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 |
|---|---|---|---|---|
| Elbow X-ray (2 views, both sides) CPT 73070 | $274.56 | $390.00 | $171.60 – $378.30 | 19 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $338.62 | $481.00 | $211.64 – $466.57 | 19 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $96.31 | $137.00 | $60.28 – $132.89 | 19 |
| Electrical stimulation/unattended 97014 CPT 97014 | $77.33 | $110.00 | $48.40 – $106.70 | 19 |
| Electrolyte panel CPT 80051 | $47.97 | $78.00 | $34.32 – $75.66 | 19 |
| Electron microscopy diagnostic CPT 88348 | $1,113.66 | $1,614.00 | $710.16 – $1,565.58 | 19 |
| Encephalitis, california igg/igm CPT 86651 | $45.24 | $65.00 | $28.60 – $63.05 | 19 |
| Encephalitis, st louis igg/igm CPT 86653 | $45.24 | $65.00 | $28.60 – $63.05 | 19 |
| Encephalitis, western equine igg/igm CPT 86654 | $45.24 | $65.00 | $28.60 – $63.05 | 19 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,603.80 | $2,376.00 | $696.96 – $1,536.48 | 19 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $19.09 | $26.60 | $0.37 – $0.81 | 19 |
| Epstein barr early antigen antibody CPT 86663 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Epstein barr nuclear antigen antibody CPT 86664 | $37.58 | $54.00 | $20.24 – $44.62 | 19 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $43.15 | $62.00 | $24.20 – $53.35 | 19 |
| ER Visit (level 1, minor) CPT 99281 | $286.51 | $190.00 | $44.88 – $98.94 | 19 |
| ER Visit (level 2) CPT 99282 | $365.45 | $350.00 | $86.24 – $190.12 | 19 |
| ER Visit (level 3) CPT 99283 | $814.19 | $615.00 | $128.92 – $284.21 | 19 |
| ER Visit (level 4) CPT 99284 | $2,142.59 | $1,005.00 | $236.28 – $520.89 | 19 |
| ER Visit (level 5, high severity) CPT 99285 | $3,272.86 | $1,460.00 | $343.20 – $756.60 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $116.13 | $150.00 | $46.20 – $101.85 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $314.10 | $284.00 | $79.20 – $174.60 | 19 |
| Established Patient Office Visit (level 3) CPT 99213 | $616.04 | $557.00 | $94.60 – $208.55 | 19 |
| Established Patient Office Visit (level 4) CPT 99214 | $946.74 | $856.00 | $111.32 – $245.41 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,336.05 | $1,208.00 | $156.20 – $344.35 | 19 |
| Estradiol total CPT 82670 | $51.66 | $84.00 | $36.96 – $81.48 | 19 |
| Estrogens total-sendout CPT 82672 | $40.59 | $66.00 | $29.04 – $64.02 | 19 |
| Ethylene glycol -sendout CPT 82693 | $57.81 | $94.00 | $41.36 – $91.18 | 19 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $181.43 | $295.00 | $129.80 – $286.15 | 19 |
| Evaluation psychiatric diagnostic CPT 90791 | $259.08 | $361.00 | $158.84 – $350.17 | 19 |
| Event monitor CPT 93270 | $294.24 | $410.00 | $180.40 – $397.70 | 19 |
| Evoked oa emissions ltd CPT 92587 | $172.96 | $241.00 | $106.04 – $233.77 | 19 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $206.90 | $386.00 | $169.84 – $374.42 | 19 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $387.53 | $723.00 | $318.12 – $701.31 | 19 |
| External newborn metabolic screening panel HCPCS S3620 | $120.58 | $157.00 | $69.08 – $152.29 | 19 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $343.82 | $494.00 | $24.20 – $53.35 | 19 |
| Eye Socket (Orbit) X-ray CPT 70200 | $366.08 | $520.00 | $228.80 – $504.40 | 19 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,204.47 | $3,668.00 | $1,613.92 – $3,557.96 | 19 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,837.26 | $3,057.00 | $1,345.08 – $2,965.29 | 19 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,469.44 | $2,445.00 | $1,075.80 – $2,371.65 | 19 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,066.77 | $4,464.00 | $1,964.16 – $4,330.08 | 19 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,044.51 | $2,976.00 | $1,309.44 – $2,886.72 | 19 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $275.97 | $392.00 | $172.48 – $380.24 | 19 |
| Facial Bones X-ray (complete) CPT 70150 | $322.43 | $458.00 | $201.52 – $444.26 | 19 |
| Factor ix CPT 85250 | $50.24 | $79.00 | $33.00 – $72.75 | 19 |
| Factor viii CPT 85240 | $41.98 | $66.00 | $29.04 – $64.02 | 19 |
| Family therapy without pt 50min 90846 CPT 90846 | $246.16 | $343.00 | $150.92 – $332.71 | 18 |
| Family therapy with patient 50 min 90847 CPT 90847 | $256.92 | $358.00 | $157.52 – $347.26 | 18 |
| Fat/lipids feces qualitative CPT 82705 | $41.82 | $68.00 | $29.92 – $65.96 | 19 |
| Fatty acids nonesterified CPT 82725 | $42.44 | $69.00 | $30.36 – $66.93 | 19 |
| #fecal-sodium CPT 84302 | $35.67 | $58.00 | $25.52 – $56.26 | 19 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $45.51 | $74.00 | $32.56 – $71.78 | 19 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $0.88 | $3.60 | $1.58 – $3.49 | 19 |
| Fern test HCPCS Q0114 | $40.59 | $66.00 | $29.04 – $64.02 | 19 |
| Ferritin CPT 82728 | $36.90 | $60.00 | $26.40 – $58.20 | 19 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $709.78 | $848.00 | $373.12 – $822.56 | 19 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $886.61 | $752.00 | $330.88 – $729.44 | 19 |
| Fetal fibronectin CPT 82731 | $119.31 | $194.00 | $85.36 – $188.18 | 19 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $37.52 | $59.00 | $25.96 – $57.23 | 19 |
| Fetal hemoglobin rosette CPT 85461 | $18.44 | $29.00 | $12.76 – $28.13 | 19 |
| Fetal non stress test CPT 59025 | $761.63 | $646.00 | $284.24 – $626.62 | 19 |
| #_fet/norfentcnfrmur CPT 80354 | $41.20 | $67.00 | $24.64 – $54.32 | 19 |
| Fibrin degradation d dimer quantitative CPT 85379 | $19.72 | $31.00 | $13.64 – $30.07 | 19 |
| Fibrin degradation products CPT 85362 | $50.88 | $80.00 | $35.20 – $77.60 | 19 |
| Fibrinogen activity CPT 85384 | $19.08 | $30.00 | $13.20 – $29.10 | 19 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $45.16 | $71.00 | $25.08 – $55.29 | 19 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $889.65 | $1,318.00 | $579.92 – $1,278.46 | 19 |
| Finger X-ray (both hands) CPT 73140 | $184.45 | $262.00 | $115.28 – $254.14 | 19 |
| Flebogamma injection HCPCS J1572 | $88.67 | $177.70 | $78.19 – $172.37 | 19 |
| Flow cytometry marker each additional CPT 88185 | $80.26 | $126.00 | $52.36 – $115.43 | 19 |
| Flow cytometry one marker technical component CPT 88184 | $457.37 | $718.00 | $315.92 – $696.46 | 19 |
| Flt3 gene CPT 81245 | $533.78 | $497.00 | $218.68 – $482.09 | 19 |
| Flt3 gene analysis CPT 81246 | $267.43 | $249.00 | $109.56 – $241.53 | 19 |
| Fluidotherapy charges pt CPT 97022 | $58.31 | $119.00 | $52.36 – $115.43 | 19 |
| Fluorescent antibody titer dna CPT 86256 | $582.55 | $837.00 | $24.20 – $53.35 | 19 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $342.14 | $486.00 | $213.84 – $471.42 | 19 |
| Fluoroguide needle placement CPT 77002 | $475.20 | $675.00 | $297.00 – $654.75 | 19 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $528.00 | $750.00 | $330.00 – $727.50 | 19 |
| Folic acid CPT 82746 | $27.68 | $45.00 | $19.80 – $43.65 | 19 |
| Foot X-ray CPT 73630 | $312.58 | $444.00 | $195.36 – $430.68 | 19 |
| Foot X-ray (2 views, both feet) CPT 73620 | $218.24 | $310.00 | $136.40 – $300.70 | 19 |
| Forearm X-ray (both sides) CPT 73090 | $226.69 | $322.00 | $141.68 – $312.34 | 19 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $44.55 | $93.00 | $40.92 – $90.21 | 19 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $44.55 | $93.00 | $40.92 – $90.21 | 19 |
| Fresh frozen plasma thawing ea un CPT 86927 | $264.19 | $344.00 | $151.36 – $333.68 | 19 |
| Fructosamine glycated protein CPT 82985 | $32.59 | $53.00 | $23.32 – $51.41 | 19 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $350.59 | $498.00 | $219.12 – $483.06 | 19 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $880.11 | $1,642.00 | $722.48 – $1,592.74 | 19 |
| Gabapentin non-blood CPT 80355 | $34.44 | $56.00 | $24.64 – $54.32 | 19 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $106.39 | $173.00 | $76.12 – $167.81 | 19 |
| Galactose transferase test CPT 82776 | $22.14 | $36.00 | $15.84 – $34.92 | 19 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,201.42 | $1,892.00 | $832.48 – $1,835.24 | 19 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,645.29 | $2,591.00 | $1,140.04 – $2,513.27 | 19 |
| Gammaglobulin iga CPT 82784 | $38.74 | $63.00 | $22.88 – $50.44 | 19 |
| Gammaglobulin ige CPT 82785 | $35.67 | $58.00 | $25.52 – $56.26 | 19 |
| Gamma glutamyltransferase CPT 82977 | $38.13 | $62.00 | $9.68 – $21.34 | 19 |
| Gastric mucosa imaging CPT 78261 | $513.08 | $808.00 | $355.52 – $783.76 | 19 |
| Gentamicin peak therapeutic drug level CPT 80170 | $30.75 | $50.00 | $22.00 – $48.50 | 19 |
| G-esoph reflx tst w/electrod CPT 91035 | $771.26 | $985.00 | $433.40 – $955.45 | 19 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $36.28 | $59.00 | $25.96 – $57.23 | 19 |
| Ghs antibodies (torch) igm CPT 86694 | $30.62 | $44.00 | $19.36 – $42.68 | 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.