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Memorial Hospital Of Sweetwater County

ID 5000024

Part of Memorial Hospital Of Sweetwater County

Rock Springs, WY 82901

1200 College Dr

Cash prices at Memorial Hospital Of Sweetwater County

Showing 50 of 1337 procedures

Procedure	Code	Estimated cash price
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$45
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$53
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$408
WIRE SMOOTH GUIDE 3.0MM	HCPCS C1713	$1,100
SUMATRIPTAN 5MG 5MG SPRY SR	HCPCS J3490	$1,213
STEM TIBIA LT 5 DEG SZ C	HCPCS C1776	$1,762
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$38
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$49
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$52
IV THROMBOLYSIS CORONARY	CPT 92977	$52
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$53
CATH OCCLUSION LVL 01	HCPCS C2628	$60
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$62
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$67
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$74
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$76
HEMOGLOBIN A1C LEVEL	CPT 83036	$77
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$79
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$79
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$81
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$85
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	$86
Prp i/hern init reduc >5 yr	CPT 49505	$90
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$91
NM Parathyroid planar imaging	CPT 78070	$102
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$106
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$109
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$112
Diabetic Management Program,	HCPCS S9460	$116
IMP LD ICD COIL SGL LVL 03	HCPCS C1777	$122
GTT (EACH PAST 3)	CPT 82952	$123
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$124
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$144
CMC CONTROLLER PLUS BRACE SM/ MED LEFT	HCPCS L3808	$155
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$161
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$164
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$175
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS1- EMERGENCY)	HCPCS A0427	$201
UA W O MICRO AUTO	CPT 81003	$219
XR TOE MINIMUM 2 VIEWS LT	CPT 73660	$293
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$313
XR ISOVUE M 200-20ML	HCPCS Q9966	$321
LAB PANEL FUNCTION HEPATIC	CPT 80076	$332
HC Strep a Pcr	CPT 87880	$352
LAB CULT BACT AEROBIC STOOL VIBRO	CPT 87046	$357
REPAIR INTERMEDIATE SCALP UNDERARMS TRUNK ARM LEG 2.6-7.5CM	CPT 12032	$370
PF TX DSL ELBOW CLSD WO ANES RT	CPT 24600	$413
XR FEMUR SINGLE VIEW L	CPT 73551	$441
US lmtd jt/nonvasc xtr strux	CPT 76882	$480
MAGNESIUM RBC	CPT 83735	$588