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Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $780.76
Max. Negotiated Rate $1,245.23
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,220.33
Rate for Payer: Altius Auto/Workers Compensation $1,195.42
Rate for Payer: Altius Commercial $1,195.42
Rate for Payer: Beech Street Commercial $1,220.33
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,022.33
Rate for Payer: Cash Price $871.66
Rate for Payer: ChoiceCare Network Commercial $1,207.87
Rate for Payer: Cigna of WY Commercial $1,220.33
Rate for Payer: Entrust Commercial $1,182.97
Rate for Payer: First Choice Health Commercial $1,182.97
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,182.97
Rate for Payer: Government Employees Health Association (GEHA) Medicare $821.85
Rate for Payer: HealthUtah PPO $1,245.23
Rate for Payer: Idaho Integrated Healthcare Commercial $1,207.87
Rate for Payer: Multiplan Medicare/VA $780.76
Rate for Payer: One Health Plan of WY PPO $1,220.33
Rate for Payer: PacificSource Commercial $1,120.71
Rate for Payer: PHCS PPO $1,220.33
Rate for Payer: Three Rivers PPO $933.92
Rate for Payer: TriWest Veterans Administration $821.85
Rate for Payer: United Healthcare Commercial $1,083.35
Rate for Payer: United Healthcare Medicare $821.85
Rate for Payer: WINHealth Partners Commercial $1,182.97
Rate for Payer: Wise Provider Network Commercial $1,182.97
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $686.12
Max. Negotiated Rate $1,245.23
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,220.33
Rate for Payer: Aetna of WY Medicare $821.85
Rate for Payer: Altius Auto/Workers Compensation $1,195.42
Rate for Payer: Altius Commercial $1,195.42
Rate for Payer: Beech Street Commercial $1,220.33
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,022.33
Rate for Payer: Cash Price $871.66
Rate for Payer: ChoiceCare Network Commercial $1,207.87
Rate for Payer: Cigna of WY Commercial $1,220.33
Rate for Payer: Entrust Commercial $1,182.97
Rate for Payer: First Choice Health Commercial $1,182.97
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,182.97
Rate for Payer: Government Employees Health Association (GEHA) Medicare $722.23
Rate for Payer: HealthUtah PPO $1,245.23
Rate for Payer: Idaho Integrated Healthcare Commercial $1,207.87
Rate for Payer: Multiplan Medicare/VA $686.12
Rate for Payer: One Health Plan of WY PPO $1,220.33
Rate for Payer: PacificSource Commercial $1,120.71
Rate for Payer: PHCS PPO $1,220.33
Rate for Payer: Three Rivers PPO $933.92
Rate for Payer: TriWest Veterans Administration $722.23
Rate for Payer: United Healthcare Commercial $1,083.35
Rate for Payer: United Healthcare Medicare $722.23
Rate for Payer: WINHealth Partners Commercial $1,220.33
Rate for Payer: Wise Provider Network Commercial $1,182.97
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $7.99
Max. Negotiated Rate $12.75
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.50
Rate for Payer: Altius Auto/Workers Compensation $12.24
Rate for Payer: Altius Commercial $12.24
Rate for Payer: Beech Street Commercial $12.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.47
Rate for Payer: Cash Price $8.93
Rate for Payer: ChoiceCare Network Commercial $12.37
Rate for Payer: Cigna of WY Commercial $12.50
Rate for Payer: Entrust Commercial $12.11
Rate for Payer: First Choice Health Commercial $12.11
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.11
Rate for Payer: Government Employees Health Association (GEHA) Medicare $8.42
Rate for Payer: HealthUtah PPO $12.75
Rate for Payer: Idaho Integrated Healthcare Commercial $12.37
Rate for Payer: Multiplan Medicare/VA $7.99
Rate for Payer: One Health Plan of WY PPO $12.50
Rate for Payer: PacificSource Commercial $11.48
Rate for Payer: PHCS PPO $12.50
Rate for Payer: Three Rivers PPO $9.56
Rate for Payer: TriWest Veterans Administration $8.42
Rate for Payer: United Healthcare Commercial $11.09
Rate for Payer: United Healthcare Medicare $8.42
Rate for Payer: WINHealth Partners Commercial $12.11
Rate for Payer: Wise Provider Network Commercial $12.11
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $7.03
Max. Negotiated Rate $12.75
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.50
Rate for Payer: Aetna of WY Medicare $8.42
Rate for Payer: Altius Auto/Workers Compensation $12.24
Rate for Payer: Altius Commercial $12.24
Rate for Payer: Beech Street Commercial $12.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.47
Rate for Payer: Cash Price $8.93
Rate for Payer: ChoiceCare Network Commercial $12.37
Rate for Payer: Cigna of WY Commercial $12.50
Rate for Payer: Entrust Commercial $12.11
Rate for Payer: First Choice Health Commercial $12.11
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.11
Rate for Payer: Government Employees Health Association (GEHA) Medicare $7.40
Rate for Payer: HealthUtah PPO $12.75
Rate for Payer: Idaho Integrated Healthcare Commercial $12.37
Rate for Payer: Multiplan Medicare/VA $7.03
Rate for Payer: One Health Plan of WY PPO $12.50
Rate for Payer: PacificSource Commercial $11.48
Rate for Payer: PHCS PPO $12.50
Rate for Payer: Three Rivers PPO $9.56
Rate for Payer: TriWest Veterans Administration $7.40
Rate for Payer: United Healthcare Commercial $11.09
Rate for Payer: United Healthcare Medicare $7.40
Rate for Payer: WINHealth Partners Commercial $12.50
Rate for Payer: Wise Provider Network Commercial $12.11
Service Code HCPCS J9173
Hospital Revenue Code 636
Min. Negotiated Rate $240.26
Max. Negotiated Rate $436.05
Rate for Payer: Aetna of WY Commercial/Medical Rental $427.33
Rate for Payer: Aetna of WY Commercial/Medical Rental $427.32
Rate for Payer: Aetna of WY Medicare $287.79
Rate for Payer: Aetna of WY Medicare $287.79
Rate for Payer: Altius Auto/Workers Compensation $418.60
Rate for Payer: Altius Auto/Workers Compensation $418.61
Rate for Payer: Altius Commercial $418.61
Rate for Payer: Altius Commercial $418.60
Rate for Payer: Beech Street Commercial $427.32
Rate for Payer: Beech Street Commercial $427.33
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $358.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $357.99
Rate for Payer: Cash Price $305.23
Rate for Payer: Cash Price $305.23
Rate for Payer: ChoiceCare Network Commercial $422.97
Rate for Payer: ChoiceCare Network Commercial $422.96
Rate for Payer: Cigna of WY Commercial $427.32
Rate for Payer: Cigna of WY Commercial $427.33
Rate for Payer: Entrust Commercial $414.25
Rate for Payer: Entrust Commercial $414.24
Rate for Payer: First Choice Health Commercial $414.24
Rate for Payer: First Choice Health Commercial $414.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $414.24
Rate for Payer: Government Employees Health Association (GEHA) Commercial $414.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $252.91
Rate for Payer: Government Employees Health Association (GEHA) Medicare $252.90
Rate for Payer: HealthUtah PPO $436.04
Rate for Payer: HealthUtah PPO $436.05
Rate for Payer: Idaho Integrated Healthcare Commercial $422.96
Rate for Payer: Idaho Integrated Healthcare Commercial $422.97
Rate for Payer: Multiplan Medicare/VA $240.26
Rate for Payer: Multiplan Medicare/VA $240.26
Rate for Payer: One Health Plan of WY PPO $427.32
Rate for Payer: One Health Plan of WY PPO $427.33
Rate for Payer: PacificSource Commercial $392.44
Rate for Payer: PacificSource Commercial $392.44
Rate for Payer: PHCS PPO $427.32
Rate for Payer: PHCS PPO $427.33
Rate for Payer: Three Rivers PPO $327.03
Rate for Payer: Three Rivers PPO $327.04
Rate for Payer: TriWest Veterans Administration $252.91
Rate for Payer: TriWest Veterans Administration $252.90
Rate for Payer: United Healthcare Commercial $379.35
Rate for Payer: United Healthcare Commercial $379.36
Rate for Payer: United Healthcare Medicare $252.91
Rate for Payer: United Healthcare Medicare $252.90
Rate for Payer: WINHealth Partners Commercial $427.32
Rate for Payer: WINHealth Partners Commercial $427.33
Rate for Payer: Wise Provider Network Commercial $414.24
Rate for Payer: Wise Provider Network Commercial $414.25
Service Code HCPCS J9173
Hospital Revenue Code 636
Min. Negotiated Rate $273.40
Max. Negotiated Rate $436.05
Rate for Payer: Aetna of WY Commercial/Medical Rental $427.33
Rate for Payer: Aetna of WY Commercial/Medical Rental $427.32
Rate for Payer: Altius Auto/Workers Compensation $418.61
Rate for Payer: Altius Auto/Workers Compensation $418.60
Rate for Payer: Altius Commercial $418.60
Rate for Payer: Altius Commercial $418.61
Rate for Payer: Beech Street Commercial $427.33
Rate for Payer: Beech Street Commercial $427.32
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $357.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $358.00
Rate for Payer: Cash Price $305.23
Rate for Payer: Cash Price $305.23
Rate for Payer: ChoiceCare Network Commercial $422.96
Rate for Payer: ChoiceCare Network Commercial $422.97
Rate for Payer: Cigna of WY Commercial $427.33
Rate for Payer: Cigna of WY Commercial $427.32
Rate for Payer: Entrust Commercial $414.24
Rate for Payer: Entrust Commercial $414.25
Rate for Payer: First Choice Health Commercial $414.24
Rate for Payer: First Choice Health Commercial $414.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $414.24
Rate for Payer: Government Employees Health Association (GEHA) Commercial $414.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $287.79
Rate for Payer: Government Employees Health Association (GEHA) Medicare $287.79
Rate for Payer: HealthUtah PPO $436.05
Rate for Payer: HealthUtah PPO $436.04
Rate for Payer: Idaho Integrated Healthcare Commercial $422.96
Rate for Payer: Idaho Integrated Healthcare Commercial $422.97
Rate for Payer: Multiplan Medicare/VA $273.40
Rate for Payer: Multiplan Medicare/VA $273.40
Rate for Payer: One Health Plan of WY PPO $427.33
Rate for Payer: One Health Plan of WY PPO $427.32
Rate for Payer: PacificSource Commercial $392.44
Rate for Payer: PacificSource Commercial $392.44
Rate for Payer: PHCS PPO $427.32
Rate for Payer: PHCS PPO $427.33
Rate for Payer: Three Rivers PPO $327.03
Rate for Payer: Three Rivers PPO $327.04
Rate for Payer: TriWest Veterans Administration $287.79
Rate for Payer: TriWest Veterans Administration $287.79
Rate for Payer: United Healthcare Commercial $379.35
Rate for Payer: United Healthcare Commercial $379.36
Rate for Payer: United Healthcare Medicare $287.79
Rate for Payer: United Healthcare Medicare $287.79
Rate for Payer: WINHealth Partners Commercial $414.24
Rate for Payer: WINHealth Partners Commercial $414.25
Rate for Payer: Wise Provider Network Commercial $414.24
Rate for Payer: Wise Provider Network Commercial $414.25
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $20.37
Max. Negotiated Rate $32.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.84
Rate for Payer: Altius Auto/Workers Compensation $31.19
Rate for Payer: Altius Commercial $31.19
Rate for Payer: Beech Street Commercial $31.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.67
Rate for Payer: Cash Price $22.75
Rate for Payer: ChoiceCare Network Commercial $31.52
Rate for Payer: Cigna of WY Commercial $31.84
Rate for Payer: Entrust Commercial $30.87
Rate for Payer: First Choice Health Commercial $30.87
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.87
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.44
Rate for Payer: HealthUtah PPO $32.49
Rate for Payer: Idaho Integrated Healthcare Commercial $31.52
Rate for Payer: Multiplan Medicare/VA $20.37
Rate for Payer: One Health Plan of WY PPO $31.84
Rate for Payer: PacificSource Commercial $29.24
Rate for Payer: PHCS PPO $31.84
Rate for Payer: Three Rivers PPO $24.37
Rate for Payer: TriWest Veterans Administration $21.44
Rate for Payer: United Healthcare Commercial $28.27
Rate for Payer: United Healthcare Medicare $21.44
Rate for Payer: WINHealth Partners Commercial $30.87
Rate for Payer: Wise Provider Network Commercial $30.87
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $17.90
Max. Negotiated Rate $32.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.84
Rate for Payer: Aetna of WY Medicare $21.44
Rate for Payer: Altius Auto/Workers Compensation $31.19
Rate for Payer: Altius Commercial $31.19
Rate for Payer: Beech Street Commercial $31.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.67
Rate for Payer: Cash Price $22.75
Rate for Payer: ChoiceCare Network Commercial $31.52
Rate for Payer: Cigna of WY Commercial $31.84
Rate for Payer: Entrust Commercial $30.87
Rate for Payer: First Choice Health Commercial $30.87
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.87
Rate for Payer: Government Employees Health Association (GEHA) Medicare $18.84
Rate for Payer: HealthUtah PPO $32.49
Rate for Payer: Idaho Integrated Healthcare Commercial $31.52
Rate for Payer: Multiplan Medicare/VA $17.90
Rate for Payer: One Health Plan of WY PPO $31.84
Rate for Payer: PacificSource Commercial $29.24
Rate for Payer: PHCS PPO $31.84
Rate for Payer: Three Rivers PPO $24.37
Rate for Payer: TriWest Veterans Administration $18.84
Rate for Payer: United Healthcare Commercial $28.27
Rate for Payer: United Healthcare Medicare $18.84
Rate for Payer: WINHealth Partners Commercial $31.84
Rate for Payer: Wise Provider Network Commercial $30.87
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $22.17
Max. Negotiated Rate $40.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $39.44
Rate for Payer: Aetna of WY Medicare $26.56
Rate for Payer: Altius Auto/Workers Compensation $38.63
Rate for Payer: Altius Commercial $38.63
Rate for Payer: Beech Street Commercial $39.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $33.04
Rate for Payer: Cash Price $28.17
Rate for Payer: ChoiceCare Network Commercial $39.03
Rate for Payer: Cigna of WY Commercial $39.44
Rate for Payer: Entrust Commercial $38.23
Rate for Payer: First Choice Health Commercial $38.23
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.23
Rate for Payer: Government Employees Health Association (GEHA) Medicare $23.34
Rate for Payer: HealthUtah PPO $40.24
Rate for Payer: Idaho Integrated Healthcare Commercial $39.03
Rate for Payer: Multiplan Medicare/VA $22.17
Rate for Payer: One Health Plan of WY PPO $39.44
Rate for Payer: PacificSource Commercial $36.22
Rate for Payer: PHCS PPO $39.44
Rate for Payer: Three Rivers PPO $30.18
Rate for Payer: TriWest Veterans Administration $23.34
Rate for Payer: United Healthcare Commercial $35.01
Rate for Payer: United Healthcare Medicare $23.34
Rate for Payer: WINHealth Partners Commercial $39.44
Rate for Payer: Wise Provider Network Commercial $38.23
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $25.23
Max. Negotiated Rate $40.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $39.44
Rate for Payer: Altius Auto/Workers Compensation $38.63
Rate for Payer: Altius Commercial $38.63
Rate for Payer: Beech Street Commercial $39.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $33.04
Rate for Payer: Cash Price $28.17
Rate for Payer: ChoiceCare Network Commercial $39.03
Rate for Payer: Cigna of WY Commercial $39.44
Rate for Payer: Entrust Commercial $38.23
Rate for Payer: First Choice Health Commercial $38.23
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.23
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.56
Rate for Payer: HealthUtah PPO $40.24
Rate for Payer: Idaho Integrated Healthcare Commercial $39.03
Rate for Payer: Multiplan Medicare/VA $25.23
Rate for Payer: One Health Plan of WY PPO $39.44
Rate for Payer: PacificSource Commercial $36.22
Rate for Payer: PHCS PPO $39.44
Rate for Payer: Three Rivers PPO $30.18
Rate for Payer: TriWest Veterans Administration $26.56
Rate for Payer: United Healthcare Commercial $35.01
Rate for Payer: United Healthcare Medicare $26.56
Rate for Payer: WINHealth Partners Commercial $38.23
Rate for Payer: Wise Provider Network Commercial $38.23
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $36.15
Max. Negotiated Rate $57.65
Rate for Payer: Aetna of WY Commercial/Medical Rental $56.50
Rate for Payer: Altius Auto/Workers Compensation $55.34
Rate for Payer: Altius Commercial $55.34
Rate for Payer: Beech Street Commercial $56.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $47.33
Rate for Payer: Cash Price $40.35
Rate for Payer: ChoiceCare Network Commercial $55.92
Rate for Payer: Cigna of WY Commercial $56.50
Rate for Payer: Entrust Commercial $54.77
Rate for Payer: First Choice Health Commercial $54.77
Rate for Payer: Government Employees Health Association (GEHA) Commercial $54.77
Rate for Payer: Government Employees Health Association (GEHA) Medicare $38.05
Rate for Payer: HealthUtah PPO $57.65
Rate for Payer: Idaho Integrated Healthcare Commercial $55.92
Rate for Payer: Multiplan Medicare/VA $36.15
Rate for Payer: One Health Plan of WY PPO $56.50
Rate for Payer: PacificSource Commercial $51.88
Rate for Payer: PHCS PPO $56.50
Rate for Payer: Three Rivers PPO $43.24
Rate for Payer: TriWest Veterans Administration $38.05
Rate for Payer: United Healthcare Commercial $50.16
Rate for Payer: United Healthcare Medicare $38.05
Rate for Payer: WINHealth Partners Commercial $54.77
Rate for Payer: Wise Provider Network Commercial $54.77
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $31.77
Max. Negotiated Rate $57.65
Rate for Payer: Aetna of WY Commercial/Medical Rental $56.50
Rate for Payer: Aetna of WY Medicare $38.05
Rate for Payer: Altius Auto/Workers Compensation $55.34
Rate for Payer: Altius Commercial $55.34
Rate for Payer: Beech Street Commercial $56.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $47.33
Rate for Payer: Cash Price $40.35
Rate for Payer: ChoiceCare Network Commercial $55.92
Rate for Payer: Cigna of WY Commercial $56.50
Rate for Payer: Entrust Commercial $54.77
Rate for Payer: First Choice Health Commercial $54.77
Rate for Payer: Government Employees Health Association (GEHA) Commercial $54.77
Rate for Payer: Government Employees Health Association (GEHA) Medicare $33.44
Rate for Payer: HealthUtah PPO $57.65
Rate for Payer: Idaho Integrated Healthcare Commercial $55.92
Rate for Payer: Multiplan Medicare/VA $31.77
Rate for Payer: One Health Plan of WY PPO $56.50
Rate for Payer: PacificSource Commercial $51.88
Rate for Payer: PHCS PPO $56.50
Rate for Payer: Three Rivers PPO $43.24
Rate for Payer: TriWest Veterans Administration $33.44
Rate for Payer: United Healthcare Commercial $50.16
Rate for Payer: United Healthcare Medicare $33.44
Rate for Payer: WINHealth Partners Commercial $56.50
Rate for Payer: Wise Provider Network Commercial $54.77
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $90.10
Max. Negotiated Rate $163.52
Rate for Payer: Aetna of WY Commercial/Medical Rental $160.25
Rate for Payer: Aetna of WY Medicare $107.92
Rate for Payer: Altius Auto/Workers Compensation $156.98
Rate for Payer: Altius Commercial $156.98
Rate for Payer: Beech Street Commercial $160.25
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $134.25
Rate for Payer: Cash Price $114.46
Rate for Payer: ChoiceCare Network Commercial $158.61
Rate for Payer: Cigna of WY Commercial $160.25
Rate for Payer: Entrust Commercial $155.34
Rate for Payer: First Choice Health Commercial $155.34
Rate for Payer: Government Employees Health Association (GEHA) Commercial $155.34
Rate for Payer: Government Employees Health Association (GEHA) Medicare $94.84
Rate for Payer: HealthUtah PPO $163.52
Rate for Payer: Idaho Integrated Healthcare Commercial $158.61
Rate for Payer: Multiplan Medicare/VA $90.10
Rate for Payer: One Health Plan of WY PPO $160.25
Rate for Payer: PacificSource Commercial $147.17
Rate for Payer: PHCS PPO $160.25
Rate for Payer: Three Rivers PPO $122.64
Rate for Payer: TriWest Veterans Administration $94.84
Rate for Payer: United Healthcare Commercial $142.26
Rate for Payer: United Healthcare Medicare $94.84
Rate for Payer: WINHealth Partners Commercial $160.25
Rate for Payer: Wise Provider Network Commercial $155.34
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $102.53
Max. Negotiated Rate $163.52
Rate for Payer: Aetna of WY Commercial/Medical Rental $160.25
Rate for Payer: Altius Auto/Workers Compensation $156.98
Rate for Payer: Altius Commercial $156.98
Rate for Payer: Beech Street Commercial $160.25
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $134.25
Rate for Payer: Cash Price $114.46
Rate for Payer: ChoiceCare Network Commercial $158.61
Rate for Payer: Cigna of WY Commercial $160.25
Rate for Payer: Entrust Commercial $155.34
Rate for Payer: First Choice Health Commercial $155.34
Rate for Payer: Government Employees Health Association (GEHA) Commercial $155.34
Rate for Payer: Government Employees Health Association (GEHA) Medicare $107.92
Rate for Payer: HealthUtah PPO $163.52
Rate for Payer: Idaho Integrated Healthcare Commercial $158.61
Rate for Payer: Multiplan Medicare/VA $102.53
Rate for Payer: One Health Plan of WY PPO $160.25
Rate for Payer: PacificSource Commercial $147.17
Rate for Payer: PHCS PPO $160.25
Rate for Payer: Three Rivers PPO $122.64
Rate for Payer: TriWest Veterans Administration $107.92
Rate for Payer: United Healthcare Commercial $142.26
Rate for Payer: United Healthcare Medicare $107.92
Rate for Payer: WINHealth Partners Commercial $155.34
Rate for Payer: Wise Provider Network Commercial $155.34
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $46.62
Max. Negotiated Rate $74.36
Rate for Payer: Aetna of WY Commercial/Medical Rental $72.87
Rate for Payer: Altius Auto/Workers Compensation $71.39
Rate for Payer: Altius Commercial $71.39
Rate for Payer: Beech Street Commercial $72.87
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $61.05
Rate for Payer: Cash Price $52.05
Rate for Payer: ChoiceCare Network Commercial $72.13
Rate for Payer: Cigna of WY Commercial $72.87
Rate for Payer: Entrust Commercial $70.64
Rate for Payer: First Choice Health Commercial $70.64
Rate for Payer: Government Employees Health Association (GEHA) Commercial $70.64
Rate for Payer: Government Employees Health Association (GEHA) Medicare $49.08
Rate for Payer: HealthUtah PPO $74.36
Rate for Payer: Idaho Integrated Healthcare Commercial $72.13
Rate for Payer: Multiplan Medicare/VA $46.62
Rate for Payer: One Health Plan of WY PPO $72.87
Rate for Payer: PacificSource Commercial $66.92
Rate for Payer: PHCS PPO $72.87
Rate for Payer: Three Rivers PPO $55.77
Rate for Payer: TriWest Veterans Administration $49.08
Rate for Payer: United Healthcare Commercial $64.69
Rate for Payer: United Healthcare Medicare $49.08
Rate for Payer: WINHealth Partners Commercial $70.64
Rate for Payer: Wise Provider Network Commercial $70.64
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $40.97
Max. Negotiated Rate $74.36
Rate for Payer: Aetna of WY Commercial/Medical Rental $72.87
Rate for Payer: Aetna of WY Medicare $49.08
Rate for Payer: Altius Auto/Workers Compensation $71.39
Rate for Payer: Altius Commercial $71.39
Rate for Payer: Beech Street Commercial $72.87
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $61.05
Rate for Payer: Cash Price $52.05
Rate for Payer: ChoiceCare Network Commercial $72.13
Rate for Payer: Cigna of WY Commercial $72.87
Rate for Payer: Entrust Commercial $70.64
Rate for Payer: First Choice Health Commercial $70.64
Rate for Payer: Government Employees Health Association (GEHA) Commercial $70.64
Rate for Payer: Government Employees Health Association (GEHA) Medicare $43.13
Rate for Payer: HealthUtah PPO $74.36
Rate for Payer: Idaho Integrated Healthcare Commercial $72.13
Rate for Payer: Multiplan Medicare/VA $40.97
Rate for Payer: One Health Plan of WY PPO $72.87
Rate for Payer: PacificSource Commercial $66.92
Rate for Payer: PHCS PPO $72.87
Rate for Payer: Three Rivers PPO $55.77
Rate for Payer: TriWest Veterans Administration $43.13
Rate for Payer: United Healthcare Commercial $64.69
Rate for Payer: United Healthcare Medicare $43.13
Rate for Payer: WINHealth Partners Commercial $72.87
Rate for Payer: Wise Provider Network Commercial $70.64
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $45.51
Max. Negotiated Rate $72.59
Rate for Payer: Aetna of WY Commercial/Medical Rental $71.14
Rate for Payer: Altius Auto/Workers Compensation $69.69
Rate for Payer: Altius Commercial $69.69
Rate for Payer: Beech Street Commercial $71.14
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $59.60
Rate for Payer: Cash Price $50.82
Rate for Payer: ChoiceCare Network Commercial $70.41
Rate for Payer: Cigna of WY Commercial $71.14
Rate for Payer: Entrust Commercial $68.96
Rate for Payer: First Choice Health Commercial $68.96
Rate for Payer: Government Employees Health Association (GEHA) Commercial $68.96
Rate for Payer: Government Employees Health Association (GEHA) Medicare $47.91
Rate for Payer: HealthUtah PPO $72.59
Rate for Payer: Idaho Integrated Healthcare Commercial $70.41
Rate for Payer: Multiplan Medicare/VA $45.51
Rate for Payer: One Health Plan of WY PPO $71.14
Rate for Payer: PacificSource Commercial $65.33
Rate for Payer: PHCS PPO $71.14
Rate for Payer: Three Rivers PPO $54.44
Rate for Payer: TriWest Veterans Administration $47.91
Rate for Payer: United Healthcare Commercial $63.15
Rate for Payer: United Healthcare Medicare $47.91
Rate for Payer: WINHealth Partners Commercial $68.96
Rate for Payer: Wise Provider Network Commercial $68.96
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $40.00
Max. Negotiated Rate $72.59
Rate for Payer: Aetna of WY Commercial/Medical Rental $71.14
Rate for Payer: Aetna of WY Medicare $47.91
Rate for Payer: Altius Auto/Workers Compensation $69.69
Rate for Payer: Altius Commercial $69.69
Rate for Payer: Beech Street Commercial $71.14
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $59.60
Rate for Payer: Cash Price $50.82
Rate for Payer: ChoiceCare Network Commercial $70.41
Rate for Payer: Cigna of WY Commercial $71.14
Rate for Payer: Entrust Commercial $68.96
Rate for Payer: First Choice Health Commercial $68.96
Rate for Payer: Government Employees Health Association (GEHA) Commercial $68.96
Rate for Payer: Government Employees Health Association (GEHA) Medicare $42.10
Rate for Payer: HealthUtah PPO $72.59
Rate for Payer: Idaho Integrated Healthcare Commercial $70.41
Rate for Payer: Multiplan Medicare/VA $40.00
Rate for Payer: One Health Plan of WY PPO $71.14
Rate for Payer: PacificSource Commercial $65.33
Rate for Payer: PHCS PPO $71.14
Rate for Payer: Three Rivers PPO $54.44
Rate for Payer: TriWest Veterans Administration $42.10
Rate for Payer: United Healthcare Commercial $63.15
Rate for Payer: United Healthcare Medicare $42.10
Rate for Payer: WINHealth Partners Commercial $71.14
Rate for Payer: Wise Provider Network Commercial $68.96
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $32.14
Max. Negotiated Rate $58.33
Rate for Payer: Aetna of WY Commercial/Medical Rental $57.16
Rate for Payer: Aetna of WY Medicare $38.50
Rate for Payer: Altius Auto/Workers Compensation $56.00
Rate for Payer: Altius Commercial $56.00
Rate for Payer: Beech Street Commercial $57.16
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $47.89
Rate for Payer: Cash Price $40.83
Rate for Payer: ChoiceCare Network Commercial $56.58
Rate for Payer: Cigna of WY Commercial $57.16
Rate for Payer: Entrust Commercial $55.41
Rate for Payer: First Choice Health Commercial $55.41
Rate for Payer: Government Employees Health Association (GEHA) Commercial $55.41
Rate for Payer: Government Employees Health Association (GEHA) Medicare $33.83
Rate for Payer: HealthUtah PPO $58.33
Rate for Payer: Idaho Integrated Healthcare Commercial $56.58
Rate for Payer: Multiplan Medicare/VA $32.14
Rate for Payer: One Health Plan of WY PPO $57.16
Rate for Payer: PacificSource Commercial $52.50
Rate for Payer: PHCS PPO $57.16
Rate for Payer: Three Rivers PPO $43.75
Rate for Payer: TriWest Veterans Administration $33.83
Rate for Payer: United Healthcare Commercial $50.75
Rate for Payer: United Healthcare Medicare $33.83
Rate for Payer: WINHealth Partners Commercial $57.16
Rate for Payer: Wise Provider Network Commercial $55.41
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $36.57
Max. Negotiated Rate $58.33
Rate for Payer: Aetna of WY Commercial/Medical Rental $57.16
Rate for Payer: Altius Auto/Workers Compensation $56.00
Rate for Payer: Altius Commercial $56.00
Rate for Payer: Beech Street Commercial $57.16
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $47.89
Rate for Payer: Cash Price $40.83
Rate for Payer: ChoiceCare Network Commercial $56.58
Rate for Payer: Cigna of WY Commercial $57.16
Rate for Payer: Entrust Commercial $55.41
Rate for Payer: First Choice Health Commercial $55.41
Rate for Payer: Government Employees Health Association (GEHA) Commercial $55.41
Rate for Payer: Government Employees Health Association (GEHA) Medicare $38.50
Rate for Payer: HealthUtah PPO $58.33
Rate for Payer: Idaho Integrated Healthcare Commercial $56.58
Rate for Payer: Multiplan Medicare/VA $36.57
Rate for Payer: One Health Plan of WY PPO $57.16
Rate for Payer: PacificSource Commercial $52.50
Rate for Payer: PHCS PPO $57.16
Rate for Payer: Three Rivers PPO $43.75
Rate for Payer: TriWest Veterans Administration $38.50
Rate for Payer: United Healthcare Commercial $50.75
Rate for Payer: United Healthcare Medicare $38.50
Rate for Payer: WINHealth Partners Commercial $55.41
Rate for Payer: Wise Provider Network Commercial $55.41
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $98.39
Max. Negotiated Rate $156.92
Rate for Payer: Aetna of WY Commercial/Medical Rental $153.78
Rate for Payer: Altius Auto/Workers Compensation $150.64
Rate for Payer: Altius Commercial $150.64
Rate for Payer: Beech Street Commercial $153.78
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $128.83
Rate for Payer: Cash Price $109.84
Rate for Payer: ChoiceCare Network Commercial $152.21
Rate for Payer: Cigna of WY Commercial $153.78
Rate for Payer: Entrust Commercial $149.07
Rate for Payer: First Choice Health Commercial $149.07
Rate for Payer: Government Employees Health Association (GEHA) Commercial $149.07
Rate for Payer: Government Employees Health Association (GEHA) Medicare $103.57
Rate for Payer: HealthUtah PPO $156.92
Rate for Payer: Idaho Integrated Healthcare Commercial $152.21
Rate for Payer: Multiplan Medicare/VA $98.39
Rate for Payer: One Health Plan of WY PPO $153.78
Rate for Payer: PacificSource Commercial $141.23
Rate for Payer: PHCS PPO $153.78
Rate for Payer: Three Rivers PPO $117.69
Rate for Payer: TriWest Veterans Administration $103.57
Rate for Payer: United Healthcare Commercial $136.52
Rate for Payer: United Healthcare Medicare $103.57
Rate for Payer: WINHealth Partners Commercial $149.07
Rate for Payer: Wise Provider Network Commercial $149.07
Hospital Charge Code 27800000S1
Hospital Revenue Code 278
Min. Negotiated Rate $86.46
Max. Negotiated Rate $156.92
Rate for Payer: Aetna of WY Commercial/Medical Rental $153.78
Rate for Payer: Aetna of WY Medicare $103.57
Rate for Payer: Altius Auto/Workers Compensation $150.64
Rate for Payer: Altius Commercial $150.64
Rate for Payer: Beech Street Commercial $153.78
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $128.83
Rate for Payer: Cash Price $109.84
Rate for Payer: ChoiceCare Network Commercial $152.21
Rate for Payer: Cigna of WY Commercial $153.78
Rate for Payer: Entrust Commercial $149.07
Rate for Payer: First Choice Health Commercial $149.07
Rate for Payer: Government Employees Health Association (GEHA) Commercial $149.07
Rate for Payer: Government Employees Health Association (GEHA) Medicare $91.01
Rate for Payer: HealthUtah PPO $156.92
Rate for Payer: Idaho Integrated Healthcare Commercial $152.21
Rate for Payer: Multiplan Medicare/VA $86.46
Rate for Payer: One Health Plan of WY PPO $153.78
Rate for Payer: PacificSource Commercial $141.23
Rate for Payer: PHCS PPO $153.78
Rate for Payer: Three Rivers PPO $117.69
Rate for Payer: TriWest Veterans Administration $91.01
Rate for Payer: United Healthcare Commercial $136.52
Rate for Payer: United Healthcare Medicare $91.01
Rate for Payer: WINHealth Partners Commercial $153.78
Rate for Payer: Wise Provider Network Commercial $149.07
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $15.15
Max. Negotiated Rate $27.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $26.94
Rate for Payer: Aetna of WY Medicare $18.14
Rate for Payer: Altius Auto/Workers Compensation $26.39
Rate for Payer: Altius Commercial $26.39
Rate for Payer: Beech Street Commercial $26.94
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $22.57
Rate for Payer: Cash Price $19.24
Rate for Payer: ChoiceCare Network Commercial $26.67
Rate for Payer: Cigna of WY Commercial $26.94
Rate for Payer: Entrust Commercial $26.12
Rate for Payer: First Choice Health Commercial $26.12
Rate for Payer: Government Employees Health Association (GEHA) Commercial $26.12
Rate for Payer: Government Employees Health Association (GEHA) Medicare $15.94
Rate for Payer: HealthUtah PPO $27.49
Rate for Payer: Idaho Integrated Healthcare Commercial $26.67
Rate for Payer: Multiplan Medicare/VA $15.15
Rate for Payer: One Health Plan of WY PPO $26.94
Rate for Payer: PacificSource Commercial $24.74
Rate for Payer: PHCS PPO $26.94
Rate for Payer: Three Rivers PPO $20.62
Rate for Payer: TriWest Veterans Administration $15.94
Rate for Payer: United Healthcare Commercial $23.92
Rate for Payer: United Healthcare Medicare $15.94
Rate for Payer: WINHealth Partners Commercial $26.94
Rate for Payer: Wise Provider Network Commercial $26.12
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $17.24
Max. Negotiated Rate $27.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $26.94
Rate for Payer: Altius Auto/Workers Compensation $26.39
Rate for Payer: Altius Commercial $26.39
Rate for Payer: Beech Street Commercial $26.94
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $22.57
Rate for Payer: Cash Price $19.24
Rate for Payer: ChoiceCare Network Commercial $26.67
Rate for Payer: Cigna of WY Commercial $26.94
Rate for Payer: Entrust Commercial $26.12
Rate for Payer: First Choice Health Commercial $26.12
Rate for Payer: Government Employees Health Association (GEHA) Commercial $26.12
Rate for Payer: Government Employees Health Association (GEHA) Medicare $18.14
Rate for Payer: HealthUtah PPO $27.49
Rate for Payer: Idaho Integrated Healthcare Commercial $26.67
Rate for Payer: Multiplan Medicare/VA $17.24
Rate for Payer: One Health Plan of WY PPO $26.94
Rate for Payer: PacificSource Commercial $24.74
Rate for Payer: PHCS PPO $26.94
Rate for Payer: Three Rivers PPO $20.62
Rate for Payer: TriWest Veterans Administration $18.14
Rate for Payer: United Healthcare Commercial $23.92
Rate for Payer: United Healthcare Medicare $18.14
Rate for Payer: WINHealth Partners Commercial $26.12
Rate for Payer: Wise Provider Network Commercial $26.12
Service Code HCPCS 93010
Hospital Charge Code 93010
Min. Negotiated Rate $6.60
Max. Negotiated Rate $64.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $62.72
Rate for Payer: Aetna of WY Medicare $7.77
Rate for Payer: Beech Street Commercial $60.80
Rate for Payer: Cash Price $44.80
Rate for Payer: Cash Price $44.80
Rate for Payer: ChoiceCare Network Commercial $62.08
Rate for Payer: Cigna of WY Commercial $62.72
Rate for Payer: First Choice Health Commercial $57.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $60.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $7.77
Rate for Payer: HealthUtah PPO $64.00
Rate for Payer: Idaho Integrated Healthcare Commercial $62.08
Rate for Payer: Multiplan Medicare/VA $6.60
Rate for Payer: One Health Plan of WY PPO $62.72
Rate for Payer: PacificSource Commercial $57.60
Rate for Payer: PHCS PPO $60.80
Rate for Payer: Three Rivers PPO $48.00
Rate for Payer: TriWest Veterans Administration $7.77
Rate for Payer: United Healthcare Commercial $55.68
Rate for Payer: United Healthcare Medicare $7.77
Rate for Payer: WINHealth Partners Commercial $60.80