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 |
|---|---|---|---|---|
| Creatine kinase CPT 82550 | $12.84 | $20.00 | $9.60 – $19.40 | 15 |
| Creatine kinase mb CPT 82553 | $22.47 | $35.00 | $16.80 – $33.95 | 15 |
| Creatinine CPT 82565 | $28.89 | $45.00 | $21.60 – $43.65 | 15 |
| Creatinine 24 hour urine CPT 82570 | $51.36 | $80.00 | $7.68 – $15.52 | 15 |
| Creatinine clearance urine CPT 82575 | $18.62 | $29.00 | $13.92 – $28.13 | 15 |
| #creutz-prot.,western blot CPT 84182 | $112.99 | $176.00 | $42.24 – $85.36 | 15 |
| Critical care each additional 30 minutes CPT 99292 | $576.00 | $960.00 | $240.96 – $486.94 | 15 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,152.00 | $1,920.00 | $479.04 – $968.06 | 15 |
| Cryoprecipitate each unit HCPCS P9012 | $54.29 | $89.00 | $42.72 – $86.33 | 15 |
| Cryptosporidium antigen CPT 87272 | $78.59 | $111.00 | $29.28 – $59.17 | 15 |
| Crystal identification light microscopy CPT 89060 | $14.67 | $22.00 | $10.56 – $21.34 | 15 |
| CT 3d report other modality w/workstation CPT 76377 | $748.48 | $1,223.00 | $39.36 – $79.54 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,701.54 | $2,582.00 | $92.16 – $186.24 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,205.01 | $3,346.00 | $107.52 – $217.28 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | $1,415.53 | $2,148.00 | $89.28 – $180.42 | 15 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,828.04 | $2,987.00 | $116.16 – $234.74 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,576.99 | $2,393.00 | $89.76 – $181.39 | 15 |
| CT Angiogram of the Head CPT 70496 | $1,521.13 | $2,362.00 | $86.40 – $174.60 | 15 |
| CT Angiogram of the Neck CPT 70498 | $1,671.18 | $2,595.00 | $86.40 – $174.60 | 15 |
| CT angio hrt w/3d image CPT 75574 | $1,984.10 | $3,242.00 | $116.16 – $234.74 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,349.99 | $3,566.00 | $88.32 – $178.48 | 15 |
| CT bone density axial CPT 77078 | $428.35 | $650.00 | $12.48 – $25.22 | 15 |
| CT colonography dx CPT 74261 | $1,065.49 | $1,741.00 | $118.08 – $238.62 | 15 |
| CT colonography dx w/dye CPT 74262 | $1,332.32 | $2,177.00 | $122.88 – $248.32 | 15 |
| CT guidance for needle placement CPT 77012 | $831.10 | $1,358.00 | $72.96 – $147.44 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $744.80 | $1,217.00 | $57.60 – $116.40 | 15 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $101.59 | $166.00 | $28.80 – $58.20 | 15 |
| CT hrt w/3d image CPT 75572 | $1,481.04 | $2,420.00 | $85.44 – $172.66 | 15 |
| CT limited or localized follow-up study CPT 76380 | $607.72 | $993.00 | $47.52 – $96.03 | 15 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,620.48 | $2,459.00 | $60.00 – $121.25 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,099.57 | $3,186.00 | $98.40 – $198.85 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,749.64 | $2,655.00 | $89.76 – $181.39 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,399.72 | $2,124.00 | $85.92 – $173.63 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $3,113.78 | $4,725.00 | $62.40 – $126.10 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,237.96 | $3,396.00 | $60.00 – $121.25 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $72.92 | $103.00 | $12.00 – $24.25 | 15 |
| Culture afb any source CPT 87116 | $44.60 | $63.00 | $30.24 – $61.11 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $83.54 | $118.00 | $12.00 – $24.25 | 15 |
| Culture anaerobic except blood CPT 87075 | $20.53 | $29.00 | $13.92 – $28.13 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | $44.60 | $63.00 | $13.92 – $28.13 | 15 |
| Culture body fluid CPT 87070 | $79.30 | $112.00 | $12.48 – $25.22 | 15 |
| Culture fungi definitive id mold CPT 87107 | $97.70 | $138.00 | $29.76 – $60.14 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $43.90 | $62.00 | $29.76 – $60.14 | 15 |
| Culture fungi other (except blood) CPT 87102 | $62.30 | $88.00 | $37.44 – $75.66 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $41.77 | $59.00 | $28.32 – $57.23 | 15 |
| Culture mycoplasma any source CPT 87109 | $44.60 | $63.00 | $30.24 – $61.11 | 15 |
| Culture quantitative aerobic other source CPT 87071 | $43.19 | $61.00 | $29.28 – $59.17 | 15 |
| Culture screening strep group a CPT 87081 | $46.73 | $66.00 | $9.60 – $19.40 | 15 |
| Culture typing immunologic CPT 87147 | $60.18 | $85.00 | $7.68 – $15.52 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $97.00 | $137.00 | $65.76 – $132.89 | 15 |
| Culture urine each isolate CPT 87088 | $17.70 | $25.00 | $12.00 – $24.25 | 15 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $42.37 | $66.00 | $31.68 – $64.02 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $70.98 | $60.00 | $28.80 – $58.20 | 15 |
| Cyclosporine 2 hour CPT 80158 | $37.24 | $58.00 | $26.40 – $53.35 | 15 |
| Cyp2c19 gene com variants CPT 81225 | $629.12 | $875.00 | $420.00 – $848.75 | 15 |
| Cyp2c9 gene com variants CPT 81227 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Cyp2d6 gene com variants CPT 81226 | $972.81 | $1,353.00 | $649.44 – $1,312.41 | 15 |
| Cyp3a4 gene common variants CPT 81230 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Cyp3a5 gene common variants CPT 81231 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Cystatin c CPT 82610 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Cystine urine quantitative CPT 82131 | $58.42 | $91.00 | $43.68 – $88.27 | 15 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $412.87 | $539.00 | $15.84 – $32.01 | 15 |
| Cytogenetics 25-99 CPT 88274 | $54.27 | $128.00 | $61.44 – $124.16 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $70.98 | $60.00 | $28.80 – $58.20 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $72.16 | $61.00 | $29.28 – $59.17 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $45.79 | $108.00 | $51.84 – $104.76 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $25.86 | $61.00 | $29.28 – $59.17 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $33.50 | $79.00 | $37.92 – $76.63 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $33.50 | $79.00 | $37.92 – $76.63 | 15 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $145.86 | $344.00 | $165.12 – $333.68 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $45.79 | $108.00 | $51.84 – $104.76 | 15 |
| Cytopath smear oth prep screen & interp CPT 88161 | $28.83 | $68.00 | $32.64 – $65.96 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.20 | $0.70 | $0.34 – $0.68 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $283.93 | $474.00 | $227.52 – $459.78 | 15 |
| Dch validity tests CPT 81002 | $6.98 | $11.00 | $5.28 – $10.67 | 15 |
| Deamidated gliadin antibody iga CPT 86258 | $69.80 | $59.00 | $17.76 – $35.89 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $84.00 | $107.00 | $51.36 – $103.79 | 15 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $76.07 | $127.00 | $60.96 – $123.19 | 15 |
| Debride nail1-5 11720 CPT 11720 | $18.57 | $31.00 | $14.88 – $30.07 | 15 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $344.42 | $575.00 | $276.00 – $557.75 | 15 |
| Decalcification CPT 88311 | $14.74 | $26.00 | $12.48 – $25.22 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $310.90 | $419.00 | $201.12 – $406.43 | 15 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $143.17 | $249.00 | $119.52 – $241.53 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $189.28 | $316.00 | $151.68 – $306.52 | 15 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $0.93 | $1.81 | $0.87 – $1.76 | 15 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,064.16 | $3,686.00 | $492.48 – $995.22 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $619.92 | $1,107.00 | $149.76 – $302.64 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $559.44 | $999.00 | $131.52 – $265.78 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,045.68 | $3,653.00 | $485.76 – $981.64 | 15 |
| Developmental screen/score/document 96110 CPT 96110 | $118.85 | $182.00 | $87.36 – $176.54 | 15 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $362.32 | $473.00 | $10.08 – $20.37 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $43.01 | $67.00 | $32.16 – $64.99 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $19.26 | $30.00 | $14.40 – $29.10 | 15 |
| Diab manage trn ind/group HCPCS G0109 | $21.20 | $38.00 | $18.24 – $36.86 | 15 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $60.50 | $101.00 | $48.48 – $97.97 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $217.41 | $293.00 | $140.64 – $284.21 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $297.72 | $434.00 | $49.44 – $99.91 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $197.57 | $288.00 | $40.32 – $81.48 | 15 |
| Diffusing capacity CPT 94729 | $200.57 | $411.00 | $197.28 – $398.67 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $34.03 | $53.00 | $25.44 – $51.41 | 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.