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 |
|---|---|---|---|---|
| Nuclear Stress Test (Heart) CPT 78452 | $3,383.92 | $5,329.00 | $2,344.76 – $5,169.13 | 19 |
| Nudt15 gene common variants CPT 81306 | $939.75 | $875.00 | $385.00 – $848.75 | 19 |
| Observation direct referral from physician office for admission HCPCS G0379 | $288.41 | $654.00 | $287.76 – $634.38 | 18 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $224.66 | $444.00 | $195.36 – $430.68 | 19 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $138.14 | $273.00 | $120.12 – $264.81 | 19 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $174.57 | $345.00 | $151.80 – $334.65 | 19 |
| Observation per hour HCPCS G0378 | $111.34 | $190.00 | $41.80 – $92.15 | 19 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $71.26 | $262.00 | $115.28 – $254.14 | 19 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $70.99 | $261.00 | $114.84 – $253.17 | 19 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $68.54 | $252.00 | $110.88 – $244.44 | 19 |
| Off/op cnsltj new/est low 30 CPT 99243 | $104.35 | $198.00 | $87.12 – $192.06 | 18 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $168.11 | $319.00 | $140.36 – $309.43 | 18 |
| Off/op consltj new/est hi 55 CPT 99245 | $207.64 | $394.00 | $173.36 – $382.18 | 18 |
| Off/op consltj new/est sf 20 CPT 99242 | $74.83 | $142.00 | $62.48 – $137.74 | 18 |
| Onco (ovar) five proteins CPT 81503 | $2,890.13 | $2,691.00 | $1,184.04 – $2,610.27 | 19 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.39 | $1.60 | $0.70 – $1.55 | 19 |
| Organic acids total quant ea spec CPT 83918 | $62.12 | $101.00 | $44.44 – $97.97 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $176.22 | $307.00 | $135.08 – $297.79 | 19 |
| Osmolality blood CPT 83930 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Osmolality urine CPT 83935 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Oth resp proc, group HCPCS G0239 | $122.84 | $214.00 | $94.16 – $207.58 | 19 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $92.09 | $131.00 | $57.64 – $127.07 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $61.20 | $225.00 | $99.00 – $218.25 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $45.57 | $93.00 | $40.92 – $90.21 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $48.51 | $99.00 | $43.56 – $96.03 | 19 |
| Parathormone (pth) intact CPT 83970 | $76.26 | $124.00 | $54.56 – $120.28 | 19 |
| Parathyroid planar imaging CPT 78070 | $730.88 | $1,151.00 | $506.44 – $1,116.47 | 19 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,685.00 | $4,475.00 | $1,969.00 – $4,340.75 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,237.40 | $3,729.00 | $1,640.76 – $3,617.13 | 19 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,789.80 | $2,983.00 | $1,312.52 – $2,893.51 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,403.28 | $3,101.00 | $1,364.44 – $3,007.97 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | $2,002.60 | $2,584.00 | $1,136.96 – $2,506.48 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | $1,601.92 | $2,067.00 | $909.48 – $2,004.99 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | $874.66 | $1,045.00 | $459.80 – $1,013.65 | 19 |
| Pelvic Ultrasound (limited) CPT 76857 | $641.14 | $766.00 | $337.04 – $743.02 | 19 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $173.89 | $247.00 | $108.68 – $239.59 | 19 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $260.48 | $370.00 | $162.80 – $358.90 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | $890.30 | $1,661.00 | $730.84 – $1,611.17 | 19 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $70,849.09 | $109,504.00 | $261.36 – $576.18 | 19 |
| Ph body fluid CPT 83986 | $63.96 | $104.00 | $22.44 – $49.47 | 19 |
| Phencyclidine (pcp) CPT 83992 | $98.40 | $160.00 | $24.64 – $54.32 | 19 |
| Phenobarbital therapeutic drug level CPT 80184 | $36.28 | $59.00 | $23.76 – $52.38 | 19 |
| Phenytoin total therapeutic drug level CPT 80185 | $33.21 | $54.00 | $23.76 – $52.38 | 19 |
| Phlebotomy therapeutic CPT 99195 | $157.03 | $257.00 | $113.08 – $249.29 | 19 |
| Phosphorus CPT 84100 | $28.91 | $47.00 | $20.68 – $45.59 | 19 |
| Phosphorus 24 hour urine CPT 84105 | $45.51 | $74.00 | $7.92 – $17.46 | 19 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $166.63 | $262.00 | $115.28 – $254.14 | 19 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $166.00 | $261.00 | $114.84 – $253.17 | 19 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $160.27 | $252.00 | $110.88 – $244.44 | 19 |
| Physical Therapy Re-Evaluation CPT 97164 | $143.10 | $225.00 | $99.00 – $218.25 | 19 |
| Pik3ca gene trgt seq alys CPT 81309 | $886.05 | $825.00 | $363.00 – $800.25 | 19 |
| Pinworm exam CPT 87172 | $8.18 | $13.00 | $5.72 – $12.61 | 19 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $878.85 | $1,302.00 | $572.88 – $1,262.94 | 19 |
| Platelet automated CPT 85049 | $8.90 | $14.00 | $6.16 – $13.58 | 19 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $350.15 | $731.00 | $321.64 – $709.07 | 19 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $376.97 | $787.00 | $346.28 – $763.39 | 19 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $839.21 | $1,752.00 | $770.88 – $1,699.44 | 19 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $440.78 | $653.00 | $287.32 – $633.41 | 19 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $48.58 | $79.00 | $34.76 – $76.63 | 19 |
| Potassium 24 hour urine CPT 84133 | $43.05 | $70.00 | $24.20 – $53.35 | 19 |
| Potassium serum/plasma/whole blood CPT 84132 | $50.43 | $82.00 | $17.16 – $37.83 | 19 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,694.95 | $5,474.00 | $2,408.56 – $5,309.78 | 19 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $741.29 | $1,383.00 | $608.52 – $1,341.51 | 19 |
| Pr application of long arm splint CPT 29105 | $70.75 | $132.00 | $38.72 – $85.36 | 19 |
| Pr application splint static short arm CPT 29125 | $65.93 | $123.00 | $36.08 – $79.54 | 19 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $75.39 | $149.00 | $65.56 – $144.53 | 19 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $110.31 | $218.00 | $95.92 – $211.46 | 19 |
| Prealbumin CPT 84134 | $33.21 | $54.00 | $23.76 – $52.38 | 19 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $881.36 | $1,053.00 | $463.32 – $1,021.41 | 19 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $747.44 | $893.00 | $392.92 – $866.21 | 19 |
| Pregnancy Ultrasound (limited) CPT 76815 | $446.96 | $534.00 | $234.96 – $517.98 | 19 |
| Pretreat rbc absorption reference CPT 86978 | $192.79 | $277.00 | $121.88 – $268.69 | 19 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $115.20 | $150.00 | $66.00 – $145.50 | 19 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $296.39 | $413.00 | $181.72 – $400.61 | 19 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $217.65 | $413.00 | $181.72 – $400.61 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $148.09 | $281.00 | $123.64 – $272.57 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $109.62 | $208.00 | $91.52 – $201.76 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $112.25 | $213.00 | $93.72 – $206.61 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $78.00 | $148.00 | $65.12 – $143.56 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $42.69 | $81.00 | $35.64 – $78.57 | 19 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $202.07 | $377.00 | $165.88 – $365.69 | 19 |
| Pr incision & drainage abscess simple/single CPT 10060 | $111.49 | $208.00 | $91.52 – $201.76 | 19 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $114.17 | $213.00 | $93.72 – $206.61 | 19 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $349.86 | $490.00 | $215.60 – $475.30 | 19 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,248.16 | $2,690.00 | $258.72 – $570.36 | 19 |
| Procalcitonin CPT 84145 | $86.72 | $141.00 | $62.04 – $136.77 | 19 |
| Progesterone CPT 84144 | $38.74 | $63.00 | $27.72 – $61.11 | 19 |
| Prolactin CPT 84146 | $36.28 | $59.00 | $25.96 – $57.23 | 19 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $42.50 | $84.00 | $36.96 – $81.48 | 19 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $35.84 | $68.00 | $29.92 – $65.96 | 18 |
| _propoxygc/msur CPT 80367 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Prostate biopsy, any mthd HCPCS G0416 | $638.25 | $925.00 | $407.00 – $897.25 | 19 |
| Protein c activity CPT 85303 | $26.71 | $42.00 | $18.48 – $40.74 | 19 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $35.06 | $57.00 | $24.64 – $54.32 | 19 |
| Protein s total CPT 85305 | $36.89 | $58.00 | $25.52 – $56.26 | 19 |
| Protein total 24 hour urine CPT 84156 | $34.44 | $56.00 | $5.28 – $11.64 | 19 |
| Protein total body fluid CPT 84157 | $34.44 | $56.00 | $5.28 – $11.64 | 19 |
| Protein total serum plasma whole blood CPT 84155 | $34.44 | $56.00 | $23.32 – $51.41 | 19 |
| Prothrombin complex kcentra HCPCS J7168 | $3.09 | $6.20 | $2.73 – $6.01 | 19 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $36.89 | $58.00 | $25.52 – $56.26 | 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.