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.
29 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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) range across 2 matching MRF lines |
$18.75–$27.75 | $25–$37 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$39.75–$59.25 | $53–$79 | varies |
| Alcohol/subs interv >30 min (G0397) range across 2 matching MRF lines |
$75.75–$113.25 | $101–$151 | varies |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$21–$31.50 | $28–$42 | varies |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$29.25–$43.50 | $39–$58 | varies |
| Brief alcohol misuse counsel (G0443) range across 2 matching MRF lines |
$29.25–$43.50 | $39–$58 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $2,172 | $2,896 | 2.3× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$43.50–$66 | $58–$88 | varies |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$20.25–$30.75 | $27–$41 | varies |
| Diab manage trn per indiv (G0108) | $87.75 | $117 | 1.6× |
| Diab manage trn ind/group (G0109) | $52.50 | $70 | 3.3× |
| Glaucoma scrn hgh risk direc (G0118) range across 2 matching MRF lines |
$47.25–$71.25 | $63–$95 | varies |
| Glaucoma scrn hgh risk direc (G0117) range across 2 matching MRF lines |
$70.50–$105.75 | $94–$141 | varies |
| Hbot, full body chamber, 30m (G0277) | $562.50 | $750 | 4.0× |
| High inten beh couns std 30m (G0445) range across 2 matching MRF lines |
$30–$45.75 | $40–$61 | varies |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$159–$238.50 | $212–$318 | varies |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$89.25–$133.50 | $119–$178 | varies |
| Initial preventive exam (G0402) | $465 | $620 | 3.4× |
| Intens behave ther cardio dx (G0446) range across 2 matching MRF lines |
$29.25–$43.50 | $39–$58 | varies |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$84.75–$569.25 | $113–$759 | varies |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$48–$72 | $64–$96 | varies |
| Ppps, initial visit (G0438) | $520.50 | $694 | 3.0× |
| Ppps, subseq visit (G0439) | $400.50 | $534 | 2.9× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,932.50–$4,167.75 | $3,910–$5,557 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$26.25–$39.75 | $35–$53 | varies |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$31.50–$48 | $42–$64 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.