Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
INTRO NON GD/EP/LASER LVL 04
Torrington, WY
See all hospitals reporting HCPCS C1894 →Price type
Banner Community Hospital’s median price of $304 is 55% above the median hospital's median price ($196), higher than 71% of the 1,666 hospitals reporting HCPCS C1894. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $199.54 | $288.42 | $42.24 – $712.36 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $199.54 | $288.42 | $42.24 – $712.36 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $199.54 | $288.42 | $42.24 – $712.36 |
| 4 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $204.08 | $294.98 | $43.20 – $728.55 |
| 5 | UnitedHealthcare nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $217.68 | $314.64 | $46.08 – $777.12 |
| 6 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $430.38 | $622.07 | $91.10 – $1,536 |
| 7 | Bcbs Wy institutional facility · percent of total billed charges · inpatientfrom % of charges | $430.83 | $622.73 | $91.20 – $1,538 |
| 8 | Bcbs Wy institutional facility · percent of total billed charges · outpatientfrom % of charges | $430.83 | $622.73 | $91.20 – $1,538 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $430.83 | $622.73 | $91.20 – $1,538 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $430.83 | $622.73 | $91.20 – $1,538 |
| 11 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $435.36 | $629.28 | $92.16 – $1,554 |
| 12 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $435.36 | $629.28 | $92.16 – $1,554 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $439.90 | $635.84 | $93.12 – $1,570 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $439.90 | $635.84 | $93.12 – $1,570 |
| 15 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $439.90 | $635.84 | $93.12 – $1,570 |
| 16 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $439.90 | $635.84 | $93.12 – $1,570 |
Last updated: Mar 2, 2026
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