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 |
|---|---|---|---|---|
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $37.91 | $57.00 | $26.88 – $54.32 | 18 |
| Protein s total CPT 85305 | $39.85 | $58.00 | $27.84 – $56.26 | 18 |
| Protein total 24 hour urine CPT 84156 | $37.24 | $56.00 | $5.76 – $11.64 | 18 |
| Protein total body fluid CPT 84157 | $37.24 | $56.00 | $5.76 – $11.64 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $37.24 | $56.00 | $25.44 – $51.41 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $39.85 | $58.00 | $27.84 – $56.26 | 18 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $90.11 | $147.00 | $47.04 – $95.06 | 18 |
| Pr removal intrauterine device CPT 58301 | $290.62 | $465.00 | $67.68 – $136.77 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $242.14 | $395.00 | $189.60 – $383.15 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $72.33 | $118.00 | $56.64 – $114.46 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $76.62 | $125.00 | $60.00 – $121.25 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $57.62 | $94.00 | $45.12 – $91.18 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $76.62 | $125.00 | $60.00 – $121.25 | 18 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $63.98 | $86.00 | $41.28 – $83.42 | 18 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $302.82 | $494.00 | $158.40 – $320.10 | 18 |
| PSA (Prostate) Test CPT 84153 | $46.55 | $70.00 | $26.88 – $54.32 | 18 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $42.48 | $59.00 | $28.32 – $57.23 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $106.56 | $148.00 | $71.04 – $143.56 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $79.20 | $110.00 | $52.80 – $106.70 | 18 |
| Pt application of modality traction mechanical CPT 97012 | $110.88 | $154.00 | $73.92 – $149.38 | 18 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $162.00 | $225.00 | $108.00 – $218.25 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $55.44 | $77.00 | $36.96 – $74.69 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | $61.20 | $85.00 | $40.80 – $82.45 | 18 |
| Pulmonary vent imaging CPT 78579 | $590.78 | $816.00 | $391.68 – $791.52 | 18 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $44.40 | $68.00 | $32.64 – $65.96 | 18 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $120.15 | $196.00 | $94.08 – $190.12 | 18 |
| Puncture spinal lumbar diagnostic CPT 62270 | $575.33 | $829.00 | $136.80 – $276.45 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,125.10 | $1,554.00 | $745.92 – $1,507.38 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | $687.80 | $950.00 | $456.00 – $921.50 | 18 |
| Quest t3 uptake CPT 84479 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,188.08 | $1,641.00 | $787.68 – $1,591.77 | 18 |
| Rapid Strep Test CPT 87880 | $35.10 | $50.00 | $24.00 – $48.50 | 18 |
| Rbc count only automated CPT 85041 | $43.28 | $63.00 | $29.76 – $60.14 | 18 |
| Rbc serum pretx incubj drugs CPT 86975 | $604.80 | $800.00 | $384.00 – $776.00 | 18 |
| Reconstruction of nail bed CPT 11762 | $242.75 | $396.00 | $190.08 – $384.12 | 18 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $186.40 | $294.00 | $141.12 – $285.18 | 18 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $221.90 | $350.00 | $168.00 – $339.50 | 18 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $427.72 | $653.00 | $313.44 – $633.41 | 18 |
| Removal cerumen impacted (both sides) CPT 69210 | $42.91 | $70.00 | $33.60 – $67.90 | 18 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $142.56 | $198.00 | $95.04 – $192.06 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $255.62 | $417.00 | $133.44 – $269.66 | 18 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $93.18 | $152.00 | $72.96 – $147.44 | 18 |
| Removal sutr and stapl no anes CPT 15854 | $144.10 | $220.00 | $105.60 – $213.40 | 18 |
| Removal sutr or stapl no anes CPT 15853 | $108.08 | $165.00 | $79.20 – $160.05 | 18 |
| Renal function panel CPT 80069 | $103.74 | $156.00 | $74.88 – $151.32 | 18 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $332.25 | $542.00 | $260.16 – $525.74 | 18 |
| Repair extns tendon finger without grft ea CPT 26418 | $753.99 | $1,230.00 | $590.40 – $1,193.10 | 18 |
| Repair of toe dislocation CPT 28675 | $514.31 | $839.00 | $402.72 – $813.83 | 18 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $266.04 | $434.00 | $208.32 – $420.98 | 18 |
| Reptilase test CPT 85635 | $20.61 | $30.00 | $14.40 – $29.10 | 18 |
| Resp virus 6-11 targets CPT 87632 | $459.81 | $655.00 | $314.40 – $635.35 | 18 |
| Reticulated platelet assay CPT 85055 | $74.20 | $108.00 | $51.84 – $104.76 | 18 |
| Reticulocyte direct measurement automated CPT 85046 | $11.68 | $17.00 | $8.16 – $16.49 | 18 |
| Rheumatoid factor quantitative CPT 86431 | $41.58 | $55.00 | $8.64 – $17.46 | 18 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $337.62 | $446.00 | $214.08 – $432.62 | 18 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $424.68 | $561.00 | $269.28 – $544.17 | 18 |
| Rib X-ray (3 views, both sides) CPT 71110 | $345.95 | $457.00 | $219.36 – $443.29 | 18 |
| Rsv assay w/optic CPT 87807 | $28.08 | $40.00 | $19.20 – $38.80 | 18 |
| Rubella antibody igg CPT 86762 | $42.34 | $56.00 | $26.88 – $54.32 | 18 |
| Rubeola antibody igg CPT 86765 | $45.36 | $60.00 | $26.88 – $54.32 | 18 |
| Russell viper venom diluted CPT 85613 | $41.22 | $60.00 | $28.80 – $58.20 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,659.46 | $2,752.00 | $1,320.96 – $2,669.44 | 18 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $398.18 | $526.00 | $252.48 – $510.22 | 18 |
| Salmonella antibody CPT 86768 | $55.19 | $73.00 | $35.04 – $70.81 | 18 |
| Same day nb discharge 99463 CPT 99463 | $168.14 | $226.00 | $108.48 – $219.22 | 18 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $543.75 | $750.00 | $360.00 – $727.50 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $421.22 | $581.00 | $278.88 – $563.57 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $569.12 | $785.00 | $376.80 – $761.45 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $943.95 | $1,302.00 | $624.96 – $1,262.94 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $700.35 | $966.00 | $463.68 – $937.02 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $779.38 | $1,075.00 | $516.00 – $1,042.75 | 18 |
| Screening Mammogram CPT 77067 | $272.46 | $341.00 | $108.96 – $220.19 | 18 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $130,746.98 | $131,404.00 | $33.60 – $67.90 | 18 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $829.24 | $962.00 | $461.76 – $933.14 | 18 |
| Sedimentation rate erythrocyte automated CPT 85652 | $6.18 | $9.00 | $4.32 – $8.73 | 18 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $69.84 | $97.00 | $46.56 – $94.09 | 18 |
| Semen analysis presence/motility CPT 89321 | $24.16 | $37.00 | $17.76 – $35.89 | 18 |
| Semen analysis w/count CPT 89310 | $16.98 | $26.00 | $12.48 – $25.22 | 18 |
| Sept9 promoter methylation analysis CPT 81327 | $347.33 | $576.00 | $276.48 – $558.72 | 18 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $10,171.14 | $13,895.00 | $150.24 – $303.61 | 18 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $119.12 | $177.00 | $84.96 – $171.69 | 18 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $285.39 | $377.00 | $180.96 – $365.69 | 18 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $202.88 | $268.00 | $128.64 – $259.96 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,168.09 | $2,849.00 | $1,367.52 – $2,763.53 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $1,806.61 | $2,374.00 | $1,139.52 – $2,302.78 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $1,445.14 | $1,899.00 | $911.52 – $1,842.03 | 18 |
| Shoulder X-ray CPT 73030 | $336.11 | $444.00 | $213.12 – $430.68 | 18 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $243.75 | $322.00 | $154.56 – $312.34 | 18 |
| Sickling rbc CPT 85660 | $38.47 | $56.00 | $26.88 – $54.32 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,376.18 | $3,684.00 | $1,768.32 – $3,573.48 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $1,980.15 | $3,070.00 | $1,473.60 – $2,977.90 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $1,584.12 | $2,456.00 | $1,178.88 – $2,382.32 | 18 |
| Sinus X-ray (complete) CPT 70220 | $329.30 | $435.00 | $208.80 – $421.95 | 18 |
| Sinus X-ray (limited) CPT 70210 | $209.69 | $277.00 | $132.96 – $268.69 | 18 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $102.41 | $154.00 | $73.92 – $149.38 | 18 |
| Skull X-ray (1 to 3 views) CPT 70250 | $311.13 | $411.00 | $197.28 – $398.67 | 18 |
| Skull X-ray (complete) CPT 70260 | $357.30 | $472.00 | $226.56 – $457.84 | 18 |
| Slco1b1 gene com variants CPT 81328 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $4,178.81 | $4,895.00 | $2,349.60 – $4,748.15 | 18 |
| Sleep study unattended CPT 95806 | $531.03 | $581.00 | $278.88 – $563.57 | 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.