Supplies, drugs & other prices at Star Valley Medical Center
Afton, WY · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin pneumococcal vaccine (G0009) | $10.50 | $15 | 0.2× |
| Annual alcohol screen 15 min (G0442) | $26.60 | $38 | 0.7× |
| Ca screen;flexi sigmoidscope (G0104) | $1,053.50 | $1,505 | 1.1× |
| Ca screen;pelvic/breast exam (G0101) | $10.50 | $15 | 0.1× |
| Colon ca scrn not hi rsk ind (G0121) | $1,008.70 | $1,441 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $1,295.70 | $1,851 | 1.4× |
| Depression screen annual (G0444) | $32.20 | $46 | 0.8× |
| Diab manage trn per indiv (G0108) | $176.40 | $252 | 3.2× |
| Diab manage trn ind/group (G0109) | $49.70 | $71 | 3.1× |
| Direct refer hospital observ (G0379) | $527.80 | $754 | 0.9× |
| Ekg tracing for initial prev (G0404) | $63.70 | $91 | 2.2× |
| Elec stim other than wound (G0283) | $51.80 | $74 | 4.1× |
| Fecal blood scrn immunoassay (G0328) | $79.10 | $113 | 4.4× |
| Group mnt 2 or more 30 mins (G0271) | $34.30 | $49 | 2.0× |
| Initial preventive exam (G0402) | $29.40 | $42 | 0.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,543.50 | $2,205 | 2.1× |
| Mnt subs tx for change dx (G0270) | $102.90 | $147 | 3.2× |
| Ppps, initial visit (G0438) | $29.40 | $42 | 0.2× |
| Ppps, subseq visit (G0439) | $26.60 | $38 | 0.2× |
| Prostate biopsy, any mthd (G0416) | $1,115.80 | $1,594 | 3.0× |
| Psa screening (G0103) | $91.70 | $131 | 4.7× |
| Trauma respons w/hosp criti (G0390) | $2,969.40 | $4,242 | 2.2× |