Washakie Medical Center
400 S 15th Street, Worland, WY · Banner Health · · NPI 1255368593
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $56.50 | $88.00 | $42.24 – $85.36 | 15 |
| 17-hydroxypregnenolone CPT 84143 | $44.30 | $69.00 | $33.12 – $66.93 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $446.49 | $495.00 | $10.08 – $20.37 | 15 |
| 5' nucleotidase - sendout CPT 83915 | $63.56 | $99.00 | $47.52 – $96.03 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $27.56 | $65.00 | $31.20 – $63.05 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $83.99 | $71.00 | $34.08 – $68.87 | 15 |
| Abd aorta w/runoff s&i CPT 75630 | $1,391.82 | $1,723.00 | $96.00 – $194.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $942.95 | $1,349.00 | $56.64 – $114.46 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $556.40 | $796.00 | $39.36 – $79.54 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,347.65 | $2,045.00 | $69.12 – $139.68 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,122.94 | $1,704.00 | $62.88 – $127.07 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $898.22 | $1,363.00 | $58.56 – $118.34 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,102.58 | $4,776.00 | $107.52 – $217.28 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,418.82 | $3,980.00 | $85.44 – $172.66 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,735.06 | $3,184.00 | $72.48 – $146.47 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $920.82 | $1,241.00 | $108.00 – $218.25 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,077.89 | $1,195.00 | $40.32 – $81.48 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $803.68 | $891.00 | $28.80 – $58.20 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $311.76 | $407.00 | $11.52 – $23.28 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $377.64 | $493.00 | $15.84 – $32.01 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $172.35 | $225.00 | $9.12 – $18.43 | 15 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $626.25 | $844.00 | $74.40 – $150.35 | 15 |
| Abl1 gene CPT 81170 | $647.10 | $900.00 | $432.00 – $873.00 | 15 |
| Ablation of upper extremity nerves rf CPT 64999 | $580.16 | $1,036.00 | $218.40 – $441.35 | 15 |
| Acetylcholine receptor modulating antibody CPT 86043 | $92.27 | $78.00 | $37.44 – $75.66 | 15 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $21.76 | $39.00 | $18.72 – $37.83 | 15 |
| Acute hepatitis panel CPT 80074 | $161.14 | $251.00 | $120.48 – $243.47 | 15 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.11 | $5.80 | $0.05 – $0.11 | 15 |
| #acylcarnitineprfl CPT 82017 | $73.83 | $115.00 | $55.20 – $111.55 | 15 |
| Adding walker to prev cast CPT 29440 | $53.91 | $90.00 | $28.80 – $58.20 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | $72.16 | $61.00 | $29.28 – $59.17 | 15 |
| Adh-sendout CPT 84588 | $65.48 | $102.00 | $48.96 – $98.94 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $33.79 | $88.00 | $42.24 – $85.36 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $76.80 | $200.00 | $96.00 – $194.00 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $156.29 | $407.00 | $195.36 – $394.79 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $226.00 | $391.00 | $187.68 – $379.27 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $106.93 | $185.00 | $88.80 – $179.45 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $286.11 | $495.00 | $237.60 – $480.15 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $15.06 | $60.00 | $28.80 – $58.20 | 15 |
| Administration vaccine hepatitis b HCPCS G0010 | $27.11 | $108.00 | $46.14 – $104.76 | 15 |
| Administration vaccine influenza virus HCPCS G0008 | $27.11 | $108.00 | $46.14 – $104.76 | 15 |
| Administration vaccine pneumococcal HCPCS G0009 | $27.11 | $108.00 | $46.14 – $104.76 | 15 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $245.68 | $347.00 | $166.56 – $336.59 | 15 |
| Albumin body fluid quantitative each specimen CPT 82042 | $37.24 | $58.00 | $11.52 – $23.28 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $40.45 | $63.00 | $18.72 – $37.83 | 15 |
| Alkaline phosphatase CPT 84075 | $36.59 | $57.00 | $23.52 – $47.53 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $94.64 | $80.00 | $38.40 – $77.60 | 15 |
| Allergen egg white ige CPT 86003 | $66.25 | $56.00 | $26.40 – $53.35 | 15 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $69.80 | $59.00 | $26.88 – $54.32 | 15 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $6,456.45 | $8,529.00 | $83.57 – $168.88 | 15 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $95.46 | $126.10 | $60.53 – $122.32 | 15 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $506.36 | $668.90 | $270.43 – $546.50 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $10,518.51 | $13,895.00 | $1,293.60 – $2,614.15 | 15 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $124.55 | $194.00 | $93.12 – $188.18 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $32.74 | $51.00 | $24.48 – $49.47 | 15 |
| Alt/sgpt CPT 84460 | $37.88 | $59.00 | $24.00 – $48.50 | 15 |
| Aluminum - quest CPT 82108 | $49.43 | $77.00 | $36.96 – $74.69 | 15 |
| Amantadine (symmetrel)-sendout CPT 80375 | $208.01 | $324.00 | $70.56 – $142.59 | 15 |
| Aminolevulinic acid delta CPT 82135 | $48.15 | $75.00 | $36.00 – $72.75 | 15 |
| Amitriptyline (elavil) -sendout CPT 80335 | $43.66 | $68.00 | $29.76 – $60.14 | 15 |
| Ammonia CPT 82140 | $73.83 | $115.00 | $21.12 – $42.68 | 15 |
| Amphetamine confirm urine -sendout CPT 80324 | $53.29 | $83.00 | $26.88 – $54.32 | 15 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $567.29 | $789.00 | $378.72 – $765.33 | 15 |
| Amputate metacarpal bone 26910 CPT 26910 | $914.07 | $1,526.00 | $732.48 – $1,480.22 | 15 |
| Amylase CPT 82150 | $218.92 | $341.00 | $9.60 – $19.40 | 15 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $98.87 | $154.00 | $64.80 – $130.95 | 15 |
| Analysis gene f2 20210g>a variant CPT 81240 | $142.36 | $198.00 | $95.04 – $192.06 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $158.90 | $221.00 | $106.08 – $214.37 | 15 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $133.81 | $189.00 | $90.72 – $183.33 | 15 |
| Anca screen with reflex to titer -quest CPT 86021 | $65.06 | $55.00 | $25.92 – $52.38 | 15 |
| An fluoro guide for cvp CPT 77001 | $509.39 | $665.00 | $18.72 – $37.83 | 15 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $4,247.76 | $5,258.50 | $0.29 – $0.58 | 15 |
| Ankle X-ray CPT 73610 | $360.79 | $471.00 | $9.12 – $18.43 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $202.99 | $265.00 | $8.64 – $17.46 | 15 |
| Anodyne therapy charges pt CPT 97026 | $34.54 | $44.00 | $21.12 – $42.68 | 15 |
| Anoscopy remove fb 46608 CPT 46608 | $106.02 | $177.00 | $84.96 – $171.69 | 15 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $181.00 | $153.00 | $73.44 – $148.41 | 15 |
| Antibody elution rbc reference CPT 86860 | $406.95 | $344.00 | $165.12 – $333.68 | 15 |
| Antibody htlv/hiv confirm test CPT 86689 | $595.05 | $503.00 | $226.56 – $457.84 | 15 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $282.74 | $239.00 | $26.88 – $54.32 | 15 |
| Antibody id rbc panel CPT 86870 | $478.91 | $718.00 | $344.64 – $696.46 | 15 |
| Antibody influenza virus CPT 86710 | $80.44 | $68.00 | $32.64 – $65.96 | 15 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $73.35 | $62.00 | $29.76 – $60.14 | 15 |
| Antibody screen rbc CPT 86850 | $72.04 | $108.00 | $51.84 – $104.76 | 15 |
| Antibody tetanus CPT 86774 | $74.53 | $63.00 | $30.24 – $61.11 | 15 |
| Anti mog serum - sendout CPT 86362 | $990.17 | $837.00 | $41.28 – $83.42 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $63.88 | $54.00 | $25.92 – $52.38 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $73.35 | $62.00 | $29.76 – $60.14 | 15 |
| Antinuclear antibodies CPT 86038 | $62.70 | $53.00 | $25.44 – $51.41 | 15 |
| Antinuclear antibodies titer CPT 86039 | $136.05 | $115.00 | $28.32 – $57.23 | 15 |
| Antiphosphatidylserine antibody CPT 86148 | $67.43 | $57.00 | $27.36 – $55.29 | 15 |
| Antistreptolysin o titer CPT 86060 | $67.43 | $57.00 | $27.36 – $55.29 | 15 |
| Antithrombin iii activity CPT 85300 | $40.13 | $63.00 | $30.24 – $61.11 | 15 |
| Apl(pml-rara) quant - sendout CPT 81315 | $447.22 | $622.00 | $298.56 – $603.34 | 15 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $104.62 | $141.00 | $67.68 – $136.77 | 15 |
| Application finger splntstatic 29130 CPT 29130 | $55.71 | $93.00 | $29.76 – $60.14 | 15 |
| Application long leg splint 29505 CPT 29505 | $94.04 | $157.00 | $50.40 – $101.85 | 15 |
| Application lower leg splint 29515 CPT 29515 | $92.25 | $154.00 | $49.44 – $99.91 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $246.33 | $357.00 | $114.24 – $230.86 | 15 |
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.