Supplies, drugs & other prices at Memorial Hospital of Sweetwater County
Rock Springs, WY · every code in this section with a posted price and a Medicare benchmark.
15 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $91 | $91 | 1.9× |
| Hep c screen high risk/other (G0472) | $123 | $123 | 2.7× |
| Mra w/cont, abd (C8900) | $4,047 | $4,047 | 11.4× |
| Mra w/cont, chest (C8909) | $3,725 | $3,725 | 10.5× |
| Mra w/cont, lwr ext (C8912) | $3,946 | $3,946 | 11.1× |
| Mra w/o cont, abd (C8901) | $3,170 | $3,170 | 13.0× |
| Mra w/o cont, chest (C8910) | $3,170 | $3,170 | 13.0× |
| Mra w/o cont, lwr ext (C8913) | $3,170 | $3,170 | 13.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,534 | $4,534 | 12.7× |
| Mra, w/o dye, upper extr (C8935) | $3,170 | $3,170 | 13.0× |
| Oth resp proc, group (G0239) | $63 | $63 | 1.7× |
| Oth resp proc, indiv (G0238) | $70 | $70 | 2.4× |
| Psa screening (G0103) | $233 | $233 | 12.1× |
| Therapeutic procd strg endur (G0237) | $122 | $122 | 4.1× |
| Visit to determ ldct elig (G0296) | $98 | $98 | 0.9× |