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Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $13.50
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Aetna of WY Medicare $16.17
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.21
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $13.50
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $14.21
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $14.21
Rate for Payer: WINHealth Partners Commercial $24.01
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $15.36
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $16.17
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $15.36
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $16.17
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $16.17
Rate for Payer: WINHealth Partners Commercial $23.28
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $13.50
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Aetna of WY Medicare $16.17
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.21
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $13.50
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $14.21
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $14.21
Rate for Payer: WINHealth Partners Commercial $24.01
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $15.36
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $16.17
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $15.36
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $16.17
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $16.17
Rate for Payer: WINHealth Partners Commercial $23.28
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $13.50
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Aetna of WY Medicare $16.17
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.21
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $13.50
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $14.21
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $14.21
Rate for Payer: WINHealth Partners Commercial $24.01
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $15.36
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $16.17
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $15.36
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $16.17
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $16.17
Rate for Payer: WINHealth Partners Commercial $23.28
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $13.50
Max. Negotiated Rate $24.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.01
Rate for Payer: Aetna of WY Medicare $16.17
Rate for Payer: Altius Auto/Workers Compensation $23.52
Rate for Payer: Altius Commercial $23.52
Rate for Payer: Beech Street Commercial $24.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.11
Rate for Payer: Cash Price $17.15
Rate for Payer: ChoiceCare Network Commercial $23.76
Rate for Payer: Cigna of WY Commercial $24.01
Rate for Payer: Entrust Commercial $23.28
Rate for Payer: First Choice Health Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.28
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.21
Rate for Payer: HealthUtah PPO $24.50
Rate for Payer: Idaho Integrated Healthcare Commercial $23.76
Rate for Payer: Multiplan Medicare/VA $13.50
Rate for Payer: One Health Plan of WY PPO $24.01
Rate for Payer: PacificSource Commercial $22.05
Rate for Payer: PHCS PPO $24.01
Rate for Payer: Three Rivers PPO $18.38
Rate for Payer: TriWest Veterans Administration $14.21
Rate for Payer: United Healthcare Commercial $21.32
Rate for Payer: United Healthcare Medicare $14.21
Rate for Payer: WINHealth Partners Commercial $24.01
Rate for Payer: Wise Provider Network Commercial $23.28
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $117.32
Max. Negotiated Rate $187.11
Rate for Payer: Aetna of WY Commercial/Medical Rental $183.37
Rate for Payer: Altius Auto/Workers Compensation $179.63
Rate for Payer: Altius Commercial $179.63
Rate for Payer: Beech Street Commercial $183.37
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $153.62
Rate for Payer: Cash Price $130.98
Rate for Payer: ChoiceCare Network Commercial $181.50
Rate for Payer: Cigna of WY Commercial $183.37
Rate for Payer: Entrust Commercial $177.75
Rate for Payer: First Choice Health Commercial $177.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $177.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $123.49
Rate for Payer: HealthUtah PPO $187.11
Rate for Payer: Idaho Integrated Healthcare Commercial $181.50
Rate for Payer: Multiplan Medicare/VA $117.32
Rate for Payer: One Health Plan of WY PPO $183.37
Rate for Payer: PacificSource Commercial $168.40
Rate for Payer: PHCS PPO $183.37
Rate for Payer: Three Rivers PPO $140.33
Rate for Payer: TriWest Veterans Administration $123.49
Rate for Payer: United Healthcare Commercial $162.79
Rate for Payer: United Healthcare Medicare $123.49
Rate for Payer: WINHealth Partners Commercial $177.75
Rate for Payer: Wise Provider Network Commercial $177.75
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $103.10
Max. Negotiated Rate $187.11
Rate for Payer: Aetna of WY Commercial/Medical Rental $183.37
Rate for Payer: Aetna of WY Medicare $123.49
Rate for Payer: Altius Auto/Workers Compensation $179.63
Rate for Payer: Altius Commercial $179.63
Rate for Payer: Beech Street Commercial $183.37
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $153.62
Rate for Payer: Cash Price $130.98
Rate for Payer: ChoiceCare Network Commercial $181.50
Rate for Payer: Cigna of WY Commercial $183.37
Rate for Payer: Entrust Commercial $177.75
Rate for Payer: First Choice Health Commercial $177.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $177.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $108.52
Rate for Payer: HealthUtah PPO $187.11
Rate for Payer: Idaho Integrated Healthcare Commercial $181.50
Rate for Payer: Multiplan Medicare/VA $103.10
Rate for Payer: One Health Plan of WY PPO $183.37
Rate for Payer: PacificSource Commercial $168.40
Rate for Payer: PHCS PPO $183.37
Rate for Payer: Three Rivers PPO $140.33
Rate for Payer: TriWest Veterans Administration $108.52
Rate for Payer: United Healthcare Commercial $162.79
Rate for Payer: United Healthcare Medicare $108.52
Rate for Payer: WINHealth Partners Commercial $183.37
Rate for Payer: Wise Provider Network Commercial $177.75
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,097.25
Max. Negotiated Rate $1,750.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,715.00
Rate for Payer: Altius Auto/Workers Compensation $1,680.00
Rate for Payer: Altius Commercial $1,680.00
Rate for Payer: Beech Street Commercial $1,715.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,436.75
Rate for Payer: Cash Price $1,225.00
Rate for Payer: ChoiceCare Network Commercial $1,697.50
Rate for Payer: Cigna of WY Commercial $1,715.00
Rate for Payer: Entrust Commercial $1,662.50
Rate for Payer: First Choice Health Commercial $1,662.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,662.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,155.00
Rate for Payer: HealthUtah PPO $1,750.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,697.50
Rate for Payer: Multiplan Medicare/VA $1,097.25
Rate for Payer: One Health Plan of WY PPO $1,715.00
Rate for Payer: PacificSource Commercial $1,575.00
Rate for Payer: PHCS PPO $1,715.00
Rate for Payer: Three Rivers PPO $1,312.50
Rate for Payer: TriWest Veterans Administration $1,155.00
Rate for Payer: United Healthcare Commercial $1,522.50
Rate for Payer: United Healthcare Medicare $1,155.00
Rate for Payer: WINHealth Partners Commercial $1,662.50
Rate for Payer: Wise Provider Network Commercial $1,662.50
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $964.25
Max. Negotiated Rate $1,750.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,715.00
Rate for Payer: Aetna of WY Medicare $1,155.00
Rate for Payer: Altius Auto/Workers Compensation $1,680.00
Rate for Payer: Altius Commercial $1,680.00
Rate for Payer: Beech Street Commercial $1,715.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,436.75
Rate for Payer: Cash Price $1,225.00
Rate for Payer: ChoiceCare Network Commercial $1,697.50
Rate for Payer: Cigna of WY Commercial $1,715.00
Rate for Payer: Entrust Commercial $1,662.50
Rate for Payer: First Choice Health Commercial $1,662.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,662.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,015.00
Rate for Payer: HealthUtah PPO $1,750.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,697.50
Rate for Payer: Multiplan Medicare/VA $964.25
Rate for Payer: One Health Plan of WY PPO $1,715.00
Rate for Payer: PacificSource Commercial $1,575.00
Rate for Payer: PHCS PPO $1,715.00
Rate for Payer: Three Rivers PPO $1,312.50
Rate for Payer: TriWest Veterans Administration $1,015.00
Rate for Payer: United Healthcare Commercial $1,522.50
Rate for Payer: United Healthcare Medicare $1,015.00
Rate for Payer: WINHealth Partners Commercial $1,715.00
Rate for Payer: Wise Provider Network Commercial $1,662.50
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,538.34
Max. Negotiated Rate $2,453.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,404.43
Rate for Payer: Altius Auto/Workers Compensation $2,355.36
Rate for Payer: Altius Commercial $2,355.36
Rate for Payer: Beech Street Commercial $2,404.43
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,014.32
Rate for Payer: Cash Price $1,717.45
Rate for Payer: ChoiceCare Network Commercial $2,379.90
Rate for Payer: Cigna of WY Commercial $2,404.43
Rate for Payer: Entrust Commercial $2,330.82
Rate for Payer: First Choice Health Commercial $2,330.82
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,330.82
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,619.31
Rate for Payer: HealthUtah PPO $2,453.50
Rate for Payer: Idaho Integrated Healthcare Commercial $2,379.90
Rate for Payer: Multiplan Medicare/VA $1,538.34
Rate for Payer: One Health Plan of WY PPO $2,404.43
Rate for Payer: PacificSource Commercial $2,208.15
Rate for Payer: PHCS PPO $2,404.43
Rate for Payer: Three Rivers PPO $1,840.12
Rate for Payer: TriWest Veterans Administration $1,619.31
Rate for Payer: United Healthcare Commercial $2,134.54
Rate for Payer: United Healthcare Medicare $1,619.31
Rate for Payer: WINHealth Partners Commercial $2,330.82
Rate for Payer: Wise Provider Network Commercial $2,330.82
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,351.88
Max. Negotiated Rate $2,453.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,404.43
Rate for Payer: Aetna of WY Medicare $1,619.31
Rate for Payer: Altius Auto/Workers Compensation $2,355.36
Rate for Payer: Altius Commercial $2,355.36
Rate for Payer: Beech Street Commercial $2,404.43
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,014.32
Rate for Payer: Cash Price $1,717.45
Rate for Payer: ChoiceCare Network Commercial $2,379.90
Rate for Payer: Cigna of WY Commercial $2,404.43
Rate for Payer: Entrust Commercial $2,330.82
Rate for Payer: First Choice Health Commercial $2,330.82
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,330.82
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,423.03
Rate for Payer: HealthUtah PPO $2,453.50
Rate for Payer: Idaho Integrated Healthcare Commercial $2,379.90
Rate for Payer: Multiplan Medicare/VA $1,351.88
Rate for Payer: One Health Plan of WY PPO $2,404.43
Rate for Payer: PacificSource Commercial $2,208.15
Rate for Payer: PHCS PPO $2,404.43
Rate for Payer: Three Rivers PPO $1,840.12
Rate for Payer: TriWest Veterans Administration $1,423.03
Rate for Payer: United Healthcare Commercial $2,134.54
Rate for Payer: United Healthcare Medicare $1,423.03
Rate for Payer: WINHealth Partners Commercial $2,404.43
Rate for Payer: Wise Provider Network Commercial $2,330.82
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $161.39
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Aetna of WY Medicare $193.31
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $169.88
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $161.39
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $169.88
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $169.88
Rate for Payer: WINHealth Partners Commercial $287.04
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $183.65
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $193.31
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $183.65
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $193.31
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $193.31
Rate for Payer: WINHealth Partners Commercial $278.26
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $161.39
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Aetna of WY Medicare $193.31
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $169.88
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $161.39
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $169.88
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $169.88
Rate for Payer: WINHealth Partners Commercial $287.04
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $183.65
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $193.31
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $183.65
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $193.31
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $193.31
Rate for Payer: WINHealth Partners Commercial $278.26
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $28.93
Max. Negotiated Rate $52.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $51.45
Rate for Payer: Aetna of WY Medicare $34.65
Rate for Payer: Altius Auto/Workers Compensation $50.40
Rate for Payer: Altius Commercial $50.40
Rate for Payer: Beech Street Commercial $51.45
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $43.10
Rate for Payer: Cash Price $36.75
Rate for Payer: ChoiceCare Network Commercial $50.92
Rate for Payer: Cigna of WY Commercial $51.45
Rate for Payer: Entrust Commercial $49.88
Rate for Payer: First Choice Health Commercial $49.88
Rate for Payer: Government Employees Health Association (GEHA) Commercial $49.88
Rate for Payer: Government Employees Health Association (GEHA) Medicare $30.45
Rate for Payer: HealthUtah PPO $52.50
Rate for Payer: Idaho Integrated Healthcare Commercial $50.92
Rate for Payer: Multiplan Medicare/VA $28.93
Rate for Payer: One Health Plan of WY PPO $51.45
Rate for Payer: PacificSource Commercial $47.25
Rate for Payer: PHCS PPO $51.45
Rate for Payer: Three Rivers PPO $39.38
Rate for Payer: TriWest Veterans Administration $30.45
Rate for Payer: United Healthcare Commercial $45.68
Rate for Payer: United Healthcare Medicare $30.45
Rate for Payer: WINHealth Partners Commercial $51.45
Rate for Payer: Wise Provider Network Commercial $49.88
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $32.92
Max. Negotiated Rate $52.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $51.45
Rate for Payer: Altius Auto/Workers Compensation $50.40
Rate for Payer: Altius Commercial $50.40
Rate for Payer: Beech Street Commercial $51.45
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $43.10
Rate for Payer: Cash Price $36.75
Rate for Payer: ChoiceCare Network Commercial $50.92
Rate for Payer: Cigna of WY Commercial $51.45
Rate for Payer: Entrust Commercial $49.88
Rate for Payer: First Choice Health Commercial $49.88
Rate for Payer: Government Employees Health Association (GEHA) Commercial $49.88
Rate for Payer: Government Employees Health Association (GEHA) Medicare $34.65
Rate for Payer: HealthUtah PPO $52.50
Rate for Payer: Idaho Integrated Healthcare Commercial $50.92
Rate for Payer: Multiplan Medicare/VA $32.92
Rate for Payer: One Health Plan of WY PPO $51.45
Rate for Payer: PacificSource Commercial $47.25
Rate for Payer: PHCS PPO $51.45
Rate for Payer: Three Rivers PPO $39.38
Rate for Payer: TriWest Veterans Administration $34.65
Rate for Payer: United Healthcare Commercial $45.68
Rate for Payer: United Healthcare Medicare $34.65
Rate for Payer: WINHealth Partners Commercial $49.88
Rate for Payer: Wise Provider Network Commercial $49.88
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $183.65
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $193.31
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $183.65
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $193.31
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $193.31
Rate for Payer: WINHealth Partners Commercial $278.26
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $161.39
Max. Negotiated Rate $292.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $287.04
Rate for Payer: Aetna of WY Medicare $193.31
Rate for Payer: Altius Auto/Workers Compensation $281.18
Rate for Payer: Altius Commercial $281.18
Rate for Payer: Beech Street Commercial $287.04
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $240.47
Rate for Payer: Cash Price $205.03
Rate for Payer: ChoiceCare Network Commercial $284.11
Rate for Payer: Cigna of WY Commercial $287.04
Rate for Payer: Entrust Commercial $278.26
Rate for Payer: First Choice Health Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Commercial $278.26
Rate for Payer: Government Employees Health Association (GEHA) Medicare $169.88
Rate for Payer: HealthUtah PPO $292.90
Rate for Payer: Idaho Integrated Healthcare Commercial $284.11
Rate for Payer: Multiplan Medicare/VA $161.39
Rate for Payer: One Health Plan of WY PPO $287.04
Rate for Payer: PacificSource Commercial $263.61
Rate for Payer: PHCS PPO $287.04
Rate for Payer: Three Rivers PPO $219.68
Rate for Payer: TriWest Veterans Administration $169.88
Rate for Payer: United Healthcare Commercial $254.82
Rate for Payer: United Healthcare Medicare $169.88
Rate for Payer: WINHealth Partners Commercial $287.04
Rate for Payer: Wise Provider Network Commercial $278.26
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $2.76
Max. Negotiated Rate $4.40
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.31
Rate for Payer: Altius Auto/Workers Compensation $4.22
Rate for Payer: Altius Commercial $4.22
Rate for Payer: Beech Street Commercial $4.31
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.61
Rate for Payer: Cash Price $3.08
Rate for Payer: ChoiceCare Network Commercial $4.27
Rate for Payer: Cigna of WY Commercial $4.31
Rate for Payer: Entrust Commercial $4.18
Rate for Payer: First Choice Health Commercial $4.18
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4.18
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.90
Rate for Payer: HealthUtah PPO $4.40
Rate for Payer: Idaho Integrated Healthcare Commercial $4.27
Rate for Payer: Multiplan Medicare/VA $2.76
Rate for Payer: One Health Plan of WY PPO $4.31
Rate for Payer: PacificSource Commercial $3.96
Rate for Payer: PHCS PPO $4.31
Rate for Payer: Three Rivers PPO $3.30
Rate for Payer: TriWest Veterans Administration $2.90
Rate for Payer: United Healthcare Commercial $3.83
Rate for Payer: United Healthcare Medicare $2.90
Rate for Payer: WINHealth Partners Commercial $4.18
Rate for Payer: Wise Provider Network Commercial $4.18
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $2.42
Max. Negotiated Rate $4.40
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.31
Rate for Payer: Aetna of WY Medicare $2.90
Rate for Payer: Altius Auto/Workers Compensation $4.22
Rate for Payer: Altius Commercial $4.22
Rate for Payer: Beech Street Commercial $4.31
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.61
Rate for Payer: Cash Price $3.08
Rate for Payer: ChoiceCare Network Commercial $4.27
Rate for Payer: Cigna of WY Commercial $4.31
Rate for Payer: Entrust Commercial $4.18
Rate for Payer: First Choice Health Commercial $4.18
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4.18
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.55
Rate for Payer: HealthUtah PPO $4.40
Rate for Payer: Idaho Integrated Healthcare Commercial $4.27
Rate for Payer: Multiplan Medicare/VA $2.42
Rate for Payer: One Health Plan of WY PPO $4.31
Rate for Payer: PacificSource Commercial $3.96
Rate for Payer: PHCS PPO $4.31
Rate for Payer: Three Rivers PPO $3.30
Rate for Payer: TriWest Veterans Administration $2.55
Rate for Payer: United Healthcare Commercial $3.83
Rate for Payer: United Healthcare Medicare $2.55
Rate for Payer: WINHealth Partners Commercial $4.31
Rate for Payer: Wise Provider Network Commercial $4.18
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $3.02
Max. Negotiated Rate $4.82
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.72
Rate for Payer: Altius Auto/Workers Compensation $4.63
Rate for Payer: Altius Commercial $4.63
Rate for Payer: Beech Street Commercial $4.72
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.96
Rate for Payer: Cash Price $3.38
Rate for Payer: ChoiceCare Network Commercial $4.68
Rate for Payer: Cigna of WY Commercial $4.72
Rate for Payer: Entrust Commercial $4.58
Rate for Payer: First Choice Health Commercial $4.58
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4.58
Rate for Payer: Government Employees Health Association (GEHA) Medicare $3.18
Rate for Payer: HealthUtah PPO $4.82
Rate for Payer: Idaho Integrated Healthcare Commercial $4.68
Rate for Payer: Multiplan Medicare/VA $3.02
Rate for Payer: One Health Plan of WY PPO $4.72
Rate for Payer: PacificSource Commercial $4.34
Rate for Payer: PHCS PPO $4.72
Rate for Payer: Three Rivers PPO $3.62
Rate for Payer: TriWest Veterans Administration $3.18
Rate for Payer: United Healthcare Commercial $4.19
Rate for Payer: United Healthcare Medicare $3.18
Rate for Payer: WINHealth Partners Commercial $4.58
Rate for Payer: Wise Provider Network Commercial $4.58
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $2.66
Max. Negotiated Rate $4.82
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.72
Rate for Payer: Aetna of WY Medicare $3.18
Rate for Payer: Altius Auto/Workers Compensation $4.63
Rate for Payer: Altius Commercial $4.63
Rate for Payer: Beech Street Commercial $4.72
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.96
Rate for Payer: Cash Price $3.38
Rate for Payer: ChoiceCare Network Commercial $4.68
Rate for Payer: Cigna of WY Commercial $4.72
Rate for Payer: Entrust Commercial $4.58
Rate for Payer: First Choice Health Commercial $4.58
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4.58
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.80
Rate for Payer: HealthUtah PPO $4.82
Rate for Payer: Idaho Integrated Healthcare Commercial $4.68
Rate for Payer: Multiplan Medicare/VA $2.66
Rate for Payer: One Health Plan of WY PPO $4.72
Rate for Payer: PacificSource Commercial $4.34
Rate for Payer: PHCS PPO $4.72
Rate for Payer: Three Rivers PPO $3.62
Rate for Payer: TriWest Veterans Administration $2.80
Rate for Payer: United Healthcare Commercial $4.19
Rate for Payer: United Healthcare Medicare $2.80
Rate for Payer: WINHealth Partners Commercial $4.72
Rate for Payer: Wise Provider Network Commercial $4.58