Visits & medical services prices at Weston County Health Services

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $222 $222 1.0×
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $72 $72
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $103 $103
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $87 $87
Assessment of aphasia (96105) $351 $351
Behavioral & qualit analysis voice and resonance (92524) $443 $443
Bipap initial day (94660) $316 $316 1.4×
Breathing capacity test (94010) $160 $160 0.7×
Canalith repositioning (95992) $145 $145
Cardiovascular stress test (93017) $568 $568 2.6×
Chemo hormon antineopl sq/im (96402) $176 $176 2.4×
Chemo IV infusion addl hr (96415) $197 $197 2.7×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $737 $737 2.2×
Chest physiotherapy initial (94667) $249 $249 1.8×
Color/duplex Doppler, complete (93975) $2,041 $2,041 8.4×
Color/duplex Doppler, limited (93976) $1,224 $1,224 11.5×
Cpr (92950) $1,224.50 $1,224.50 5.6×
Critical care ill/injured patient init 30-74 min (99291) $2,381 $2,381 2.8×
Debridement open wound 20 sq cm< (97597) $279 $279 1.4×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $691 $691 2.8×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $894 $894 3.7×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $537 $537 5.0×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $952 $952 3.9×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $894 $894 8.4×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $1,414 $1,414 5.8×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $861 $861 8.1×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $1,236 $1,236 5.1×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $747 $747 7.0×
ECG monit/reprt up to 48 hrs (93226) $417 $417 6.9×
EKG 12 lead tracing only (93005) $156 $156 2.6×
Emergency department visit high mdm (99285) $1,824 $1,824 3.0×
Emergency department visit low mdm (99283) $819 $819 2.9×
Emergency department visit may not req phys/qhp (99281) $402 $402 4.7×
Emergency department visit moderate mdm (99284) $1,222 $1,222 2.9×
Emergency department visit straightforward mdm (99282) $544 $544 3.5×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $477 $477
Evaluate pt use of inhaler (94664) $180 $180 0.8×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $610 $610
Evaluation of speech fluency (92521) $524 $524
Evaluation of speech sound production articulate (92522) $424 $424
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $460 $460 3.4×
Immunization administration (90471) $75 $75 1.0×
Infrared therapy (97026) $61 $61
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $213 $213 4.5×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $300 $300 1.4×
Irrigaj implntd venous access drug delivery syst (96523) $161 $161 2.7×
IV infusion hydration each additional hour (96361) $147 $147 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $441 $441 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $264 $264 3.6×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $441 $441 2.0×
IV tx, each additional hour (96366) $182 $182 3.8×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $100 $100 0.7×
Maximum voluntary ventilation (94200) $104 $104 1.7×
Mechanical traction therapy (97012) $65 $65
Multiple sleep latency (95805) $3,569 $3,569 4.1×
Negative pressure wound therapy dme </= 50 sq cm (97605) $192 $192 0.9×
Negative pressure wound therapy dme >50 sq cm (97606) $331 $331 0.8×
Noninvasive ear/pulse oximetry overnight monitor (94762) $509 $509 3.9×
Occupational therapy eval high complex 60 mins (97167) $314 $314
Occupational therapy eval low complex 30 mins (97165) $253 $253
Occupational therapy eval mod complex 45 mins (97166) $285 $285
Oral function therapy (92526) $322 $322
Orthc/prostc mgmt sbsq enc (97763) $165 $165
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $194 $194
Ot manual therapy ea 15 min (97140) $127 $127
Ot neuromuscular re-education (97112) $120 $120
Ot paraffin bath (97018) $65 $65
Ot re-evaluation (97168) $143 $143
OT Therapeutic Activities Charges (97530) $103 $103
Ot wheelchair management (97542) $66 $66
Outpatient cardiac rehab w/cont ECG monitoring (93798) $284 $284 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $284 $284 2.2×
Phlebotomy therapeutic (99195) $204 $204 1.5×
Physical therapy evaluation high complex 45 mins (97163) $314 $314
Physical therapy evaluation low complex 20 mins (97161) $253 $253
Physical therapy evaluation mod complex 30 mins (97162) $285 $285
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $4,509 $4,509 5.1×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $181 $181
Pt gait training 15 min (97116) $110 $110
Pt physical performance test (97750) $105 $105
Pt re-evaluation (97164) $143 $143
Remote 30 day ECG rev/report (93270) $251 $251 6.6×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $108 $108
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $96 $96
Speech sound lang comprehen (92523) $477 $477
Standardized cognitive performance testing (96125) $496 $496
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $138 $138
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $125 $125
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $139 $139
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $65 $65
Therapeutic prophylactic/dx injection subq/im (96372) $96 $96 1.3×
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $314 $314
Tobacco use cessation intensive >10 minutes (99407) $140 $140 3.7×
Tobacco use cessation intermediate 3-10 minutes (99406) $70 $70 1.8×
Tte f-up or lmtd (93308) $595 $595 2.4×
Tte w/doppler complete (93306) $2,381 $2,381 4.3×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $231 $231
Upr/l xtremity art 2 levels (93922) $357 $357 2.6×
Ventilation ip/obs initial day (94002) $537 $537 0.9×
Wound(s) care non-selective (97602) $298 $298 1.5×