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Aspen Mountain Medical Center

ID 5000001

Part of Aspen Mountain Medical Center

Rock Springs, WY

Cash prices at Aspen Mountain Medical Center

Showing 50 of 1910 procedures

Procedure	Code	Estimated cash price
HC CATH BALLON OPTA PRO 4X100X110	HCPCS C1725	$16
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$30
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$228
ZIMMER G7 VE LINER	HCPCS C1776	$409
diphenhydramine per 50 mg	HCPCS J3490	$663
WIRE STEEL MONOFILAMENT 22GX18IN	HCPCS C1713	$838
CULT STREP GROUP B SCR	CPT 87081	$16
XR TOE S 2 PLUS VW LT	CPT 73660	$23
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$25
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$27
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$28
Diabetic Management Program,	HCPCS S9460	$30
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$30
CULT STL E COLI PLAT	CPT 87046	$31
IV THROMBOLYSIS CORONARY	CPT 92977	$31
FACTOR VII ACTIVITY ASSAY (MAYO F_7)	CPT 85230	$32
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$32
Prp i/hern init reduc >5 yr	CPT 49505	$32
CATH OCCLUSION LVL 01	HCPCS C2628	$33
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$33
HEMOGLOBIN A1C LEVEL	CPT 83036	$34
HB NEUROMYELITIS OPTICA AB (NMO) IFA SENDOUT	CPT 86052	$35
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$35
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$35
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$36
XR ISOVUE M 200-20ML	HCPCS Q9966	$36
MAGNESIUM RBC	CPT 83735	$37
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$39
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$39
XR NASAL BONE	CPT 70160	$40
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$42
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$42
PARATHYROID PLANAR IMAGING	CPT 78070	$43
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$46
US EXTREMITY NONVAS W/IMAGE DOC; LIMITED	CPT 76882	$46
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$50
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$50
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$50
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$55
OT ELBOW OR WRIST STRAPPING	CPT 29260	$57
US BICEP INJECTION R	CPT 76942	$60
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$61
GTT (EACH PAST 3)	CPT 82952	$65
US RIGHT UPPER QUADRANT	CPT 76705	$68
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$74
IMP LD ICD COIL SGL LVL 03	HCPCS C1777	$77
PF XR FEMUR 1 VW BI	CPT 73551	$78
HC CT ORBIT SELLA MID INNER EAR W WO	CPT 70482	$87
HC Strep a Pcr	CPT 87880	$100
UA W O MICRO AUTO	CPT 81003	$112