32.74
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $74.55 $71.57 $101.76 $86.48 $74.55 $13.39 $101.76 $75.00 $99.40
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $84.80 $71.57 $101.76 $98.37 $83.00 $13.39 $101.76 $75.00 $113.07
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $84.80 $71.57 $101.76 $98.37 $83.00 $13.39 $101.76 $75.00 $113.07
1700004647 969799 77066 MAMMOGRAM DIAGNOSTIC BILATERAL W CAD 1-800 Contacts 1-800 Contacts $392.48 $376.78 $539.20 $455.28 $268.00 $268.00 $539.20 $268.00 $523.31
1700004682 2425808 77066 MAMMOGRAM DIAGNOSTIC BILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $449.33 $376.78 $539.20 $521.23 $268.00 $268.00 $539.20 $268.00 $599.11
1803446222 12461304 80361 OPIATES CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $83.93 $80.58 $100.72 $97.36 $83.93 $80.58 $100.72 $97.36 $111.91
1803446025 4242288 80076 HEPATIC FUNCTION PANEL 1-800 Contacts 1-800 Contacts $47.30 $40.72 $56.75 $54.86 $42.00 $8.17 $56.75 $42.00 $63.06
1803446025 4242288 80076 HEPATIC FUNCTION PANEL 1-800 Contacts 1-800 Contacts $42.42 $40.72 $56.75 $49.21 $42.00 $8.17 $56.75 $42.00 $56.56
1803446218 12461303 80349 CANNABINOIDS CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $84.30 $80.93 $101.16 $97.79 $84.30 $80.93 $101.16 $97.79 $112.40
1803446273 5336611 80329 ACETAMINOPHEN LEVEL 1-800 Contacts 1-800 Contacts $42.56 $40.85 $51.07 $49.36 $42.56 $40.85 $51.07 $49.36 $56.74
1803446352 4242296 80156 CARBAMAZEPINE ASSESSMENT 1-800 Contacts 1-800 Contacts $14.85 $14.26 $17.82 $17.23 $14.85 $8.91 $17.82 $17.23 $19.80
1700004207 4645261 77063 SCREENING BREAST TOMOSYNTHESIS 1-800 Contacts 1-800 Contacts $77.02 $73.94 $92.42 $89.34 $73.00 $73.00 $92.42 $73.00 $102.69
1700004207 16326639 77063 SCREENING BREAST TOMOSYNTHESIS 1-800 Contacts 1-800 Contacts $77.02 $73.94 $92.42 $89.34 $73.00 $73.00 $92.42 $73.00 $102.69
1803447913 4242452 80186 PHENYTOIN, FREE 1-800 Contacts 1-800 Contacts $47.45 $45.55 $56.94 $55.04 $47.45 $28.47 $56.94 $55.04 $63.27
1803448784 23901075 80179 SALICYLATE 1-800 Contacts 1-800 Contacts $13.77 $13.22 $16.52 $15.97 $13.77 $8.26 $16.52 $15.97 $18.36
1700004521 7846186 77067 MAMMO IMPLANT DIGITAL SCREENING BILAT / PHY-MAMMO IMPLANT DIGITAL SCREENING BILAT 1-800 Contacts 1-800 Contacts $377.44 $63.68 $465.80 $437.83 $268.00 $66.33 $465.80 $268.00 $503.25
1700004654 7846182 77067 MAMMO DIGITAL SCREENING BILAT / PHY-MAMMO DIGITAL SCREENING BILAT 1-800 Contacts 1-800 Contacts $310.62 $63.68 $465.80 $360.32 $268.00 $66.33 $465.80 $268.00 $414.16
1803446022 4242286 80069 RENAL FUNCTION PANEL 1-800 Contacts 1-800 Contacts $66.34 $63.68 $79.61 $76.95 $42.00 $8.68 $79.61 $41.00 $88.45
1803446007 4242281 80048 BASIC METABOLIC PANEL 1-800 Contacts 1-800 Contacts $49.85 $46.66 $59.82 $57.83 $49.85 $8.46 $59.82 $52.00 $66.47
1803446007 4242281 80048 BASIC METABOLIC PANEL 1-800 Contacts 1-800 Contacts $48.60 $46.66 $59.82 $56.38 $48.60 $8.46 $59.82 $52.00 $64.80
1803446007 4242281 80048 BASIC METABOLIC PANEL 1-800 Contacts 1-800 Contacts $49.85 $46.66 $59.82 $57.83 $49.85 $8.46 $59.82 $52.00 $66.47
1803448196 4241933 84156 PROTEIN, TOTAL, URINE 1-800 Contacts 1-800 Contacts $20.67 $19.84 $24.80 $23.98 $20.67 $3.67 $24.80 $23.98 $27.56
1803447120 4241877 83825 SO MERCURY, QUANTITATIVE 1-800 Contacts 1-800 Contacts $32.78 $31.46 $39.33 $38.02 $32.78 $16.26 $39.33 $38.02 $43.70
1801427360 4242459 82378 CARCINOEMBRYONIC ANTIGEN 1-800 Contacts 1-800 Contacts $36.69 $35.22 $44.03 $42.56 $36.69 $18.96 $44.03 $42.56 $48.92
1805464038 4242729 85025 CBC WITH AUTO DIFF 1-800 Contacts 1-800 Contacts $54.17 $49.67 $65.00 $62.83 $52.00 $7.77 $65.00 $50.00 $72.22
1805464038 4242729 85025 CBC WITH AUTO DIFF 1-800 Contacts 1-800 Contacts $54.17 $49.67 $65.00 $62.83 $52.00 $7.77 $65.00 $50.00 $72.22
1805464038 4242729 85025 CBC WITH AUTO DIFF 1-800 Contacts 1-800 Contacts $51.74 $49.67 $65.00 $60.02 $51.74 $7.77 $65.00 $50.00 $68.99
1700001309 1168950 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,623.71 $1,348.42 $1,948.46 $1,883.51 $886.00 $845.00 $1,948.46 $845.00 $2,164.95
1700001309 1168986 73721 MRI JNT OF LWR EXTRE W/O CONT / MRI Knee w/o Contrast Right 1-800 Contacts 1-800 Contacts $1,546.39 $1,348.42 $1,948.46 $1,793.81 $886.00 $845.00 $1,948.46 $845.00 $2,061.85
1700001309 1168984 73721 / MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,623.71 $1,348.42 $1,948.46 $1,883.51 $886.00 $845.00 $1,948.46 $845.00 $2,164.95
1700001309 1168984 73721 / MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,405.23 $1,348.42 $1,948.46 $1,630.07 $886.00 $845.00 $1,948.46 $845.00 $1,873.64
1700001309 1168948 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,405.23 $1,348.42 $1,948.46 $1,630.07 $886.00 $845.00 $1,948.46 $845.00 $1,873.64
1700001309 1168948 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,623.71 $1,348.42 $1,948.46 $1,883.51 $886.00 $845.00 $1,948.46 $845.00 $2,164.95
1700001309 1168986 73721 MRI JNT OF LWR EXTRE W/O CONT / MRI Knee w/o Contrast Right 1-800 Contacts 1-800 Contacts $1,404.61 $1,348.42 $1,948.46 $1,629.34 $886.00 $845.00 $1,948.46 $845.00 $1,872.81
1700001309 1168950 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,405.23 $1,348.42 $1,948.46 $1,630.07 $886.00 $845.00 $1,948.46 $845.00 $1,873.64
1700001309 1168752 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,405.23 $1,348.42 $1,948.46 $1,630.07 $886.00 $845.00 $1,948.46 $845.00 $1,873.64
1700001309 1168752 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,623.71 $1,348.42 $1,948.46 $1,883.51 $886.00 $845.00 $1,948.46 $845.00 $2,164.95
1700001309 1168750 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,623.71 $1,348.42 $1,948.46 $1,883.51 $886.00 $845.00 $1,948.46 $845.00 $2,164.95
1700001309 1168750 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,405.23 $1,348.42 $1,948.46 $1,630.07 $886.00 $845.00 $1,948.46 $845.00 $1,873.64
1700001400 2424764 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,093.64 $2,009.89 $2,603.30 $2,428.62 $1,010.00 $958.00 $2,603.30 $958.00 $2,791.52
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,093.64 $2,009.89 $2,603.30 $2,428.62 $1,010.00 $958.00 $2,603.30 $958.00 $2,791.52
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,169.42 $2,009.89 $2,603.30 $2,516.53 $1,010.00 $958.00 $2,603.30 $958.00 $2,892.56
1700001400 2424764 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,169.42 $2,009.89 $2,603.30 $2,516.53 $1,010.00 $958.00 $2,603.30 $958.00 $2,892.56
1803446046 4241931 84154 PSA, FREE 1-800 Contacts 1-800 Contacts $65.66 $63.04 $78.80 $76.17 $65.66 $18.39 $80.00 $80.00 $87.55
1700004640 969801 77065 MAMMOGRAM DIAGNOSTIC UNILATERAL W CAD 1-800 Contacts 1-800 Contacts $352.92 $294.62 $473.81 $409.39 $268.00 $268.00 $473.81 $268.00 $470.56
1700004640 969803 77065 MAMMOGRAM DIAGNOSTIC UNILATERAL W CAD 1-800 Contacts 1-800 Contacts $327.61 $294.62 $473.81 $380.02 $268.00 $268.00 $473.81 $268.00 $436.81
1700004640 969803 77065 MAMMOGRAM DIAGNOSTIC UNILATERAL W CAD 1-800 Contacts 1-800 Contacts $336.11 $294.62 $473.81 $389.89 $268.00 $268.00 $473.81 $268.00 $448.15
1700004640 969801 77065 MAMMOGRAM DIAGNOSTIC UNILATERAL W CAD 1-800 Contacts 1-800 Contacts $338.68 $294.62 $473.81 $392.87 $268.00 $268.00 $473.81 $268.00 $451.57
1700004640 5360981 77065 PHY-POST CLIP PLACEMENT MAMMO / POST CLIP PLACEMENT MAMMOGRAM 1-800 Contacts 1-800 Contacts $306.89 $294.62 $473.81 $356.00 $268.00 $268.00 $473.81 $268.00 $409.19
1700004640 5182314 77065 POST CLIP PLACEMENT MAMMOGRAM W CAD 1-800 Contacts 1-800 Contacts $336.11 $294.62 $473.81 $389.89 $268.00 $268.00 $473.81 $268.00 $448.15
1700004640 5182317 77065 POST CLIP PLACEMENT MAMMOGRAM W CAD 1-800 Contacts 1-800 Contacts $336.11 $294.62 $473.81 $389.89 $268.00 $268.00 $473.81 $268.00 $448.15
1700004640 5182317 77065 POST CLIP PLACEMENT MAMMOGRAM W CAD 1-800 Contacts 1-800 Contacts $327.61 $294.62 $473.81 $380.02 $268.00 $268.00 $473.81 $268.00 $436.81
1700004640 5182314 77065 POST CLIP PLACEMENT MAMMOGRAM W CAD 1-800 Contacts 1-800 Contacts $327.61 $294.62 $473.81 $380.02 $268.00 $268.00 $473.81 $268.00 $436.81
1700004640 5360981 77065 PHY-POST CLIP PLACEMENT MAMMO / POST CLIP PLACEMENT MAMMOGRAM 1-800 Contacts 1-800 Contacts $336.11 $294.62 $473.81 $389.89 $268.00 $268.00 $473.81 $268.00 $448.15
1700004640 5360981 77065 PHY-POST CLIP PLACEMENT MAMMO / POST CLIP PLACEMENT MAMMOGRAM 1-800 Contacts 1-800 Contacts $336.11 $294.62 $473.81 $389.89 $268.00 $268.00 $473.81 $268.00 $448.15
1700004675 2425811 77065 MAMMOGRAM DIAGNOSTIC UNILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $394.84 $294.62 $473.81 $458.01 $268.00 $268.00 $473.81 $268.00 $526.45
1700004675 2425814 77065 MAMMOGRAM DIAGNOSTIC UNILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $384.14 $294.62 $473.81 $445.60 $268.00 $268.00 $473.81 $268.00 $512.18
1700004675 2425814 77065 MAMMOGRAM DIAGNOSTIC UNILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $394.84 $294.62 $473.81 $458.01 $268.00 $268.00 $473.81 $268.00 $526.45
1700004675 2425811 77065 MAMMOGRAM DIAGNOSTIC UNILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $384.14 $294.62 $473.81 $445.60 $268.00 $268.00 $473.81 $268.00 $512.18
1700004200 2425793 77062 BREAST TOMOSYNTHESIS BILATERAL 1-800 Contacts 1-800 Contacts $76.71 $73.64 $92.05 $88.98 $73.00 $73.00 $92.05 $73.00 $102.28
1700004200 16314716 77062 BREAST TOMOSYNTHESIS BILATERAL 1-800 Contacts 1-800 Contacts $76.71 $73.64 $92.05 $88.98 $73.00 $73.00 $92.05 $73.00 $102.28
1700004193 2425796 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $77.49 $73.49 $92.99 $89.89 $73.00 $73.00 $92.99 $73.00 $103.32
1700004193 2425799 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $77.49 $73.49 $92.99 $89.89 $73.00 $73.00 $92.99 $73.00 $103.32
1700004193 2425799 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $76.55 $73.49 $92.99 $88.80 $73.00 $73.00 $92.99 $73.00 $102.07
1805464066 4242736 85048 WBC COUNT, AUTOMATED 1-800 Contacts 1-800 Contacts $14.87 $14.28 $17.85 $17.25 $14.87 $2.54 $17.85 $17.25 $19.83
1700004193 2425796 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $76.55 $73.49 $92.99 $88.80 $73.00 $73.00 $92.99 $73.00 $102.07
1700004193 16322644 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $76.55 $73.49 $92.99 $88.80 $73.00 $73.00 $92.99 $73.00 $102.07
1700004193 16322641 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $76.55 $73.49 $92.99 $88.80 $73.00 $73.00 $92.99 $73.00 $102.07
1700004193 16322641 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $77.49 $73.49 $92.99 $89.89 $73.00 $73.00 $92.99 $73.00 $103.32
1700004193 16322644 77061 BREAST TOMOSYNTHESIS UNILATERAL 1-800 Contacts 1-800 Contacts $77.49 $73.49 $92.99 $89.89 $73.00 $73.00 $92.99 $73.00 $103.32
1803446246 12461309 80365 OXYCODONE CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $83.99 $80.63 $100.78 $97.42 $83.99 $80.63 $100.78 $97.42 $111.98
1805464014 4242726 85014 HEMATOCRIT (HCT) 1-800 Contacts 1-800 Contacts $15.05 $14.45 $18.57 $17.46 $15.05 $2.37 $18.57 $17.46 $20.07
1805464014 4242726 85014 HEMATOCRIT (HCT) 1-800 Contacts 1-800 Contacts $15.47 $14.45 $18.57 $17.95 $15.47 $2.37 $18.57 $17.95 $20.63
1805462003 4242721 81003 URINALYSIS,W/O MICRO,AUTO 1-800 Contacts 1-800 Contacts $31.06 $29.44 $37.27 $36.03 $31.06 $2.25 $40.00 $40.00 $41.41
1805462003 4242721 81003 URINALYSIS,W/O MICRO,AUTO 1-800 Contacts 1-800 Contacts $30.67 $29.44 $37.27 $35.57 $30.67 $2.25 $40.00 $40.00 $40.89
1803447919 4242284 80055 OBSTETRIC PANEL 1-800 Contacts 1-800 Contacts $219.38 $210.61 $263.26 $254.48 $103.00 $47.81 $263.26 $96.00 $292.51
1801427537 4242582 86663 EB VIRUS AB, EARLY ANTIGN 1-800 Contacts 1-800 Contacts $27.17 $26.08 $32.61 $31.51 $27.17 $13.12 $32.61 $31.51 $36.22
1801428067 4242583 86663 SO EB VIRUS, EARLY AG 1-800 Contacts 1-800 Contacts $27.17 $26.08 $32.61 $31.52 $27.17 $13.12 $32.61 $31.52 $36.23
1803446238 12461307 80353 COCAINE CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $84.53 $81.14 $101.43 $98.05 $84.53 $81.14 $101.43 $98.05 $112.70
1803446214 12461302 80347 BENZODIAZEPINE CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $83.93 $80.58 $100.72 $97.36 $83.93 $80.58 $100.72 $97.36 $111.91
1803446234 12461306 80345 BARBITURATE CONFIRMATION LCMS 1-800 Contacts 1-800 Contacts $84.39 $81.01 $101.27 $97.89 $84.39 $81.01 $101.27 $97.89 $112.52
1805466028 4242719 81001 URINALYSIS, AUTO, W/MICRO 1-800 Contacts 1-800 Contacts $43.60 $40.51 $52.32 $50.57 $42.00 $3.17 $52.32 $40.00 $58.13
1805466028 4242719 81001 URINALYSIS, AUTO, W/MICRO 1-800 Contacts 1-800 Contacts $43.60 $40.51 $52.32 $50.57 $42.00 $3.17 $52.32 $40.00 $58.13
1805466028 4242719 81001 URINALYSIS, AUTO, W/MICRO 1-800 Contacts 1-800 Contacts $42.20 $40.51 $52.32 $48.95 $42.00 $3.17 $52.32 $40.00 $56.26
1805466028 4242719 81001 URINALYSIS, AUTO, W/MICRO 1-800 Contacts 1-800 Contacts $43.60 $40.51 $52.32 $50.57 $42.00 $3.17 $52.32 $40.00 $58.13
1700002611 1169889 76830 TRANSVAGINAL US NON-OB 1-800 Contacts 1-800 Contacts $395.93 $380.10 $475.12 $459.28 $279.00 $268.00 $475.12 $268.00 $527.91
1700004123 2425365 76999 US LYMPH NODES 1-800 Contacts 1-800 Contacts $51.62 $49.55 $61.94 $59.87 $51.62 $49.55 $61.94 $59.87 $68.82
1803446273 5336611 80143 ACETAMINOPHEN LEVEL 1-800 Contacts 1-800 Contacts $48.17 $46.25 $57.81 $55.88 $48.17 $28.90 $57.81 $55.88 $64.23
1700002611 4254446 76830 PHY-TRANSVAGINAL US NON-OB / TRANSVAGINAL US NON-OB 1-800 Contacts 1-800 Contacts $395.93 $380.10 $475.12 $459.28 $279.00 $268.00 $475.12 $268.00 $527.91
1805462036 4242722 81015 URINALYSIS; MICRO ONLY 1-800 Contacts 1-800 Contacts $19.34 $18.56 $23.20 $22.43 $19.34 $3.05 $23.20 $22.43 $25.78