Community Hospital
2000 Campbell Drive, Torrington, WY · Banner Health · · NPI 1669410643
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $54.12 | $88.00 | $38.72 – $85.36 | 19 |
| 17-hydroxypregnenolone CPT 84143 | $42.44 | $69.00 | $30.36 – $66.93 | 19 |
| 5' nucleotidase - sendout CPT 83915 | $60.88 | $99.00 | $43.56 – $96.03 | 19 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $41.41 | $65.00 | $28.60 – $63.05 | 19 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $49.42 | $71.00 | $31.24 – $68.87 | 19 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $902.48 | $1,349.00 | $593.56 – $1,308.53 | 19 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $532.52 | $796.00 | $350.24 – $772.12 | 19 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,227.00 | $2,045.00 | $899.80 – $1,983.65 | 19 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,022.40 | $1,704.00 | $749.76 – $1,652.88 | 19 |
| Abdominal CT scan (without contrast) CPT 74150 | $817.80 | $1,363.00 | $599.72 – $1,322.11 | 19 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,701.40 | $4,776.00 | $2,101.44 – $4,632.72 | 19 |
| Abdominal MRI (with contrast) CPT 74182 | $3,084.50 | $3,980.00 | $1,751.20 – $3,860.60 | 19 |
| Abdominal MRI (without contrast) CPT 74181 | $2,467.60 | $3,184.00 | $1,400.96 – $3,088.48 | 19 |
| Abdominal paracentesis w/image guidance CPT 49083 | $837.68 | $1,241.00 | $99.00 – $218.25 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,000.21 | $1,195.00 | $525.80 – $1,159.15 | 19 |
| Abdominal Ultrasound (limited) CPT 76705 | $745.77 | $891.00 | $392.04 – $864.27 | 19 |
| Abdominal X-ray (2 views) CPT 74019 | $286.53 | $407.00 | $179.08 – $394.79 | 19 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $347.07 | $493.00 | $216.92 – $478.21 | 19 |
| Abdominal X-ray (single view) CPT 74018 | $158.40 | $225.00 | $99.00 – $218.25 | 19 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $569.70 | $844.00 | $68.20 – $150.35 | 19 |
| Abl1 gene CPT 81170 | $966.60 | $900.00 | $396.00 – $873.00 | 19 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $2.62 | $10.75 | $4.73 – $10.43 | 19 |
| Acetylcholine receptor modulating antibody CPT 86043 | $54.29 | $78.00 | $34.32 – $75.66 | 19 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $35.57 | $39.00 | $17.16 – $37.83 | 19 |
| Acute hepatitis panel CPT 80074 | $154.36 | $251.00 | $110.44 – $243.47 | 19 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.85 | $52.90 | $0.03 – $0.07 | 19 |
| #acylcarnitineprfl CPT 82017 | $70.72 | $115.00 | $50.60 – $111.55 | 19 |
| Adenovirus antibody,serum - quest CPT 86603 | $42.46 | $61.00 | $26.84 – $59.17 | 19 |
| Adh-sendout CPT 84588 | $62.73 | $102.00 | $44.88 – $98.94 | 19 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $47.78 | $88.00 | $38.72 – $85.36 | 19 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $108.60 | $200.00 | $88.00 – $194.00 | 19 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $221.00 | $407.00 | $179.08 – $394.79 | 19 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $227.95 | $391.00 | $172.04 – $379.27 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $107.85 | $185.00 | $81.40 – $179.45 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $288.58 | $495.00 | $217.80 – $480.15 | 19 |
| Administration immunization each additional vaccine CPT 90472 | $26.94 | $60.00 | $26.40 – $58.20 | 19 |
| Administration vaccine hepatitis b HCPCS G0010 | $48.49 | $108.00 | $46.14 – $104.76 | 19 |
| Administration vaccine influenza virus HCPCS G0008 | $48.49 | $108.00 | $46.14 – $104.76 | 19 |
| Administration vaccine pneumococcal HCPCS G0009 | $48.49 | $108.00 | $46.14 – $104.76 | 19 |
| _afb id by dna probe rflx ast CPT 87149 | $45.92 | $73.00 | $32.12 – $70.81 | 19 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $266.50 | $347.00 | $152.68 – $336.59 | 19 |
| Albumin body fluid quantitative each specimen CPT 82042 | $35.67 | $58.00 | $10.56 – $23.28 | 19 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $41.82 | $68.00 | $24.64 – $54.32 | 19 |
| Albumin serum plasma or whole blood CPT 82040 | $38.74 | $63.00 | $17.16 – $37.83 | 19 |
| Alkaline phosphatase CPT 84075 | $35.06 | $57.00 | $21.56 – $47.53 | 19 |
| Allergen alpha lactalbumin ige CPT 86008 | $55.68 | $80.00 | $28.16 – $62.08 | 19 |
| Allergen egg white ige CPT 86003 | $38.98 | $56.00 | $24.20 – $53.35 | 19 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $41.06 | $59.00 | $24.64 – $54.32 | 19 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $544.13 | $841.00 | $370.04 – $815.77 | 19 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $382.44 | $591.10 | $260.08 – $573.37 | 19 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $119.31 | $194.00 | $85.36 – $188.18 | 19 |
| Alpha-fetoprotein tumor marker CPT 82105 | $31.36 | $51.00 | $22.44 – $49.47 | 19 |
| Alt/sgpt CPT 84460 | $36.28 | $59.00 | $22.00 – $48.50 | 19 |
| Aluminum - quest CPT 82108 | $47.35 | $77.00 | $33.88 – $74.69 | 19 |
| Amantadine (symmetrel)-sendout CPT 80375 | $199.26 | $324.00 | $64.68 – $142.59 | 19 |
| Aminolevulinic acid delta CPT 82135 | $46.12 | $75.00 | $33.00 – $72.75 | 19 |
| Amitriptyline (elavil) -sendout CPT 80335 | $41.82 | $68.00 | $27.28 – $60.14 | 19 |
| Ammonia CPT 82140 | $70.72 | $115.00 | $19.36 – $42.68 | 19 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $720.90 | $1,068.00 | $469.92 – $1,035.96 | 19 |
| Amniocentesis therapeutic CPT 59001 | $943.65 | $1,398.00 | $615.12 – $1,356.06 | 19 |
| Amphetamine confirm urine -sendout CPT 80324 | $51.05 | $83.00 | $24.64 – $54.32 | 19 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $847.39 | $789.00 | $347.16 – $765.33 | 19 |
| Amylase CPT 82150 | $209.72 | $341.00 | $8.80 – $19.40 | 19 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $94.71 | $154.00 | $59.40 – $130.95 | 19 |
| Analysis gene f2 20210g>a variant CPT 81240 | $212.65 | $198.00 | $87.12 – $192.06 | 19 |
| Analysis gene f5 leiden variant CPT 81241 | $237.35 | $221.00 | $97.24 – $214.37 | 19 |
| Anca screen with reflex to titer -quest CPT 86021 | $38.28 | $55.00 | $23.76 – $52.38 | 19 |
| An fluoro guide for cvp CPT 77001 | $468.16 | $665.00 | $292.60 – $645.05 | 19 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $3,773.82 | $5,258.50 | $0.18 – $0.40 | 19 |
| Ankle X-ray CPT 73610 | $331.58 | $471.00 | $207.24 – $456.87 | 19 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $186.56 | $265.00 | $116.60 – $257.05 | 19 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $106.49 | $153.00 | $67.32 – $148.41 | 19 |
| Antibody elution rbc reference CPT 86860 | $239.42 | $344.00 | $151.36 – $333.68 | 19 |
| Antibody htlv/hiv confirm test CPT 86689 | $350.09 | $503.00 | $207.68 – $457.84 | 19 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $166.34 | $239.00 | $63.80 – $140.65 | 19 |
| Antibody id rbc panel CPT 86870 | $551.42 | $718.00 | $315.92 – $696.46 | 19 |
| Antibody influenza virus CPT 86710 | $47.33 | $68.00 | $29.92 – $65.96 | 19 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $43.15 | $62.00 | $27.28 – $60.14 | 19 |
| Antibody screen rbc CPT 86850 | $82.94 | $108.00 | $47.52 – $104.76 | 19 |
| Antibody tetanus CPT 86774 | $43.85 | $63.00 | $27.72 – $61.11 | 19 |
| Antidepressant not specified CPT 80338 | $43.05 | $70.00 | $30.80 – $67.90 | 19 |
| Anti mog serum - sendout CPT 86362 | $582.55 | $837.00 | $37.84 – $83.42 | 19 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $37.58 | $54.00 | $23.76 – $52.38 | 19 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $43.15 | $62.00 | $27.28 – $60.14 | 19 |
| Antinuclear antibodies CPT 86038 | $36.89 | $53.00 | $23.32 – $51.41 | 19 |
| Antinuclear antibodies titer CPT 86039 | $80.04 | $115.00 | $25.96 – $57.23 | 19 |
| Antiphosphatidylserine antibody CPT 86148 | $39.67 | $57.00 | $25.08 – $55.29 | 19 |
| Antistreptolysin o titer CPT 86060 | $39.67 | $57.00 | $25.08 – $55.29 | 19 |
| Antithrombin iii activity CPT 85300 | $40.07 | $63.00 | $27.72 – $61.11 | 19 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $321.41 | $384.00 | $168.96 – $372.48 | 19 |
| Application finger splntstatic 29130 CPT 29130 | $49.85 | $93.00 | $27.28 – $60.14 | 19 |
| Application long leg splint 29505 CPT 29505 | $84.15 | $157.00 | $46.20 – $101.85 | 19 |
| Application lower leg splint 29515 CPT 29515 | $82.54 | $154.00 | $45.32 – $99.91 | 19 |
| Application multi layer compression below knee (both sides) CPT 29581 | $250.97 | $357.00 | $104.72 – $230.86 | 19 |
| Application of forearm cast 29075 CPT 29075 | $102.38 | $191.00 | $56.32 – $124.16 | 19 |
| Application of long arm cast 29065 CPT 29065 | $113.63 | $212.00 | $62.04 – $136.77 | 19 |
| Application of long leg cast 29345 CPT 29345 | $166.70 | $311.00 | $91.52 – $201.76 | 19 |
| Application of paste boot 29580 CPT 29580 | $248.16 | $353.00 | $103.40 – $227.95 | 19 |
| Application short leg cast 29405 CPT 29405 | $98.09 | $183.00 | $53.68 – $118.34 | 19 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $45.70 | $65.00 | $28.60 – $63.05 | 19 |
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.