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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $854.92 | $1,595.00 | $468.16 – $1,032.08 | 19 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $424.51 | $792.00 | $232.32 – $512.16 | 19 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $776.66 | $1,449.00 | $425.04 – $937.02 | 19 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $676.97 | $1,263.00 | $370.48 – $816.74 | 19 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $385.38 | $719.00 | $316.36 – $697.43 | 19 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $326.96 | $610.00 | $268.40 – $591.70 | 19 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $252.46 | $471.00 | $207.24 – $456.87 | 19 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $573.52 | $1,070.00 | $314.16 – $692.58 | 19 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $666.25 | $1,243.00 | $364.76 – $804.13 | 19 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $675.90 | $1,261.00 | $370.04 – $815.77 | 19 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $53.60 | $100.00 | $29.48 – $64.99 | 19 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $727.89 | $1,358.00 | $398.64 – $878.82 | 19 |
| #cmvcul-virus inoculation shell CPT 87254 | $66.67 | $106.00 | $28.16 – $62.08 | 19 |
| Cmv pcr-sendout CPT 87496 | $66.67 | $106.00 | $46.64 – $102.82 | 19 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $0.56 | $1.13 | $0.50 – $1.10 | 19 |
| Cold agglutinin titer CPT 86157 | $40.37 | $58.00 | $25.52 – $56.26 | 19 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $249.22 | $354.00 | $155.76 – $343.38 | 19 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $180.26 | $305.00 | $134.20 – $295.85 | 19 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $127.66 | $216.00 | $95.04 – $209.52 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $264.19 | $344.00 | $151.36 – $333.68 | 19 |
| Compatibility test each unit electronic CPT 86923 | $264.19 | $344.00 | $151.36 – $333.68 | 19 |
| Compatibility test each unit immediate spin technique CPT 86920 | $264.19 | $344.00 | $151.36 – $333.68 | 19 |
| Complement antigen each component c3 CPT 86160 | $203.23 | $292.00 | $15.84 – $34.92 | 19 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $258.89 | $483.00 | $212.52 – $468.51 | 19 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $276.58 | $516.00 | $227.04 – $500.52 | 19 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $313.02 | $584.00 | $256.96 – $566.48 | 19 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $377.34 | $704.00 | $309.76 – $682.88 | 19 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $272.82 | $509.00 | $223.96 – $493.73 | 19 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $340.90 | $636.00 | $279.84 – $616.92 | 19 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $143.11 | $267.00 | $117.48 – $258.99 | 19 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $93.80 | $175.00 | $77.00 – $169.75 | 19 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $81.47 | $152.00 | $66.88 – $147.44 | 19 |
| Concentration infection agents any type CPT 87015 | $80.51 | $128.00 | $9.24 – $20.37 | 19 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,028.12 | $1,614.00 | $710.16 – $1,565.58 | 19 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $45.54 | $66.00 | $29.04 – $64.02 | 19 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $237.36 | $344.00 | $151.36 – $333.68 | 19 |
| Contrast baths charges CPT 97034 | $29.89 | $61.00 | $26.84 – $59.17 | 19 |
| Contrast x-ray of ankle CPT 73615 | $457.15 | $637.00 | $280.28 – $617.89 | 19 |
| Contrast x-ray of elbow CPT 73085 | $431.31 | $601.00 | $264.44 – $582.97 | 19 |
| Contrast x-ray of hip CPT 73525 | $693.98 | $967.00 | $425.48 – $937.99 | 19 |
| Contrast x-ray of knee joint CPT 73580 | $400.45 | $558.00 | $245.52 – $541.26 | 19 |
| Contrast x-ray of wrist CPT 73115 | $490.88 | $684.00 | $300.96 – $663.48 | 19 |
| Control nosebleed pack+caut 30905 CPT 30905 | $118.99 | $222.00 | $97.68 – $215.34 | 19 |
| Control of nosebleed ant comp 30903 CPT 30903 | $132.39 | $247.00 | $72.60 – $160.05 | 19 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $95.41 | $178.00 | $52.36 – $115.43 | 19 |
| Coombs direct CPT 86880 | $83.52 | $120.00 | $52.80 – $116.40 | 19 |
| Coombs indirect titer reference CPT 86886 | $239.42 | $344.00 | $151.36 – $333.68 | 19 |
| Core ndl bx lng/med perq CPT 32408 | $1,588.28 | $2,353.00 | $1,035.32 – $2,282.41 | 19 |
| Cortisol total am CPT 82533 | $198.65 | $323.00 | $25.52 – $56.26 | 19 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $179.42 | $250.00 | $110.00 – $242.50 | 19 |
| #covid19rsv-rsv CPT 87634 | $132.72 | $211.00 | $92.84 – $204.67 | 19 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $36.89 | $53.00 | $23.32 – $51.41 | 19 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $507.99 | $885.00 | $389.40 – $858.45 | 19 |
| C-peptide CPT 84681 | $38.74 | $63.00 | $27.72 – $61.11 | 19 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $498.81 | $869.00 | $374.88 – $826.44 | 19 |
| C-reactive protein CPT 86140 | $50.11 | $72.00 | $7.04 – $15.52 | 19 |
| C-reactive protein high sensitivity CPT 86141 | $39.67 | $57.00 | $25.08 – $55.29 | 19 |
| C-reactive protein, quantitative CPT 86406 | $56.38 | $81.00 | $25.96 – $57.23 | 19 |
| Creatine kinase CPT 82550 | $12.30 | $20.00 | $8.80 – $19.40 | 19 |
| Creatine kinase mb CPT 82553 | $21.52 | $35.00 | $15.40 – $33.95 | 19 |
| Creatinine CPT 82565 | $27.68 | $45.00 | $19.80 – $43.65 | 19 |
| Creatinine 24 hour urine CPT 82570 | $49.20 | $80.00 | $7.04 – $15.52 | 19 |
| Creatinine clearance urine CPT 82575 | $17.84 | $29.00 | $12.76 – $28.13 | 19 |
| #creutz-prot.,western blot CPT 84182 | $95.33 | $155.00 | $38.72 – $85.36 | 19 |
| Crisis psychotherapy 90839 CPT 90839 | $218.17 | $304.00 | $133.76 – $294.88 | 19 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $101.91 | $142.00 | $62.48 – $137.74 | 19 |
| Critical care each additional 30 minutes CPT 99292 | $514.56 | $960.00 | $220.88 – $486.94 | 19 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,029.12 | $1,920.00 | $439.12 – $968.06 | 19 |
| Cryoprecipitate each unit HCPCS P9012 | $42.63 | $89.00 | $39.16 – $86.33 | 19 |
| Cryptosporidium antigen CPT 87272 | $69.82 | $111.00 | $26.84 – $59.17 | 19 |
| Crystal identification light microscopy CPT 89060 | $16.90 | $22.00 | $9.68 – $21.34 | 19 |
| CT 3d report other modality w/workstation CPT 76377 | $607.83 | $1,223.00 | $538.12 – $1,186.31 | 19 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,549.20 | $2,582.00 | $1,136.08 – $2,504.54 | 19 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,007.60 | $3,346.00 | $1,472.24 – $3,245.62 | 19 |
| CT Angiogram of the Abdomen CPT 74175 | $1,288.80 | $2,148.00 | $945.12 – $2,083.56 | 19 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,484.54 | $2,987.00 | $1,314.28 – $2,897.39 | 19 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,435.80 | $2,393.00 | $1,052.92 – $2,321.21 | 19 |
| CT Angiogram of the Head CPT 70496 | $1,419.56 | $2,362.00 | $1,039.28 – $2,291.14 | 19 |
| CT Angiogram of the Neck CPT 70498 | $1,559.60 | $2,595.00 | $1,141.80 – $2,517.15 | 19 |
| CT angio hrt w/3d image CPT 75574 | $1,611.27 | $3,242.00 | $1,426.48 – $3,144.74 | 19 |
| CT angio pelvis CPT 72191 | $2,819.40 | $4,699.00 | $2,067.56 – $4,558.03 | 19 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,139.60 | $3,566.00 | $1,569.04 – $3,459.02 | 19 |
| CT bone density axial CPT 77078 | $390.00 | $650.00 | $286.00 – $630.50 | 19 |
| CT colonography dx CPT 74261 | $865.28 | $1,741.00 | $766.04 – $1,688.77 | 19 |
| CT colonography dx w/dye CPT 74262 | $1,081.97 | $2,177.00 | $957.88 – $2,111.69 | 19 |
| CT colonography screening CPT 74263 | $873.23 | $1,757.00 | $773.08 – $1,704.29 | 19 |
| CT guidance for needle placement CPT 77012 | $674.93 | $1,358.00 | $597.52 – $1,317.26 | 19 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $604.85 | $1,217.00 | $535.48 – $1,180.49 | 19 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $82.50 | $166.00 | $73.04 – $161.02 | 19 |
| CT limited or localized follow-up study CPT 76380 | $493.52 | $993.00 | $436.92 – $963.21 | 19 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,475.40 | $2,459.00 | $1,081.96 – $2,385.23 | 19 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,911.60 | $3,186.00 | $1,401.84 – $3,090.42 | 19 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,593.00 | $2,655.00 | $1,168.20 – $2,575.35 | 19 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,274.40 | $2,124.00 | $934.56 – $2,060.28 | 19 |
| CT t-spine w /wo contrast CPT 72130 | $2,835.00 | $4,725.00 | $2,079.00 – $4,583.25 | 19 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,037.60 | $3,396.00 | $1,494.24 – $3,294.12 | 19 |
| Culture aerobic additional method definitive id each CPT 87077 | $64.79 | $103.00 | $11.00 – $24.25 | 19 |
| Culture afb any source CPT 87116 | $39.63 | $63.00 | $27.72 – $61.11 | 19 |
| Culture anaerobic additional method definitive id each CPT 87076 | $74.22 | $118.00 | $11.00 – $24.25 | 19 |
| Culture anaerobic except blood CPT 87075 | $18.24 | $29.00 | $12.76 – $28.13 | 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.