Supplies, drugs & other prices at Evanston Regional Hospital
Evanston, WY · every code in this section with a posted price and a Medicare benchmark.
30 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $74.95 | $124.92 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $557.97 | $929.95 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $39.63 | $66.05 | 0.8× |
| Admin influenza virus vac (G0008) | $38.11 | $63.52 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $40.62 | $67.70 | 0.8× |
| Catheterize for urine spec (P9612) | $105.06 | $175.10 | 11.2× |
| Covid-19 lab test non-cdc (U0002) | $107.08 | $178.46 | 2.1× |
| Direct refer hospital observ (G0379) | $879.70 | $1,466.17 | 1.4× |
| Eia hiv-1/hiv-2 screen (G0432) | $47.98 | $79.96 | 2.5× |
| Elisa hiv-1/hiv-2 screen (G0433) | $47.98 | $79.96 | 2.6× |
| Hiv combination assay (G0475) | $113.14 | $188.56 | 4.7× |
| Inj for sacroiliac jt anesth (G0260) | $649.64 | $1,082.74 | 0.9× |
| Mra w/cont, abd (C8900) | $1,597.49 | $2,662.49 | 4.5× |
| Mra w/cont, chest (C8909) | $1,185.34 | $1,975.56 | 3.3× |
| Mra w/cont, lwr ext (C8912) | $1,938.34 | $3,230.57 | 5.4× |
| Mra w/cont, pelvis (C8918) | $1,525.47 | $2,542.45 | 4.3× |
| Mra w/o cont, abd (C8901) | $1,279.50 | $2,132.50 | 5.2× |
| Mra w/o cont, chest (C8910) | $1,054.38 | $1,757.30 | 4.3× |
| Mra w/o cont, lwr ext (C8913) | $1,707.66 | $2,846.11 | 7.0× |
| Mra w/o cont, pelvis (C8919) | $1,412.07 | $2,353.45 | 5.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,927.19 | $3,211.99 | 5.4× |
| Mra w/o fol w/cont, chest (C8911) | $1,674.57 | $2,790.95 | 4.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,467.82 | $4,113.04 | 6.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,611.46 | $2,685.76 | 4.5× |
| Mri w/o fol w/cont, breast, (C8908) | $3,080.66 | $5,134.43 | 8.6× |
| Oral hiv-1/hiv-2 screen (G0435) | $186.71 | $311.18 | 15.6× |
| Psa screening (G0103) | $147.28 | $245.47 | 7.6× |
| Trauma respons w/hosp criti (G0390) | $4,234.98 | $7,058.30 | 3.1× |
| Tte w or w/o fol w/con,stres (C8928) | $852.58 | $1,420.97 | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $733.16 | $1,221.93 | 1.0× |