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 |
|---|---|---|---|---|
| IV Push Injection (first drug) CPT 96374 | $215.36 | $320.00 | $153.60 – $310.40 | 18 |
| Ivp w/nephrotomography CPT 74415 | $1,054.50 | $1,393.00 | $668.64 – $1,351.21 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,167.29 | $1,542.00 | $740.16 – $1,495.74 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | $335.27 | $556.00 | $266.88 – $539.32 | 18 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $295.23 | $390.00 | $187.20 – $378.30 | 18 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $376.23 | $497.00 | $238.56 – $482.09 | 18 |
| John cunningham antibody CPT 86711 | $38.56 | $51.00 | $24.48 – $49.47 | 18 |
| Ketamine and metabolite screen - quest CPT 80357 | $96.43 | $145.00 | $69.60 – $140.65 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $40.57 | $61.00 | $28.80 – $58.20 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $758.03 | $1,047.00 | $502.56 – $1,015.59 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $885.27 | $1,027.00 | $492.96 – $996.19 | 18 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $290.49 | $337.00 | $161.76 – $326.89 | 18 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,681.52 | $2,695.00 | $282.24 – $570.36 | 18 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $6,074.48 | $6,105.00 | $1,293.60 – $2,614.15 | 18 |
| Knee MRI (with and without contrast) CPT 73723 | $2,728.18 | $3,585.00 | $1,720.80 – $3,477.45 | 18 |
| Knee MRI (with contrast) CPT 73722 | $2,273.87 | $2,988.00 | $1,434.24 – $2,898.36 | 18 |
| Knee MRI (without contrast) CPT 73721 | $1,818.79 | $2,390.00 | $1,147.20 – $2,318.30 | 18 |
| Knee X-ray CPT 73564 | $442.85 | $585.00 | $280.80 – $567.45 | 18 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $238.46 | $315.00 | $151.20 – $305.55 | 18 |
| Knee X-ray (3 views, both knees) CPT 73562 | $290.69 | $384.00 | $184.32 – $372.48 | 18 |
| Knee X-ray (standing, both knees) CPT 73565 | $398.18 | $526.00 | $252.48 – $510.22 | 18 |
| Kras gene addl variants CPT 81276 | $349.74 | $580.00 | $278.40 – $562.60 | 18 |
| Kras gene variants exon 2 CPT 81275 | $349.74 | $580.00 | $278.40 – $562.60 | 18 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $66.99 | $86.00 | $41.28 – $83.42 | 18 |
| Lactate dehydrogenase (ldh) CPT 83615 | $37.91 | $57.00 | $9.12 – $18.43 | 18 |
| Lactic acid CPT 83605 | $85.79 | $129.00 | $42.24 – $85.36 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | $65.17 | $98.00 | $35.04 – $70.81 | 18 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $849.46 | $1,224.00 | $100.80 – $203.70 | 18 |
| Laryngoscopy w/fb removal CPT 31530 | $252.56 | $412.00 | $197.76 – $399.64 | 18 |
| Lead capillary CPT 83655 | $52.54 | $79.00 | $17.76 – $35.89 | 18 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,078.80 | $1,488.00 | $714.24 – $1,443.36 | 18 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,407.66 | $2,049.00 | $983.52 – $1,987.53 | 18 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,125.99 | $1,639.00 | $786.72 – $1,589.83 | 18 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,244.10 | $1,716.00 | $823.68 – $1,664.52 | 18 |
| Leishmania antibody CPT 86717 | $27.97 | $37.00 | $17.76 – $35.89 | 18 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,300.69 | $2,695.00 | $678.24 – $1,370.61 | 18 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,841.41 | $2,157.00 | $285.12 – $576.18 | 18 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,841.41 | $2,157.00 | $285.12 – $576.18 | 18 |
| Levetiracetam therapeutic drug level CPT 80177 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3,209,450.97 | $3,759,504.00 | $1,804,561.92 – $3,646,718.88 | 18 |
| Lipase CPT 83690 | $38.57 | $58.00 | $10.08 – $20.37 | 18 |
| Lipoprotein blood high res frac & quant CPT 83701 | $67.83 | $102.00 | $48.96 – $98.94 | 18 |
| Lipoprotein blood quant CPT 83704 | $68.50 | $103.00 | $49.44 – $99.91 | 18 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.56 | $64.00 | $30.72 – $62.08 | 18 |
| Lipoprotein direct measurement ldl CPT 83721 | $62.51 | $94.00 | $15.36 – $31.04 | 18 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $68.50 | $103.00 | $49.44 – $99.91 | 18 |
| Lithium therapeutic drug level CPT 80178 | $34.58 | $52.00 | $24.96 – $50.44 | 18 |
| Liver Function Test CPT 80076 | $71.82 | $108.00 | $51.84 – $104.76 | 18 |
| Liver/spleen imag static only CPT 78215 | $1,045.46 | $1,444.00 | $693.12 – $1,400.68 | 18 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.91 | $2.24 | $1.08 – $2.17 | 18 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $377.16 | $549.00 | $263.52 – $532.53 | 18 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,221.34 | $4,689.00 | $2,250.72 – $4,548.33 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,684.80 | $3,908.00 | $1,875.84 – $3,790.76 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,147.56 | $3,126.00 | $1,500.48 – $3,032.22 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,762.91 | $2,604.00 | $1,249.92 – $2,525.88 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,469.09 | $2,170.00 | $1,041.60 – $2,104.90 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,175.27 | $1,736.00 | $833.28 – $1,683.92 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $283.88 | $375.00 | $180.00 – $363.75 | 18 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $635.12 | $839.00 | $402.72 – $813.83 | 18 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $644.96 | $852.00 | $408.96 – $826.44 | 18 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $201.36 | $266.00 | $127.68 – $258.02 | 18 |
| Low frequency non-thermal Ultrasound CPT 97610 | $216.00 | $300.00 | $144.00 – $291.00 | 18 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $388.59 | $587.00 | $281.76 – $569.39 | 18 |
| Lung function test (mbc/mvv) CPT 94200 | $115.85 | $175.00 | $84.00 – $169.75 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $305.18 | $461.00 | $221.28 – $447.17 | 18 |
| Lung perfusion imaging CPT 78580 | $833.32 | $1,151.00 | $552.48 – $1,116.47 | 18 |
| Magnesium CPT 83735 | $58.52 | $88.00 | $10.08 – $20.37 | 18 |
| Mammosite ced HCPCS C1728 | $13,825.52 | $13,895.00 | $6,669.60 – $13,478.15 | 18 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,126.34 | $1,132.00 | $150.24 – $303.61 | 18 |
| Mastoids complete CPT 70130 | $248.30 | $328.00 | $157.44 – $318.16 | 18 |
| M.avium-intra dna amp prob CPT 87561 | $189.54 | $270.00 | $129.60 – $261.90 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Mayo aathr protein s free CPT 85306 | $45.34 | $66.00 | $28.80 – $58.20 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $45.34 | $66.00 | $31.68 – $64.02 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $199.50 | $300.00 | $144.00 – $291.00 | 18 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $105.07 | $158.00 | $52.80 – $106.70 | 18 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $89.11 | $134.00 | $29.28 – $59.17 | 18 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $37.91 | $57.00 | $27.36 – $55.29 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $80.47 | $121.00 | $58.08 – $117.37 | 18 |
| Mayo alpha 1 antitrypsin CPT 82103 | $39.24 | $59.00 | $19.68 – $39.77 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $41.23 | $62.00 | $28.32 – $57.23 | 18 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $46.55 | $70.00 | $26.88 – $54.32 | 18 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $220.10 | $365.00 | $175.20 – $354.05 | 18 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $165.82 | $275.00 | $132.00 – $266.75 | 18 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,098.44 | $3,480.00 | $1,670.40 – $3,375.60 | 18 |
| Mayo androstenedione CPT 82157 | $58.52 | $88.00 | $42.24 – $85.36 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $40.57 | $61.00 | $29.28 – $59.17 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $47.40 | $69.00 | $33.12 – $66.93 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $112.67 | $164.00 | $78.72 – $159.08 | 18 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $105.07 | $158.00 | $26.88 – $54.32 | 18 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $46.87 | $62.00 | $29.76 – $60.14 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $262.30 | $435.00 | $208.80 – $421.95 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $388.33 | $644.00 | $309.12 – $624.68 | 18 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $58.97 | $78.00 | $37.44 – $75.66 | 18 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $52.92 | $70.00 | $33.60 – $67.90 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $50.65 | $67.00 | $32.16 – $64.99 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $47.88 | $72.00 | $19.68 – $39.77 | 18 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $55.86 | $84.00 | $26.88 – $54.32 | 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.