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 |
|---|---|---|---|---|
| Knee MRI (with contrast) CPT 73722 | $2,566.69 | $2,988.00 | $80.64 – $162.96 | 15 |
| Knee MRI (without contrast) CPT 73721 | $2,053.01 | $2,390.00 | $66.72 – $134.83 | 15 |
| Knee X-ray CPT 73564 | $448.11 | $585.00 | $11.52 – $23.28 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $241.29 | $315.00 | $8.64 – $17.46 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $294.14 | $384.00 | $9.60 – $19.40 | 15 |
| Kras gene addl variants CPT 81276 | $417.02 | $580.00 | $278.40 – $562.60 | 15 |
| Kras gene variants exon 2 CPT 81275 | $417.02 | $580.00 | $278.40 – $562.60 | 15 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $59.60 | $86.00 | $41.28 – $83.42 | 15 |
| Lactate dehydrogenase (ldh) CPT 83615 | $36.59 | $57.00 | $9.12 – $18.43 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $1.46 | $5.15 | $2.47 – $5.00 | 15 |
| Lactic acid CPT 83605 | $82.82 | $129.00 | $42.24 – $85.36 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $62.92 | $98.00 | $35.04 – $70.81 | 15 |
| Lactoferrin fecal quant CPT 83631 | $130.97 | $204.00 | $97.92 – $197.88 | 15 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $908.21 | $1,224.00 | $100.80 – $203.70 | 15 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $197.67 | $330.00 | $158.40 – $320.10 | 15 |
| Lead capillary CPT 83655 | $50.72 | $79.00 | $17.76 – $35.89 | 15 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,040.12 | $2,695.00 | $1,293.60 – $2,614.15 | 15 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,040.11 | $1,488.00 | $38.88 – $78.57 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,350.29 | $2,049.00 | $57.12 – $115.43 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,080.10 | $1,639.00 | $49.44 – $99.91 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,199.48 | $1,716.00 | $34.08 – $68.87 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $40.45 | $63.00 | $30.24 – $61.11 | 15 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3,036,889.74 | $3,759,504.00 | $1,804,561.92 – $3,646,718.88 | 15 |
| Lipase CPT 83690 | $37.24 | $58.00 | $10.08 – $20.37 | 15 |
| Lipoprotein blood quant CPT 83704 | $66.13 | $103.00 | $49.44 – $99.91 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $41.09 | $64.00 | $30.72 – $62.08 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $60.35 | $94.00 | $15.36 – $31.04 | 15 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $66.13 | $103.00 | $49.44 – $99.91 | 15 |
| Lithium therapeutic drug level CPT 80178 | $33.38 | $52.00 | $24.96 – $50.44 | 15 |
| Liver Function Test CPT 80076 | $69.34 | $108.00 | $51.84 – $104.76 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,055.56 | $1,444.00 | $693.12 – $1,400.68 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $500.74 | $685.00 | $26.88 – $54.32 | 15 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.81 | $2.24 | $1.08 – $2.17 | 15 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $361.79 | $549.00 | $52.32 – $105.73 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,090.05 | $4,689.00 | $62.40 – $126.10 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,575.37 | $3,908.00 | $60.00 – $121.25 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,060.03 | $3,126.00 | $49.44 – $99.91 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,736.87 | $2,604.00 | $112.80 – $227.95 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,447.39 | $2,170.00 | $87.84 – $177.51 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,157.91 | $1,736.00 | $73.44 – $148.41 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $287.25 | $375.00 | $11.52 – $23.28 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $642.67 | $839.00 | $12.96 – $26.19 | 15 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $203.76 | $266.00 | $8.16 – $16.49 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | $207.00 | $300.00 | $144.00 – $291.00 | 15 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $286.46 | $587.00 | $281.76 – $569.39 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $224.97 | $461.00 | $221.28 – $447.17 | 15 |
| Lung perfusion imaging CPT 78580 | $841.38 | $1,151.00 | $36.00 – $72.75 | 15 |
| Lymphatics/lymph node imaging CPT 78195 | $1,239.05 | $1,695.00 | $813.60 – $1,644.15 | 15 |
| Magnesium CPT 83735 | $56.50 | $88.00 | $24.96 – $50.44 | 15 |
| Marker biop eviva buckle ss HCPCS A4648 | $449.66 | $594.00 | $150.24 – $303.61 | 15 |
| Mastoids complete CPT 70130 | $251.25 | $328.00 | $17.28 – $34.92 | 15 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $83.35 | $110.10 | $52.85 – $106.80 | 15 |
| M.avium-intra dna amp prob CPT 87561 | $191.16 | $270.00 | $129.60 – $261.90 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $40.45 | $63.00 | $30.24 – $61.11 | 15 |
| Mayo aathr protein s free CPT 85306 | $42.04 | $66.00 | $28.80 – $58.20 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $42.04 | $66.00 | $31.68 – $64.02 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $101.44 | $158.00 | $52.80 – $106.70 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $86.03 | $134.00 | $29.28 – $59.17 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $36.59 | $57.00 | $27.36 – $55.29 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $77.68 | $121.00 | $58.08 – $117.37 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $37.88 | $59.00 | $19.68 – $39.77 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $39.80 | $62.00 | $28.32 – $57.23 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $44.94 | $70.00 | $26.88 – $54.32 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $262.44 | $365.00 | $175.20 – $354.05 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $197.72 | $275.00 | $132.00 – $266.75 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,502.12 | $3,480.00 | $1,670.40 – $3,375.60 | 15 |
| Mayo androstenedione CPT 82157 | $56.50 | $88.00 | $42.24 – $85.36 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $39.16 | $61.00 | $29.28 – $59.17 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $43.95 | $69.00 | $33.12 – $66.93 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $65.06 | $55.00 | $26.40 – $53.35 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $104.47 | $164.00 | $78.72 – $159.08 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $101.44 | $158.00 | $26.88 – $54.32 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $73.35 | $62.00 | $29.76 – $60.14 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $312.76 | $435.00 | $208.80 – $421.95 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $463.04 | $644.00 | $309.12 – $624.68 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $92.27 | $78.00 | $37.44 – $75.66 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $82.81 | $70.00 | $33.60 – $67.90 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $79.26 | $67.00 | $32.16 – $64.99 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $46.22 | $72.00 | $19.68 – $39.77 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $53.93 | $84.00 | $26.88 – $54.32 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $73.83 | $115.00 | $24.48 – $49.47 | 15 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $110.02 | $93.00 | $44.64 – $90.21 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $263.87 | $367.00 | $176.16 – $355.99 | 15 |
| Mayo ceruloplasmin CPT 82390 | $34.03 | $53.00 | $25.44 – $51.41 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $44.94 | $70.00 | $33.60 – $67.90 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $120.67 | $102.00 | $31.20 – $63.05 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $95.82 | $81.00 | $29.28 – $59.17 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $72.16 | $61.00 | $29.28 – $59.17 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $148.40 | $350.00 | $168.00 – $339.50 | 15 |
| Mayo chromium CPT 82495 | $39.16 | $61.00 | $29.28 – $59.17 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $95.66 | $149.00 | $26.88 – $54.32 | 15 |
| Mayo coccidioides antibody CPT 86635 | $78.08 | $66.00 | $26.40 – $53.35 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $583.58 | $909.00 | $35.04 – $70.81 | 15 |
| Mayo cortisol free CPT 82530 | $35.31 | $55.00 | $26.40 – $53.35 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $150.24 | $127.00 | $60.96 – $123.19 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $67.43 | $57.00 | $27.36 – $55.29 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $47.32 | $40.00 | $19.20 – $38.80 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $48.79 | $76.00 | $36.48 – $73.72 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $56.50 | $88.00 | $42.24 – $85.36 | 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.