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 |
|---|---|---|---|---|
| Closed tx humerus fx with manip 23605 CPT 23605 | $795.47 | $1,328.00 | $424.80 – $858.45 | 15 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $578.63 | $966.00 | $309.12 – $624.68 | 15 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $839.20 | $1,401.00 | $448.32 – $905.98 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $138.37 | $231.00 | $110.88 – $224.07 | 15 |
| Closed tx septal&nose fx CPT 21337 | $364.19 | $608.00 | $291.84 – $589.76 | 15 |
| Clos txnose fx without stablz 21315 CPT 21315 | $186.89 | $312.00 | $149.76 – $302.64 | 15 |
| Clot factor xii hageman CPT 85280 | $48.41 | $76.00 | $36.48 – $73.72 | 15 |
| Clot factor xiii fibrin scrn CPT 85291 | $17.84 | $28.00 | $13.44 – $27.16 | 15 |
| Clot factor xiii fibrin stab CPT 85290 | $62.43 | $98.00 | $47.04 – $95.06 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $542.69 | $906.00 | $289.92 – $585.88 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $564.26 | $942.00 | $301.44 – $609.16 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $383.96 | $641.00 | $307.68 – $621.77 | 15 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $623.56 | $1,041.00 | $333.12 – $673.18 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $418.70 | $699.00 | $223.68 – $452.02 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $231.81 | $387.00 | $185.76 – $375.39 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $720.00 | $1,202.00 | $384.96 – $777.94 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $146.76 | $245.00 | $78.72 – $159.08 | 15 |
| Clsd tx fracture of radius 25500 CPT 25500 | $470.21 | $785.00 | $251.52 – $508.28 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $230.61 | $385.00 | $123.36 – $249.29 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $176.70 | $295.00 | $141.60 – $286.15 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $587.62 | $981.00 | $313.92 – $634.38 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $955.40 | $1,595.00 | $510.72 – $1,032.08 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $474.41 | $792.00 | $253.44 – $512.16 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $867.95 | $1,449.00 | $463.68 – $937.02 | 15 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $756.54 | $1,263.00 | $404.16 – $816.74 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $646.32 | $1,079.00 | $345.12 – $697.43 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $613.98 | $1,025.00 | $327.84 – $662.51 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $430.68 | $719.00 | $345.12 – $697.43 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $348.62 | $582.00 | $279.36 – $564.54 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $365.39 | $610.00 | $292.80 – $591.70 | 15 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $282.13 | $471.00 | $226.08 – $456.87 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $253.38 | $423.00 | $203.04 – $410.31 | 15 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $603.79 | $1,008.00 | $322.56 – $651.84 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $640.93 | $1,070.00 | $342.72 – $692.58 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $554.07 | $925.00 | $296.16 – $598.49 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $230.02 | $384.00 | $184.32 – $372.48 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $451.65 | $754.00 | $241.44 – $487.91 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $744.56 | $1,243.00 | $397.92 – $804.13 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $446.85 | $746.00 | $239.04 – $483.06 | 15 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $740.36 | $1,236.00 | $395.52 – $799.28 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $755.34 | $1,261.00 | $403.68 – $815.77 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $59.90 | $100.00 | $32.16 – $64.99 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $113.81 | $190.00 | $91.20 – $184.30 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $542.69 | $906.00 | $289.92 – $585.88 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $813.44 | $1,358.00 | $434.88 – $878.82 | 15 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $351.61 | $587.00 | $281.76 – $569.39 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $523.53 | $874.00 | $279.84 – $565.51 | 15 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $564.26 | $942.00 | $301.44 – $609.16 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $494.77 | $826.00 | $264.48 – $534.47 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $943.42 | $1,575.00 | $504.00 – $1,018.50 | 15 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $624.76 | $1,043.00 | $500.64 – $1,011.71 | 15 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $703.23 | $1,174.00 | $375.84 – $759.51 | 15 |
| #cmvcul-virus inoculation shell CPT 87254 | $75.05 | $106.00 | $30.72 – $62.08 | 15 |
| Cmv pcr-sendout CPT 87496 | $75.05 | $106.00 | $50.88 – $102.82 | 15 |
| Cold agglutinin screen (arc) CPT 86156 | $29.58 | $25.00 | $12.00 – $24.25 | 15 |
| Cold agglutinin titer CPT 86157 | $68.61 | $58.00 | $27.84 – $56.26 | 15 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $271.16 | $354.00 | $8.64 – $17.46 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $170.80 | $305.00 | $146.40 – $295.85 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $120.96 | $216.00 | $103.68 – $209.52 | 15 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $229.45 | $344.00 | $165.12 – $333.68 | 15 |
| Compatibility test each unit electronic CPT 86923 | $229.45 | $344.00 | $165.12 – $333.68 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $229.45 | $344.00 | $165.12 – $333.68 | 15 |
| Complement antigen each component c3 CPT 86160 | $345.44 | $292.00 | $17.28 – $34.92 | 15 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $289.32 | $483.00 | $231.84 – $468.51 | 15 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $309.08 | $516.00 | $247.68 – $500.52 | 15 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $349.82 | $584.00 | $280.32 – $566.48 | 15 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $421.70 | $704.00 | $337.92 – $682.88 | 15 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $174.31 | $291.00 | $139.68 – $282.27 | 15 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $304.89 | $509.00 | $244.32 – $493.73 | 15 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $380.96 | $636.00 | $305.28 – $616.92 | 15 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $159.93 | $267.00 | $128.16 – $258.99 | 15 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $104.83 | $175.00 | $84.00 – $169.75 | 15 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $251.58 | $420.00 | $201.60 – $407.40 | 15 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $91.05 | $152.00 | $72.96 – $147.44 | 15 |
| Concentration infection agents any type CPT 87015 | $90.62 | $128.00 | $10.08 – $20.37 | 15 |
| Condylomata destruction 56420 CPT 56420 | $128.78 | $215.00 | $103.20 – $208.55 | 15 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $684.34 | $1,614.00 | $774.72 – $1,565.58 | 15 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $37.42 | $66.00 | $31.68 – $64.02 | 15 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $195.05 | $344.00 | $165.12 – $333.68 | 15 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $67.47 | $119.00 | $57.12 – $115.43 | 15 |
| Contrast baths charges CPT 97034 | $47.89 | $61.00 | $29.28 – $59.17 | 15 |
| Contrast x-ray of hip CPT 73525 | $781.13 | $967.00 | $29.28 – $59.17 | 15 |
| Contrast x-ray of knee joint CPT 73580 | $450.75 | $558.00 | $28.80 – $58.20 | 15 |
| Contrast x-ray of wrist CPT 73115 | $552.53 | $684.00 | $27.84 – $56.26 | 15 |
| Controller infinity pt dbs HCPCS C1787 | $3,697.95 | $4,885.00 | $2,344.80 – $4,738.45 | 15 |
| Control nosebleed pack+caut 30905 CPT 30905 | $132.98 | $222.00 | $106.56 – $215.34 | 15 |
| Control of nosebleed ant comp 30903 CPT 30903 | $147.95 | $247.00 | $79.20 – $160.05 | 15 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $106.62 | $178.00 | $57.12 – $115.43 | 15 |
| Coombs direct CPT 86880 | $141.96 | $120.00 | $57.60 – $116.40 | 15 |
| Core ndl bx lng/med perq CPT 32408 | $1,745.93 | $2,353.00 | $1,129.44 – $2,282.41 | 15 |
| Cortisol total am CPT 82533 | $207.37 | $323.00 | $27.84 – $56.26 | 15 |
| Co-treatment - group 15 mins, st CPT 92508 | $60.58 | $75.00 | $36.00 – $72.75 | 15 |
| #covid19rsv-rsv CPT 87634 | $149.39 | $211.00 | $101.28 – $204.67 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $62.70 | $53.00 | $19.20 – $38.80 | 15 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $508.87 | $885.00 | $424.80 – $858.45 | 15 |
| C-peptide CPT 84681 | $40.45 | $63.00 | $30.24 – $61.11 | 15 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $521.40 | $869.00 | $408.96 – $826.44 | 15 |
| C-reactive protein CPT 86140 | $85.18 | $72.00 | $34.56 – $69.84 | 15 |
| C-reactive protein high sensitivity CPT 86141 | $67.43 | $57.00 | $27.36 – $55.29 | 15 |
| C-reactive protein, quantitative CPT 86406 | $95.82 | $81.00 | $28.32 – $57.23 | 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.