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 | Cash price | Gross charge | × 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× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $161.49 | $393.90 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $605.66 | $1,477.22 | 0.7× |
| Canalith Repositioning (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× |
| Color/duplex Doppler, complete (93975) | $532.15 | $1,297.95 | 2.2× |
| Cpap initiation and management (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× |
| Demo &/or eval,pt use,aerosol device (94664) | $54.16 | $132.10 | 0.2× |
| 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) | $456.43 | $1,113.25 | 1.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) | $304.24 | $742.05 | 2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $541.56 | $1,320.90 | 5.1× |
| Duplex scan extracranial art compl bi study (93880) | $584.92 | $1,426.65 | 2.4× |
| Echo transesophageal (93312) | $1,027.78 | $2,506.80 | 1.8× |
| EKG (93005) | $128.20 | $312.70 | 2.1× |
| EMG cranial nerve bilat (95868) | $235.89 | $575.35 | 1.1× |
| EMG cranial nerve unilat (95867) | $209.87 | $511.90 | 1.0× |
| EMG four extremities (95864) | $412.91 | $1,007.10 | 3.1× |
| EMG one extremity (95860) | $232.22 | $566.40 | 1.7× |
| EMG two extremities (95861) | $333.26 | $812.85 | 2.5× |
| Er level 1 (99281) | $171.09 | $417.30 | 2.0× |
| Er level ii (99282) | $228.12 | $556.40 | 1.5× |
| Er level iii (99283) | $307.50 | $750 | 1.1× |
| Er level IV (99284) | $542.47 | $1,323.10 | 1.3× |
| Er level v (99285) | $842.24 | $2,054.25 | 1.4× |
| Group Therapeutic Procedures (97150) | $29.19 | $71.20 | 1.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (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) | $101.56 | $247.72 | 0.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $193.90 | $472.95 | 0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $74.14 | $180.85 | 1.5× |
| IV push initial (96374) | $95.81 | $233.70 | 0.4× |
| Manual therapy 15 min (97140) | $29.19 | $71.20 | 1.1× |
| Massage 15 min (97124) | $29.19 | $71.20 | 1.0× |
| Maximum voluntary ventilation (94200) | $82.12 | $200.30 | 1.4× |
| Mechanical traction (97012) | $25.09 | $61.20 | 1.7× |
| Methacholine challenge (94070) | $259.14 | $632.05 | 0.7× |
| Multiple sleep latency test (95805) | $1,253.75 | $3,057.95 | 1.4× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) | $166.39 | $405.85 | 1.2× |
| 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× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) | $304.58 | $742.90 | 1.4× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) | $344.46 | $840.15 | 0.9× |
| Orthotics mgmt & traing 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 complex 60 min (97167) | $104.93 | $255.95 | 1.0× |
| Ot eval low complex 30 min (97165) | $90.79 | $221.45 | 0.9× |
| Ot eval mod complex 45 min (97166) | $113.59 | $277.05 | 1.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $37.74 | $92.05 | 0.9× |
| Ot Range Motion Measure,Each Extrem (95851) | $31.01 | $75.65 | 1.2× |
| Ot re-eval est plan care (97168) | $71.64 | $174.75 | 1.0× |
| Paraffin bath (97018) | $25.09 | $61.20 | 4.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $187.53 | $457.40 | 0.8× |
| 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 Electric Current Therapy (97033) | $29.19 | $71.20 | 1.5× |
| Pt Electrical Stimulation (97032) | $29.19 | $71.20 | 2.0× |
| Pt eval high complex 45 min (97163) | $126.38 | $308.25 | 1.3× |
| Pt eval low complex 20 min (97161) | $88.49 | $215.85 | 0.9× |
| Pt Gait Training Therapy (97116) | $41.98 | $102.40 | 1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $36.49 | $89 | 1.1× |
| Pt Physical Performance Test (97750) | $53.60 | $130.75 | 1.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $111.31 | $271.50 | 1.1× |
| Pt re-evaluation (97164) | $88.49 | $215.85 | 1.3× |
| Pt Ultrasound Therapy (97035) | $29.19 | $71.20 | 2.0× |
| Pt Whirlpool Therapy (97022) | $25.09 | $61.20 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $115.96 | $282.85 | 0.6× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) | $31.01 | $75.65 | 1.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $54.50 | $132.95 | 0.4× |
| Somatosensory testing (95938) | $671.82 | $1,638.60 | 0.8× |
| Spirometry (94010) | $122.91 | $299.80 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $18.24 | $44.50 | 0.2× |
| Therapeutic Activities (97530) | $41.98 | $102.40 | 1.2× |
| Therapeutic phlebotomy (99195) | $131.20 | $320 | 1.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) | $789.31 | $1,925.15 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $72.07 | $175.80 | 1.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) | $752.35 | $1,835 | 3.1× |
| Vasc Duplex Scan Extracranial,Limited (93882) | $352.66 | $860.15 | 3.3× |
| Ventilation assist & mgmt inpatient 1st 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× |