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 |
|---|---|---|---|---|
| Lap jejunostomy 44186 CPT 44186 | not published | not published | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | not published | 0 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | not published | 0 |
| Lap revision perm ip cath CPT 49325 | not published | not published | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | not published | 0 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | not published | 0 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | not published | 0 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $349.86 | $833.00 | $149.85 – $538.35 | 13 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | not published | 0 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $244.86 | $583.00 | $157.41 – $559.68 | 16 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | not published | 0 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | not published | 0 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | not published | 0 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | not published | 0 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | not published | 0 |
| Laser surgery of prostate CPT 52648 | not published | not published | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $12,878.88 | $30,664.00 | $727.65 – $2,614.15 | 14 |
| Lead capillary CPT 83655 | $33.18 | $79.00 | $9.99 – $35.52 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $12,878.88 | $30,664.00 | $727.65 – $2,614.15 | 14 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,279.88 | $19,714.00 | $727.65 – $2,614.15 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $485.94 | $1,157.00 | $241.72 – $1,110.72 | 16 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $811.86 | $1,933.00 | $521.91 – $1,875.01 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $649.32 | $1,546.00 | $417.42 – $1,499.62 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $820.26 | $1,953.00 | $241.72 – $1,874.88 | 16 |
| Leishmania antibody CPT 86717 | $15.54 | $37.00 | $9.99 – $35.52 | 16 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,919.00 | $6,950.00 | $381.51 – $1,370.61 | 14 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,919.00 | $6,950.00 | $160.38 – $576.18 | 14 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,919.00 | $6,950.00 | $160.38 – $576.18 | 14 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,919.00 | $6,950.00 | $160.38 – $576.18 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $26.46 | $63.00 | $13.25 – $60.48 | 16 |
| Liberta rc ipg HCPCS C1820 | $36,793.68 | $87,604.00 | $1,318.95 – $4,738.45 | 14 |
| Lidocaine therapeutic drug level CPT 80176 | $18.90 | $45.00 | $12.15 – $43.20 | 16 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $1,578,991.68 | $3,759,504.00 | $1,015,066.08 – $3,646,718.88 | 14 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | not published | 0 |
| Lipase CPT 83690 | $24.36 | $58.00 | $5.67 – $20.16 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | $42.84 | $102.00 | $27.54 – $97.92 | 16 |
| Lipoprotein blood quant CPT 83704 | $43.26 | $103.00 | $27.81 – $98.88 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $10.50 | $25.00 | $6.75 – $24.00 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $13.44 | $32.00 | $8.64 – $30.72 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $43.26 | $103.00 | $27.81 – $98.88 | 16 |
| Lithium therapeutic drug level CPT 80178 | $21.84 | $52.00 | $6.61 – $49.92 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $6,428.10 | $15,305.00 | $4,132.35 – $14,845.85 | 13 |
| Liver Function Test CPT 80076 | $10.50 | $25.00 | $6.75 – $24.00 | 16 |
| Liver/spleen imag static only CPT 78215 | $557.76 | $1,328.00 | $358.56 – $1,274.88 | 16 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $362.88 | $864.00 | $233.28 – $829.44 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | not published | 0 |
| Low back disk surgery CPT 63030 | not published | not published | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | $429.66 | $1,023.00 | $276.21 – $982.08 | 16 |
| Low cost skin substitute app HCPCS C5273 | $755.58 | $1,799.00 | $485.73 – $2,469.46 | 16 |
| Low cost skin substitute app HCPCS C5275 | $405.72 | $966.00 | $260.82 – $927.36 | 16 |
| Low cost skin substitute app HCPCS C5277 | $811.44 | $1,932.00 | $521.64 – $1,854.72 | 16 |
| Low cost skin substitute app HCPCS C5272 | $53.34 | $127.00 | $34.29 – $123.19 | 14 |
| Low cost skin substitute app HCPCS C5274 | $215.46 | $513.00 | $138.51 – $497.61 | 14 |
| Low cost skin substitute app HCPCS C5276 | $59.22 | $141.00 | $38.07 – $136.77 | 14 |
| Low cost skin substitute app HCPCS C5278 | $242.34 | $577.00 | $155.79 – $559.69 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $963.48 | $2,294.00 | $178.02 – $2,202.24 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $803.04 | $1,912.00 | $357.13 – $1,835.52 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $642.18 | $1,529.00 | $106.34 – $1,467.84 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,200.78 | $2,859.00 | $357.13 – $2,744.64 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,000.86 | $2,383.00 | $357.13 – $2,287.68 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $800.52 | $1,906.00 | $241.72 – $1,829.76 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $78.96 | $188.00 | $50.76 – $180.48 | 16 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $110.88 | $264.00 | $71.28 – $253.44 | 16 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $127.26 | $303.00 | $81.81 – $290.88 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $78.96 | $188.00 | $50.76 – $182.36 | 14 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | not published | 0 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $1,344.00 | $3,200.00 | $864.00 – $3,072.00 | 16 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | not published | 0 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $241.92 | $576.00 | $155.52 – $552.96 | 16 |
| Lung Function Test (Spirometry) CPT 94010 | $181.44 | $432.00 | $116.64 – $414.72 | 16 |
| Lung perfusion imaging CPT 78580 | $594.30 | $1,415.00 | $382.05 – $1,358.40 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $961.80 | $2,290.00 | $538.27 – $2,198.40 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $62.16 | $148.00 | $39.96 – $142.08 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | $705.60 | $1,680.00 | $453.60 – $1,629.60 | 14 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,492.26 | $3,553.00 | $959.31 – $3,410.88 | 16 |
| Lymph vessel x-ray trunk CPT 75805 | $952.56 | $2,268.00 | $612.36 – $4,249.12 | 16 |
| Lymph vessel x-ray trunk CPT 75807 | $1,648.50 | $3,925.00 | $1,059.75 – $4,249.12 | 16 |
| Macroscopic exam arthropod CPT 87168 | $5.46 | $13.00 | $3.51 – $12.48 | 16 |
| Macroscopic exam parasite CPT 87169 | $24.36 | $58.00 | $4.31 – $55.68 | 16 |
| Magnesium CPT 83735 | $36.96 | $88.00 | $5.67 – $20.16 | 16 |
| Magnetic image bone marrow CPT 77084 | $640.50 | $1,525.00 | $241.72 – $1,464.00 | 16 |
| Mammosite ced HCPCS C1728 | $7,360.08 | $17,524.00 | $381.51 – $1,370.61 | 14 |
| Map tachycard site(s) CPT 93609 | $2,228.10 | $5,305.00 | $1,432.35 – $5,145.85 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,564.10 | $6,105.00 | $84.51 – $303.61 | 14 |
| Mastectomy partial CPT 19301 | not published | not published | not published | 0 |
| Mastoids complete CPT 70130 | $73.92 | $176.00 | $47.52 – $170.72 | 14 |
| Mastopexy CPT 19316 | not published | not published | not published | 0 |
| Mast simple complete CPT 19303 | not published | not published | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $46.16 | $109.90 | $23.73 – $85.26 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $26.46 | $63.00 | $14.46 – $60.48 | 16 |
| Mayo aathr protein s free CPT 85306 | $27.72 | $66.00 | $15.32 – $57.60 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $27.72 | $66.00 | $15.32 – $63.36 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $126.00 | $300.00 | $38.57 – $288.00 | 16 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $66.36 | $158.00 | $29.70 – $106.70 | 14 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $55.44 | $132.00 | $16.47 – $59.17 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $23.94 | $57.00 | $14.78 – $54.72 | 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.