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.

133 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×
Biofeedback training any modality (90901) $84.36 $120 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $381.55 $587 1.0×
Canalith Repositioning (95992) $158.17 $225 3.9×
Cardiac Stress Tst,Tracing Only (93017) $1,069.28 $1,630 4.8×
Cardiopulmonary resuscitation (92950) $465.78 $869 2.1×
Cardioversion (92960) $637.30 $1,189 0.9×
Care mgmt svc bhvl hlth cond (99484) $127.74 $178 3.3×
Caregiver training 1st 30 min (97550) $115.72 $194 2.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $57.86 $97 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $107.85 $185 1.5×
Chemo IV push addl drug (96411) $103.77 $178 1.4×
Chemo Iv Push Sngl Drug (96409) $227.95 $391 0.7×
Chemother, IV infusion, 1 hr (96413) $221 $407 0.7×
Chemother, IV infusion, ea add hr (96415) $47.78 $88 0.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $288.58 $495 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $108.60 $200 1.5×
Color/duplex Doppler, complete (93975) $902.48 $1,349 3.7×
Color/duplex Doppler, limited (93976) $532.52 $796 5.0×
Cpap initiation and management (94660) $507.99 $885 2.3×
Cpt initial (94667) $81.51 $142 0.6×
Critical care (99291) $782.02 $1,459 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $159.58 $227 0.8×
Demo &/or eval,pt use,aerosol device (94664) $142.93 $249 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $501.75 $750 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $388.69 $581 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $995.47 $1,488 4.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $646.25 $966 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $859.67 $1,285 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $719.18 $1,075 6.7×
Dup-scan xtr veins unilateral/limited study (93971) $871.04 $1,302 8.2×
Duplex scan extracranial art compl bi study (93880) $978.08 $1,462 4.0×
Echo Heart Xthoracic,Limited (93308) $430.84 $669 1.8×
EKG (93005) $214.17 $330 3.6×
EKG rhythm strip (93041) $112.93 $174 1.9×
Er level 1 (99281) $286.51 $146 3.3×
Er level ii (99282) $365.45 $273 2.3×
Er level iii (99283) $814.19 $454 2.9×
Er level IV (99284) $2,142.59 $771 5.0×
Er level v (99285) $3,272.86 $1,120 5.4×
Evoked auditory test,limited (92587) $172.96 $241 0.8×
Exhaled Air Analysis (94690) $288.60 $444 4.8×
External Ecg Scanning Analysis Report (93226) $449.97 $627 7.5×
Flow volume loop (94375) $187.20 $288 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $771.26 $985 0.9×
Group Therapeutic Procedures (97150) $52.39 $73 2.9×
Holter Monitor Recording (93225) $301.42 $420 2.2×
Immunization Admin (90471) $48.49 $108 0.7×
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, therap/proph/diagnost,add infusion,1st hour (96367) $80.54 $133 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $272.48 $450 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $73.87 $122 1.5×
IV push initial (96374) $195.52 $320 0.9×
Low frequency non-thermal us (97610) $210.90 $300 1.0×
Manual therapy 15 min (97140) $90.67 $152 3.3×
Massage 15 min (97124) $54.13 $77 1.8×
Maximum voluntary ventilation (94200) $113.75 $175 1.9×
Mechanical chest wall oscillation (94669) $176.22 $307 0.8×
Mechanical traction (97012) $108.26 $154 7.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.95 $46 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.69 $49 1.2×
Mnt Group Ea 30 Min (97804) $35.57 $39 2.1×
Neg press wnd tx </=50 sq cm (97607) $343.77 $489 0.8×
Neg press wound tx >50 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×
Newborn resuscitation (99465) $708.33 $987 1.0×
Nrpsyc tst eval phys/qhp 1st (96132) $115.94 $220 0.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $70.98 $119 1.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $49 $100 1.5×
Ot Contrast Bath Ea 15 Min (97034) $29.89 $61 2.1×
Ot eval high complex 60 min (97167) $71.26 $262 0.7×
Ot eval low complex 30 min (97165) $70.99 $261 0.7×
Ot eval mod complex 45 min (97166) $68.54 $252 0.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $78.14 $131 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $73.82 $105 1.8×
Ot re-eval est plan care (97168) $61.20 $225 0.9×
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×
Paraffin bath (97018) $38.78 $65 6.5×
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×
Psych diag eval w/med srvcs (90792) $296.39 $413 1.6×
Psychiatric diagnostic evaluation (90791) $259.08 $361 1.4×
Psycl tst eval phys/qhp 1st (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 Aquatic Therapy/Exercises (97113) $77.33 $110 2.1×
Pt Electric Current Therapy (97033) $88.28 $148 4.6×
Pt Electrical Stimulation (97032) $81.72 $137 5.6×
Pt eval high complex 45 min (97163) $166.63 $262 1.7×
Pt eval low complex 20 min (97161) $166 $261 1.7×
Pt Gait Training Therapy (97116) $59.05 $84 2.0×
Pt group caregiver training (97552) $38.78 $65 1.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $85.90 $144 2.6×
Pt Physical Performance Test (97750) $65.38 $93 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $160.27 $252 1.6×
Pt re-evaluation (97164) $143.10 $225 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.86 $97 1.8×
Pt Ultrasound Therapy (97035) $65.62 $110 4.6×
Pt Whirlpool Therapy (97022) $58.31 $119 3.7×
Pulm function test by gas (94727) $267.80 $412 1.2×
Pulmonary stress testing (94618) $375.70 $578 2.8×
Refill/maint, portable pump (96521) $188.19 $308 0.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $294.24 $410 7.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $139.19 $198 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $105.62 $184 0.8×
Spirometry (94010) $299.65 $461 1.4×
Stress echo (93350) $830.12 $1,289 1.5×
Stress Tte Complete (93351) $1,026.54 $1,594 1.8×
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 W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb 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 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $45.57 $93 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $101.51 $177 1.4×
Therapeutic Activities (97530) $56.66 $95 1.6×
Therapeutic phlebotomy (99195) $157.03 $257 1.2×
Transcranial Doppler Limited (93888) $388.02 $580 3.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,906.24 $2,960 3.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $606.65 $942 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.32 $222 2.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,148 $1,716 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $525.17 $785 4.9×
Vasopneumatic device (97016) $64.42 $108 5.4×
Ventilation assist & mgmt inpatient 1st day (94002) $698.56 $1,217 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $563.67 $982 0.9×
Vital capacity total (94150) $56.55 $87 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $50.70 $85 1.6×