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 |
|---|---|---|---|---|
| Mayo vitamin b3 (niacin) CPT 84591 | $57.81 | $94.00 | $41.36 – $91.18 | 19 |
| Mayo vitamin k CPT 84597 | $52.27 | $85.00 | $37.40 – $82.45 | 19 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $48.58 | $79.00 | $34.76 – $76.63 | 19 |
| #mec-opiates CPT 80356 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Metabolic Blood Panel (Basic) CPT 80048 | $68.26 | $111.00 | $48.84 – $107.67 | 19 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $84.25 | $137.00 | $60.28 – $132.89 | 19 |
| Metabolic panel ionized ca CPT 80047 | $59.04 | $96.00 | $42.24 – $93.12 | 19 |
| Methotrexate therapeutic drug level CPT 80204 | $71.34 | $116.00 | $51.04 – $112.52 | 19 |
| Methylphenidate CPT 80360 | $41.20 | $67.00 | $29.48 – $64.99 | 19 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $0.22 | $0.90 | $0.40 – $0.87 | 19 |
| Microdissection laser CPT 88380 | $139.38 | $202.00 | $88.88 – $195.94 | 19 |
| Microsatellite instability CPT 81301 | $1,123.40 | $1,046.00 | $460.24 – $1,014.62 | 19 |
| Mlh1 gene CPT 81288 | $619.70 | $577.00 | $253.88 – $559.69 | 19 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $16,155.59 | $24,970.00 | $2,686.20 – $5,921.85 | 19 |
| Mopath procedure level 3 CPT 81402 | $484.37 | $451.00 | $198.44 – $437.47 | 19 |
| Mopath procedure level 5 CPT 81404 | $886.05 | $825.00 | $363.00 – $800.25 | 19 |
| Mopath procedure level 6 CPT 81405 | $971.97 | $905.00 | $398.20 – $877.85 | 19 |
| Mopath procedure level 7 CPT 81406 | $911.83 | $849.00 | $373.56 – $823.53 | 19 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $381.57 | $553.00 | $243.32 – $536.41 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $495.42 | $718.00 | $315.92 – $696.46 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $258.06 | $374.00 | $164.56 – $362.78 | 19 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $237.36 | $344.00 | $151.36 – $333.68 | 19 |
| MRA abdomen post contrast CPT 74185 | $3,599.06 | $5,015.00 | $1,471.36 – $3,243.68 | 19 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,262.48 | $4,546.00 | $1,333.64 – $2,940.07 | 19 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,701.99 | $3,765.00 | $1,104.40 – $2,434.70 | 19 |
| MRA pelvis CPT 72198 | $2,337.42 | $3,257.00 | $955.24 – $2,105.87 | 19 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,147.24 | $2,992.00 | $877.36 – $1,934.18 | 19 |
| MRI breast c- unilateral CPT 77046 | $885.05 | $1,142.00 | $502.48 – $1,107.74 | 19 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,327.58 | $1,713.00 | $753.72 – $1,661.61 | 19 |
| MRI breast without cont bi CPT 77047 | $1,393.45 | $1,798.00 | $791.12 – $1,744.06 | 19 |
| MRI breast w IV cont bi CPT 77049 | $2,090.18 | $2,697.00 | $1,186.68 – $2,616.09 | 19 |
| MRI chest without contrast CPT 71550 | $2,236.65 | $2,886.00 | $1,269.84 – $2,799.42 | 19 |
| MRI chest without & w/contrast CPT 71552 | $3,354.98 | $4,329.00 | $1,904.76 – $4,199.13 | 19 |
| MRI chest w IV cont CPT 71551 | $2,796.20 | $3,608.00 | $1,587.52 – $3,499.76 | 19 |
| MRI loex nonjt w IV cont CPT 73719 | $1,722.05 | $2,222.00 | $977.68 – $2,155.34 | 19 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,377.17 | $1,777.00 | $781.88 – $1,723.69 | 19 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,066.15 | $2,666.00 | $1,173.04 – $2,586.02 | 19 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,555.64 | $3,720.00 | $1,636.80 – $3,608.40 | 19 |
| MRI tmj CPT 70336 | $3,600.65 | $4,646.00 | $1,362.68 – $3,004.09 | 19 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,798.00 | $2,320.00 | $1,020.80 – $2,250.40 | 19 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,697.00 | $3,480.00 | $1,531.20 – $3,375.60 | 19 |
| MRI upper extremity w/dye CPT 73219 | $2,247.50 | $2,900.00 | $1,276.00 – $2,813.00 | 19 |
| Mr safety determination physician/other qhp CPT 76016 | $93.63 | $133.00 | $58.52 – $129.01 | 19 |
| Mr safety implant elec prepj CPT 76018 | $144.32 | $205.00 | $90.20 – $198.85 | 19 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $128.83 | $183.00 | $80.52 – $177.51 | 19 |
| Mr safety implt pos&/immoblj CPT 76019 | $220.35 | $313.00 | $137.72 – $303.61 | 19 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $26.75 | $38.00 | $16.72 – $36.86 | 19 |
| Mr sfty med physics xm cstmz CPT 76017 | $342.85 | $487.00 | $214.28 – $472.39 | 19 |
| Mthfr gene analy common variants CPT 81291 | $211.58 | $197.00 | $86.68 – $191.09 | 19 |
| Mumps antibody igg CPT 86735 | $43.15 | $62.00 | $24.64 – $54.32 | 19 |
| Mycobacteria dna amp probe CPT 87551 | $283.05 | $450.00 | $198.00 – $436.50 | 19 |
| Mycoplasma antibody igm CPT 86738 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $566.00 | $527.00 | $231.88 – $511.19 | 19 |
| Myelography l-s spine CPT 72265 | $1,548.10 | $2,199.00 | $967.56 – $2,133.03 | 19 |
| Myelography neck spine CPT 72240 | $1,526.98 | $2,169.00 | $954.36 – $2,103.93 | 19 |
| Myelography thoracic spine CPT 72255 | $1,217.22 | $1,729.00 | $760.76 – $1,677.13 | 19 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $87.55 | $135.00 | $15.40 – $33.95 | 19 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $2.14 | $4.28 | $1.88 – $4.15 | 19 |
| Natriuretic peptide CPT 83880 | $112.54 | $183.00 | $80.52 – $177.51 | 19 |
| Natural killer cells total count CPT 86357 | $79.34 | $114.00 | $50.16 – $110.58 | 19 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $46.58 | $69.00 | $30.36 – $66.93 | 19 |
| Ndl insj without njx 3+ musc CPT 20561 | $50.62 | $75.00 | $33.00 – $72.75 | 19 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $218.94 | $311.00 | $136.84 – $301.67 | 19 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,665.80 | $4,443.00 | $1,954.92 – $4,309.71 | 19 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,221.80 | $3,703.00 | $1,629.32 – $3,591.91 | 19 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,777.20 | $2,962.00 | $1,303.28 – $2,873.14 | 19 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,841.03 | $2,604.00 | $1,145.76 – $2,525.88 | 19 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,534.19 | $2,170.00 | $954.80 – $2,104.90 | 19 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,227.35 | $1,736.00 | $763.84 – $1,683.92 | 19 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $330.88 | $470.00 | $206.80 – $455.90 | 19 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $455.49 | $647.00 | $284.68 – $627.59 | 19 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $537.15 | $763.00 | $335.72 – $740.11 | 19 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,215.92 | $5,511.00 | $2,424.84 – $5,345.67 | 19 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,513.64 | $4,593.00 | $2,020.92 – $4,455.21 | 19 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,810.61 | $3,674.00 | $1,616.56 – $3,563.78 | 19 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,485.07 | $2,471.00 | $1,087.24 – $2,396.87 | 19 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,237.46 | $2,059.00 | $905.96 – $1,997.23 | 19 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $989.85 | $1,647.00 | $724.68 – $1,597.59 | 19 |
| New Patient Office Visit (level 2) CPT 99202 | $616.04 | $557.00 | $59.40 – $130.95 | 19 |
| New Patient Office Visit (level 3) CPT 99203 | $923.51 | $835.00 | $96.80 – $213.40 | 19 |
| New Patient Office Visit (level 4) CPT 99204 | $1,109.32 | $1,003.00 | $144.76 – $319.13 | 19 |
| New Patient Office Visit (level 5) CPT 99205 | $1,486.46 | $1,344.00 | $190.96 – $420.98 | 19 |
| N-invas est c ffr sw aly cta CPT 75580 | $4,604.51 | $6,416.00 | $2,823.04 – $6,223.52 | 19 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $258.51 | $428.00 | $125.40 – $276.45 | 19 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $246.43 | $408.00 | $119.68 – $263.84 | 19 |
| Njx interlaminar lmbr/sac CPT 62326 | $242.20 | $401.00 | $176.44 – $388.97 | 19 |
| Njx interlaminar lmbr/sac CPT 62327 | $277.24 | $459.00 | $201.96 – $445.23 | 19 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,206.50 | $1,900.00 | $836.00 – $1,843.00 | 19 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,134.11 | $1,786.00 | $785.84 – $1,732.42 | 19 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $506.10 | $797.00 | $350.68 – $773.09 | 19 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,156.97 | $1,822.00 | $801.68 – $1,767.34 | 19 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $840.10 | $1,323.00 | $582.12 – $1,283.31 | 19 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $242.18 | $344.00 | $151.36 – $333.68 | 19 |
| Npm1 gene CPT 81310 | $794.76 | $740.00 | $325.60 – $717.80 | 19 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $115.94 | $220.00 | $96.80 – $213.40 | 18 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $89.06 | $169.00 | $74.36 – $163.93 | 18 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $53.82 | $75.00 | $33.00 – $72.75 | 19 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $80.38 | $112.00 | $49.28 – $108.64 | 19 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $106.21 | $148.00 | $65.12 – $143.56 | 19 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $26.55 | $37.00 | $16.28 – $35.89 | 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.