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Community Hospital

ID 5000005

Part of Community Hospital

Torrington, WY

Cash prices at Community Hospital

Showing 50 of 1903 procedures

Procedure	Code	Estimated cash price
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$57
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$815
diphenhydramine per 50 mg	HCPCS J3490	$4,228
ZIMMER TSA VE BEARING	HCPCS C1776	$4,488
WIRE KIRSCHNER 1.25MM	HCPCS C1713	$10,937
HC CATH THREADER 12MM	HCPCS C1725	$11,402
Cult sputum legionella	CPT 87081	$52
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$55
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$56
N LEVEMIR 100 UNIT/ML MDV 10ML	HCPCS J1815	$56
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$58
HEMOGLOBIN A1C LEVEL	CPT 83036	$59
NM Parathyroid planar imaging	CPT 78070	$63
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$66
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$73
Xr fluoro exam	CPT 64450	$73
XR TOE MINIMUM 2 VIEWS LT	CPT 73660	$74
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$75
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$76
CATH OCCLUSION LVL 01	HCPCS C2628	$78
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$79
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$83
Diabetic Management Program,	HCPCS S9460	$87
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$90
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$101
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$102
IV THROMBOLYSIS CORONARY	CPT 92977	$108
HEPARIN 1000U 30KU 30ML SN MDV	HCPCS J1644	$110
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$112
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$117
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	$120
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$126
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$129
IMP LD ICD COIL SGL LVL 03	HCPCS C1777	$136
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$143
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$160
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$163
US RIGHT UPPER QUADRANT	CPT 76705	$166
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$167
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$169
OT ELBOW OR WRIST STRAPPING	CPT 29260	$172
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$179
HC Strep a Pcr	CPT 87880	$195
REPAIR INTERMEDIATE SCALP UNDERARMS TRUNK ARM LEG 2.6-7.5CM	CPT 12032	$251
HC CATH THROM 8 LIGHTNING INDIGO	HCPCS C1757	$351
STOOL CULTR AEROBIC BACT EA	CPT 87046	$352
XR ISOVUE M 200-20ML	HCPCS Q9966	$360
FACTOR VII ACTIVITY ASSAY (MAYO F_7)	CPT 85230	$366
X-RAY EXAM OF FEMUR 1	CPT 73551	$414
UA W O MICRO AUTO	CPT 81003	$489