Visits & medical services prices at Evanston Regional Hospital
Evanston, WY · every code in this section with a posted price and a Medicare benchmark.
135 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $112.84 | $188.07 | 0.5× |
| Airway Inhalation Treatment (94640) | $210.09 | $350.15 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$51.21–$55.96 | $85.35–$93.27 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $44.92 | $74.86 | 6.1× |
| Assessment of aphasia per hr (96105) | $210.55 | $350.92 | 2.2× |
| Behavral qualit analys voice (92524) | $215.45 | $359.08 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $221.18 | $368.64 | 0.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$155.45–$169.87 | $259.08–$283.11 | varies |
| Car seat/bed test 60 min (94780) | $270.12 | $450.20 | 7.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $765.05 | $1,275.09 | 3.5× |
| Cardiopulmonary resuscitation (92950) | $1,024.49 | $1,707.49 | 4.6× |
| Cardioversion (92960) | $1,576.15 | $2,626.91 | 2.3× |
| Chemo IV infusion addl hr (96415) | $1,391.12 | $2,318.54 | 18.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $2,434.48 | $4,057.46 | 7.2× |
| Chest Wall Manipulation (94668) | $76.36 | $127.27 | 0.6× |
| Color/duplex Doppler, complete (93975) | $525.55 | $875.92 | 2.2× |
| Color/duplex Doppler, limited (93976) | $372.21 | $620.35 | 3.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $63.78 | $106.30 | 2.0× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$335.17–$349.11 | $558.61–$581.85 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $643.59 | $1,072.65 | 2.9× |
| Cpt initial (94667) | $91.01 | $151.68 | 0.7× |
| Critical care first hour (99291) | $2,654.96 | $4,424.94 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$362.43–$396.04 | $604.05–$660.07 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $525.55 | $875.92 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $372.21 | $620.35 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $637.93 | $1,063.22 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $465.53 | $775.89 | 4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,044.15 | $1,740.25 | 4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $698.42 | $1,164.03 | 6.5× |
| Duplex up extrem art bilat (93930) | $637.93 | $1,063.22 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $465.53 | $775.89 | 4.4× |
| ECG/monitoring and analysis (93271) | $312.02 | $520.04 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) | $354.95 | $591.58 | 1.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,121.80 | $3,536.34 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$51.21–$55.96 | $85.35–$93.27 | varies |
| Electrocardiogram Tracing (93005) | $192 | $320 | 3.2× |
| Emergency Dept Visit Level 2 (99282) | $445.10 | $741.84 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $694.82 | $1,158.03 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,223.57 | $2,039.28 | 2.9× |
| Er level 1 (99281) | $192.93 | $321.55 | 2.2× |
| Er level v (99285) | $1,891.05 | $3,151.75 | 3.1× |
| Evaluate pt use of inhaler (94664) | $75.74 | $126.24 | 0.3× |
| Evaluate Speech Production (92522) | $215.45 | $359.08 | 1.9× |
| Evaluate Swallowing Function (92610) | $204.19 | $340.32 | 2.4× |
| Evaluation of speech fluency (92521) | $215.45 | $359.08 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $502.19 | $836.98 | 13.2× |
| External ECG rec>7d<15d recording (93246) | $502.19 | $836.98 | 13.2× |
| External Ecg Scanning Analysis Report (93226) | $517.28 | $862.13 | 8.6× |
| Extracranial Bilat Study (93880) | $824.70 | $1,374.50 | 3.4× |
| Extracranial Uni/Ltd Study (93882) | $254.66 | $424.44 | 2.4× |
| Gastric motility studies (91020) | $870.60 | $1,451 | 2.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,016.90 | $1,694.84 | 1.2× |
| Gi wireless capsule measure (91112) | $1,156.42 | $1,927.36 | 1.2× |
| Holter monitor recording (93225) | $517.28 | $862.13 | 3.8× |
| Immunization administration (90471) | $83.60 | $139.33 | 1.1× |
| Insert/Place Heart Catheter (93503) | $2,223.79 | $3,706.32 | 1.4× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$51.21–$55.96 | $85.35–$93.27 | varies |
| Irrig Drug Delivery Device (96523) | $186.41 | $310.68 | 3.1× |
| IV infusion hydration each additional hour (96361) | $182.81 | $304.68 | 3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $296.15 | $493.58 | 1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$179.59–$187.41 | $299.32–$312.35 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $237.26 | $395.44 | 5.0× |
| IV push initial (96374) | $284.29 | $473.82 | 1.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $55.79 | $92.99 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57.31 | $95.52 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $89.40 | $149 | 2.4× |
| Methacholine challenge (94070) | $132.87 | $221.45 | 0.3× |
| Motility study esophagus (91010) | $816.35 | $1,360.58 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $247.64 | $412.73 | 2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$128.74–$140.68 | $214.57–$234.47 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$188.12–$205.57 | $313.53–$342.61 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $480 | $800 | 2.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $480 | $800 | 1.3× |
| Nerve conduction studies 13 or more studies (95913) | $480 | $800 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $480 | $800 | 2.2× |
| Nerve conduction studies 5-6 studies (95909) | $480 | $800 | 2.2× |
| Nerve conduction studies 7-8 studies (95910) | $480 | $800 | 1.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $480 | $800 | 1.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$68.57–$74.93 | $114.29–$124.89 | varies |
| Newborn resuscitation (99465) | $632 | $1,053.33 | 0.9× |
| Oral Function Therapy (92526) | $106.78 | $177.97 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$51.21–$55.96 | $85.35–$93.27 | varies |
| Ot eval high complexity (97167) | $98.35 | $163.92 | 1.0× |
| Ot Eval Low Complex (97165) | $210.55 | $350.92 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $210.55 | $350.92 | 2.1× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$113.37–$123.88 | $188.95–$206.47 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$44.92–$49.08 | $74.86–$81.80 | varies |
| Ot Re-Eval Est Plan Care (97168) | $98.35 | $163.92 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $148.69 | $247.82 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $148.69 | $247.82 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $242.10 | $403.50 | 1.1× |
| Phlebotomy therapeutic (99195) | $92.91 | $154.85 | 0.7× |
| Physical Performance Test (97750) | $62.88 | $104.80 | 1.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,531.40 | $5,885.67 | 4.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,809.98 | $3,016.63 | 2.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $3,531.40 | $5,885.67 | 4.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $62.88 | $104.80 | 1.7× |
| Pt Eval High Complex (97163) | $210.55 | $350.92 | 2.2× |
| Pt eval low complex 20 min (97161) | $210.55 | $350.92 | 2.2× |
| Pt Eval Mod Complex (97162) | $210.55 | $350.92 | 2.2× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$60.68–$66.31 | $101.14–$110.52 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$44.92–$49.08 | $74.86–$81.80 | varies |
| Pt Re-Eval Est Plan Care (97164) | $98.35 | $163.92 | 1.5× |
| Pulm function test by gas (94727) | $88.99 | $148.32 | 0.4× |
| Pulmonary Stress Testing (94618) | $64.89 | $108.15 | 0.5× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $20.86 | $34.77 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $31.30 | $52.17 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $10.43 | $17.39 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $117.77 | $196.28 | 3.1× |
| Respiratory flow volume loop (94375) | $139.96 | $233.26 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$100.13–$109.42 | $166.89–$182.37 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$58.92–$64.39 | $98.20–$107.31 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$67.01–$73.22 | $111.68–$122.03 | varies |
| Sleep study unattended (95806) | $529.64 | $882.73 | 2.4× |
| Speech sound lang comprehen (92523) | $215.45 | $359.08 | 1.0× |
| Spirometry (94010) | $185.40 | $309 | 0.8× |
| Temp transcutaneous pacing (92953) | $582.36 | $970.60 | 0.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$107.17–$117.10 | $178.61–$195.17 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $113.29 | $188.81 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $443.72 | $739.53 | 2.0× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$54.44–$59.48 | $90.73–$99.14 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $37.08 | $61.80 | 1.0× |
| Tte w/doppler, complete (93306) | $1,712.53 | $2,854.21 | 3.1× |
| Tte W/O Doppler Complete (93307) | $611.31 | $1,018.85 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $209.92 | $349.87 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $195.59 | $325.98 | 4.1× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $593.69 | $989.49 | 4.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $177.59 | $295.98 | 1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $293.72 | $489.53 | 1.3× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$44.92–$49.08 | $74.86–$81.80 | varies |
| Vent Mgmt Inpat Init Day (94002) | $412.10 | $686.83 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $343.42 | $572.37 | 0.5× |
| Vital capacity, total (94150) | $55.79 | $92.99 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $68.31 | $113.85 | 2.2× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$44.92–$49.08 | $74.86–$81.80 | varies |
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.