Platte County Hospital
201 14th Street, Wheatland, WY · Banner Health · · NPI 1265469506
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $58.52 | $88.00 | $42.24 – $85.36 | 18 |
| 17-hydroxypregnenolone CPT 84143 | $45.89 | $69.00 | $33.12 – $66.93 | 18 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $145.08 | $195.00 | $93.60 – $189.15 | 18 |
| 5' nucleotidase - sendout CPT 83915 | $65.84 | $99.00 | $47.52 – $96.03 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $47.58 | $65.00 | $31.20 – $63.05 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.68 | $71.00 | $34.08 – $68.87 | 18 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $978.02 | $1,349.00 | $647.52 – $1,308.53 | 18 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $577.10 | $796.00 | $382.08 – $772.12 | 18 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,404.92 | $2,045.00 | $981.60 – $1,983.65 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,170.65 | $1,704.00 | $817.92 – $1,652.88 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $936.38 | $1,363.00 | $654.24 – $1,322.11 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,634.54 | $4,776.00 | $2,292.48 – $4,632.72 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $3,028.78 | $3,980.00 | $1,910.40 – $3,860.60 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $2,423.02 | $3,184.00 | $1,528.32 – $3,088.48 | 18 |
| Abdominal paracentesis w/image guidance CPT 49083 | $861.25 | $1,241.00 | $108.00 – $218.25 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,030.09 | $1,195.00 | $573.60 – $1,159.15 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $768.04 | $891.00 | $427.68 – $864.27 | 18 |
| Abdominal X-ray (2 views) CPT 74019 | $308.10 | $407.00 | $195.36 – $394.79 | 18 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $373.20 | $493.00 | $236.64 – $478.21 | 18 |
| Abdominal X-ray (single view) CPT 74018 | $170.32 | $225.00 | $108.00 – $218.25 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $585.74 | $844.00 | $74.40 – $150.35 | 18 |
| Abl1 gene CPT 81170 | $542.70 | $900.00 | $432.00 – $873.00 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | $58.97 | $78.00 | $37.44 – $75.66 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $33.54 | $39.00 | $18.72 – $37.83 | 18 |
| Acute hepatitis panel CPT 80074 | $166.92 | $251.00 | $120.48 – $243.47 | 18 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1.72 | $36.60 | $0.04 – $0.08 | 18 |
| #acylcarnitineprfl CPT 82017 | $76.48 | $115.00 | $55.20 – $111.55 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | $7,375.94 | $7,413.00 | $540.48 – $1,092.22 | 18 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.12 | $61.00 | $29.28 – $59.17 | 18 |
| Adh-sendout CPT 84588 | $67.83 | $102.00 | $48.96 – $98.94 | 18 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $67.94 | $88.00 | $42.24 – $85.36 | 18 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $154.40 | $200.00 | $96.00 – $194.00 | 18 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $314.20 | $407.00 | $195.36 – $394.79 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $94.23 | $391.00 | $187.68 – $379.27 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $44.58 | $185.00 | $88.80 – $179.45 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $119.30 | $495.00 | $237.60 – $480.15 | 18 |
| Administration immunization each additional vaccine CPT 90472 | $24.96 | $60.00 | $28.80 – $58.20 | 18 |
| Administration vaccine hepatitis b HCPCS G0010 | $44.93 | $108.00 | $46.14 – $104.76 | 18 |
| Administration vaccine influenza virus HCPCS G0008 | $44.93 | $108.00 | $46.14 – $104.76 | 18 |
| Administration vaccine pneumococcal HCPCS G0009 | $44.93 | $108.00 | $46.14 – $104.76 | 18 |
| Aep hearing status deter i&r CPT 92651 | $299.65 | $351.00 | $168.48 – $340.47 | 18 |
| _afb id by dna probe rflx ast CPT 87149 | $51.25 | $73.00 | $35.04 – $70.81 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $243.59 | $347.00 | $166.56 – $336.59 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | $38.57 | $58.00 | $11.52 – $23.28 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $45.22 | $68.00 | $26.88 – $54.32 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $41.90 | $63.00 | $18.72 – $37.83 | 18 |
| Alkaline phosphatase CPT 84075 | $37.91 | $57.00 | $23.52 – $47.53 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $60.48 | $80.00 | $38.40 – $77.60 | 18 |
| Allergen egg white ige CPT 86003 | $42.34 | $56.00 | $26.40 – $53.35 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $44.60 | $59.00 | $26.88 – $54.32 | 18 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $3,833.74 | $3,853.00 | $1,293.60 – $2,614.15 | 18 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $129.01 | $194.00 | $93.12 – $188.18 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $33.92 | $51.00 | $24.48 – $49.47 | 18 |
| Als 1 HCPCS A0426 | $1,322.83 | $2,032.00 | $975.36 – $1,971.04 | 18 |
| Als1-emergency HCPCS A0427 | $1,436.76 | $2,207.00 | $1,059.36 – $2,140.79 | 18 |
| Als 2 HCPCS A0433 | $1,951.70 | $2,998.00 | $1,439.04 – $2,908.06 | 18 |
| Alt/sgpt CPT 84460 | $39.24 | $59.00 | $24.00 – $48.50 | 18 |
| Aluminum - quest CPT 82108 | $51.21 | $77.00 | $36.96 – $74.69 | 18 |
| Amantadine (symmetrel)-sendout CPT 80375 | $215.46 | $324.00 | $70.56 – $142.59 | 18 |
| Aminolevulinic acid delta CPT 82135 | $49.88 | $75.00 | $36.00 – $72.75 | 18 |
| Amitriptyline (elavil) -sendout CPT 80335 | $45.22 | $68.00 | $29.76 – $60.14 | 18 |
| Ammonia CPT 82140 | $76.48 | $115.00 | $21.12 – $42.68 | 18 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $741.19 | $1,068.00 | $512.64 – $1,035.96 | 18 |
| Amphetamine confirm urine -sendout CPT 80324 | $55.20 | $83.00 | $26.88 – $54.32 | 18 |
| Amylase CPT 82150 | $226.77 | $341.00 | $9.60 – $19.40 | 18 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $102.41 | $154.00 | $64.80 – $130.95 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $119.39 | $198.00 | $95.04 – $192.06 | 18 |
| Analysis gene f5 leiden variant CPT 81241 | $133.26 | $221.00 | $106.08 – $214.37 | 18 |
| Anca screen with reflex to titer -quest CPT 86021 | $41.58 | $55.00 | $25.92 – $52.38 | 18 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $4,489.13 | $5,258.50 | $0.11 – $0.21 | 18 |
| Ankle X-ray CPT 73610 | $356.55 | $471.00 | $226.08 – $456.87 | 18 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $200.60 | $265.00 | $127.20 – $257.05 | 18 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $115.67 | $153.00 | $73.44 – $148.41 | 18 |
| Antibody elution rbc reference CPT 86860 | $260.06 | $344.00 | $165.12 – $333.68 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $380.27 | $503.00 | $226.56 – $457.84 | 18 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $180.68 | $239.00 | $69.60 – $140.65 | 18 |
| Antibody id rbc panel CPT 86870 | $468.85 | $718.00 | $344.64 – $696.46 | 18 |
| Antibody influenza virus CPT 86710 | $51.41 | $68.00 | $32.64 – $65.96 | 18 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $46.87 | $62.00 | $29.76 – $60.14 | 18 |
| Antibody screen rbc CPT 86850 | $70.52 | $108.00 | $51.84 – $104.76 | 18 |
| Antibody tetanus CPT 86774 | $47.63 | $63.00 | $30.24 – $61.11 | 18 |
| Anti mog serum - sendout CPT 86362 | $632.77 | $837.00 | $41.28 – $83.42 | 18 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $40.82 | $54.00 | $25.92 – $52.38 | 18 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $46.87 | $62.00 | $29.76 – $60.14 | 18 |
| Antinuclear antibodies CPT 86038 | $40.07 | $53.00 | $25.44 – $51.41 | 18 |
| Antinuclear antibodies titer CPT 86039 | $86.94 | $115.00 | $28.32 – $57.23 | 18 |
| Antiphosphatidylserine antibody CPT 86148 | $43.09 | $57.00 | $27.36 – $55.29 | 18 |
| Antistreptolysin o titer CPT 86060 | $43.09 | $57.00 | $27.36 – $55.29 | 18 |
| Antithrombin iii activity CPT 85300 | $43.28 | $63.00 | $26.88 – $54.32 | 18 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $331.01 | $384.00 | $184.32 – $372.48 | 18 |
| Application finger splntstatic 29130 CPT 29130 | $57.01 | $93.00 | $29.76 – $60.14 | 18 |
| Application long leg splint 29505 CPT 29505 | $96.24 | $157.00 | $50.40 – $101.85 | 18 |
| Application lower leg splint 29515 CPT 29515 | $94.40 | $154.00 | $49.44 – $99.91 | 18 |
| Application multi layer compression below knee (both sides) CPT 29581 | $257.04 | $357.00 | $114.24 – $230.86 | 18 |
| Application of long leg cast 29345 CPT 29345 | $190.64 | $311.00 | $99.84 – $201.76 | 18 |
| Application of paste boot 29580 CPT 29580 | $254.16 | $353.00 | $112.80 – $227.95 | 18 |
| Application short leg cast 29405 CPT 29405 | $112.18 | $183.00 | $58.56 – $118.34 | 18 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $46.80 | $65.00 | $31.20 – $63.05 | 18 |
| Appl modality 1+lllt po pain CPT 97037 | $61.92 | $86.00 | $41.28 – $83.42 | 18 |
| Apply rigid leg cast 29445 CPT 29445 | $866.16 | $1,203.00 | $384.96 – $777.94 | 18 |
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.