Summit Medical Center
Casper, WY
Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-14.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $935.31 | $2,281.25 | 1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $935.31 | $2,281.25 | 1.0× |
| Diagnostic colonoscopy (45378) | $935.31 | $2,281.25 | 1.0× |
| Colonoscopy with biopsy (45380) | $935.31 | $2,281.25 | 0.8× |
| Colonoscopy with lesion removal (45385) | $935.31 | $2,281.25 | 0.8× |
| Colonoscopy with endoscopic ultrasound (45391) | $935.31 | $2,281.25 | 0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $576.23 | $1,405.45 | 0.6× |
| CT head/brain without contrast (70450) | $961.32 | $2,344.70 | 9.0× |
| MRI brain without contrast (70551) | $1,357.87 | $3,311.90 | 5.6× |
| MRI brain with contrast (70552) | $1,576.90 | $3,846.10 | 4.4× |
| MRI brain without and with contrast (70553) | $2,287.61 | $5,579.55 | 6.4× |
| X-ray lower spine, 4+ views (72110) | $361.78 | $882.40 | 3.4× |
| MRI lumbar spine without contrast (72148) | $1,526.14 | $3,722.30 | 6.3× |
| CT pelvis with contrast (72193) | $1,292.09 | $3,151.45 | 7.2× |
| MRI lower-extremity joint without contrast (73721) | $1,271.57 | $3,101.40 | 5.2× |
| CT abdomen and pelvis with contrast (74177) | $2,225.56 | $5,428.20 | 6.2× |
| Ultrasound, abdomen complete (76700) | $570.76 | $1,392.10 | 5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $489.10 | $1,192.95 | 4.6× |
| Ultrasound, transvaginal (76830) | $397.39 | $969.25 | 3.7× |
| Mammography, one breast (diagnostic) (77065) | $209.40 | $510.75 | 2.4× |
| Mammography, both breasts (diagnostic) (77066) | $252.76 | $616.50 | 2.3× |
| Mammography, screening (bilateral) (77067) | $127.70 | $311.48 | 1.4× |
| Basic metabolic panel (80048) | $44.69 | $109 | 5.3× |
| Comprehensive metabolic panel (80053) | $63.14 | $154 | 6.0× |
| Obstetric panel (80055) | $141.45 | $345 | 3.0× |
| Lipid panel (80061) | $47.97 | $117 | 3.6× |
| Renal function panel (80069) | $57.81 | $141 | 6.7× |
| Hepatic function panel (80076) | $46.33 | $113 | 5.7× |
| Urinalysis, non-automated, with microscopy (81000) | $18.45 | $45 | 4.6× |
| Urinalysis, non-automated, without microscopy (81002) | $15.99 | $39 | 4.6× |
| PSA, total (84153) | $55.35 | $135 | 3.0× |
| Thyroid stimulating hormone (TSH) (84443) | $49.61 | $121 | 3.0× |
| CBC with automated differential (85025) | $34.85 | $85 | 4.5× |
| CBC, automated (85027) | $32.80 | $80 | 5.1× |
| Prothrombin time (PT) (85610) | $23.37 | $57 | 5.4× |
| Partial thromboplastin time (PTT) (85730) | $31.98 | $78 | 5.3× |
| Electrocardiogram (ECG), complete (93000) | $169.26 | $412.85 | 2.8× |
| Sleep study (attended polysomnography) (95810) | $1,346.85 | $3,285 | 1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $50.18 | $122.40 | 1.7× |
More prices at this hospital
- Imaging: 220 codes with posted prices and Medicare benchmarks
- Lab & pathology: 1166 codes with posted prices and Medicare benchmarks
- Visits & medical services: 88 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 60 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 13 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 40.0 MB) ↓ — captured 2026-07-14
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