CarePrice

Memorial Hospital of Laramie County

, Cheyenne

ProcedureCodeCash Price
PR TERBUTALINE SULF COMP CONJ7680< $1
PR TERBUTALINE SULF COMP UNITJ7681< $1
PR CHLORHEXIDINE ANTISEPTA4248< $1
PR OSTOMY POUCH SOLID DEODORANTA4395< $1
PR NON-STERILE GAUZE<=16 SQ INA6216< $1
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 0.25 MILLIGRAMJ7633< $1
IPRATROPIUM BROMIDE COMPJ7645< $1
O2 TUBING 50 FT PA4616< $1
ALBUTEROL INHALATION SOLUTIONJ7613< $1
PR BECLOMETHASONE COMP UNITJ7622< $1
PR COUPLING GEL OR PASTEA4559< $1
DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRAMJ7637< $1
PR COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT0014F< $1
PR URINARY INCONTINENCE PLAN OF CARE DOCUMENTED0509F< $1
PR ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED0513F< $1
PR ANEMIA PLAN OF CARE DOCUMENTED0516F< $1
PR GLAUCOMA PLAN OF CARE DOCUMENTED0517F< $1
PR RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG0520F< $1
PR PLAN OF CARE TO ADDRESS PAIN DOCUMENTED0521F< $1
PR SUBSEQUENT VISIT FOR EPISODE0526F< $1
PR INTRVL 3/> YRS PTS LAST COLONOSCOPY DOCD0529F< $1
PR SCREENING MAMMOGRAPHY RESULTS DOC&REV3014F< $1
PR INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE7025F< $1
PR LVEF NOT PERFORMEDG8396< $1
PR DIL MACULA/FUNDUS EXAM/W DOCG8397< $1
PR LOW EXTEMITY NEUR NOT PERFORG8405< $1
PR BETA-BLOC RX PT W/ABN LVEFG8450< $1
PR PT W/ABN LVEF INELIG B-BLOCG8451< $1
PR PT W/ABN LVEF B-BLOC NO RXG8452< $1
PR ACE/ARB THXPY RXDG8473< $1
PR ACE/ARB NOT RX'D DOC REASG8474< $1
PR ACE/ARB THXPY NOT RXDG8475< $1
PR BP SYS>=140 AND/OR DIAS >=90G8477< $1
PR BP NOT PERFORMED/DOCG8478< $1
PR PT REC ACE/ARBG8506< $1
PR DOC FUNCT AND CARE PLANG8539< $1
PR VER DOC HEAR LOSSG8565< $1
PR PT NO DOC HEAR LOSSG8567< $1
PR NO TPA INIT W/IN 3 HRSG8602< $1
PR SURG PROC W/IN 30 DAYSG8627< $1
PR NO SURG PROC W/IN 30 DAYSG8628< $1
PR RAFSCRS SI SCOR >= 0G8663< $1
PR PT INELIG OSTEO SCREEN MEASUG8401< $1
PR PT INELIG GENO NO ANTVIR TXG8458< $1
PR REPORT, DIABETES MEASURESG8485< $1
PR REPORT, PREV CARE MEASURESG8486< $1
PR REPORT CKD MEASURESG8487< $1
PR RA MEASURES GRPG8490< $1
PR PREV CARE MG QUAL ACT PERFRMG8496< $1
PR HIV MEAS QUAL ACT PERFORMG8500< $1
PR SCR DEP NEG, NO PLAN REQDG8510< $1
PR INJ THEOPHYLLINE PER 40 MGJ2810< $1
PR BUDESONIDE COMP UNITJ7627< $1
PR NON-WATERPROOF TAPEA4450< $1
PR LUBE STERILE PACKETA4332< $1
PR OST POUCH ABSORBENT MATERIALA4422< $1
PR STERILE GAUZE <= 16 SQ INA6402< $1
PR CONFORM BAND N/S W<3"/YDA6442< $1
PR ATROPINE COMP CONJ7635< $1
PR ATROPINE COMP UNITJ7636< $1
PR MELANOMA FOLLOW UP COMPLETED0015F< $1
PR FALLS PLAN OF CARE DOCUMENTED0518F< $1
PR GLUCORTICOID MANAGEMENT PLAN DOCUMENTED0540F< $1
PR DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL4041F< $1
PR LVEF>=40% DOC NORMAL OR MILDG8395< $1
PR EVAL ON FOOT NOT PERFORMEDG8415< $1
PR PT INELIG FOOTWEAR EVALUATIOG8416< $1
PR BP SYS <140 AND DIAS <90G8476< $1
PR SCR DEP POS, NO PLAN DOC RNGG8511< $1
PR PT INELIG NO ELD MAL SCRNG8535< $1
PR ASA/ANTIPLAT THER USEDG8598< $1
PR NO ELIG TPA INIT W/IN 3 HRSG8601< $1
PR RAFSCRS EWH SCOR >= 0G8667< $1
PR DEXAMETHASONE COMP UNITJ7638< $1
IOTHALAMT 60 PERC 1ML 50ML SNIJQ9961< $1
PR ISOETHARINE NON-COMP UNITJ7649< $1
PR ISOETHARINE COMP UNITJ7650< $1
PR BITOLTEROL MESYLATE COMP UNTJ7629< $1
PR HOCM 200-249MG/ML IODINE,1MLQ9960< $1
DIATRZ MEGL 300 399Q9962< $1
ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MGJ7609< $1
PR POS CLIN DEPRES SCRN F/U DOCG8431< $1
PR DM MEAS QUAL ACT PERFORMG8494< $1
PR CKD MEAS QUAL ACT PERFORMG8495< $1
PR HF MEASURES GRPG8548< $1
PR PREDNISOLONE ACETATE INJJ2650< $1
PR OVINE, UP TO 999 USP UNITSJ3471< $1
PR INJECTION ESTRONE PER 1 MGJ1435< $1
PR ADHESIVE REMOVER, WIPESA4456< $1
PR SKIN BARRIER, WIPE OR SWABA5120< $1
CONFORM BAND N/S W>=3"<5"/YDA6443< $1
PR OSTOMY FILTERA4368< $1
PR PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY0514F< $1
PR PT W/DXA NO RESULTS DOCG8400< $1
PR FLUNISOLIDE COMP UNITJ7641< $1
PR METAPROTERENOL COMP CONJ7667< $1
PR METAPROTERENOL NON-COMP CONJ7668< $1
PR LEVALBUTEROL NON-COMP CONJ7612< $1
IPRATROPIUM BROMIDE INHALATIONJ7644< $1
PR METAPROTERENOL COMP UNITJ7670< $1