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 |
|---|---|---|---|---|
| Oth resp proc, group HCPCS G0239 | $123.05 | $214.00 | $102.72 – $207.58 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $39.67 | $69.00 | $33.12 – $66.93 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $102.84 | $131.00 | $62.88 – $127.07 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $150.98 | $225.00 | $108.00 – $218.25 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $73.01 | $93.00 | $44.64 – $90.21 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $77.72 | $99.00 | $47.52 – $96.03 | 15 |
| Parathormone (pth) intact CPT 83970 | $79.61 | $124.00 | $59.52 – $120.28 | 15 |
| Parathyroid planar imaging CPT 78070 | $841.38 | $1,151.00 | $38.40 – $77.60 | 15 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,949.02 | $4,475.00 | $60.00 – $121.25 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,457.41 | $3,729.00 | $57.12 – $115.43 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,965.80 | $2,983.00 | $53.76 – $108.64 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,663.76 | $3,101.00 | $107.52 – $217.28 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $2,219.66 | $2,584.00 | $85.44 – $172.66 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $1,775.55 | $2,067.00 | $72.48 – $146.47 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $942.59 | $1,045.00 | $34.08 – $68.87 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $690.93 | $766.00 | $24.48 – $49.47 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $189.20 | $247.00 | $9.12 – $18.43 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $283.42 | $370.00 | $12.48 – $25.22 | 15 |
| Pericardiocentesis wwo imaging CPT 33016 | $996.60 | $1,661.00 | $237.60 – $480.15 | 15 |
| Perineoplasty rpr per nonob CPT 56810 | $334.24 | $558.00 | $267.84 – $541.26 | 15 |
| Perq dev breast 1st strtctc CPT 19283 | $863.69 | $1,164.00 | $101.76 – $205.64 | 15 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $102,788.49 | $135,784.00 | $150.24 – $303.61 | 15 |
| Ph body fluid CPT 83986 | $66.77 | $104.00 | $24.48 – $49.47 | 15 |
| Phencyclidine (pcp) CPT 83992 | $43.01 | $67.00 | $26.88 – $54.32 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $37.88 | $59.00 | $25.92 – $52.38 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $34.67 | $54.00 | $25.92 – $52.38 | 15 |
| Phlebotomy therapeutic CPT 99195 | $145.46 | $257.00 | $123.36 – $249.29 | 15 |
| Phosphorus CPT 84100 | $30.17 | $47.00 | $22.56 – $45.59 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $47.51 | $74.00 | $8.64 – $17.46 | 15 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $161.65 | $262.00 | $125.76 – $254.14 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $161.04 | $261.00 | $125.28 – $253.17 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $155.48 | $252.00 | $120.96 – $244.44 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $138.82 | $225.00 | $108.00 – $218.25 | 15 |
| Pik3ca gene trgt seq alys CPT 81309 | $593.18 | $825.00 | $396.00 – $800.25 | 15 |
| Pinworm exam CPT 87172 | $9.20 | $13.00 | $6.24 – $12.61 | 15 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,262.14 | $1,701.00 | $100.80 – $203.70 | 15 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $373.97 | $504.00 | $50.88 – $102.82 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $966.08 | $1,302.00 | $86.40 – $174.60 | 15 |
| Platelet automated CPT 85049 | $8.92 | $14.00 | $6.72 – $13.58 | 15 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $445.91 | $731.00 | $350.88 – $709.07 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $480.07 | $787.00 | $377.76 – $763.39 | 15 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,068.72 | $1,752.00 | $840.96 – $1,699.44 | 15 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $467.46 | $630.00 | $51.84 – $104.76 | 15 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $484.53 | $653.00 | $43.68 – $88.27 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $229.36 | $470.00 | $225.60 – $455.90 | 15 |
| Pmp22 gene dup/delet CPT 81324 | $1,636.44 | $2,276.00 | $1,092.48 – $2,207.72 | 15 |
| Pms2 gene full seq analysis CPT 81317 | $1,459.57 | $2,030.00 | $974.40 – $1,969.10 | 15 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $50.72 | $79.00 | $37.92 – $76.63 | 15 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,138.31 | $5,123.00 | $2,459.04 – $4,969.31 | 15 |
| Potassium 24 hour urine CPT 84133 | $44.94 | $70.00 | $26.40 – $53.35 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $52.64 | $82.00 | $18.72 – $37.83 | 15 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,762.32 | $3,147.00 | $1,510.56 – $3,052.59 | 15 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,255.84 | $5,814.00 | $2,790.72 – $5,639.58 | 15 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,065.44 | $5,474.00 | $2,627.52 – $5,309.78 | 15 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $828.42 | $1,383.00 | $663.84 – $1,341.51 | 15 |
| Pr application of long arm splint CPT 29105 | $79.07 | $132.00 | $42.24 – $85.36 | 15 |
| Pr application splint static short arm CPT 29125 | $73.68 | $123.00 | $39.36 – $79.54 | 15 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $120.69 | $149.00 | $71.52 – $144.53 | 15 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $176.58 | $218.00 | $104.64 – $211.46 | 15 |
| Prealbumin CPT 84134 | $34.67 | $54.00 | $25.92 – $52.38 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $949.81 | $1,053.00 | $48.96 – $98.94 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $805.49 | $893.00 | $48.96 – $98.94 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $481.67 | $534.00 | $32.16 – $64.99 | 15 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $406.95 | $344.00 | $165.12 – $333.68 | 15 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $100.05 | $150.00 | $72.00 – $145.50 | 15 |
| Pretreat rbc w enzyme reference CPT 86971 | $229.45 | $344.00 | $165.12 – $333.68 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $126.39 | $211.00 | $101.28 – $204.67 | 15 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $334.53 | $413.00 | $198.24 – $400.61 | 15 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $227.61 | $281.00 | $134.88 – $272.57 | 15 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $168.48 | $208.00 | $99.84 – $201.76 | 15 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $172.53 | $213.00 | $102.24 – $206.61 | 15 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $119.88 | $148.00 | $71.04 – $143.56 | 15 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $65.61 | $81.00 | $38.88 – $78.57 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $225.82 | $377.00 | $180.96 – $365.69 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $124.59 | $208.00 | $99.84 – $201.76 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $148.55 | $248.00 | $119.04 – $240.56 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $127.59 | $213.00 | $102.24 – $206.61 | 15 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $376.81 | $490.00 | $26.88 – $54.32 | 15 |
| Procalcitonin CPT 84145 | $90.52 | $141.00 | $67.68 – $136.77 | 15 |
| Progesterone CPT 84144 | $40.45 | $63.00 | $30.24 – $61.11 | 15 |
| Prolactin CPT 84146 | $37.88 | $59.00 | $28.32 – $57.23 | 15 |
| _propoxygc/msur CPT 80367 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Protein c activity CPT 85303 | $26.75 | $42.00 | $20.16 – $40.74 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $36.59 | $57.00 | $27.36 – $55.29 | 15 |
| Protein s total CPT 85305 | $36.95 | $58.00 | $27.84 – $56.26 | 15 |
| Protein total 24 hour urine CPT 84156 | $37.88 | $59.00 | $5.76 – $11.64 | 15 |
| Protein total body fluid CPT 84157 | $35.95 | $56.00 | $5.76 – $11.64 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $36.95 | $58.00 | $27.84 – $56.26 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $88.05 | $147.00 | $47.04 – $95.06 | 15 |
| Pr removal intrauterine device CPT 58301 | $84.46 | $141.00 | $67.68 – $136.77 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $236.60 | $395.00 | $189.60 – $383.15 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $70.68 | $118.00 | $56.64 – $114.46 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $74.88 | $125.00 | $60.00 – $121.25 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $56.31 | $94.00 | $45.12 – $91.18 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $74.88 | $125.00 | $60.00 – $121.25 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $295.91 | $494.00 | $158.40 – $320.10 | 15 |
| PSA (Prostate) Test CPT 84153 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $46.32 | $59.00 | $28.32 – $57.23 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $116.18 | $148.00 | $71.04 – $143.56 | 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.