Visits & medical services prices at Summit Medical Center
Casper, WY · every code in this section with a posted price and a Medicare benchmark.
88 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $72.07 | $175.80 | 0.3× |
| Analyze neurostim complex (95972) | $272.83 | $665.45 | 2.8× |
| Analyze neurostim no prog (95970) | $198.46 | $484.05 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $29.19 | $71.20 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $161.49 | $393.90 | 0.4× |
| C motor evoked upr&lwr limbs (95939) range across 4 matching MRF lines |
$605.44–$605.87 | $1,476.70–$1,477.75 | varies |
| Canalith repositioning proc (95992) | $155.12 | $378.35 | 3.8× |
| Cardiopulmonary resuscitation (92950) | $424.30 | $1,034.90 | 1.9× |
| Cbt 1st hour (94644) | $136.87 | $333.85 | 1.0× |
| Chest Wall Manipulation (94668) | $54.50 | $132.95 | 0.4× |
| Color/duplex Doppler, complete (93975) | $532.15 | $1,297.95 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $108.28 | $264.10 | 0.5× |
| Cpt initial (94667) | $108.28 | $264.10 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $204.13 | $497.90 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $352.66 | $860.15 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $263.46 | $642.60 | 2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$304.24–$608.62 | $742.05–$1,484.45 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$304.24–$476.76 | $742.05–$1,162.85 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $752.35 | $1,835 | 3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$541.56–$586.73 | $1,320.90–$1,431.05 | varies |
| Echo transesophageal (93312) | $1,027.78 | $2,506.80 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $29.19 | $71.20 | 2.0× |
| Electrocardiogram Tracing (93005) | $128.20 | $312.70 | 2.1× |
| Emergency Dept Visit Level 2 (99282) | $228.12 | $556.40 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $307.50 | $750 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $542.47 | $1,323.10 | 1.3× |
| Emg 4 Extremities (95864) | $412.91 | $1,007.10 | 3.1× |
| Er level 1 (99281) | $171.09 | $417.30 | 2.0× |
| Er level v (99285) | $842.24 | $2,054.25 | 1.4× |
| Evaluate pt use of inhaler (94664) | $54.16 | $132.10 | 0.2× |
| Extracranial Bilat Study (93880) | $584.92 | $1,426.65 | 2.4× |
| Extracranial Uni/Ltd Study (93882) | $352.66 | $860.15 | 3.3× |
| Group Therapeutic Procedures (97150) | $29.19 | $71.20 | 1.6× |
| Iontophoresis 15 min (97033) | $29.19 | $71.20 | 1.5× |
| Irrig Drug Delivery Device (96523) | $76.62 | $186.90 | 1.3× |
| IV infusion hydration each additional hour (96361) | $37.14 | $90.60 | 0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$49.36–$153.77 | $120.40–$375.05 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $74.14 | $180.85 | 1.5× |
| IV push initial (96374) | $95.81 | $233.70 | 0.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $82.12 | $200.30 | 1.4× |
| Methacholine challenge (94070) | $259.14 | $632.05 | 0.7× |
| Multiple Sleep Latency Test (95805) | $1,253.75 | $3,057.95 | 1.4× |
| Muscle Test 2 Limbs (95861) | $333.26 | $812.85 | 2.5× |
| Muscle Test Nonparaspinal (95870) range across 6 matching MRF lines |
$149.19–$166.39 | $363.90–$405.85 | varies |
| Muscle Test One Limb (95860) | $232.22 | $566.40 | 1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $235.89 | $575.35 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $209.87 | $511.90 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $115.96 | $282.85 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $204.13 | $497.90 | 0.5× |
| Neuromuscular Reeducation (97112) | $36.49 | $89 | 1.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $344.46 | $840.15 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $43.80 | $106.85 | 1.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $29.19 | $71.20 | 2.1× |
| Ot eval high complexity (97167) | $104.93 | $255.95 | 1.0× |
| Ot Eval Low Complex (97165) | $90.79 | $221.45 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $113.59 | $277.05 | 1.1× |
| Ot manual therapy 15 min (97140) | $29.19 | $71.20 | 1.1× |
| Ot paraffin bath (97018) | $25.09 | $61.20 | 4.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $37.74 | $92.05 | 0.9× |
| Ot Re-Eval Est Plan Care (97168) | $71.64 | $174.75 | 1.0× |
| Ot rom hand (95852) | $31.01 | $75.65 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $187.53 | $457.40 | 0.8× |
| Phlebotomy therapeutic (99195) | $131.20 | $320 | 1.0× |
| Physical Performance Test (97750) | $53.60 | $130.75 | 1.6× |
| Pm device eval in person (93288) | $141.42 | $344.95 | 3.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,520.66 | $3,708.95 | 1.7× |
| Pt Eval High Complex (97163) | $126.38 | $308.25 | 1.3× |
| Pt eval low complex 20 min (97161) | $88.49 | $215.85 | 0.9× |
| Pt Eval Mod Complex (97162) | $111.31 | $271.50 | 1.1× |
| Pt gait training 15 min (97116) | $41.98 | $102.40 | 1.4× |
| Pt mechanical traction (97012) | $25.09 | $61.20 | 1.7× |
| Pt Re-Eval Est Plan Care (97164) | $88.49 | $215.85 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $115.96 | $282.85 | 0.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $31.01 | $75.65 | 1.2× |
| Somatosensory Testing (95938) range across 4 matching MRF lines |
$669.32–$674.32 | $1,632.50–$1,644.70 | varies |
| Spirometry (94010) | $122.91 | $299.80 | 0.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $29.19 | $71.20 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $18.24 | $44.50 | 0.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $193.90 | $472.95 | 0.9× |
| Therapeutic Activities (97530) | $41.98 | $102.40 | 1.2× |
| Tte W/O Doppler Complete (93307) | $789.31 | $1,925.15 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $72.07 | $175.80 | 1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $304.58 | $742.90 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $483.71 | $1,179.80 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $483.71 | $1,179.80 | 0.8× |
| Vital capacity, total (94150) | $82.12 | $200.30 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $25.09 | $61.20 | 0.8× |
| Whirlpool Therapy (97022) | $25.09 | $61.20 | 1.6× |
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.