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.

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ProcedureCash priceGross charge× Medicare
Administration of prolonged chemotherapy into artery (96425) $141.09 $188.12 0.4×
Advance care planning first 30 mins (99497) $292.95 $390.60 2.8×
Airway inhalation treatment (94640) $308.30 $411.06 1.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $95.82 $127.76 2.5×
Behav assmt w/score & docd/stand instrument (96127) $11.03 $14.70 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $328.54 $438.06 0.9×
Canalith Repositioning (95992) $108.42 $144.56 2.7×
Cardiopulmonary resuscitation (92950) $562.24 $749.66 2.5×
Cardioversion (92960) $316.13 $421.51 0.5×
Caregiver training 1st 30 min (97550) $84 $112 1.6×
Cbt 1st hour (94644) $496.08 $661.44 3.6×
Chemo Admin Peritoneal Cavity (96446) $150.92 $201.23 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $24.87 $33.16 0.3×
Chemo inj subarach/intravent (96542) $92.49 $123.32 0.3×
Chemo IV push addl drug (96411) $47.84 $63.79 0.7×
Chemo Iv Push Sngl Drug (96409) $85.04 $113.38 0.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $108.57 $144.76 0.3×
Chemother, IV infusion, 1 hr (96413) $103.98 $138.64 0.3×
Chemother, IV infusion, ea add hr (96415) $21.80 $29.07 0.3×
Chemother,ia infusn tech,<1 hr (96422) $130.92 $174.56 0.4×
Chemother,Ia Push Technique (96420) $81.60 $108.80 0.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $57.66 $76.88 0.8×
Chemotherapy admn intraarterial infusion ea hr (96423) $60.45 $80.60 1.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $142.28 $189.70 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $48.41 $64.54 0.7×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $668.24 $890.98 2.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $346.50 $462 3.3×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $98.74 $131.65 0.5×
Cpap initiation and management (94660) $540.54 $720.72 2.4×
Critical care (99291) $630.63 $840.84 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $212.78 $283.71 1.0×
Demo &/or eval,pt use,aerosol device (94664) $349.44 $465.92 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $508.70 $678.27 4.8×
Echo Heart Xthoracic,Limited (93308) $407.46 $543.28 1.7×
EKG (93005) $208.26 $277.68 3.5×
Er level 1 (99281) $48.32 $64.43 0.6×
Er level ii (99282) $94.64 $126.18 0.6×
Er level iii (99283) $215.14 $286.84 0.8×
Er level IV (99284) $272.87 $363.83 0.6×
Er level v (99285) $821.62 $1,095.48 1.4×
Evaluation of speech sound production (92522) $253.50 $338 2.3×
Evaluation of 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×
Flow volume loop (94375) $682.50 $910 3.1×
Group Therapeutic Procedures (97150) $46.68 $62.24 2.6×
High altitude simulation test (94453) $98.28 $131.04 0.7×
Holter Monitor Recording (93225) $288.60 $384.80 2.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $19.58 $26.10 0.3×
Immunization Admin (90471) $48.87 $65.16 0.7×
Immunotherapy, 2+ Injections (95117) $21.29 $28.39 0.4×
Inital newborn e/m (99460) $226.86 $302.48 1.7×
Initial normal newborn care, same day discharge (99463) $198.20 $264.26 1.5×
Injection intra arterial (96373) $15.11 $20.14 0.1×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $12.29 $16.38 0.4×
Intralesional Chemo Admin,8+ Lesn (96406) $88.59 $118.12 0.4×
Intralesional Chemo Admin,<8 Lesn (96405) $63.44 $84.59 0.9×
IV infusion hydration each additional hour (96361) $186.46 $248.60 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $131.86 $175.81 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $118.60 $158.12 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $174.25 $232.33 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $110.76 $147.68 2.3×
IV push initial (96374) $146.62 $195.50 0.7×
Low frequency non-thermal us (97610) $565.93 $754.57 2.8×
Manual therapy 15 min (97140) $99.84 $133.12 3.6×
Massage 15 min (97124) $77.81 $103.74 2.6×
Maximum voluntary ventilation (94200) $262.08 $349.44 4.3×
Mechanical chest wall oscillation (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 press wnd tx </=50 sq cm (97607) $515.97 $687.96 1.2×
Neg press wound tx >50 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×
Newborn resuscitation (99465) $865.72 $1,154.30 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $363.48 $484.64 2.8×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $297.18 $396.24 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $119.57 $159.43 2.6×
Osteopathic manipulative tx 1-2 body regions (98925) $50.77 $67.69 2.3×
Osteopathic manipulative tx 3-4 body regions (98926) $71.25 $95 3.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $82.72 $110.29 2.6×
Ot eval high complex 60 min (97167) $287.82 $383.76 2.9×
Ot eval low complex 30 min (97165) $230.10 $306.80 2.3×
Ot eval mod complex 45 min (97166) $290.94 $387.92 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $126.95 $169.26 2.5×
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×
Paraffin bath (97018) $35.22 $46.96 5.9×
Patient-initiated spirometric phys/qhp r&i only (94016) $44.23 $58.97 1.8×
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 4 insect (95148) $41.02 $54.69 0.6×
Prepj& antigen allergen immunotherapy 5 insect (95149) $54.68 $72.90 0.7×
Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) $7.59 $10.12 0.2×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $9.82 $13.09 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.11 $24.15 0.4×
Pt Electric Current Therapy (97033) $72.23 $96.30 3.8×
Pt Electrical Stimulation (97032) $60.84 $81.12 4.1×
Pt eval high complex 45 min (97163) $256.62 $342.16 2.6×
Pt eval low complex 20 min (97161) $195.74 $260.99 2.0×
Pt Gait Training Therapy (97116) $99.06 $132.08 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $101.79 $135.72 3.1×
Pt Physical Performance Test (97750) $87.63 $116.84 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $269.10 $358.80 2.7×
Pt re-evaluation (97164) $173.94 $231.92 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $103.45 $137.93 3.2×
Pt Ultrasound Therapy (97035) $59.28 $79.04 4.1×
Pt Whirlpool Therapy (97022) $45.86 $61.15 2.9×
Pulm Funct Test Oscillometry (94728) $619.98 $826.64 4.7×
Pulm function test by gas (94727) $409.50 $546 1.9×
Pulmonary stress testing (94618) $86.37 $115.16 0.6×
Refill/maint, portable pump (96521) $105.37 $140.49 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $141.18 $188.24 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $270.66 $360.88 2.0×
Sc Ther Infusion Reset Pump (96371) $70.85 $94.46 1.0×
Sensory Integration Ea 15 Min (97533) $108.24 $144.32 1.8×
Sleep study unattended (95806) $128.58 $171.44 0.6×
Smoking cessation > 10 min (99407) $72.81 $97.08 1.9×
Spirometry (94010) $309.35 $412.46 1.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $12.05 $16.07 0.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $151.78 $202.37 0.7×
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/Proph/Diag Inj Sc/Im (96372) $45.48 $60.64 0.6×
Therapeutic Activities (97530) $99.92 $133.22 2.8×
Therapeutic phlebotomy (99195) $208.26 $277.68 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $29.14 $38.85 0.8×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $216.22 $288.29 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $83.94 $111.92 1.8×
Unlisted pulmonary service/procedure (94799) $368.16 $490.88 2.8×
Vasc Duplex Extrem Venous,Bilat (93970) $930.13 $1,240.18 3.8×
Vasopneumatic device (97016) $31.94 $42.59 2.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,352.32 $1,803.10 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,059.38 $1,412.50 1.7×
Vital capacity total (94150) $274.33 $365.77 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $80.68 $107.56 2.6×