Banner Wyoming Medical Center
1233 E 2nd Street, Casper, WY · Banner Health · · NPI 1346332954
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $36.96 | $88.00 | $23.76 – $84.48 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $28.98 | $69.00 | $18.63 – $66.24 | 16 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $633.78 | $1,509.00 | $407.43 – $1,448.64 | 16 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $494.76 | $1,178.00 | $318.06 – $1,130.88 | 16 |
| 2nd order venous cath CPT 36012 | $842.94 | $2,007.00 | $541.89 – $1,946.79 | 13 |
| 3-d radiotherapy plan CPT 77295 | $2,831.64 | $6,742.00 | $1,368.26 – $6,472.32 | 16 |
| 3d recon without postprocess indpndt CPT 76376 | $44.52 | $106.00 | $28.62 – $102.82 | 14 |
| 5' nucleotidase - sendout CPT 83915 | $41.58 | $99.00 | $11.15 – $95.04 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $27.30 | $65.00 | $17.55 – $63.05 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $29.82 | $71.00 | $12.01 – $68.16 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $2,342.34 | $5,577.00 | $1,505.79 – $5,353.92 | 16 |
| Abd/low ext cath 1st CPT 36245 | $861.00 | $2,050.00 | $553.50 – $1,988.50 | 13 |
| Abd/low ext cath 2nd CPT 36246 | $875.70 | $2,085.00 | $562.95 – $2,022.45 | 13 |
| Abd/low ext cath 3rd CPT 36247 | $1,073.52 | $2,556.00 | $690.12 – $2,479.32 | 13 |
| Abd/low ext cath addl CPT 36248 | $820.26 | $1,953.00 | $527.31 – $1,894.41 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $626.22 | $1,491.00 | $241.72 – $1,431.36 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $374.64 | $892.00 | $106.34 – $856.32 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $588.00 | $1,400.00 | $178.02 – $1,344.00 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $490.14 | $1,167.00 | $178.02 – $1,120.32 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $391.86 | $933.00 | $106.34 – $895.68 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,178.94 | $2,807.00 | $357.13 – $2,694.72 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $982.38 | $2,339.00 | $357.13 – $2,245.44 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $785.82 | $1,871.00 | $241.72 – $1,796.16 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $967.68 | $2,304.00 | $622.08 – $2,211.84 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $377.16 | $898.00 | $106.34 – $862.08 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $281.40 | $670.00 | $106.34 – $643.20 | 16 |
| Abdominal X-ray (2 views) CPT 74019 | $85.68 | $204.00 | $55.08 – $195.84 | 16 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $130.62 | $311.00 | $83.97 – $298.56 | 16 |
| Abdominal X-ray (single view) CPT 74018 | $71.82 | $171.00 | $46.17 – $164.16 | 16 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $574.14 | $1,367.00 | $369.09 – $1,312.32 | 16 |
| Abl1 gene CPT 81170 | $378.00 | $900.00 | $243.00 – $864.00 | 16 |
| Ablate arrhythmia add on CPT 93655 | $4,921.56 | $11,718.00 | $3,163.86 – $11,366.46 | 14 |
| Ablate bone tumor(s) perq CPT 20982 | $5,385.24 | $12,822.00 | $3,461.94 – $17,370.21 | 16 |
| Ablate heart dysrhythm focus CPT 93650 | $7,118.16 | $16,948.00 | $4,575.96 – $16,270.08 | 16 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $5,323.08 | $12,674.00 | $2,281.23 – $26,502.00 | 14 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,782.92 | $6,626.00 | $156.46 – $1,144.32 | 16 |
| Ablation cryo abd perit om CPT 49999 | $954.66 | $2,273.00 | $262.17 – $1,265.71 | 16 |
| Ablation of upper extremity nerves rf CPT 64999 | $921.06 | $2,193.00 | $145.53 – $517.44 | 16 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,968.12 | $4,686.00 | $1,265.22 – $4,498.56 | 16 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $291.06 | $693.00 | $187.11 – $672.21 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $32.76 | $78.00 | $12.05 – $74.88 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $15.54 | $37.00 | $9.99 – $35.89 | 14 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | not published | 0 |
| Acute hepatitis panel CPT 80074 | $60.06 | $143.00 | $38.61 – $137.28 | 16 |
| Acyclovir 400 mg tablet HCPCS J8499 | $7.48 | $17.80 | $1.27 – $4.56 | 14 |
| #acylcarnitineprfl CPT 82017 | $48.30 | $115.00 | $16.87 – $110.40 | 16 |
| Acylcarnitines qual CPT 82016 | $21.00 | $50.00 | $13.50 – $48.00 | 16 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,113.46 | $7,413.00 | $304.02 – $1,092.22 | 14 |
| Adenovirus antibody,serum - quest CPT 86603 | $25.62 | $61.00 | $12.87 – $58.56 | 16 |
| Adh-sendout CPT 84588 | $42.84 | $102.00 | $27.54 – $97.92 | 16 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $56.70 | $135.00 | $36.45 – $129.60 | 16 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $96.18 | $229.00 | $61.83 – $219.84 | 16 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $264.60 | $630.00 | $170.10 – $604.80 | 16 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $209.16 | $498.00 | $134.46 – $478.08 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $86.10 | $205.00 | $55.35 – $196.80 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $221.76 | $528.00 | $71.17 – $506.88 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $18.06 | $43.00 | $11.61 – $41.71 | 14 |
| Administration vaccine hepatitis b HCPCS G0010 | $55.02 | $131.00 | $35.37 – $125.76 | 16 |
| Administration vaccine influenza virus HCPCS G0008 | $55.02 | $131.00 | $35.37 – $125.76 | 16 |
| Administration vaccine pneumococcal HCPCS G0009 | $55.02 | $131.00 | $35.37 – $125.76 | 16 |
| _afb id by dna probe rflx ast CPT 87149 | $30.66 | $73.00 | $19.71 – $70.08 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | $26.46 | $63.00 | $7.31 – $60.48 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $145.74 | $347.00 | $93.69 – $333.12 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $24.36 | $58.00 | $6.48 – $23.04 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $23.52 | $56.00 | $5.78 – $53.76 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $26.46 | $63.00 | $4.05 – $14.40 | 16 |
| Alkaline phosphatase CPT 84075 | $23.94 | $57.00 | $4.32 – $15.36 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.60 | $80.00 | $17.28 – $61.44 | 16 |
| Allergen egg white ige CPT 86003 | $23.52 | $56.00 | $5.22 – $52.80 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $24.78 | $59.00 | $7.97 – $53.76 | 16 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $353.22 | $841.00 | $227.07 – $815.77 | 14 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $7,360.08 | $17,524.00 | $727.65 – $2,614.15 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $81.48 | $194.00 | $52.38 – $186.24 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $21.42 | $51.00 | $13.77 – $48.96 | 16 |
| Als 1 HCPCS A0426 | $853.44 | $2,032.00 | $400.00 – $1,971.04 | 14 |
| Als1-emergency HCPCS A0427 | $926.94 | $2,207.00 | $400.00 – $2,140.79 | 14 |
| Als 2 HCPCS A0433 | $1,259.16 | $2,998.00 | $400.00 – $2,908.06 | 14 |
| Alt/sgpt CPT 84460 | $24.78 | $59.00 | $4.32 – $15.36 | 16 |
| Aluminum - quest CPT 82108 | $32.34 | $77.00 | $20.79 – $73.92 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $78.54 | $187.00 | $39.69 – $142.59 | 14 |
| Aminolevulinic acid delta CPT 82135 | $31.50 | $75.00 | $16.45 – $72.00 | 16 |
| Amitriptyline (elavil) -sendout CPT 80335 | $102.90 | $245.00 | $16.74 – $60.14 | 14 |
| Ammonia CPT 82140 | $48.30 | $115.00 | $11.88 – $42.24 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $501.90 | $1,195.00 | $322.65 – $1,175.50 | 16 |
| Amniocentesis therapeutic CPT 59001 | $656.88 | $1,564.00 | $304.19 – $1,501.44 | 16 |
| Amphetamine confirm urine -sendout CPT 80324 | $34.86 | $83.00 | $15.12 – $54.32 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $331.38 | $789.00 | $213.03 – $757.44 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | not published | 0 |
| Amputation thru metatarsal CPT 28805 | not published | not published | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | not published | 0 |
| Amylase CPT 82150 | $143.22 | $341.00 | $5.40 – $19.20 | 16 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $74.76 | $178.00 | $48.06 – $172.66 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $83.16 | $198.00 | $53.46 – $190.08 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $92.82 | $221.00 | $59.67 – $212.16 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | $23.10 | $55.00 | $12.42 – $44.16 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.