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 |
|---|---|---|---|---|
| Ghs respiratory syncytical virus igg/m CPT 86756 | $54.43 | $72.00 | $34.56 – $69.84 | 18 |
| Ghs reticulocyte count CPT 85044 | $8.93 | $13.00 | $6.24 – $12.61 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $29.48 | $42.00 | $20.16 – $40.74 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $16.15 | $23.00 | $11.04 – $22.31 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $124.44 | $203.00 | $97.44 – $196.91 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $152.02 | $248.00 | $119.04 – $240.56 | 18 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $97.47 | $159.00 | $76.32 – $154.23 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $95.63 | $156.00 | $74.88 – $151.32 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $123.21 | $201.00 | $96.48 – $194.97 | 18 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $187.58 | $306.00 | $146.88 – $296.82 | 18 |
| Ghs sleep study unattended CPT 95800 | $571.25 | $625.00 | $300.00 – $606.25 | 18 |
| Ghs sphenopalatine ganglion block CPT 64505 | $508.28 | $776.00 | $248.16 – $501.49 | 18 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $348.80 | $569.00 | $273.12 – $551.93 | 18 |
| Ghs urine, porphyrins quant CPT 84120 | $41.23 | $62.00 | $29.76 – $60.14 | 18 |
| Ghs vaginal delivery only CPT 59409 | $1,041.49 | $1,699.00 | $815.52 – $1,648.03 | 18 |
| Giardia ag if CPT 87269 | $42.82 | $61.00 | $29.28 – $59.17 | 18 |
| Giardia lamblia antibody CPT 86674 | $50.65 | $67.00 | $32.16 – $64.99 | 18 |
| Gi inhouse confirmation CPT 87045 | $44.23 | $63.00 | $13.92 – $28.13 | 18 |
| Glucagon plasma - sendout CPT 82943 | $44.56 | $67.00 | $32.16 – $64.99 | 18 |
| Glucose 1 hr post dose CPT 82950 | $9.98 | $15.00 | $7.20 – $14.55 | 18 |
| Glucose body fluid CPT 82945 | $37.24 | $56.00 | $5.76 – $11.64 | 18 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $25.94 | $39.00 | $18.72 – $37.83 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $7.98 | $12.00 | $5.76 – $11.64 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $38.57 | $58.00 | $26.88 – $54.32 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $38.57 | $58.00 | $27.36 – $55.29 | 18 |
| Graft axiofill 1000mg HCPCS J3590 | $40.29 | $47.20 | $3.24 – $6.56 | 18 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $47,943.08 | $48,184.00 | $1,293.60 – $2,614.15 | 18 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $54,480.23 | $54,754.00 | $285.12 – $576.18 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $45,764.03 | $45,994.00 | $150.24 – $303.61 | 18 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,346.14 | $5,373.00 | $408.00 – $824.50 | 18 |
| Ground mileage HCPCS A0425 | $17.58 | $27.00 | $1.30 – $2.62 | 18 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $10,171.14 | $13,895.00 | $79.68 – $161.02 | 18 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,218.60 | $4,397.00 | $150.24 – $303.61 | 18 |
| Gw stiffened micro access kit HCPCS C1894 | $5,765.23 | $7,876.00 | $46.08 – $93.12 | 18 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $109.44 | $152.00 | $72.96 – $147.44 | 18 |
| Hand X-ray CPT 73130 | $269.49 | $356.00 | $170.88 – $345.32 | 18 |
| Hand X-ray (2 views, both hands) CPT 73120 | $173.35 | $229.00 | $109.92 – $222.13 | 18 |
| Haptoglobin quantitative CPT 83010 | $39.24 | $59.00 | $25.44 – $51.41 | 18 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,085.40 | $1,800.00 | $864.00 – $1,746.00 | 18 |
| Hcg qualitative CPT 84703 | $15.30 | $23.00 | $11.04 – $22.31 | 18 |
| Hcg quantitative CPT 84702 | $44.56 | $67.00 | $22.08 – $44.62 | 18 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $78.26 | $109.00 | $52.32 – $105.73 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $1,450.61 | $2,249.00 | $1,079.52 – $2,181.53 | 18 |
| Head CT scan (with contrast) CPT 70460 | $1,208.73 | $1,874.00 | $899.52 – $1,817.78 | 18 |
| Head CT scan (without contrast) CPT 70450 | $966.86 | $1,499.00 | $719.52 – $1,454.03 | 18 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $177.14 | $234.00 | $112.32 – $226.98 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | $58.97 | $78.00 | $37.44 – $75.66 | 18 |
| Hematocrit CPT 85014 | $47.40 | $69.00 | $3.84 – $7.76 | 18 |
| Hemoglobin CPT 85018 | $41.22 | $60.00 | $3.84 – $7.76 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $39.24 | $59.00 | $28.32 – $57.23 | 18 |
| Hemophilus influenza antibdy CPT 86684 | $46.87 | $62.00 | $29.76 – $60.14 | 18 |
| Heparin assay CPT 85520 | $44.66 | $65.00 | $31.20 – $63.05 | 18 |
| Hepatitis a antibody igm CPT 86709 | $65.02 | $86.00 | $41.28 – $83.42 | 18 |
| Hepatitis b core antibody igm CPT 86705 | $72.58 | $96.00 | $46.08 – $93.12 | 18 |
| Hepatitis b core antibody total CPT 86704 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Hepatitis b surface antibody CPT 86706 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Hepatitis c antibody CPT 86803 | $71.82 | $95.00 | $45.60 – $92.15 | 18 |
| Herpes simplex 1 ag if CPT 87274 | $42.12 | $60.00 | $28.80 – $58.20 | 18 |
| Herpes simplex 2 ag if CPT 87273 | $42.12 | $60.00 | $28.80 – $58.20 | 18 |
| Herpes simplex type 1 antibody igg CPT 86695 | $40.07 | $53.00 | $19.20 – $38.80 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $44.60 | $59.00 | $28.32 – $57.23 | 18 |
| Herpes simplex virus isolation CPT 87255 | $71.60 | $102.00 | $48.96 – $98.94 | 18 |
| Heterophile antibodies screening CPT 86308 | $12.10 | $16.00 | $7.68 – $15.52 | 18 |
| Hhv-6 dna quant CPT 87533 | $88.45 | $126.00 | $60.48 – $122.22 | 18 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $206.66 | $273.00 | $131.04 – $264.81 | 18 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $336.86 | $445.00 | $213.60 – $431.65 | 18 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $167.30 | $221.00 | $106.08 – $214.37 | 18 |
| Hip X-ray CPT 73502 | $314.16 | $415.00 | $199.20 – $402.55 | 18 |
| Histamine CPT 83088 | $59.19 | $89.00 | $42.72 – $86.33 | 18 |
| Hla i & ii type verify lr CPT 81371 | $732.04 | $1,214.00 | $582.72 – $1,177.58 | 18 |
| Hla ii typing 1 loc hr CPT 81382 | $224.32 | $372.00 | $178.56 – $360.84 | 18 |
| Hla i low res one antigen equiv ea CPT 81374 | $134.47 | $223.00 | $107.04 – $216.31 | 18 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $307.53 | $510.00 | $244.80 – $494.70 | 18 |
| Hla i typing low res one locus ea CPT 81373 | $230.95 | $383.00 | $183.84 – $371.51 | 18 |
| Homocysteine CPT 83090 | $38.57 | $58.00 | $27.84 – $56.26 | 18 |
| Homogenization tissue CPT 87176 | $36.50 | $52.00 | $24.96 – $50.44 | 18 |
| Homovanillic acid (hva) CPT 83150 | $45.22 | $68.00 | $32.64 – $65.96 | 18 |
| H pylori (c-13) breath CPT 83013 | $135.00 | $203.00 | $97.44 – $196.91 | 18 |
| Htt gene detc abnor alleles CPT 81271 | $247.83 | $411.00 | $197.28 – $398.67 | 18 |
| Human epididymis protein 4 (he4) CPT 86305 | $73.33 | $97.00 | $46.56 – $94.09 | 18 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $27.31 | $73.80 | $35.42 – $71.59 | 18 |
| Hysterosalpingography s&i CPT 74740 | $400.45 | $529.00 | $253.92 – $513.13 | 18 |
| Iaadi respiratory synctial virus CPT 87280 | $42.12 | $60.00 | $28.80 – $58.20 | 18 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $74.41 | $106.00 | $50.88 – $102.82 | 18 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $102.82 | $136.00 | $65.28 – $131.92 | 18 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $560.28 | $914.00 | $438.72 – $886.58 | 18 |
| Ifnl3 gene CPT 81283 | $133.26 | $221.00 | $106.08 – $214.37 | 18 |
| Igh gene rearrange amp meth CPT 81261 | $358.18 | $594.00 | $285.12 – $576.18 | 18 |
| Igh@ var region somatic mutation analy CPT 81263 | $533.05 | $884.00 | $424.32 – $857.48 | 18 |
| Igk rearrangeabn clonal pop CPT 81264 | $312.96 | $519.00 | $249.12 – $503.43 | 18 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $109.46 | $137.00 | $65.76 – $132.89 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $573.68 | $718.00 | $344.64 – $696.46 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $274.86 | $344.00 | $165.12 – $333.68 | 18 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $47.63 | $63.00 | $30.24 – $61.11 | 18 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $47.63 | $63.00 | $30.24 – $61.11 | 18 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $42.34 | $56.00 | $26.88 – $54.32 | 18 |
| Immunodiffusion nes CPT 86329 | $41.58 | $55.00 | $26.40 – $53.35 | 18 |
| Immunofixation electrophoresis serum CPT 86334 | $107.35 | $142.00 | $32.64 – $65.96 | 18 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $151.01 | $189.00 | $90.72 – $183.33 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $274.86 | $344.00 | $165.12 – $333.68 | 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.