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Charge Type Setting Price  
Service Code HCPCS 23485
Hospital Charge Code 23485
Min. Negotiated Rate $782.56
Max. Negotiated Rate $4,841.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,744.18
Rate for Payer: Aetna of WY Medicare $920.66
Rate for Payer: Beech Street Commercial $4,598.95
Rate for Payer: Cash Price $3,388.70
Rate for Payer: Cash Price $3,388.70
Rate for Payer: ChoiceCare Network Commercial $4,695.77
Rate for Payer: Cigna of WY Commercial $4,744.18
Rate for Payer: First Choice Health Commercial $4,356.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,598.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $920.66
Rate for Payer: HealthUtah PPO $4,841.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,695.77
Rate for Payer: Multiplan Medicare/VA $782.56
Rate for Payer: One Health Plan of WY PPO $4,744.18
Rate for Payer: PacificSource Commercial $4,356.90
Rate for Payer: PHCS PPO $4,598.95
Rate for Payer: Three Rivers PPO $3,630.75
Rate for Payer: TriWest Veterans Administration $920.66
Rate for Payer: United Healthcare Commercial $4,211.67
Rate for Payer: United Healthcare Medicare $920.66
Rate for Payer: WINHealth Partners Commercial $4,114.85
Service Code HCPCS 24400 AS
Hospital Charge Code 24400
Min. Negotiated Rate $682.73
Max. Negotiated Rate $2,867.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,809.66
Rate for Payer: Aetna of WY Medicare $803.21
Rate for Payer: Beech Street Commercial $2,723.65
Rate for Payer: Cash Price $2,006.90
Rate for Payer: Cash Price $2,006.90
Rate for Payer: ChoiceCare Network Commercial $2,780.99
Rate for Payer: Cigna of WY Commercial $2,809.66
Rate for Payer: First Choice Health Commercial $2,580.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,723.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $803.21
Rate for Payer: HealthUtah PPO $2,867.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,780.99
Rate for Payer: Multiplan Medicare/VA $682.73
Rate for Payer: One Health Plan of WY PPO $2,809.66
Rate for Payer: PacificSource Commercial $2,580.30
Rate for Payer: PHCS PPO $2,723.65
Rate for Payer: Three Rivers PPO $2,150.25
Rate for Payer: TriWest Veterans Administration $803.21
Rate for Payer: United Healthcare Commercial $2,494.29
Rate for Payer: United Healthcare Medicare $803.21
Rate for Payer: WINHealth Partners Commercial $2,436.95
Service Code HCPCS 24400
Hospital Charge Code 24400
Min. Negotiated Rate $682.73
Max. Negotiated Rate $2,867.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,809.66
Rate for Payer: Aetna of WY Medicare $803.21
Rate for Payer: Beech Street Commercial $2,723.65
Rate for Payer: Cash Price $2,006.90
Rate for Payer: Cash Price $2,006.90
Rate for Payer: ChoiceCare Network Commercial $2,780.99
Rate for Payer: Cigna of WY Commercial $2,809.66
Rate for Payer: First Choice Health Commercial $2,580.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,723.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $803.21
Rate for Payer: HealthUtah PPO $2,867.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,780.99
Rate for Payer: Multiplan Medicare/VA $682.73
Rate for Payer: One Health Plan of WY PPO $2,809.66
Rate for Payer: PacificSource Commercial $2,580.30
Rate for Payer: PHCS PPO $2,723.65
Rate for Payer: Three Rivers PPO $2,150.25
Rate for Payer: TriWest Veterans Administration $803.21
Rate for Payer: United Healthcare Commercial $2,494.29
Rate for Payer: United Healthcare Medicare $803.21
Rate for Payer: WINHealth Partners Commercial $2,436.95
Service Code HCPCS 26567 AS
Hospital Charge Code 26567
Min. Negotiated Rate $599.39
Max. Negotiated Rate $5,517.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,406.66
Rate for Payer: Aetna of WY Medicare $705.16
Rate for Payer: Beech Street Commercial $5,241.15
Rate for Payer: Cash Price $3,861.90
Rate for Payer: Cash Price $3,861.90
Rate for Payer: ChoiceCare Network Commercial $5,351.49
Rate for Payer: Cigna of WY Commercial $5,406.66
Rate for Payer: First Choice Health Commercial $4,965.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $5,241.15
Rate for Payer: Government Employees Health Association (GEHA) Medicare $705.16
Rate for Payer: HealthUtah PPO $5,517.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,351.49
Rate for Payer: Multiplan Medicare/VA $599.39
Rate for Payer: One Health Plan of WY PPO $5,406.66
Rate for Payer: PacificSource Commercial $4,965.30
Rate for Payer: PHCS PPO $5,241.15
Rate for Payer: Three Rivers PPO $4,137.75
Rate for Payer: TriWest Veterans Administration $705.16
Rate for Payer: United Healthcare Commercial $4,799.79
Rate for Payer: United Healthcare Medicare $705.16
Rate for Payer: WINHealth Partners Commercial $4,689.45
Service Code HCPCS 26567
Hospital Charge Code 26567
Min. Negotiated Rate $599.39
Max. Negotiated Rate $5,517.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,406.66
Rate for Payer: Aetna of WY Medicare $705.16
Rate for Payer: Beech Street Commercial $5,241.15
Rate for Payer: Cash Price $3,861.90
Rate for Payer: Cash Price $3,861.90
Rate for Payer: ChoiceCare Network Commercial $5,351.49
Rate for Payer: Cigna of WY Commercial $5,406.66
Rate for Payer: First Choice Health Commercial $4,965.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $5,241.15
Rate for Payer: Government Employees Health Association (GEHA) Medicare $705.16
Rate for Payer: HealthUtah PPO $5,517.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,351.49
Rate for Payer: Multiplan Medicare/VA $599.39
Rate for Payer: One Health Plan of WY PPO $5,406.66
Rate for Payer: PacificSource Commercial $4,965.30
Rate for Payer: PHCS PPO $5,241.15
Rate for Payer: Three Rivers PPO $4,137.75
Rate for Payer: TriWest Veterans Administration $705.16
Rate for Payer: United Healthcare Commercial $4,799.79
Rate for Payer: United Healthcare Medicare $705.16
Rate for Payer: WINHealth Partners Commercial $4,689.45
Service Code HCPCS 25360
Hospital Charge Code 25360
Min. Negotiated Rate $544.99
Max. Negotiated Rate $2,289.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,243.22
Rate for Payer: Aetna of WY Medicare $641.17
Rate for Payer: Beech Street Commercial $2,174.55
Rate for Payer: Cash Price $1,602.30
Rate for Payer: Cash Price $1,602.30
Rate for Payer: ChoiceCare Network Commercial $2,220.33
Rate for Payer: Cigna of WY Commercial $2,243.22
Rate for Payer: First Choice Health Commercial $2,060.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,174.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $641.17
Rate for Payer: HealthUtah PPO $2,289.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,220.33
Rate for Payer: Multiplan Medicare/VA $544.99
Rate for Payer: One Health Plan of WY PPO $2,243.22
Rate for Payer: PacificSource Commercial $2,060.10
Rate for Payer: PHCS PPO $2,174.55
Rate for Payer: Three Rivers PPO $1,716.75
Rate for Payer: TriWest Veterans Administration $641.17
Rate for Payer: United Healthcare Commercial $1,991.43
Rate for Payer: United Healthcare Medicare $641.17
Rate for Payer: WINHealth Partners Commercial $1,945.65
Service Code HCPCS 25360 AS
Hospital Charge Code 25360
Min. Negotiated Rate $544.99
Max. Negotiated Rate $2,289.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,243.22
Rate for Payer: Aetna of WY Medicare $641.17
Rate for Payer: Beech Street Commercial $2,174.55
Rate for Payer: Cash Price $1,602.30
Rate for Payer: Cash Price $1,602.30
Rate for Payer: ChoiceCare Network Commercial $2,220.33
Rate for Payer: Cigna of WY Commercial $2,243.22
Rate for Payer: First Choice Health Commercial $2,060.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,174.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $641.17
Rate for Payer: HealthUtah PPO $2,289.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,220.33
Rate for Payer: Multiplan Medicare/VA $544.99
Rate for Payer: One Health Plan of WY PPO $2,243.22
Rate for Payer: PacificSource Commercial $2,060.10
Rate for Payer: PHCS PPO $2,174.55
Rate for Payer: Three Rivers PPO $1,716.75
Rate for Payer: TriWest Veterans Administration $641.17
Rate for Payer: United Healthcare Commercial $1,991.43
Rate for Payer: United Healthcare Medicare $641.17
Rate for Payer: WINHealth Partners Commercial $1,945.65
Service Code HCPCS 27455
Hospital Charge Code 27455
Min. Negotiated Rate $789.40
Max. Negotiated Rate $4,914.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,815.72
Rate for Payer: Aetna of WY Medicare $928.70
Rate for Payer: Beech Street Commercial $4,668.30
Rate for Payer: Cash Price $3,439.80
Rate for Payer: Cash Price $3,439.80
Rate for Payer: ChoiceCare Network Commercial $4,766.58
Rate for Payer: Cigna of WY Commercial $4,815.72
Rate for Payer: First Choice Health Commercial $4,422.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,668.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $928.70
Rate for Payer: HealthUtah PPO $4,914.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,766.58
Rate for Payer: Multiplan Medicare/VA $789.40
Rate for Payer: One Health Plan of WY PPO $4,815.72
Rate for Payer: PacificSource Commercial $4,422.60
Rate for Payer: PHCS PPO $4,668.30
Rate for Payer: Three Rivers PPO $3,685.50
Rate for Payer: TriWest Veterans Administration $928.70
Rate for Payer: United Healthcare Commercial $4,275.18
Rate for Payer: United Healthcare Medicare $928.70
Rate for Payer: WINHealth Partners Commercial $4,176.90
Service Code HCPCS 27455 AS
Hospital Charge Code 27455
Min. Negotiated Rate $789.40
Max. Negotiated Rate $4,914.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,815.72
Rate for Payer: Aetna of WY Medicare $928.70
Rate for Payer: Beech Street Commercial $4,668.30
Rate for Payer: Cash Price $3,439.80
Rate for Payer: Cash Price $3,439.80
Rate for Payer: ChoiceCare Network Commercial $4,766.58
Rate for Payer: Cigna of WY Commercial $4,815.72
Rate for Payer: First Choice Health Commercial $4,422.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,668.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $928.70
Rate for Payer: HealthUtah PPO $4,914.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,766.58
Rate for Payer: Multiplan Medicare/VA $789.40
Rate for Payer: One Health Plan of WY PPO $4,815.72
Rate for Payer: PacificSource Commercial $4,422.60
Rate for Payer: PHCS PPO $4,668.30
Rate for Payer: Three Rivers PPO $3,685.50
Rate for Payer: TriWest Veterans Administration $928.70
Rate for Payer: United Healthcare Commercial $4,275.18
Rate for Payer: United Healthcare Medicare $928.70
Rate for Payer: WINHealth Partners Commercial $4,176.90
Service Code HCPCS 92502
Hospital Charge Code 92502
Min. Negotiated Rate $78.60
Max. Negotiated Rate $249.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $244.02
Rate for Payer: Aetna of WY Medicare $92.47
Rate for Payer: Beech Street Commercial $236.55
Rate for Payer: Cash Price $174.30
Rate for Payer: Cash Price $174.30
Rate for Payer: ChoiceCare Network Commercial $241.53
Rate for Payer: Cigna of WY Commercial $244.02
Rate for Payer: First Choice Health Commercial $224.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $236.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $92.47
Rate for Payer: HealthUtah PPO $249.00
Rate for Payer: Idaho Integrated Healthcare Commercial $241.53
Rate for Payer: Multiplan Medicare/VA $78.60
Rate for Payer: One Health Plan of WY PPO $244.02
Rate for Payer: PacificSource Commercial $224.10
Rate for Payer: PHCS PPO $236.55
Rate for Payer: Three Rivers PPO $186.75
Rate for Payer: TriWest Veterans Administration $92.47
Rate for Payer: United Healthcare Commercial $216.63
Rate for Payer: United Healthcare Medicare $92.47
Rate for Payer: WINHealth Partners Commercial $236.55
Service Code HCPCS 58925
Hospital Charge Code 58925
Min. Negotiated Rate $627.67
Max. Negotiated Rate $3,928.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,849.44
Rate for Payer: Aetna of WY Medicare $738.44
Rate for Payer: Beech Street Commercial $3,731.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: ChoiceCare Network Commercial $3,810.16
Rate for Payer: Cigna of WY Commercial $3,849.44
Rate for Payer: First Choice Health Commercial $3,535.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,731.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $738.44
Rate for Payer: HealthUtah PPO $3,928.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,810.16
Rate for Payer: Multiplan Medicare/VA $627.67
Rate for Payer: One Health Plan of WY PPO $3,849.44
Rate for Payer: PacificSource Commercial $3,535.20
Rate for Payer: PHCS PPO $3,731.60
Rate for Payer: Three Rivers PPO $2,946.00
Rate for Payer: TriWest Veterans Administration $738.44
Rate for Payer: United Healthcare Commercial $3,417.36
Rate for Payer: United Healthcare Medicare $738.44
Rate for Payer: WINHealth Partners Commercial $3,338.80
Service Code HCPCS 58925 80
Hospital Charge Code 58925
Min. Negotiated Rate $627.67
Max. Negotiated Rate $3,928.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,849.44
Rate for Payer: Aetna of WY Medicare $738.44
Rate for Payer: Beech Street Commercial $3,731.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: ChoiceCare Network Commercial $3,810.16
Rate for Payer: Cigna of WY Commercial $3,849.44
Rate for Payer: First Choice Health Commercial $3,535.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,731.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $738.44
Rate for Payer: HealthUtah PPO $3,928.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,810.16
Rate for Payer: Multiplan Medicare/VA $627.67
Rate for Payer: One Health Plan of WY PPO $3,849.44
Rate for Payer: PacificSource Commercial $3,535.20
Rate for Payer: PHCS PPO $3,731.60
Rate for Payer: Three Rivers PPO $2,946.00
Rate for Payer: TriWest Veterans Administration $738.44
Rate for Payer: United Healthcare Commercial $3,417.36
Rate for Payer: United Healthcare Medicare $738.44
Rate for Payer: WINHealth Partners Commercial $3,338.80
Service Code HCPCS 58925 AS
Hospital Charge Code 58925
Min. Negotiated Rate $627.67
Max. Negotiated Rate $3,928.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,849.44
Rate for Payer: Aetna of WY Medicare $738.44
Rate for Payer: Beech Street Commercial $3,731.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: Cash Price $2,749.60
Rate for Payer: ChoiceCare Network Commercial $3,810.16
Rate for Payer: Cigna of WY Commercial $3,849.44
Rate for Payer: First Choice Health Commercial $3,535.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,731.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $738.44
Rate for Payer: HealthUtah PPO $3,928.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,810.16
Rate for Payer: Multiplan Medicare/VA $627.67
Rate for Payer: One Health Plan of WY PPO $3,849.44
Rate for Payer: PacificSource Commercial $3,535.20
Rate for Payer: PHCS PPO $3,731.60
Rate for Payer: Three Rivers PPO $2,946.00
Rate for Payer: TriWest Veterans Administration $738.44
Rate for Payer: United Healthcare Commercial $3,417.36
Rate for Payer: United Healthcare Medicare $738.44
Rate for Payer: WINHealth Partners Commercial $3,338.80
Service Code HCPCS J9263
Hospital Revenue Code 636
Min. Negotiated Rate $10.47
Max. Negotiated Rate $19.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $18.62
Rate for Payer: Aetna of WY Medicare $12.54
Rate for Payer: Altius Auto/Workers Compensation $18.24
Rate for Payer: Altius Commercial $18.24
Rate for Payer: Beech Street Commercial $18.62
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.60
Rate for Payer: Cash Price $13.30
Rate for Payer: ChoiceCare Network Commercial $18.43
Rate for Payer: Cigna of WY Commercial $18.62
Rate for Payer: Entrust Commercial $18.05
Rate for Payer: First Choice Health Commercial $18.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $18.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.02
Rate for Payer: HealthUtah PPO $19.00
Rate for Payer: Idaho Integrated Healthcare Commercial $18.43
Rate for Payer: Multiplan Medicare/VA $10.47
Rate for Payer: One Health Plan of WY PPO $18.62
Rate for Payer: PacificSource Commercial $17.10
Rate for Payer: PHCS PPO $18.62
Rate for Payer: Three Rivers PPO $14.25
Rate for Payer: TriWest Veterans Administration $11.02
Rate for Payer: United Healthcare Commercial $16.53
Rate for Payer: United Healthcare Medicare $11.02
Rate for Payer: WINHealth Partners Commercial $18.62
Rate for Payer: Wise Provider Network Commercial $18.05
Service Code HCPCS J9263
Hospital Revenue Code 636
Min. Negotiated Rate $11.91
Max. Negotiated Rate $19.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $18.62
Rate for Payer: Altius Auto/Workers Compensation $18.24
Rate for Payer: Altius Commercial $18.24
Rate for Payer: Beech Street Commercial $18.62
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.60
Rate for Payer: Cash Price $13.30
Rate for Payer: ChoiceCare Network Commercial $18.43
Rate for Payer: Cigna of WY Commercial $18.62
Rate for Payer: Entrust Commercial $18.05
Rate for Payer: First Choice Health Commercial $18.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $18.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $12.54
Rate for Payer: HealthUtah PPO $19.00
Rate for Payer: Idaho Integrated Healthcare Commercial $18.43
Rate for Payer: Multiplan Medicare/VA $11.91
Rate for Payer: One Health Plan of WY PPO $18.62
Rate for Payer: PacificSource Commercial $17.10
Rate for Payer: PHCS PPO $18.62
Rate for Payer: Three Rivers PPO $14.25
Rate for Payer: TriWest Veterans Administration $12.54
Rate for Payer: United Healthcare Commercial $16.53
Rate for Payer: United Healthcare Medicare $12.54
Rate for Payer: WINHealth Partners Commercial $18.05
Rate for Payer: Wise Provider Network Commercial $18.05
Service Code NDC 6846213801
Hospital Revenue Code 250
Min. Negotiated Rate $1.21
Max. Negotiated Rate $2.20
Rate for Payer: Aetna of WY Commercial/Medical Rental $2.16
Rate for Payer: Aetna of WY Medicare $1.45
Rate for Payer: Altius Auto/Workers Compensation $2.11
Rate for Payer: Altius Commercial $2.11
Rate for Payer: Beech Street Commercial $2.16
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1.81
Rate for Payer: Cash Price $1.54
Rate for Payer: ChoiceCare Network Commercial $2.13
Rate for Payer: Cigna of WY Commercial $2.16
Rate for Payer: Entrust Commercial $2.09
Rate for Payer: First Choice Health Commercial $2.09
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2.09
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1.28
Rate for Payer: HealthUtah PPO $2.20
Rate for Payer: Idaho Integrated Healthcare Commercial $2.13
Rate for Payer: Multiplan Medicare/VA $1.21
Rate for Payer: One Health Plan of WY PPO $2.16
Rate for Payer: PacificSource Commercial $1.98
Rate for Payer: PHCS PPO $2.16
Rate for Payer: Three Rivers PPO $1.65
Rate for Payer: TriWest Veterans Administration $1.28
Rate for Payer: United Healthcare Commercial $1.91
Rate for Payer: United Healthcare Medicare $1.28
Rate for Payer: WINHealth Partners Commercial $2.16
Rate for Payer: Wise Provider Network Commercial $2.09
Service Code NDC 6846213801
Hospital Revenue Code 250
Min. Negotiated Rate $1.38
Max. Negotiated Rate $2.20
Rate for Payer: Aetna of WY Commercial/Medical Rental $2.16
Rate for Payer: Altius Auto/Workers Compensation $2.11
Rate for Payer: Altius Commercial $2.11
Rate for Payer: Beech Street Commercial $2.16
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1.81
Rate for Payer: Cash Price $1.54
Rate for Payer: ChoiceCare Network Commercial $2.13
Rate for Payer: Cigna of WY Commercial $2.16
Rate for Payer: Entrust Commercial $2.09
Rate for Payer: First Choice Health Commercial $2.09
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2.09
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1.45
Rate for Payer: HealthUtah PPO $2.20
Rate for Payer: Idaho Integrated Healthcare Commercial $2.13
Rate for Payer: Multiplan Medicare/VA $1.38
Rate for Payer: One Health Plan of WY PPO $2.16
Rate for Payer: PacificSource Commercial $1.98
Rate for Payer: PHCS PPO $2.16
Rate for Payer: Three Rivers PPO $1.65
Rate for Payer: TriWest Veterans Administration $1.45
Rate for Payer: United Healthcare Commercial $1.91
Rate for Payer: United Healthcare Medicare $1.45
Rate for Payer: WINHealth Partners Commercial $2.09
Rate for Payer: Wise Provider Network Commercial $2.09
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $9.32
Max. Negotiated Rate $16.91
Rate for Payer: Aetna of WY Commercial/Medical Rental $16.57
Rate for Payer: Aetna of WY Medicare $11.16
Rate for Payer: Altius Auto/Workers Compensation $16.23
Rate for Payer: Altius Commercial $16.23
Rate for Payer: Beech Street Commercial $16.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $13.88
Rate for Payer: Cash Price $11.83
Rate for Payer: ChoiceCare Network Commercial $16.40
Rate for Payer: Cigna of WY Commercial $16.57
Rate for Payer: Entrust Commercial $16.06
Rate for Payer: First Choice Health Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Medicare $9.81
Rate for Payer: HealthUtah PPO $16.91
Rate for Payer: Idaho Integrated Healthcare Commercial $16.40
Rate for Payer: Multiplan Medicare/VA $9.32
Rate for Payer: One Health Plan of WY PPO $16.57
Rate for Payer: PacificSource Commercial $15.22
Rate for Payer: PHCS PPO $16.57
Rate for Payer: Three Rivers PPO $12.68
Rate for Payer: TriWest Veterans Administration $9.81
Rate for Payer: United Healthcare Commercial $14.71
Rate for Payer: United Healthcare Medicare $9.81
Rate for Payer: WINHealth Partners Commercial $16.57
Rate for Payer: Wise Provider Network Commercial $16.06
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $10.60
Max. Negotiated Rate $16.91
Rate for Payer: Aetna of WY Commercial/Medical Rental $16.57
Rate for Payer: Altius Auto/Workers Compensation $16.23
Rate for Payer: Altius Commercial $16.23
Rate for Payer: Beech Street Commercial $16.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $13.88
Rate for Payer: Cash Price $11.83
Rate for Payer: ChoiceCare Network Commercial $16.40
Rate for Payer: Cigna of WY Commercial $16.57
Rate for Payer: Entrust Commercial $16.06
Rate for Payer: First Choice Health Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.16
Rate for Payer: HealthUtah PPO $16.91
Rate for Payer: Idaho Integrated Healthcare Commercial $16.40
Rate for Payer: Multiplan Medicare/VA $10.60
Rate for Payer: One Health Plan of WY PPO $16.57
Rate for Payer: PacificSource Commercial $15.22
Rate for Payer: PHCS PPO $16.57
Rate for Payer: Three Rivers PPO $12.68
Rate for Payer: TriWest Veterans Administration $11.16
Rate for Payer: United Healthcare Commercial $14.71
Rate for Payer: United Healthcare Medicare $11.16
Rate for Payer: WINHealth Partners Commercial $16.06
Rate for Payer: Wise Provider Network Commercial $16.06
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $9.78
Max. Negotiated Rate $17.75
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.40
Rate for Payer: Aetna of WY Medicare $11.72
Rate for Payer: Altius Auto/Workers Compensation $17.04
Rate for Payer: Altius Commercial $17.04
Rate for Payer: Beech Street Commercial $17.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $14.57
Rate for Payer: Cash Price $12.42
Rate for Payer: ChoiceCare Network Commercial $17.22
Rate for Payer: Cigna of WY Commercial $17.40
Rate for Payer: Entrust Commercial $16.86
Rate for Payer: First Choice Health Commercial $16.86
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.86
Rate for Payer: Government Employees Health Association (GEHA) Medicare $10.30
Rate for Payer: HealthUtah PPO $17.75
Rate for Payer: Idaho Integrated Healthcare Commercial $17.22
Rate for Payer: Multiplan Medicare/VA $9.78
Rate for Payer: One Health Plan of WY PPO $17.40
Rate for Payer: PacificSource Commercial $15.98
Rate for Payer: PHCS PPO $17.40
Rate for Payer: Three Rivers PPO $13.31
Rate for Payer: TriWest Veterans Administration $10.30
Rate for Payer: United Healthcare Commercial $15.44
Rate for Payer: United Healthcare Medicare $10.30
Rate for Payer: WINHealth Partners Commercial $17.40
Rate for Payer: Wise Provider Network Commercial $16.86
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $11.13
Max. Negotiated Rate $17.75
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.40
Rate for Payer: Altius Auto/Workers Compensation $17.04
Rate for Payer: Altius Commercial $17.04
Rate for Payer: Beech Street Commercial $17.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $14.57
Rate for Payer: Cash Price $12.42
Rate for Payer: ChoiceCare Network Commercial $17.22
Rate for Payer: Cigna of WY Commercial $17.40
Rate for Payer: Entrust Commercial $16.86
Rate for Payer: First Choice Health Commercial $16.86
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.86
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.72
Rate for Payer: HealthUtah PPO $17.75
Rate for Payer: Idaho Integrated Healthcare Commercial $17.22
Rate for Payer: Multiplan Medicare/VA $11.13
Rate for Payer: One Health Plan of WY PPO $17.40
Rate for Payer: PacificSource Commercial $15.98
Rate for Payer: PHCS PPO $17.40
Rate for Payer: Three Rivers PPO $13.31
Rate for Payer: TriWest Veterans Administration $11.72
Rate for Payer: United Healthcare Commercial $15.44
Rate for Payer: United Healthcare Medicare $11.72
Rate for Payer: WINHealth Partners Commercial $16.86
Rate for Payer: Wise Provider Network Commercial $16.86
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $11.24
Max. Negotiated Rate $17.92
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.56
Rate for Payer: Altius Auto/Workers Compensation $17.20
Rate for Payer: Altius Commercial $17.20
Rate for Payer: Beech Street Commercial $17.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $14.71
Rate for Payer: Cash Price $12.54
Rate for Payer: ChoiceCare Network Commercial $17.38
Rate for Payer: Cigna of WY Commercial $17.56
Rate for Payer: Entrust Commercial $17.02
Rate for Payer: First Choice Health Commercial $17.02
Rate for Payer: Government Employees Health Association (GEHA) Commercial $17.02
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.83
Rate for Payer: HealthUtah PPO $17.92
Rate for Payer: Idaho Integrated Healthcare Commercial $17.38
Rate for Payer: Multiplan Medicare/VA $11.24
Rate for Payer: One Health Plan of WY PPO $17.56
Rate for Payer: PacificSource Commercial $16.13
Rate for Payer: PHCS PPO $17.56
Rate for Payer: Three Rivers PPO $13.44
Rate for Payer: TriWest Veterans Administration $11.83
Rate for Payer: United Healthcare Commercial $15.59
Rate for Payer: United Healthcare Medicare $11.83
Rate for Payer: WINHealth Partners Commercial $17.02
Rate for Payer: Wise Provider Network Commercial $17.02
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $9.87
Max. Negotiated Rate $17.92
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.56
Rate for Payer: Aetna of WY Medicare $11.83
Rate for Payer: Altius Auto/Workers Compensation $17.20
Rate for Payer: Altius Commercial $17.20
Rate for Payer: Beech Street Commercial $17.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $14.71
Rate for Payer: Cash Price $12.54
Rate for Payer: ChoiceCare Network Commercial $17.38
Rate for Payer: Cigna of WY Commercial $17.56
Rate for Payer: Entrust Commercial $17.02
Rate for Payer: First Choice Health Commercial $17.02
Rate for Payer: Government Employees Health Association (GEHA) Commercial $17.02
Rate for Payer: Government Employees Health Association (GEHA) Medicare $10.39
Rate for Payer: HealthUtah PPO $17.92
Rate for Payer: Idaho Integrated Healthcare Commercial $17.38
Rate for Payer: Multiplan Medicare/VA $9.87
Rate for Payer: One Health Plan of WY PPO $17.56
Rate for Payer: PacificSource Commercial $16.13
Rate for Payer: PHCS PPO $17.56
Rate for Payer: Three Rivers PPO $13.44
Rate for Payer: TriWest Veterans Administration $10.39
Rate for Payer: United Healthcare Commercial $15.59
Rate for Payer: United Healthcare Medicare $10.39
Rate for Payer: WINHealth Partners Commercial $17.56
Rate for Payer: Wise Provider Network Commercial $17.02
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $10.60
Max. Negotiated Rate $16.91
Rate for Payer: Aetna of WY Commercial/Medical Rental $16.57
Rate for Payer: Altius Auto/Workers Compensation $16.23
Rate for Payer: Altius Commercial $16.23
Rate for Payer: Beech Street Commercial $16.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $13.88
Rate for Payer: Cash Price $11.83
Rate for Payer: ChoiceCare Network Commercial $16.40
Rate for Payer: Cigna of WY Commercial $16.57
Rate for Payer: Entrust Commercial $16.06
Rate for Payer: First Choice Health Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.16
Rate for Payer: HealthUtah PPO $16.91
Rate for Payer: Idaho Integrated Healthcare Commercial $16.40
Rate for Payer: Multiplan Medicare/VA $10.60
Rate for Payer: One Health Plan of WY PPO $16.57
Rate for Payer: PacificSource Commercial $15.22
Rate for Payer: PHCS PPO $16.57
Rate for Payer: Three Rivers PPO $12.68
Rate for Payer: TriWest Veterans Administration $11.16
Rate for Payer: United Healthcare Commercial $14.71
Rate for Payer: United Healthcare Medicare $11.16
Rate for Payer: WINHealth Partners Commercial $16.06
Rate for Payer: Wise Provider Network Commercial $16.06
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $9.32
Max. Negotiated Rate $16.91
Rate for Payer: Aetna of WY Commercial/Medical Rental $16.57
Rate for Payer: Aetna of WY Medicare $11.16
Rate for Payer: Altius Auto/Workers Compensation $16.23
Rate for Payer: Altius Commercial $16.23
Rate for Payer: Beech Street Commercial $16.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $13.88
Rate for Payer: Cash Price $11.83
Rate for Payer: ChoiceCare Network Commercial $16.40
Rate for Payer: Cigna of WY Commercial $16.57
Rate for Payer: Entrust Commercial $16.06
Rate for Payer: First Choice Health Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Commercial $16.06
Rate for Payer: Government Employees Health Association (GEHA) Medicare $9.81
Rate for Payer: HealthUtah PPO $16.91
Rate for Payer: Idaho Integrated Healthcare Commercial $16.40
Rate for Payer: Multiplan Medicare/VA $9.32
Rate for Payer: One Health Plan of WY PPO $16.57
Rate for Payer: PacificSource Commercial $15.22
Rate for Payer: PHCS PPO $16.57
Rate for Payer: Three Rivers PPO $12.68
Rate for Payer: TriWest Veterans Administration $9.81
Rate for Payer: United Healthcare Commercial $14.71
Rate for Payer: United Healthcare Medicare $9.81
Rate for Payer: WINHealth Partners Commercial $16.57
Rate for Payer: Wise Provider Network Commercial $16.06