Visits & medical services prices at Cheyenne Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $16,641.54 $23,773.62 2.1×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$47.67–$588.62 $68.10–$840.88 varies
Analyze Pacemaker System (93724) $497.40 $710.56 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $123.29 $176.12 8.6×
Application Modality 1/> Areas Diathermy (97024) $97.42 $139.16 13.3×
Application Modality 1/> Areas Infrared (97026) $61.64 $88.05 9.2×
Application on-body injector (96377) $124.99 $178.55 2.6×
Arrhythmia Induction (93618) $5,766.70 $8,238.14 4.6×
Assessment of aphasia per hr (96105) $421.02 $601.45 4.3×
Behavral qualit analys voice (92524) $114.99 $164.26 1.0×
Bis Xtracell Fluid Analysis (93702) $222.85 $318.35 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $870.71 $1,243.86 2.3×
Bundle of his recording (93600) $6,408.81 $9,155.43 0.8×
Canalith repositioning proc (95992) $185.94 $265.62 4.6×
Cardiac Stress Tst,Tracing Only (93017) $1,911.08 $2,730.11 8.7×
Cardiopulmonary resuscitation (92950) $1,281.33 $1,830.46 5.8×
Cardioversion (92960) $2,272.02 $3,245.73 3.4×
Cardioversion elective internal (92961) $1,855.18 $2,650.25 2.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $57.89 $82.69 2.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $23,876.20 $34,108.85 7.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $21,970.10 $31,385.85 6.6×
Cbt 1st hour (94644) $236.21 $337.44 1.7×
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 Ia Push (96420) $393.10 $561.56 1.2×
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 Into Cns (96450) $989.06 $1,412.94 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $462.72 $661.02 6.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $718.68 $1,026.68 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $491.15 $701.64 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $395.27 $564.66 1.2×
Chest Wall Manipulation (94668) $101.80 $145.42 0.7×
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 Trainj Ea 15 Min (97537) $77.26 $110.37 2.4×
Continuous Pulse Ox (94762) $127.57 $182.24 1.0×
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×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $701.08 $1,001.54 3.1×
Cpt initial (94667) $180.85 $258.35 1.3×
Critical care first hour (99291) $3,400.86 $4,858.36 4.0×
Debridement Open Wound 20 Sq Cm< (97597) $685.39 $979.12 3.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,150.31 $1,643.29 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $777.64 $1,110.91 7.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,314.58 $1,877.97 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $914.39 $1,306.26 8.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,662.82 $2,375.45 6.8×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$125.06–$1,157.20 $178.65–$1,653.13 varies
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 Hemodialysis Access (93990) $722.66 $1,032.37 6.8×
Duplex up extrem art bilat (93930) $1,323.61 $1,890.87 5.4×
Duplex up extrem art unilat/ltd (93931) $924.88 $1,321.25 8.7×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$284.27–$691 $406.09–$987.13 varies
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×
EEG awake and 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 2-12 Hr Unmntr (95705) $2,062.39 $2,946.26 9.3×
EEG wo vid ea 12-26hr unmntr (95708) $3,991.14 $5,701.62 10.5×
Electrical Stimulation Ea 15 Min (97032) $131.77 $188.24 9.0×
Electrocardiogram Tracing (93005) $366.71 $523.86 6.1×
Electroconvulsive Therapy (90870) $1,362.58 $1,946.54 1.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,694.59 $9,563.70 0.8×
Electrophysiology Evaluation (93642) $3,396.76 $4,852.51 2.7×
Emergency Dept Visit Level 2 (99282) $637.99 $911.41 4.1×
Emergency Dept Visit Level 3 (99283) $1,090.80 $1,558.28 3.9×
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$611.73–$3,810.90 $873.89–$5,444.14 varies
Ep & ablate supravent arrhyt (93653) $35,531.43 $50,759.18 1.3×
Ep & ablate ventric tachy (93654) $40,166.28 $57,380.40 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $16,768.76 $23,955.36 2.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $12,649.73 $18,071.04 1.6×
Ep Esophageal Recording Atria+Pacing (93616) $3,960.87 $5,658.38 3.2×
Er level 1 (99281)
range across 2 matching MRF lines
$147.09–$319.23 $210.12–$456.03 varies
Er level v (99285)
range across 3 matching MRF lines
$2,377.60–$5,964.67 $3,396.56–$8,520.95 varies
Esoph Atrial Electrogram (93615) $4,854.32 $6,934.74 3.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,274 $1,820 3.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,332.20 $1,903.13 3.5×
Evaluate pt use of inhaler (94664) $102.86 $146.94 0.5×
Evaluate Speech Production (92522) $112.38 $160.54 1.0×
Evaluate Swallowing Function (92610) $260.45 $372.07 3.1×
Evaluation of speech fluency (92521) $120.50 $172.14 0.9×
Exercise test for bronchospasm (94617) $756.10 $1,080.13 5.6×
Extracranial Bilat Study (93880) $1,311.08 $1,872.96 5.4×
Extracranial Uni/Ltd Study (93882) $784.38 $1,120.53 7.3×
Flexible endoscopic eval swallow c/v rec (92612) $509.14 $727.34 2.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,650.32 $2,357.60 4.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,147.05 $1,638.63 5.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,232 $1,759.99 1.4×
Group Therapeutic Procedures (97150) $57.54 $82.20 3.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $24,818.27 $35,454.66 7.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,056.23 $1,508.89 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $111.42 $159.17 1.5×
Immunization administration (90471)
range across 4 matching MRF lines
$54.48–$59.83 $77.82–$85.47 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,090.10 $1,557.28 2.9×
Insert/Place Heart Catheter (93503) $1,729.03 $2,470.04 1.1×
Intra-atrial pacing (93610) $5,379.34 $7,684.77 0.7×
Intra-atrial recording (93602) $5,555.19 $7,935.98 0.7×
Intracranial Complete Study (93886) $1,099.72 $1,571.02 4.5×
Intraventricular pacing (93612) $5,638.62 $8,055.17 0.7×
Iontophoresis 15 min (97033) $127.22 $181.73 6.7×
Irrig Drug Delivery Device (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 ea hour (96366) $213.48 $304.97 4.5×
IV push initial (96374) $133.32 $190.45 0.6×
L Hrt Art/Grft Angio (93459) $20,292.50 $28,989.28 6.1×
Lung Function Test (Mbc/Mvv) (94200) $316.60 $452.28 5.3×
Lwr Xtr Vasc Stdy Bilat (93924) $919.08 $1,312.96 4.2×
Mechanical chest wall oscillation per session (94669) $238.03 $340.03 1.1×
Motility study esophagus (91010) $2,250.76 $3,215.36 5.9×
Motion Fluoroscopy/Swallow (92611) $381.93 $545.61 4.2×
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×
Neuromuscular Reeducation (97112) $111.03 $158.61 3.4×
Newborn resuscitation (99465) $978.36 $1,397.65 1.4×
Oral Function Therapy (92526) $175.29 $250.41 2.1×
Oral Speech Device Eval (92597) $273.19 $390.26 3.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $157.24 $224.62 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128.45 $183.49 2.8×
Ot eval high complexity (97167) $271.67 $388.10 2.7×
Ot Eval Low Complex (97165) $132.02 $188.59 1.3×
Ot Eval Moderate Complexity (97166) $198.03 $282.90 2.0×
Ot manual therapy 15 min (97140) $126.07 $180.09 4.5×
Ot paraffin bath (97018) $68.08 $97.25 11.3×
Ot Re-Eval Est Plan Care (97168) $114.82 $164.02 1.7×
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 Rest Indirect (94690) $351.28 $501.82 5.8×
Pdt dstr prmlg les skn illum/activj per day (96567) $471.36 $673.37 2.3×
Penile Vascular Study,Ltd or F/U (93981) $1,061.20 $1,515.99 9.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $231.78 $331.11 1.0×
Peripheral arterial disease rehab per session (93668) $121.47 $173.52 2.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $32,775.22 $46,821.73 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$9,772.76–$10,175.97 $13,961.08–$14,537.10 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,115.44 $21,593.48 1.3×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$193.23–$213.36 $276.03–$304.80 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $237.89 $339.84 3.9×
Physical Performance Test (97750) $111.15 $158.78 3.3×
Plethysmography (94726) $780.42 $1,114.88 2.0×
Pm device eval in person (93288) $114.19 $163.12 3.0×
Pm Device Progr Eval Sngl (93279) $115.38 $164.82 3.0×
Prq Card Angio/Athrect 1 Art (92924)
range across 2 matching MRF lines
$13,928.54–$20,639.91 $19,897.91–$29,485.58 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$13,979.55–$20,639.91 $19,970.78–$29,485.58 varies
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines
$19,102.90–$32,775.22 $27,289.85–$46,821.73 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$12,618–$20,639.91 $18,025.71–$29,485.58 varies
Prq trl rvs ch occ ant&rtrgr (92945) $20,639.91 $29,485.58 1.8×
Pt Eval High Complex (97163) $274.40 $392 2.8×
Pt eval low complex 20 min (97161) $213.24 $304.62 2.2×
Pt Eval Mod Complex (97162) $237.42 $339.17 2.4×
Pt gait training 15 min (97116) $80.52 $115.02 2.8×
Pt group caregiver training (97552) $50.17 $71.66 2.3×
Pt mechanical traction (97012) $146.79 $209.69 10.2×
Pt Re-Eval Est Plan Care (97164) $156.29 $223.26 2.3×
Pulmonary service/procedure (94799) $61.74 $88.20 0.5×
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 Cath W/Ventriclgrphy (93453) $23,552.13 $33,645.90 7.1×
Right Heart Cath (93451) $6,523.21 $9,318.87 2.0×
Right ventricular recording (93603) $5,671.59 $8,102.26 4.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $368.92 $527.02 1.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $103.38 $147.68 4.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $368.85 $526.92 3.0×
Self Care Mngment Training (97535) $101.64 $145.20 3.1×
Sensory Integration Ea 15 Min (97533) $100.04 $142.91 1.6×
Speech sound lang comprehen (92523) $224.66 $320.94 1.0×
Spirometry (94010) $426.42 $609.17 1.9×
Standardized Cognitive Performance Testing (96125) $272 $388.56 2.6×
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 5.6×
Ther Ivntj Ea Addl 15 Min (97130) $121.50 $173.56 5.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $113.75 $162.49 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $109.41 $156.30 3.7×
Ther/Prop/Diag Inj/Inf Proc (96379) $175.86 $251.22 3.7×
Ther/Proph/Diag Inj Sc/Im (96372) $148.50 $212.14 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $500.91 $715.58 2.3×
Therapeutic Activities (97530) $96.72 $138.16 2.8×
Tilt table test with heart rhythm and blood pressure monitoring (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×
Tte w/doppler, complete (93306) $3,025.40 $4,322 5.4×
Tte W/O Doppler Complete (93307) $1,137.77 $1,625.38 4.7×
Tx atrial fib pulm vein isol (93656) $48,287.76 $68,982.51 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $171.38 $244.82 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $71.93 $102.75 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $164.29 $234.70 3.4×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$13.56–$3,528 $19.36–$5,040 varies
Upr/L Xtremity Art 2 Levels (93922) $524.74 $749.62 3.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $844.88 $1,206.97 3.8×
Valvuloplasty aortic valve (92986) $8,277.11 $11,824.44 1.4×
Vasopneumatic device (97016) $90.05 $128.63 7.5×
Veeg 2-12 Hr Cont Mntr (95713) $2,670.25 $3,814.64 7.0×
Veeg 2-12 hr unmonitored (95711) $2,069.33 $2,956.18 9.4×
Veeg Ea 12-26 Hr Unmntr (95714) $4,015.87 $5,736.95 10.5×
Veeg ea 12-26hr cont mntr (95716) $5,161.37 $7,373.38 5.9×
Vent Mgmt Inpat Init Day (94002) $1,624.84 $2,321.19 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,018.09 $1,454.41 1.6×
Vital capacity, total (94150) $176.31 $251.86 1.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$50.50–$51.96 $72.14–$74.22 varies
Whirlpool Therapy (97022) $148.15 $211.63 9.4×

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.