Visits & medical services prices at Johnson County Healthcare Center

Buffalo, 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.

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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×
Allergy injection single (95115) $25 $25 0.5×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $82 $82
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $125 $125
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $128 $128
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $113 $113
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $84 $84
Assessment of aphasia (96105) $313 $313
Behav assmt w/score & docd/stand instrument (96127) $5.11 $5.11 0.1×
Behavioral & qualit analysis voice and resonance (92524) $329 $329
Bipap initial day (94660) $1,455.46 $1,455.46 6.5×
Breathing capacity test (94010) $24 $24 0.1×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $38 $38 0.1×
Canalith repositioning (95992) $106 $106
Cardiovascular stress test (93017) $1,582.74 $1,582.74 7.2×
Cardioversion elective external (92960) $1,025 $1,025 1.5×
Chest physiotherapy initial (94667) $802.59 $802.59 5.9×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $134 $134
Cont gluc mntr physician/qhp provided equipment (95250) $174 $174 1.3×
Cont gluc mntr pt prov eqp (95249) $135 $135 2.2×
Cpr (92950) $838 $838 3.8×
Critical care ill/injured patient init 30-74 min (99291) $1,887 $1,887 2.2×
Debridement open wound 20 sq cm< (97597) $324 $324 1.6×
Delivery/birthing room resuscitation (99465) $1,295 $1,295 1.9×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $651.50 $651.50 2.7×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $132 $132 1.2×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $942.50 $942.50 3.9×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $530.50 $530.50 5.0×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $601 $601 2.5×
ECG monit/reprt up to 48 hrs (93226) $1,710.02 $1,710.02 28.4×
EKG 12 lead tracing only (93005) $203.50 $203.50 3.4×
Emergency department visit high mdm (99285) $1,349.50 $1,349.50 2.2×
Emergency department visit low mdm (99283) $404.50 $404.50 1.5×
Emergency department visit may not req phys/qhp (99281) $210 $210 2.4×
Emergency department visit moderate mdm (99284) $904 $904 2.1×
Emergency department visit straightforward mdm (99282) $222.50 $222.50 1.4×
Endoscopy swallow (fees) vid (92612) $1,034 $1,034
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $553 $553
Evaluate pt use of inhaler (94664) $290 $290 1.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $491 $491
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $290 $290
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) $145 $145
Evaluation of speech fluency (92521) $276 $276
Evaluation of speech sound production articulate (92522) $326 $326
External ECG rec>48hr<7d recording (93242) $680 $680 17.8×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $457 $457 3.4×
Imm admn sarscov2 vaccine single dose (90480) $42 $42 1.0×
Immunization administration (90471) $97 $97 1.3×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $124 $124 2.6×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $124 $124 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 ther proph addl sequential to 1 hr (96367) $366 $366 5.0×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $466 $466 2.1×
IV tx, each additional hour (96366) $134 $134 2.8×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $781.91 $781.91 5.8×
Mechanical traction therapy (97012) $106 $106
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $84 $84
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $58 $58
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $365 $365
Neg pressure wound therapy non dme </= 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×
Neuropsychological tst eval phys/qhp 1st hour (96132) $472 $472 1.2×
Non-invasive physiologic study extremity 3 levels (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,… (98970) $25 $25
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $39 $39
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $63.50 $63.50
Occupational therapy eval high complex 60 mins (97167) $316 $316
Occupational therapy eval low complex 30 mins (97165) $244 $244
Occupational therapy eval mod complex 45 mins (97166) $280 $280
Oral function therapy (92526) $331 $331
Oral speech device eval (92597) $405 $405
Orthc/prostc mgmt sbsq enc (97763) $93 $93
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $101 $101
Osteopath manj 1-2 regions (98925) $42.50 $42.50 1.9×
Osteopath manj 3-4 regions (98926) $57.50 $57.50 2.6×
Osteopath manj 9-10 regions (98929) $89.08 $89.08 4.0×
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×
Ot manual therapy ea 15 min (97140) $131 $131
Ot neuromuscular re-education (97112) $121 $121
Ot paraffin bath (97018) $82 $82
Ot re-evaluation (97168) $141 $141
OT Therapeutic Activities Charges (97530) $108 $108
Ot wheelchair management (97542) $103.50 $103.50
Other physical medicine or rehabilitation service or procedure (97799) $99 $99
Outpatient cardiac rehab w/cont ECG monitoring (93798) $264 $264 2.0×
Phlebotomy therapeutic (99195) $159 $159 1.2×
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×
Physical therapy evaluation high complex 45 mins (97163) $316 $316
Physical therapy evaluation low complex 20 mins (97161) $244 $244
Physical therapy evaluation mod complex 30 mins (97162) $280 $280
Pr tympanometry and reflex threshold measurements (92550) $141 $141 0.6×
Professional services for allergen immunotherapy; 2 or more injections (95117) $30 $30 0.6×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $103.50 $103.50
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 gait training 15 min (97116) $101 $101
Pt physical performance test (97750) $106 $106
Pt re-evaluation (97164) $148 $148
Pulmonary stress testing (94618) $135 $135 1.0×
Review patient spirometry (94016) $26.50 $26.50
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $121 $121
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $137.50 $137.50
Speech audiometry threshold (92555) $48 $48 0.8×
Speech sound lang comprehen (92523) $678 $678
Standardized cognitive performance testing (96125) $301 $301
Stenger test pure tone (92565) $49 $49 0.8×
Stenger test speech (92577) $49 $49 0.1×
Test for ability to detect and repeat spoken words with speech recognition (92556) $49 $49 0.8×
Test to assess defects in adaption to sounds (92563) $78 $78 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $101 $101
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $101 $101
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $96 $96
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $116 $116
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $134 $134
Therapeutic prophylactic/dx injection subq/im (96372) $67 $67 0.9×
Tobacco use cessation intensive >10 minutes (99407) $27.09 $27.09 0.7×
Tobacco use cessation intermediate 3-10 minutes (99406) $12.80 $12.80 0.3×
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 of Speech/Lang/Voice/Comm/Auditory Chg (92507) $130 $130
Tympanometry (92567) $48 $48 1.3×
Upr/l xtremity art 2 levels (93922) $139 $139 1.0×
Ventilation ip/obs initial day (94002) $1,295 $1,295 2.1×
Ventilator subsequent day (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×
Wound(s) care non-selective (97602) $240 $240 1.2×