Visits & medical services prices at Hot Springs County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $194 $194 1.9×
Airway inhalation treatment (94640) $251 $251 1.1×
Appl on-body injector for timed subq injection (96377) $228 $228 4.8×
Assessment of aphasia (96105) $283 $283 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $431 $431 1.1×
Cardiac Stress Tst,Tracing Only (93017) $1,379 $1,379 6.3×
Cardiopulmonary resuscitation (92950) $775 $775 3.5×
Cardioversion (92960) $455 $455 0.7×
Care mgmt svc bhvl hlth cond (99484) $106 $106 2.8×
Cbt 1st hour (94644) $487 $487 3.6×
Chemo IV push addl drug (96411) $404 $404 5.5×
Chemo Iv Push Sngl Drug (96409) $584 $584 1.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $973 $973 2.9×
Chemother, IV infusion, 1 hr (96413) $920 $920 2.7×
Chemother, IV infusion, ea add hr (96415) $328 $328 4.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $435 $435 5.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $432 $432 5.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $88 $88 0.8×
Color/duplex Doppler, complete (93975) $971.50 $971.50 4.0×
Color/duplex Doppler, limited (93976) $510 $510 4.8×
Cpap initiation and management (94660) $1,012 $1,012 4.5×
Cpt initial (94667) $225 $225 1.7×
Critical care (99291) $877.50 $877.50 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $185.50 $185.50 0.9×
Demo &/or eval,pt use,aerosol device (94664) $261 $261 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $629.50 $629.50 2.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $451.50 $451.50 4.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $851 $851 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $488.50 $488.50 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,007.50 $1,007.50 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $529.50 $529.50 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $108 $108 1.0×
Duplex scan extracranial art compl bi study (93880) $675 $675 2.8×
Echo Heart Xthoracic,Limited (93308) $617.50 $617.50 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $115 $115 0.2×
Echo Transthoracic - Congenital Tte Limited (93304) $115 $115 0.2×
EKG (93005) $333.50 $333.50 5.5×
Er level 1 (99281) $253.50 $253.50 2.9×
Er level ii (99282) $508 $508 3.2×
Er level iii (99283) $617 $617 2.2×
Er level IV (99284) $944 $944 2.2×
Er level v (99285) $710 $710 1.2×
Evaluation of speech fluency (92521) $366 $366 2.7×
Evaluation of speech sound production (92522) $358 $358 3.2×
Evaluation of swallowing function (92610) $265 $265 3.1×
Evaluation with prescription of speech-generating alternative (92607) $655 $655 5.4×
External ECG rec>48hr<7d recording (93242) $519 $519 13.6×
External ECG rec>7d<15d recording (93246) $580.50 $580.50 15.2×
External Ecg Scanning Analysis Report (93226) $1,031 $1,031 17.1×
Flow volume loop (94375) $399 $399 1.8×
Holter Monitor Recording (93225) $755.50 $755.50 5.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $22.86 $22.86 0.3×
Immunization Admin (90471) $22.86 $22.86 0.3×
Immunotherapy, 2+ Injections (95117) $30 $30 0.6×
Inital newborn e/m (99460) $221 $221 1.6×
Initial normal newborn care, same day discharge (99463) $300 $300 2.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $254 $254 4.2×
IV infusion hydration each additional hour (96361) $151 $151 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $351 $351 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $362 $362 4.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $345.50 $345.50 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $190 $190 4.0×
IV push initial (96374) $336 $336 1.5×
Manual therapy 15 min (97140) $135 $135 4.9×
Massage 15 min (97124) $109 $109 3.7×
Maximum voluntary ventilation (94200) $265 $265 4.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $75 $75 2.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78 $78 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $478 $478 5.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $471 $471 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $791.50 $791.50 1.9×
Newborn resuscitation (99465) $909 $909 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $133 $133 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $656 $656 5.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $188 $188 4.1×
Osteopathic manipulative tx 1-2 body regions (98925) $103 $103 4.7×
Osteopathic manipulative tx 3-4 body regions (98926) $131 $131 5.9×
Osteopathic manipulative tx 5-6 body regions (98927) $152 $152 6.9×
Osteopathic manipulative tx 7-8 body regions (98928) $168 $168 7.6×
Ot eval high complex 60 min (97167) $512 $512 5.1×
Ot eval low complex 30 min (97165) $406 $406 4.0×
Ot eval mod complex 45 min (97166) $458 $458 4.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $204 $204 4.1×
Ot Prosthetic Training, Each 15 Min (97761) $136.50 $136.50 3.4×
Ot re-eval est plan care (97168) $394 $394 5.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $288 $288 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $245 $245 1.9×
Plethysmography (94726) $385 $385 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $26 $26 0.5×
Psychiatric diagnostic evaluation (90791) $415 $415 2.3×
Psytx crisis initial 60 min (90839) $468 $468 2.6×
Pt Aquatic Therapy/Exercises (97113) $176 $176 4.7×
Pt Electrical Stimulation (97032) $114 $114 7.8×
Pt eval high complex 45 min (97163) $486 $486 5.0×
Pt eval low complex 20 min (97161) $396 $396 4.0×
Pt Gait Training Therapy (97116) $131 $131 4.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $140 $140 4.3×
Pt Physical Performance Test (97750) $157 $157 4.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $433 $433 4.4×
Pt re-evaluation (97164) $368 $368 5.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $134 $134 4.1×
Pt Ultrasound Therapy (97035) $117 $117 8.1×
Pt Whirlpool Therapy (97022) $122 $122 7.8×
Pulmonary stress testing (94618) $417 $417 3.1×
Refill/Maint Pump/Resvr Syst (96522) $110 $110 0.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $557 $557 14.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $415 $415 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $176 $176 1.3×
Sleep study unattended (95806) $370 $370 1.7×
Speech sound lang comprehen (92523) $635 $635 2.8×
Spirometry (94010) $371.50 $371.50 1.7×
Standardized Cognitive Performance Testing (96125) $488 $488 4.7×
Stress echo (93350) $962 $962 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $121 $121 1.6×
Therapeutic Activities (97530) $135 $135 3.8×
Therapeutic phlebotomy (99195) $300 $300 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $94 $94 2.5×
Trans Care Mgmt 14 Day Disch (99495) $229 $229 1.7×
Trans Care Mgmt 7 Day Disch (99496) $310 $310 2.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $639 $639 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,112 $3,112 5.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $234 $234 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $287 $287 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $400 $400 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $246 $246 5.1×
Ultraviolet Light Therapy (96900) $196 $196 5.1×
Unlisted pulmonary service/procedure (94799) $244 $244 1.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,092 $1,092 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $410 $410 3.8×
Ventilation assist & mgmt inpatient 1st day (94002) $2,836 $2,836 4.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,561 $1,561 2.5×
Vital capacity total (94150) $266 $266 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $121 $121 3.9×