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Campbell County Memorial Hospital

ID 5000014

Part of Campbell County Memorial Hospital

Gillette, WY

Cash prices at Campbell County Memorial Hospital

Showing 50 of 457 procedures

Procedure	Code	Estimated cash price
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$50
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$132
PLUG OBTURATOR TIBIAL 12MM	HCPCS C1776	$459
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$544
PREDNISOLN ACET 1.5 PERC 5ML 5ML SPOP	HCPCS J3490	$594
SCREW NON LOCKING 2.7X32MM	HCPCS C1713	$993
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$76
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$80
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$84
HB NEUROMYELITIS OPTICA AB (NMO) IFA SENDOUT	CPT 86052	$84
HEMOGLOBIN A1C LEVEL	CPT 83036	$87
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$90
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$90
CULT SCREEN (MRSA ETC)	CPT 87081	$91
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$95
Xr fluoro exam	CPT 64450	$95
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$101
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$103
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$114
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$119
PF XR FEMUR 1 VW BI	CPT 73551	$119
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$119
CULT STL E COLI PLAT	CPT 87046	$120
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$120
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$127
Prp i/hern init reduc >5 yr	CPT 49505	$131
CATH OCCLUSION LVL 01	HCPCS C2628	$133
GTT (EACH PAST 3)	CPT 82952	$133
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$133
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	$135
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$137
IV THROMBOLYSIS CORONARY	CPT 92977	$142
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$144
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$145
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$161
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$163
RED SORREL IGE (MAYO RPR11)	CPT 86003	$168
US lmtd jt/nonvasc xtr strux	CPT 76882	$170
INSULIN REG 5U 1U 1ML SNIJ	HCPCS J1815	$188
NM Parathyroid planar imaging	CPT 78070	$193
XR TOE MINIMUM 2 VIEWS LT	CPT 73660	$193
CMC CONTROLLER PLUS BRACE SM/ MED LEFT	HCPCS L3808	$195
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$209
Diabetic Management Program,	HCPCS S9460	$211
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$212
HC US GUIDE NDL PLMT IMG S&I - PSEUDOANEURYSM THROMBIN INJ CHG	CPT 76942	$218
HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION	HCPCS J1644	$219
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$221
MAGNESIUM RBC	CPT 83735	$231
HC Strep a Pcr	CPT 87880	$238