Supplies, drugs & other prices at Ivinson Memorial Hospital
Laramie, 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 |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $456 | $456 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $110 | $110 | 2.3× |
| Admin influenza virus vac (G0008) | $110 | $110 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $110 | $110 | 2.3× |
| Chemo extend iv infus w/pump (G0498) | $943 | $943 | 2.8× |
| Colon ca scrn not hi rsk ind (G0121) | $3,524 | $3,524 | 3.7× |
| Covid-19 lab test non-cdc (U0002) | $125 | $125 | 2.4× |
| Devlopment test interpt&rep (G0451) | $166 | $166 | 1.6× |
| Direct refer hospital observ (G0379) | $522 | $522 | 0.9× |
| Drug test def 1-7 classes (G0480) | $220 | $220 | 1.9× |
| Ekg tracing for initial prev (G0404) | $329 | $329 | 11.1× |
| Elisa hiv-1/hiv-2 screen (G0433) | $118 | $118 | 6.5× |
| Fecal blood scrn immunoassay (G0328) | $84 | $84 | 4.7× |
| Home sleep test/type 2 porta (G0398) | $713 | $713 | 3.2× |
| Home sleep test/type 3 porta (G0399) | $694 | $694 | 3.1× |
| Hospital outpt clinic visit (G0463) | $172 | $172 | 1.3× |
| Mra w/o fol w/cont, abd (C8902) | $4,091 | $4,091 | 11.5× |
| Mra w/o fol w/cont, chest (C8911) | $3,989 | $3,989 | 11.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,731 | $3,731 | 10.5× |
| Mri w/o fol w/cont, breast, (C8908) | $3,666 | $3,666 | 10.3× |
| Oth resp proc, group (G0239) | $167 | $167 | 4.4× |
| Potassium hydroxide preps (Q0112) | $79 | $79 | 13.6× |
| Prostate biopsy, any mthd (G0416) | $718 | $718 | 2.0× |
| Psa screening (G0103) | $121 | $121 | 6.3× |
| Therapeutic procd strg endur (G0237) | $84 | $84 | 2.8× |
| Trauma respons w/hosp criti (G0390) | $4,161.50 | $4,161.50 | 3.1× |
| Tte w or w/o contr, cont ecg (C8930) | $2,752 | $2,752 | 3.4× |
| Tte w or w/o fol w/con,stres (C8928) | $1,237 | $1,237 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $2,534 | $2,534 | 3.2× |
| Wet mounts/ w preparations (Q0111) | $35 | $35 | 1.9× |