Visits & medical services prices at Cheyenne Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Administration of chemotherapy into artery using push technique (96420) $393.10 $561.56 1.2×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $989.06 $1,412.94 2.9×
Aerosol inhalation pentamidine (94642) $231.78 $331.11 1.0×
Airway inhalation treatment (94640) $174.92 $249.88 0.8×
Analyze pacemaker system (93724) $497.40 $710.56 1.6×
Appl on-body injector for timed subq injection (96377) $124.99 $178.55 2.6×
Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) $97.42 $139.16
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $131.77 $188.24
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $127.22 $181.73
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $123.29 $176.12
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $90.05 $128.63
Assessment of aphasia (96105) $421.02 $601.45
Behavioral & qualit analysis voice and resonance (92524) $114.99 $164.26
Bipap initial day (94660) $701.08 $1,001.54 3.1×
Bis extracellular fluid alys lymphedema assmnt (93702) $222.85 $318.35 1.7×
Breathing capacity test (94010) $426.42 $609.17 1.9×
Bronchial allergy tests (95070) $1,090.10 $1,557.28 2.9×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $870.71 $1,243.86 2.3×
Bundle of his recording (93600) $6,408.81 $9,155.43 0.8×
Canalith repositioning (95992) $185.94 $265.62
Cardiovascular procedure unlisted (93799) $978.36 $1,397.65 7.4×
Cardiovascular stress test (93017) $1,911.08 $2,730.11 8.7×
Cardioversion elective external (92960) $2,272.02 $3,245.73 3.4×
Cardioversion elective internal (92961) $1,855.18 $2,650.25 2.7×
Caregiver training ea addl 15 (97551) $57.89 $82.69
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $23,876.20 $34,108.85 7.2×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $20,292.50 $28,989.28 6.1×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $21,970.10 $31,385.85 6.6×
Chemo anti-neopl sq/im (96401) $378.98 $541.39 5.2×
Chemo hormon antineopl sq/im (96402) $367.63 $525.18 5.0×
Chemo IV infus each addl seq (96417) $462.72 $661.02 6.3×
Chemo IV infusion addl hr (96415) $286.44 $409.20 3.9×
Chemo IV push addl drug (96411) $371.46 $530.65 5.0×
Chemother prolong infuse w/pump (96416) $1,163.75 $1,662.49 3.4×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $718.68 $1,026.68 2.1×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $491.15 $701.64 1.5×
Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) $395.27 $564.66 1.2×
Chest physiotherapy initial (94667) $180.85 $258.35 1.3×
Color/duplex Doppler, complete (93975) $1,081.08 $1,544.40 4.4×
Color/duplex Doppler, limited (93976) $1,008.64 $1,440.91 9.4×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $77.26 $110.37
Compre electrophysiologic w/o arrhyt induction (93619) $12,649.73 $18,071.04 1.6×
Compre ep eval abltj atr fib pulm vein isolation (93656) $48,287.76 $68,982.51 1.8×
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) $16,768.76 $23,955.36 2.1×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) $35,531.43 $50,759.18 1.3×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) $40,166.28 $57,380.40 1.5×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $236.21 $337.44 1.7×
Coronary art/grft angio s&i (93455) $11,750.18 $16,785.97 3.5×
Coronary artery angio s&i (93454) $11,938.16 $17,054.51 3.6×
Cpr (92950) $1,281.33 $1,830.46 5.8×
Critical care ill/injured patient init 30-74 min (99291) $3,400.86 $4,858.36 4.0×
Debridement open wound 20 sq cm< (97597) $685.39 $979.12 3.3×
Delivery/birthing room resuscitation (99465) $978.36 $1,397.65 1.4×
Duplex hemodialysis access (93990) $722.66 $1,032.37 6.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $839.67 $1,199.52 3.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $403.09 $575.83 3.8×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $1,150.31 $1,643.29 4.7×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $777.64 $1,110.91 7.3×
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) $1,061.20 $1,515.99 9.9×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $1,311.08 $1,872.96 5.4×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $784.38 $1,120.53 7.3×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $1,662.82 $2,375.45 6.8×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $641.13 $915.89 6.0×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $1,314.58 $1,877.97 5.4×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $914.39 $1,306.26 8.6×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $1,323.61 $1,890.87 5.4×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $924.88 $1,321.25 8.7×
Echo transesophageal (93312) $2,768.85 $3,955.50 5.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,077.56 $2,967.94 3.7×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $1,137.77 $1,625.38 4.7×
EEG awake & asleep (95819) $1,059.29 $1,513.26 4.8×
EEG cont rec w/video by tech min 8 channels (95700) $1,011.45 $1,444.92 4.6×
EEG extended monitoring 61-119 minutes (95813) $1,908.12 $2,725.88 8.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $3,991.14 $5,701.62 10.5×
EEG w/o video by tech 2-12 hr unmonitored (95705) $2,062.39 $2,946.26 9.3×
EKG 12 lead tracing only (93005) $366.71 $523.86 6.1×
Electroconvulsive therapy (90870) $1,362.58 $1,946.54 1.6×
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) $3,396.76 $4,852.51 2.7×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $6,694.59 $9,563.70 0.8×
Emergency department visit high mdm (99285) $4,944.70 $7,063.85 8.1×
Emergency department visit low mdm (99283) $1,090.80 $1,558.28 3.9×
Emergency department visit may not req phys/qhp (99281) $233.16 $333.08 2.7×
Emergency department visit moderate mdm (99284) $654.87 $935.52 1.5×
Emergency department visit straightforward mdm (99282) $637.99 $911.41 4.1×
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $61.74 $88.20 0.5×
Endoscopy swallow (fees) vid (92612) $509.14 $727.34
Esoph balloon distension tst (91040) $1,274 $1,820 3.3×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) $1,332.20 $1,903.13 3.5×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) $1,147.05 $1,638.63 5.2×
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) $2,250.76 $3,215.36 5.9×
Esophageal recording (93615) $4,854.32 $6,934.74 3.9×
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) $3,960.87 $5,658.38 3.2×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $260.45 $372.07
Evaluate pt use of inhaler (94664) $102.86 $146.94 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $368.85 $526.92
Evaluation of speech fluency (92521) $120.50 $172.14
Evaluation of speech sound production articulate (92522) $112.38 $160.54
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $756.10 $1,080.13 5.6×
Fluidotherapy (97022) $148.15 $211.63
Gastroesophag reflx test w/cath ph eltrd plcmt (91034) $1,650.32 $2,357.60 4.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,232 $1,759.99 1.4×
Group caregiver training strategies & technique (97552) $50.17 $71.66
Hemodialysis procedure w/ phys/qhp evaluation (90935) $1,056.23 $1,508.89 1.5×
Hot/cold pack (97010) $67.06 $95.80
Im adm intransl/oral 1 vaccine (90473) $111.42 $159.17 1.5×
Immunization administration (90471) $57.20 $81.71 0.8×
Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) $5,766.70 $8,238.14 4.6×
Infrared therapy (97026) $61.64 $88.05
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $164.29 $234.70 3.4×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $133.32 $190.45 0.6×
Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) $1,729.03 $2,470.04 1.1×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $114.19 $163.12 3.0×
Intra-atrial pacing (93610) $5,379.34 $7,684.77 0.7×
Intra-atrial recording (93602) $5,555.19 $7,935.98 0.7×
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) $16,641.54 $23,773.62 2.1×
Intraventricular pacing (93612) $5,638.62 $8,055.17 0.7×
Irrigaj implntd venous access drug delivery syst (96523) $249.81 $356.87 4.1×
IV infusion hydration each additional hour (96361) $220.38 $314.82 4.6×
IV infusion hydration initial 31 min-1 hour (96360) $424.20 $606 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $388.54 $555.05 5.3×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $500.91 $715.58 2.3×
IV tx, each additional hour (96366) $213.48 $304.97 4.5×
Lwr xtr vasc stdy bilat (93924) $919.08 $1,312.96 4.2×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $101.80 $145.42 0.7×
Maximum voluntary ventilation (94200) $316.60 $452.28 5.3×
Mechanical chest wall oscillation lung function (94669) $238.03 $340.03 1.1×
Mechanical traction therapy (97012) $146.79 $209.69
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $381.93 $545.61
Nasopharyngoscopy (92511) $307.12 $438.74 1.5×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $680.33 $971.90 1.6×
Neg pressure wound therapy non dme >50 sq cm (97608) $422.82 $604.02 1.0×
Negative pressure wound therapy dme </= 50 sq cm (97605) $447.54 $639.33 2.2×
Negative pressure wound therapy dme >50 sq cm (97606) $474.52 $677.88 1.1×
Nerve conduction studies 3-4 studies (95908) $543.90 $777 2.5×
Non-invasive physiologic study extremity 3 levels (93923) $844.88 $1,206.97 3.8×
Noninvasive ear/pulse oximetry overnight monitor (94762) $127.57 $182.24 1.0×
Occupational therapy eval high complex 60 mins (97167) $271.67 $388.10
Occupational therapy eval low complex 30 mins (97165) $132.02 $188.59
Occupational therapy eval mod complex 45 mins (97166) $198.03 $282.90
Oral function therapy (92526) $175.29 $250.41
Oral speech device eval (92597) $273.19 $390.26
Orthc/prostc mgmt sbsq enc (97763) $157.24 $224.62
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $128.45 $183.49
Ot manual therapy ea 15 min (97140) $126.07 $180.09
Ot neuromuscular re-education (97112) $111.03 $158.61
Ot paraffin bath (97018) $68.08 $97.25
Ot re-evaluation (97168) $114.82 $164.02
OT Therapeutic Activities Charges (97530) $96.72 $138.16
Ot wheelchair management (97542) $51.23 $73.18
Other physical medicine or rehabilitation service or procedure (97799) $73.60 $105.14
Outpatient cardiac rehab w/cont ECG monitoring (93798) $302.36 $431.93 2.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $214.25 $306.07 1.6×
Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) $351.28 $501.82 5.8×
Pdt dstr prmlg les skn illum/activj per day (96567) $471.36 $673.37 2.3×
Peripheral vascular rehab (93668) $121.47 $173.52 2.0×
Phlebotomy therapeutic (99195) $203.30 $290.42 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $237.89 $339.84 3.9×
Physical therapy evaluation high complex 45 mins (97163) $274.40 $392
Physical therapy evaluation low complex 20 mins (97161) $213.24 $304.62
Physical therapy evaluation mod complex 30 mins (97162) $237.42 $339.17
Prgrmg dev eval pm/ldls pm (93279) $115.38 $164.82 3.0×
Prq tcat plmt ntrac st 2+les (92930) $32,775.22 $46,821.73 1.8×
Prq trl rvs ch occ ant&rtrgr (92945) $20,639.91 $29,485.58 1.8×
Prq trluml coronary angio/atherect one art/brnch (92924) $17,284.22 $24,691.74 1.5×
Prq trluml coronary angioplasty one art/branch (92920) $9,974.36 $14,249.09 1.7×
Prq trluml coronary byp grft revasc one vessel (92937) $16,628.96 $23,755.64 1.4×
Prq trluml coronary stent w/angio one art/brnch (92928) $17,309.73 $24,728.18 1.5×
Prq trluml coronry chronic occlus revasc one vsl (92943) $15,115.44 $21,593.48 1.3×
Prq trluml coronry stent/ath/angio one art/brnch (92933) $25,939.06 $37,055.79 1.4×
Pt gait training 15 min (97116) $80.52 $115.02
Pt physical performance test (97750) $111.15 $158.78
Pt re-evaluation (97164) $156.29 $223.26
Pulm funct tst plethysmograp (94726) $780.42 $1,114.88 2.0×
Pulmonary stress testing (94618) $487.89 $696.98 3.6×
R hrt art/grft angio (93457) $17,624.55 $25,177.92 5.3×
R hrt coronary artery angio (93456) $17,726.95 $25,324.21 5.4×
R&l hrt art/ventricle angio (93461) $24,818.27 $35,454.66 7.5×
R&l hrt cath w/ventriclgrphy (93453) $23,552.13 $33,645.90 7.1×
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) $103.38 $147.68
Right heart cath o2 saturation & cardiac output (93451) $6,523.21 $9,318.87 2.0×
Right ventricular recording (93603) $5,671.59 $8,102.26 4.6×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $101.64 $145.20
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $100.04 $142.91
Speech sound lang comprehen (92523) $224.66 $320.94
Standardized cognitive performance testing (96125) $272 $388.56
Stress tte only (93350) $1,807.66 $2,582.37 3.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $125.03 $178.61
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $121.50 $173.56
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $57.54 $82.20
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $113.75 $162.49
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $109.41 $156.30
Therapeutic prophylactic/dx injection subq/im (96372) $148.50 $212.14 2.0×
Tilt table evaluation (93660) $2,738.02 $3,911.45 7.2×
Tobacco use cessation intensive >10 minutes (99407) $56.08 $80.11 1.5×
Tobacco use cessation intermediate 3-10 minutes (99406) $31.26 $44.65 0.8×
Transcath closure of asd (93580) $22,900.60 $32,715.13 1.2×
Transcranial doppler stdy intracranial art compl (93886) $1,099.72 $1,571.02 4.5×
Tte f-up or lmtd (93308) $487.64 $696.61 2.0×
Tte w/doppler complete (93306) $3,025.40 $4,322 5.4×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $171.38 $244.82
Tx speech language voice commj auditry 2/>indiv (92508) $71.93 $102.75
Unlisted modality (specify type and time if constant attendance) (97039) $99.48 $142.11
Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) $175.86 $251.22 3.7×
Upr/l xtremity art 2 levels (93922) $524.74 $749.62 3.9×
Valvuloplasty aortic valve (92986) $8,277.11 $11,824.44 1.4×
Veeg by tech 2-12 hours unmonitored (95711) $2,069.33 $2,956.18 9.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,670.25 $3,814.64 7.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $5,161.37 $7,373.38 5.9×
Veeg by tech ea incr 12-26 hr unmonitored (95714) $4,015.87 $5,736.95 10.5×
Ventilation ip/obs initial day (94002) $1,624.84 $2,321.19 2.6×
Ventilator subsequent day (94003) $1,018.09 $1,454.41 1.6×
Vital capacity total (94150) $176.31 $251.86 1.3×
Wound(s) care non-selective (97602) $368.92 $527.02 1.8×