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Hot Springs County Memorial Hospital

ID 5000021

Part of Hot Springs County Memorial Hospital

Thermopolis, WY

Cash prices at Hot Springs County Memorial Hospital

Showing 50 of 627 procedures

Procedure	Code	Estimated cash price
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$78
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$425
SILVER SULFADIAZ 1 PERC 20GM 20GM CR	HCPCS J3490	$735
WIRE SMOOTH GUIDE 3.0MM	HCPCS C1713	$828
STEM TIBIA PERSONA 5 DEG SZ G	HCPCS C1776	$939
Xr fluoro exam	CPT 76000	$1,812
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$11
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$39
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$64
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$65
CATH OCCLUSION LVL 01	HCPCS C2628	$75
CULT SCREEN (MRSA ETC)	CPT 87081	$75
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$76
Diabetic Management Program,	HCPCS S9460	$78
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$80
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$80
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$88
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$88
Xr fluoro exam	CPT 64450	$90
HEMOGLOBIN A1C LEVEL	CPT 83036	$92
IV THROMBOLYSIS CORONARY	CPT 92977	$92
HB NEUROMYELITIS OPTICA AB (NMO) IFA SENDOUT	CPT 86052	$102
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$107
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$107
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	$119
XR TOE MINIMUM 2 VIEWS LT	CPT 73660	$121
MAGNESIUM RBC	CPT 83735	$128
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$128
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$129
Prp i/hern init reduc >5 yr	CPT 49505	$132
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$136
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$138
NM Parathyroid planar imaging	CPT 78070	$144
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$149
US lmtd jt/nonvasc xtr strux	CPT 76882	$151
OT ELBOW OR WRIST STRAPPING	CPT 29260	$161
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$161
RED SORREL IGE (MAYO RPR11)	CPT 86003	$163
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$166
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$170
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$180
HC Strep a Pcr	CPT 87880	$180
GTT (EACH PAST 3)	CPT 82952	$183
PF XR FEMUR 1 VW BI	CPT 73551	$195
XR ISOVUE M 200-20ML	HCPCS Q9966	$207
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$209
HC LEAD ICD SPRINT QUATTRO SECURE S	HCPCS C1777	$215
US BREAST CYST ASPIRATION R	CPT 76942	$219
HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION	HCPCS J1644	$223
LAB PHENYTOIN FREE	CPT 80186	$228