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 |
|---|---|---|---|---|
| New Patient Office Visit (level 4) CPT 99204 | $1,126.37 | $1,003.00 | $157.92 – $319.13 | 18 |
| New Patient Office Visit (level 5) CPT 99205 | $1,509.31 | $1,344.00 | $208.32 – $420.98 | 18 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $317.83 | $408.00 | $130.56 – $263.84 | 18 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,375.60 | $1,900.00 | $912.00 – $1,843.00 | 18 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,293.06 | $1,786.00 | $857.28 – $1,732.42 | 18 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,319.13 | $1,822.00 | $874.56 – $1,767.34 | 18 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $957.85 | $1,323.00 | $635.04 – $1,283.31 | 18 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $260.41 | $344.00 | $165.12 – $333.68 | 18 |
| Npm1 gene CPT 81310 | $446.22 | $740.00 | $355.20 – $717.80 | 18 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,858.20 | $5,329.00 | $2,557.92 – $5,169.13 | 18 |
| Nudt15 gene common variants CPT 81306 | $527.62 | $875.00 | $420.00 – $848.75 | 18 |
| Observation direct referral from physician office for admission HCPCS G0379 | $378.01 | $654.00 | $313.92 – $634.38 | 17 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $330.34 | $444.00 | $213.12 – $430.68 | 18 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $203.11 | $273.00 | $131.04 – $264.81 | 18 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $256.68 | $345.00 | $165.60 – $334.65 | 18 |
| Observation per hour HCPCS G0378 | $62.61 | $95.00 | $45.60 – $92.15 | 18 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $156.94 | $262.00 | $125.76 – $254.14 | 18 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $156.34 | $261.00 | $125.28 – $253.17 | 18 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $150.95 | $252.00 | $120.96 – $244.44 | 18 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $0.11 | $2.40 | $1.15 – $2.33 | 18 |
| Onco (ovar) two proteins CPT 81500 | $471.55 | $782.00 | $375.36 – $758.54 | 18 |
| Organic acids total quant ea spec CPT 83918 | $67.17 | $101.00 | $48.48 – $97.97 | 18 |
| Oscillation chest wall mechanical per session CPT 94669 | $181.13 | $307.00 | $147.36 – $297.79 | 18 |
| Osmolality blood CPT 83930 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Osmolality urine CPT 83935 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Oth resp proc, group HCPCS G0239 | $126.26 | $214.00 | $102.72 – $207.58 | 18 |
| Oth resp proc, indiv HCPCS G0238 | $40.71 | $69.00 | $33.12 – $66.93 | 18 |
| Ot re-evaluation patient/family CPT 97168 | $134.78 | $225.00 | $108.00 – $218.25 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $57.66 | $93.00 | $44.64 – $90.21 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $61.38 | $99.00 | $47.52 – $96.03 | 18 |
| Parathormone (pth) intact CPT 83970 | $82.46 | $124.00 | $59.52 – $120.28 | 18 |
| Parathyroid planar imaging CPT 78070 | $833.32 | $1,151.00 | $552.48 – $1,116.47 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,074.33 | $4,475.00 | $2,148.00 – $4,340.75 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,561.82 | $3,729.00 | $1,789.92 – $3,617.13 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,049.32 | $2,983.00 | $1,431.84 – $2,893.51 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,359.86 | $3,101.00 | $1,488.48 – $3,007.97 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $1,966.42 | $2,584.00 | $1,240.32 – $2,506.48 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $1,572.99 | $2,067.00 | $992.16 – $2,004.99 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $900.79 | $1,045.00 | $501.60 – $1,013.65 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $660.29 | $766.00 | $367.68 – $743.02 | 18 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $186.98 | $247.00 | $118.56 – $239.59 | 18 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $280.09 | $370.00 | $177.60 – $358.90 | 18 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $21,794.48 | $21,904.00 | $2,344.80 – $4,738.45 | 18 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,038.12 | $1,661.00 | $797.28 – $1,611.17 | 18 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $135,105.08 | $135,784.00 | $285.12 – $576.18 | 18 |
| Ph body fluid CPT 83986 | $69.16 | $104.00 | $24.48 – $49.47 | 18 |
| Phencyclidine (pcp) CPT 83992 | $106.40 | $160.00 | $26.88 – $54.32 | 18 |
| Phenobarbital therapeutic drug level CPT 80184 | $39.24 | $59.00 | $25.92 – $52.38 | 18 |
| Phenytoin total therapeutic drug level CPT 80185 | $35.91 | $54.00 | $25.92 – $52.38 | 18 |
| Phlebotomy therapeutic CPT 99195 | $172.96 | $257.00 | $123.36 – $249.29 | 18 |
| Phosphorus CPT 84100 | $72.48 | $109.00 | $22.56 – $45.59 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $49.21 | $74.00 | $8.64 – $17.46 | 18 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $188.12 | $262.00 | $125.76 – $254.14 | 18 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $187.40 | $261.00 | $125.28 – $253.17 | 18 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $180.94 | $252.00 | $120.96 – $244.44 | 18 |
| Physical Therapy Re-Evaluation CPT 97164 | $161.55 | $225.00 | $108.00 – $218.25 | 18 |
| Pik3ca gene trgt seq alys CPT 81309 | $497.47 | $825.00 | $396.00 – $800.25 | 18 |
| Pin caspar distraction 12mm HCPCS C1821 | $34,868.78 | $35,044.00 | $2,344.80 – $4,738.45 | 18 |
| Pinworm exam CPT 87172 | $9.13 | $13.00 | $6.24 – $12.61 | 18 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $903.59 | $1,302.00 | $624.96 – $1,262.94 | 18 |
| Platelet automated CPT 85049 | $9.62 | $14.00 | $6.72 – $13.58 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $463.45 | $731.00 | $350.88 – $709.07 | 18 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $498.96 | $787.00 | $377.76 – $763.39 | 18 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,110.77 | $1,752.00 | $840.96 – $1,699.44 | 18 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,235.32 | $1,780.00 | $854.40 – $1,726.60 | 18 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $453.18 | $653.00 | $313.44 – $633.41 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $52.54 | $79.00 | $37.92 – $76.63 | 18 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,373.45 | $5,123.00 | $2,459.04 – $4,969.31 | 18 |
| Potassium 24 hour urine CPT 84133 | $46.55 | $70.00 | $26.40 – $53.35 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | $54.53 | $82.00 | $18.72 – $37.83 | 18 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $847.78 | $1,383.00 | $663.84 – $1,341.51 | 18 |
| Pr application of long arm splint CPT 29105 | $80.92 | $132.00 | $42.24 – $85.36 | 18 |
| Pr application splint static short arm CPT 29125 | $75.40 | $123.00 | $39.36 – $79.54 | 18 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $110.86 | $149.00 | $71.52 – $144.53 | 18 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $162.19 | $218.00 | $104.64 – $211.46 | 18 |
| Prealbumin CPT 84134 | $35.91 | $54.00 | $25.92 – $52.38 | 18 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.33 | $3.60 | $1.73 – $3.49 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $907.69 | $1,053.00 | $505.44 – $1,021.41 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $769.77 | $893.00 | $428.64 – $866.21 | 18 |
| Pregnancy Ultrasound (limited) CPT 76815 | $460.31 | $534.00 | $256.32 – $517.98 | 18 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $103.60 | $169.00 | $81.12 – $163.93 | 18 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $307.27 | $413.00 | $198.24 – $400.61 | 18 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $209.06 | $281.00 | $134.88 – $272.57 | 18 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $154.75 | $208.00 | $99.84 – $201.76 | 18 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $158.47 | $213.00 | $102.24 – $206.61 | 18 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $110.11 | $148.00 | $71.04 – $143.56 | 18 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $60.26 | $81.00 | $38.88 – $78.57 | 18 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $231.10 | $377.00 | $180.96 – $365.69 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $127.50 | $208.00 | $99.84 – $201.76 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $152.02 | $248.00 | $119.04 – $240.56 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $130.57 | $213.00 | $102.24 – $206.61 | 18 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $402.78 | $490.00 | $235.20 – $475.30 | 18 |
| Procalcitonin CPT 84145 | $93.76 | $141.00 | $67.68 – $136.77 | 18 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $61.30 | $100.00 | $48.00 – $97.00 | 18 |
| Progesterone CPT 84144 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Prolactin CPT 84146 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $62.50 | $84.00 | $40.32 – $81.48 | 18 |
| _propoxygc/msur CPT 80367 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Prostate biopsy, any mthd HCPCS G0416 | $739.08 | $925.00 | $444.00 – $897.25 | 18 |
| Protein c activity CPT 85303 | $28.85 | $42.00 | $20.16 – $40.74 | 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.