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 |
|---|---|---|---|---|
| Mayo vitamin k CPT 84597 | $54.57 | $85.00 | $40.80 – $82.45 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $50.72 | $79.00 | $37.92 – $76.63 | 15 |
| Measurement post void urine by ultrasound CPT 51798 | $75.68 | $102.00 | $48.96 – $98.94 | 15 |
| #mec-opiates CPT 80356 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $71.26 | $111.00 | $53.28 – $107.67 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $87.95 | $137.00 | $65.76 – $132.89 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $0.12 | $0.41 | $0.20 – $0.40 | 15 |
| Methotrexate therapeutic drug level CPT 80204 | $74.47 | $116.00 | $55.68 – $112.52 | 15 |
| Methylphenidate CPT 80360 | $43.01 | $67.00 | $32.16 – $64.99 | 15 |
| Microdissection laser CPT 88380 | $114.53 | $202.00 | $96.96 – $195.94 | 15 |
| Microsatellite instability CPT 81301 | $752.07 | $1,046.00 | $502.08 – $1,014.62 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $200.69 | $262.00 | $11.04 – $22.31 | 15 |
| Mlh1 gene CPT 81288 | $414.86 | $577.00 | $276.96 – $559.69 | 15 |
| Mlh1 gene full seq CPT 81292 | $1,457.41 | $2,027.00 | $972.96 – $1,966.19 | 15 |
| Mopath procedure level 3 CPT 81402 | $324.27 | $451.00 | $216.48 – $437.47 | 15 |
| Mopath procedure level 5 CPT 81404 | $593.18 | $825.00 | $396.00 – $800.25 | 15 |
| Mopath procedure level 7 CPT 81406 | $610.43 | $849.00 | $407.52 – $823.53 | 15 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $313.55 | $553.00 | $265.44 – $536.41 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $212.06 | $374.00 | $179.52 – $362.78 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $195.05 | $344.00 | $165.12 – $333.68 | 15 |
| MRA abdomen post contrast CPT 74185 | $4,051.07 | $5,015.00 | $87.84 – $177.51 | 15 |
| MRI chest without contrast CPT 71550 | $2,479.07 | $2,886.00 | $72.48 – $146.47 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,718.61 | $4,329.00 | $110.40 – $223.10 | 15 |
| MRI chest w IV cont CPT 71551 | $3,099.27 | $3,608.00 | $84.96 – $171.69 | 15 |
| MRI loex nonjt w IV cont CPT 73719 | $1,908.70 | $2,222.00 | $1,066.56 – $2,155.34 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,526.44 | $1,777.00 | $66.24 – $133.86 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,290.09 | $2,666.00 | $105.12 – $212.43 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,529.60 | $3,720.00 | $80.16 – $161.99 | 15 |
| MRI tmj CPT 70336 | $3,990.91 | $4,646.00 | $72.96 – $147.44 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,992.88 | $2,320.00 | $66.72 – $134.83 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,989.32 | $3,480.00 | $105.60 – $213.40 | 15 |
| MRI upper extremity w/dye CPT 73219 | $2,491.10 | $2,900.00 | $80.64 – $162.96 | 15 |
| Mr safety determination physician/other qhp CPT 76016 | $101.88 | $133.00 | $63.84 – $129.01 | 15 |
| Mr safety implant elec prepj CPT 76018 | $157.03 | $205.00 | $98.40 – $198.85 | 15 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $140.18 | $183.00 | $87.84 – $177.51 | 15 |
| Mr safety implt pos&/immoblj CPT 76019 | $239.76 | $313.00 | $150.24 – $303.61 | 15 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $29.11 | $38.00 | $18.24 – $36.86 | 15 |
| Mr sfty med physics xm cstmz CPT 76017 | $373.04 | $487.00 | $233.76 – $472.39 | 15 |
| Msh2 gene full seq CPT 81295 | $823.97 | $1,146.00 | $550.08 – $1,111.62 | 15 |
| Msh6 gene full seq CPT 81298 | $1,384.79 | $1,926.00 | $924.48 – $1,868.22 | 15 |
| Mthfr gene analy common variants CPT 81291 | $141.64 | $197.00 | $94.56 – $191.09 | 15 |
| Mumps antibody igg CPT 86735 | $73.35 | $62.00 | $26.88 – $54.32 | 15 |
| Mycobacteria dna amp probe CPT 87551 | $318.60 | $450.00 | $216.00 – $436.50 | 15 |
| Mycoplasma antibody igm CPT 86738 | $65.06 | $55.00 | $26.40 – $53.35 | 15 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $378.91 | $527.00 | $252.96 – $511.19 | 15 |
| Myelogphy 2/> spine regions CPT 72270 | $2,135.61 | $2,788.00 | $66.24 – $133.86 | 15 |
| Myelography l-s spine CPT 72265 | $1,684.43 | $2,199.00 | $88.80 – $179.45 | 15 |
| Myelography neck spine CPT 72240 | $1,661.45 | $2,169.00 | $99.36 – $200.79 | 15 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $86.67 | $135.00 | $16.80 – $33.95 | 15 |
| Natriuretic peptide CPT 83880 | $117.49 | $183.00 | $87.84 – $177.51 | 15 |
| Natural killer cells total count CPT 86357 | $134.86 | $114.00 | $54.72 – $110.58 | 15 |
| N block inj common digit CPT 64632 | $500.50 | $779.00 | $148.32 – $299.73 | 15 |
| N block inj hypogas plxs CPT 64517 | $1,303.68 | $2,328.00 | $274.56 – $554.84 | 15 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $51.20 | $69.00 | $33.12 – $66.93 | 15 |
| Ndl insj without njx 3+ musc CPT 20561 | $55.65 | $75.00 | $36.00 – $72.75 | 15 |
| Ndl round specialty proguide HCPCS C1715 | $316.93 | $588.00 | $79.68 – $161.02 | 15 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $238.23 | $311.00 | $9.12 – $18.43 | 15 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,927.94 | $4,443.00 | $62.40 – $126.10 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,440.28 | $3,703.00 | $60.00 – $121.25 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,951.96 | $2,962.00 | $49.44 – $99.91 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,736.87 | $2,604.00 | $112.80 – $227.95 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,447.39 | $2,170.00 | $88.32 – $178.48 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,157.91 | $1,736.00 | $73.44 – $148.41 | 15 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $360.02 | $470.00 | $11.52 – $23.28 | 15 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $495.60 | $647.00 | $13.92 – $28.13 | 15 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $584.46 | $763.00 | $15.36 – $31.04 | 15 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,302.37 | $4,593.00 | $73.92 – $149.38 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,641.61 | $3,674.00 | $59.52 – $120.28 | 15 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,591.32 | $2,471.00 | $80.16 – $161.99 | 15 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,326.00 | $2,059.00 | $68.16 – $137.74 | 15 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,060.67 | $1,647.00 | $63.36 – $128.04 | 15 |
| New Patient Office Visit (level 2) CPT 99202 | $591.53 | $557.00 | $64.80 – $130.95 | 15 |
| New Patient Office Visit (level 3) CPT 99203 | $886.77 | $835.00 | $105.60 – $213.40 | 15 |
| New Patient Office Visit (level 4) CPT 99204 | $1,065.19 | $1,003.00 | $157.92 – $319.13 | 15 |
| New Patient Office Visit (level 5) CPT 99205 | $1,427.33 | $1,344.00 | $208.32 – $420.98 | 15 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,596.00 | $2,850.00 | $174.72 – $353.08 | 15 |
| Njx interlaminar crv/thrc CPT 62324 | $617.12 | $1,102.00 | $196.80 – $397.70 | 15 |
| Njx interlaminar crv/thrc CPT 62325 | $749.28 | $1,338.00 | $239.04 – $483.06 | 15 |
| Njx interlaminar lmbr/sac CPT 62326 | $617.12 | $1,102.00 | $192.48 – $388.97 | 15 |
| Njx interlaminar lmbr/sac CPT 62327 | $749.28 | $1,338.00 | $220.32 – $445.23 | 15 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,388.90 | $1,900.00 | $47.52 – $96.03 | 15 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,305.57 | $1,786.00 | $48.48 – $97.97 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $582.61 | $797.00 | $58.08 – $117.37 | 15 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,331.88 | $1,822.00 | $51.84 – $104.76 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $967.11 | $1,323.00 | $24.00 – $48.50 | 15 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $263.50 | $344.00 | $9.12 – $18.43 | 15 |
| Npm1 gene CPT 81310 | $532.06 | $740.00 | $355.20 – $717.80 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,895.50 | $5,329.00 | $77.76 – $157.14 | 15 |
| Nudt15 gene common variants CPT 81306 | $629.12 | $875.00 | $420.00 – $848.75 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $362.32 | $654.00 | $313.92 – $634.38 | 14 |
| Observation per hour HCPCS G0378 | $61.66 | $95.00 | $45.60 – $92.15 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $379.74 | $421.00 | $58.08 – $117.37 | 15 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $175.80 | $262.00 | $125.76 – $254.14 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $175.13 | $261.00 | $125.28 – $253.17 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $169.09 | $252.00 | $120.96 – $244.44 | 15 |
| Oncoprotein dcp CPT 83951 | $124.55 | $194.00 | $93.12 – $188.18 | 15 |
| Organic acids total quant ea spec CPT 83918 | $64.84 | $101.00 | $48.48 – $97.97 | 15 |
| Oscillation chest wall mechanical per session CPT 94669 | $176.52 | $307.00 | $147.36 – $297.79 | 15 |
| Osmolality blood CPT 83930 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Osmolality urine CPT 83935 | $35.95 | $56.00 | $26.88 – $54.32 | 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.