Visits & medical services prices at South Lincoln Medical Center
Kemmerer, WY · every code in this section with a posted price and a Medicare benchmark.
143 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $292.95 | $390.60 | 2.8× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$24.11–$495.33 | $32.15–$660.44 | varies |
| Airway resistance by oscillometry (94728) | $619.98 | $826.64 | 4.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$49.14–$69.42 | $65.52–$92.56 | varies |
| Brief Emotional/Behav Assmt (96127) | $11.03 | $14.70 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$37.10–$619.98 | $49.47–$826.64 | varies |
| Canalith repositioning proc (95992) | $108.42 | $144.56 | 2.7× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$217.62–$1,742.07 | $290.16–$2,322.76 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$128.70–$1,119.30 | $171.60–$1,492.40 | varies |
| Cbt 1st hour (94644) | $496.08 | $661.44 | 3.6× |
| Chemo Admin Peritoneal Cavity (96446) | $150.92 | $201.23 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $57.66 | $76.88 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $24.87 | $33.16 | 0.3× |
| Chemo Ia Push (96420) | $81.60 | $108.80 | 0.2× |
| Chemo Intralesional Over 7 (96406) | $88.59 | $118.12 | 0.4× |
| Chemo intralesional up to 7 (96405) | $63.44 | $84.59 | 0.9× |
| Chemo IV infusion addl hr (96415) | $21.80 | $29.07 | 0.3× |
| Chemo IV push addl drug (96411) | $47.84 | $63.79 | 0.7× |
| Chemother Prolong Infuse W/Pump (96416) | $108.57 | $144.76 | 0.3× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $130.92 | $174.56 | 0.4× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $60.45 | $80.60 | 1.3× |
| Chemotherapy Into Cns (96450) | $142.28 | $189.70 | 0.4× |
| Chemotherapy Intracavitary (96440) | $668.24 | $890.98 | 2.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $141.09 | $188.12 | 0.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $48.41 | $64.54 | 0.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $103.98 | $138.64 | 0.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $85.04 | $113.38 | 0.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $92.49 | $123.32 | 0.3× |
| Chest Wall Manipulation (94668) | $270.66 | $360.88 | 2.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $346.50 | $462 | 3.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $82.72 | $110.29 | 2.6× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $98.74 | $131.65 | 0.5× |
| Continuous Pulse Ox (94762) | $363.48 | $484.64 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$468–$660 | $624–$880 | varies |
| Critical care first hour (99291) | $630.63 | $840.84 | 0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$62.24–$289.11 | $82.99–$385.48 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$441.44–$1,418.82 | $588.59–$1,891.76 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$294.35–$723.06 | $392.46–$964.08 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$219–$595.92 | $292–$794.56 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$60.06–$61.62 | $80.08–$82.16 | varies |
| Electrocardiogram Tracing (93005) | $208.26 | $277.68 | 3.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$94.19–$95.09 | $125.58–$126.79 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$142.51–$287.76 | $190.01–$383.68 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$270.27–$818.62 | $360.36–$1,091.49 | varies |
| Er level 1 (99281) | $48.32 | $64.43 | 0.6× |
| Er level v (99285) range across 2 matching MRF lines |
$407.87–$1,235.36 | $543.82–$1,647.15 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$180.18–$518.70 | $240.24–$691.60 | varies |
| Evaluate Speech Production (92522) | $253.50 | $338 | 2.3× |
| Evaluate Swallowing Function (92610) | $249.60 | $332.80 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $219.18 | $292.24 | 1.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $376.74 | $502.32 | 2.8× |
| External Ecg Scanning Analysis Report (93226) | $262.08 | $349.44 | 4.3× |
| Group Therapeutic Procedures (97150) | $46.68 | $62.24 | 2.6× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $98.28 | $131.04 | 0.7× |
| Holter monitor recording (93225) | $288.60 | $384.80 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $19.58 | $26.10 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$17.79–$123.24 | $23.72–$164.32 | varies |
| Inital newborn e/m (99460) | $226.86 | $302.48 | 1.7× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $12.29 | $16.38 | 0.4× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$52.42–$92.04 | $69.89–$122.72 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$11.77–$361.14 | $15.69–$481.52 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$116.55–$381.42 | $155.40–$508.56 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$23.47–$213.72 | $31.29–$284.96 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $110.76 | $147.68 | 2.3× |
| IV push initial (96374) range across 4 matching MRF lines |
$62.81–$197.34 | $83.74–$263.12 | varies |
| Low frequency non-thermal us (97610) | $565.93 | $754.57 | 2.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $262.08 | $349.44 | 4.3× |
| Mechanical chest wall oscillation per session (94669) | $511.88 | $682.50 | 2.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $38.91 | $51.88 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $79.44 | $105.92 | 2.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $515.97 | $687.96 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $515.97 | $687.96 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $429.16 | $572.21 | 2.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $784.61 | $1,046.14 | 1.9× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$99.84–$103.74 | $133.12–$138.32 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$307.94–$1,423.50 | $410.59–$1,898 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $297.18 | $396.24 | 0.8× |
| Oral Function Therapy (92526) | $216.22 | $288.29 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $126.95 | $169.26 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $119.57 | $159.43 | 2.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$48.30–$53.24 | $64.40–$70.98 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $71.25 | $95 | 3.2× |
| Ot eval high complexity (97167) | $287.82 | $383.76 | 2.9× |
| Ot Eval Low Complex (97165) | $230.10 | $306.80 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $290.94 | $387.92 | 2.9× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$90.09–$136.50 | $120.12–$182 | varies |
| Ot paraffin bath (97018) | $35.22 | $46.96 | 5.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $103.19 | $137.59 | 2.6× |
| Ot Re-Eval Est Plan Care (97168) | $156.43 | $208.57 | 2.3× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $44.23 | $58.97 | 1.8× |
| Phlebotomy therapeutic (99195) | $208.26 | $277.68 | 1.5× |
| Physical Performance Test (97750) | $87.63 | $116.84 | 2.6× |
| Plethysmography (94726) | $682.50 | $910 | 1.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $13.10 | $17.47 | 0.3× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $17.06 | $22.74 | 0.4× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $30.44 | $40.58 | 0.6× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $54.68 | $72.90 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$18.02–$36.23 | $24.02–$48.30 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$21.26–$63.79 | $28.35–$85.05 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $41.02 | $54.69 | 0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $9.82 | $13.09 | 0.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $7.59 | $10.12 | 0.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $95.82 | $127.76 | 2.5× |
| Pt Eval High Complex (97163) | $256.62 | $342.16 | 2.6× |
| Pt eval low complex 20 min (97161) | $195.74 | $260.99 | 2.0× |
| Pt Eval Mod Complex (97162) | $269.10 | $358.80 | 2.7× |
| Pt gait training 15 min (97116) | $99.06 | $132.08 | 3.4× |
| Pt Re-Eval Est Plan Care (97164) | $173.94 | $231.92 | 2.6× |
| Pulm function test by gas (94727) | $409.50 | $546 | 1.9× |
| Pulmonary service/procedure (94799) | $368.16 | $490.88 | 2.8× |
| Pulmonary Stress Testing (94618) | $86.37 | $115.16 | 0.6× |
| Refill/Maint Portable Pump (96521) | $105.37 | $140.49 | 0.5× |
| Respiratory flow volume loop (94375) | $682.50 | $910 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$36.04–$289.11 | $48.05–$385.48 | varies |
| Same day nb discharge (99463) | $198.20 | $264.26 | 1.5× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$86–$120.90 | $114.66–$161.20 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$107.29–$109.20 | $143.05–$145.60 | varies |
| Sleep study unattended (95806) | $128.58 | $171.44 | 0.6× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$48.75–$119.25 | $65–$159 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$284.54–$334.16 | $379.39–$445.54 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $12.05 | $16.07 | 0.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $151.78 | $202.37 | 0.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $70.85 | $94.46 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $470.93 | $627.90 | 2.1× |
| Temp transcutaneous pacing (92953) | $716.04 | $954.72 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $77.81 | $103.74 | 3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $77.81 | $103.74 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $15.11 | $20.14 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$15.98–$159.18 | $21.30–$212.24 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$117.12–$231.38 | $156.16–$308.50 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$74.10–$127.14 | $98.80–$169.52 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$22.77–$122.85 | $30.36–$163.80 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$11.86–$90.48 | $15.81–$120.64 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $128.47 | $171.29 | 0.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $181.52 | $242.03 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $217.62 | $290.16 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$17.34–$150.54 | $23.12–$200.72 | varies |
| Vasopneumatic device (97016) | $31.94 | $42.59 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,189.50–$1,515.15 | $1,586–$2,020.20 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$890.25–$1,228.50 | $1,187–$1,638 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$214.50–$334.16 | $286–$445.54 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$77.81–$83.54 | $103.74–$111.38 | varies |
| Whirlpool Therapy (97022) | $45.86 | $61.15 | 2.9× |
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.