Visits & medical services prices at Niobrara County Hospital District

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $52 $65 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $428 $535 1.1×
Cardiopulmonary resuscitation (92950) $1,036.40 $1,295.50 4.7×
Cardioversion (92960) $985.60 $1,232 1.5×
Color vision examination (92283) $113.60 $142 1.9×
Cpap initiation and management (94660) $440.80 $551 2.0×
Critical care (99291) $1,080 $1,350 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $153.20 $191.50 0.7×
Demo &/or eval,pt use,aerosol device (94664) $68.80 $86 0.3×
EKG (93005) $174.40 $218 2.9×
EKG rhythm strip (93041) $111.20 $139 1.8×
Er level 1 (99281) $179.20 $224 2.1×
Er level ii (99282) $244.40 $305.50 1.6×
Er level iii (99283) $387.20 $484 1.4×
Er level IV (99284) $664.80 $831 1.6×
Er level v (99285) $1,006.80 $1,258.50 1.7×
Evaluation of swallowing function (92610) $364 $455 4.3×
External Ecg Scanning Analysis Report (93226) $294.40 $368 4.9×
Flow volume loop (94375) $72 $90 0.3×
Holter Monitor Recording (93225) $397.60 $497 2.9×
Immunization Admin (90471) $28 $35 0.4×
Immunotherapy, 2+ Injections (95117) $28 $35 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $184 $230 3.1×
IV infusion hydration each additional hour (96361) $123.20 $154 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $270.40 $338 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $196 $245 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $383.20 $479 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $162.40 $203 3.4×
IV push initial (96374) $228.80 $286 1.1×
Manual therapy 15 min (97140) $84 $105 3.0×
Maximum voluntary ventilation (94200) $126.40 $158 2.1×
Mechanical traction (97012) $48.80 $61 3.4×
Ot eval high complex 60 min (97167) $221.60 $277 2.2×
Ot eval low complex 30 min (97165) $141.60 $177 1.4×
Ot eval mod complex 45 min (97166) $165.60 $207 1.6×
Ot re-eval est plan care (97168) $112 $140 1.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23.20 $29 0.5×
Pt Electrical Stimulation (97032) $58.40 $73 4.0×
Pt eval high complex 45 min (97163) $217.60 $272 2.2×
Pt eval low complex 20 min (97161) $137.60 $172 1.4×
Pt Gait Training Therapy (97116) $76 $95 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $82.40 $103 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $169.60 $212 1.7×
Pt re-evaluation (97164) $125.60 $157 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $77.60 $97 2.4×
Pt Ultrasound Therapy (97035) $89.60 $112 6.2×
Smoking cessation > 10 min (99407) $76 $95 2.0×
Speech sound lang comprehen (92523) $471.20 $589 2.1×
Spirometry (94010) $141.20 $176.50 0.6×
Temp transcutaneous pacing (92953) $109.60 $137 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $140 $175 1.9×
Therapeutic Activities (97530) $87.20 $109 2.5×
Therapeutic phlebotomy (99195) $200 $250 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $36.80 $46 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $236.80 $296 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $201.60 $252 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $173.60 $217 3.6×
Unlisted otorhinolaryngological service (92700) $119.20 $149 4.0×
Vital capacity total (94150) $57.60 $72 0.4×