Supplies, drugs & other prices at Summit Medical Center
Casper, WY · every code in this section with a posted price and a Medicare benchmark.
13 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $32.86 | $80.15 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $320.62 | $782 | 6.2× |
| Direct refer hospital observ (G0379) | $48.97 | $119.45 | 0.1× |
| Drug test def 1-7 classes (G0480) | $43.46 | $106 | 0.4× |
| Home sleep test/type 3 porta (G0399) | $335.33 | $817.90 | 1.5× |
| Hospital outpt clinic visit (G0463) | $250.92 | $612.02 | 1.8× |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) | $1,381.90 | $3,370.50 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) | $512.35 | $1,249.65 | 0.7× |
| Mri w/o fol w/cont, breast, (C8908) | $820.77 | $2,001.90 | 2.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $1,662.56 | $4,055.02 | 3.6× |
| Opps service,sched team conf (G0175) | $53.60 | $130.75 | 0.1× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $11,982.25 | $29,225 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $1,650.70 | $4,026.10 | 2.1× |