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Hospital Profile Hospital (Part A Provider)

Sublette County Health

615 E HENNICK ST, Pinedale, WY 82941

CMS Overall Rating No CMS Rating
Factual Overview

Sublette County Health is a Hospital (Part A Provider) (ownership unpublished) operating in Pinedale, WY. Mapped commercial insurance prices across 89 procedures average 6.11x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 89 codes Avg Markup vs Medicare: 6.11x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $901 Calc
Total hip replacement
CPT Code: 27130
 $2,758 Calc
Total knee replacement
CPT Code: 27447
 $2,754 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $1,184 Calc
Blood transfusion
CPT Code: 36430
 $1,002 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $292 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,660 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,804 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $1,410 Calc
Inguinal hernia repair
CPT Code: 49505
 $1,122 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $5,108 Calc
C-section delivery (full package)
CPT Code: 59510
 $5,654 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $1,164 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,628 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,910 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,174 Calc
CT scan, sinuses
CPT Code: 70486
 $1,717 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,741 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,749 Calc
X-ray, chest (single view)
CPT Code: 71045
 $274 Calc
X-ray, chest (two views)
CPT Code: 71046
 $337 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,661 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $334 Calc
X-ray, lower back
CPT Code: 72110
 $599 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,071 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,025 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,683 Calc
X-ray, pelvis
CPT Code: 72170
 $313 Calc
CT scan, pelvis
CPT Code: 72192
 $1,652 Calc
X-ray, shoulder
CPT Code: 73030
 $406 Calc
X-ray, hand
CPT Code: 73130
 $427 Calc
X-ray, hip
CPT Code: 73502
 $347 Calc
X-ray, ankle
CPT Code: 73610
 $431 Calc
X-ray, foot
CPT Code: 73630
 $419 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,837 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,124 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,579 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $661 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,013 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $669 Calc
Ultrasound, pelvis
CPT Code: 76856
 $756 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $432 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $305 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $58 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $43 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $82 Calc
Blood test, liver function panel
CPT Code: 80076
 $58 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $22 Calc
Blood test, amylase
CPT Code: 82150
 $96 Calc
Blood test, vitamin D
CPT Code: 82306
 $116 Calc
Blood test, calcium
CPT Code: 82310
 $76 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $37 Calc
Blood test, vitamin B12
CPT Code: 82607
 $127 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $99 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $45 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $57 Calc
Blood test, lipase
CPT Code: 83690
 $50 Calc
Blood test, magnesium
CPT Code: 83735
 $50 Calc
Blood test, potassium
CPT Code: 84132
 $35 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $130 Calc
Blood test, sodium
CPT Code: 84295
 $88 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $122 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $30 Calc
Blood test, hemoglobin
CPT Code: 85018
 $13 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $58 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $22 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $109 Calc
Hepatitis C antibody test
CPT Code: 86803
 $88 Calc
Blood antibody screen
CPT Code: 86850
 $137 Calc
Culture, blood
CPT Code: 87040
 $189 Calc
Culture, bacterial
CPT Code: 87070
 $140 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $298 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $171 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $312 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,288 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,337 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $268 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,250 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $122 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $116 Calc
Physical therapy (gait training)
CPT Code: 97116
 $112 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $122 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $127 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $121 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $118 Calc
Orthotic fitting and training
CPT Code: 97760
 $124 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $176 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $141 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $208 Calc