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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $37.10 | $53 | 0.9× |
| Advncd Care Plan 30 Min (99497) | $14.70 | $21 | 0.1× |
| Airway Inhalation Treatment (94640) | $123.90 | $177 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $49.70 | $71 | 3.5× |
| Application Modality 1/> Areas Infrared (97026) | $9.80 | $14 | 1.5× |
| Assessment of aphasia per hr (96105) | $148.40 | $212 | 1.5× |
| Behavral qualit analys voice (92524) | $448 | $640 | 4.1× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$644.70–$676.90 | $921–$967 | varies |
| 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 proc (95992) | $121.10 | $173 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$634.20–$1,007.30 | $906–$1,439 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$660.10–$749.70 | $943–$1,071 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$319.20–$2,919 | $456–$4,170 | varies |
| Cbt 1st hour (94644) | $346.50 | $495 | 2.5× |
| Chemo Admin Peritoneal Cavity (96446) | $457.10 | $653 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $195.30 | $279 | 2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $233.80 | $334 | 3.2× |
| Chemo IV infusion addl hr (96415) | $427.70 | $611 | 5.8× |
| Chemo IV push addl drug (96411) | $266.70 | $381 | 3.6× |
| Chemother Prolong Infuse W/Pump (96416) | $641.20 | $916 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $301.70 | $431 | 4.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $468.30 | $669 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $343.70 | $491 | 1.0× |
| Chest Wall Manipulation (94668) | $226.10 | $323 | 1.7× |
| Color/duplex Doppler, complete (93975) | $531.30 | $759 | 2.2× |
| Color/duplex Doppler, limited (93976) | $358.40 | $512 | 3.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $133.70 | $191 | 0.7× |
| Continuous Pulse Ox (94762) | $205.10 | $293 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$681.80–$682.50 | $974–$975 | varies |
| Cpt initial (94667) | $352.80 | $504 | 2.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,085–$3,581.90 | $1,550–$5,117 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$19.60–$272.30 | $28–$389 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$338.10–$343.70 | $483–$491 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,072.40 | $1,532 | 4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$378–$532 | $540–$760 | varies |
| Duplex Scan Hemodialysis Access (93990) | $343.70 | $491 | 3.2× |
| Duplex up extrem art bilat (93930) | $632.80 | $904 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $343.70 | $491 | 3.2× |
| ECG/monitoring and analysis (93271) | $209.30 | $299 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$726.60–$788.90 | $1,038–$1,127 | varies |
| EEG awake drowsy (95816) | $875 | $1,250 | 4.0× |
| Electrical Stimulation Ea 15 Min (97032) | $57.40 | $82 | 3.9× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$77.70–$324.80 | $111–$464 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$333.20–$598.50 | $476–$855 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$510.30–$1,014.30 | $729–$1,449 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$868.70–$1,628.90 | $1,241–$2,327 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$156.80–$339.50 | $224–$485 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,265.60–$2,233.70 | $1,808–$3,191 | varies |
| Evaluate pt use of inhaler (94664) | $226.10 | $323 | 1.0× |
| Evaluate Speech Production (92522) | $359.10 | $513 | 3.2× |
| Evaluate Swallowing Function (92610) | $303.80 | $434 | 3.6× |
| Evaluation of speech fluency (92521) | $430.50 | $615 | 3.2× |
| External Ecg Scanning Analysis Report (93226) | $291.90 | $417 | 4.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$749–$878.50 | $1,070–$1,255 | varies |
| Group Therapeutic Procedures (97150) | $26.60 | $38 | 1.5× |
| 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 (94452) | $164.50 | $235 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $164.50 | $235 | 1.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$212.10–$222.60 | $303–$318 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$65.10–$93.80 | $93–$134 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $717.50 | $1,025 | 1.9× |
| Iontophoresis 15 min (97033) | $140 | $200 | 7.4× |
| Irrig Drug Delivery Device (96523) | $219.80 | $314 | 3.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$100.10–$252 | $143–$360 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$112.70–$519.40 | $161–$742 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $219.80 | $314 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $207.20 | $296 | 4.3× |
| IV push initial (96374) | $212.10 | $303 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $81.90 | $117 | 1.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $388.50 | $555 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$92.40–$96.60 | $132–$138 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $131.60 | $188 | 3.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $27.30 | $39 | 1.6× |
| Methacholine challenge (94070) | $506.80 | $724 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$188.30–$381.50 | $269–$545 | varies |
| Multiple Sleep Latency Test (95805) | $2,370.90 | $3,387 | 2.7× |
| Muscle Test 2 Limbs (95861) | $1,803.90 | $2,577 | 13.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$44.10–$235.90 | $63–$337 | varies |
| 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× |
| Neuromuscular Reeducation (97112) | $175 | $250 | 5.3× |
| Oral Function Therapy (92526) | $217 | $310 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $94.50 | $135 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$14–$198.10 | $20–$283 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$14.70–$198.10 | $21–$283 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$21–$198.10 | $30–$283 | varies |
| 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 complexity (97167) | $359.10 | $513 | 3.6× |
| Ot Eval Low Complex (97165) | $211.40 | $302 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $293.30 | $419 | 2.9× |
| Ot manual therapy 15 min (97140) | $121.80 | $174 | 4.4× |
| Ot paraffin bath (97018) | $9.10 | $13 | 1.5× |
| 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× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $276.50 | $395 | 1.2× |
| Phlebotomy therapeutic (99195) | $184.10 | $263 | 1.4× |
| Physical Performance Test (97750) | $109.20 | $156 | 3.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$246.40–$388.50 | $352–$555 | varies |
| 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) range across 2 matching MRF lines |
$11.90–$12.60 | $17–$18 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $23.80 | $34 | 0.5× |
| Psychiatric diagnostic evaluation (90791) | $282.10 | $403 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $296.80 | $424 | 1.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $121.80 | $174 | 3.2× |
| Pt Eval High Complex (97163) | $348.60 | $498 | 3.6× |
| Pt eval low complex 20 min (97161) | $174.30 | $249 | 1.8× |
| Pt Eval Mod Complex (97162) | $258.30 | $369 | 2.6× |
| Pt gait training 15 min (97116) | $102.90 | $147 | 3.5× |
| Pt mechanical traction (97012) | $72.10 | $103 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $126.70 | $181 | 1.9× |
| 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 (93270) | $209.30 | $299 | 5.5× |
| Respiratory flow volume loop (94375) | $586.60 | $838 | 2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $263.90 | $377 | 1.3× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $33.60 | $48 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $257.60 | $368 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $74.90 | $107 | 1.6× |
| Self Care Mngment Training (97535) | $126.70 | $181 | 3.9× |
| Sensory Integration Ea 15 Min (97533) | $88.90 | $127 | 1.5× |
| Sleep study unattended (95806) | $410.90 | $587 | 1.9× |
| Somatosensory Testing (95938) | $1,152.90 | $1,647 | 1.3× |
| 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× |
| Temperature Gradient Studies (93740) | $461.30 | $659 | 3.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$49.70–$74.90 | $71–$107 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $71.40 | $102 | 3.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $258.30 | $369 | 7.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $93.80 | $134 | 3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $166.60 | $238 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$17.50–$126 | $25–$180 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $592.90 | $847 | 2.7× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$161.70–$222.60 | $231–$318 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $45.50 | $65 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$4.20–$94.50 | $6–$135 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$415.80–$1,750.70 | $594–$2,501 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $207.90 | $297 | 2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $35 | $50 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $219.80 | $314 | 4.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$235.20–$352.80 | $336–$504 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $440.30 | $629 | 2.0× |
| Vasopneumatic device (97016) | $53.20 | $76 | 4.4× |
| Vent Mgmt Inpat Init 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× |
| Whirlpool Therapy (97022) | $56.70 | $81 | 3.6× |
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.