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 rbcme osmotic fragility rbc incubated CPT 85557 | $39.16 | $57.00 | $27.36 – $55.29 | 18 |
| Mayo receptor assay transferrin soluble CPT 84238 | $332.50 | $500.00 | $52.80 – $106.70 | 18 |
| Mayo renin CPT 84244 | $93.10 | $140.00 | $31.68 – $64.02 | 18 |
| Mayo repu protein electrophoresis urine CPT 84166 | $35.91 | $54.00 | $25.92 – $52.38 | 18 |
| Mayo selenium CPT 84255 | $51.21 | $77.00 | $36.96 – $74.69 | 18 |
| Mayo serotonin CPT 84260 | $61.85 | $93.00 | $44.64 – $90.21 | 18 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $53.68 | $71.00 | $34.08 – $68.87 | 18 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $37.91 | $57.00 | $27.36 – $55.29 | 18 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $281.23 | $372.00 | $118.08 – $238.62 | 18 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $101.30 | $134.00 | $24.96 – $50.44 | 18 |
| Mayo tau phosphorylated 217 each CPT 84393 | $299.92 | $451.00 | $168.00 – $339.50 | 18 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $378.08 | $627.00 | $300.96 – $608.19 | 18 |
| Mayo tgrp testosterone free CPT 84402 | $51.21 | $77.00 | $36.96 – $74.69 | 18 |
| Mayo tgrp testosterone total CPT 84403 | $51.87 | $78.00 | $37.44 – $75.66 | 18 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $74.48 | $112.00 | $53.76 – $108.64 | 18 |
| Mayo thyroglobulin CPT 84432 | $54.53 | $82.00 | $27.36 – $55.29 | 18 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $60.48 | $80.00 | $38.40 – $77.60 | 18 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $54.43 | $72.00 | $27.84 – $56.26 | 18 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $44.56 | $67.00 | $26.88 – $54.32 | 18 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $102.41 | $154.00 | $73.92 – $149.38 | 18 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $75.60 | $100.00 | $48.00 – $97.00 | 18 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $43.89 | $66.00 | $31.68 – $64.02 | 18 |
| Mayo vasoactive intestinal peptide CPT 84586 | $106.40 | $160.00 | $76.80 – $155.20 | 18 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $49.21 | $74.00 | $35.52 – $71.78 | 18 |
| Mayo vitamin b3 (niacin) CPT 84591 | $62.51 | $94.00 | $45.12 – $91.18 | 18 |
| Mayo vitamin k CPT 84597 | $56.53 | $85.00 | $40.80 – $82.45 | 18 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $52.54 | $79.00 | $37.92 – $76.63 | 18 |
| #mec-opiates CPT 80356 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Metabolic Blood Panel (Basic) CPT 80048 | $73.82 | $111.00 | $53.28 – $107.67 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $91.11 | $137.00 | $65.76 – $132.89 | 18 |
| Metabolic panel ionized ca CPT 80047 | $63.84 | $96.00 | $46.08 – $93.12 | 18 |
| Methotrexate therapeutic drug level CPT 80204 | $77.14 | $116.00 | $55.68 – $112.52 | 18 |
| Methylphenidate CPT 80360 | $44.56 | $67.00 | $32.16 – $64.99 | 18 |
| Microdissection laser CPT 88380 | $161.40 | $202.00 | $96.96 – $195.94 | 18 |
| Microsatellite instability CPT 81301 | $630.74 | $1,046.00 | $502.08 – $1,014.62 | 18 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $198.33 | $262.00 | $125.76 – $254.14 | 18 |
| Mlh1 gene CPT 81288 | $347.93 | $577.00 | $276.96 – $559.69 | 18 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $373.93 | $610.00 | $195.36 – $394.79 | 18 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $24,845.15 | $24,970.00 | $2,930.40 – $5,921.85 | 18 |
| Mopath procedure level 3 CPT 81402 | $271.95 | $451.00 | $216.48 – $437.47 | 18 |
| Mopath procedure level 7 CPT 81406 | $511.95 | $849.00 | $407.52 – $823.53 | 18 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $441.85 | $553.00 | $265.44 – $536.41 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $573.68 | $718.00 | $344.64 – $696.46 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $298.83 | $374.00 | $179.52 – $362.78 | 18 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $274.86 | $344.00 | $165.12 – $333.68 | 18 |
| MRA abdomen post contrast CPT 74185 | $4,281.26 | $5,015.00 | $1,605.12 – $3,243.68 | 18 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,880.87 | $4,546.00 | $2,182.08 – $4,409.62 | 18 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,214.14 | $3,765.00 | $1,204.80 – $2,434.70 | 18 |
| MRA pelvis CPT 72198 | $2,780.47 | $3,257.00 | $1,042.08 – $2,105.87 | 18 |
| MRA spinal canal CPT 72159 | $2,334.84 | $2,735.00 | $875.04 – $1,768.31 | 18 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,554.24 | $2,992.00 | $957.12 – $1,934.18 | 18 |
| MRI chest without contrast CPT 71550 | $2,196.25 | $2,886.00 | $1,385.28 – $2,799.42 | 18 |
| MRI chest without & w/contrast CPT 71552 | $3,294.37 | $4,329.00 | $2,077.92 – $4,199.13 | 18 |
| MRI chest w IV cont CPT 71551 | $2,745.69 | $3,608.00 | $1,731.84 – $3,499.76 | 18 |
| MRI loex nonjt w IV cont CPT 73719 | $1,690.94 | $2,222.00 | $1,066.56 – $2,155.34 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,352.30 | $1,777.00 | $852.96 – $1,723.69 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,028.83 | $2,666.00 | $1,279.68 – $2,586.02 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,834.64 | $3,720.00 | $1,785.60 – $3,608.40 | 18 |
| MRI tmj CPT 70336 | $3,535.61 | $4,646.00 | $1,486.56 – $3,004.09 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,765.52 | $2,320.00 | $1,113.60 – $2,250.40 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,648.28 | $3,480.00 | $1,670.40 – $3,375.60 | 18 |
| MRI upper extremity w/dye CPT 73219 | $2,206.90 | $2,900.00 | $1,392.00 – $2,813.00 | 18 |
| Mr safety determination physician/other qhp CPT 76016 | $100.68 | $133.00 | $63.84 – $129.01 | 18 |
| Mr safety implant elec prepj CPT 76018 | $155.18 | $205.00 | $98.40 – $198.85 | 18 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $138.53 | $183.00 | $87.84 – $177.51 | 18 |
| Mr safety implt pos&/immoblj CPT 76019 | $236.94 | $313.00 | $150.24 – $303.61 | 18 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $28.77 | $38.00 | $18.24 – $36.86 | 18 |
| Mr sfty med physics xm cstmz CPT 76017 | $368.66 | $487.00 | $233.76 – $472.39 | 18 |
| Mthfr gene analy common variants CPT 81291 | $118.79 | $197.00 | $94.56 – $191.09 | 18 |
| Mumps antibody igg CPT 86735 | $46.87 | $62.00 | $26.88 – $54.32 | 18 |
| Mycobacteria dna amp probe CPT 87551 | $315.90 | $450.00 | $216.00 – $436.50 | 18 |
| Mycoplasma antibody igm CPT 86738 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $317.78 | $527.00 | $252.96 – $511.19 | 18 |
| Myelography l-s spine CPT 72265 | $1,664.64 | $2,199.00 | $1,055.52 – $2,133.03 | 18 |
| Myelography neck spine CPT 72240 | $1,641.93 | $2,169.00 | $1,041.12 – $2,103.93 | 18 |
| Myelography thoracic spine CPT 72255 | $1,308.85 | $1,729.00 | $829.92 – $1,677.13 | 18 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $89.78 | $135.00 | $16.80 – $33.95 | 18 |
| Natriuretic peptide CPT 83880 | $121.70 | $183.00 | $87.84 – $177.51 | 18 |
| Natural killer cells total count CPT 86357 | $86.18 | $114.00 | $54.72 – $110.58 | 18 |
| N block inj hypogas plxs CPT 64517 | $1,524.84 | $2,328.00 | $1,117.44 – $2,258.16 | 18 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $47.89 | $69.00 | $33.12 – $66.93 | 18 |
| Ndl insj without njx 3+ musc CPT 20561 | $52.05 | $75.00 | $36.00 – $72.75 | 18 |
| Ndl round specialty proguide HCPCS C1715 | $430.42 | $588.00 | $79.68 – $161.02 | 18 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $235.43 | $311.00 | $149.28 – $301.67 | 18 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,052.34 | $4,443.00 | $2,132.64 – $4,309.71 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,543.96 | $3,703.00 | $1,777.44 – $3,591.91 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,034.89 | $2,962.00 | $1,421.76 – $2,873.14 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,762.91 | $2,604.00 | $1,249.92 – $2,525.88 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,469.09 | $2,170.00 | $1,041.60 – $2,104.90 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,175.27 | $1,736.00 | $833.28 – $1,683.92 | 18 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $355.79 | $470.00 | $225.60 – $455.90 | 18 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $489.78 | $647.00 | $310.56 – $627.59 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,538.06 | $5,511.00 | $2,645.28 – $5,345.67 | 18 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,948.71 | $4,593.00 | $2,204.64 – $4,455.21 | 18 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,358.71 | $3,674.00 | $1,763.52 – $3,563.78 | 18 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,593.80 | $2,471.00 | $1,186.08 – $2,396.87 | 18 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,328.06 | $2,059.00 | $988.32 – $1,997.23 | 18 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,062.32 | $1,647.00 | $790.56 – $1,597.59 | 18 |
| New Patient Office Visit (level 2) CPT 99202 | $625.51 | $557.00 | $64.80 – $130.95 | 18 |
| New Patient Office Visit (level 3) CPT 99203 | $937.70 | $835.00 | $105.60 – $213.40 | 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.