Procedures & surgery prices at Community Hospital, Torrington (Banner Health)

Torrington, WY · every code in this section with a posted price and a Medicare benchmark.

230 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $479.14 $733 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $326.39 $499.50 0.4×
Amniocentesis diagnostic (59000) $720.90 $1,068 0.8×
Amniocentesis therapeutic (59001) $943.65 $1,398 3.0×
Amputation Finger/Thumb (26951) $741.29 $1,383 0.2×
Anoscopy diagnostic (46600) $45.56 $85 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $167.31 $238 1.0×
Application cast elbow finger short arm (29075) $68.61 $128 0.2×
Application Cast Hand & Lower Forearm Gauntlet (29085) $74.50 $139 0.4×
Application cast shoulder hand long arm (29065) $75.58 $141 0.3×
Application finger splint static (29130) $33.23 $62 0.2×
Application long arm splint shoulder hand (29105) $47.17 $88 0.3×
Application long leg splint thigh ankle/toes (29505) $56.28 $105 0.3×
Application of long leg cast (29345) $111.49 $208 0.4×
Application Of Rigid Total Contact Leg Cast (29445) $563.81 $802 2.0×
Application short arm splint forearm-hand static (29125) $43.95 $82 0.3×
Application short leg splint calf foot (29515) $55.21 $103 0.3×
Apply short leg cast (29405) $65.39 $122 0.2×
Apply short leg cast (29425) $61.64 $115 0.2×
Arterial puncture (36600) $47.86 $70 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $245.32 $390 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $482.26 $816 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $733.05 $1,086 2.3×
Aspir/inj thyroid cyst (60300) $596.03 $883 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $61.10 $114 0.3×
Biopsy muscle percutaneous needle (20206) $1,588.28 $2,353 0.9×
Biopsy Salivary Gland,Needle (42400) $1,092.15 $1,618 1.5×
Bladder Irrigation Simple (51700) $216.77 $358 0.8×
Blood patch (62273) $441 $740.50 0.6×
Blood transfusion service (36430) $771.18 $1,415 1.7×
Bone Marrow Biopsy (38221) $813.38 $1,205 0.5×
Bx abdl/retroperitoneal mass prq needle (49180) $829.58 $1,229 0.5×
Bx breast 1st lesion us imag (19083) $1,757.70 $2,604 1.0×
Bx/exc lymph node needle superficial (38505) $1,588.28 $2,353 0.9×
Change Cystostomy Tube Simple (51705) $241.65 $358 0.9×
Chest tube placement (32551) $176.88 $330 0.1×
Chg Collect Blood From Catheter Venous Nos (36592) $127.66 $216 0.9×
Cholecystostomy,Percutaneous, Complete (47490) $3,194.78 $4,733 0.9×
Circumcision (54150) $386.10 $538 0.2×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $500.62 $934 0.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $517.78 $966 0.3×
Closed tx ankle dislocation w/o anesthesia (27840) $419.69 $783 1.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $472.22 $881 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $382.70 $714 1.5×
Closed tx radial head/neck fx w/manipulation (24655) $444.34 $829 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $511.34 $954 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $35.91 $67 0.1×
Clsd tx clavicular fracture w/manipulation (23505) $371.98 $694 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $450.78 $841 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $323.74 $604 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $549.40 $1,025 0.3×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $385.92 $720 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $429.87 $802 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $304.98 $569 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $570.30 $1,064 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $158.12 $295 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $551.54 $1,029 0.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $206.36 $385 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $286.76 $535 1.1×
Cltx metacarpal fx w/manipulation each bone (26605) $326.96 $610 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $426.66 $796 0.3×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $343.04 $640 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $338.22 $631 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $451.31 $842 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $87.90 $164 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $632.48 $1,180 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $485.62 $906 0.3×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $577.80 $856 2.7×
Control Nasal Hemorrhage Anterior Complex (30903) $88.44 $165 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $63.78 $119 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,588.28 $2,353 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $118.99 $222 0.9×
Declot vascular device (36593) $265.23 $419 0.8×
Delivery placenta separate procedure (59414) $1,275.60 $2,035 0.4×
Destroy cerv/thor facet jnt (64633) $1,658.48 $2,457 0.8×
Destroy lumb/sac facet jnt (64635) $1,643.62 $2,435 0.8×
Drainage Finger Abscess Simple (26010) $153.83 $287 0.8×
Drainage of eyelid abscess (67700) $127.03 $237 0.4×
Drainage of gum lesion (41800) $169.38 $316 1.2×
Drainage of hematoma/fluid (10140) $290.51 $542 0.2×
Draw blood off venous device (36591) $180.26 $305 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $123.28 $230 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $60.57 $113 0.3×
Dry Needling 3+ Muscles (20561) $50.62 $75 1.7×
Evacuation of subungual hematoma (11740) $34.84 $65 0.3×
Excision of nail fold toe (11765) $102.38 $191 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $206.90 $386 0.1×
Exploration penetrating wound spx extremity (20103) $387.53 $723 0.2×
External Cephalic Version (59412) $559.77 $780 0.2×
Fetal Contraction Stress Test (59020) $886.61 $752 4.3×
Fetal non-stress test (59025) $761.63 $646 3.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,730.70 $2,564 2.4×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $880.11 $1,642 0.4×
I&d abscess simple (10060) $111.49 $208 0.5×
I&d pilonidal cyst simple (10080) $114.17 $213 0.2×
Incision & drainage abscess complicated/multiple (10061) $202.07 $377 0.5×
Incision & removal foreign body subq tiss simple (10120) $114.17 $213 0.3×
Incision of rectal abscess (46040) $470.61 $878 0.4×
Incision thrombosed hemorrhoid external (46083) $121.14 $226 0.5×
Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) $1,343.57 $1,251 3.2×
Initial tx 1st degree burn local tx (16000) $51.46 $96 0.3×
Inj paravert f jnt c/t 1 lev (64490) $1,717.88 $2,545 1.9×
Inj,Anes Agent,Brachial Plexus,Single (64415) $140.26 $291 0.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $170.33 $282 0.2×
Inj,Anes Agent,Femoral Nerve,Single (64447) $139.08 $243 0.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,370.93 $2,031 1.5×
Inject Nerv Blck,Axillary Nerv (64417) $159.02 $278 0.2×
Inject Nerv Blck,Celiac Plexus (64530) $984.95 $1,556 1.1×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $145.95 $255 0.2×
Inject Nerv Blck,Intercost,Multpl (64421) $790.76 $756 0.9×
Inject Nerv Blck,Intercostal,One (64420) $421.40 $708.50 0.6×
Inject Tendon Origin/Insert (20551) $300.38 $445 1.0×
Injection aa&/strd brach plex cont nfs cath img (64416) $168.17 $294 0.2×
Injection aa&/strd lumbar plexus cont nfs cath (64449) $172.14 $285 0.2×
Injection aa&/strd sciatic nerve w/img gdn (64445) $149.19 $247 0.2×
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $155.58 $272 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $317.89 $525 1.0×
Injection anes other peripheral nerve/branch (64450) $112.11 $196 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $94.87 $177 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $247.18 $427.50 0.8×
Insert Bladder Cath Complex (51703) $205.09 $324 1.6×
Insert cervical dilator (59200) $366.72 $511 1.2×
Insert non-tunnel cv cath (36556) $209.58 $391 0.1×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $207.97 $388 0.1×
Insert picc cath (36569) $1,253.98 $1,981 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,222.32 $1,931 0.8×
Insert Temp Bladder Cath (51702) $166.07 $281 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $138.88 $235 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,729.36 $2,732 1.1×
Insertion picc w/rs&i < 5 yr (36572) $1,217.26 $1,923 1.9×
Intubation endotracheal emergency procedure (31500) $294.78 $658 1.2×
Irrigate corpora cavernosa for priapism (54220) $149.54 $279 0.6×
Laryngoscopy,Direct,Diagnostic (31525) $176.88 $330 0.1×
Liver Biopsy (47000) $955.13 $1,415 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $46.58 $69 1.6×
Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) $843.09 $785 3.2×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $505.85 $471 3.2×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $505.85 $471 3.2×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $6,851.05 $6,379 3.2×
Njx anes stellate ganglion crv sympathetic (64510) $790.76 $1,338 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,114.10 $3,132 2.3×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,657.80 $2,456 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,160.33 $1,719 1.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $277.24 $459 0.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $274.82 $455 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $242.20 $401 0.3×
NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) $1,502.53 $1,399 3.2×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $27,242.01 $25,365 3.2×
Onc Pncrs Dna&Mrna Seq 74 (0313U) $11,599.20 $10,800 3.2×
Percut Drain/Inject Renal Cyst (50390) $1,217.70 $1,804 1.7×
Pericardiocentesis W/Imaging (33016) $890.30 $1,661 0.6×
Perq dev breast 1st us imag (19285) $878.85 $1,302 1.2×
Perq replacement gtube not req revj gstrst trc (43762) $42.88 $80 0.2×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $3,694.95 $5,474 1.1×
Placement of needle for intraosseous infusion (36680) $160.26 $299 0.4×
Puncture Aspiration (10160) $241.20 $377.50 0.6×
Puncture Aspiration Cyst Breast (19000) $332.78 $493 0.5×
Removal fb intranasal (30300) $125.42 $234 0.9×
Removal Foreign Body Deep Thigh/Knee (27372) $448.63 $837 0.2×
Removal foreign body foot subcutaneous (28190) $149.01 $278 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $163.48 $305 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $19.56 $36.50 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $37.52 $70 0.6×
Removal of intrauterine device (iud) (58301) $249.24 $465 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $37.52 $70 0.1×
Remove Eyelid Foreign Body (67938) $127.03 $237 0.4×
Remove foreign body from eye (65210) $40.74 $76 0.1×
Remv Ext Canal Foreign Body (69200) $52.53 $98 0.4×
Remv F.B.,Eye,Superf Conjunc (65205) $32.16 $60 0.2×
Renal biopsy (50200) $1,540.35 $2,282 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $313.02 $584 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $377.34 $704 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $272.82 $509 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $340.90 $636 0.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $258.89 $483 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $290.51 $542 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $276.58 $516 0.4×
Repair extensor tendon finger w/o graft each (26418) $659.28 $1,230 0.4×
Repair finger/hand tendon (26350) $805.61 $1,503 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $188.14 $351 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $222.44 $415 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $240.13 $448 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $246.02 $459 0.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $300.70 $561 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $163.48 $305 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $218.69 $408 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $238.52 $445 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $268.54 $501 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $168.84 $315 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $211.72 $395 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $228.87 $427 0.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $368.77 $688 0.2×
Repair of nail bed (11760) $127.57 $238 0.2×
Repair Tongue Laceration (41250) $171.52 $320 0.4×
Respir iadna 18 viral&2 bact (0115U) $888.20 $827 3.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $46.10 $86 0.1×
Rmvl fecal impaction/fb spx under anes (45915) $257.28 $480 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $385.92 $653 0.6×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $351.62 $656 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $340.36 $635 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $146.33 $273 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $63.25 $118 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $67 $125 0.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $173.66 $324 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $85.22 $159 0.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $107.74 $201 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $50.38 $94 0.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $164.02 $306 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $83.62 $156 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $67 $125 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $108.81 $203 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $132.93 $248 0.3×
Spinal puncture lumbar diagnostic (62270) $162.45 $285 0.2×
Strapping ankle (29540) $167.31 $238 1.0×
Strapping elbow/wrist (29260) $206.68 $294 3.4×
Strapping hand/finger (29280) $267.14 $380 4.4×
Strapping Hip (29520) $201.76 $287 1.5×
Strapping knee (29530) $197.54 $281 1.5×
Strapping shoulder (29240) $267.14 $380 2.0×
Strapping unna boot (29580) $165.20 $235 1.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $485.70 $755.50 0.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $100.23 $187 0.2×
Thyroid biopsy (60100) $695.25 $1,030 1.0×
Trach Tube Change (31502) $272.70 $404 1.1×
Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) $8,871.24 $8,260 3.2×
Treat finger dislocation (26775) $385.38 $719 1.3×
Treat Fracture Radius & Ulna (25560) $283.01 $528 1.1×
Treat Metatarsal Fracture (28475) $252.46 $471 1.0×
Treatment closed elbow dislocation req anes (24605) $527.96 $985 0.3×
Treatment closed elbow dislocation w/o anes (24600) $375.74 $701 1.5×