Supplies, drugs & other prices at Cheyenne Regional Medical Center
Cheyenne, WY · every code in this section with a posted price and a Medicare benchmark.
40 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,608.67 | $2,298.10 | 2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,254.98 | $1,792.82 | 3.5× |
| Chemo extend iv infus w/pump (G0498) | $1,087.78 | $1,553.97 | 3.2× |
| Direct refer hospital observ (G0379) | $174.53 | $249.32 | 0.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$13,300 | $19,000 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $892.33 | $1,274.75 | 6.3× |
| Inj for sacroiliac jt anesth (G0260) | $1,663.22 | $2,376.02 | 2.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $18,375 | $26,250 | 0.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $15,435 | $22,050 | 0.7× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $38.60 | $55.13 | 1.0× |
| Mri w/cont, breast, bi (C8906) | $3,451.03 | $4,930.04 | 9.7× |
| Mri w/cont, breast, uni (C8903) | $2,532.17 | $3,617.38 | 14.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,435.61 | $4,908.01 | 9.6× |
| Oth resp proc, group (G0239) | $241.31 | $344.72 | 6.3× |
| Oth resp proc, indiv (G0238) | $55.49 | $79.27 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $28,518 | $40,740 | 1.5× |
| Perc d-e cor revasc t cabg s (C9604) | $22,463.64 | $32,090.91 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $28,903.64 | $41,290.91 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $23,746.94 | $33,924.20 | 2.0× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$3,990 | $5,700 | 0.3× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $38.60 | $55.13 | 1.0× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,610 | $2,300 | 1.7× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,610 | $2,300 | 1.7× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $700 | $1,000 | 1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $682.73 | $975.32 | 0.9× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $3,858.75 | $5,512.50 | 1.8× |
| Revasc intra lithotrip-ather (C9766) | $22,341.06 | $31,915.79 | 1.2× |
| Revasc intra lithotrip-stent (C9765) | $21,502.69 | $30,718.12 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $12,495.45 | $17,850.64 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $30,558.71 | $43,655.29 | 1.6× |
| Revasc lithotr-ather tib/per (C9774) | $21,896.02 | $31,280.02 | 1.2× |
| Revasc lithotr-stent tib/per (C9773) | $20,693.47 | $29,562.09 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $11,943.81 | $17,062.58 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $34,651.19 | $49,501.70 | 1.9× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $13,891.50 | $19,845 | 0.6× |
| Therapeutic procd strg endur (G0237) | $55.49 | $79.27 | 1.9× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $15,178.89 | $21,684.12 | 0.8× |
| Tte w or w/o contr, cont ecg (C8930) | $2,726.74 | $3,895.33 | 3.4× |
| Tte w or w/o fol w/con,stres (C8928) | $2,514.80 | $3,592.56 | 3.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,341.17 | $3,344.52 | 2.9× |