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 |
|---|---|---|---|---|
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $78.79 | $147.00 | $43.12 – $95.06 | 19 |
| Pr removal intrauterine device CPT 58301 | $249.24 | $465.00 | $204.60 – $451.05 | 19 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $211.72 | $395.00 | $173.80 – $383.15 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $63.25 | $118.00 | $51.92 – $114.46 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $67.00 | $125.00 | $55.00 – $121.25 | 19 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $50.38 | $94.00 | $41.36 – $91.18 | 19 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $67.00 | $125.00 | $55.00 – $121.25 | 19 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $264.78 | $494.00 | $145.20 – $320.10 | 19 |
| PSA (Prostate) Test CPT 84153 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Psychotherapy group therapy CPT 90853 | $300.84 | $552.00 | $113.96 – $251.23 | 18 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $79.86 | $146.00 | $64.24 – $141.62 | 18 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $106.67 | $195.00 | $85.80 – $189.15 | 18 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $158.08 | $289.00 | $127.16 – $280.33 | 18 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $117.52 | $223.00 | $98.12 – $216.31 | 18 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $90.64 | $172.00 | $75.68 – $166.84 | 18 |
| Psycl/nrpsyc tech 1st CPT 96138 | $41.11 | $78.00 | $34.32 – $75.66 | 18 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $26.88 | $51.00 | $22.44 – $49.47 | 18 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $21.08 | $40.00 | $17.60 – $38.80 | 18 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $41.11 | $78.00 | $34.32 – $75.66 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $104.04 | $148.00 | $65.12 – $143.56 | 19 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $77.33 | $110.00 | $48.40 – $106.70 | 19 |
| Pt application of modality traction mechanical CPT 97012 | $108.26 | $154.00 | $67.76 – $149.38 | 19 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $158.17 | $225.00 | $99.00 – $218.25 | 19 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $54.13 | $77.00 | $33.88 – $74.69 | 19 |
| Pt wheelchair management each 15 minutes CPT 97542 | $59.75 | $85.00 | $37.40 – $82.45 | 19 |
| Pulmonary vent imaging CPT 78579 | $518.16 | $816.00 | $359.04 – $791.52 | 19 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $52.22 | $72.00 | $29.92 – $65.96 | 19 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $377.33 | $559.00 | $86.24 – $190.12 | 19 |
| Puncture spinal lumbar diagnostic CPT 62270 | $489.94 | $829.00 | $125.40 – $276.45 | 19 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $986.79 | $1,554.00 | $683.76 – $1,507.38 | 19 |
| Quant diff pulm perf w/imaging CPT 78597 | $603.25 | $950.00 | $418.00 – $921.50 | 19 |
| Quest t3 uptake CPT 84479 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $873.12 | $1,375.00 | $605.00 – $1,333.75 | 19 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,042.04 | $1,641.00 | $722.04 – $1,591.77 | 19 |
| Radphm lcl tumor plr sgl day CPT 78800 | $521.34 | $821.00 | $361.24 – $796.37 | 19 |
| Rapid Strep Test CPT 87880 | $31.45 | $50.00 | $22.00 – $48.50 | 19 |
| Rbc count only automated CPT 85041 | $40.07 | $63.00 | $27.28 – $60.14 | 19 |
| Rbc serum pretx incubj drugs CPT 86975 | $556.80 | $800.00 | $352.00 – $776.00 | 19 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $140.83 | $294.00 | $129.36 – $285.18 | 19 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $167.65 | $350.00 | $154.00 – $339.50 | 19 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $385.92 | $653.00 | $287.32 – $633.41 | 19 |
| Removal cerumen impacted (both sides) CPT 69210 | $37.52 | $70.00 | $30.80 – $67.90 | 19 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $139.19 | $198.00 | $87.12 – $192.06 | 19 |
| Removal foreign body foot subcutaneous right CPT 28190 | $223.51 | $417.00 | $122.32 – $269.66 | 19 |
| Removal of foreign body CPT 27372 | $672.68 | $1,255.00 | $368.28 – $811.89 | 19 |
| Removal sutr and stapl no anes CPT 15854 | $130.02 | $220.00 | $96.80 – $213.40 | 19 |
| Removal sutr or stapl no anes CPT 15853 | $97.52 | $165.00 | $72.60 – $160.05 | 19 |
| Renal function panel CPT 80069 | $95.94 | $156.00 | $68.64 – $151.32 | 19 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $290.51 | $542.00 | $238.48 – $525.74 | 19 |
| Repair extns tendon finger without grft ea CPT 26418 | $659.28 | $1,230.00 | $541.20 – $1,193.10 | 19 |
| Repair finger/hand tendon CPT 26350 | $805.61 | $1,503.00 | $661.32 – $1,457.91 | 19 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $340.36 | $635.00 | $279.40 – $615.95 | 19 |
| Reptilase test CPT 85635 | $19.08 | $30.00 | $13.20 – $29.10 | 19 |
| Resp virus 6-11 targets CPT 87632 | $412.00 | $655.00 | $288.20 – $635.35 | 19 |
| Resuscitation delivery/birthing room CPT 99465 | $708.33 | $987.00 | $434.28 – $957.39 | 19 |
| Reticulated platelet assay CPT 85055 | $68.69 | $108.00 | $47.52 – $104.76 | 19 |
| Reticulocyte direct measurement automated CPT 85046 | $10.81 | $17.00 | $7.48 – $16.49 | 19 |
| Rheumatoid factor quantitative CPT 86431 | $38.28 | $55.00 | $7.92 – $17.46 | 19 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $313.98 | $446.00 | $196.24 – $432.62 | 19 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $394.94 | $561.00 | $246.84 – $544.17 | 19 |
| Rib X-ray (3 views, both sides) CPT 71110 | $321.73 | $457.00 | $201.08 – $443.29 | 19 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $257.28 | $480.00 | $211.20 – $465.60 | 19 |
| Rsv assay w/optic CPT 87807 | $25.16 | $40.00 | $17.60 – $38.80 | 19 |
| Rubella antibody igg CPT 86762 | $38.98 | $56.00 | $19.36 – $42.68 | 19 |
| Rubeola antibody igg CPT 86765 | $41.76 | $60.00 | $24.64 – $54.32 | 19 |
| Russell viper venom diluted CPT 85613 | $38.16 | $60.00 | $26.40 – $58.20 | 19 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,955.65 | $2,752.00 | $1,210.88 – $2,669.44 | 19 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $370.30 | $526.00 | $231.44 – $510.22 | 19 |
| Salmonella antibody CPT 86768 | $50.81 | $73.00 | $32.12 – $70.81 | 19 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $501.75 | $750.00 | $330.00 – $727.50 | 19 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $388.69 | $581.00 | $255.64 – $563.57 | 19 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $525.17 | $785.00 | $345.40 – $761.45 | 19 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $871.04 | $1,302.00 | $572.88 – $1,262.94 | 19 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $646.25 | $966.00 | $425.04 – $937.02 | 19 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $719.18 | $1,075.00 | $473.00 – $1,042.75 | 19 |
| Screening Mammogram CPT 77067 | $284.05 | $341.00 | $99.88 – $220.19 | 19 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $15,588.82 | $24,094.00 | $30.80 – $67.90 | 19 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $805.19 | $962.00 | $423.28 – $933.14 | 19 |
| Sedimentation rate erythrocyte automated CPT 85652 | $5.72 | $9.00 | $3.96 – $8.73 | 19 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $68.19 | $97.00 | $42.68 – $94.09 | 19 |
| Semen analysis presence/motility CPT 89321 | $28.42 | $37.00 | $16.28 – $35.89 | 19 |
| Semen analysis w/count CPT 89310 | $19.97 | $26.00 | $11.44 – $25.22 | 19 |
| Sept9 promoter methylation analysis CPT 81327 | $618.62 | $576.00 | $253.44 – $558.72 | 19 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $108.15 | $177.00 | $77.88 – $171.69 | 19 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $265.41 | $377.00 | $165.88 – $365.69 | 19 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $188.67 | $268.00 | $117.92 – $259.96 | 19 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,207.98 | $2,849.00 | $1,253.56 – $2,763.53 | 19 |
| Shoulder MRI (with contrast) CPT 73222 | $1,839.85 | $2,374.00 | $1,044.56 – $2,302.78 | 19 |
| Shoulder MRI (without contrast) CPT 73221 | $1,471.73 | $1,899.00 | $835.56 – $1,842.03 | 19 |
| Shoulder X-ray CPT 73030 | $312.58 | $444.00 | $195.36 – $430.68 | 19 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $226.69 | $322.00 | $141.68 – $312.34 | 19 |
| Sickling rbc CPT 85660 | $35.62 | $56.00 | $24.64 – $54.32 | 19 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,214.08 | $3,684.00 | $1,620.96 – $3,573.48 | 19 |
| Sinus CT scan (with contrast) CPT 70487 | $1,845.07 | $3,070.00 | $1,350.80 – $2,977.90 | 19 |
| Sinus CT scan (without contrast) CPT 70486 | $1,476.06 | $2,456.00 | $1,080.64 – $2,382.32 | 19 |
| Sinus X-ray (complete) CPT 70220 | $306.24 | $435.00 | $191.40 – $421.95 | 19 |
| Sinus X-ray (limited) CPT 70210 | $195.01 | $277.00 | $121.88 – $268.69 | 19 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $94.71 | $154.00 | $67.76 – $149.38 | 19 |
| Skull X-ray (1 to 3 views) CPT 70250 | $289.34 | $411.00 | $180.84 – $398.67 | 19 |
| Skull X-ray (complete) CPT 70260 | $332.29 | $472.00 | $207.68 – $457.84 | 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.