Supplies, drugs & other prices at Memorial Hospital of Carbon County
Rawlins, WY · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $80.25 | $107 | 1.7× |
| Admin influenza virus vac (G0008) | $88.50 | $118 | 1.8× |
| Admin pneumococcal vaccine (G0009) | $88.50 | $118 | 1.8× |
| Alcohol/sub misuse assess (G2011) | $23.25 | $31 | 0.8× |
| Alcohol/subs interv 15-30mn (G0396) | $49.50 | $66 | 1.3× |
| Alcohol/subs interv >30 min (G0397) | $94.50 | $126 | 0.5× |
| Annual alcohol screen 15 min (G0442) | $26.25 | $35 | 0.7× |
| Behavior counsel obesity 15m (G0447) | $36.38 | $48.50 | 0.4× |
| Brief alcohol misuse counsel (G0443) | $36.38 | $48.50 | 0.4× |
| Ca screen;flexi sigmoidscope (G0104) | $2,172 | $2,896 | 2.3× |
| Ca screen;pelvic/breast exam (G0101) | $54.75 | $73 | 0.5× |
| Depression screen annual (G0444) | $25.50 | $34 | 0.7× |
| Glaucoma scrn hgh risk direc (G0117) | $88.12 | $117.50 | 3.0× |
| Glaucoma scrn hgh risk direc (G0118) | $59.25 | $79 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $562.50 | $750 | 4.0× |
| High inten beh couns std 30m (G0445) | $37.88 | $50.50 | 0.4× |
| Home sleep test/type 3 porta (G0399) | $198.75 | $265 | 0.9× |
| Hospital outpt clinic visit (G0463) | $111.38 | $148.50 | 0.8× |
| Initial preventive exam (G0402) | $465 | $620 | 3.4× |
| Intens behave ther cardio dx (G0446) | $36.38 | $48.50 | 1.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $327 | $436 | 0.7× |
| Obtaining screen pap smear (Q0091) | $60 | $80 | 2.0× |
| Trauma respons w/hosp criti (G0390) | $3,550.12 | $4,733.50 | 2.6× |
| Trim nail(s) (G0127) | $33 | $44 | 0.5× |
| Visit to determ ldct elig (G0296) | $39.75 | $53 | 0.4× |