Visits & medical services prices at Memorial Hospital of Carbon County

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $117 $156 1.1×
Airway inhalation treatment (94640) $141 $188 0.6×
Anogenital exam, child (99170) $418.50 $558 2.0×
Behav assmt w/score & docd/stand instrument (96127) $54.75 $73 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $432 $576 1.1×
Canalith Repositioning (95992) $100.50 $134 2.5×
Car seat/bed test 60 min (94780) $169.50 $226 4.4×
Cardiopulmonary resuscitation (92950) $824.25 $1,099 3.7×
Cardioversion (92960) $612.38 $816.50 0.9×
Cardioversion internal (92961) $801.38 $1,068.50 1.2×
Cbt 1st hour (94644) $308.25 $411 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $202.50 $270 2.8×
Chemo IV push addl drug (96411) $216.38 $288.50 2.9×
Chemo Iv Push Sngl Drug (96409) $291 $388 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $528 $704 1.6×
Chemother, IV infusion, 1 hr (96413) $408 $544 1.2×
Chemother, IV infusion, ea add hr (96415) $146.25 $195 2.0×
Chemother,ia infusn tech,<1 hr (96422) $545.25 $727 1.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $495.75 $661 6.7×
Chemotherapy admn intraarterial infusion ea hr (96423) $61.50 $82 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $172.50 $230 2.3×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $175.50 $234 1.7×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $184.12 $245.50 1.0×
Cpap initiation and management (94660) $819 $1,092 3.7×
Cpt initial (94667) $93.75 $125 0.7×
Critical care (99291) $1,799.25 $2,399 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $272.25 $363 1.3×
Demo &/or eval,pt use,aerosol device (94664) $163.50 $218 0.7×
Dermatological procedure (96999) $163.12 $217.50 0.8×
Dup-scan xtr veins unilateral/limited study (93971) $612.75 $817 5.7×
Duplex scan extracranial art compl bi study (93880) $1,147.12 $1,529.50 4.7×
Echo Heart Xthoracic,Limited (93308) $430.50 $574 1.8×
Echo transesophageal (93312) $202.50 $270 0.4×
EKG (93005) $221.62 $295.50 3.7×
Er level 1 (99281) $42.75 $57 0.5×
Er level ii (99282) $83.25 $111 0.5×
Er level iii (99283) $141.75 $189 0.5×
Er level IV (99284) $239.25 $319 0.6×
Er level v (99285) $348 $464 0.6×
External ECG rec>48hr<7d recording (93242) $63.75 $85 1.7×
External ECG rec>7d<15d recording (93246) $108 $144 2.8×
Holter Monitor Recording (93225) $465 $620 3.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $62.25 $83 0.8×
Immunization Admin (90471) $88.50 $118 1.2×
Immunotherapy, 2+ Injections (95117) $32.25 $43 0.7×
Inital newborn e/m (99460) $249 $332 1.8×
Initial normal newborn care, same day discharge (99463) $181.50 $242 1.3×
Injection intra arterial (96373) $225.75 $301 1.0×
Ins swan ganz bedside (93503) $1,507.50 $2,010 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $112.50 $150 1.9×
IV infusion hydration each additional hour (96361) $129.75 $173 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $309.75 $413 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $127.12 $169.50 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $364.50 $486 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $135.75 $181 2.8×
IV push initial (96374) $224.62 $299.50 1.0×
Manual therapy 15 min (97140) $102.75 $137 3.7×
Multiple sleep latency test (95805) $1,989.75 $2,653 2.3×
Neg press wnd tx </=50 sq cm (97607) $546.38 $728.50 1.3×
Neg press wound tx >50 cm (97608) $409.50 $546 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $201.75 $269 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $184.50 $246 0.4×
Newborn resuscitation (99465) $514.50 $686 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $181.50 $242 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $174.75 $233 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $83.25 $111 1.8×
Osteopathic manipulative tx 1-2 body regions (98925) $43.88 $58.50 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $61.88 $82.50 2.8×
Osteopathic manipulative tx 5-6 body regions (98927) $81.38 $108.50 3.7×
Osteopathic manipulative tx 7-8 body regions (98928) $99.38 $132.50 4.5×
Osteopathic manipulative tx 9-10 body regions (98929) $118.12 $157.50 5.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.50 $110 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $76.50 $102 1.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $302.25 $403 1.4×
Percutaneous tests w/allergenic extracts (95004) $12.75 $17 0.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,439.75 $3,253 2.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $21.75 $29 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $26.25 $35 0.5×
Psych diag eval w/med srvcs (90792) $422.25 $563 2.3×
Pt eval high complex 45 min (97163) $260.25 $347 2.7×
Pt eval low complex 20 min (97161) $178.50 $238 1.8×
Pt Gait Training Therapy (97116) $79.50 $106 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $103.50 $138 3.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $213 $284 2.2×
Pt re-evaluation (97164) $128.25 $171 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $83.25 $111 2.6×
Pulmonary stress testing (94618) $93 $124 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $154.50 $206 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $121.50 $162 0.9×
Sleep study unattended (95806) $256.50 $342 1.2×
Smoking cessation > 10 min (99407) $48.75 $65 1.3×
Spirometry (94010) $138.75 $185 0.6×
Temp transcutaneous pacing (92953) $789 $1,052 1.2×
Test for allergy using allergenic extract injected into skin (95024) $12 $16 0.2×
Test for allergy using combination of methods with drug or biological (95018) $33 $44 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $47.25 $63 0.6×
Therapeutic Activities (97530) $91.50 $122 2.6×
Therapeutic phlebotomy (99195) $158.62 $211.50 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.62 $43.50 0.9×
Trans Care Mgmt 14 Day Disch (99495) $573 $764 4.2×
Trans Care Mgmt 7 Day Disch (99496) $772.50 $1,030 5.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,684.50 $2,246 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $130.50 $174 2.7×
Vasc Duplex Extrem Venous,Bilat (93970) $883.88 $1,178.50 3.6×
Ventilation assist & mgmt inpatient 1st day (94002) $2,398.50 $3,198 3.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,727.25 $2,303 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $96.75 $129 3.1×