Visits & medical services prices at Star Valley Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $14.70 $21 0.1×
Airway inhalation treatment (94640) $123.90 $177 0.6×
Assessment of aphasia (96105) $148.40 $212 1.5×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $121.80 $174 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $448 $640 4.1×
Breath Hydrogen/Methane Test (91065) $660.80 $944 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $406.70 $581 1.1×
C motor evoked upr&lwr limbs (95939) $748.30 $1,069 0.9×
Canalith Repositioning (95992) $121.10 $173 3.0×
Cardiac Stress Tst,Tracing Only (93017) $820.75 $1,172.50 3.7×
Cardiopulmonary resuscitation (92950) $704.90 $1,007 3.2×
Cardioversion (92960) $550.90 $787 0.8×
Cbt 1st hour (94644) $346.50 $495 2.5×
Chemo Admin Peritoneal Cavity (96446) $457.10 $653 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $233.80 $334 3.2×
Chemo IV push addl drug (96411) $266.70 $381 3.6×
Chemo Iv Push Sngl Drug (96409) $343.70 $491 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $641.20 $916 1.9×
Chemother, IV infusion, 1 hr (96413) $468.30 $669 1.4×
Chemother, IV infusion, ea add hr (96415) $427.70 $611 5.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $195.30 $279 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $301.70 $431 4.1×
Color/duplex Doppler, complete (93975) $531.30 $759 2.2×
Color/duplex Doppler, limited (93976) $358.40 $512 3.4×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $133.70 $191 0.7×
Cpap initiation and management (94660) $682.15 $974.50 3.0×
Cpt initial (94667) $352.80 $504 2.6×
Critical care (99291) $2,333.45 $3,333.50 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $257.60 $368 1.3×
Demo &/or eval,pt use,aerosol device (94664) $226.10 $323 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $340.90 $487 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $316.40 $452 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $766.50 $1,095 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $606.90 $867 5.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $632.80 $904 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $343.70 $491 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $378 $540 3.5×
Duplex hemodialysis access (93990) $343.70 $491 3.2×
Duplex scan extracranial art compl bi study (93880) $813.75 $1,162.50 3.3×
Echo Heart Xthoracic,Limited (93308) $751.10 $1,073 3.1×
EEG awake drowsy (95816) $875 $1,250 4.0×
EKG (93005) $201.25 $287.50 3.3×
EMG two extremities (95861) $1,803.90 $2,577 13.3×
Er level 1 (99281) $248.15 $354.50 2.9×
Er level ii (99282) $465.85 $665.50 3.0×
Er level iii (99283) $762.30 $1,089 2.7×
Er level IV (99284) $1,248.80 $1,784 2.9×
Er level v (99285) $1,749.65 $2,499.50 2.9×
Evaluation of speech fluency (92521) $430.50 $615 3.2×
Evaluation of speech sound production (92522) $359.10 $513 3.2×
Evaluation of swallowing function (92610) $303.80 $434 3.6×
Evaluation with prescription of speech-generating alternative (92607) $257.60 $368 2.1×
External Ecg Scanning Analysis Report (93226) $291.90 $417 4.8×
Flow volume loop (94375) $586.60 $838 2.7×
Group Therapeutic Procedures (97150) $26.60 $38 1.5×
Hast w/report (94452) $164.50 $235 1.2×
Health Behavior Assessment/Re-Assessment (96156) $145.60 $208 1.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $38.50 $55 1.0×
Health behavior ivntj group f2f 1st 30 min (96164) $38.50 $55 1.0×
Health behavior ivntj indiv f2f 1st 30 min (96158) $151.20 $216 0.8×
High altitude simulation test (94453) $164.50 $235 1.2×
Holter Monitor Recording (93225) $217.35 $310.50 1.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $37.10 $53 0.9×
Immunization Admin (90471) $79.45 $113.50 1.1×
Immunotherapy, 2+ Injections (95117) $23.80 $34 0.5×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $717.50 $1,025 1.9×
Insertion of catheter for assessment of heart blood vessel function at various temperatures (93740) $461.30 $659 3.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $219.80 $314 3.6×
IV infusion hydration each additional hour (96361) $176.05 $251.50 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $316.05 $451.50 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $219.80 $314 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $592.90 $847 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $207.20 $296 4.3×
IV push initial (96374) $212.10 $303 1.0×
Manual therapy 15 min (97140) $121.80 $174 4.4×
Massage 15 min (97124) $93.80 $134 3.2×
Maximum voluntary ventilation (94200) $81.90 $117 1.4×
Mechanical traction (97012) $72.10 $103 5.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $94.50 $135 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $131.60 $188 3.6×
Methacholine challenge (94070) $506.80 $724 1.3×
Mnt Group Ea 30 Min (97804) $27.30 $39 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $284.90 $407 3.1×
Multiple sleep latency test (95805) $2,370.90 $3,387 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $227.50 $325 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,089.90 $1,557 2.6×
Nerve conduction studies; 7-8 studies (95910) $386.40 $552 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $247.10 $353 1.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $440.30 $629 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $205.10 $293 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $94.50 $135 2.1×
Osteopathic manipulative tx 1-2 body regions (98925) $72.10 $103 3.3×
Osteopathic manipulative tx 3-4 body regions (98926) $118.30 $169 5.4×
Osteopathic manipulative tx 5-6 body regions (98927) $168 $240 7.6×
Osteopathic manipulative tx 7-8 body regions (98928) $24.50 $35 1.1×
Osteopathic manipulative tx 9-10 body regions (98929) $25.90 $37 1.2×
Ot eval high complex 60 min (97167) $359.10 $513 3.6×
Ot eval low complex 30 min (97165) $211.40 $302 2.1×
Ot eval mod complex 45 min (97166) $293.30 $419 2.9×
Ot Range Motion Measure,Each Extrem (95851) $33.60 $48 1.3×
Ot re-eval est plan care (97168) $194.60 $278 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $220.50 $315 1.7×
Paraffin bath (97018) $9.10 $13 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $276.50 $395 1.2×
Plethysmography (94726) $317.45 $453.50 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,044.60 $5,778 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $12.25 $17.50 0.3×
Psychiatric diagnostic evaluation (90791) $282.10 $403 1.6×
Psytx crisis initial 60 min (90839) $296.80 $424 1.6×
Pt Aquatic Therapy/Exercises (97113) $258.30 $369 7.0×
Pt Electric Current Therapy (97033) $140 $200 7.4×
Pt Electrical Stimulation (97032) $57.40 $82 3.9×
Pt eval high complex 45 min (97163) $348.60 $498 3.6×
Pt eval low complex 20 min (97161) $174.30 $249 1.8×
Pt Gait Training Therapy (97116) $102.90 $147 3.5×
Pt Infrared Therapy (97026) $9.80 $14 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $175 $250 5.3×
Pt Physical Performance Test (97750) $109.20 $156 3.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $258.30 $369 2.6×
Pt re-evaluation (97164) $126.70 $181 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $126.70 $181 3.9×
Pt Ultrasound Therapy (97035) $49.70 $71 3.5×
Pt Whirlpool Therapy (97022) $56.70 $81 3.6×
Pulm function test by gas (94727) $205.10 $293 0.9×
Pulmonary stress testing (94618) $280 $400 2.1×
Refill/maint, portable pump (96521) $641.90 $917 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $209.30 $299 5.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $263.90 $377 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $226.10 $323 1.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $74.90 $107 1.6×
Sensory Integration Ea 15 Min (97533) $88.90 $127 1.5×
Sleep study unattended (95806) $410.90 $587 1.9×
Smoking cessation > 10 min (99407) $45.50 $65 1.2×
Somatosensory testing (95938) $1,152.90 $1,647 1.3×
Speech group therapy (92508) $35 $50 1.5×
Speech sound lang comprehen (92523) $514.50 $735 2.3×
Spirometry (94010) $165.20 $236 0.7×
Standardized Cognitive Performance Testing (96125) $276.50 $395 2.7×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $925.40 $1,322 8.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62.30 $89 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $71.40 $102 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $166.60 $238 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $19.60 $28 0.3×
Therapeutic Activities (97530) $192.15 $274.50 5.5×
Therapeutic phlebotomy (99195) $184.10 $263 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $49.35 $70.50 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,622.60 $2,318 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $207.90 $297 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $217 $310 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $219.80 $314 4.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,072.40 $1,532 4.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $388.50 $555 1.8×
Vasopneumatic device (97016) $53.20 $76 4.4×
Ventilation assist & mgmt inpatient 1st day (94002) $1,076.60 $1,538 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,682.10 $2,403 2.7×
Vital capacity total (94150) $252.70 $361 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $102.90 $147 3.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $209.30 $299 2.2×