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 |
|---|---|---|---|---|
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $76.48 | $115.00 | $24.48 – $49.47 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $70.31 | $93.00 | $44.64 – $90.21 | 18 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $221.30 | $367.00 | $176.16 – $355.99 | 18 |
| Mayo ceruloplasmin CPT 82390 | $35.25 | $53.00 | $25.44 – $51.41 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $46.55 | $70.00 | $33.60 – $67.90 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $77.11 | $102.00 | $31.20 – $63.05 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $61.24 | $81.00 | $29.28 – $59.17 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $46.12 | $61.00 | $29.28 – $59.17 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $256.20 | $350.00 | $168.00 – $339.50 | 18 |
| Mayo chromium CPT 82495 | $40.57 | $61.00 | $29.28 – $59.17 | 18 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $99.09 | $149.00 | $26.88 – $54.32 | 18 |
| Mayo coccidioides antibody CPT 86635 | $49.90 | $66.00 | $26.40 – $53.35 | 18 |
| Mayo cocou cortisone urine CPT 82542 | $604.48 | $909.00 | $35.04 – $70.81 | 18 |
| Mayo cortisol free CPT 82530 | $36.58 | $55.00 | $26.40 – $53.35 | 18 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $96.01 | $127.00 | $60.96 – $123.19 | 18 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $43.09 | $57.00 | $27.36 – $55.29 | 18 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $864.49 | $1,181.00 | $566.88 – $1,145.57 | 18 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $30.24 | $40.00 | $19.20 – $38.80 | 18 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $50.54 | $76.00 | $36.48 – $73.72 | 18 |
| Mayo dihydrotestosterone CPT 82642 | $58.52 | $88.00 | $42.24 – $85.36 | 18 |
| Mayo efpo chloride stool CPT 82438 | $38.57 | $58.00 | $24.48 – $49.47 | 18 |
| Mayo estriol CPT 82677 | $48.55 | $73.00 | $35.04 – $70.81 | 18 |
| Mayo estrone CPT 82679 | $49.88 | $75.00 | $36.00 – $72.75 | 18 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $71.16 | $107.00 | $51.36 – $103.79 | 18 |
| Mayo everolimus therapeutic drug level CPT 80169 | $39.90 | $60.00 | $28.80 – $58.20 | 18 |
| Mayo factor ii CPT 85210 | $43.97 | $64.00 | $30.72 – $62.08 | 18 |
| Mayo factor v CPT 85220 | $51.53 | $75.00 | $36.00 – $72.75 | 18 |
| Mayo factor vii CPT 85230 | $52.21 | $76.00 | $36.48 – $73.72 | 18 |
| Mayo factor viii vw factor antigen CPT 85246 | $50.84 | $74.00 | $35.52 – $71.78 | 18 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $47.40 | $69.00 | $33.12 – $66.93 | 18 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $59.77 | $87.00 | $35.52 – $71.78 | 18 |
| Mayo factor x CPT 85260 | $52.21 | $76.00 | $36.48 – $73.72 | 18 |
| Mayo factor xi CPT 85270 | $61.14 | $89.00 | $36.48 – $73.72 | 18 |
| Mayo fat/lipids feces quantitative CPT 82710 | $33.92 | $51.00 | $24.48 – $49.47 | 18 |
| Mayo fbl culture fungi blood CPT 87103 | $48.44 | $69.00 | $33.12 – $66.93 | 18 |
| Mayo ffspg allergen clam igg CPT 86001 | $82.40 | $109.00 | $52.32 – $105.73 | 18 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $51.21 | $77.00 | $36.96 – $74.69 | 18 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $180.90 | $300.00 | $24.48 – $49.47 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | $34.58 | $52.00 | $24.96 – $50.44 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $75.82 | $108.00 | $51.84 – $104.76 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $85.64 | $122.00 | $58.56 – $118.34 | 18 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $51.41 | $68.00 | $30.24 – $61.11 | 18 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $58.97 | $78.00 | $37.44 – $75.66 | 18 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $57.46 | $76.00 | $36.48 – $73.72 | 18 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $65.77 | $87.00 | $41.76 – $84.39 | 18 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $54.53 | $82.00 | $39.36 – $79.54 | 18 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $432.25 | $650.00 | $24.96 – $50.44 | 18 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $107.35 | $142.00 | $24.48 – $49.47 | 18 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $47.63 | $63.00 | $30.24 – $61.11 | 18 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $56.70 | $75.00 | $36.00 – $72.75 | 18 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $52.65 | $75.00 | $31.20 – $63.05 | 18 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $106.70 | $152.00 | $72.96 – $147.44 | 18 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $97.58 | $139.00 | $66.72 – $134.83 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $74.41 | $106.00 | $50.88 – $102.82 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $74.41 | $106.00 | $50.88 – $102.82 | 18 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $295.54 | $421.00 | $202.08 – $408.37 | 18 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $90.56 | $129.00 | $61.92 – $125.13 | 18 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $130.85 | $217.00 | $104.16 – $210.49 | 18 |
| Mayo infliximab therapeutic drug level CPT 80230 | $176.89 | $266.00 | $127.68 – $258.02 | 18 |
| Mayo inhab inhibin a CPT 86336 | $58.21 | $77.00 | $27.36 – $55.29 | 18 |
| Mayo insulin antibodies CPT 86337 | $49.90 | $66.00 | $31.68 – $64.02 | 18 |
| Mayo iodine CPT 83789 | $48.55 | $73.00 | $35.04 – $70.81 | 18 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $87.12 | $131.00 | $62.88 – $127.07 | 18 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $54.53 | $82.00 | $39.36 – $79.54 | 18 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $40.57 | $61.00 | $29.28 – $59.17 | 18 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Mayo legionella antibody CPT 86713 | $54.43 | $72.00 | $34.56 – $69.84 | 18 |
| Mayo leptospira antibody igm CPT 86720 | $116.42 | $154.00 | $23.52 – $47.53 | 18 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $46.12 | $61.00 | $29.28 – $59.17 | 18 |
| Mayo manganese CPT 83785 | $53.20 | $80.00 | $38.40 – $77.60 | 18 |
| Mayo metanephrines plasma CPT 83835 | $43.89 | $66.00 | $31.68 – $64.02 | 18 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $109.73 | $165.00 | $26.88 – $54.32 | 18 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $335.66 | $444.00 | $213.12 – $430.68 | 18 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $52.92 | $70.00 | $33.60 – $67.90 | 18 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $47.63 | $63.00 | $21.12 – $42.68 | 18 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $332.50 | $500.00 | $28.80 – $58.20 | 18 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $247.83 | $411.00 | $197.28 – $398.67 | 18 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $335.27 | $556.00 | $266.88 – $539.32 | 18 |
| Mayo muramidase CPT 85549 | $39.16 | $57.00 | $27.36 – $55.29 | 18 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $42.34 | $56.00 | $26.88 – $54.32 | 18 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $36.58 | $55.00 | $26.40 – $53.35 | 18 |
| Mayo myoglobin CPT 83874 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Mayo nickel CPT 83885 | $82.46 | $124.00 | $59.52 – $120.28 | 18 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $69.16 | $104.00 | $26.88 – $54.32 | 18 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $228.76 | $344.00 | $26.88 – $54.32 | 18 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $69.16 | $104.00 | $26.88 – $54.32 | 18 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $129.68 | $195.00 | $30.72 – $62.08 | 18 |
| Mayo organic acids qualitative each specimen CPT 83919 | $33.25 | $50.00 | $24.00 – $48.50 | 18 |
| Mayo oxalate 24 hour urine CPT 83945 | $71.82 | $108.00 | $32.16 – $64.99 | 18 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $69.16 | $104.00 | $49.92 – $100.88 | 18 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $46.87 | $62.00 | $29.76 – $60.14 | 18 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $396.90 | $525.00 | $17.76 – $35.89 | 18 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $48.78 | $71.00 | $34.08 – $68.87 | 18 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $41.23 | $62.00 | $29.76 – $60.14 | 18 |
| Mayo pregnenolone CPT 84140 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Mayo proinsulin CPT 84206 | $53.87 | $81.00 | $38.88 – $78.57 | 18 |
| Mayo psaft prostate specific antigen free CPT 84154 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $75.81 | $114.00 | $34.56 – $69.84 | 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.