Visits & medical services prices at SageWest Health Care (Lander Campus)

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $37.80 $63 1.0×
Airway Inhalation Treatment (94640) $100.20 $167 0.4×
Analyze neurostim complex (95972) $993.60 $1,656 10.2×
Audiometry Air & Bone (92553) $60.60 $101 0.5×
Biofeedback training any modality (90901) $88.20 $147 2.1×
Bioimpedance Cv Analysis (93701) $210 $350 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $658.20 $1,097 1.7×
Cardiopulmonary exercise testing (94621) $103.80 $173 0.3×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$66.60–$443.40 $111–$739 varies
Chemo Anti-Neopl Sq/Im (96401) $66.60 $111 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $66.60 $111 0.9×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$54.60–$405 $91–$675 varies
Chemo IV push addl drug (96411) $108 $180 1.5×
Chemother Prolong Infuse W/Pump (96416) $761.40 $1,269 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $331.20 $552 1.0×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$100.20–$171.26 $167–$285.44 varies
Color/duplex Doppler, complete (93975) $585 $975 2.4×
Comprehensive Hearing Test (92557) $110.40 $184 0.8×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$130.80–$327.60 $218–$546 varies
Cpt initial (94667) $101.40 $169 0.7×
Critical care first hour (99291) $163.80 $273 0.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $510.60 $851 4.8×
Duplex up extrem art unilat/ltd (93931) $510.60 $851 4.8×
Echo Congenital Complete (93303) $266.40 $444 0.5×
EEG awake and asleep (95819) $439.80 $733 2.0×
EKG signal averaged (93278) $120.60 $201 2.0×
Electrocardiogram Tracing (93005) $183.60 $306 3.0×
Emergency Dept Visit Level 2 (99282) $82.80 $138 0.5×
Emergency Dept Visit Level 3 (99283) $122.40 $204 0.4×
Emergency Dept Visit Level 4 (99284) $174 $290 0.4×
Er level 1 (99281) $54 $90 0.6×
Er level v (99285) $271.80 $453 0.4×
Evaluate pt use of inhaler (94664)
range across 5 matching MRF lines
$78.60–$171.26 $131–$285.44 varies
Extracranial Bilat Study (93880) $778.80 $1,298 3.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $98.40 $164 1.3×
Immunization administration (90471)
range across 4 matching MRF lines
$109.20–$1,073.40 $182–$1,789 varies
Irrig Drug Delivery Device (96523) $82.80 $138 1.4×
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$57.60–$162 $96–$270 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines
$108.60–$201 $181–$335 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines
$82.80–$216.30 $138–$360.50 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 7 matching MRF lines
$57.60–$216.45 $96–$360.75 varies
IV push initial (96374)
range across 8 matching MRF lines
$82.80–$164.40 $138–$274 varies
Lung Function Test (Mbc/Mvv) (94200) $23.40 $39 0.4×
Lwr Xtr Vasc Stdy Bilat (93924) $585 $975 2.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$28.80–$31.80 $48–$53 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$28.80–$31.80 $48–$53 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines
$31.80–$48 $53–$80 varies
Motility study esophagus (91010) $95.40 $159 0.3×
Newborn resuscitation (99465) $258.60 $431 0.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $174 $290 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $28.80 $48 0.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $162.60 $271 0.7×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$148.20–$171.60 $247–$286 varies
Plethysmography (94726) $307.80 $513 0.8×
Pulmonary service/procedure (94799) $148.20 $247 1.1×
Pure Tone Audiometry Air (92552) $63.60 $106 0.5×
Refill/Maint Pump/Resvr Syst (96522) $174 $290 0.8×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$49.20–$193.80 $82–$323 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$37.20–$134.40 $62–$224 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $39 $65 0.2×
Select picture audiometry (92583) $150.60 $251 2.5×
Speech audiometry threshold (92555) $102 $170 1.7×
Spirometry (94010)
range across 2 matching MRF lines
$148.20–$218.66 $247–$364.44 varies
Surfactant Admin Thru Tube (94610) $300 $500 1.3×
Tensilon Test (95857) $179.40 $299 0.8×
Ther/Proph/Diag Inj Ia (96373) $27 $45 0.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 11 matching MRF lines
$48–$128.33 $80–$213.89 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$245.40–$247.80 $409–$413 varies
Therapeutic Activities (97530) $11.10 $18.50 0.3×
Tte W/O Doppler Complete (93307) $856.20 $1,427 3.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$82.80–$170.40 $138–$284 varies
Upr/L Xtremity Art 2 Levels (93922) $526.80 $878 3.9×
Visual reinforcement audiometry (vra) (92579) $64.80 $108 0.3×
Vital capacity, total (94150)
range across 3 matching MRF lines
$24.60–$183.60 $41–$306 varies

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.