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 |
|---|---|---|---|---|
| Sling suprapubic suburetheral HCPCS C1771 | $17,872.19 | $17,962.00 | $1,291.20 – $2,609.30 | 18 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $456.47 | $603.00 | $289.44 – $584.91 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $40.72 | $58.00 | $27.36 – $55.29 | 18 |
| Smear gram stain CPT 87205 | $9.13 | $13.00 | $6.24 – $12.61 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $201.47 | $287.00 | $8.64 – $17.46 | 18 |
| Smear wet mount CPT 87210 | $37.21 | $53.00 | $25.44 – $51.41 | 18 |
| Snrpn/ube3a gene CPT 81331 | $176.08 | $292.00 | $140.16 – $283.24 | 18 |
| Sodium 24 hour urine CPT 84300 | $47.88 | $72.00 | $7.68 – $15.52 | 18 |
| Sodium serum/plasma/whole blood CPT 84295 | $20.62 | $31.00 | $14.88 – $30.07 | 18 |
| Specific gravity body fluid CPT 84315 | $6.65 | $10.00 | $4.80 – $9.70 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $759.93 | $1,095.00 | $525.60 – $1,062.15 | 18 |
| Spine X-ray (single view, one level) CPT 72020 | $249.81 | $330.00 | $158.40 – $320.10 | 18 |
| Sputum specimen collection CPT 89220 | $224.63 | $344.00 | $165.12 – $333.68 | 18 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $43,584.98 | $43,804.00 | $285.12 – $576.18 | 18 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $9,218.67 | $9,265.00 | $79.68 – $161.02 | 18 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $34,868.78 | $35,044.00 | $285.12 – $576.18 | 18 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $9,218.67 | $9,265.00 | $678.24 – $1,370.61 | 18 |
| Stimulants synthetic CPT 80371 | $106.40 | $160.00 | $76.80 – $155.20 | 18 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,555.15 | $2,148.00 | $1,031.04 – $2,083.56 | 18 |
| Strep a ag ia CPT 87430 | $35.80 | $51.00 | $24.48 – $49.47 | 18 |
| Strep b dna amp probe CPT 87653 | $74.41 | $106.00 | $50.88 – $102.82 | 18 |
| Stress test pulmonary CPT 94618 | $382.64 | $578.00 | $277.44 – $560.66 | 18 |
| Stress tte complete CPT 93351 | $1,090.30 | $1,594.00 | $765.12 – $1,546.18 | 18 |
| Str markers specimen anal CPT 81265 | $860.48 | $1,427.00 | $336.00 – $679.00 | 18 |
| Sulfonylurea screen qn-sendout CPT 80377 | $118.37 | $178.00 | $85.44 – $172.66 | 18 |
| Surgical pathology level 1 gross examination only CPT 88300 | $39.95 | $50.00 | $24.00 – $48.50 | 18 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $63.12 | $79.00 | $37.92 – $76.63 | 18 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $86.29 | $108.00 | $51.84 – $104.76 | 18 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $86.29 | $108.00 | $51.84 – $104.76 | 18 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $573.68 | $718.00 | $344.64 – $696.46 | 18 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,289.59 | $1,614.00 | $774.72 – $1,565.58 | 18 |
| Susceptibility agar dilution per agent CPT 87181 | $179.01 | $255.00 | $122.40 – $247.35 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $39.31 | $56.00 | $26.88 – $54.32 | 18 |
| Susceptibility mic per plate CPT 87186 | $130.60 | $200.00 | $12.48 – $25.22 | 18 |
| Suscept studies macrobroth dilution ea CPT 87188 | $40.72 | $58.00 | $27.84 – $56.26 | 18 |
| Swallowing Evaluation (Bedside) CPT 92610 | $139.57 | $233.00 | $111.84 – $226.01 | 18 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $39.31 | $52.00 | $24.96 – $50.44 | 18 |
| T3 (triiodothyronine) free CPT 84481 | $47.22 | $71.00 | $25.92 – $52.38 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $28.60 | $43.00 | $20.64 – $41.71 | 18 |
| T4 (thyroxine) free CPT 84439 | $43.89 | $66.00 | $13.44 – $27.16 | 18 |
| T4 (thyroxine) total CPT 84436 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Tacrolimus therapeutic drug level CPT 80197 | $42.56 | $64.00 | $27.36 – $55.29 | 18 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $240.73 | $318.00 | $152.64 – $308.46 | 18 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,444.18 | $2,395.00 | $1,149.60 – $2,323.15 | 18 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,281.68 | $8,759.00 | $4,204.32 – $8,496.23 | 18 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $226.80 | $300.00 | $144.00 – $291.00 | 18 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $140.62 | $186.00 | $89.28 – $180.42 | 18 |
| Tc-99m labeled rbc HCPCS A9560 | $562.19 | $783.00 | $375.84 – $759.51 | 18 |
| Tc-99m maa HCPCS A9540 | $178.06 | $248.00 | $119.04 – $240.56 | 18 |
| Tc-99m mebrofenin HCPCS A9537 | $196.01 | $273.00 | $131.04 – $264.81 | 18 |
| Tc-99m mertiatide HCPCS A9562 | $271.40 | $378.00 | $181.44 – $366.66 | 18 |
| Tc-99m oxidronate HCPCS A9561 | $330.42 | $460.20 | $220.90 – $446.39 | 18 |
| Tc-99m pentetate dtpa HCPCS A9539 | $239.09 | $333.00 | $159.84 – $323.01 | 18 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $18.67 | $26.00 | $12.48 – $25.22 | 18 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $199.53 | $277.90 | $133.39 – $269.56 | 18 |
| Tc-99m sulfur colloid HCPCS A9541 | $236.22 | $329.00 | $157.92 – $319.13 | 18 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $106.60 | $141.00 | $67.68 – $136.77 | 18 |
| T cells total count CPT 86359 | $86.18 | $114.00 | $54.72 – $110.58 | 18 |
| Team conf without pat by hc pro CPT 99368 | $93.60 | $130.00 | $62.40 – $126.10 | 18 |
| Team conf without pat by phys CPT 99367 | $156.81 | $233.00 | $111.84 – $226.01 | 18 |
| Team conf w/pat by hc prof CPT 99366 | $124.56 | $173.00 | $83.04 – $167.81 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $1,163.82 | $1,630.00 | $782.40 – $1,581.10 | 18 |
| Theophylline therapeutic drug level CPT 80198 | $28.60 | $43.00 | $20.64 – $41.71 | 18 |
| Therapeutic procd strg endur HCPCS G0237 | $74.93 | $127.00 | $60.96 – $123.19 | 18 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $68.40 | $95.00 | $45.60 – $92.15 | 18 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $91.44 | $127.00 | $60.96 – $123.19 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $42.14 | $49.00 | $23.52 – $47.53 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $39.56 | $46.00 | $22.08 – $44.62 | 18 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $208.93 | $276.00 | $132.48 – $267.72 | 18 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,209.64 | $1,743.00 | $111.84 – $226.01 | 18 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,007.65 | $2,773.00 | $1,331.04 – $2,689.81 | 18 |
| Thrombin time CPT 85670 | $38.47 | $56.00 | $8.64 – $17.46 | 18 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $70.76 | $103.00 | $49.44 – $99.91 | 18 |
| Thyroglobulin antibody CPT 86800 | $72.58 | $96.00 | $27.36 – $55.29 | 18 |
| Thyroid imaging CPT 78013 | $703.73 | $972.00 | $466.56 – $942.84 | 18 |
| Thyroid (TSH) Test CPT 84443 | $73.82 | $111.00 | $24.48 – $49.47 | 18 |
| Thyroid Ultrasound CPT 76536 | $802.52 | $931.00 | $446.88 – $903.07 | 18 |
| Tissue culture placenta CPT 88235 | $330.13 | $451.00 | $216.48 – $437.47 | 18 |
| Tissue exam koh skin/hair/nails CPT 87220 | $150.93 | $215.00 | $30.72 – $62.08 | 18 |
| Tissue transglutaminase iga CPT 86364 | $44.60 | $59.00 | $16.80 – $33.95 | 18 |
| Tobramycin peak therapeutic drug level CPT 80200 | $32.58 | $49.00 | $23.52 – $47.53 | 18 |
| Toe X-ray (both feet) CPT 73660 | $194.55 | $257.00 | $123.36 – $249.29 | 18 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $49.17 | $56.00 | $26.88 – $54.32 | 18 |
| Tomosynthesis breast screen bilateral CPT 77063 | $39.15 | $49.00 | $23.52 – $47.53 | 18 |
| Total tau CPT 84394 | $299.92 | $451.00 | $216.48 – $437.47 | 18 |
| Toxoplasma antibody igg CPT 86777 | $47.63 | $63.00 | $28.80 – $58.20 | 18 |
| Toxoplasma antibody igm CPT 86778 | $45.36 | $60.00 | $21.12 – $42.68 | 18 |
| Tpmt gene com vrnts CPT 81335 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $116.96 | $136.00 | $65.28 – $131.92 | 18 |
| Transferrin CPT 84466 | $25.94 | $39.00 | $18.72 – $37.83 | 18 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $704.25 | $817.00 | $392.16 – $792.49 | 18 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $593.92 | $689.00 | $330.72 – $668.33 | 18 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,379.00 | $3,965.00 | $1,267.20 – $2,560.80 | 18 |
| Treat ankle dislocation CPT 27842 | $942.79 | $1,538.00 | $492.00 – $994.25 | 18 |
| Treat elbow dislocation CPT 24605 | $905.40 | $1,477.00 | $472.80 – $955.45 | 18 |
| Treat finger fracture each CPT 26742 | $426.65 | $696.00 | $334.08 – $675.12 | 18 |
| Treat fracture of radius CPT 25505 | $877.20 | $1,431.00 | $457.92 – $925.38 | 18 |
| Treat fracture of ulna CPT 25535 | $865.56 | $1,412.00 | $452.16 – $913.74 | 18 |
| Treat hip dislocation CPT 27252 | $1,448.52 | $2,363.00 | $756.00 – $1,527.75 | 18 |
| Treat hip socket fracture CPT 27222 | $1,867.20 | $3,046.00 | $974.88 – $1,970.07 | 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.