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 |
|---|---|---|---|---|
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $931.62 | $1,285.00 | $616.80 – $1,246.45 | 18 |
| Dxa bone density axl vrt fx CPT 77085 | $383.80 | $507.00 | $243.36 – $491.79 | 18 |
| Ear irrigation 69209 CPT 69209 | $26.97 | $44.00 | $13.92 – $28.13 | 18 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $119.71 | $174.00 | $83.52 – $168.78 | 18 |
| Ecg external < 48 hours recording CPT 93225 | $358.55 | $420.00 | $201.60 – $407.40 | 18 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $535.26 | $627.00 | $300.96 – $608.19 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,024.64 | $2,960.00 | $1,420.80 – $2,871.20 | 18 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $457.60 | $669.00 | $321.12 – $648.93 | 18 |
| Echocardiography doppler color flow mapping CPT 93325 | $366.62 | $536.00 | $257.28 – $519.92 | 18 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,530.80 | $3,700.00 | $1,776.00 – $3,589.00 | 18 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $316.01 | $462.00 | $221.76 – $448.14 | 18 |
| Echo exam of fetal heart CPT 76825 | $930.96 | $1,080.00 | $518.40 – $1,047.60 | 18 |
| Echo exam of fetal heart CPT 76826 | $428.41 | $497.00 | $238.56 – $482.09 | 18 |
| Echo exam of fetal heart CPT 76827 | $439.62 | $510.00 | $244.80 – $494.70 | 18 |
| Echo stress CPT 93350 | $881.68 | $1,289.00 | $618.72 – $1,250.33 | 18 |
| E equine encephalitis igg CPT 86652 | $49.14 | $65.00 | $31.20 – $63.05 | 18 |
| Egfr gene com variants CPT 81235 | $587.32 | $974.00 | $467.52 – $944.78 | 18 |
| EKG (Tracing Only) CPT 93005 | $227.04 | $330.00 | $158.40 – $320.10 | 18 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $295.23 | $390.00 | $187.20 – $378.30 | 18 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $364.12 | $481.00 | $230.88 – $466.57 | 18 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $98.64 | $137.00 | $65.76 – $132.89 | 18 |
| Electrical stimulation/unattended 97014 CPT 97014 | $79.20 | $110.00 | $52.80 – $106.70 | 18 |
| Electrolyte panel CPT 80051 | $51.87 | $78.00 | $37.44 – $75.66 | 18 |
| Electron microscopy diagnostic CPT 88348 | $1,289.59 | $1,614.00 | $774.72 – $1,565.58 | 18 |
| Encephalitis, california igg/igm CPT 86651 | $49.14 | $65.00 | $31.20 – $63.05 | 18 |
| Encephalitis, st louis igg/igm CPT 86653 | $49.14 | $65.00 | $31.20 – $63.05 | 18 |
| Encephalitis, western equine igg/igm CPT 86654 | $49.14 | $65.00 | $31.20 – $63.05 | 18 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,556.28 | $2,376.00 | $760.32 – $1,536.48 | 18 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $22.71 | $26.60 | $0.40 – $0.81 | 18 |
| Epstein barr early antigen antibody CPT 86663 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $40.82 | $54.00 | $22.08 – $44.62 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $46.87 | $62.00 | $26.40 – $53.35 | 18 |
| ER Visit (level 1, minor) CPT 99281 | $260.82 | $190.00 | $48.96 – $98.94 | 18 |
| ER Visit (level 2) CPT 99282 | $332.68 | $350.00 | $94.08 – $190.12 | 18 |
| ER Visit (level 3) CPT 99283 | $839.01 | $615.00 | $140.64 – $284.21 | 18 |
| ER Visit (level 4) CPT 99284 | $2,393.16 | $1,005.00 | $257.76 – $520.89 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $4,108.02 | $1,460.00 | $374.40 – $756.60 | 18 |
| Established Patient Office Visit (level 1) CPT 99211 | $128.05 | $150.00 | $50.40 – $101.85 | 18 |
| Established Patient Office Visit (level 2) CPT 99212 | $318.93 | $284.00 | $86.40 – $174.60 | 18 |
| Established Patient Office Visit (level 3) CPT 99213 | $625.51 | $557.00 | $103.20 – $208.55 | 18 |
| Established Patient Office Visit (level 4) CPT 99214 | $961.29 | $856.00 | $121.44 – $245.41 | 18 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,356.58 | $1,208.00 | $170.40 – $344.35 | 18 |
| Estradiol total CPT 82670 | $55.86 | $84.00 | $40.32 – $81.48 | 18 |
| Estrogens total-sendout CPT 82672 | $43.89 | $66.00 | $31.68 – $64.02 | 18 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $196.18 | $295.00 | $141.60 – $286.15 | 18 |
| Evoked oa emissions ltd CPT 92587 | $205.74 | $241.00 | $115.68 – $233.77 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $192.93 | $226.00 | $108.48 – $219.22 | 18 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $103.60 | $169.00 | $81.12 – $163.93 | 18 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $156.93 | $256.00 | $122.88 – $248.32 | 18 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $153.25 | $250.00 | $120.00 – $242.50 | 18 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $236.62 | $386.00 | $185.28 – $374.42 | 18 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $142.83 | $233.00 | $111.84 – $226.01 | 18 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $9,218.67 | $9,265.00 | $1,293.60 – $2,614.15 | 18 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $443.20 | $723.00 | $347.04 – $701.31 | 18 |
| External chromosome analysis 20-25 cells CPT 88264 | $317.69 | $434.00 | $208.32 – $420.98 | 18 |
| External newborn metabolic screening panel HCPCS S3620 | $102.52 | $157.00 | $75.36 – $152.29 | 18 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $98.28 | $130.00 | $26.40 – $53.35 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,365.86 | $3,668.00 | $1,760.64 – $3,557.96 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,971.77 | $3,057.00 | $1,467.36 – $2,965.29 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,577.03 | $2,445.00 | $1,173.60 – $2,371.65 | 18 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,401.57 | $4,464.00 | $2,142.72 – $4,330.08 | 18 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,267.71 | $2,976.00 | $1,428.48 – $2,886.72 | 18 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $296.74 | $392.00 | $188.16 – $380.24 | 18 |
| Facial Bones X-ray (complete) CPT 70150 | $346.71 | $458.00 | $219.84 – $444.26 | 18 |
| Factor ix CPT 85250 | $54.27 | $79.00 | $36.00 – $72.75 | 18 |
| Factor viii CPT 85240 | $45.34 | $66.00 | $31.68 – $64.02 | 18 |
| Fat/lipids feces qualitative CPT 82705 | $45.22 | $68.00 | $32.64 – $65.96 | 18 |
| Fatty acids nonesterified CPT 82725 | $45.89 | $69.00 | $33.12 – $66.93 | 18 |
| #fecal-sodium CPT 84302 | $38.57 | $58.00 | $27.84 – $56.26 | 18 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $49.21 | $74.00 | $35.52 – $71.78 | 18 |
| Fern test HCPCS Q0114 | $43.89 | $66.00 | $31.68 – $64.02 | 18 |
| Ferritin CPT 82728 | $39.90 | $60.00 | $28.80 – $58.20 | 18 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $730.98 | $848.00 | $407.04 – $822.56 | 18 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,373.63 | $2,278.00 | $1,093.44 – $2,209.66 | 18 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $687.33 | $752.00 | $360.96 – $729.44 | 18 |
| Fetal fibronectin CPT 82731 | $129.01 | $194.00 | $93.12 – $188.18 | 18 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $40.53 | $59.00 | $28.32 – $57.23 | 18 |
| Fetal hemoglobin rosette CPT 85461 | $19.92 | $29.00 | $13.92 – $28.13 | 18 |
| Fetal non stress test CPT 59025 | $590.44 | $646.00 | $310.08 – $626.62 | 18 |
| #_fet/norfentcnfrmur CPT 80354 | $44.56 | $67.00 | $26.88 – $54.32 | 18 |
| Fibrin degradation d dimer quantitative CPT 85379 | $21.30 | $31.00 | $14.88 – $30.07 | 18 |
| Fibrin degradation products CPT 85362 | $54.96 | $80.00 | $10.08 – $20.37 | 18 |
| Fibrinogen activity CPT 85384 | $20.61 | $30.00 | $14.40 – $29.10 | 18 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $32.29 | $47.00 | $22.56 – $45.59 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $48.78 | $71.00 | $27.36 – $55.29 | 18 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $11,522.10 | $11,580.00 | $2,813.28 – $5,685.17 | 18 |
| Filter vena cava fem denali HCPCS C1880 | $9,218.67 | $9,265.00 | $1,291.20 – $2,609.30 | 18 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $914.69 | $1,318.00 | $632.64 – $1,278.46 | 18 |
| Finger X-ray (both hands) CPT 73140 | $198.33 | $262.00 | $125.76 – $254.14 | 18 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $1,268.91 | $2,070.00 | $662.40 – $1,338.60 | 18 |
| Flecainide (tambocor)-sendout CPT 80181 | $45.22 | $68.00 | $32.64 – $65.96 | 18 |
| Flow cytometry marker each additional CPT 88185 | $92.23 | $126.00 | $57.12 – $115.43 | 18 |
| Flow cytometry one marker technical component CPT 88184 | $525.58 | $718.00 | $344.64 – $696.46 | 18 |
| Flt3 gene CPT 81245 | $299.69 | $497.00 | $238.56 – $482.09 | 18 |
| Flt3 gene analysis CPT 81246 | $150.15 | $249.00 | $119.52 – $241.53 | 18 |
| Fluid pressure muscle 20950 CPT 20950 | $601.88 | $963.00 | $462.24 – $934.11 | 18 |
| Fluorescent antibody titer dna CPT 86256 | $632.77 | $837.00 | $17.76 – $35.89 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $367.90 | $486.00 | $233.28 – $471.42 | 18 |
| Fluoroguide needle placement CPT 77002 | $510.98 | $675.00 | $324.00 – $654.75 | 18 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $567.75 | $750.00 | $360.00 – $727.50 | 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.