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 |
|---|---|---|---|---|
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $86.35 | $110.00 | $52.80 – $106.70 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $106.26 | $154.00 | $73.92 – $149.38 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $60.44 | $77.00 | $36.96 – $74.69 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $66.73 | $85.00 | $40.80 – $82.45 | 15 |
| Pulmonary vent imaging CPT 78579 | $596.50 | $816.00 | $24.00 – $48.50 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $45.36 | $72.00 | $32.64 – $65.96 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $414.78 | $559.00 | $94.08 – $190.12 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $464.24 | $829.00 | $136.80 – $276.45 | 15 |
| Pyruvate CPT 84210 | $28.25 | $44.00 | $21.12 – $42.68 | 15 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,135.97 | $1,554.00 | $40.32 – $81.48 | 15 |
| Quant diff pulm perf w/imaging CPT 78597 | $694.45 | $950.00 | $35.04 – $70.81 | 15 |
| Quest t3 uptake CPT 84479 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,005.12 | $1,375.00 | $37.92 – $76.63 | 15 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,199.57 | $1,641.00 | $787.68 – $1,591.77 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $600.15 | $821.00 | $394.08 – $796.37 | 15 |
| Range of motion measurements CPT 95852 | $60.44 | $77.00 | $36.96 – $74.69 | 15 |
| Rapid Strep Test CPT 87880 | $35.40 | $50.00 | $24.00 – $48.50 | 15 |
| Rbc count only automated CPT 85041 | $40.13 | $63.00 | $29.76 – $60.14 | 15 |
| Rbc serum pretx incubj drugs CPT 86975 | $946.40 | $800.00 | $384.00 – $776.00 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $179.34 | $294.00 | $141.12 – $285.18 | 15 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $213.50 | $350.00 | $168.00 – $339.50 | 15 |
| Removal cerumen impacted (both sides) CPT 69210 | $41.93 | $70.00 | $33.60 – $67.90 | 15 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $136.62 | $198.00 | $95.04 – $192.06 | 15 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $188.70 | $300.00 | $96.00 – $194.00 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $249.78 | $417.00 | $84.00 – $169.75 | 15 |
| Removal sutr and stapl no anes CPT 15854 | $132.00 | $220.00 | $105.60 – $213.40 | 15 |
| Removal sutr or stapl no anes CPT 15853 | $99.00 | $165.00 | $12.00 – $24.25 | 15 |
| Remove esophagus obstruction CPT 74235 | $201.46 | $263.00 | $58.56 – $118.34 | 15 |
| Remove hip foreign body 27086 CPT 27086 | $312.68 | $522.00 | $167.04 – $337.56 | 15 |
| Renal function panel CPT 80069 | $100.15 | $156.00 | $74.88 – $151.32 | 15 |
| Repair blood vessel direct hand finger CPT 35207 | $1,411.24 | $2,356.00 | $754.08 – $1,523.87 | 15 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $324.66 | $542.00 | $260.16 – $525.74 | 15 |
| Repair extns tendon finger without grft ea CPT 26418 | $736.77 | $1,230.00 | $590.40 – $1,193.10 | 15 |
| Repair finger/hand tendon CPT 26350 | $900.30 | $1,503.00 | $721.44 – $1,457.91 | 15 |
| Repair lac palate<2 cm CPT 42180 | $228.82 | $382.00 | $183.36 – $370.54 | 15 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $259.97 | $434.00 | $208.32 – $420.98 | 15 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $380.36 | $635.00 | $304.80 – $615.95 | 15 |
| Resp virus 6-11 targets CPT 87632 | $463.74 | $655.00 | $314.40 – $635.35 | 15 |
| Resuscitation delivery/birthing room CPT 99465 | $797.29 | $987.00 | $473.76 – $957.39 | 15 |
| Reticulated platelet assay CPT 85055 | $68.80 | $108.00 | $51.84 – $104.76 | 15 |
| Reticulocyte direct measurement automated CPT 85046 | $10.83 | $17.00 | $8.16 – $16.49 | 15 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,446.08 | $4,368.00 | $426.24 – $861.36 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $65.06 | $55.00 | $8.64 – $17.46 | 15 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $341.64 | $446.00 | $13.44 – $27.16 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $429.73 | $561.00 | $16.32 – $32.98 | 15 |
| Rib X-ray (3 views, both sides) CPT 71110 | $350.06 | $457.00 | $14.88 – $30.07 | 15 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $175.51 | $293.00 | $140.64 – $284.21 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.03 | $0.11 | $0.05 – $0.11 | 15 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $635.24 | $869.00 | $417.12 – $842.93 | 15 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,081.36 | $1,931.00 | $926.88 – $1,873.07 | 15 |
| Rsv assay w/optic CPT 87807 | $28.32 | $40.00 | $19.20 – $38.80 | 15 |
| Rubella antibody igg CPT 86762 | $66.25 | $56.00 | $26.88 – $54.32 | 15 |
| Rubeola antibody igg CPT 86765 | $70.98 | $60.00 | $26.88 – $54.32 | 15 |
| Russell viper venom diluted CPT 85613 | $38.22 | $60.00 | $28.80 – $58.20 | 15 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,978.69 | $2,752.00 | $1,320.96 – $2,669.44 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $402.92 | $526.00 | $11.52 – $23.28 | 15 |
| Salmonella antibody CPT 86768 | $86.36 | $73.00 | $35.04 – $70.81 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $910.10 | $1,302.00 | $22.08 – $44.62 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $675.23 | $966.00 | $24.00 – $48.50 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $751.42 | $1,075.00 | $24.48 – $49.47 | 15 |
| Screening Mammogram CPT 77067 | $286.10 | $341.00 | $37.92 – $76.63 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $18,239.16 | $24,094.00 | $33.60 – $67.90 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $867.72 | $962.00 | $31.20 – $63.05 | 15 |
| Sedimentation rate erythrocyte automated CPT 85652 | $5.73 | $9.00 | $4.32 – $8.73 | 15 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $76.14 | $97.00 | $46.56 – $94.09 | 15 |
| Semen analysis presence/motility CPT 89321 | $24.68 | $37.00 | $17.76 – $35.89 | 15 |
| Semen analysis w/count CPT 89310 | $17.34 | $26.00 | $12.48 – $25.22 | 15 |
| Sept9 promoter methylation analysis CPT 81327 | $414.14 | $576.00 | $276.48 – $558.72 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $58.10 | $97.00 | $46.56 – $94.09 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $106.20 | $177.00 | $84.96 – $171.69 | 15 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $288.78 | $377.00 | $9.60 – $19.40 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $205.29 | $268.00 | $9.12 – $18.43 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,447.29 | $2,849.00 | $105.60 – $213.40 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $2,039.27 | $2,374.00 | $80.64 – $162.96 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $1,631.24 | $1,899.00 | $67.68 – $136.77 | 15 |
| Shoulder X-ray CPT 73030 | $340.10 | $444.00 | $9.60 – $19.40 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $246.65 | $322.00 | $7.68 – $15.52 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $389.13 | $508.00 | $243.84 – $492.76 | 15 |
| Sickling rbc CPT 85660 | $35.67 | $56.00 | $26.88 – $54.32 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,372.50 | $3,684.00 | $62.40 – $126.10 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $1,977.08 | $3,070.00 | $55.68 – $112.52 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,581.66 | $2,456.00 | $42.72 – $86.33 | 15 |
| Sinus X-ray (complete) CPT 70220 | $333.21 | $435.00 | $11.52 – $23.28 | 15 |
| Sinus X-ray (limited) CPT 70210 | $212.18 | $277.00 | $9.12 – $18.43 | 15 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $98.87 | $154.00 | $73.92 – $149.38 | 15 |
| Skull X-ray (1 to 3 views) CPT 70250 | $314.83 | $411.00 | $10.08 – $20.37 | 15 |
| Slco1b1 gene com variants CPT 81328 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $3,954.13 | $4,895.00 | $2,349.60 – $4,748.15 | 15 |
| Sleep study unattended CPT 95806 | $521.16 | $581.00 | $278.88 – $563.57 | 15 |
| Slp eval non-spch gen comm dev CPT 92605 | $114.04 | $221.00 | $106.08 – $214.37 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $461.90 | $603.00 | $40.32 – $81.48 | 15 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $48.14 | $68.00 | $27.36 – $55.29 | 15 |
| Smear gram stain CPT 87205 | $9.20 | $13.00 | $6.24 – $12.61 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $203.20 | $287.00 | $8.64 – $17.46 | 15 |
| Smear wet mount CPT 87210 | $37.52 | $53.00 | $25.44 – $51.41 | 15 |
| Sodium 24 hour urine CPT 84300 | $46.22 | $72.00 | $7.68 – $15.52 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $19.90 | $31.00 | $14.88 – $30.07 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $261.20 | $400.00 | $192.00 – $388.00 | 15 |
| Speech Therapy Session (one-on-one) CPT 92507 | $126.03 | $193.00 | $92.64 – $187.21 | 15 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $613.20 | $1,095.00 | $197.76 – $399.64 | 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.