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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,188.78 | $3,186.00 | $1,529.28 – $3,090.42 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,823.99 | $2,655.00 | $1,274.40 – $2,575.35 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,459.19 | $2,124.00 | $1,019.52 – $2,060.28 | 18 |
| CT t-spine w /wo contrast CPT 72130 | $3,246.08 | $4,725.00 | $2,268.00 – $4,583.25 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,333.05 | $3,396.00 | $1,630.08 – $3,294.12 | 18 |
| Culture aerobic additional method definitive id each CPT 87077 | $72.31 | $103.00 | $12.00 – $24.25 | 18 |
| Culture afb any source CPT 87116 | $44.23 | $63.00 | $30.24 – $61.11 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $82.84 | $118.00 | $12.00 – $24.25 | 18 |
| Culture anaerobic except blood CPT 87075 | $20.36 | $29.00 | $13.92 – $28.13 | 18 |
| Culture bact stool aero addl path ea CPT 87046 | $44.23 | $63.00 | $13.92 – $28.13 | 18 |
| Culture body fluid CPT 87070 | $78.62 | $112.00 | $12.48 – $25.22 | 18 |
| Culture fungi definitive id mold CPT 87107 | $96.88 | $138.00 | $29.76 – $60.14 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $43.52 | $62.00 | $29.76 – $60.14 | 18 |
| Culture fungi other (except blood) CPT 87102 | $54.76 | $78.00 | $28.80 – $58.20 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $41.42 | $59.00 | $28.32 – $57.23 | 18 |
| Culture mycoplasma any source CPT 87109 | $44.23 | $63.00 | $30.24 – $61.11 | 18 |
| Culture quantitative aerobic other source CPT 87071 | $42.82 | $61.00 | $29.28 – $59.17 | 18 |
| Culture screening strep group a CPT 87081 | $46.33 | $66.00 | $9.60 – $19.40 | 18 |
| Culture typing immunologic CPT 87147 | $59.67 | $85.00 | $7.68 – $15.52 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $96.17 | $137.00 | $65.76 – $132.89 | 18 |
| Culture urine each isolate CPT 87088 | $17.55 | $25.00 | $12.00 – $24.25 | 18 |
| Cutter lead HCPCS C1773 | $23,247.59 | $31,759.00 | $543.36 – $1,098.04 | 18 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $43.89 | $66.00 | $31.68 – $64.02 | 18 |
| Cyclic citrullinated peptide antibody CPT 86200 | $45.36 | $60.00 | $28.80 – $58.20 | 18 |
| Cyclosporine 2 hour CPT 80158 | $38.57 | $58.00 | $26.40 – $53.35 | 18 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $65,375.48 | $65,704.00 | $2,344.80 – $4,738.45 | 18 |
| Cyp2c19 gene com variants CPT 81225 | $527.62 | $875.00 | $420.00 – $848.75 | 18 |
| Cyp2c9 gene com variants CPT 81227 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Cyp2d6 gene com variants CPT 81226 | $815.86 | $1,353.00 | $649.44 – $1,312.41 | 18 |
| Cyp3a4 gene common variants CPT 81230 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Cyp3a5 gene common variants CPT 81231 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Cystatin c CPT 82610 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Cystine urine quantitative CPT 82131 | $60.52 | $91.00 | $43.68 – $88.27 | 18 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $408.02 | $539.00 | $258.72 – $522.83 | 18 |
| Cytogenetics 25-99 CPT 88274 | $93.70 | $128.00 | $61.44 – $124.16 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $45.36 | $60.00 | $28.80 – $58.20 | 18 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $46.12 | $61.00 | $29.28 – $59.17 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $79.06 | $108.00 | $51.84 – $104.76 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $118.58 | $162.00 | $77.76 – $157.14 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $57.83 | $79.00 | $37.92 – $76.63 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $57.83 | $79.00 | $37.92 – $76.63 | 18 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $65.88 | $90.00 | $43.20 – $87.30 | 18 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $251.81 | $344.00 | $165.12 – $333.68 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $79.06 | $108.00 | $51.84 – $104.76 | 18 |
| Dch pulmonary stress test CPT 94621 | $311.14 | $470.00 | $225.60 – $455.90 | 18 |
| Dch validity tests CPT 81002 | $7.30 | $11.00 | $5.28 – $10.67 | 18 |
| Deamidated gliadin antibody iga CPT 86258 | $44.60 | $59.00 | $17.76 – $35.89 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | $77.04 | $107.00 | $51.36 – $103.79 | 18 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $77.85 | $127.00 | $60.96 – $123.19 | 18 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $352.47 | $575.00 | $276.00 – $557.75 | 18 |
| Decalcification CPT 88311 | $20.77 | $26.00 | $12.48 – $25.22 | 18 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $290.79 | $419.00 | $201.12 – $406.43 | 18 |
| Delivery of placenta 59414 CPT 59414 | $1,271.88 | $2,035.00 | $976.80 – $1,973.95 | 18 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $146.91 | $249.00 | $119.52 – $241.53 | 18 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $193.71 | $316.00 | $151.68 – $306.52 | 18 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,414.33 | $3,686.00 | $1,179.36 – $2,383.29 | 18 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $725.08 | $1,107.00 | $354.24 – $715.86 | 18 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $103.60 | $169.00 | $81.12 – $163.93 | 18 |
| Destruction benign lesions < 14 lesions CPT 17110 | $84.59 | $138.00 | $66.24 – $133.86 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $654.34 | $999.00 | $319.68 – $646.02 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,392.72 | $3,653.00 | $1,168.80 – $2,361.95 | 18 |
| Device sut capio slim opn HCPCS C2631 | $11,522.10 | $11,580.00 | $1,162.08 – $2,348.37 | 18 |
| Device tiss remov myosure reach HCPCS C1782 | $10,171.14 | $13,895.00 | $1,291.20 – $2,609.30 | 18 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $358.06 | $473.00 | $227.04 – $458.81 | 18 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $44.56 | $67.00 | $32.16 – $64.99 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $19.95 | $30.00 | $14.40 – $29.10 | 18 |
| Diab manage trn ind/group HCPCS G0109 | $32.68 | $38.00 | $18.24 – $36.86 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $381.05 | $434.00 | $208.32 – $420.98 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $252.86 | $288.00 | $138.24 – $279.36 | 18 |
| Diffusing capacity CPT 94729 | $272.08 | $411.00 | $197.28 – $398.67 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $35.25 | $53.00 | $25.44 – $51.41 | 18 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,578.92 | $2,157.00 | $120.48 – $243.47 | 18 |
| Disability dlco CPT 94727 | $272.74 | $412.00 | $197.76 – $399.64 | 18 |
| Disaccharidases CPT 82657 | $240.73 | $362.00 | $53.76 – $108.64 | 18 |
| #d/lmeth-l-methamphetamine CPT 80374 | $44.56 | $67.00 | $32.16 – $64.99 | 18 |
| Dna antibody native/double stranded CPT 86225 | $46.87 | $62.00 | $20.16 – $40.74 | 18 |
| Doppler echo complete CPT 93320 | $464.44 | $679.00 | $325.92 – $658.63 | 18 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $754.72 | $1,041.00 | $499.68 – $1,009.77 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $490.82 | $677.00 | $324.96 – $656.69 | 18 |
| Dornhoffer fixed part w/window HCPCS L8614 | $217,908.98 | $219,004.00 | $24,177.60 – $48,858.90 | 18 |
| Dpyd gene common variants CPT 81232 | $316.58 | $525.00 | $252.00 – $509.25 | 18 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $157.54 | $257.00 | $123.36 – $249.29 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $230.49 | $376.00 | $120.48 – $243.47 | 18 |
| Drainage of arm bursa 23931 CPT 23931 | $296.69 | $484.00 | $155.04 – $313.31 | 18 |
| Drainage of kidney lesion CPT 50390 | $1,877.96 | $2,706.00 | $865.92 – $1,749.88 | 18 |
| Drain blood from under nail 11740 CPT 11740 | $39.84 | $65.00 | $31.20 – $63.05 | 18 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $314.72 | $404.00 | $193.92 – $391.88 | 18 |
| Drain finger abscess;simple 26010 CPT 26010 | $175.93 | $287.00 | $137.76 – $278.39 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $69.27 | $113.00 | $54.24 – $109.61 | 18 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $170.41 | $278.00 | $133.44 – $269.66 | 18 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $9,218.67 | $9,265.00 | $408.00 – $824.50 | 18 |
| Drug assay caffeine CPT 80155 | $77.14 | $116.00 | $55.68 – $112.52 | 18 |
| Drug assay posaconazole CPT 80187 | $78.47 | $118.00 | $56.64 – $114.46 | 18 |
| Drug assay vedolizumab CPT 80280 | $210.80 | $317.00 | $152.16 – $307.49 | 18 |
| Drug assay voriconazole CPT 80285 | $84.46 | $127.00 | $60.96 – $123.19 | 18 |
| Drug of abuse screen urine CPT 80305 | $25.27 | $38.00 | $18.24 – $36.86 | 18 |
| Drug screening tapentadol CPT 80372 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Drug test prsmv instrmnt CPT 80306 | $34.58 | $52.00 | $24.96 – $50.44 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $298.59 | $449.00 | $89.76 – $181.39 | 18 |
| Drvvt confirm - quest CPT 85597 | $37.10 | $54.00 | $25.92 – $52.38 | 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.