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 |
|---|---|---|---|---|
| Slco1b1 gene com variants CPT 81328 | $563.85 | $525.00 | $231.00 – $509.25 | 19 |
| Sling suprapubic suburetheral HCPCS C1771 | $11,621.41 | $17,962.00 | $1,183.60 – $2,609.30 | 19 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $424.51 | $603.00 | $265.32 – $584.91 | 19 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $36.48 | $58.00 | $25.08 – $55.29 | 19 |
| Smear gram stain CPT 87205 | $8.18 | $13.00 | $5.72 – $12.61 | 19 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $180.52 | $287.00 | $7.92 – $17.46 | 19 |
| Smear wet mount CPT 87210 | $33.34 | $53.00 | $23.32 – $51.41 | 19 |
| Sodium 24 hour urine CPT 84300 | $44.28 | $72.00 | $7.04 – $15.52 | 19 |
| Sodium serum/plasma/whole blood CPT 84295 | $19.07 | $31.00 | $13.64 – $30.07 | 19 |
| Specific gravity body fluid CPT 84315 | $6.15 | $10.00 | $4.40 – $9.70 | 19 |
| Spine X-ray (single view, one level) CPT 72020 | $232.32 | $330.00 | $145.20 – $320.10 | 19 |
| Sputum specimen collection CPT 89220 | $264.19 | $344.00 | $151.36 – $333.68 | 19 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $4,496.65 | $6,950.00 | $261.36 – $576.18 | 19 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $8,990.07 | $13,895.00 | $261.36 – $576.18 | 19 |
| Stimulants synthetic CPT 80371 | $98.40 | $160.00 | $70.40 – $155.20 | 19 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,363.98 | $2,148.00 | $945.12 – $2,083.56 | 19 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $250.97 | $357.00 | $104.72 – $230.86 | 19 |
| Strapping of elbow or wrist 29260 CPT 29260 | $310.02 | $441.00 | $129.36 – $285.18 | 19 |
| Strapping of hand or finger CPT 29280 | $267.14 | $380.00 | $167.20 – $368.60 | 19 |
| Strapping of hip CPT 29520 | $302.99 | $431.00 | $126.28 – $278.39 | 19 |
| Strapping of knee CPT 29530 | $296.67 | $422.00 | $123.64 – $272.57 | 19 |
| Strep a ag ia CPT 87430 | $32.08 | $51.00 | $22.44 – $49.47 | 19 |
| Strep b dna amp probe CPT 87653 | $66.67 | $106.00 | $46.64 – $102.82 | 19 |
| Stress test pulmonary CPT 94618 | $375.70 | $578.00 | $254.32 – $560.66 | 19 |
| Stress tte complete CPT 93351 | $1,026.54 | $1,594.00 | $701.36 – $1,546.18 | 19 |
| Str markers specimen anal CPT 81265 | $1,532.60 | $1,427.00 | $308.00 – $679.00 | 19 |
| Sulfonylurea screen qn-sendout CPT 80377 | $109.47 | $178.00 | $78.32 – $172.66 | 19 |
| Surgical pathology level 1 gross examination only CPT 88300 | $34.50 | $50.00 | $22.00 – $48.50 | 19 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $54.51 | $79.00 | $34.76 – $76.63 | 19 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $74.52 | $108.00 | $47.52 – $104.76 | 19 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $74.52 | $108.00 | $47.52 – $104.76 | 19 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $495.42 | $718.00 | $315.92 – $696.46 | 19 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,113.66 | $1,614.00 | $710.16 – $1,565.58 | 19 |
| Susceptibility agar dilution per agent CPT 87181 | $160.40 | $255.00 | $112.20 – $247.35 | 19 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.22 | $56.00 | $24.64 – $54.32 | 19 |
| Susceptibility mic per plate CPT 87186 | $153.60 | $200.00 | $11.44 – $25.22 | 19 |
| Suscept studies macrobroth dilution ea CPT 87188 | $36.48 | $58.00 | $25.52 – $56.26 | 19 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $36.19 | $52.00 | $22.88 – $50.44 | 19 |
| T3 (triiodothyronine) free CPT 84481 | $43.66 | $71.00 | $23.76 – $52.38 | 19 |
| T3 (triiodothyronine) total CPT 84480 | $26.44 | $43.00 | $18.92 – $41.71 | 19 |
| T4 (thyroxine) free CPT 84439 | $40.59 | $66.00 | $12.32 – $27.16 | 19 |
| T4 (thyroxine) total CPT 84436 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Tacrolimus therapeutic drug level CPT 80197 | $39.36 | $64.00 | $25.08 – $55.29 | 19 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $223.87 | $318.00 | $139.92 – $308.46 | 19 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,572.23 | $2,395.00 | $1,002.76 – $2,210.63 | 19 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $9,407.17 | $8,759.00 | $3,853.96 – $8,496.23 | 19 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $208.80 | $300.00 | $132.00 – $291.00 | 19 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $129.46 | $186.00 | $81.84 – $180.42 | 19 |
| Tc-99m labeled rbc HCPCS A9560 | $494.86 | $783.00 | $344.52 – $759.51 | 19 |
| Tc-99m maa HCPCS A9540 | $156.74 | $248.00 | $109.12 – $240.56 | 19 |
| Tc-99m mebrofenin HCPCS A9537 | $172.54 | $273.00 | $120.12 – $264.81 | 19 |
| Tc-99m medronate HCPCS A9503 | $223.92 | $354.30 | $155.89 – $343.67 | 19 |
| Tc-99m mertiatide HCPCS A9562 | $238.90 | $378.00 | $166.32 – $366.66 | 19 |
| Tc-99m pentetate dtpa HCPCS A9539 | $210.46 | $333.00 | $146.52 – $323.01 | 19 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $16.43 | $26.00 | $11.44 – $25.22 | 19 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $175.63 | $277.90 | $122.28 – $269.56 | 19 |
| Tc-99m sulfur colloid HCPCS A9541 | $207.93 | $329.00 | $144.76 – $319.13 | 19 |
| Tcd emboli detect without inj CPT 93892 | $400.73 | $599.00 | $263.56 – $581.03 | 19 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $98.14 | $141.00 | $62.04 – $136.77 | 19 |
| T cells total count CPT 86359 | $79.34 | $114.00 | $50.16 – $110.58 | 19 |
| Team conf without pat by hc pro CPT 99368 | $91.39 | $130.00 | $57.20 – $126.10 | 19 |
| Team conf without pat by phys CPT 99367 | $142.36 | $233.00 | $102.52 – $226.01 | 19 |
| Team conf w/pat by hc prof CPT 99366 | $121.62 | $173.00 | $76.12 – $167.81 | 19 |
| Telehealth original site facility fee HCPCS Q3014 | $63.15 | $88.00 | $38.72 – $85.36 | 19 |
| Testicular imaging w/vasc flow CPT 78761 | $584.20 | $920.00 | $404.80 – $892.40 | 19 |
| Test stress cardiovascular tracing only CPT 93017 | $1,069.28 | $1,630.00 | $717.20 – $1,581.10 | 19 |
| Theophylline therapeutic drug level CPT 80198 | $26.44 | $43.00 | $18.92 – $41.71 | 19 |
| Therapeutic procd strg endur HCPCS G0237 | $72.90 | $127.00 | $55.88 – $123.19 | 19 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $66.78 | $95.00 | $41.80 – $92.15 | 19 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $89.28 | $127.00 | $55.88 – $123.19 | 19 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $44.69 | $49.00 | $21.56 – $47.53 | 19 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $41.95 | $46.00 | $20.24 – $44.62 | 19 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $194.30 | $276.00 | $121.44 – $267.72 | 19 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,176.53 | $1,743.00 | $102.52 – $226.01 | 19 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,760.86 | $2,773.00 | $1,220.12 – $2,689.81 | 19 |
| Thrombin time CPT 85670 | $35.62 | $56.00 | $7.92 – $17.46 | 19 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $65.51 | $103.00 | $45.32 – $99.91 | 19 |
| Thyroglobulin antibody CPT 86800 | $66.82 | $96.00 | $25.08 – $55.29 | 19 |
| Thyroid imaging CPT 78013 | $617.22 | $972.00 | $427.68 – $942.84 | 19 |
| Thyroid (TSH) Test CPT 84443 | $68.26 | $111.00 | $48.84 – $107.67 | 19 |
| Thyroid Ultrasound CPT 76536 | $779.25 | $931.00 | $409.64 – $903.07 | 19 |
| Thyroxine binding globulin (tbg) CPT 84442 | $27.68 | $45.00 | $19.80 – $43.65 | 19 |
| Tissue exam koh skin/hair/nails CPT 87220 | $135.24 | $215.00 | $28.16 – $62.08 | 19 |
| Tissue transglutaminase iga CPT 86364 | $41.06 | $59.00 | $15.40 – $33.95 | 19 |
| Tobramycin peak therapeutic drug level CPT 80200 | $30.13 | $49.00 | $21.56 – $47.53 | 19 |
| Toe X-ray (both feet) CPT 73660 | $180.93 | $257.00 | $113.08 – $249.29 | 19 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $41.78 | $56.00 | $24.64 – $54.32 | 19 |
| Tomosynthesis breast screen bilateral CPT 77063 | $40.82 | $49.00 | $21.56 – $47.53 | 19 |
| Total tau CPT 84394 | $277.36 | $451.00 | $198.44 – $437.47 | 19 |
| Toxoplasma antibody igg CPT 86777 | $43.85 | $63.00 | $26.40 – $58.20 | 19 |
| Toxoplasma antibody igm CPT 86778 | $41.76 | $60.00 | $26.40 – $58.20 | 19 |
| Tpmt gene com vrnts CPT 81335 | $563.85 | $525.00 | $231.00 – $509.25 | 19 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $124.03 | $136.00 | $59.84 – $131.92 | 19 |
| Transferrin CPT 84466 | $23.98 | $39.00 | $17.16 – $37.83 | 19 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $683.83 | $817.00 | $359.48 – $792.49 | 19 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $576.69 | $689.00 | $303.16 – $668.33 | 19 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,164.89 | $3,965.00 | $1,161.60 – $2,560.80 | 19 |
| Treat ankle dislocation CPT 27842 | $824.37 | $1,538.00 | $451.00 – $994.25 | 19 |
| Treat elbow dislocation CPT 24605 | $791.67 | $1,477.00 | $433.40 – $955.45 | 19 |
| Treat fracture of radius CPT 25505 | $767.02 | $1,431.00 | $419.76 – $925.38 | 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.