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 |
|---|---|---|---|---|
| Disability dlco CPT 94727 | $201.06 | $412.00 | $197.76 – $399.64 | 15 |
| Disaccharidases CPT 82657 | $232.40 | $362.00 | $53.76 – $108.64 | 15 |
| Dna antibody native/double stranded CPT 86225 | $73.35 | $62.00 | $20.16 – $40.74 | 15 |
| Doppler echo complete CPT 93320 | $478.02 | $679.00 | $18.24 – $36.86 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $473.22 | $677.00 | $12.48 – $25.22 | 15 |
| Dpyd gene common variants CPT 81232 | $377.47 | $525.00 | $252.00 – $509.25 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $153.94 | $257.00 | $123.36 – $249.29 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $225.22 | $376.00 | $120.48 – $243.47 | 15 |
| Drainage mouth roof lesion CPT 42000 | $129.38 | $216.00 | $103.68 – $209.52 | 15 |
| Drainage of arm bursa 23931 CPT 23931 | $289.92 | $484.00 | $155.04 – $313.31 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $38.93 | $65.00 | $31.20 – $63.05 | 15 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $279.97 | $404.00 | $90.72 – $183.33 | 15 |
| Drain finger abscess;simple 26010 CPT 26010 | $171.91 | $287.00 | $137.76 – $278.39 | 15 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $137.77 | $230.00 | $110.40 – $223.10 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $67.69 | $113.00 | $54.24 – $109.61 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $166.52 | $278.00 | $133.44 – $269.66 | 15 |
| Drng of scrotum abscess 55100 CPT 55100 | $207.85 | $347.00 | $166.56 – $336.59 | 15 |
| Drug assay caffeine CPT 80155 | $74.47 | $116.00 | $55.68 – $112.52 | 15 |
| Drug assay posaconazole CPT 80187 | $75.76 | $118.00 | $56.64 – $114.46 | 15 |
| Drug assay voriconazole CPT 80285 | $81.53 | $127.00 | $60.96 – $123.19 | 15 |
| Drug of abuse screen urine CPT 80305 | $24.40 | $38.00 | $18.24 – $36.86 | 15 |
| Drug screening tapentadol CPT 80372 | $35.95 | $56.00 | $26.88 – $54.32 | 15 |
| Drug test prsmv instrmnt CPT 80306 | $33.38 | $52.00 | $24.96 – $50.44 | 15 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $288.26 | $449.00 | $89.76 – $181.39 | 15 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,794.96 | $4,991.00 | $322.56 – $651.84 | 15 |
| Ductogram sgl duct CPT 77053 | $315.59 | $412.00 | $17.76 – $35.89 | 15 |
| Dxa bone density axl vrt fx CPT 77085 | $388.36 | $507.00 | $14.88 – $30.07 | 15 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $114.14 | $174.00 | $83.52 – $168.78 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | $564.19 | $653.00 | $313.44 – $633.41 | 15 |
| Ecg external < 48 hours recording CPT 93225 | $362.88 | $420.00 | $201.60 – $407.40 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $541.73 | $627.00 | $300.96 – $608.19 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $468.29 | $542.00 | $260.16 – $525.74 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $352.51 | $408.00 | $195.84 – $395.76 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,083.84 | $2,960.00 | $72.48 – $146.47 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $470.98 | $669.00 | $25.44 – $51.41 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $377.34 | $536.00 | $3.36 – $6.79 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,604.80 | $3,700.00 | $1,776.00 – $3,589.00 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $325.25 | $462.00 | $7.68 – $15.52 | 15 |
| Echo exam uterus 76831- CPT 76831 | $562.85 | $624.00 | $35.52 – $71.78 | 15 |
| Echo stress CPT 93350 | $907.46 | $1,289.00 | $70.08 – $141.62 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $663.17 | $942.00 | $44.64 – $90.21 | 15 |
| E equine encephalitis igg CPT 86652 | $76.90 | $65.00 | $31.20 – $63.05 | 15 |
| Egfr gene com variants CPT 81235 | $700.31 | $974.00 | $467.52 – $944.78 | 15 |
| EKG (Tracing Only) CPT 93005 | $216.48 | $330.00 | $158.40 – $320.10 | 15 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $298.74 | $390.00 | $8.64 – $17.46 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $368.45 | $481.00 | $9.12 – $18.43 | 15 |
| Elect analysis of infusion pump 62367 CPT 62367 | $253.12 | $452.00 | $216.96 – $438.44 | 15 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $107.54 | $137.00 | $65.76 – $132.89 | 15 |
| Electrical stimulation/unattended 97014 CPT 97014 | $86.35 | $110.00 | $52.80 – $106.70 | 15 |
| Electrolyte panel CPT 80051 | $50.08 | $78.00 | $37.44 – $75.66 | 15 |
| Electron microscopy diagnostic CPT 88348 | $915.14 | $1,614.00 | $774.72 – $1,565.58 | 15 |
| Encephalitis, california igg/igm CPT 86651 | $76.90 | $65.00 | $31.20 – $63.05 | 15 |
| Encephalitis, st louis igg/igm CPT 86653 | $76.90 | $65.00 | $31.20 – $63.05 | 15 |
| Encephalitis, western equine igg/igm CPT 86654 | $76.90 | $65.00 | $31.20 – $63.05 | 15 |
| Enzyme histochemistry CPT 88319 | $915.14 | $1,614.00 | $774.72 – $1,565.58 | 15 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,330.56 | $2,376.00 | $114.72 – $231.83 | 15 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $21.49 | $26.60 | $0.40 – $0.81 | 15 |
| Epstein barr early antigen antibody CPT 86663 | $65.06 | $55.00 | $26.40 – $53.35 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $63.88 | $54.00 | $22.08 – $44.62 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $73.35 | $62.00 | $26.40 – $53.35 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $342.80 | $190.00 | $48.96 – $98.94 | 15 |
| ER Visit (level 2) CPT 99282 | $437.25 | $350.00 | $94.08 – $190.12 | 15 |
| ER Visit (level 3) CPT 99283 | $918.48 | $615.00 | $140.64 – $284.21 | 15 |
| ER Visit (level 4) CPT 99284 | $2,390.17 | $1,005.00 | $257.76 – $520.89 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $3,861.52 | $1,460.00 | $374.40 – $756.60 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $0.33 | $0.65 | $0.31 – $0.63 | 15 |
| Established Patient Office Visit (level 1) CPT 99211 | $162.15 | $150.00 | $50.40 – $101.85 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $301.61 | $284.00 | $86.40 – $174.60 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $591.53 | $557.00 | $103.20 – $208.55 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $909.07 | $856.00 | $121.44 – $245.41 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,282.90 | $1,208.00 | $170.40 – $344.35 | 15 |
| Estradiol total CPT 82670 | $53.93 | $84.00 | $40.32 – $81.48 | 15 |
| Estrogens total-sendout CPT 82672 | $42.37 | $66.00 | $31.68 – $64.02 | 15 |
| Ethylene glycol -sendout CPT 82693 | $52.00 | $81.00 | $38.88 – $78.57 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $189.39 | $295.00 | $141.60 – $286.15 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $218.76 | $335.00 | $160.80 – $324.95 | 15 |
| Event monitor CPT 93270 | $354.24 | $410.00 | $196.80 – $397.70 | 15 |
| Evoked oa emissions ltd CPT 92587 | $194.68 | $241.00 | $115.68 – $233.77 | 15 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $183.29 | $306.00 | $146.88 – $296.82 | 15 |
| Exchange drainage catheter CPT 49423 | $734.58 | $990.00 | $71.04 – $143.56 | 15 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $240.20 | $401.00 | $128.64 – $259.96 | 15 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $139.57 | $233.00 | $111.84 – $226.01 | 15 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $433.08 | $723.00 | $347.04 – $701.31 | 15 |
| Explore wound neck 20100 CPT 20100 | $1,133.31 | $1,892.00 | $605.28 – $1,223.17 | 15 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $514.94 | $596.00 | $286.08 – $578.12 | 15 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $534.82 | $619.00 | $297.12 – $600.43 | 15 |
| External chromosome analysis 20-25 cells CPT 88264 | $184.02 | $434.00 | $208.32 – $420.98 | 15 |
| External newborn metabolic screening panel HCPCS S3620 | $104.72 | $157.00 | $75.36 – $152.29 | 15 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $183.17 | $432.00 | $207.36 – $419.04 | 15 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $153.79 | $130.00 | $26.40 – $53.35 | 15 |
| Eye Socket (Orbit) X-ray CPT 70200 | $398.32 | $520.00 | $13.92 – $28.13 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,362.19 | $3,668.00 | $62.40 – $126.10 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,968.71 | $3,057.00 | $55.68 – $112.52 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,574.58 | $2,445.00 | $62.88 – $127.07 | 15 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,035.52 | $4,464.00 | $105.12 – $212.43 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,023.68 | $2,976.00 | $66.24 – $133.86 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $300.27 | $392.00 | $10.08 – $20.37 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $350.83 | $458.00 | $13.44 – $27.16 | 15 |
| Factor ix CPT 85250 | $50.32 | $79.00 | $36.00 – $72.75 | 15 |
| Factor viii CPT 85240 | $42.04 | $66.00 | $31.68 – $64.02 | 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.