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 |
|---|---|---|---|---|
| Ghs urine, porphyrins quant CPT 84120 | $38.13 | $62.00 | $27.28 – $60.14 | 19 |
| Giardia ag if CPT 87269 | $38.37 | $61.00 | $26.84 – $59.17 | 19 |
| Giardia lamblia antibody CPT 86674 | $46.63 | $67.00 | $29.48 – $64.99 | 19 |
| Gi inhouse confirmation CPT 87045 | $39.63 | $63.00 | $12.76 – $28.13 | 19 |
| Glucagon plasma - sendout CPT 82943 | $41.20 | $67.00 | $29.48 – $64.99 | 19 |
| Glucose 1 hr post dose CPT 82950 | $9.22 | $15.00 | $6.60 – $14.55 | 19 |
| Glucose body fluid CPT 82945 | $34.44 | $56.00 | $5.28 – $11.64 | 19 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $23.98 | $39.00 | $17.16 – $37.83 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $7.38 | $12.00 | $5.28 – $11.64 | 19 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $35.67 | $58.00 | $24.64 – $54.32 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $35.67 | $58.00 | $25.08 – $55.29 | 19 |
| Graft axiofill 1000mg HCPCS J3590 | $33.87 | $47.20 | $2.97 – $6.56 | 19 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $56,679.79 | $87,604.00 | $1,185.80 – $2,614.15 | 19 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $1,994.70 | $3,083.00 | $261.36 – $576.18 | 19 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $24,090.40 | $37,234.00 | $137.72 – $303.61 | 19 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,266.64 | $4,885.00 | $73.04 – $161.02 | 19 |
| Gw stiffened micro access kit HCPCS C1894 | $751.22 | $1,619.00 | $42.24 – $93.12 | 19 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $106.86 | $152.00 | $66.88 – $147.44 | 19 |
| Hand X-ray CPT 73130 | $250.62 | $356.00 | $156.64 – $345.32 | 19 |
| Hand X-ray (2 views, both hands) CPT 73120 | $161.22 | $229.00 | $100.76 – $222.13 | 19 |
| Haptoglobin quantitative CPT 83010 | $36.28 | $59.00 | $23.32 – $51.41 | 19 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,933.20 | $1,800.00 | $792.00 – $1,746.00 | 19 |
| Hcg qualitative CPT 84703 | $14.14 | $23.00 | $10.12 – $22.31 | 19 |
| Hcg quantitative CPT 84702 | $41.20 | $67.00 | $20.24 – $44.62 | 19 |
| Hc nm kidney imaging with flow CPT 78701 | $513.08 | $808.00 | $355.52 – $783.76 | 19 |
| Head CT scan (with and without contrast) CPT 70470 | $1,351.65 | $2,249.00 | $989.56 – $2,181.53 | 19 |
| Head CT scan (with contrast) CPT 70460 | $1,126.27 | $1,874.00 | $824.56 – $1,817.78 | 19 |
| Head CT scan (without contrast) CPT 70450 | $900.90 | $1,499.00 | $659.56 – $1,454.03 | 19 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $164.74 | $234.00 | $102.96 – $226.98 | 19 |
| Helicobacter pylori antibody igm CPT 86677 | $54.29 | $78.00 | $34.32 – $75.66 | 19 |
| Hematocrit CPT 85014 | $43.88 | $69.00 | $3.52 – $7.76 | 19 |
| Hemoglobin CPT 85018 | $38.16 | $60.00 | $3.52 – $7.76 | 19 |
| Hemoglobin plasma CPT 83051 | $36.28 | $59.00 | $25.96 – $57.23 | 19 |
| Hemophilus influenza antibdy CPT 86684 | $43.15 | $62.00 | $27.28 – $60.14 | 19 |
| Heparin assay CPT 85520 | $41.34 | $65.00 | $28.60 – $63.05 | 19 |
| Hepatitis a antibody igm CPT 86709 | $59.86 | $86.00 | $37.84 – $83.42 | 19 |
| Hepatitis b core antibody igm CPT 86705 | $66.82 | $96.00 | $42.24 – $93.12 | 19 |
| Hepatitis b core antibody total CPT 86704 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Hepatitis b surface antibody CPT 86706 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Hepatitis c antibody CPT 86803 | $66.12 | $95.00 | $41.80 – $92.15 | 19 |
| Herpes simplex 1 ag if CPT 87274 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Herpes simplex 2 ag if CPT 87273 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Herpes simplex type 1 antibody igg CPT 86695 | $36.89 | $53.00 | $17.60 – $38.80 | 19 |
| Herpes simplex type 2 antibody igg CPT 86696 | $41.06 | $59.00 | $25.96 – $57.23 | 19 |
| Herpes simplex virus isolation CPT 87255 | $64.16 | $102.00 | $44.88 – $98.94 | 19 |
| Heterophile antibodies screening CPT 86308 | $11.14 | $16.00 | $7.04 – $15.52 | 19 |
| Hhv-6 dna quant CPT 87533 | $79.25 | $126.00 | $55.44 – $122.22 | 19 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $192.19 | $273.00 | $120.12 – $264.81 | 19 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $313.28 | $445.00 | $195.80 – $431.65 | 19 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $155.58 | $221.00 | $97.24 – $214.37 | 19 |
| Hip X-ray CPT 73502 | $292.16 | $415.00 | $182.60 – $402.55 | 19 |
| Histamine CPT 83088 | $54.74 | $89.00 | $39.16 – $86.33 | 19 |
| Hla i & ii type verify lr CPT 81371 | $1,303.84 | $1,214.00 | $534.16 – $1,177.58 | 19 |
| Hla ii typing 1 loc hr CPT 81382 | $399.53 | $372.00 | $163.68 – $360.84 | 19 |
| Hla i low res one antigen equiv ea CPT 81374 | $239.50 | $223.00 | $98.12 – $216.31 | 19 |
| Hla i typing low res one locus ea CPT 81373 | $411.34 | $383.00 | $168.52 – $371.51 | 19 |
| Hla typing dr/dq CPT 86816 | $63.34 | $91.00 | $40.04 – $88.27 | 19 |
| Homocysteine CPT 83090 | $35.67 | $58.00 | $25.52 – $56.26 | 19 |
| Homogenization tissue CPT 87176 | $32.71 | $52.00 | $22.88 – $50.44 | 19 |
| Homovanillic acid (hva) CPT 83150 | $41.82 | $68.00 | $29.92 – $65.96 | 19 |
| H pylori (c-13) breath CPT 83013 | $124.84 | $203.00 | $89.32 – $196.91 | 19 |
| Human epididymis protein 4 (he4) CPT 86305 | $67.51 | $97.00 | $42.68 – $94.09 | 19 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $165.58 | $262.00 | $115.28 – $254.14 | 19 |
| Iaadi respiratory synctial virus CPT 87280 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $66.67 | $106.00 | $46.64 – $102.82 | 19 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $94.66 | $136.00 | $59.84 – $131.92 | 19 |
| Ifnl3 gene CPT 81283 | $237.35 | $221.00 | $97.24 – $214.37 | 19 |
| Igh gene rearrange amp meth CPT 81261 | $637.96 | $594.00 | $261.36 – $576.18 | 19 |
| Igh@ var region somatic mutation analy CPT 81263 | $949.42 | $884.00 | $388.96 – $857.48 | 19 |
| Igk rearrangeabn clonal pop CPT 81264 | $557.41 | $519.00 | $228.36 – $503.43 | 19 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $94.53 | $137.00 | $60.28 – $132.89 | 19 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $495.42 | $718.00 | $315.92 – $696.46 | 19 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $237.36 | $344.00 | $151.36 – $333.68 | 19 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $43.85 | $63.00 | $27.72 – $61.11 | 19 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $43.85 | $63.00 | $27.72 – $61.11 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $38.98 | $56.00 | $24.64 – $54.32 | 19 |
| Immunodiffusion nes CPT 86329 | $38.28 | $55.00 | $24.20 – $53.35 | 19 |
| Immunofixation electrophoresis serum CPT 86334 | $98.83 | $142.00 | $29.92 – $65.96 | 19 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $130.41 | $189.00 | $83.16 – $183.33 | 19 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $237.36 | $344.00 | $151.36 – $333.68 | 19 |
| Immunoglobulin assay CPT 86023 | $164.26 | $236.00 | $103.84 – $228.92 | 19 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $39,676.63 | $61,324.00 | $69.96 – $154.23 | 19 |
| Implant ureth bulk agent HCPCS L8606 | $1,991.47 | $3,078.00 | $73.04 – $161.02 | 19 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $290.51 | $542.00 | $238.48 – $525.74 | 19 |
| Infect ag eia influenza a or b ea CPT 87400 | $27.05 | $43.00 | $18.92 – $41.71 | 19 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $486.22 | $773.00 | $340.12 – $749.81 | 19 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $243.42 | $387.00 | $170.28 – $375.39 | 19 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $486.22 | $773.00 | $340.12 – $749.81 | 19 |
| Infect ag ia optc obs influenza CPT 87804 | $31.45 | $50.00 | $22.00 – $48.50 | 19 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Infect ag if influenza a CPT 87276 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Infect ag if influenza b CPT 87275 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Infect ag if pneumocystis carinii CPT 87281 | $47.80 | $76.00 | $33.44 – $73.72 | 19 |
| Infect ag if varicella zoster CPT 87290 | $37.74 | $60.00 | $26.40 – $58.20 | 19 |
| Infect ag na hep b amp CPT 87516 | $84.92 | $135.00 | $59.40 – $130.95 | 19 |
| Infect ag na hpv high-risk types CPT 87624 | $66.67 | $106.00 | $46.64 – $102.82 | 19 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $181.15 | $288.00 | $126.72 – $279.36 | 19 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $96.87 | $154.00 | $67.76 – $149.38 | 19 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $786.88 | $1,251.00 | $550.44 – $1,213.47 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $37.74 | $60.00 | $26.40 – $58.20 | 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.