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 |
|---|---|---|---|---|
| Sinus CT scan (with contrast) CPT 70487 | $811.86 | $1,933.00 | $178.02 – $1,855.68 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $649.32 | $1,546.00 | $106.34 – $1,484.16 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $1,575.84 | $3,752.00 | $1,013.04 – $4,249.12 | 16 |
| Sinus X-ray (complete) CPT 70220 | $67.20 | $160.00 | $43.20 – $153.60 | 16 |
| Sinus X-ray (limited) CPT 70210 | $55.44 | $132.00 | $35.64 – $126.72 | 16 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $64.68 | $154.00 | $41.58 – $149.38 | 14 |
| Skin Biopsy CPT 11102 | $125.58 | $299.00 | $80.73 – $287.04 | 16 |
| Skull X-ray (1 to 3 views) CPT 70250 | $78.96 | $188.00 | $50.76 – $180.48 | 16 |
| Skull X-ray (complete) CPT 70260 | $82.32 | $196.00 | $52.92 – $188.16 | 16 |
| Slco1b1 gene com variants CPT 81328 | $220.50 | $525.00 | $141.75 – $504.00 | 16 |
| Sleep study attended CPT 95807 | $1,139.04 | $2,712.00 | $530.60 – $2,082.24 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $2,569.98 | $6,119.00 | $1,017.39 – $4,699.20 | 16 |
| Sleep study unattended CPT 95806 | $305.34 | $727.00 | $156.46 – $557.76 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,544.04 | $17,962.00 | $726.30 – $2,609.30 | 14 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $181.44 | $432.00 | $116.64 – $414.72 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $28.56 | $68.00 | $5.39 – $54.72 | 16 |
| Smear gram stain CPT 87205 | $5.46 | $13.00 | $3.51 – $12.48 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $120.54 | $287.00 | $4.86 – $17.28 | 16 |
| Smear wet mount CPT 87210 | $22.26 | $53.00 | $4.86 – $17.28 | 16 |
| Snrpn/ube3a gene CPT 81331 | $122.64 | $292.00 | $51.07 – $280.32 | 16 |
| Sodium 24 hour urine CPT 84300 | $30.24 | $72.00 | $4.32 – $15.36 | 16 |
| Sodium serum/plasma/whole blood CPT 84295 | $6.30 | $15.00 | $4.05 – $14.40 | 16 |
| Special physics consult CPT 77370 | $480.06 | $1,143.00 | $132.77 – $1,097.28 | 16 |
| Special radiation dosimetry CPT 77331 | $381.78 | $909.00 | $132.77 – $872.64 | 16 |
| Special radiation treatment CPT 77470 | $813.96 | $1,938.00 | $523.26 – $1,860.48 | 16 |
| Special teletx port plan CPT 77321 | $701.40 | $1,670.00 | $366.07 – $1,603.20 | 16 |
| Specific gravity body fluid CPT 84315 | $4.20 | $10.00 | $2.70 – $9.60 | 16 |
| Specimen fat stain CPT 89125 | $7.56 | $18.00 | $4.86 – $17.28 | 16 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $229.32 | $546.00 | $147.42 – $529.62 | 14 |
| Speech evaluation complex CPT 70371 | $152.46 | $363.00 | $98.01 – $348.48 | 16 |
| Speech Therapy Session (one-on-one) CPT 92507 | $77.70 | $185.00 | $49.95 – $179.45 | 14 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,029.84 | $2,452.00 | $662.04 – $2,353.92 | 16 |
| Spine X-ray (single view, one level) CPT 72020 | $63.00 | $150.00 | $40.50 – $144.00 | 16 |
| Spleen imaging CPT 78185 | $284.76 | $678.00 | $183.06 – $650.88 | 16 |
| Split blood or products CPT 86985 | $143.64 | $342.00 | $92.34 – $328.32 | 16 |
| Sputum specimen collection CPT 89220 | $143.64 | $342.00 | $92.34 – $328.32 | 16 |
| Srs linear based CPT 77372 | $6,318.48 | $15,044.00 | $4,061.88 – $14,442.24 | 16 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $110.04 | $262.00 | $70.74 – $254.14 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $23,874.06 | $56,843.00 | $10,231.65 – $36,758.15 | 14 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $18,397.68 | $43,804.00 | $160.38 – $576.18 | 14 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,891.30 | $9,265.00 | $44.82 – $161.02 | 14 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $14,718.48 | $35,044.00 | $160.38 – $576.18 | 14 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $16,618.98 | $39,569.00 | $7,122.33 – $27,952.00 | 14 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,624.20 | $11,010.00 | $1,981.80 – $26,502.00 | 14 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $13,514.34 | $32,177.00 | $5,791.77 – $27,952.00 | 14 |
| St evaluate speech sound production CPT 92522 | $112.14 | $267.00 | $72.09 – $258.99 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $234.36 | $558.00 | $150.66 – $541.26 | 14 |
| Stimulants synthetic CPT 80371 | $67.20 | $160.00 | $43.20 – $155.20 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $956.34 | $2,277.00 | $401.83 – $2,185.92 | 16 |
| Strep a ag ia CPT 87430 | $21.42 | $51.00 | $13.77 – $48.96 | 16 |
| Strep b dna amp probe CPT 87653 | $44.52 | $106.00 | $28.62 – $101.76 | 16 |
| Stress test pulmonary CPT 94618 | $441.42 | $1,051.00 | $128.90 – $1,008.96 | 16 |
| Str markers specimen anal CPT 81265 | $599.34 | $1,427.00 | $189.00 – $672.00 | 16 |
| Sulfonylurea screen qn-sendout CPT 80377 | $74.76 | $178.00 | $48.06 – $172.66 | 14 |
| Surg dx exam anorectal CPT 45990 | not published | not published | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $20.58 | $49.00 | $13.23 – $47.04 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $33.18 | $79.00 | $21.33 – $75.84 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $44.94 | $107.00 | $28.89 – $102.72 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $44.94 | $107.00 | $28.89 – $102.72 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $300.30 | $715.00 | $193.05 – $686.40 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $674.52 | $1,606.00 | $433.62 – $1,541.76 | 16 |
| Susceptibility agar dilution per agent CPT 87181 | $107.10 | $255.00 | $4.75 – $63.36 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $23.52 | $56.00 | $4.75 – $53.76 | 16 |
| Susceptibility mic per plate CPT 87186 | $84.00 | $200.00 | $7.02 – $24.96 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $48.30 | $115.00 | $6.64 – $55.68 | 16 |
| Svc venogram s&i CPT 75827 | $995.40 | $2,370.00 | $639.90 – $2,275.20 | 16 |
| Swallowing Evaluation (Bedside) CPT 92610 | $123.48 | $294.00 | $79.38 – $285.18 | 14 |
| Swallowing Therapy Session CPT 92526 | $101.22 | $241.00 | $65.07 – $233.77 | 14 |
| Sweat collection by iontophoresis CPT 89230 | $44.94 | $107.00 | $28.89 – $102.72 | 16 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $21.84 | $52.00 | $4.40 – $49.92 | 16 |
| System pacing micra av HCPCS C1786 | $14,718.48 | $35,044.00 | $3,125.25 – $11,227.75 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $45,991.68 | $109,504.00 | $4,730.40 – $16,994.40 | 14 |
| System sealant biosentry tract HCPCS C2613 | $1,131.90 | $2,695.00 | $727.65 – $2,614.15 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $29.82 | $71.00 | $14.58 – $51.84 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $18.06 | $43.00 | $11.61 – $41.28 | 16 |
| T4 (thyroxine) free CPT 84439 | $27.72 | $66.00 | $7.56 – $26.88 | 16 |
| T4 (thyroxine) total CPT 84436 | $23.52 | $56.00 | $6.87 – $53.76 | 16 |
| Tacrolimus therapeutic drug level CPT 80197 | $26.88 | $64.00 | $13.73 – $54.72 | 16 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $78.96 | $188.00 | $50.76 – $180.48 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,005.90 | $2,395.00 | $615.33 – $2,187.84 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,678.78 | $8,759.00 | $2,364.93 – $8,408.64 | 16 |
| Target gsa panel organ neop CPT 81445 | $753.48 | $1,794.00 | $484.38 – $1,722.24 | 16 |
| Tavr perq femoral CPT 33361 | $3,499.44 | $8,332.00 | $2,249.64 – $8,082.04 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $126.00 | $300.00 | $81.00 – $288.00 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $78.12 | $186.00 | $50.22 – $178.56 | 16 |
| Tc-99m bicisate HCPCS A9557 | $1,425.90 | $3,395.00 | $683.80 – $3,259.20 | 16 |
| Tc-99m disofenin HCPCS A9510 | $106.26 | $253.00 | $68.31 – $245.41 | 14 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,702.28 | $6,434.00 | $1,040.32 – $6,176.64 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | $761.46 | $1,813.00 | $489.51 – $1,740.48 | 16 |
| Tc-99m labeled rbc HCPCS A9560 | $257.88 | $614.00 | $165.78 – $595.58 | 14 |
| Tc-99m maa HCPCS A9540 | $215.46 | $513.00 | $138.51 – $497.61 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $173.46 | $413.00 | $111.51 – $400.61 | 14 |
| Tc-99m medronate HCPCS A9503 | $148.81 | $354.30 | $95.66 – $343.67 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $259.98 | $619.00 | $167.13 – $600.43 | 14 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $244.02 | $581.00 | $156.87 – $563.57 | 14 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $5.46 | $13.00 | $3.51 – $12.61 | 14 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $69.30 | $165.00 | $44.55 – $160.05 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $116.72 | $277.90 | $75.03 – $269.56 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $255.36 | $608.00 | $164.16 – $589.76 | 14 |
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.