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 |
|---|---|---|---|---|
| Spine X-ray (single view, one level) CPT 72020 | $252.78 | $330.00 | $8.16 – $16.49 | 15 |
| Sputum specimen collection CPT 89220 | $229.45 | $344.00 | $165.12 – $333.68 | 15 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $248.14 | $380.00 | $182.40 – $368.60 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $167.17 | $256.00 | $122.88 – $248.32 | 15 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $11,607.84 | $15,334.00 | $285.12 – $576.18 | 15 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,697.95 | $4,885.00 | $285.12 – $576.18 | 15 |
| St evaluate speech sound production CPT 92522 | $182.19 | $279.00 | $133.92 – $270.63 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $162.54 | $315.00 | $151.20 – $305.55 | 15 |
| Stimulants synthetic CPT 80371 | $102.72 | $160.00 | $76.80 – $155.20 | 15 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,570.19 | $2,148.00 | $38.40 – $77.60 | 15 |
| Strep b dna amp probe CPT 87653 | $75.05 | $106.00 | $50.88 – $102.82 | 15 |
| Stress test pulmonary CPT 94618 | $282.06 | $578.00 | $277.44 – $560.66 | 15 |
| Str markers specimen anal CPT 81265 | $1,026.01 | $1,427.00 | $336.00 – $679.00 | 15 |
| Sulfonylurea screen qn-sendout CPT 80377 | $114.28 | $178.00 | $85.44 – $172.66 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $28.35 | $50.00 | $24.00 – $48.50 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $44.79 | $79.00 | $37.92 – $76.63 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $61.24 | $108.00 | $51.84 – $104.76 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $61.24 | $108.00 | $51.84 – $104.76 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $407.11 | $718.00 | $344.64 – $696.46 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $915.14 | $1,614.00 | $774.72 – $1,565.58 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $46.73 | $66.00 | $31.68 – $64.02 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $39.65 | $56.00 | $26.88 – $54.32 | 15 |
| Susceptibility mic per plate CPT 87186 | $133.40 | $200.00 | $12.48 – $25.22 | 15 |
| Suscept studies macrobroth dilution ea CPT 87188 | $41.06 | $58.00 | $27.84 – $56.26 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $120.23 | $233.00 | $111.84 – $226.01 | 15 |
| Swallowing Therapy Session CPT 92526 | $139.09 | $213.00 | $102.24 – $206.61 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $61.52 | $52.00 | $24.96 – $50.44 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $45.58 | $71.00 | $25.92 – $52.38 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $27.61 | $43.00 | $20.64 – $41.71 | 15 |
| T4 (thyroxine) free CPT 84439 | $42.37 | $66.00 | $13.44 – $27.16 | 15 |
| T4 (thyroxine) total CPT 84436 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $41.09 | $64.00 | $27.36 – $55.29 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $243.59 | $318.00 | $9.12 – $18.43 | 15 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $18.10 | $35.15 | $16.87 – $34.10 | 15 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,722.00 | $2,395.00 | $1,093.92 – $2,210.63 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,297.72 | $8,759.00 | $4,204.32 – $8,496.23 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $354.90 | $300.00 | $144.00 – $291.00 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $220.04 | $186.00 | $89.28 – $180.42 | 15 |
| Tc-99m maa HCPCS A9540 | $130.13 | $178.50 | $85.68 – $173.15 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $142.96 | $196.10 | $94.13 – $190.22 | 15 |
| Tc-99m medronate HCPCS A9503 | $258.28 | $354.30 | $170.06 – $343.67 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $463.13 | $635.30 | $304.94 – $616.24 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $281.69 | $386.40 | $185.47 – $374.81 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $202.59 | $277.90 | $133.39 – $269.56 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $185.02 | $253.80 | $121.82 – $246.19 | 15 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $166.80 | $141.00 | $67.68 – $136.77 | 15 |
| T cells absolute cd 4 count CPT 86361 | $131.31 | $111.00 | $53.28 – $107.67 | 15 |
| T cells total count CPT 86359 | $134.86 | $114.00 | $54.72 – $110.58 | 15 |
| Team conf without pat by hc pro CPT 99368 | $102.05 | $130.00 | $62.40 – $126.10 | 15 |
| Team conf without pat by phys CPT 99367 | $131.88 | $233.00 | $111.84 – $226.01 | 15 |
| Team conf w/pat by hc prof CPT 99366 | $135.80 | $173.00 | $83.04 – $167.81 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $672.52 | $920.00 | $35.04 – $70.81 | 15 |
| Test stress cardiovascular tracing only CPT 93017 | $1,207.83 | $1,630.00 | $782.40 – $1,581.10 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $27.61 | $43.00 | $20.64 – $41.71 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $74.58 | $95.00 | $45.60 – $92.15 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $99.70 | $127.00 | $60.96 – $123.19 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.34 | $49.00 | $23.52 – $47.53 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $25.67 | $46.00 | $22.08 – $44.62 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $211.42 | $276.00 | $9.12 – $18.43 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,293.31 | $1,743.00 | $111.84 – $226.01 | 15 |
| Thoracotomy w/expl CPT 32100 | $1,011.71 | $1,689.00 | $810.72 – $1,638.33 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,027.06 | $2,773.00 | $49.92 – $100.88 | 15 |
| Thrombin time CPT 85670 | $35.67 | $56.00 | $26.88 – $54.32 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $65.61 | $103.00 | $49.44 – $99.91 | 15 |
| Thyroglobulin antibody CPT 86800 | $113.57 | $96.00 | $27.36 – $55.29 | 15 |
| Thyroid imaging CPT 78013 | $710.53 | $972.00 | $17.76 – $35.89 | 15 |
| Thyroid (TSH) Test CPT 84443 | $71.26 | $111.00 | $53.28 – $107.67 | 15 |
| Thyroid Ultrasound CPT 76536 | $839.76 | $931.00 | $27.84 – $56.26 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $152.22 | $215.00 | $30.72 – $62.08 | 15 |
| Tissue transglutaminase iga CPT 86364 | $69.80 | $59.00 | $16.80 – $33.95 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $31.46 | $49.00 | $23.52 – $47.53 | 15 |
| Toe X-ray (both feet) CPT 73660 | $196.86 | $257.00 | $6.72 – $13.58 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $45.82 | $62.00 | $26.88 – $54.32 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $45.82 | $62.00 | $23.52 – $47.53 | 15 |
| Total tau CPT 84394 | $289.54 | $451.00 | $216.48 – $437.47 | 15 |
| Toxoplasma antibody igg CPT 86777 | $74.53 | $63.00 | $28.80 – $58.20 | 15 |
| Toxoplasma antibody igm CPT 86778 | $70.98 | $60.00 | $21.12 – $42.68 | 15 |
| Tpmt gene com vrnts CPT 81335 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $75.89 | $136.00 | $65.28 – $131.92 | 15 |
| Transferrin CPT 84466 | $25.04 | $39.00 | $18.72 – $37.83 | 15 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $736.93 | $817.00 | $34.08 – $68.87 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $621.48 | $689.00 | $36.96 – $74.69 | 15 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,355.21 | $3,965.00 | $1,267.20 – $2,560.80 | 15 |
| Treat elbow dislocation CPT 24605 | $884.72 | $1,477.00 | $472.80 – $955.45 | 15 |
| Treat finger fracture each CPT 26742 | $416.90 | $696.00 | $334.08 – $675.12 | 15 |
| Treat foot dislocation CPT 28600 | $229.42 | $383.00 | $183.84 – $371.51 | 15 |
| Treat fracture of radius CPT 25505 | $857.17 | $1,431.00 | $457.92 – $925.38 | 15 |
| Treat fracture of ulna CPT 25535 | $845.79 | $1,412.00 | $452.16 – $913.74 | 15 |
| Treat hip dislocation CPT 27252 | $1,415.44 | $2,363.00 | $756.00 – $1,527.75 | 15 |
| Treat hip socket fracture CPT 27222 | $1,824.55 | $3,046.00 | $974.88 – $1,970.07 | 15 |
| Treat humerus fracture CPT 24535 | $1,060.23 | $1,770.00 | $566.40 – $1,144.60 | 15 |
| Treat kneecap dislocation CPT 27562 | $908.68 | $1,517.00 | $485.76 – $981.64 | 15 |
| Treat knee dislocation CPT 27552 | $1,176.44 | $1,964.00 | $628.80 – $1,270.70 | 15 |
| Treat knee fracture 27530 CPT 27530 | $528.92 | $883.00 | $282.72 – $571.33 | 15 |
| Treat lower leg dislocation CPT 27830 | $667.29 | $1,114.00 | $356.64 – $720.71 | 15 |
| Treat lower leg dislocation CPT 27831 | $754.74 | $1,260.00 | $403.20 – $814.80 | 15 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $380.36 | $635.00 | $304.80 – $615.95 | 15 |
| Treatment of ankle fracture 27786 CPT 27786 | $535.51 | $894.00 | $286.08 – $578.12 | 15 |
| Treatment of fibula fracture 27780 CPT 27780 | $524.12 | $875.00 | $280.32 – $566.48 | 15 |
| Treatment of heel fracture 28400 CPT 28400 | $425.29 | $710.00 | $227.04 – $458.81 | 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.