Visits & medical services prices at Community Hospital, Torrington (Banner Health)

Torrington, WY · every code in this section with a posted price and a Medicare benchmark.

135 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Appl modality 1+lllt po pain (97037) $60.46 $86 1.6×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $29.89 $61
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $81.72 $137
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $88.28 $148
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $65.62 $110
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $64.42 $108
Biofeedback training by any modality Other Outpatient (90901) $84.36 $120
Bipap initial day (94660) $507.99 $885 2.3×
Breathing capacity test (94010) $299.65 $461 1.4×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $381.55 $587 1.0×
Canalith repositioning (95992) $158.17 $225
Cardiovascular stress test (93017) $1,069.28 $1,630 4.8×
Cardioversion elective external (92960) $637.30 $1,189 0.9×
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) $127.74 $178 3.3×
Caregiver training 1st 30 min (97550) $115.72 $194
Caregiver training ea addl 15 (97551) $57.86 $97
Chemo anti-neopl sq/im (96401) $288.58 $495 3.9×
Chemo hormon antineopl sq/im (96402) $107.85 $185 1.5×
Chemo IV infus each addl seq (96417) $108.60 $200 1.5×
Chemo IV infusion addl hr (96415) $47.78 $88 0.6×
Chemo IV push addl drug (96411) $103.77 $178 1.4×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $221 $407 0.7×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $227.95 $391 0.7×
Chest physiotherapy initial (94667) $81.51 $142 0.6×
Color/duplex Doppler, complete (93975) $902.48 $1,349 3.7×
Color/duplex Doppler, limited (93976) $532.52 $796 5.0×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $49 $100
Cpr (92950) $465.78 $869 2.1×
Critical care ill/injured patient init 30-74 min (99291) $782.02 $1,459 0.9×
Debridement open wound 20 sq cm< (97597) $159.58 $227 0.8×
Delivery/birthing room resuscitation (99465) $708.33 $987 1.0×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $501.75 $750 2.1×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $388.69 $581 3.6×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $978.08 $1,462 4.0×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $525.17 $785 4.9×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $1,148 $1,716 4.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $871.04 $1,302 8.2×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $995.47 $1,488 4.1×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $646.25 $966 6.1×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $859.67 $1,285 3.5×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $719.18 $1,075 6.7×
ECG monit/reprt up to 48 hrs (93226) $449.97 $627 7.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,026.54 $1,594 1.8×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $606.65 $942 2.5×
EKG 12 lead tracing only (93005) $214.17 $330 3.6×
EKG rhythm strip (93041) $112.93 $174 1.9×
Emergency department visit high mdm (99285) $3,272.86 $1,120 5.4×
Emergency department visit low mdm (99283) $814.19 $454 2.9×
Emergency department visit may not req phys/qhp (99281) $286.51 $146 3.3×
Emergency department visit moderate mdm (99284) $2,142.59 $771 5.0×
Emergency department visit straightforward mdm (99282) $365.45 $273 2.3×
Evaluate pt use of inhaler (94664) $142.93 $249 0.6×
Evoked auditory test limited (92587) $172.96 $241 0.8×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $301.42 $420 2.2×
Fluidotherapy (97022) $58.31 $119
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $267.80 $412 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $771.26 $985 0.9×
Group caregiver training strategies & technique (97552) $38.78 $65
Immunization administration (90471) $48.49 $108 0.7×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $127.32 $222 2.7×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $195.52 $320 0.9×
Irrigaj implntd venous access drug delivery syst (96523) $155.19 $254 2.6×
IV infusion hydration each additional hour (96361) $69.02 $114 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $256.73 $424 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $80.54 $133 1.1×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $272.48 $450 1.3×
IV tx, each additional hour (96366) $73.87 $122 1.5×
Low frequency non-thermal us (97610) $210.90 $300 1.0×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $105.62 $184 0.8×
Maximum voluntary ventilation (94200) $113.75 $175 1.9×
Mechanical chest wall oscillation lung function (94669) $176.22 $307 0.8×
Mechanical traction therapy (97012) $108.26 $154
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.69 $49
Medical nutrition group (97804) $35.57 $39
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $41.95 $46
Neg pressure wound therapy non dme </= 50 sq cm (97607) $343.77 $489 0.8×
Neg pressure wound therapy non dme >50 sq cm (97608) $403.52 $574 1.0×
Negative pressure wound therapy dme </= 50 sq cm (97605) $153.25 $218 0.7×
Negative pressure wound therapy dme >50 sq cm (97606) $274.87 $391 0.7×
Neuropsychological tst eval phys/qhp 1st hour (96132) $115.94 $220 0.3×
Occupational therapy eval high complex 60 mins (97167) $71.26 $262
Occupational therapy eval low complex 30 mins (97165) $70.99 $261
Occupational therapy eval mod complex 45 mins (97166) $68.54 $252
Orthc/prostc mgmt sbsq enc (97763) $78.14 $131
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $70.98 $119
Ot manual therapy ea 15 min (97140) $90.67 $152
Ot neuromuscular re-education (97112) $85.90 $144
Ot paraffin bath (97018) $38.78 $65
Ot re-evaluation (97168) $61.20 $225
OT Therapeutic Activities Charges (97530) $56.66 $95
Ot wheelchair management (97542) $50.70 $85
Outpatient cardiac rehab w/cont ECG monitoring (93798) $154.44 $234 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $97.68 $148 0.7×
Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) $288.60 $444 4.8×
Phlebotomy therapeutic (99195) $157.03 $257 1.2×
Phy/qhp op pulm rhb w/mntr (94626) $140.97 $254 2.3×
Phy/qhp op pulm rhb w/o mntr (94625) $132.65 $239 2.2×
Physical therapy evaluation high complex 45 mins (97163) $166.63 $262
Physical therapy evaluation low complex 20 mins (97161) $166 $261
Physical therapy evaluation mod complex 30 mins (97162) $160.27 $252
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $73.82 $105
Psych diag eval w/med srvcs (90792) $296.39 $413 1.6×
Psychiatric diagnostic evaluation (90791) $259.08 $361 1.4×
Psychological tst eval svc phys/qhp first hour (96130) $117.52 $223 0.5×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $41.11 $78 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $26.88 $51 0.2×
Psytx crisis initial 60 min (90839) $218.17 $304 1.2×
Pt gait training 15 min (97116) $59.05 $84
Pt physical performance test (97750) $65.38 $93
Pt re-evaluation (97164) $143.10 $225
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $194.73 $277
Pulmonary stress testing (94618) $375.70 $578 2.8×
Refilling and maintenance of portable pump (96521) $188.19 $308 0.9×
Remote 30 day ECG rev/report (93270) $294.24 $410 7.7×
Respiratory flow volume loop (94375) $187.20 $288 0.8×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $57.86 $97
Stress tte only (93350) $830.12 $1,289 1.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $82.35 $122 1.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $882.22 $1,307 4.1×
Tcd emboli detect wo inj (93892) $400.73 $599 3.8×
Temp transcutaneous pacing (92953) $529.03 $987 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $48.51 $99
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $45.57 $93
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $52.39 $73
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $77.33 $110
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $54.13 $77
Therapeutic prophylactic/dx injection subq/im (96372) $101.51 $177 1.4×
Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) $388.02 $580 3.6×
Tte f-up or lmtd (93308) $430.84 $669 1.8×
Tte w/doppler complete (93306) $1,906.24 $2,960 3.4×
Ventilation ip/obs initial day (94002) $698.56 $1,217 1.1×
Ventilator subsequent day (94003) $563.67 $982 0.9×
Vital capacity total (94150) $56.55 $87 0.4×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $97.72 $139
Wound(s) care non-selective (97602) $139.19 $198 0.7×