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Elkhorn Valley Rehabilitation Hospital

ID 5000027

Part of Elkhorn Valley Rehabilitation Hospital

Casper, WY

Cash prices at Elkhorn Valley Rehabilitation Hospital

Showing 50 of 1168 procedures

Procedure	Code	Estimated cash price
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$34
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$114
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$716
SUMATRIPTAN 5MG 5MG SPRY SR	HCPCS J3490	$985
SCREW UNICORTICAL 2.8X8MM TITANIUM	HCPCS C1713	$1,138
STEM TIBIA LT 5 DEG SZ C	HCPCS C1776	$2,256
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$29
CAREGIVER TRAINING IN STRATEGIES AND TECHNIQUES TO FACILITATE THE PATIENTS FUNCTIONAL PERFORMANCE IN THE HOME OR COMMUNITY (EG, ACTIVITIES OF DAILY LIVING [ADLS], INSTRUMENTAL ADLS [IADLS], TRANSFERS, MOBILITY, COMMUNICATION, SWALLOWING, FEEDING, PROBLEM SOLVING, SAFETY PRACTICES) (WITHOUT THE PATIENT PRESENT), FACE TO FACE; EACH ADDITIONAL 15 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY SERVICE)	CPT 97551	$33
IV THROMBOLYSIS CORONARY	CPT 92977	$39
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$46
NM Parathyroid planar imaging	CPT 78070	$47
RED SORREL IGE (MAYO RPR11)	CPT 86003	$53
XR ISOVUE M 200-20ML	HCPCS Q9966	$59
Xr fluoro exam	CPT 64450	$62
HC LEAD ICD SPRINT QUATTRO SECURE S	HCPCS C1777	$65
INSULIN REG 5U 1U 1ML SNIJ	HCPCS J1815	$65
HC US EXT NON-VASC LIMITED, REALTIME W/ IMG	CPT 76882	$77
Prp i/hern init reduc >5 yr	CPT 49505	$77
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$88
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$88
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$96
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$98
HEMOGLOBIN A1C LEVEL	CPT 83036	$98
CULT SCREEN (MRSA ETC)	CPT 87081	$102
HC Strep a Pcr	CPT 87880	$106
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$107
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$110
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$113
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$120
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$123
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$125
Diabetic Management Program,	HCPCS S9460	$129
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$129
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$130
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$139
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$142
US RIGHT UPPER QUADRANT	CPT 76705	$147
CATH OCCLUSION LVL 01	HCPCS C2628	$156
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$158
OT ELBOW OR WRIST STRAPPING	CPT 29260	$167
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$174
UA W O MICRO AUTO	CPT 81003	$178
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$191
CMC CONTROLLER PLUS BRACE SM/ MED LEFT	HCPCS L3808	$201
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$204
GTT (EACH PAST 3)	CPT 82952	$209
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$233
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$233
XR FEMUR SINGLE VIEW L	CPT 73551	$329
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$366