Observation direct referral from physician office for admission at Banner Wyoming Medical Center

1233 E 2nd Street, Casper, WY · Banner Health · · NPI 1346332954

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$274.68

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$654.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$176.58 with Banner Health vs $889.00 with NaphCare — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Banner Health Banner Choice Plus/Banner Select $176.58 ↓ -36%
Blue Cross Blue Shield of Wyoming Blue Select PPO $439.49 ↑ +60%
Blue Cross Blue Shield of Wyoming Institutional $449.30 ↑ +64%
Imagine Health, LLC (wka WISE Provider Network) WISE PPO $536.28 ↑ +95%
United Healthcare Commercial $542.17 ↑ +97%
Hue Health, Inc Medicare Advantage $555.90 ↑ +102%
Cigna Healthcare & Life Insurance Company – WY Commercial $568.98 ↑ +107%
Mountain Health Cooperative (CO-OP) Mountain Health Plan $608.22 ↑ +121%
United Healthcare UHC Medicare Advantage $613.10 ↑ +123%
Multiplan Commercial $621.30 ↑ +126%
First Choice Health Network Commerical $621.30 ↑ +126%
Humana Medicare Advantage $625.36 ↑ +128%
InterWest Health Medicare Advantage $625.36 ↑ +128%
Prime Health Services Medicare Advantage $625.36 ↑ +128%
Coventry Commercial $627.84 ↑ +129%
First Health Medical Rental $627.84 ↑ +129%
InterWest Health Group Health $634.38 ↑ +131%
InterWest Health Auto & General Liability $634.38 ↑ +131%
Prime Health Services Auto & General Liability $634.38 ↑ +131%
Prime Health Services Group Health $634.38 ↑ +131%
InterWest Health Workers' Comp $640.92 ↑ +133%
Prime Health Services Worker's Comp $640.92 ↑ +133%
NaphCare Federal Prison System $827.68 ↑ +201%
NaphCare Medicare $889.00 ↑ +224%
TriWest Healthcare Alliance Corp - VA CCN Tricare not published by hospital —

Visitor-reported prices

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Observation direct referral from physician office for admission at other Wyoming hospitals

Hospital City Cash price Negotiated range
Community Hospital Torrington $288.41 $287.76 – $634.38
Washakie Medical Center Worland $362.32 $313.92 – $634.38
Platte County Hospital Wheatland $378.01 $313.92 – $634.38

All Wyoming hospitals for this procedure →