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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $500 | $500 | 4.8× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$300–$320 | $300–$320 | varies |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$73–$146 | $73–$146 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $125 | $125 | 8.7× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$200–$202 | $200–$202 | varies |
| Behavral qualit analys voice (92524) | $359 | $359 | 3.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $181 | $181 | 2.2× |
| Bioimpedance Cv Analysis (93701) | $102 | $102 | 0.8× |
| Brief Emotional/Behav Assmt (96127) | $18 | $18 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $661 | $661 | 1.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,085 | $1,085 | 4.9× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,554–$1,568 | $1,554–$1,568 | varies |
| Cardioversion (92960) | $2,018 | $2,018 | 3.0× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $156 | $156 | 4.1× |
| 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 Anti-Neopl Sq/Im (96401) | $460 | $460 | 6.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $310 | $310 | 4.2× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$405–$408 | $405–$408 | varies |
| Chemo IV push addl drug (96411) | $383 | $383 | 5.2× |
| Chemother Prolong Infuse W/Pump (96416) | $1,332 | $1,332 | 3.9× |
| Chemotherapy Into Cns (96450) | $1,080 | $1,080 | 3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $452 | $452 | 6.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$1,081–$1,147 | $1,081–$1,147 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $774 | $774 | 2.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $620 | $620 | 1.8× |
| Chest Wall Manipulation (94668) | $235 | $235 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (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× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $108 | $108 | 3.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $319 | $319 | 1.8× |
| Comprehensive Hearing Test (92557) | $145 | $145 | 1.1× |
| Continuous Pulse Ox (94762) | $555 | $555 | 4.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$818–$867 | $818–$867 | varies |
| Cpt initial (94667) range across 4 matching MRF lines |
$206–$287 | $206–$287 | varies |
| Critical care first hour (99291) | $2,930 | $2,930 | 3.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$314–$333 | $314–$333 | varies |
| 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) range across 2 matching MRF lines |
$2,141–$2,271 | $2,141–$2,271 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$1,683–$1,893 | $1,683–$1,893 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,220 | $2,220 | 9.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,029 | $1,029 | 9.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,456 | $1,456 | 6.0× |
| Duplex Scan Hemodialysis Access (93990) | $1,544 | $1,544 | 14.5× |
| Duplex up extrem art bilat (93930) | $2,419 | $2,419 | 9.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,735 | $1,735 | 16.2× |
| Echo Heart Xthoracic,Limited (93308) | $1,136 | $1,136 | 4.7× |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$193–$2,097 | $193–$2,097 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$193–$1,978 | $193–$1,978 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$193–$1,978 | $193–$1,978 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $2,097 | $2,097 | 9.5× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$193–$1,978 | $193–$1,978 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $84 | $84 | 5.7× |
| Electrocardiogram Tracing (93005) | $434 | $434 | 7.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$471–$960 | $471–$960 | varies |
| Emergency Dept Visit Level 3 (99283) | $744 | $744 | 2.7× |
| Emergency Dept Visit Level 4 (99284) | $1,136 | $1,136 | 2.7× |
| Emg 3 Extremities (95863) | $749 | $749 | 5.7× |
| Emg 4 Extremities (95864) | $879 | $879 | 6.7× |
| Er level 1 (99281) | $454 | $454 | 5.3× |
| Er level v (99285) | $1,661 | $1,661 | 2.7× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$193–$206 | $193–$206 | varies |
| Evaluate Speech Production (92522) | $342 | $342 | 3.1× |
| Evaluate Swallowing Function (92610) | $371 | $371 | 4.4× |
| Evaluation of speech fluency (92521) | $419 | $419 | 3.1× |
| External ECG rec>48hr<7d recording (93242) | $679 | $679 | 17.8× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$428–$448 | $428–$448 | varies |
| Extracranial Bilat Study (93880) | $2,059 | $2,059 | 8.4× |
| Extracranial Uni/Ltd Study (93882) | $1,342 | $1,342 | 12.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,704 | $1,704 | 1.9× |
| Gi tract capsule endoscopy (91110) | $2,366 | $2,366 | 2.6× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$334–$551 | $334–$551 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$200–$211 | $200–$211 | varies |
| Inital newborn e/m (99460) | $334 | $334 | 2.5× |
| Iontophoresis 15 min (97033) | $57 | $57 | 3.0× |
| Irrig Drug Delivery Device (96523) | $353 | $353 | 5.9× |
| Ischemic limb exercise test (95875) | $472 | $472 | 3.6× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$307–$310 | $307–$310 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$651–$658 | $651–$658 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$455–$459 | $455–$459 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$270–$272 | $270–$272 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$368–$371 | $368–$371 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $13 | $13 | 0.2× |
| Mechanical chest wall oscillation per session (94669) | $287 | $287 | 1.3× |
| 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 Fluoroscopy/Swallow (92611) | $402 | $402 | 4.4× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$160–$5,636 | $160–$5,636 | varies |
| Muscle Test 2 Limbs (95861) | $606 | $606 | 4.5× |
| Muscle Test Hemidiaphragm (95866) | $478 | $478 | 3.6× |
| Muscle Test Nonparaspinal (95870) | $320 | $320 | 2.4× |
| Muscle Test One Limb (95860) | $423 | $423 | 3.1× |
| Nasopharyngoscopy (92511) | $403 | $403 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $499 | $499 | 2.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $381 | $381 | 1.7× |
| Needle electromyography larynx (95865) | $541 | $541 | 4.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $339 | $339 | 1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $704 | $704 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$388–$398 | $388–$398 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $919 | $919 | 2.4× |
| Nerve conduction studies 13 or more studies (95913) | $1,007 | $1,007 | 2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $429 | $429 | 1.9× |
| Nerve conduction studies 5-6 studies (95909) | $514 | $514 | 2.3× |
| Nerve conduction studies 7-8 studies (95910) | $674 | $674 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $809 | $809 | 2.1× |
| Neuromuscular Reeducation (97112) | $119 | $119 | 3.6× |
| Newborn resuscitation (99465) | $483 | $483 | 0.7× |
| 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× |
| Oral Function Therapy (92526) | $333 | $333 | 4.0× |
| Orthotics Mgmt & Trainj 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 eval high complexity (97167) | $358 | $358 | 3.6× |
| Ot Eval Low Complex (97165) | $172 | $172 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $245 | $245 | 2.4× |
| Ot manual therapy 15 min (97140) | $106 | $106 | 3.8× |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$42–$44 | $42–$44 | varies |
| Ot Re-Eval Est Plan Care (97168) | $245 | $245 | 3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$247–$418 | $247–$418 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $445 | $445 | 2.0× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$72–$77 | $72–$77 | varies |
| Phlebotomy therapeutic (99195) | $494 | $494 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $152 | $152 | 2.5× |
| Physical Performance Test (97750) range across 8 matching MRF lines |
$167–$176 | $167–$176 | varies |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $38 | $38 | 0.8× |
| Psychiatric diagnostic evaluation (90791) | $13 | $13 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) | $508 | $508 | 2.8× |
| Pt Eval High Complex (97163) | $358 | $358 | 3.7× |
| Pt eval low complex 20 min (97161) | $172 | $172 | 1.8× |
| Pt Eval Mod Complex (97162) | $245 | $245 | 2.5× |
| Pt gait training 15 min (97116) | $101 | $101 | 3.5× |
| Pt mechanical traction (97012) | $84 | $84 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $245 | $245 | 3.6× |
| Pulm function test by gas (94727) | $252 | $252 | 1.1× |
| Pulmonary service/procedure (94799) | $1,108 | $1,108 | 8.4× |
| Pulmonary Stress Testing (94618) | $265 | $265 | 1.9× |
| Pure Tone Audiometry Air (92552) | $121 | $121 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $51 | $51 | 1.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $547 | $547 | 1.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (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 (93270) | $48 | $48 | 1.3× |
| Respiratory flow volume loop (94375) | $1,174 | $1,174 | 5.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$176–$187 | $176–$187 | varies |
| Same day nb discharge (99463) | $388 | $388 | 2.9× |
| Sbsq Psyc Collab Care Mgmt (99493) | $500 | $500 | 4.8× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$96–$133 | $96–$133 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$104–$111 | $104–$111 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$123–$865 | $123–$865 | varies |
| Slp caregiver training 1st 30 min (97550) | $145 | $145 | 2.7× |
| Speech sound lang comprehen (92523) | $705 | $705 | 3.1× |
| Spirometry (94010) | $280 | $280 | 1.3× |
| Stress Tte Only (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 Ea Addl 15 Min (97130) | $72 | $72 | 3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $97 | $97 | 3.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $410 | $410 | 4.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $211 | $211 | 2.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $799 | $799 | 3.7× |
| Therapeutic Activities (97530) | $125 | $125 | 3.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $139 | $139 | 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 (93306) | $2,885 | $2,885 | 5.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $299 | $299 | 3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$51–$232 | $51–$232 | varies |
| Tympanometry (92567) | $61 | $61 | 1.6× |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 5 matching MRF lines |
$119–$531 | $119–$531 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $554 | $554 | 4.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $669 | $669 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,662 | $1,662 | 2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$1,478–$1,516 | $1,478–$1,516 | varies |
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.