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 |
|---|---|---|---|---|
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $662.04 | $1,080.00 | $345.60 – $698.40 | 18 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $858.81 | $1,401.00 | $448.32 – $905.98 | 18 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,115.05 | $1,819.00 | $582.24 – $1,176.61 | 18 |
| Closed tx septal&nose fx CPT 21337 | $372.70 | $608.00 | $291.84 – $589.76 | 18 |
| Clot factor xii hageman CPT 85280 | $52.21 | $76.00 | $36.48 – $73.72 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | $19.24 | $28.00 | $13.44 – $27.16 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | $67.33 | $98.00 | $47.04 – $95.06 | 18 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $555.38 | $906.00 | $289.92 – $585.88 | 18 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $638.13 | $1,041.00 | $333.12 – $673.18 | 18 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $428.49 | $699.00 | $223.68 – $452.02 | 18 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $736.83 | $1,202.00 | $384.96 – $777.94 | 18 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $150.18 | $245.00 | $78.72 – $159.08 | 18 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $180.84 | $295.00 | $141.60 – $286.15 | 18 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $977.74 | $1,595.00 | $510.72 – $1,032.08 | 18 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $888.24 | $1,449.00 | $463.68 – $937.02 | 18 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $774.22 | $1,263.00 | $404.16 – $816.74 | 18 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $440.75 | $719.00 | $345.12 – $697.43 | 18 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $373.93 | $610.00 | $292.80 – $591.70 | 18 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $617.90 | $1,008.00 | $322.56 – $651.84 | 18 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $655.91 | $1,070.00 | $342.72 – $692.58 | 18 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $567.02 | $925.00 | $296.16 – $598.49 | 18 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $761.96 | $1,243.00 | $397.92 – $804.13 | 18 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $772.99 | $1,261.00 | $403.68 – $815.77 | 18 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $61.30 | $100.00 | $32.16 – $64.99 | 18 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $116.47 | $190.00 | $91.20 – $184.30 | 18 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $555.38 | $906.00 | $289.92 – $585.88 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $832.45 | $1,358.00 | $434.88 – $878.82 | 18 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $639.36 | $1,043.00 | $500.64 – $1,011.71 | 18 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $719.66 | $1,174.00 | $375.84 – $759.51 | 18 |
| #cmvcul-virus inoculation shell CPT 87254 | $74.41 | $106.00 | $30.72 – $62.08 | 18 |
| Cmv pcr-sendout CPT 87496 | $74.41 | $106.00 | $50.88 – $102.82 | 18 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $434.81 | $594.00 | $150.24 – $303.61 | 18 |
| Cold agglutinin screen (arc) CPT 86156 | $18.90 | $25.00 | $12.00 – $24.25 | 18 |
| Cold agglutinin titer CPT 86157 | $43.85 | $58.00 | $27.84 – $56.26 | 18 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $20,051.24 | $20,152.00 | $9,672.96 – $19,547.44 | 18 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $267.98 | $354.00 | $169.92 – $343.38 | 18 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $199.78 | $305.00 | $146.40 – $295.85 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $141.48 | $216.00 | $103.68 – $209.52 | 18 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $224.63 | $344.00 | $165.12 – $333.68 | 18 |
| Compatibility test each unit electronic CPT 86923 | $224.63 | $344.00 | $165.12 – $333.68 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $224.63 | $344.00 | $165.12 – $333.68 | 18 |
| Complement antigen each component c3 CPT 86160 | $220.75 | $292.00 | $17.28 – $34.92 | 18 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $296.08 | $483.00 | $231.84 – $468.51 | 18 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $357.99 | $584.00 | $280.32 – $566.48 | 18 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $431.55 | $704.00 | $337.92 – $682.88 | 18 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $312.02 | $509.00 | $244.32 – $493.73 | 18 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $389.87 | $636.00 | $305.28 – $616.92 | 18 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $163.67 | $267.00 | $128.16 – $258.99 | 18 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $107.27 | $175.00 | $84.00 – $169.75 | 18 |
| Concentration infection agents any type CPT 87015 | $89.86 | $128.00 | $10.08 – $20.37 | 18 |
| Condylomata destruction 56420 CPT 56420 | $131.79 | $215.00 | $103.20 – $208.55 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,181.45 | $1,614.00 | $774.72 – $1,565.58 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $52.73 | $66.00 | $31.68 – $64.02 | 18 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $274.86 | $344.00 | $165.12 – $333.68 | 18 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $63.12 | $79.00 | $37.92 – $76.63 | 18 |
| Contrast baths charges CPT 97034 | $43.92 | $61.00 | $29.28 – $59.17 | 18 |
| Contrast x-ray of hip CPT 73525 | $825.52 | $967.00 | $464.16 – $937.99 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $476.36 | $558.00 | $267.84 – $541.26 | 18 |
| Contrast x-ray of wrist CPT 73115 | $583.92 | $684.00 | $328.32 – $663.48 | 18 |
| Controller infinity pt dbs HCPCS C1787 | $13,825.52 | $13,895.00 | $2,344.80 – $4,738.45 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | $136.09 | $222.00 | $106.56 – $215.34 | 18 |
| Control of nosebleed ant comp 30903 CPT 30903 | $151.41 | $247.00 | $79.20 – $160.05 | 18 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $109.11 | $178.00 | $57.12 – $115.43 | 18 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $209.65 | $342.00 | $164.16 – $331.74 | 18 |
| Coombs direct CPT 86880 | $90.72 | $120.00 | $57.60 – $116.40 | 18 |
| Cortisol total am CPT 82533 | $214.80 | $323.00 | $27.84 – $56.26 | 18 |
| #covid19rsv-rsv CPT 87634 | $148.12 | $211.00 | $101.28 – $204.67 | 18 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $40.07 | $53.00 | $19.20 – $38.80 | 18 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $522.15 | $885.00 | $424.80 – $858.45 | 18 |
| C-peptide CPT 84681 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $543.12 | $869.00 | $408.96 – $826.44 | 18 |
| C-reactive protein CPT 86140 | $54.43 | $72.00 | $34.56 – $69.84 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $43.09 | $57.00 | $27.36 – $55.29 | 18 |
| C-reactive protein, quantitative CPT 86406 | $61.24 | $81.00 | $28.32 – $57.23 | 18 |
| Creatine kinase CPT 82550 | $13.30 | $20.00 | $9.60 – $19.40 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Creatine kinase mb CPT 82553 | $23.28 | $35.00 | $16.80 – $33.95 | 18 |
| Creatinine CPT 82565 | $29.92 | $45.00 | $21.60 – $43.65 | 18 |
| Creatinine 24 hour urine CPT 82570 | $53.20 | $80.00 | $7.68 – $15.52 | 18 |
| Creatinine clearance urine CPT 82575 | $19.28 | $29.00 | $13.92 – $28.13 | 18 |
| #creutz-prot.,western blot CPT 84182 | $103.08 | $155.00 | $42.24 – $85.36 | 18 |
| Critical care each additional 30 minutes CPT 99292 | $600.00 | $960.00 | $240.96 – $486.94 | 18 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,200.00 | $1,920.00 | $479.04 – $968.06 | 18 |
| Cryoprecipitate each unit HCPCS P9012 | $56.43 | $89.00 | $42.72 – $86.33 | 18 |
| Cryptosporidium antigen CPT 87272 | $77.92 | $111.00 | $29.28 – $59.17 | 18 |
| Crystal identification light microscopy CPT 89060 | $14.37 | $22.00 | $10.56 – $21.34 | 18 |
| CT 3d report other modality w/workstation CPT 76377 | $788.84 | $1,223.00 | $587.04 – $1,186.31 | 18 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,773.83 | $2,582.00 | $1,239.36 – $2,504.54 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,298.70 | $3,346.00 | $1,606.08 – $3,245.62 | 18 |
| CT Angiogram of the Abdomen CPT 74175 | $1,475.68 | $2,148.00 | $1,031.04 – $2,083.56 | 18 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,926.62 | $2,987.00 | $1,433.76 – $2,897.39 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,643.99 | $2,393.00 | $1,148.64 – $2,321.21 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,523.49 | $2,362.00 | $1,133.76 – $2,291.14 | 18 |
| CT Angiogram of the Neck CPT 70498 | $1,673.78 | $2,595.00 | $1,245.60 – $2,517.15 | 18 |
| CT angio pelvis CPT 72191 | $3,228.21 | $4,699.00 | $2,255.52 – $4,558.03 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,449.84 | $3,566.00 | $1,711.68 – $3,459.02 | 18 |
| CT bone density axial CPT 77078 | $446.55 | $650.00 | $312.00 – $630.50 | 18 |
| CT guidance for needle placement CPT 77012 | $875.91 | $1,358.00 | $651.84 – $1,317.26 | 18 |
| CT limited or localized follow-up study CPT 76380 | $640.48 | $993.00 | $476.64 – $963.21 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,689.33 | $2,459.00 | $1,180.32 – $2,385.23 | 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.