Supplies, drugs & other prices at Sheridan Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,646.40 $2,058 2.1×
2d tte w or w/o fol w/con,fu (C8924) $1,058.40 $1,323 3.0×
Admin influenza virus vac (G0008) $50.40 $63 1.1×
Admin pneumococcal vaccine (G0009) $50.40 $63 1.1×
Ca screen;flexi sigmoidscope (G0104) $291.20 $364 0.3×
Ca screen;pelvic/breast exam (G0101) $64.80 $81 0.6×
Colon ca scrn not hi rsk ind (G0121) $1,166.40 $1,458 1.2×
Colorectal scrn; hi risk ind (G0105) $924 $1,155 1.0×
Drug test def 1-7 classes (G0480) $146.80 $183.50 1.3×
High inten beh couns std 30m (G0445) $59.20 $74 0.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $108 $135 2.5×
Initial preventive exam (G0402) $188.80 $236 1.4×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0003M) $728.80 $911 1.4×
Obtaining screen pap smear (Q0091) $63.20 $79 2.1×
Oth resp proc, group (G0239) $96 $120 2.5×
Oth resp proc, indiv (G0238) $80 $100 2.7×
Perc d-e cor revasc chro sin (C9607) $21,520 $26,900 1.1×
Perc d-e cor revasc t cabg s (C9604) $21,616 $27,020 1.8×
Perc drug-el cor stent sing (C9600) $10,776.80 $13,471 0.9×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T)
likely a partial charge — not the full procedure
$1,378 $1,722.50 0.2×
Psa screening (G0103) $25.60 $32 1.3×
Risk ascvd tst once pr 12 mo (G0537) $23.20 $29 0.6×
Tee w or w/o fol w/cont,cong (C8926) $1,622.40 $2,028 2.0×
Therapeutic procd strg endur (G0237) $76.80 $96 2.6×
Trauma respons w/hosp criti (G0390) $6,000 $7,500 4.4×
Tte w or w/o contr, cont ecg (C8930) $1,539.20 $1,924 1.9×
Tte w or w/o fol w/con,stres (C8928) $1,604.80 $2,006 2.0×
Tte w or w/o fol w/cont, com (C8921) $1,415.20 $1,769 1.8×
Tte w or w/o fol w/cont, f/u (C8922) $872.80 $1,091 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,604.80 $2,006 2.0×