Visits & medical services prices at Cody Regional Health

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic immitance testing (92570) $73.95 $87 0.6×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $682.55 $803 2.0×
Advance care planning first 30 mins (99497) $204 $240 2.0×
Aerosol inhalation pentamidine (94642) $246.29 $289.75 1.1×
Airway inhalation treatment (94640) $107.52 $126.49 0.5×
Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95018) $62.05 $73 1.6×
Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95017) $182.75 $215 6.2×
Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) $209.95 $247 1.5×
Ambulatory bp recording (93786) $95.29 $112.10 0.7×
Appl on-body injector for timed subq injection (96377) $126.74 $149.11 2.6×
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $102.60 $120.70
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $124.27 $146.20
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $96.74 $113.82
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $125.18 $147.28
Assessment of aphasia (96105) $158.78 $186.80
Basic vestibular evaluation (92540) $225.25 $265 1.0×
Behavioral & qualit analysis voice and resonance (92524) $176.35 $207.47
Bipap initial day (94660) $487.12 $573.08 2.2×
Breathing capacity test (94010) $152.60 $179.52 0.7×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $315.74 $371.45 0.8×
Canalith repositioning (95992) $109.65 $129
Car seat/bed test inft thru 12 mo 60 min (94780) $317.59 $373.64 8.3×
Cardiovascular procedure unlisted (93799) $2,784.60 $3,276 21.2×
Cardiovascular stress test (93017) $944.46 $1,111.13 4.3×
Cardioversion elective external (92960) $1,210.82 $1,424.50 1.8×
Cardioversion elective internal (92961) $2,405.50 $2,830 3.6×
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) $138.55 $163 3.6×
Caregiver training 1st 30 min (97550) $112.20 $132
Caregiver training ea addl 15 (97551) $60.35 $71
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $2,815.20 $3,312 0.8×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $3,194.30 $3,758 1.0×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $2,882.35 $3,391 0.9×
Chemo anti-neopl sq/im (96401) $335.81 $395.07 4.6×
Chemo hormon antineopl sq/im (96402) $134.17 $157.85 1.8×
Chemo IV infus each addl seq (96417) $299.86 $352.78 4.1×
Chemo IV infusion addl hr (96415) $157.41 $185.19 2.1×
Chemo IV push addl drug (96411) $257.71 $303.19 3.5×
Chemother prolong infuse w/pump (96416) $787.12 $926.02 2.3×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $540.01 $635.31 1.6×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $276.96 $325.84 0.8×
Chest physiotherapy initial (94667) $109.53 $128.86 0.8×
Chron care mgmt srvc 20 min (99490) $158.10 $186 1.5×
Color/duplex Doppler, complete (93975) $591.60 $696 2.4×
Color/duplex Doppler, limited (93976) $481.63 $566.62 4.5×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $103.28 $121.50
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) $333.20 $392 1.8×
Comprehensive hearing test (92557) $123.25 $145 0.9×
Concurrent chemotherapy (96549) $77.35 $91 1.6×
Conditioning play audiometry (92582) $97.75 $115 0.7×
Cont gluc mntr physician/qhp provided equipment (95250) $407.24 $479.11 3.0×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $442.71 $520.84 3.3×
Coronary art/grft angio s&i (93455) $2,544.90 $2,994 0.8×
Coronary artery angio s&i (93454) $1,956.70 $2,302 0.6×
Cpr (92950) $1,539.99 $1,811.76 7.0×
Critical care ill/injured patient init 30-74 min (99291) $647.38 $761.62 0.8×
Debridement open wound 20 sq cm< (97597) $227.80 $268 1.1×
Delivery/birthing room resuscitation (99465) $357.85 $421 0.5×
Developmental tst admin phys/qhp 1st hour (96112) $330.65 $389 2.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $209.10 $246 0.5×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $767.54 $902.98 3.1×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $1,099.64 $1,293.70 4.5×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $878 $1,032.94 8.2×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $673.55 $792.41 2.8×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $548.57 $645.38 5.1×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $1,182.15 $1,390.77 4.8×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $658.97 $775.26 6.2×
ECG monit/reprt up to 48 hrs (93226) $656.20 $772 10.9×
Echo transesophageal (93312) $1,116.18 $1,313.16 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,298.82 $2,704.50 4.1×
Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) $499.77 $587.96 0.9×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $1,581.85 $1,861 6.5×
EKG 12 lead tracing only (93005) $175.86 $206.89 2.9×
EKG rhythm strip (93041) $115.60 $136 1.9×
Emergency department visit high mdm (99285) $445.40 $524 0.7×
Emergency department visit low mdm (99283) $172.55 $203 0.6×
Emergency department visit may not req phys/qhp (99281) $54.40 $64 0.6×
Emergency department visit moderate mdm (99284) $302.60 $356 0.7×
Emergency department visit straightforward mdm (99282) $106.25 $125 0.7×
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $237.15 $279 1.8×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) $1,250.54 $1,471.22 3.3×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) $454.46 $534.66 2.1×
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) $986.98 $1,161.16 2.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $216.75 $255 1.6×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $236.26 $277.95
Evaluate pt use of inhaler (94664) $270.58 $318.33 1.2×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) $86.40 $101.65
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $445.74 $524.40
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $459.85 $541
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) $113.05 $133
Evaluation of central auditory function, with report; initial 60 minutes (92620) $129.20 $152 1.0×
Evaluation of speech fluency (92521) $313.65 $369
Evaluation of speech sound production articulate (92522) $302.93 $356.39
Evoked auditory test limited (92587) $175.10 $206 0.8×
External ECG rec>48hr<7d recording (93242) $209.50 $246.47 5.5×
External ECG rec>7d<15d recording (93246) $302.64 $356.06 7.9×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $568.74 $669.11 4.2×
Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) $44.20 $52 1.5×
Fluidotherapy (97022) $129.20 $152
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $226.95 $267 1.0×
Gastroesophag reflx test w/cath ph eltrd plcmt (91034) $1,381.25 $1,625 3.6×
Group caregiver training strategies & technique (97552) $26.35 $31
Im adm intransl/oral 1 vaccine (90473) $18.70 $22 0.3×
Imm admn sarscov2 vaccine single dose (90480) $34 $40 0.8×
Immunization administration (90471) $24.29 $28.58 0.3×
Infrared therapy (97026) $42.50 $50
Ingestion challenge test initial 120 minutes (95076) $277.10 $326 0.7×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) $234.60 $276 1.7×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $275.40 $324 2.0×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $186.20 $219.06 3.9×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $173.44 $204.04 0.8×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $68.85 $81 1.8×
Interrog device eval heart (93289) $124.10 $146 3.3×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) $110.50 $130 2.9×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) $130.90 $154 4.4×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) $134.30 $158 3.5×
Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) $147.05 $173 3.9×
Irrigaj implntd venous access drug delivery syst (96523) $197.73 $232.62 3.3×
IV infusion hydration each additional hour (96361) $195.88 $230.46 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $359.26 $422.66 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $259.57 $305.38 3.5×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $499.50 $587.65 2.3×
IV tx, each additional hour (96366) $208.30 $245.05 4.4×
Loudness balance test, alternate binaural or monaural (92562) $46.75 $55 0.2×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $83.56 $98.30 0.6×
Maximum voluntary ventilation (94200) $176.80 $208 2.9×
Measurement of adequacy of hearing protection device (92596) $44.20 $52 1.2×
Mechanical chest wall oscillation lung function (94669) $227.06 $267.13 1.0×
Mechanical traction therapy (97012) $106.73 $125.56
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $27.46 $32.31
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $29.88 $35.15
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $326.80 $384.47
Nasopharyngoscopy (92511) $95.20 $112 0.5×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $885.87 $1,042.20 2.1×
Neg pressure wound therapy non dme >50 sq cm (97608) $932.45 $1,097 2.2×
Negative pressure wound therapy dme </= 50 sq cm (97605) $314.90 $370.47 1.5×
Negative pressure wound therapy dme >50 sq cm (97606) $551.66 $649.02 1.3×
Non-invasive physiologic study extremity 3 levels (93923) $236.72 $278.50 1.1×
Noninvasive ear/pulse oximetry overnight monitor (94762) $210.94 $248.17 1.6×
Occupational therapy eval high complex 60 mins (97167) $146.51 $172.37
Occupational therapy eval low complex 30 mins (97165) $149.13 $175.45
Occupational therapy eval mod complex 45 mins (97166) $134.25 $157.94
Oral function therapy (92526) $121.19 $142.58
Orthc/prostc mgmt sbsq enc (97763) $77.54 $91.22
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $64.86 $76.30
Osteopath manj 1-2 regions (98925) $64.60 $76 2.9×
Osteopath manj 3-4 regions (98926) $83.30 $98 3.8×
Osteopath manj 9-10 regions (98929) $119.85 $141 5.4×
Osteopathic manipulative tx 5-6 body regions (98927) $101.15 $119 4.6×
Osteopathic manipulative tx 7-8 body regions (98928) $110.50 $130 5.0×
Ot manual therapy ea 15 min (97140) $117.78 $138.57
Ot neuromuscular re-education (97112) $95.71 $112.60
Ot paraffin bath (97018) $75.65 $89
Ot re-evaluation (97168) $93.67 $110.20
OT Therapeutic Activities Charges (97530) $72.88 $85.74
Ot wheelchair management (97542) $70.57 $83.02
Outpatient cardiac rehab w/cont ECG monitoring (93798) $172 $202.35 1.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $39.57 $46.55 0.3×
Patch or application test(s) (specify number of tests) (95044) $22.10 $26 0.0×
Phlebotomy therapeutic (99195) $270.59 $318.34 2.0×
Physical therapy evaluation high complex 45 mins (97163) $144.98 $170.57
Physical therapy evaluation low complex 20 mins (97161) $153.73 $180.86
Physical therapy evaluation mod complex 30 mins (97162) $135.01 $158.84
Pm device progr eval multi (93281) $141.95 $167 3.7×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $3,238.50 $3,810 3.7×
Pr hypnotherapy (90880) $252.45 $297 2.4×
Pr tympanometry and reflex threshold measurements (92550) $55.25 $65 0.3×
Prgrmg dev eval pm/ldls pm (93279) $124.95 $147 3.3×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $156.40 $184 1.5×
Program eval implantable in persn dual ld pacer (93280) $122.40 $144 3.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $246.50 $290 6.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) $195.50 $230 5.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) $306.85 $361 8.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $166.60 $196 4.4×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $83.30 $98
Prq trluml coronary angio/atherect one art/brnch (92924) $6,459.58 $7,599.50 0.5×
Prq trluml coronary angioplasty one art/branch (92920) $4,687.75 $5,515 0.8×
Prq trluml coronary byp grft revasc one vessel (92937) $13,708.80 $16,128 1.2×
Prq trluml coronary stent w/angio one art/brnch (92928) $5,952.55 $7,003 0.5×
Prq trluml coronry chronic occlus revasc one vsl (92943) $7,186.75 $8,455 0.6×
Prq trluml coronry stent/ath/angio one art/brnch (92933)
unusually low — confirm this is the full procedure
$7,715.02 $9,076.50 0.4×
Psych diag eval w/med srvcs (90792) $368.05 $433 2.0×
Psychiatric diagnostic evaluation (90791) $350.16 $411.95 1.9×
Psychological tst eval svc phys/qhp first hour (96130) $283.90 $334 1.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $99.45 $117 0.2×
Psytx crisis initial 60 min (90839) $387.60 $456 2.1×
Pt gait training 15 min (97116) $74.07 $87.14
Pt physical performance test (97750) $123.25 $145
Pt re-evaluation (97164) $110.44 $129.93
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $325.55 $383
Pulm funct tst plethysmograp (94726) $146.21 $172.01 0.4×
Pulmonary stress testing (94618) $458.91 $539.90 3.4×
R hrt art/grft angio (93457) $3,116.10 $3,666 0.9×
R hrt coronary artery angio (93456) $2,751.45 $3,237 0.8×
R&l hrt art/ventricle angio (93461) $3,581.90 $4,214 1.1×
R&l hrt cath w/ventriclgrphy (93453) $2,784.60 $3,276 0.8×
Rem interrog icpms <30 d phys/qhp (93297) $79.05 $93 2.1×
Rem interrog scrms <30 d phys/qhp (93298) $118.15 $139 3.1×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $120.70 $142 3.2×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $50.15 $59 0.4×
Remote 30 day ECG rev/report (93270) $261.59 $307.75 6.9×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $126.65 $149
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $98.60 $116
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $50.15 $59 0.4×
Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) $109.65 $129 2.9×
Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98976) $109.65 $129 2.9×
Repet tms tx initial w/map/motr threshld/del&m (90867) $331.50 $390 1.5×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $272.85 $321 1.2×
Review patient spirometry (94016) $92.65 $109
Right heart cath o2 saturation & cardiac output (93451) $1,700.85 $2,001 0.5×
Select picture audiometry (92583) $66.30 $78 1.1×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $73.24 $86.16
Speech audiometry threshold (92555) $44.20 $52 0.7×
Speech sound lang comprehen (92523) $402.05 $473
Standardized cognitive performance testing (96125) $187.14 $220.16
Stenger test pure tone (92565) $44.20 $52 0.7×
Stenger test speech (92577) $73.95 $87 0.2×
Stress tte only (93350) $1,413.97 $1,663.49 2.5×
Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) $68 $80
Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) $101.15 $119
Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) $34 $40
Temp transcutaneous pacing (92953) $655.35 $771 1.0×
Test for ability to detect and repeat spoken words with speech recognition (92556) $61.20 $72 1.0×
Test for hearing various pitches using earphone (92552) $47.60 $56 0.4×
Test for hearing various pitches using earphone and device placed against the bone (92553) $69.70 $82 0.5×
Test to assess by hearing by examining the repetition of real words versus nonsense words (92571) $59.50 $70 1.6×
Test to assess defects in adaption to sounds (92563) $49.30 $58 1.3×
Test to assess hearing loss using different tone pitches (92575) $51.85 $61 1.4×
Test to assess hearing loss using grammatically incorrect sentences (92576) $53.55 $63 1.4×
Test to assess hearing using 2 syllable words (92572) $51.85 $61 0.4×
Test to assess middle ear muscle reflex (92568) $51.85 $61 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $76.34 $89.81
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $72.40 $85.17
Therap repetitive tms tx subseq delivery & mng (90868) $218.28 $256.80 1.0×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $80.75 $95
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $105.56 $124.18
Therapeutic prophylactic/dx injection subq/im (96372) $54.22 $63.78 0.7×
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $283.05 $333
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $100.94 $118.75
Tinnitus assessment (92625) $125.80 $148 1.0×
Tobacco use cessation intensive >10 minutes (99407) $84.15 $99 2.2×
Tobacco use cessation intermediate 3-10 minutes (99406) $42.50 $50 1.1×
Trans care mgmt 14 day disch (99495) $325.55 $383 2.4×
Trans care mgmt 7 day disch (99496) $466.65 $549 3.4×
Transcath closure of asd (93580)
likely a partial charge — not the full procedure
$2,538.10 $2,986 0.1×
Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) $47.60 $56 1.2×
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) $1,380.40 $1,624 2.5×
Tte congenital complete (93303) $1,869.15 $2,199 3.3×
Tte f-up or lmtd (93308) $509.64 $599.58 2.1×
Tte w/doppler complete (93306) $1,745.20 $2,053.18 3.1×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $163.85 $192.77
Tx speech language voice commj auditry 2/>indiv (92508) $354.45 $417
Tympanometry (92567) $28.05 $33 0.7×
Upr/l xtremity art 2 levels (93922) $174 $204.70 1.3×
Valvuloplasty aortic valve (92986) $3,814.38 $4,487.50 0.7×
Ventilation ip/obs initial day (94002) $1,133.29 $1,333.28 1.8×
Ventilator subsequent day (94003) $778.08 $915.39 1.2×
Visual reinforcement audiometry (vra) (92579) $87.55 $103 0.4×
Vital capacity total (94150) $64.60 $76 0.5×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $102.85 $121
Wound(s) care non-selective (97602) $222.28 $261.50 1.1×