Visits & medical services prices at Johnson County Healthcare Center

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

132 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) $81.19 $81.19 0.8×
Airway inhalation treatment (94640) $88.08 $88.08 0.4×
Assessment of aphasia (96105) $313 $313 3.2×
Behav assmt w/score & docd/stand instrument (96127) $5.11 $5.11 0.1×
Behavioral and qualitative analysis of voice and resonance (92524) $329 $329 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $7,874.46 $7,874.46 20.7×
Canalith Repositioning (95992) $106 $106 2.6×
Cardiac Stress Tst,Tracing Only (93017) $1,582.74 $1,582.74 7.2×
Cardiopulmonary resuscitation (92950) $838 $838 3.8×
Cardioversion (92960) $1,025 $1,025 1.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $135 $135 2.2×
Continuous Glucose Monitoring (95250) $174 $174 1.3×
Cpap initiation and management (94660) $1,455.46 $1,455.46 6.5×
Cpt initial (94667) $802.59 $802.59 5.9×
Critical care (99291) $1,887 $1,887 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $324 $324 1.6×
Demo &/or eval,pt use,aerosol device (94664) $290 $290 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $601 $601 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $530.50 $530.50 5.0×
Duplex scan extracranial art compl bi study (93880) $651.50 $651.50 2.7×
EKG (93005) $203.50 $203.50 3.4×
Er level 1 (99281) $210 $210 2.4×
Er level ii (99282) $222.50 $222.50 1.4×
Er level iii (99283) $404.50 $404.50 1.5×
Er level IV (99284) $904 $904 2.1×
Er level v (99285) $1,349.50 $1,349.50 2.2×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $405 $405 5.7×
Evaluation of speech fluency (92521) $276 $276 2.1×
Evaluation of speech sound production (92522) $326 $326 2.9×
Evaluation of swallowing function (92610) $553 $553 6.5×
Evaluation with prescription of speech-generating alternative (92607) $491 $491 4.0×
External ECG rec>48hr<7d recording (93242) $680 $680 17.8×
External Ecg Scanning Analysis Report (93226) $1,710.02 $1,710.02 28.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,034 $1,034 5.2×
Group Therapeutic Procedures (97150) $96 $96 5.3×
Holter Monitor Recording (93225) $457 $457 3.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $42 $42 1.0×
Immunization Admin (90471) $97 $97 1.3×
Immunotherapy, 2+ Injections (95117) $30 $30 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $72 $72 1.2×
IV infusion hydration each additional hour (96361) $128 $128 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $468 $468 2.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $366 $366 5.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $466 $466 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $134 $134 2.8×
IV push initial (96374) $124 $124 0.6×
Manual therapy 15 min (97140) $131 $131 4.7×
Massage 15 min (97124) $134 $134 4.5×
Mechanical traction (97012) $106 $106 7.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58 $58 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $84 $84 2.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $365 $365 4.0×
Neg press wnd tx </=50 sq cm (97607) $504 $504 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $324 $324 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $389 $389 0.9×
Newborn resuscitation (99465) $1,295 $1,295 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $139 $139 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $308.12 $308.12 1.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,073.61 $1,073.61 8.2×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $63.50 $63.50 1.8×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $25 $25 2.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $39 $39 1.7×
Nrpsyc tst eval phys/qhp 1st (96132) $472 $472 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $101 $101 2.2×
Osteopathic manipulative tx 1-2 body regions (98925) $42.50 $42.50 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $57.50 $57.50 2.6×
Osteopathic manipulative tx 5-6 body regions (98927) $62.34 $62.34 2.8×
Osteopathic manipulative tx 7-8 body regions (98928) $71.08 $71.08 3.2×
Osteopathic manipulative tx 9-10 body regions (98929) $89.08 $89.08 4.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $134 $134 4.2×
Ot Contrast Bath Ea 15 Min (97034) $82 $82 5.8×
Ot eval high complex 60 min (97167) $316 $316 3.1×
Ot eval low complex 30 min (97165) $244 $244 2.4×
Ot eval mod complex 45 min (97166) $280 $280 2.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $93 $93 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $103.50 $103.50 2.6×
Ot re-eval est plan care (97168) $141 $141 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $264 $264 2.0×
Paraffin bath (97018) $82 $82 13.6×
Patient-initiated spirometric phys/qhp r&i only (94016) $26.50 $26.50 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $282 $282 4.7×
Phy/qhp op pulm rhb w/o mntr (94625) $282 $282 4.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25 $25 0.5×
Psychiatric diagnostic evaluation (90791) $414 $414 2.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $138 $138 0.3×
Psytx crisis initial 60 min (90839) $512 $512 2.8×
Pt Aquatic Therapy/Exercises (97113) $116 $116 3.1×
Pt Electric Current Therapy (97033) $128 $128 6.7×
Pt Electrical Stimulation (97032) $125 $125 8.5×
Pt eval high complex 45 min (97163) $316 $316 3.2×
Pt eval low complex 20 min (97161) $244 $244 2.5×
Pt Gait Training Therapy (97116) $101 $101 3.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $121 $121 3.7×
Pt Physical Performance Test (97750) $106 $106 3.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $280 $280 2.9×
Pt re-evaluation (97164) $148 $148 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $121 $121 3.7×
Pt Ultrasound Therapy (97035) $113 $113 7.9×
Pulmonary stress testing (94618) $135 $135 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $240 $240 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $781.91 $781.91 5.8×
Sensory Integration Ea 15 Min (97533) $137.50 $137.50 2.3×
Smoking cessation > 10 min (99407) $27.09 $27.09 0.7×
Speech Audiometry Threshold (92555) $48 $48 0.8×
Speech Audiometry, Complete (92556) $49 $49 0.8×
Speech sound lang comprehen (92523) $678 $678 3.0×
Spirometry (94010) $7,962.92 $7,962.92 36.1×
Standardized Cognitive Performance Testing (96125) $301 $301 2.9×
Stenger Test, Pure Tone (92565) $49 $49 0.8×
Stenger Test, Speech (92577) $49 $49 0.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $101 $101 4.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $101 $101 4.8×
Ther/Proph/Diag Inj Sc/Im (96372) $67 $67 0.9×
Therapeutic Activities (97530) $108 $108 3.1×
Therapeutic phlebotomy (99195) $159 $159 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $12.80 $12.80 0.3×
Tone Decay Test (92563) $78 $78 2.0×
Trans Care Mgmt 14 Day Disch (99495) $188.92 $188.92 1.4×
Trans Care Mgmt 7 Day Disch (99496) $277.45 $277.45 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $130 $130 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $331 $331 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $124 $124 2.6×
Tympanometry (92567) $48 $48 1.3×
Tympanometry And Reflex Threshold Measurements (92550) $141 $141 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $942.50 $942.50 3.9×
Vasc Duplex Scan Extracranial,Limited (93882) $132 $132 1.2×
Vasopneumatic device (97016) $84 $84 7.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,295 $1,295 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $810 $810 1.3×
Visual reinforcement audiometry (vra) (92579) $177 $177 0.8×
Vital capacity total (94150) $1,264.54 $1,264.54 9.6×
Wheelchair Mgmt Ea 15 Min (97542) $103.50 $103.50 3.3×