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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $29.92 | $45.00 | $21.60 – $43.65 | 18 |
| Foot X-ray CPT 73630 | $336.11 | $444.00 | $213.12 – $430.68 | 18 |
| Foot X-ray (2 views, both feet) CPT 73620 | $234.67 | $310.00 | $148.80 – $300.70 | 18 |
| Forearm X-ray (both sides) CPT 73090 | $243.75 | $322.00 | $154.56 – $312.34 | 18 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $58.96 | $93.00 | $44.64 – $90.21 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $58.96 | $93.00 | $44.64 – $90.21 | 18 |
| Fresh frozen plasma thawing ea un CPT 86927 | $224.63 | $344.00 | $165.12 – $333.68 | 18 |
| Fructosamine glycated protein CPT 82985 | $35.25 | $53.00 | $25.44 – $51.41 | 18 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $376.99 | $498.00 | $239.04 – $483.06 | 18 |
| Gabapentin non-blood CPT 80355 | $37.24 | $56.00 | $26.88 – $54.32 | 18 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $115.04 | $173.00 | $83.04 – $167.81 | 18 |
| Galactose transferase test CPT 82776 | $23.94 | $36.00 | $17.28 – $34.92 | 18 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,369.81 | $1,892.00 | $908.16 – $1,835.24 | 18 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,875.88 | $2,591.00 | $1,243.68 – $2,513.27 | 18 |
| Gammaglobulin iga CPT 82784 | $41.90 | $63.00 | $24.96 – $50.44 | 18 |
| Gammaglobulin ige CPT 82785 | $38.57 | $58.00 | $27.84 – $56.26 | 18 |
| Gamma glutamyltransferase CPT 82977 | $41.23 | $62.00 | $10.56 – $21.34 | 18 |
| Gastroesophageal reflux study CPT 78262 | $887.62 | $1,226.00 | $588.48 – $1,189.22 | 18 |
| Gentamicin peak therapeutic drug level CPT 80170 | $33.25 | $50.00 | $24.00 – $48.50 | 18 |
| Ghs antibodies (torch) igm CPT 86694 | $33.26 | $44.00 | $21.12 – $42.68 | 18 |
| Ghs bladder cath - complex-foley CPT 51703 | $224.86 | $324.00 | $155.52 – $314.28 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $42.90 | $178.00 | $85.44 – $172.66 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $230.26 | $328.00 | $157.44 – $318.16 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $327.96 | $535.00 | $256.80 – $518.95 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $719.66 | $1,174.00 | $375.84 – $759.51 | 18 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $809.77 | $1,321.00 | $422.88 – $854.57 | 18 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $942.18 | $1,537.00 | $492.00 – $994.25 | 18 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $945.86 | $1,543.00 | $493.92 – $998.13 | 18 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $392.32 | $640.00 | $307.20 – $620.80 | 18 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $55.17 | $90.00 | $28.80 – $58.20 | 18 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $79.08 | $129.00 | $41.28 – $83.42 | 18 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $97.47 | $159.00 | $50.88 – $102.82 | 18 |
| Ghs cricothyroidotomy CPT 31605 | $429.71 | $701.00 | $336.48 – $679.97 | 18 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $47.63 | $63.00 | $30.24 – $61.11 | 18 |
| Ghs dislocation elbow closed treatment CPT 24600 | $644.88 | $1,052.00 | $336.48 – $679.97 | 18 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $702.16 | $1,072.00 | $109.92 – $222.13 | 18 |
| Ghs excision ingrown nail CPT 11765 | $117.08 | $191.00 | $91.68 – $185.27 | 18 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $218.23 | $356.00 | $113.76 – $229.89 | 18 |
| Ghs fb removal from muscle - complicated CPT 20525 | $315.08 | $514.00 | $246.72 – $498.58 | 18 |
| Ghs fb removal - non-incisional CPT 20520 | $186.96 | $305.00 | $146.40 – $295.85 | 18 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $15.88 | $21.00 | $10.08 – $20.37 | 18 |
| Ghs fish cytogen CPT 88271 | $199.10 | $272.00 | $130.56 – $263.84 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $112.73 | $154.00 | $73.92 – $149.38 | 18 |
| Ghs flow volume loop CPT 94375 | $190.66 | $288.00 | $138.24 – $279.36 | 18 |
| Ghs gastric intub aspiration lavage CPT 43753 | $28.81 | $47.00 | $22.56 – $45.59 | 18 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $180.68 | $239.00 | $114.72 – $231.83 | 18 |
| Ghs histoplasma antigen CPT 87385 | $106.70 | $152.00 | $72.96 – $147.44 | 18 |
| Ghs HIV antibody CPT 86703 | $31.75 | $42.00 | $20.16 – $40.74 | 18 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $538.21 | $878.00 | $421.44 – $851.66 | 18 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $130.57 | $213.00 | $102.24 – $206.61 | 18 |
| Ghs immun0electrophoresis CPT 86320 | $68.04 | $90.00 | $43.20 – $87.30 | 18 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $138.54 | $226.00 | $108.48 – $219.22 | 18 |
| Ghs inhibitor screen CPT 85335 | $154.58 | $225.00 | $108.00 – $218.25 | 18 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $808.93 | $1,235.00 | $395.04 – $798.31 | 18 |
| Ghs inj tendon origin/insertion CPT 20551 | $291.48 | $445.00 | $213.60 – $431.65 | 18 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,813.70 | $2,769.00 | $886.08 – $1,790.62 | 18 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,995.79 | $3,047.00 | $974.88 – $1,970.07 | 18 |
| Ghs insertion of needle - bone CPT 36680 | $295.00 | $472.00 | $226.56 – $457.84 | 18 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $307.11 | $501.00 | $240.48 – $485.97 | 18 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $361.06 | $589.00 | $282.72 – $571.33 | 18 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $421.74 | $688.00 | $330.24 – $667.36 | 18 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $196.16 | $320.00 | $153.60 – $310.40 | 18 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $193.10 | $315.00 | $151.20 – $305.55 | 18 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $186.96 | $305.00 | $146.40 – $295.85 | 18 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $215.16 | $351.00 | $168.48 – $340.47 | 18 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $254.39 | $415.00 | $199.20 – $402.55 | 18 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $250.10 | $408.00 | $195.84 – $395.76 | 18 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $274.62 | $448.00 | $215.04 – $434.56 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $261.75 | $427.00 | $204.96 – $414.19 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $281.37 | $459.00 | $220.32 – $445.23 | 18 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $383.74 | $626.00 | $300.48 – $607.22 | 18 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $17.86 | $26.00 | $12.48 – $25.22 | 18 |
| Ghs mbp CPT 83873 | $41.90 | $63.00 | $30.24 – $61.11 | 18 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $283.59 | $345.00 | $165.60 – $334.65 | 18 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $300.69 | $386.00 | $185.28 – $374.42 | 18 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $274.99 | $353.00 | $169.44 – $342.41 | 18 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $143.85 | $175.00 | $84.00 – $169.75 | 18 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $224.35 | $288.00 | $138.24 – $279.36 | 18 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,392.86 | $2,007.00 | $55.68 – $112.52 | 18 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,047.25 | $1,509.00 | $131.52 – $265.78 | 18 |
| Ghs nerve block axillary nerve CPT 64417 | $324.84 | $417.00 | $133.44 – $269.66 | 18 |
| Ghs nerve block brachial plexus CPT 64415 | $226.69 | $291.00 | $139.68 – $282.27 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $1,019.18 | $1,556.00 | $746.88 – $1,509.32 | 18 |
| Ghs nerve block interscaline CPT 64510 | $1,314.59 | $2,007.00 | $642.24 – $1,297.86 | 18 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $876.39 | $1,338.00 | $642.24 – $1,297.86 | 18 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,564.14 | $2,388.00 | $764.16 – $1,544.24 | 18 |
| Ghs nerve block suprascapular CPT 64418 | $949.10 | $1,449.00 | $463.68 – $937.02 | 18 |
| Ghs o2 uptake rest & indirect CPT 94690 | $293.93 | $444.00 | $213.12 – $430.68 | 18 |
| Ghs ot group caregiver training CPT 97552 | $46.80 | $65.00 | $31.20 – $63.05 | 18 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,165.25 | $1,779.00 | $569.28 – $1,150.42 | 18 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,902.25 | $2,741.00 | $876.96 – $1,772.19 | 18 |
| Ghs peritonsillar abscess i andd CPT 42700 | $171.03 | $279.00 | $133.92 – $270.63 | 18 |
| Ghs phenylketonurid CPT 84030 | $11.30 | $17.00 | $8.16 – $16.49 | 18 |
| Ghs picc line insert < 5 CPT 36568 | $1,340.11 | $1,931.00 | $926.88 – $1,873.07 | 18 |
| Ghs plngl fx pm cl CPT 26725 | $386.80 | $631.00 | $302.88 – $612.07 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $39.90 | $60.00 | $28.80 – $58.20 | 18 |
| Ghs protoporphyrins fract CPT 84202 | $73.82 | $111.00 | $53.28 – $107.67 | 18 |
| Ghs pr without cont pulse ox CPT 94625 | $143.40 | $239.00 | $114.72 – $231.83 | 18 |
| Ghs quinidine CPT 80194 | $39.90 | $60.00 | $28.80 – $58.20 | 18 |
| Ghs removal intranasal foreign body CPT 30300 | $143.44 | $234.00 | $112.32 – $226.98 | 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.