Crook County Medical Services District
Sundance, WY · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-27.
Compare this hospital against others interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,530.08 | $2,040.10 | 14.3× |
| MRI brain without contrast (70551) | $2,161.42 | $2,881.90 | 8.9× |
| MRI brain without and with contrast (70553) | $3,356.02 | $4,474.70 | 9.4× |
| X-ray lower spine, 4+ views (72110) | $286.35 | $381.80 | 2.7× |
| MRI lumbar spine without contrast (72148) | $2,354.62 | $3,139.50 | 9.7× |
| CT pelvis with contrast (72193) | $1,799.18 | $2,398.90 | 10.0× |
| MRI lower-extremity joint without contrast (73721) | $1,735.35 | $2,313.80 | 7.1× |
| CT abdomen and pelvis with contrast (74177) | $3,368.92 | $4,491.90 | 9.5× |
| Ultrasound, abdomen complete (76700) | $911.70 | $1,215.60 | 8.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $591.68 | $788.90 | 5.5× |
| Ultrasound, transvaginal (76830) | $819.38 | $1,092.50 | 7.7× |
| Basic metabolic panel (80048) | $130.28 | $173.70 | 15.4× |
| Comprehensive metabolic panel (80053) | $170.78 | $227.70 | 16.2× |
| Lipid panel (80061) | $127.65 | $170.20 | 9.5× |
| Renal function panel (80069) | $111.30 | $148.40 | 12.8× |
| Urinalysis, non-automated, without microscopy (81002) | $21.60 | $28.80 | 6.2× |
| PSA, total (84153) | $135.45 | $180.60 | 7.4× |
| Thyroid stimulating hormone (TSH) (84443) | $137.18 | $182.90 | 8.2× |
| CBC with automated differential (85025) | $93.15 | $124.20 | 12.0× |
| CBC, automated (85027) | $68.18 | $90.90 | 10.5× |
| Prothrombin time (PT) (85610) | $56.92 | $75.90 | 13.3× |
| Partial thromboplastin time (PTT) (85730) | $89.70 | $119.60 | 14.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $74.25 | $99 | 2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $193.20 | $257.60 | 1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $303.60 | $404.80 | 2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $382.95 | $510.60 | 2.8× |
| Preventive visit, new patient (age 18–39) (99385) | $251.02 | $334.70 | — |
| Preventive visit, new patient (age 40–64) (99386) | $277.72 | $370.30 | — |
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs — the × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.