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Summit Medical Center

6350 E 2Nd Street, Casper, WY 82609 · (307) 232-6600

Acute Care HospitalsPhysicianCasper, WY metroWebsite ↗

Price file

Prices published

File dated 2026-03-25

506 price rows for 57 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $11

$62
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,329

$2,892
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $649

$1,249
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $602

$1,679
cash
$4,953
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $45

$46
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $278

$278
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $1,332

$1,332
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $372

$372
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $10

$24
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $13

$88
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $329

$329
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $14

$14
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $85

$275
cash
Family psychotherapy with the patient

CPT 90847 · metro median $168

$168
cash
Family psychotherapy without the patient

CPT 90846 · metro median $163

$163
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $4,086

$4,086
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $45

$46
cash
Group psychotherapy

CPT 90853 · metro median $40

$40
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $360

$360
cash
Knee arthroscopy with meniscus repair

CPT 29881 · metro median $3,949

$3,949
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $23

$67
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $11

$64
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,502

$2,973
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,652

$1,652
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $801

$1,983
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $798

$1,800
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $220

$220
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $75

$75
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $115

$115
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $183

$433
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $24

$78
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $8

$44
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $59

$59
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $437

$636
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $243

$243
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $278

$278
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $5

$32
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $114

$114
cash
Psychotherapy, 45 minutes

CPT 90834 · metro median $150

$150
cash
Psychotherapy, 60 minutes

CPT 90837 · metro median $221

$221
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $366

$366
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $295

$295
cash
Shoulder arthroscopy with decompression

CPT 29826 · metro median $131

$131
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,381

$2,381
cash
$859
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $75

$75
cash
TSH test (thyroid)

CPT 84443 · metro median $21

$69
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $1,459

$1,459
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $380

$516
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $509

$742
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $734

$734
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,038

$1,038
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $4

$26
cash
Vaginal delivery after a previous cesarean

CPT 59610 · metro median $4,154

$4,154
cash
$3,840
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $150

$470
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.