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Platte County Memorial Hospital

ID 5000006

Part of Platte County Memorial Hospital

Wheatland, WY 82201

201 14th St

Cash prices at Platte County Memorial Hospital

Showing 50 of 3278 procedures

Procedure	Code	Estimated cash price
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$18
HC CATH BALLOON PTA CONQUEST	HCPCS C1725	$2,449
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$2,528
diphenhydramine per 50 mg	HCPCS J3490	$2,630
ZIMMER TSA SCREW	HCPCS C1776	$2,682
WIRE SMOOTH GUIDE 3.0MM	HCPCS C1713	$2,893
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$13
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$14
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$15
IV THROMBOLYSIS CORONARY	CPT 92977	$16
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$16
CMC CONTROLLER PLUS BRACE SM/ MED LEFT	HCPCS L3808	$20
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$22
XR ISOVUE M 200-20ML	HCPCS Q9966	$30
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$31
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$35
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$97
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$104
PR EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$248
PF CT ORB PF SEL IAC W ANDWO CNT	CPT 70482	$261
LAB PHENYTOIN FREE	CPT 80186	$280
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$281
HC HEPATIC FUNCTION PANEL 3108	CPT 80076	$495
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$531
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$548
STREP SCREEN RAPID	CPT 87880	$616
IMP PROSTH SPHINCTR URIN LVL 11	HCPCS C1815	$676
EXC FACE-MM B9+MARG 1.1-2 CM	CPT 11442	$697
PR DIABETIC MANAGEMENT PROGRAM,	HCPCS S9460	$698
REPAIR INTERMEDIATE SCALP UNDERARMS TRUNK ARM LEG 2.6-7.5CM	CPT 12032	$710
US lmtd jt/nonvasc xtr strux	CPT 76882	$728
OLIGONCLONAL BANDING CSF	CPT 83916	$814
RAD HEPARIN PF 1,000 UNIT(S)/ML 2ML VIAL	HCPCS J1644	$830
PT OTHER PT/OT DC G8992-CH	HCPCS G8992	$856
PR RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR	CPT 92607	$890
SIMPONI 50MG/4ML	HCPCS J1602	$894
LAB CULT BACT AEROBIC STOOL CAMPY	CPT 87046	$951
FLUOROURACIL 50MG/ML 100ML MDV	HCPCS J9190	$1,039
NM PARATHYROID SCAN	CPT 78070	$1,174
HC CATHETER OCCLUSION	HCPCS C2628	$1,220
HB GLUCOSE TOLERANCE ADDITONAL SPEC	CPT 82952	$1,275
Prp i/hern init reduc >5 yr	CPT 49505	$1,304
US OR NEEDLE GUIDANCE	CPT 76942	$1,341
PTA STRAPPING ELBOW WRIST RT	CPT 29260	$1,462
Urine Auto WO Micro	CPT 81003	$1,496
XR Toe 3RD - LT	CPT 73660	$1,513
HC CT SCAN OF LEG CONTRAST - CT HIP LEFT W IV CONTRAST	CPT 73701	$1,529
PTA DEBRIDE SLCT WND OPEN 1ST 20CM	CPT 97597	$1,553
PT SELF-CARE DC G8989-CM	HCPCS G8989	$1,585
WIRE GUIDE LVL 08	HCPCS C1769	$1,601