Visits & medical services prices at Memorial Hospital of Sweetwater County

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

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

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $500 $500 4.8×
Advance care planning first 30 mins (99497) $310 $310 3.0×
Airway inhalation treatment (94640) $146 $146 0.7×
Appl on-body injector for timed subq injection (96377) $201 $201 4.2×
Behav assmt w/score & docd/stand instrument (96127) $18 $18 0.5×
Behavioral and qualitative analysis of voice and resonance (92524) $359 $359 3.3×
Bfb training 1st 15 min (90912) $181 $181 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $661 $661 1.7×
Capsule endoscopy (91110) $2,366 $2,366 2.6×
Cardiac Stress Tst,Tracing Only (93017) $1,085 $1,085 4.9×
Cardiopulmonary resuscitation (92950) $1,561 $1,561 7.1×
Cardioversion (92960) $2,018 $2,018 3.0×
Care mgmt svc bhvl hlth cond (99484) $156 $156 4.1×
Caregiver training 1st 30 min (97550) $145 $145 2.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $72 $72 2.8×
Cbt 1st hour (94644) $236 $236 1.7×
Chemo Admin Peritoneal Cavity (96446) $1,009 $1,009 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $310 $310 4.2×
Chemo inj subarach/intravent (96542) $620 $620 1.8×
Chemo IV push addl drug (96411) $383 $383 5.2×
Chemo Iv Push Sngl Drug (96409) $774 $774 2.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,332 $1,332 3.9×
Chemother, IV infusion, 1 hr (96413) $1,136 $1,136 3.4×
Chemother, IV infusion, ea add hr (96415) $406.50 $406.50 5.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $460 $460 6.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,080 $1,080 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $452 $452 6.1×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $146 $146 1.4×
Color/duplex Doppler, complete (93975) $2,263 $2,263 9.3×
Color/duplex Doppler, limited (93976) $2,078 $2,078 19.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $319 $319 1.8×
Comprehensive Hearing Test (92557) $145 $145 1.1×
Cpap initiation and management (94660) $867 $867 3.9×
Cpt initial (94667) $287 $287 2.1×
Critical care (99291) $2,930 $2,930 3.5×
Debridement Open Wound 20 Sq Cm< (97597) $323.50 $323.50 1.6×
Demo &/or eval,pt use,aerosol device (94664) $206 $206 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,568 $2,568 10.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,961 $1,961 18.4×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $2,047 $2,047 19.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,206 $2,206 9.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,893 $1,893 17.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,419 $2,419 9.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,735 $1,735 16.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,029 $1,029 9.6×
Duplex hemodialysis access (93990) $1,544 $1,544 14.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,456 $1,456 6.0×
Duplex scan extracranial art compl bi study (93880) $2,059 $2,059 8.4×
Echo Heart Xthoracic,Limited (93308) $1,136 $1,136 4.7×
EEG awake asleep (95819) $1,085.50 $1,085.50 4.9×
EEG awake drowsy (95816) $1,085.50 $1,085.50 4.9×
EEG coma or sleep only (95822) $1,085.50 $1,085.50 4.9×
Eeg Extended Monitoring 61-119 Minutes (95813) $2,097 $2,097 9.5×
EKG (93005) $434 $434 7.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $294 $294 1.3×
EMG cranial nerve bilat (95868) $499 $499 2.3×
EMG cranial nerve unilat (95867) $381 $381 1.7×
EMG four extremities (95864) $879 $879 6.7×
EMG one extremity (95860) $423 $423 3.1×
EMG thoracic paraspinal (95869) $339 $339 1.5×
EMG three extremities (95863) $749 $749 5.7×
EMG two extremities (95861) $606 $606 4.5×
Er level 1 (99281) $454 $454 5.3×
Er level ii (99282) $715.50 $715.50 4.6×
Er level iii (99283) $744 $744 2.7×
Er level IV (99284) $1,136 $1,136 2.7×
Er level v (99285) $1,661 $1,661 2.7×
Evaluation of speech fluency (92521) $419 $419 3.1×
Evaluation of speech sound production (92522) $342 $342 3.1×
Evaluation of swallowing function (92610) $371 $371 4.4×
External ECG rec>48hr<7d recording (93242) $679 $679 17.8×
External Ecg Scanning Analysis Report (93226) $438 $438 7.3×
Flow volume loop (94375) $1,174 $1,174 5.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,704 $1,704 1.9×
Holter Monitor Recording (93225) $551 $551 4.1×
Immunization Admin (90471) $205.50 $205.50 2.8×
Immunotherapy, 2+ Injections (95117) $38 $38 0.8×
Inital newborn e/m (99460) $334 $334 2.5×
Initial normal newborn care, same day discharge (99463) $388 $388 2.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $353 $353 5.9×
Ischemic limb exercise test (95875) $472 $472 3.6×
IV infusion hydration each additional hour (96361) $308.50 $308.50 6.4×
IV infusion hydration initial 31 min-1 hour (96360) $654.50 $654.50 3.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $457 $457 6.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $799 $799 3.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $272 $272 5.7×
IV push initial (96374) $368 $368 1.7×
Maintenance of spinal canal or brain drug infusion pump (95990) $547 $547 1.6×
Manual therapy 15 min (97140) $106 $106 3.8×
Massage 15 min (97124) $97 $97 3.3×
Maximum voluntary ventilation (94200) $13 $13 0.2×
Measurement of heart blood flow and respiration (93701) $102 $102 0.8×
Mechanical chest wall oscillation (94669) $287 $287 1.3×
Mechanical traction (97012) $84 $84 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46 $46 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78 $78 2.1×
Methacholine challenge (94070) $1,174 $1,174 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $402 $402 4.4×
Multiple sleep latency test (95805) $2,898 $2,898 3.3×
Nasopharyngoscopy (92511) $403 $403 2.0×
Needle electromyography hemidiaphragm (95866) $478 $478 3.6×
Needle electromyography larynx (95865) $541 $541 4.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $320 $320 2.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $704 $704 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $393 $393 1.9×
Nerve conduction studies 13/> studies (95913) $1,007 $1,007 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $429 $429 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $809 $809 2.1×
Nerve conduction studies; 11-12 studies (95912) $919 $919 2.4×
Nerve conduction studies; 5-6 studies (95909) $514 $514 2.3×
Nerve conduction studies; 7-8 studies (95910) $674 $674 1.8×
Newborn resuscitation (99465) $483 $483 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $554 $554 4.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $669 $669 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $555 $555 4.2×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $51 $51 1.5×
Nonphysician Telephone Assessment 11-20 Min (98967) $98 $98 3.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $143 $143 4.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $51 $51 3.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $137 $137 3.0×
Osteopathic manipulative tx 1-2 body regions (98925) $111 $111 5.0×
Osteopathic manipulative tx 3-4 body regions (98926) $162 $162 7.3×
Osteopathic manipulative tx 5-6 body regions (98927) $210 $210 9.5×
Osteopathic manipulative tx 7-8 body regions (98928) $255 $255 11.6×
Osteopathic manipulative tx 9-10 body regions (98929) $305 $305 13.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $108 $108 3.4×
Ot eval high complex 60 min (97167) $358 $358 3.6×
Ot eval low complex 30 min (97165) $172 $172 1.7×
Ot eval mod complex 45 min (97166) $245 $245 2.4×
Ot re-eval est plan care (97168) $245 $245 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $328 $328 2.5×
Paraffin bath (97018) $42 $42 7.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $445 $445 2.0×
Peripheral arterial disease rehab per session (93668) $74.50 $74.50 1.2×
Phy/qhp op pulm rhb w/o mntr (94625) $152 $152 2.5×
Plethysmography (94726) $317 $317 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,870 $6,870 7.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $53 $53 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34 $34 0.7×
Psychiatric diagnostic evaluation (90791) $13 $13 0.1×
Psytx crisis initial 60 min (90839) $508 $508 2.8×
Pt Electric Current Therapy (97033) $57 $57 3.0×
Pt Electrical Stimulation (97032) $84 $84 5.7×
Pt eval high complex 45 min (97163) $358 $358 3.7×
Pt eval low complex 20 min (97161) $172 $172 1.8×
Pt Gait Training Therapy (97116) $101 $101 3.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $119 $119 3.6×
Pt Physical Performance Test (97750) $167 $167 5.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $245 $245 2.5×
Pt re-evaluation (97164) $245 $245 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $125 $125 3.9×
Pt Ultrasound Therapy (97035) $125 $125 8.7×
Pulm function test by gas (94727) $252 $252 1.1×
Pulmonary stress testing (94618) $265 $265 1.9×
Pure Tone Audiometry, Air (92552) $121 $121 0.9×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $218 $218 5.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $67 $67 0.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $48 $48 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $181.50 $181.50 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $235 $235 1.7×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $500 $500 4.8×
Sensory Integration Ea 15 Min (97533) $104 $104 1.7×
Sleep study unattended (95806) $494 $494 2.2×
Smoking cessation > 10 min (99407) $139 $139 3.6×
Speech sound lang comprehen (92523) $705 $705 3.1×
Spirometry (94010) $280 $280 1.3×
Stress echo (93350) $1,804 $1,804 3.2×
Temp transcutaneous pacing (92953) $1,095 $1,095 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $282 $282 12.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $72 $72 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $410 $410 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $211 $211 2.9×
Therapeutic Activities (97530) $125 $125 3.6×
Therapeutic phlebotomy (99195) $494 $494 3.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $58 $58 1.5×
Trans Care Mgmt 14 Day Disch (99495) $610 $610 4.5×
Trans Care Mgmt 7 Day Disch (99496) $805 $805 5.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,885 $2,885 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $299 $299 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $333 $333 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $215 $215 4.5×
Tympanometry (92567) $61 $61 1.6×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $177 $177 6.0×
Unlisted pulmonary service/procedure (94799) $1,108 $1,108 8.4×
Vasc Duplex Extrem Venous,Bilat (93970) $2,220 $2,220 9.1×
Vasc Duplex Scan Extracranial,Limited (93882) $1,342 $1,342 12.6×
Ventilation assist & mgmt inpatient 1st day (94002) $1,662 $1,662 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,497 $1,497 2.4×