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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $18.46 | $21.72 | 0.4× |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$82.28–$178.59 | $96.80–$210.10 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 7 matching MRF lines |
$77.95–$88.40 | $91.70–$104 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $77.01 | $90.60 | 10.5× |
| Application Modality 1/> Areas Infrared (97026) | $35.02 | $41.20 | 5.2× |
| Assessment of aphasia per hr (96105) | $393.98 | $463.50 | 4.1× |
| Behavral qualit analys voice (92524) | $230.27 | $270.90 | 2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $613.70 | $722 | 1.6× |
| Canalith repositioning proc (95992) | $83.22 | $97.90 | 2.0× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$534.91–$1,265.14 | $629.30–$1,488.40 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$674.14–$927.18 | $793.10–$1,090.80 | varies |
| Cbt 1st hour (94644) | $275.83 | $324.50 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $253.90 | $298.70 | 3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $232.05 | $273 | 3.2× |
| Chemo IV infusion addl hr (96415) | $140.08 | $164.80 | 1.9× |
| Chemo IV push addl drug (96411) | $282.80 | $332.70 | 3.8× |
| Chemother Prolong Infuse W/Pump (96416) | $744.18 | $875.50 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $284.58 | $334.80 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $542.81 | $638.60 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $492.92 | $579.90 | 1.5× |
| Chest Wall Manipulation (94668) | $149.69 | $176.10 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $105.06 | $123.60 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$173.32–$894.80 | $203.90–$1,052.70 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$115.60–$1,643.31 | $136–$1,933.30 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$100.73–$105.06 | $118.50–$123.60 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $194.40 | $228.70 | 1.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$342.30–$393.98 | $402.70–$463.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 8 matching MRF lines |
$247.78–$1,484.87 | $291.50–$1,746.90 | varies |
| Cpt initial (94667) | $149.69 | $176.10 | 1.1× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$834.36–$1,907.74 | $981.60–$2,244.40 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$104.21–$262.65 | $122.60–$309 | varies |
| 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) range across 2 matching MRF lines |
$178.59–$1,079.50 | $210.10–$1,270 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 6 matching MRF lines |
$260.87–$657.48 | $306.90–$773.50 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 14 matching MRF lines |
$173.32–$1,094.38 | $203.90–$1,287.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 28 matching MRF lines |
$115.60–$743.33 | $136–$874.50 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 6 matching MRF lines |
$165.50–$894.80 | $194.70–$1,052.70 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$260.87–$944.69 | $306.90–$1,111.40 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$260.87–$618.12 | $306.90–$727.20 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$191.76–$1,025.19 | $225.60–$1,206.10 | varies |
| Echo transesophageal (93312) | $395.76 | $465.60 | 0.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,269.48 | $1,493.50 | 2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$581.32–$1,886.75 | $683.90–$2,219.70 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $91.04 | $107.10 | 6.2× |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$93.67–$408 | $110.20–$480 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$126.99–$679.41 | $149.40–$799.30 | varies |
| Emergency Dept Visit Level 4 (99284) range across 7 matching MRF lines |
$197.03–$1,505.01 | $231.80–$1,770.60 | varies |
| Er level 1 (99281) range across 6 matching MRF lines |
$66.56–$271.41 | $78.30–$319.30 | varies |
| Er level v (99285) range across 5 matching MRF lines |
$280.16–$1,535.61 | $329.60–$1,806.60 | varies |
| Evaluate pt use of inhaler (94664) | $146.20 | $172 | 0.7× |
| Evaluate Speech Production (92522) | $220.66 | $259.60 | 2.0× |
| Evaluate Swallowing Function (92610) | $427.21 | $502.60 | 5.0× |
| Evaluation of speech fluency (92521) | $270.56 | $318.30 | 2.0× |
| 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× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$144.50–$330.06 | $170–$388.30 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$161.08–$1,117.16 | $189.50–$1,314.30 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$154.11–$1,637.19 | $181.30–$1,926.10 | varies |
| Group Therapeutic Procedures (97150) | $84.92 | $99.90 | 4.7× |
| Icd Device Interrogate (93289) | $311.70 | $366.70 | 8.2× |
| Icd device progr eval dual (93283) | $248.63 | $292.50 | 6.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $18.46 | $21.72 | 0.3× |
| Immunization administration (90471) | $18.46 | $21.72 | 0.3× |
| Inital newborn e/m (99460) | $306.43 | $360.50 | 2.3× |
| Iontophoresis 15 min (97033) range across 5 matching MRF lines |
$127.84–$133.11 | $150.40–$156.60 | varies |
| Irrig Drug Delivery Device (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) range across 5 matching MRF lines |
$221.51–$388.71 | $260.60–$457.30 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $398.40 | $468.70 | 5.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$107.70–$159.38 | $126.70–$187.50 | varies |
| IV push initial (96374) | $146.20 | $172 | 0.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $99.79 | $117.40 | 1.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 4 matching MRF lines |
$260.87–$781.83 | $306.90–$919.80 | varies |
| Mechanical chest wall oscillation per session (94669) | $163.71 | $192.60 | 0.7× |
| 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 Fluoroscopy/Swallow (92611) | $427.21 | $502.60 | 4.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$103.28–$379.10 | $121.50–$446 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$75.31–$379.10 | $88.60–$446 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $379.10 | $446 | 0.9× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$83.22–$85.77 | $97.90–$100.90 | varies |
| Newborn resuscitation (99465) | $503.46 | $592.30 | 0.7× |
| 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× |
| Oral Function Therapy (92526) | $155.81 | $183.30 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 7 matching MRF lines |
$91.04–$105.06 | $107.10–$123.60 | varies |
| 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 Contrast Bath Ea 15 Min (97034) | $83.22 | $97.90 | 5.9× |
| Ot eval high complexity (97167) | $166.35 | $195.70 | 1.7× |
| Ot Eval Low Complex (97165) | $166.35 | $195.70 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $166.35 | $195.70 | 1.7× |
| Ot manual therapy 15 min (97140) | $93.67 | $110.20 | 3.4× |
| Ot paraffin bath (97018) | $84.92 | $99.90 | 14.1× |
| 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× |
| Phlebotomy therapeutic (99195) | $173.32 | $203.90 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $177.74 | $209.10 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $123.42 | $145.20 | 2.0× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$75.31–$112.97 | $88.60–$132.90 | varies |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $49.05 | $57.70 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $379.95 | $447 | 2.1× |
| Psychiatric diagnostic evaluation (90791) | $344.93 | $405.80 | 1.9× |
| Psychological tst eval svc phys/qhp first hour (96130) | $173.32 | $203.90 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) | $341.45 | $401.70 | 1.9× |
| Pt Eval High Complex (97163) | $157.59 | $185.40 | 1.6× |
| Pt eval low complex 20 min (97161) | $157.59 | $185.40 | 1.6× |
| Pt Eval Mod Complex (97162) | $157.59 | $185.40 | 1.6× |
| Pt gait training 15 min (97116) | $97.16 | $114.30 | 3.3× |
| Pt mechanical traction (97012) | $91.97 | $108.20 | 6.4× |
| 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× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$60.44–$105.06 | $71.10–$123.60 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$77.01–$282.80 | $90.60–$332.70 | varies |
| Same day nb discharge (99463) | $352.84 | $415.10 | 2.6× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$116.45–$124.36 | $137–$146.30 | varies |
| Sensory Integration Ea 15 Min (97533) range across 5 matching MRF lines |
$85.77–$110.33 | $100.90–$129.80 | varies |
| Sleep study unattended (95806) | $907.89 | $1,068.10 | 4.1× |
| 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 Tte Only (93350) range across 4 matching MRF lines |
$395.76–$1,886.75 | $465.60–$2,219.70 | varies |
| 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 Ea Addl 15 Min (97130) | $99.79 | $117.40 | 4.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$81.43–$91.04 | $95.80–$107.10 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $45.56 | $53.60 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$232.05–$398.40 | $273–$468.70 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$91.04–$98.09 | $107.10–$115.40 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$30.69–$49.05 | $36.10–$57.70 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$27.12–$33.24 | $31.90–$39.10 | varies |
| 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 (93306) range across 8 matching MRF lines |
$405.37–$2,263.21 | $476.90–$2,662.60 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$405.37–$1,637.19 | $476.90–$1,926.10 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $335.33 | $394.50 | 4.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $100.73 | $118.50 | 4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$222.36–$233.75 | $261.60–$275 | varies |
| Tympanometry (92567) | $42.93 | $50.50 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$67.41–$458.75 | $79.30–$539.70 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$260.87–$445.66 | $306.90–$524.30 | varies |
| Vasopneumatic device (97016) | $55.17 | $64.90 | 4.6× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$3,521.30–$3,530.90 | $4,142.70–$4,154 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$2,828.72–$3,253.38 | $3,327.90–$3,827.50 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$100.73–$110.33 | $118.50–$129.80 | varies |
| Whirlpool Therapy (97022) | $84.92 | $99.90 | 5.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.