Visits & medical services prices at Platte County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $299.65 $351 1.4×
Appl modality 1+lllt po pain (97037) $61.92 $86 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $388.59 $587 1.0×
Canalith Repositioning (95992) $162 $225 4.0×
Cardiac Stress Tst,Tracing Only (93017) $1,163.82 $1,630 5.3×
Cardiopulmonary exercise testing (94621) $311.14 $470 0.8×
Cardiopulmonary resuscitation (92950) $522.28 $869 2.4×
Cardioversion (92960) $440.83 $707.50 0.7×
Caregiver training 1st 30 min (97550) $129.98 $194 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.99 $97 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $44.58 $185 0.6×
Chemo IV push addl drug (96411) $42.90 $178 0.6×
Chemo Iv Push Sngl Drug (96409) $94.23 $391 0.3×
Chemother, IV infusion, 1 hr (96413) $314.20 $407 0.9×
Chemother, IV infusion, ea add hr (96415) $67.94 $88 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $119.30 $495 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $154.40 $200 2.1×
Color/duplex Doppler, complete (93975) $978.02 $1,349 4.0×
Color/duplex Doppler, limited (93976) $577.10 $796 5.4×
Cpap initiation and management (94660) $522.15 $885 2.3×
Cpt initial (94667) $83.78 $142 0.6×
Critical care (99291) $905.88 $1,459 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $163.44 $227 0.8×
Demo &/or eval,pt use,aerosol device (94664) $146.91 $249 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $543.75 $750 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $421.22 $581 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,078.80 $1,488 4.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $700.35 $966 6.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $931.62 $1,285 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $779.38 $1,075 7.3×
Dup-scan xtr veins unilateral/limited study (93971) $943.95 $1,302 8.8×
Duplex scan extracranial art compl bi study (93880) $1,059.95 $1,462 4.3×
Echo Heart Xthoracic,Limited (93308) $457.60 $669 1.9×
EKG (93005) $227.04 $330 3.8×
EKG rhythm strip (93041) $119.71 $174 2.0×
Er level 1 (99281) $260.82 $146 3.0×
Er level ii (99282) $332.68 $273 2.1×
Er level iii (99283) $839.01 $454 3.0×
Er level IV (99284) $2,393.16 $771 5.6×
Er level v (99285) $4,108.02 $1,120 6.8×
Evaluation of swallowing function (92610) $139.57 $233 1.6×
Evoked auditory test,limited (92587) $205.74 $241 0.9×
Exhaled Air Analysis (94690) $293.93 $444 4.9×
External Ecg Scanning Analysis Report (93226) $535.26 $627 8.9×
Flow volume loop (94375) $190.66 $288 0.9×
Group Therapeutic Procedures (97150) $62.32 $73 3.5×
Holter Monitor Recording (93225) $358.55 $420 2.6×
Immunization Admin (90471) $44.93 $108 0.6×
Inital newborn e/m (99460) $145.08 $195 1.1×
Initial normal newborn care, same day discharge (99463) $168.14 $226 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $170.94 $254 2.8×
IV infusion hydration each additional hour (96361) $87.21 $114 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $324.36 $424 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $101.74 $133 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $344.25 $450 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $93.33 $122 2.0×
IV push initial (96374) $215.36 $320 1.0×
Low frequency non-thermal us (97610) $216 $300 1.1×
Manual therapy 15 min (97140) $101.84 $152 3.7×
Massage 15 min (97124) $51.59 $77 1.7×
Maximum voluntary ventilation (94200) $115.85 $175 1.9×
Mechanical chest wall oscillation (94669) $181.13 $307 0.8×
Mechanical traction (97012) $110.88 $154 7.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $39.56 $46 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.14 $49 1.1×
Mnt Group Ea 30 Min (97804) $33.54 $39 2.0×
Neg press wnd tx </=50 sq cm (97607) $352.08 $489 0.8×
Neg press wound tx >50 cm (97608) $413.28 $574 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $156.96 $218 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $281.52 $391 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $490.82 $677 3.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $754.72 $1,041 3.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $79.73 $119 1.7×
Ot Contrast Bath Ea 15 Min (97034) $40.87 $61 2.9×
Ot eval high complex 60 min (97167) $156.94 $262 1.6×
Ot eval low complex 30 min (97165) $156.34 $261 1.6×
Ot eval mod complex 45 min (97166) $150.95 $252 1.5×
Ot re-eval est plan care (97168) $134.78 $225 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $151.63 $234 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $95.90 $148 0.7×
Paraffin bath (97018) $43.55 $65 7.2×
Phy/qhp op pulm rhb w/mntr (94626) $152.40 $254 2.5×
Phy/qhp op pulm rhb w/o mntr (94625) $143.40 $239 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,373.45 $5,123 5.0×
Pt Aquatic Therapy/Exercises (97113) $79.20 $110 2.1×
Pt Electric Current Therapy (97033) $99.16 $148 5.2×
Pt Electrical Stimulation (97032) $91.79 $137 6.2×
Pt eval high complex 45 min (97163) $188.12 $262 1.9×
Pt eval low complex 20 min (97161) $187.40 $261 1.9×
Pt Gait Training Therapy (97116) $60.48 $84 2.1×
Pt group caregiver training (97552) $43.55 $65 2.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $96.48 $144 2.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $180.94 $252 1.8×
Pt re-evaluation (97164) $161.55 $225 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $64.99 $97 2.0×
Pt Ultrasound Therapy (97035) $73.70 $110 5.1×
Pulm function test by gas (94727) $272.74 $412 1.2×
Pulmonary stress testing (94618) $382.64 $578 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $142.56 $198 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $108.56 $184 0.8×
Sleep study unattended (95806) $531.03 $581 2.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $571.25 $625 2.6×
Spirometry (94010) $305.18 $461 1.4×
Stress echo (93350) $881.68 $1,289 1.6×
Stress Tte Complete (93351) $1,090.30 $1,594 2.0×
Surfactant Admin Thru Tube (94610) $101.29 $153 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.38 $99 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $57.66 $93 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $114.87 $177 1.6×
Therapeutic Activities (97530) $63.65 $95 1.8×
Therapeutic phlebotomy (99195) $172.96 $257 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,024.64 $2,960 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $144.08 $222 3.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,244.10 $1,716 5.1×
Vasc Duplex Scan Extracranial,Limited (93882) $569.12 $785 5.3×
Ventilation assist & mgmt inpatient 1st day (94002) $718.03 $1,217 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $579.38 $982 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $56.95 $85 1.8×