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 |
|---|---|---|---|---|
| Knee X-ray (3 views, both knees) CPT 73562 | $270.34 | $384.00 | $168.96 – $372.48 | 19 |
| Kras gene addl variants CPT 81276 | $622.92 | $580.00 | $255.20 – $562.60 | 19 |
| Kras gene variants exon 2 CPT 81275 | $622.92 | $580.00 | $255.20 – $562.60 | 19 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $51.94 | $86.00 | $37.84 – $83.42 | 19 |
| Lactate dehydrogenase (ldh) CPT 83615 | $35.06 | $57.00 | $8.36 – $18.43 | 19 |
| Lactic acid CPT 83605 | $79.33 | $129.00 | $38.72 – $85.36 | 19 |
| Lactoferrin fecal qualitative CPT 83630 | $60.27 | $98.00 | $32.12 – $70.81 | 19 |
| Lactoferrin fecal quant CPT 83631 | $125.46 | $204.00 | $89.76 – $197.88 | 19 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $826.20 | $1,224.00 | $92.40 – $203.70 | 19 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $176.88 | $330.00 | $145.20 – $320.10 | 19 |
| Lead capillary CPT 83655 | $48.58 | $79.00 | $16.28 – $35.89 | 19 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $995.47 | $1,488.00 | $654.72 – $1,443.36 | 19 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,229.40 | $2,049.00 | $901.56 – $1,987.53 | 19 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $983.40 | $1,639.00 | $721.16 – $1,589.83 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,148.00 | $1,716.00 | $755.04 – $1,664.52 | 19 |
| Levetiracetam therapeutic drug level CPT 80177 | $38.74 | $63.00 | $27.72 – $61.11 | 19 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $2,698,045.64 | $3,759,504.00 | $1,654,181.76 – $3,646,718.88 | 19 |
| Lipase CPT 83690 | $35.67 | $58.00 | $9.24 – $20.37 | 19 |
| Lipoprotein blood high res frac & quant CPT 83701 | $62.73 | $102.00 | $44.88 – $98.94 | 19 |
| Lipoprotein blood quant CPT 83704 | $63.34 | $103.00 | $45.32 – $99.91 | 19 |
| Lipoprotein direct measurement hdl CPT 83718 | $39.36 | $64.00 | $28.16 – $62.08 | 19 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.81 | $94.00 | $41.36 – $91.18 | 19 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $63.34 | $103.00 | $45.32 – $99.91 | 19 |
| Lithium therapeutic drug level CPT 80178 | $31.98 | $52.00 | $22.88 – $50.44 | 19 |
| Liver Function Test CPT 80076 | $66.42 | $108.00 | $47.52 – $104.76 | 19 |
| Liver/spleen imag static only CPT 78215 | $916.94 | $1,444.00 | $635.36 – $1,400.68 | 19 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $434.98 | $685.00 | $301.40 – $664.45 | 19 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.61 | $2.24 | $0.99 – $2.17 | 19 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $329.40 | $549.00 | $241.56 – $532.53 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,813.40 | $4,689.00 | $2,063.16 – $4,548.33 | 19 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,344.80 | $3,908.00 | $1,719.52 – $3,790.76 | 19 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,875.60 | $3,126.00 | $1,375.44 – $3,032.22 | 19 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,841.03 | $2,604.00 | $1,145.76 – $2,525.88 | 19 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,534.19 | $2,170.00 | $954.80 – $2,104.90 | 19 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,227.35 | $1,736.00 | $763.84 – $1,683.92 | 19 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $264.00 | $375.00 | $165.00 – $363.75 | 19 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $590.66 | $839.00 | $369.16 – $813.83 | 19 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $599.81 | $852.00 | $374.88 – $826.44 | 19 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $187.26 | $266.00 | $117.04 – $258.02 | 19 |
| Low frequency non-thermal Ultrasound CPT 97610 | $210.90 | $300.00 | $132.00 – $291.00 | 19 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $381.55 | $587.00 | $258.28 – $569.39 | 19 |
| Lung function test (mbc/mvv) CPT 94200 | $113.75 | $175.00 | $77.00 – $169.75 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $299.65 | $461.00 | $202.84 – $447.17 | 19 |
| Lung perfusion imaging CPT 78580 | $730.88 | $1,151.00 | $506.44 – $1,116.47 | 19 |
| Magnesium CPT 83735 | $54.12 | $88.00 | $9.24 – $20.37 | 19 |
| Magnetic image bone marrow CPT 77084 | $1,818.92 | $2,347.00 | $1,032.68 – $2,276.59 | 19 |
| Marker biop eviva buckle ss HCPCS A4648 | $732.40 | $1,132.00 | $137.72 – $303.61 | 19 |
| Mastoids complete CPT 70130 | $230.91 | $328.00 | $144.32 – $318.16 | 19 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $71.23 | $110.10 | $48.44 – $106.80 | 19 |
| M.avium-intra dna amp prob CPT 87561 | $169.83 | $270.00 | $118.80 – $261.90 | 19 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $38.74 | $63.00 | $27.72 – $61.11 | 19 |
| Mayo aathr protein s free CPT 85306 | $41.98 | $66.00 | $26.40 – $58.20 | 19 |
| Mayo activated protein c resistance assay CPT 85307 | $41.98 | $66.00 | $29.04 – $64.02 | 19 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $184.50 | $300.00 | $132.00 – $291.00 | 19 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.17 | $158.00 | $48.40 – $106.70 | 19 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $82.41 | $134.00 | $26.84 – $59.17 | 19 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $35.06 | $57.00 | $25.08 – $55.29 | 19 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $74.41 | $121.00 | $53.24 – $117.37 | 19 |
| Mayo alpha 1 antitrypsin CPT 82103 | $36.28 | $59.00 | $18.04 – $39.77 | 19 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $38.13 | $62.00 | $25.96 – $57.23 | 19 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $43.05 | $70.00 | $24.64 – $54.32 | 19 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $392.01 | $365.00 | $160.60 – $354.05 | 19 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $295.35 | $275.00 | $121.00 – $266.75 | 19 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,737.52 | $3,480.00 | $1,531.20 – $3,375.60 | 19 |
| Mayo androstenedione CPT 82157 | $54.12 | $88.00 | $38.72 – $85.36 | 19 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $37.52 | $61.00 | $26.84 – $59.17 | 19 |
| Mayo antithrombin iii antigen CPT 85301 | $43.88 | $69.00 | $30.36 – $66.93 | 19 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Mayo avwpr vw factor activity CPT 85397 | $104.30 | $164.00 | $72.16 – $159.08 | 19 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $97.17 | $158.00 | $24.64 – $54.32 | 19 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $43.15 | $62.00 | $27.28 – $60.14 | 19 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $467.19 | $435.00 | $191.40 – $421.95 | 19 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $691.66 | $644.00 | $283.36 – $624.68 | 19 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $54.29 | $78.00 | $34.32 – $75.66 | 19 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $48.72 | $70.00 | $30.80 – $67.90 | 19 |
| Mayo brcmg brucella antibody igm CPT 86622 | $46.63 | $67.00 | $29.48 – $64.99 | 19 |
| Mayo c1 esterase inhibitor CPT 83883 | $44.28 | $72.00 | $18.04 – $39.77 | 19 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $51.66 | $84.00 | $24.64 – $54.32 | 19 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $70.72 | $115.00 | $22.44 – $49.47 | 19 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $64.73 | $93.00 | $40.92 – $90.21 | 19 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $394.16 | $367.00 | $161.48 – $355.99 | 19 |
| Mayo ceruloplasmin CPT 82390 | $32.59 | $53.00 | $23.32 – $51.41 | 19 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $43.05 | $70.00 | $30.80 – $67.90 | 19 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $70.99 | $102.00 | $28.60 – $63.05 | 19 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $56.38 | $81.00 | $26.84 – $59.17 | 19 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $42.46 | $61.00 | $26.84 – $59.17 | 19 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $222.95 | $350.00 | $154.00 – $339.50 | 19 |
| Mayo chromium CPT 82495 | $37.52 | $61.00 | $26.84 – $59.17 | 19 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $91.64 | $149.00 | $24.64 – $54.32 | 19 |
| Mayo coccidioides antibody CPT 86635 | $45.94 | $66.00 | $24.20 – $53.35 | 19 |
| Mayo cocou cortisone urine CPT 82542 | $559.04 | $909.00 | $32.12 – $70.81 | 19 |
| Mayo cortisol free CPT 82530 | $33.83 | $55.00 | $24.20 – $53.35 | 19 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $88.39 | $127.00 | $55.88 – $123.19 | 19 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $39.67 | $57.00 | $25.08 – $55.29 | 19 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $27.84 | $40.00 | $17.60 – $38.80 | 19 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $46.74 | $76.00 | $33.44 – $73.72 | 19 |
| Mayo dihydrotestosterone CPT 82642 | $54.12 | $88.00 | $38.72 – $85.36 | 19 |
| Mayo efpo chloride stool CPT 82438 | $35.67 | $58.00 | $22.44 – $49.47 | 19 |
| Mayo estriol CPT 82677 | $44.89 | $73.00 | $32.12 – $70.81 | 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.