Visits & medical services prices at South Big Horn County Hospital (Three Rivers Health)
Basin, WY · every code in this section with a posted price and a Medicare benchmark.
86 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) | $108.68 | $144.90 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $79.65 | $106.20 | 5.5× |
| Application Modality 1/> Areas Infrared (97026) | $60.30 | $80.40 | 9.0× |
| Behavral qualit analys voice (92524) | $258.15 | $344.20 | 2.4× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$1,037.93–$1,038 | $1,383.90–$1,384 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$790.88–$822.45 | $1,054.50–$1,096.60 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $179.40 | $239.20 | 2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $78.07 | $104.10 | 1.1× |
| Chemo IV infusion addl hr (96415) | $68.55 | $91.40 | 0.9× |
| Chemo IV push addl drug (96411) | $135.60 | $180.80 | 1.8× |
| Chemother Prolong Infuse W/Pump (96416) | $316.42 | $421.90 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $157.05 | $209.40 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $322.73 | $430.30 | 1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $248.70 | $331.60 | 0.7× |
| Color/duplex Doppler, complete (93975) | $350.10 | $466.80 | 1.4× |
| Color/duplex Doppler, limited (93976) | $421.80 | $562.40 | 3.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $78.53 | $104.70 | 2.4× |
| Critical care first hour (99291) | $1,494.98 | $1,993.30 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $610.05 | $813.40 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $339.60 | $452.80 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $657.22 | $876.30 | 2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $397.95 | $530.60 | 3.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $679.42 | $905.90 | 2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $685.80 | $914.40 | 6.4× |
| Duplex up extrem art bilat (93930) | $657.22 | $876.30 | 2.7× |
| Duplex up extrem art unilat/ltd (93931) | $397.95 | $530.60 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) | $723.60 | $964.80 | 3.0× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$212.62–$244.65 | $283.50–$326.20 | varies |
| Emergency Dept Visit Level 2 (99282) | $369.30 | $492.40 | 2.4× |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$615.75–$615.83 | $821–$821.10 | varies |
| Emergency Dept Visit Level 4 (99284) | $1,055.25 | $1,407 | 2.5× |
| Er level 1 (99281) range across 4 matching MRF lines |
$227.62–$236.77 | $303.50–$315.70 | varies |
| Er level v (99285) | $1,507.28 | $2,009.70 | 2.5× |
| Evaluate Speech Production (92522) | $262.20 | $349.60 | 2.3× |
| Evaluate Swallowing Function (92610) | $200.85 | $267.80 | 2.4× |
| Evaluation of speech fluency (92521) | $312.45 | $416.60 | 2.3× |
| External ECG rec>48hr<7d recording (93242) | $91.12 | $121.50 | 2.4× |
| External ECG rec>7d<15d recording (93246) | $91.12 | $121.50 | 2.4× |
| Extracranial Bilat Study (93880) | $564 | $752 | 2.3× |
| Extracranial Uni/Ltd Study (93882) | $382.50 | $510 | 3.6× |
| Group Therapeutic Procedures (97150) | $25.65 | $34.20 | 1.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $39.08 | $52.10 | 0.5× |
| Immunization administration (90471) | $43.65 | $58.20 | 0.6× |
| Iontophoresis 15 min (97033) | $113.78 | $151.70 | 6.0× |
| Irrig Drug Delivery Device (96523) | $102.38 | $136.50 | 1.7× |
| IV infusion hydration each additional hour (96361) | $93.45 | $124.60 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $320.25 | $427 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $160.73 | $214.30 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $128.55 | $171.40 | 2.7× |
| IV push initial (96374) | $174.15 | $232.20 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $650.03 | $866.70 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) | $215.92 | $287.90 | 2.4× |
| Neuromuscular Reeducation (97112) | $107.02 | $142.70 | 3.3× |
| Oral Function Therapy (92526) | $200.10 | $266.80 | 2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $128.62 | $171.50 | 2.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $34.28 | $45.70 | 2.4× |
| Ot eval high complexity (97167) | $209.62 | $279.50 | 2.1× |
| Ot Eval Low Complex (97165) | $209.62 | $279.50 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $209.62 | $279.50 | 2.1× |
| Ot manual therapy 15 min (97140) | $100.20 | $133.60 | 3.6× |
| Ot paraffin bath (97018) | $87.68 | $116.90 | 14.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $98.02 | $130.70 | 2.4× |
| Phlebotomy therapeutic (99195) | $66.15 | $88.20 | 0.5× |
| Physical Performance Test (97750) | $138.90 | $185.20 | 4.1× |
| Pt Eval High Complex (97163) | $209.62 | $279.50 | 2.1× |
| Pt eval low complex 20 min (97161) | $209.62 | $279.50 | 2.1× |
| Pt Eval Mod Complex (97162) | $209.62 | $279.50 | 2.1× |
| Pt gait training 15 min (97116) | $100.20 | $133.60 | 3.4× |
| Remote 30 Day Ecg Tech Supp (93229) | $253.35 | $337.80 | 0.7× |
| Self Care Mngment Training (97535) | $101.32 | $135.10 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $117.22 | $156.30 | 1.9× |
| Speech sound lang comprehen (92523) | $898.80 | $1,198.40 | 4.0× |
| Standardized Cognitive Performance Testing (96125) | $243.82 | $325.10 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $87.68 | $116.90 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $40.58 | $54.10 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $360.98 | $481.30 | 1.7× |
| Therapeutic Activities (97530) | $110.40 | $147.20 | 3.1× |
| Tte w/doppler, complete (93306) | $1,240.12 | $1,653.50 | 2.2× |
| Tte W/O Doppler Complete (93307) | $1,240.12 | $1,653.50 | 5.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $421.05 | $561.40 | 5.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $154.12 | $205.50 | 3.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $191.32 | $255.10 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $297.38 | $396.50 | 1.3× |
| Vasopneumatic device (97016) | $95.62 | $127.50 | 8.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $74.78 | $99.70 | 2.4× |
| Whirlpool Therapy (97022) | $103.57 | $138.10 | 6.6× |
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.