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 |
|---|---|---|---|---|
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $49.81 | $118.60 | $25.35 – $91.08 | 14 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $204.04 | $485.80 | $30.21 – $108.54 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | $1,882.02 | $4,481.00 | $1,209.87 – $4,346.57 | 13 |
| Drug assay caffeine CPT 80155 | $48.72 | $116.00 | $31.32 – $111.36 | 16 |
| Drug assay posaconazole CPT 80187 | $49.56 | $118.00 | $27.11 – $113.28 | 16 |
| Drug assay vedolizumab CPT 80280 | $133.14 | $317.00 | $38.57 – $304.32 | 16 |
| Drug assay voriconazole CPT 80285 | $53.34 | $127.00 | $27.11 – $121.92 | 16 |
| Drug of abuse screen urine CPT 80305 | $15.96 | $38.00 | $10.26 – $36.48 | 16 |
| Drug screening tapentadol CPT 80372 | $23.52 | $56.00 | $15.12 – $54.32 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $21.84 | $52.00 | $14.04 – $49.92 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $188.58 | $449.00 | $50.49 – $179.52 | 16 |
| Drvvt confirm - quest CPT 85597 | $22.68 | $54.00 | $14.58 – $51.84 | 16 |
| Ductogram sgl duct CPT 77053 | $175.98 | $419.00 | $113.13 – $406.43 | 14 |
| Duplex scan bilateral study 93985 CPT 93985 | $370.44 | $882.00 | $238.14 – $846.72 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | $281.82 | $671.00 | $106.34 – $644.16 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $296.94 | $707.00 | $106.34 – $678.72 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,024.80 | $2,440.00 | $241.72 – $2,342.40 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $58.80 | $140.00 | $37.80 – $134.40 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,123.92 | $2,676.00 | $548.30 – $2,568.96 | 16 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $277.62 | $661.00 | $178.47 – $634.56 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $304.50 | $725.00 | $195.75 – $703.25 | 14 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,404.90 | $3,345.00 | $790.06 – $3,211.20 | 16 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $347.34 | $827.00 | $223.29 – $793.92 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $241.50 | $575.00 | $155.25 – $557.75 | 14 |
| Echograp trans r pros study CPT 76873 | $228.48 | $544.00 | $106.34 – $522.24 | 16 |
| Echo guidance radiotherapy CPT 76965 | $609.84 | $1,452.00 | $392.04 – $1,408.44 | 14 |
| Echo guide for amniocentesis CPT 76946 | $151.20 | $360.00 | $97.20 – $349.20 | 14 |
| Echo guide for artery repair CPT 76936 | $328.02 | $781.00 | $210.87 – $749.76 | 16 |
| Echo stress CPT 93350 | $684.18 | $1,629.00 | $439.83 – $1,563.84 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $506.94 | $1,207.00 | $325.89 – $1,158.72 | 16 |
| Echo transesophageal CPT 93315 | $350.70 | $835.00 | $225.45 – $801.60 | 16 |
| Echo transesophageal intraop CPT 93318 | $345.66 | $823.00 | $222.21 – $790.08 | 16 |
| Echo transthoracic CPT 93303 | $765.66 | $1,823.00 | $492.21 – $1,750.08 | 16 |
| Echo transthoracic CPT 93304 | $345.66 | $823.00 | $222.21 – $790.08 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $395.64 | $942.00 | $241.72 – $904.32 | 16 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $563.22 | $1,341.00 | $311.40 – $1,287.36 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $405.30 | $965.00 | $260.55 – $926.40 | 16 |
| Eeg during surgery CPT 95955 | $600.60 | $1,430.00 | $386.10 – $1,387.10 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $371.70 | $885.00 | $238.95 – $849.60 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $677.46 | $1,613.00 | $311.40 – $1,548.48 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $454.44 | $1,082.00 | $292.14 – $1,038.72 | 16 |
| Eeg recording awake and asleep CPT 95819 | $453.60 | $1,080.00 | $291.60 – $1,036.80 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $776.58 | $1,849.00 | $311.40 – $1,775.04 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $621.18 | $1,479.00 | $311.40 – $1,419.84 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,087.38 | $2,589.00 | $530.60 – $2,485.44 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,025.22 | $2,441.00 | $530.60 – $2,343.36 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $714.42 | $1,701.00 | $311.40 – $1,632.96 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $931.98 | $2,219.00 | $530.60 – $2,130.24 | 16 |
| E equine encephalitis igg CPT 86652 | $27.30 | $65.00 | $13.19 – $62.40 | 16 |
| Egd control bleeding any CPT 43255 | not published | not published | not published | 0 |
| Egd dilate stricture CPT 43245 | not published | not published | not published | 0 |
| Egd guide wire insertion CPT 43248 | not published | not published | not published | 0 |
| Egd lesion ablation CPT 43270 | not published | not published | not published | 0 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Egd remove lesion snare CPT 43251 | not published | not published | not published | 0 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | not published | 0 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | not published | 0 |
| Egd varices ligation CPT 43244 | not published | not published | not published | 0 |
| Egfr gene com variants CPT 81235 | $409.08 | $974.00 | $262.98 – $935.04 | 16 |
| EKG (Tracing Only) CPT 93005 | $190.26 | $453.00 | $59.40 – $434.88 | 16 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $70.98 | $169.00 | $45.63 – $163.93 | 14 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $78.96 | $188.00 | $50.76 – $182.36 | 14 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,360.08 | $17,524.00 | $727.65 – $2,614.15 | 14 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $39.90 | $95.00 | $25.65 – $92.15 | 14 |
| Electrolyte panel CPT 80051 | $9.24 | $22.00 | $5.94 – $21.12 | 16 |
| Electron microscopy diagnostic CPT 88348 | $674.52 | $1,606.00 | $433.62 – $1,541.76 | 16 |
| Electrophysiologic study CPT 93624 | $2,750.58 | $6,549.00 | $1,768.23 – $10,243.93 | 16 |
| Electrophysiology evaluation CPT 93619 | $10,379.04 | $24,712.00 | $6,672.24 – $23,723.52 | 16 |
| Electrophysiology evaluation CPT 93620 | $33,480.72 | $79,716.00 | $7,588.10 – $76,527.36 | 16 |
| Electrophysiology evaluation CPT 93621 | $6,065.64 | $14,442.00 | $3,899.34 – $14,008.74 | 14 |
| Electrophysiology evaluation CPT 93622 | $8,916.18 | $21,229.00 | $5,731.83 – $20,592.13 | 14 |
| Electrophysiology evaluation CPT 93641 | $1,748.04 | $4,162.00 | $1,123.74 – $4,037.14 | 14 |
| Electrophysiology evaluation CPT 93642 | $2,362.08 | $5,624.00 | $1,213.99 – $5,399.04 | 16 |
| Electrophysiology evaluation CPT 93644 | $52.50 | $125.00 | $33.75 – $121.25 | 14 |
| Electrophys map 3d add-on CPT 93613 | $4,554.90 | $10,845.00 | $2,928.15 – $10,519.65 | 14 |
| Embolization s&i CPT 75894 | $745.92 | $1,776.00 | $479.52 – $1,722.72 | 14 |
| Embo or occlude vascular arterial s&i CPT 37242 | $6,159.30 | $14,665.00 | $3,959.55 – $24,241.57 | 16 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $6,064.80 | $14,440.00 | $3,898.80 – $15,309.77 | 16 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,680.52 | $15,906.00 | $4,294.62 – $15,309.77 | 16 |
| Embo or occlude vascular venous s&i CPT 37241 | $6,064.80 | $14,440.00 | $3,898.80 – $15,309.77 | 16 |
| Encephalitis, california igg/igm CPT 86651 | $27.30 | $65.00 | $13.19 – $62.40 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | $27.30 | $65.00 | $13.19 – $62.40 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | $27.30 | $65.00 | $13.19 – $62.40 | 16 |
| Endo cath bile duct s&i CPT 74328 | $447.72 | $1,066.00 | $287.82 – $1,034.02 | 14 |
| Endo cath panc duct s&i CPT 74329 | $413.28 | $984.00 | $265.68 – $954.48 | 14 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | not published | 0 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | not published | 0 |
| Endoluminal bx biliary tree CPT 47543 | $2,195.76 | $5,228.00 | $1,411.56 – $5,071.16 | 13 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,457.42 | $5,851.00 | $1,579.77 – $5,675.47 | 13 |
| Endoluminl ivus oct c ea CPT 92979 | $1,677.06 | $3,993.00 | $1,078.11 – $3,873.21 | 13 |
| Endoscopic injection/implant CPT 51715 | not published | not published | not published | 0 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | not published | 0 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | not published | 0 |
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.