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 |
|---|---|---|---|---|
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $195.43 | $465.30 | $125.63 – $451.34 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $30,392.04 | $72,362.00 | $84.51 – $303.61 | 14 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,724.54 | $6,487.00 | $229.50 – $824.50 | 14 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,261.70 | $5,385.00 | $1,453.95 – $5,223.45 | 14 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | not published | 0 |
| Ground mileage HCPCS A0425 | $11.34 | $27.00 | $0.73 – $2.62 | 14 |
| Growth stimulation gene 2 CPT 83006 | $95.34 | $227.00 | $61.29 – $217.92 | 16 |
| G-tube reposition CPT 43761 | $748.86 | $1,783.00 | $243.21 – $1,711.68 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $644.28 | $1,534.00 | $414.18 – $2,765.49 | 16 |
| Guided cath fluid drainage 10030 CPT 10030 | $876.96 | $2,088.00 | $563.76 – $2,004.48 | 16 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,835.90 | $13,895.00 | $44.82 – $161.02 | 14 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,846.74 | $4,397.00 | $84.51 – $303.61 | 14 |
| Guid loc target vol rad tx CPT 77387 | $98.28 | $234.00 | $63.18 – $226.98 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $5,835.90 | $13,895.00 | $25.92 – $93.12 | 14 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,360.08 | $17,524.00 | $381.51 – $1,370.61 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $43.68 | $104.00 | $28.08 – $100.88 | 14 |
| Hand X-ray CPT 73130 | $78.96 | $188.00 | $50.76 – $182.36 | 14 |
| Hand X-ray (2 views, both hands) CPT 73120 | $68.88 | $164.00 | $44.28 – $159.08 | 14 |
| Haptoglobin quantitative CPT 83010 | $24.78 | $59.00 | $12.58 – $50.88 | 16 |
| Hast w/oxygen titrate CPT 94453 | $112.14 | $267.00 | $72.09 – $256.32 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $275.10 | $655.00 | $137.90 – $628.80 | 16 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $412.86 | $983.00 | $178.02 – $943.68 | 16 |
| Hcg qualitative CPT 84703 | $9.66 | $23.00 | $6.21 – $22.08 | 16 |
| Hcg quantitative CPT 84702 | $28.14 | $67.00 | $12.42 – $44.16 | 16 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $35.70 | $85.00 | $22.95 – $82.45 | 14 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $728.70 | $1,735.00 | $468.45 – $1,665.60 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,834.56 | $4,368.00 | $693.81 – $4,193.28 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,285.22 | $5,441.00 | $693.81 – $5,223.36 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,376.78 | $5,659.00 | $693.81 – $5,432.64 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | $973.98 | $2,319.00 | $178.02 – $2,226.24 | 16 |
| Head CT scan (with contrast) CPT 70460 | $811.86 | $1,933.00 | $178.02 – $1,855.68 | 16 |
| Head CT scan (without contrast) CPT 70450 | $649.32 | $1,546.00 | $106.34 – $1,484.16 | 16 |
| Heart infarct image CPT 78466 | $452.34 | $1,077.00 | $290.79 – $1,033.92 | 16 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $72.24 | $172.00 | $46.44 – $166.84 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $32.76 | $78.00 | $16.85 – $74.88 | 16 |
| Hematocrit CPT 85014 | $28.98 | $69.00 | $2.16 – $7.68 | 16 |
| Hematopoietic nuclear tx CPT 79403 | $567.00 | $1,350.00 | $224.13 – $1,296.00 | 16 |
| Hemodialysis one evaluation CPT 90935 | $930.30 | $2,215.00 | $598.05 – $2,126.40 | 16 |
| Hemoglobin CPT 85018 | $25.20 | $60.00 | $2.16 – $7.68 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $175.14 | $417.00 | $8.00 – $400.32 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $24.78 | $59.00 | $6.75 – $24.00 | 16 |
| Hemoglobin plasma CPT 83051 | $24.78 | $59.00 | $7.31 – $56.64 | 16 |
| Hemolysins/agglutinins auto CPT 86940 | $205.80 | $490.00 | $8.77 – $470.40 | 16 |
| Hemolysins and agglutinins incubated CPT 86941 | $57.54 | $137.00 | $12.11 – $131.52 | 16 |
| Hemophilus influenza antibdy CPT 86684 | $26.04 | $62.00 | $15.84 – $59.52 | 16 |
| Heparin assay CPT 85520 | $27.30 | $65.00 | $13.09 – $62.40 | 16 |
| Heparin bolus from bag HCPCS J1644 | $26.25 | $62.50 | $16.88 – $60.62 | 14 |
| Heparin neutralization CPT 85525 | $15.12 | $36.00 | $9.72 – $34.56 | 16 |
| Heparin-protamine tolerance CPT 85530 | $16.80 | $40.00 | $10.80 – $38.40 | 16 |
| Hepatitis a antibody igm CPT 86709 | $23.10 | $55.00 | $11.26 – $52.80 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $23.10 | $55.00 | $11.77 – $52.80 | 16 |
| Hepatitis b core antibody total CPT 86704 | $23.10 | $55.00 | $9.99 – $35.52 | 16 |
| Hepatitis b surface antibody CPT 86706 | $23.10 | $55.00 | $10.74 – $52.80 | 16 |
| Hepatitis c antibody CPT 86803 | $107.10 | $255.00 | $11.61 – $41.28 | 16 |
| Hepatitis d quantification CPT 87523 | $289.80 | $690.00 | $42.84 – $662.40 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $25.20 | $60.00 | $11.98 – $57.60 | 16 |
| Herpes simplex 2 ag if CPT 87273 | $25.20 | $60.00 | $11.98 – $57.60 | 16 |
| Herpes simplex type 1 antibody igg CPT 86695 | $22.26 | $53.00 | $10.80 – $38.40 | 16 |
| Herpes simplex type 2 antibody igg CPT 86696 | $24.78 | $59.00 | $15.93 – $56.64 | 16 |
| Herpes simplex virus isolation CPT 87255 | $42.84 | $102.00 | $27.54 – $97.92 | 16 |
| Heterophile antibodies screening CPT 86308 | $6.72 | $16.00 | $4.32 – $15.36 | 16 |
| Hhv-6 dna quant CPT 87533 | $52.92 | $126.00 | $34.02 – $120.96 | 16 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $112.98 | $269.00 | $72.63 – $258.24 | 16 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $150.78 | $359.00 | $96.93 – $344.64 | 16 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $102.90 | $245.00 | $66.15 – $237.65 | 14 |
| Hip X-ray CPT 73502 | $111.30 | $265.00 | $71.55 – $257.05 | 14 |
| Histamine CPT 83088 | $37.38 | $89.00 | $24.03 – $85.44 | 16 |
| Histochemical stains add-on CPT 88314 | $315.00 | $750.00 | $202.50 – $727.50 | 14 |
| Hla class i high defin qual CPT 86832 | $408.24 | $972.00 | $262.44 – $933.12 | 16 |
| Hla class ii high defin qual CPT 86833 | $410.76 | $978.00 | $264.06 – $938.88 | 16 |
| Hla class i&ii antibody qual CPT 86828 | $138.60 | $330.00 | $64.19 – $316.80 | 16 |
| Hla class ii phenotype qual CPT 86831 | $103.32 | $246.00 | $66.42 – $236.16 | 16 |
| Hla class i phenotype qual CPT 86830 | $120.54 | $287.00 | $77.49 – $275.52 | 16 |
| Hla i & ii type verify lr CPT 81371 | $509.88 | $1,214.00 | $327.78 – $1,165.44 | 16 |
| Hla i & ii typing hr CPT 81378 | $435.54 | $1,037.00 | $279.99 – $995.52 | 16 |
| Hla i & ii typing lr CPT 81370 | $506.94 | $1,207.00 | $325.89 – $1,158.72 | 16 |
| Hla ii typing 1 loc hr CPT 81382 | $156.24 | $372.00 | $100.44 – $357.12 | 16 |
| Hla i low res one antigen equiv ea CPT 81374 | $93.66 | $223.00 | $60.21 – $214.08 | 16 |
| Hla i typing 1 locus hr CPT 81380 | $223.44 | $532.00 | $143.64 – $510.72 | 16 |
| Hla i typing complete hr CPT 81379 | $422.94 | $1,007.00 | $271.89 – $966.72 | 16 |
| Hla i typing complete lr CPT 81372 | $508.62 | $1,211.00 | $326.97 – $1,162.56 | 16 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $214.20 | $510.00 | $137.70 – $489.60 | 16 |
| Hla i typing low res one locus ea CPT 81373 | $160.86 | $383.00 | $103.41 – $367.68 | 16 |
| Hla x-math non-cytotoxic CPT 86825 | $138.18 | $329.00 | $88.83 – $315.84 | 16 |
| Homocysteine CPT 83090 | $24.36 | $58.00 | $15.66 – $55.68 | 16 |
| Homogenization tissue CPT 87176 | $21.84 | $52.00 | $5.88 – $49.92 | 16 |
| Homovanillic acid (hva) CPT 83150 | $28.56 | $68.00 | $18.36 – $65.28 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $51.24 | $122.00 | $32.94 – $117.12 | 16 |
| H pylori (c-13) breath CPT 83013 | $85.26 | $203.00 | $54.81 – $194.88 | 16 |
| Htt gene detc abnor alleles CPT 81271 | $172.62 | $411.00 | $110.97 – $394.56 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | $40.74 | $97.00 | $20.81 – $93.12 | 16 |
| Hysterosalpingography s&i CPT 74740 | $290.22 | $691.00 | $186.57 – $663.36 | 16 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $2,607.36 | $6,208.00 | $1,676.16 – $5,959.68 | 16 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $160.02 | $381.00 | $102.87 – $369.57 | 14 |
| I131 iodide cap, rx HCPCS A9517 | $67.20 | $160.00 | $23.13 – $153.60 | 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.