Procedures & surgery prices at Summit Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Apply Body Cast,Risser Jacket (29010) $1,230.65 $3,001.60 4.3×
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure
$4,003.56 $9,764.80 0.1×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
likely a partial charge, not the full procedure
$3,421.86 $8,346 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $272.38 $664.35 1.3×
Blood transfusion service (36430) $592.44 $1,444.98 1.3×
Bx breast 1st lesion us imag (19083) $631.44 $1,540.10 0.4×
Colonoscopy flex w/rem forcep (45384) $935.31 $2,281.25 0.8×
Colonoscopy w/endoscopic fnb (45392) $935.31 $2,281.25 0.8×
Colonoscopy w/fb removal (45379) $935.31 $2,281.25 0.8×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $935.31 $2,281.25 0.8×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $935.31 $2,281.25 0.8×
Colsc flx with directed submucosal njx any sbst (45381) $935.31 $2,281.25 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $315.51 $769.55 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $213.17 $519.95 1.6×
Control Oropharyngeal Hemorrhage Simple (42960) $344.46 $840.15 0.6×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,710.93 $4,173 0.9×
Egd balloon dilation esophagus <30 mm diam (43249) $1,710.93 $4,173 0.9×
Egd Endo Mucosal Resection (43254) $935.31 $2,281.25 0.5×
Egd flexible foreign body removal (43247) $935.31 $2,281.25 1.0×
Egd guide wire insertion (43248) $935.31 $2,281.25 1.0×
Egd injection varices (43243) $935.31 $2,281.25 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,710.93 $4,173 0.9×
Egd place gastrostomy tube (43246) $1,710.93 $4,173 0.9×
Egd rem tumr/polyp forcep (43250) $1,710.93 $4,173 0.9×
Egd remove lesion snare (43251) $1,710.93 $4,173 0.9×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,710.93 $4,173 0.9×
Egd tube/cath insertion (43241) $935.31 $2,281.25 0.5×
Egd us fine needle bx/aspir (43242) $1,710.93 $4,173 0.9×
Egd us transmural injxn/mark (43253) $1,710.93 $4,173 0.9×
Egd Varices Ligation (43244) $1,710.93 $4,173 0.9×
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure
$1,710.93 $4,173 0.3×
Endoscopic us exam esoph (43237) $1,710.93 $4,173 0.9×
Esophagogastroduodenoscopy submucosal injection (43236) $935.31 $2,281.25 1.0×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $1,680.25
Fine needle aspiration bx w/us gdn 1st lesion (10005) $583.52 $1,423.25 0.8×
I&d abscess simple (10060) $294.72 $718.85 1.4×
Incision & drainage abscess complicated/multiple (10061) $489.10 $1,192.95 1.2×
Inj,Anes Agent,Brachial Plexus,Single (64415) $547.49 $1,335.35 0.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $547.49 $1,335.35 0.6×
Inject Nerv Blck,Axillary Nerv (64417) $547.49 $1,335.35 0.6×
Inject Nerv Blck,Paravert Sympath (64520) $547.49 $1,335.35 0.6×
Injection aa&/strd sciatic nerve w/img gdn (64445) $547.49 $1,335.35 0.8×
Injection anes other peripheral nerve/branch (64450) $547.49 $1,335.35 0.8×
Injection therapeutic carpal tunnel (20526) $373.65 $911.35 1.2×
Intubation endotracheal emergency procedure (31500) $406.06 $990.40 1.7×
Perq dev breast 1st strtctc (19283) $1,870.62 $4,562.50 2.6×
Perq device breast 1st imag (19281) $935.31 $2,281.25 0.6×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $719.75 $1,755.50 0.2×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $704.19 $1,717.55 0.2×
Plmt expandable cath brst following prtl mast (19296) $8,309.57 $20,267.25 1.0×
Puncture Aspiration (10160) $294.72 $718.85 0.7×
Puncture Aspiration Cyst Breast (19000) $1,967.56 $4,798.95 2.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $350.38 $854.60 5.8×
Removal Implantable Contraceptive Capsules (11976) $983.67 $2,399.20 1.4×
Removal of intrauterine device (iud) (58301) $262.37 $639.95 0.8×
Spinal Puncture Therapeutic (62272) $460.34 $1,122.80 0.6×
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $3,524.52 $8,596.40 0.9×
Uppr gi opticl endomicrscopy (43252) $1,710.93 $4,173 0.9×
Venipuncture (36415) $21.44 $52.30 2.3×
Xcpsl ctrc rmvl cplx insj 1+ (66989) $1,680.25