Visits & medical services prices at Powell Valley Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $134.81 $158.60 0.6×
Application of heat wave therapy (97024) $77.01 $90.60 10.5×
Assessment of aphasia (96105) $393.98 $463.50 4.1×
Behavioral and qualitative analysis of voice and resonance (92524) $230.27 $270.90 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $613.70 $722 1.6×
Canalith Repositioning (95992) $83.22 $97.90 2.0×
Cardiopulmonary resuscitation (92950) $1,168.84 $1,375.10 5.3×
Cardioversion (92960) $806.36 $948.65 1.2×
Cbt 1st hour (94644) $275.83 $324.50 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $232.05 $273 3.2×
Chemo IV push addl drug (96411) $282.80 $332.70 3.8×
Chemo Iv Push Sngl Drug (96409) $492.92 $579.90 1.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $744.18 $875.50 2.2×
Chemother, IV infusion, 1 hr (96413) $542.81 $638.60 1.6×
Chemother, IV infusion, ea add hr (96415) $140.08 $164.80 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $253.90 $298.70 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $284.58 $334.80 3.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $105.06 $123.60 1.0×
Color/duplex Doppler, complete (93975) $894.80 $1,052.70 3.7×
Color/duplex Doppler, limited (93976) $879.46 $1,034.65 8.2×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $194.40 $228.70 1.1×
Cpap initiation and management (94660) $416.34 $489.80 1.9×
Cpt initial (94667) $149.69 $176.10 1.1×
Critical care (99291) $1,379.38 $1,622.80 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $111.18 $130.80 0.5×
Demo &/or eval,pt use,aerosol device (94664) $146.20 $172 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,037.51 $1,220.60 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $629.04 $740.05 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $459.18 $540.20 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $602.78 $709.15 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $439.50 $517.05 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $429.46 $505.25 4.0×
Duplex hemodialysis access (93990) $530.15 $623.70 5.0×
Duplex scan extracranial art compl bi study (93880) $237.28 $279.15 1.0×
Echo Heart Xthoracic,Limited (93308) $395.76 $465.60 1.6×
Echo transesophageal (93312) $395.76 $465.60 0.7×
Echo Transesophageal - Congenital Tee Complete (93315) $1,269.48 $1,493.50 2.3×
Echo Transthoracic - Congenital Tte Limited (93304) $429 $504.70 0.8×
EKG rhythm strip (93041) $82.75 $97.35 1.4×
Er level 1 (99281) $112.54 $132.40 1.3×
Er level ii (99282) $161.54 $190.05 1.0×
Er level iii (99283) $339.66 $399.60 1.2×
Er level IV (99284) $1,099.65 $1,293.70 2.6×
Er level v (99285) $750.30 $882.70 1.2×
Evaluation of speech fluency (92521) $270.56 $318.30 2.0×
Evaluation of speech sound production (92522) $220.66 $259.60 2.0×
Evaluation of swallowing function (92610) $427.21 $502.60 5.0×
External ECG rec>48hr<7d recording (93242) $372.13 $437.80 9.8×
External Ecg Scanning Analysis Report (93226) $199.58 $234.80 3.3×
Group Therapeutic Procedures (97150) $84.92 $99.90 4.7×
Icd Device Interrogate (93289) $311.70 $366.70 8.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $18.46 $21.72 0.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $18.46 $21.72 0.3×
Immunization Admin (90471) $18.46 $21.72 0.3×
Immunotherapy, 2+ Injections (95117) $49.05 $57.70 1.0×
Inital newborn e/m (99460) $306.43 $360.50 2.3×
Initial normal newborn care, same day discharge (99463) $352.84 $415.10 2.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $148.84 $175.10 2.5×
IV infusion hydration each additional hour (96361) $66.56 $78.30 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $369.50 $434.70 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $398.40 $468.70 5.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $388.75 $457.35 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $159.38 $187.50 3.3×
IV push initial (96374) $146.20 $172 0.7×
Manual therapy 15 min (97140) $93.67 $110.20 3.4×
Massage 15 min (97124) $86.24 $101.45 2.9×
Maximum voluntary ventilation (94200) $99.79 $117.40 1.7×
Mechanical chest wall oscillation (94669) $163.71 $192.60 0.7×
Mechanical traction (97012) $91.97 $108.20 6.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $57.80 $68 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.80 $68 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $427.21 $502.60 4.7×
Neg press wnd tx </=50 sq cm (97607) $241.19 $283.75 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $227.20 $267.30 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $379.10 $446 0.9×
Newborn resuscitation (99465) $503.46 $592.30 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $263.08 $309.50 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $353.26 $415.60 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $368.14 $433.10 2.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $65.71 $77.30 2.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $69.19 $81.40 2.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $65.71 $77.30 4.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $105.06 $123.60 2.3×
Osteopathic manipulative tx 1-2 body regions (98925) $115.60 $136 5.2×
Osteopathic manipulative tx 3-4 body regions (98926) $151.47 $178.20 6.9×
Osteopathic manipulative tx 5-6 body regions (98927) $149.69 $176.10 6.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $102.90 $121.05 3.2×
Ot Contrast Bath Ea 15 Min (97034) $83.22 $97.90 5.9×
Ot eval high complex 60 min (97167) $166.35 $195.70 1.7×
Ot eval low complex 30 min (97165) $166.35 $195.70 1.7×
Ot eval mod complex 45 min (97166) $166.35 $195.70 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $157.59 $185.40 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180.37 $212.20 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $120.79 $142.10 0.9×
Paraffin bath (97018) $84.92 $99.90 14.1×
Phy/qhp op pulm rhb w/mntr (94626) $177.74 $209.10 2.9×
Phy/qhp op pulm rhb w/o mntr (94625) $123.42 $145.20 2.0×
Plethysmography (94726) $402.73 $473.80 1.1×
Pm device eval in person (93288) $206.64 $243.10 5.4×
Pm device progr eval dual (93280) $228.48 $268.80 6.0×
Pm device progr eval sngl (93279) $262.65 $309 6.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $36.81 $43.30 0.8×
Programming of dual lead implantable defibrillator system (93283) $248.63 $292.50 6.5×
Psych diag eval w/med srvcs (90792) $379.95 $447 2.1×
Psychiatric diagnostic evaluation (90791) $344.93 $405.80 1.9×
Psycl tst eval phys/qhp 1st (96130) $173.32 $203.90 0.8×
Psytx crisis initial 60 min (90839) $341.45 $401.70 1.9×
Pt Electric Current Therapy (97033) $127.84 $150.40 6.7×
Pt Electrical Stimulation (97032) $91.04 $107.10 6.2×
Pt eval high complex 45 min (97163) $157.59 $185.40 1.6×
Pt eval low complex 20 min (97161) $157.59 $185.40 1.6×
Pt Gait Training Therapy (97116) $97.16 $114.30 3.3×
Pt Infrared Therapy (97026) $35.02 $41.20 5.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84.50 $99.40 2.6×
Pt Physical Performance Test (97750) $94.14 $110.75 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $157.59 $185.40 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $124.36 $146.30 3.8×
Pt Ultrasound Therapy (97035) $88.40 $104 6.2×
Pt Whirlpool Therapy (97022) $84.92 $99.90 5.4×
Pulm function test by gas (94727) $402.73 $473.80 1.8×
Pulmonary stress testing (94618) $315.18 $370.80 2.3×
Pure Tone Audiometry, Air (92552) $53.38 $62.80 0.4×
Refill/maint, portable pump (96521) $278.38 $327.50 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $84.92 $99.90 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $149.69 $176.10 1.1×
Sensory Integration Ea 15 Min (97533) $85.77 $100.90 1.4×
Sleep study unattended (95806) $907.89 $1,068.10 4.1×
Smoking cessation > 10 min (99407) $39.87 $46.90 1.0×
Speech group therapy (92508) $100.73 $118.50 4.2×
Speech sound lang comprehen (92523) $477.19 $561.40 2.1×
Spirometry (94010) $298.52 $351.20 1.4×
Standardized Cognitive Performance Testing (96125) $147.99 $174.10 1.4×
Stress echo (93350) $1,141.26 $1,342.65 2.0×
Stress Tte Complete (93351) $1,234.04 $1,451.80 2.2×
Surfactant Admin Thru Tube (94610) $270.56 $318.30 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $103.28 $121.50 4.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $99.79 $117.40 4.7×
Ther/Proph/Diag Inj Sc/Im (96372) $45.56 $53.60 0.6×
Therapeutic Activities (97530) $94.56 $111.25 2.7×
Therapeutic phlebotomy (99195) $173.32 $203.90 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.18 $35.50 0.8×
Trans Care Mgmt 14 Day Disch (99495) $334.48 $393.50 2.5×
Trans Care Mgmt 7 Day Disch (99496) $478.89 $563.40 3.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $280.16 $329.60 7.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,334.29 $1,569.75 2.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,021.28 $1,201.50 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $335.33 $394.50 4.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $155.81 $183.30 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $222.36 $261.60 4.6×
Tympanometry (92567) $42.93 $50.50 1.1×
Vasc Duplex Extrem Venous,Bilat (93970) $633.85 $745.70 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $639.12 $751.90 6.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $521.35 $613.35 2.4×
Vasopneumatic device (97016) $55.17 $64.90 4.6×
Ventilation assist & mgmt inpatient 1st day (94002) $3,526.10 $4,148.35 5.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,041.05 $3,577.70 4.8×
Wheelchair Mgmt Ea 15 Min (97542) $105.53 $124.15 3.4×