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Service Code HCPCS 97150
Hospital Charge Code 97150
Min. Negotiated Rate $14.96
Max. Negotiated Rate $48.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $47.04
Rate for Payer: Aetna of WY Medicare $17.60
Rate for Payer: Beech Street Commercial $45.60
Rate for Payer: Cash Price $33.60
Rate for Payer: Cash Price $33.60
Rate for Payer: ChoiceCare Network Commercial $46.56
Rate for Payer: Cigna of WY Commercial $47.04
Rate for Payer: First Choice Health Commercial $43.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $45.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $17.60
Rate for Payer: HealthUtah PPO $48.00
Rate for Payer: Idaho Integrated Healthcare Commercial $46.56
Rate for Payer: Multiplan Medicare/VA $14.96
Rate for Payer: One Health Plan of WY PPO $47.04
Rate for Payer: PacificSource Commercial $43.20
Rate for Payer: PHCS PPO $45.60
Rate for Payer: Three Rivers PPO $36.00
Rate for Payer: TriWest Veterans Administration $17.60
Rate for Payer: United Healthcare Commercial $41.76
Rate for Payer: United Healthcare Medicare $17.60
Rate for Payer: WINHealth Partners Commercial $45.60
Service Code HCPCS 96372
Hospital Charge Code 96372
Min. Negotiated Rate $11.89
Max. Negotiated Rate $33.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.34
Rate for Payer: Aetna of WY Medicare $13.99
Rate for Payer: Beech Street Commercial $31.35
Rate for Payer: Cash Price $23.10
Rate for Payer: Cash Price $23.10
Rate for Payer: ChoiceCare Network Commercial $32.01
Rate for Payer: Cigna of WY Commercial $32.34
Rate for Payer: First Choice Health Commercial $29.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $13.99
Rate for Payer: HealthUtah PPO $33.00
Rate for Payer: Idaho Integrated Healthcare Commercial $32.01
Rate for Payer: Multiplan Medicare/VA $11.89
Rate for Payer: One Health Plan of WY PPO $32.34
Rate for Payer: PacificSource Commercial $29.70
Rate for Payer: PHCS PPO $31.35
Rate for Payer: Three Rivers PPO $24.75
Rate for Payer: TriWest Veterans Administration $13.99
Rate for Payer: United Healthcare Commercial $28.71
Rate for Payer: United Healthcare Medicare $13.99
Rate for Payer: WINHealth Partners Commercial $31.35
Service Code HCPCS 97110
Hospital Charge Code 97110
Min. Negotiated Rate $24.42
Max. Negotiated Rate $225.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $220.50
Rate for Payer: Aetna of WY Medicare $28.73
Rate for Payer: Beech Street Commercial $213.75
Rate for Payer: Cash Price $157.50
Rate for Payer: Cash Price $157.50
Rate for Payer: ChoiceCare Network Commercial $218.25
Rate for Payer: Cigna of WY Commercial $220.50
Rate for Payer: First Choice Health Commercial $202.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.73
Rate for Payer: HealthUtah PPO $225.00
Rate for Payer: Idaho Integrated Healthcare Commercial $218.25
Rate for Payer: Multiplan Medicare/VA $24.42
Rate for Payer: One Health Plan of WY PPO $220.50
Rate for Payer: PacificSource Commercial $202.50
Rate for Payer: PHCS PPO $213.75
Rate for Payer: Three Rivers PPO $168.75
Rate for Payer: TriWest Veterans Administration $28.73
Rate for Payer: United Healthcare Commercial $195.75
Rate for Payer: United Healthcare Medicare $28.73
Rate for Payer: WINHealth Partners Commercial $213.75
Service Code HCPCS 62272
Hospital Charge Code 62272
Min. Negotiated Rate $73.20
Max. Negotiated Rate $452.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $442.96
Rate for Payer: Aetna of WY Medicare $86.12
Rate for Payer: Beech Street Commercial $429.40
Rate for Payer: Cash Price $316.40
Rate for Payer: Cash Price $316.40
Rate for Payer: ChoiceCare Network Commercial $438.44
Rate for Payer: Cigna of WY Commercial $442.96
Rate for Payer: First Choice Health Commercial $406.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $429.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $86.12
Rate for Payer: HealthUtah PPO $452.00
Rate for Payer: Idaho Integrated Healthcare Commercial $438.44
Rate for Payer: Multiplan Medicare/VA $73.20
Rate for Payer: One Health Plan of WY PPO $442.96
Rate for Payer: PacificSource Commercial $406.80
Rate for Payer: PHCS PPO $429.40
Rate for Payer: Three Rivers PPO $339.00
Rate for Payer: TriWest Veterans Administration $86.12
Rate for Payer: United Healthcare Commercial $393.24
Rate for Payer: United Healthcare Medicare $86.12
Rate for Payer: WINHealth Partners Commercial $384.20
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $10.12
Max. Negotiated Rate $18.36
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.99
Rate for Payer: Aetna of WY Medicare $12.12
Rate for Payer: Altius Auto/Workers Compensation $17.63
Rate for Payer: Altius Commercial $17.63
Rate for Payer: Beech Street Commercial $17.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.07
Rate for Payer: Cash Price $12.85
Rate for Payer: ChoiceCare Network Commercial $17.81
Rate for Payer: Cigna of WY Commercial $17.99
Rate for Payer: Entrust Commercial $17.44
Rate for Payer: First Choice Health Commercial $17.44
Rate for Payer: Government Employees Health Association (GEHA) Commercial $17.44
Rate for Payer: Government Employees Health Association (GEHA) Medicare $10.65
Rate for Payer: HealthUtah PPO $18.36
Rate for Payer: Idaho Integrated Healthcare Commercial $17.81
Rate for Payer: Multiplan Medicare/VA $10.12
Rate for Payer: One Health Plan of WY PPO $17.99
Rate for Payer: PacificSource Commercial $16.52
Rate for Payer: PHCS PPO $17.99
Rate for Payer: Three Rivers PPO $13.77
Rate for Payer: TriWest Veterans Administration $10.65
Rate for Payer: United Healthcare Commercial $15.97
Rate for Payer: United Healthcare Medicare $10.65
Rate for Payer: WINHealth Partners Commercial $17.99
Rate for Payer: Wise Provider Network Commercial $17.44
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $11.51
Max. Negotiated Rate $18.36
Rate for Payer: Aetna of WY Commercial/Medical Rental $17.99
Rate for Payer: Altius Auto/Workers Compensation $17.63
Rate for Payer: Altius Commercial $17.63
Rate for Payer: Beech Street Commercial $17.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.07
Rate for Payer: Cash Price $12.85
Rate for Payer: ChoiceCare Network Commercial $17.81
Rate for Payer: Cigna of WY Commercial $17.99
Rate for Payer: Entrust Commercial $17.44
Rate for Payer: First Choice Health Commercial $17.44
Rate for Payer: Government Employees Health Association (GEHA) Commercial $17.44
Rate for Payer: Government Employees Health Association (GEHA) Medicare $12.12
Rate for Payer: HealthUtah PPO $18.36
Rate for Payer: Idaho Integrated Healthcare Commercial $17.81
Rate for Payer: Multiplan Medicare/VA $11.51
Rate for Payer: One Health Plan of WY PPO $17.99
Rate for Payer: PacificSource Commercial $16.52
Rate for Payer: PHCS PPO $17.99
Rate for Payer: Three Rivers PPO $13.77
Rate for Payer: TriWest Veterans Administration $12.12
Rate for Payer: United Healthcare Commercial $15.97
Rate for Payer: United Healthcare Medicare $12.12
Rate for Payer: WINHealth Partners Commercial $17.44
Rate for Payer: Wise Provider Network Commercial $17.44
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $37.13
Max. Negotiated Rate $67.38
Rate for Payer: Aetna of WY Commercial/Medical Rental $66.03
Rate for Payer: Aetna of WY Medicare $44.47
Rate for Payer: Altius Auto/Workers Compensation $64.68
Rate for Payer: Altius Commercial $64.68
Rate for Payer: Beech Street Commercial $66.03
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $55.32
Rate for Payer: Cash Price $47.16
Rate for Payer: ChoiceCare Network Commercial $65.36
Rate for Payer: Cigna of WY Commercial $66.03
Rate for Payer: Entrust Commercial $64.01
Rate for Payer: First Choice Health Commercial $64.01
Rate for Payer: Government Employees Health Association (GEHA) Commercial $64.01
Rate for Payer: Government Employees Health Association (GEHA) Medicare $39.08
Rate for Payer: HealthUtah PPO $67.38
Rate for Payer: Idaho Integrated Healthcare Commercial $65.36
Rate for Payer: Multiplan Medicare/VA $37.13
Rate for Payer: One Health Plan of WY PPO $66.03
Rate for Payer: PacificSource Commercial $60.64
Rate for Payer: PHCS PPO $66.03
Rate for Payer: Three Rivers PPO $50.54
Rate for Payer: TriWest Veterans Administration $39.08
Rate for Payer: United Healthcare Commercial $58.62
Rate for Payer: United Healthcare Medicare $39.08
Rate for Payer: WINHealth Partners Commercial $66.03
Rate for Payer: Wise Provider Network Commercial $64.01
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $42.25
Max. Negotiated Rate $67.38
Rate for Payer: Aetna of WY Commercial/Medical Rental $66.03
Rate for Payer: Altius Auto/Workers Compensation $64.68
Rate for Payer: Altius Commercial $64.68
Rate for Payer: Beech Street Commercial $66.03
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $55.32
Rate for Payer: Cash Price $47.16
Rate for Payer: ChoiceCare Network Commercial $65.36
Rate for Payer: Cigna of WY Commercial $66.03
Rate for Payer: Entrust Commercial $64.01
Rate for Payer: First Choice Health Commercial $64.01
Rate for Payer: Government Employees Health Association (GEHA) Commercial $64.01
Rate for Payer: Government Employees Health Association (GEHA) Medicare $44.47
Rate for Payer: HealthUtah PPO $67.38
Rate for Payer: Idaho Integrated Healthcare Commercial $65.36
Rate for Payer: Multiplan Medicare/VA $42.25
Rate for Payer: One Health Plan of WY PPO $66.03
Rate for Payer: PacificSource Commercial $60.64
Rate for Payer: PHCS PPO $66.03
Rate for Payer: Three Rivers PPO $50.54
Rate for Payer: TriWest Veterans Administration $44.47
Rate for Payer: United Healthcare Commercial $58.62
Rate for Payer: United Healthcare Medicare $44.47
Rate for Payer: WINHealth Partners Commercial $64.01
Rate for Payer: Wise Provider Network Commercial $64.01
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $175.56
Max. Negotiated Rate $280.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $274.40
Rate for Payer: Altius Auto/Workers Compensation $268.80
Rate for Payer: Altius Commercial $268.80
Rate for Payer: Beech Street Commercial $274.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $229.88
Rate for Payer: Cash Price $196.00
Rate for Payer: ChoiceCare Network Commercial $271.60
Rate for Payer: Cigna of WY Commercial $274.40
Rate for Payer: Entrust Commercial $266.00
Rate for Payer: First Choice Health Commercial $266.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $266.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $184.80
Rate for Payer: HealthUtah PPO $280.00
Rate for Payer: Idaho Integrated Healthcare Commercial $271.60
Rate for Payer: Multiplan Medicare/VA $175.56
Rate for Payer: One Health Plan of WY PPO $274.40
Rate for Payer: PacificSource Commercial $252.00
Rate for Payer: PHCS PPO $274.40
Rate for Payer: Three Rivers PPO $210.00
Rate for Payer: TriWest Veterans Administration $184.80
Rate for Payer: United Healthcare Commercial $243.60
Rate for Payer: United Healthcare Medicare $184.80
Rate for Payer: WINHealth Partners Commercial $266.00
Rate for Payer: Wise Provider Network Commercial $266.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $154.28
Max. Negotiated Rate $280.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $274.40
Rate for Payer: Aetna of WY Medicare $184.80
Rate for Payer: Altius Auto/Workers Compensation $268.80
Rate for Payer: Altius Commercial $268.80
Rate for Payer: Beech Street Commercial $274.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $229.88
Rate for Payer: Cash Price $196.00
Rate for Payer: ChoiceCare Network Commercial $271.60
Rate for Payer: Cigna of WY Commercial $274.40
Rate for Payer: Entrust Commercial $266.00
Rate for Payer: First Choice Health Commercial $266.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $266.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $162.40
Rate for Payer: HealthUtah PPO $280.00
Rate for Payer: Idaho Integrated Healthcare Commercial $271.60
Rate for Payer: Multiplan Medicare/VA $154.28
Rate for Payer: One Health Plan of WY PPO $274.40
Rate for Payer: PacificSource Commercial $252.00
Rate for Payer: PHCS PPO $274.40
Rate for Payer: Three Rivers PPO $210.00
Rate for Payer: TriWest Veterans Administration $162.40
Rate for Payer: United Healthcare Commercial $243.60
Rate for Payer: United Healthcare Medicare $162.40
Rate for Payer: WINHealth Partners Commercial $274.40
Rate for Payer: Wise Provider Network Commercial $266.00
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $8.21
Max. Negotiated Rate $13.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.83
Rate for Payer: Altius Auto/Workers Compensation $12.57
Rate for Payer: Altius Commercial $12.57
Rate for Payer: Beech Street Commercial $12.83
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.75
Rate for Payer: Cash Price $9.16
Rate for Payer: ChoiceCare Network Commercial $12.70
Rate for Payer: Cigna of WY Commercial $12.83
Rate for Payer: Entrust Commercial $12.44
Rate for Payer: First Choice Health Commercial $12.44
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.44
Rate for Payer: Government Employees Health Association (GEHA) Medicare $8.64
Rate for Payer: HealthUtah PPO $13.09
Rate for Payer: Idaho Integrated Healthcare Commercial $12.70
Rate for Payer: Multiplan Medicare/VA $8.21
Rate for Payer: One Health Plan of WY PPO $12.83
Rate for Payer: PacificSource Commercial $11.78
Rate for Payer: PHCS PPO $12.83
Rate for Payer: Three Rivers PPO $9.82
Rate for Payer: TriWest Veterans Administration $8.64
Rate for Payer: United Healthcare Commercial $11.39
Rate for Payer: United Healthcare Medicare $8.64
Rate for Payer: WINHealth Partners Commercial $12.44
Rate for Payer: Wise Provider Network Commercial $12.44
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $7.21
Max. Negotiated Rate $13.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.83
Rate for Payer: Aetna of WY Medicare $8.64
Rate for Payer: Altius Auto/Workers Compensation $12.57
Rate for Payer: Altius Commercial $12.57
Rate for Payer: Beech Street Commercial $12.83
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.75
Rate for Payer: Cash Price $9.16
Rate for Payer: ChoiceCare Network Commercial $12.70
Rate for Payer: Cigna of WY Commercial $12.83
Rate for Payer: Entrust Commercial $12.44
Rate for Payer: First Choice Health Commercial $12.44
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.44
Rate for Payer: Government Employees Health Association (GEHA) Medicare $7.59
Rate for Payer: HealthUtah PPO $13.09
Rate for Payer: Idaho Integrated Healthcare Commercial $12.70
Rate for Payer: Multiplan Medicare/VA $7.21
Rate for Payer: One Health Plan of WY PPO $12.83
Rate for Payer: PacificSource Commercial $11.78
Rate for Payer: PHCS PPO $12.83
Rate for Payer: Three Rivers PPO $9.82
Rate for Payer: TriWest Veterans Administration $7.59
Rate for Payer: United Healthcare Commercial $11.39
Rate for Payer: United Healthcare Medicare $7.59
Rate for Payer: WINHealth Partners Commercial $12.83
Rate for Payer: Wise Provider Network Commercial $12.44
Service Code HCPCS 96374
Hospital Charge Code 96374
Min. Negotiated Rate $30.47
Max. Negotiated Rate $263.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $257.74
Rate for Payer: Aetna of WY Medicare $35.85
Rate for Payer: Beech Street Commercial $249.85
Rate for Payer: Cash Price $184.10
Rate for Payer: Cash Price $184.10
Rate for Payer: ChoiceCare Network Commercial $255.11
Rate for Payer: Cigna of WY Commercial $257.74
Rate for Payer: First Choice Health Commercial $236.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $249.85
Rate for Payer: Government Employees Health Association (GEHA) Medicare $35.85
Rate for Payer: HealthUtah PPO $263.00
Rate for Payer: Idaho Integrated Healthcare Commercial $255.11
Rate for Payer: Multiplan Medicare/VA $30.47
Rate for Payer: One Health Plan of WY PPO $257.74
Rate for Payer: PacificSource Commercial $236.70
Rate for Payer: PHCS PPO $249.85
Rate for Payer: Three Rivers PPO $197.25
Rate for Payer: TriWest Veterans Administration $35.85
Rate for Payer: United Healthcare Commercial $228.81
Rate for Payer: United Healthcare Medicare $35.85
Rate for Payer: WINHealth Partners Commercial $249.85
Service Code HCPCS 97116
Hospital Charge Code 97116
Min. Negotiated Rate $24.42
Max. Negotiated Rate $159.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $155.82
Rate for Payer: Aetna of WY Medicare $28.73
Rate for Payer: Beech Street Commercial $151.05
Rate for Payer: Cash Price $111.30
Rate for Payer: Cash Price $111.30
Rate for Payer: ChoiceCare Network Commercial $154.23
Rate for Payer: Cigna of WY Commercial $155.82
Rate for Payer: First Choice Health Commercial $143.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $151.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.73
Rate for Payer: HealthUtah PPO $159.00
Rate for Payer: Idaho Integrated Healthcare Commercial $154.23
Rate for Payer: Multiplan Medicare/VA $24.42
Rate for Payer: One Health Plan of WY PPO $155.82
Rate for Payer: PacificSource Commercial $143.10
Rate for Payer: PHCS PPO $151.05
Rate for Payer: Three Rivers PPO $119.25
Rate for Payer: TriWest Veterans Administration $28.73
Rate for Payer: United Healthcare Commercial $138.33
Rate for Payer: United Healthcare Medicare $28.73
Rate for Payer: WINHealth Partners Commercial $151.05
Service Code HCPCS 97112
Hospital Charge Code 97112
Min. Negotiated Rate $28.04
Max. Negotiated Rate $234.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $229.32
Rate for Payer: Aetna of WY Medicare $32.99
Rate for Payer: Beech Street Commercial $222.30
Rate for Payer: Cash Price $163.80
Rate for Payer: Cash Price $163.80
Rate for Payer: ChoiceCare Network Commercial $226.98
Rate for Payer: Cigna of WY Commercial $229.32
Rate for Payer: First Choice Health Commercial $210.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $222.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.99
Rate for Payer: HealthUtah PPO $234.00
Rate for Payer: Idaho Integrated Healthcare Commercial $226.98
Rate for Payer: Multiplan Medicare/VA $28.04
Rate for Payer: One Health Plan of WY PPO $229.32
Rate for Payer: PacificSource Commercial $210.60
Rate for Payer: PHCS PPO $222.30
Rate for Payer: Three Rivers PPO $175.50
Rate for Payer: TriWest Veterans Administration $32.99
Rate for Payer: United Healthcare Commercial $203.58
Rate for Payer: United Healthcare Medicare $32.99
Rate for Payer: WINHealth Partners Commercial $222.30
Service Code HCPCS 97124
Hospital Charge Code 97124
Min. Negotiated Rate $25.25
Max. Negotiated Rate $119.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $116.62
Rate for Payer: Aetna of WY Medicare $29.71
Rate for Payer: Beech Street Commercial $113.05
Rate for Payer: Cash Price $83.30
Rate for Payer: Cash Price $83.30
Rate for Payer: ChoiceCare Network Commercial $115.43
Rate for Payer: Cigna of WY Commercial $116.62
Rate for Payer: First Choice Health Commercial $107.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $113.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $29.71
Rate for Payer: HealthUtah PPO $119.00
Rate for Payer: Idaho Integrated Healthcare Commercial $115.43
Rate for Payer: Multiplan Medicare/VA $25.25
Rate for Payer: One Health Plan of WY PPO $116.62
Rate for Payer: PacificSource Commercial $107.10
Rate for Payer: PHCS PPO $113.05
Rate for Payer: Three Rivers PPO $89.25
Rate for Payer: TriWest Veterans Administration $29.71
Rate for Payer: United Healthcare Commercial $103.53
Rate for Payer: United Healthcare Medicare $29.71
Rate for Payer: WINHealth Partners Commercial $113.05
Service Code HCPCS J3411
Hospital Charge Code J3411
Min. Negotiated Rate $1.92
Max. Negotiated Rate $43.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $42.14
Rate for Payer: Aetna of WY Medicare $2.26
Rate for Payer: Beech Street Commercial $40.85
Rate for Payer: Cash Price $30.10
Rate for Payer: Cash Price $30.10
Rate for Payer: ChoiceCare Network Commercial $41.71
Rate for Payer: Cigna of WY Commercial $42.14
Rate for Payer: First Choice Health Commercial $38.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $40.85
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.26
Rate for Payer: HealthUtah PPO $43.00
Rate for Payer: Idaho Integrated Healthcare Commercial $41.71
Rate for Payer: Multiplan Medicare/VA $1.92
Rate for Payer: One Health Plan of WY PPO $42.14
Rate for Payer: PacificSource Commercial $38.70
Rate for Payer: PHCS PPO $40.85
Rate for Payer: Three Rivers PPO $32.25
Rate for Payer: TriWest Veterans Administration $2.26
Rate for Payer: United Healthcare Commercial $37.41
Rate for Payer: United Healthcare Medicare $2.26
Rate for Payer: WINHealth Partners Commercial $40.85
Service Code HCPCS J3411
Hospital Revenue Code 636
Min. Negotiated Rate $21.10
Max. Negotiated Rate $33.66
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.99
Rate for Payer: Aetna of WY Commercial/Medical Rental $30.38
Rate for Payer: Altius Auto/Workers Compensation $32.31
Rate for Payer: Altius Auto/Workers Compensation $29.76
Rate for Payer: Altius Commercial $29.76
Rate for Payer: Altius Commercial $32.31
Rate for Payer: Beech Street Commercial $32.99
Rate for Payer: Beech Street Commercial $30.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $25.45
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.63
Rate for Payer: Cash Price $23.56
Rate for Payer: Cash Price $21.70
Rate for Payer: ChoiceCare Network Commercial $30.07
Rate for Payer: ChoiceCare Network Commercial $32.65
Rate for Payer: Cigna of WY Commercial $32.99
Rate for Payer: Cigna of WY Commercial $30.38
Rate for Payer: Entrust Commercial $29.45
Rate for Payer: Entrust Commercial $31.98
Rate for Payer: First Choice Health Commercial $29.45
Rate for Payer: First Choice Health Commercial $31.98
Rate for Payer: Government Employees Health Association (GEHA) Commercial $29.45
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.98
Rate for Payer: Government Employees Health Association (GEHA) Medicare $22.22
Rate for Payer: Government Employees Health Association (GEHA) Medicare $20.46
Rate for Payer: HealthUtah PPO $33.66
Rate for Payer: HealthUtah PPO $31.00
Rate for Payer: Idaho Integrated Healthcare Commercial $30.07
Rate for Payer: Idaho Integrated Healthcare Commercial $32.65
Rate for Payer: Multiplan Medicare/VA $21.10
Rate for Payer: Multiplan Medicare/VA $19.44
Rate for Payer: One Health Plan of WY PPO $32.99
Rate for Payer: One Health Plan of WY PPO $30.38
Rate for Payer: PacificSource Commercial $30.29
Rate for Payer: PacificSource Commercial $27.90
Rate for Payer: PHCS PPO $30.38
Rate for Payer: PHCS PPO $32.99
Rate for Payer: Three Rivers PPO $23.25
Rate for Payer: Three Rivers PPO $25.24
Rate for Payer: TriWest Veterans Administration $22.22
Rate for Payer: TriWest Veterans Administration $20.46
Rate for Payer: United Healthcare Commercial $26.97
Rate for Payer: United Healthcare Commercial $29.28
Rate for Payer: United Healthcare Medicare $22.22
Rate for Payer: United Healthcare Medicare $20.46
Rate for Payer: WINHealth Partners Commercial $29.45
Rate for Payer: WINHealth Partners Commercial $31.98
Rate for Payer: Wise Provider Network Commercial $29.45
Rate for Payer: Wise Provider Network Commercial $31.98
Service Code HCPCS J3411
Hospital Revenue Code 636
Min. Negotiated Rate $18.55
Max. Negotiated Rate $33.66
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.99
Rate for Payer: Aetna of WY Commercial/Medical Rental $30.38
Rate for Payer: Aetna of WY Medicare $22.22
Rate for Payer: Aetna of WY Medicare $20.46
Rate for Payer: Altius Auto/Workers Compensation $29.76
Rate for Payer: Altius Auto/Workers Compensation $32.31
Rate for Payer: Altius Commercial $32.31
Rate for Payer: Altius Commercial $29.76
Rate for Payer: Beech Street Commercial $30.38
Rate for Payer: Beech Street Commercial $32.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.63
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $25.45
Rate for Payer: Cash Price $21.70
Rate for Payer: Cash Price $23.56
Rate for Payer: ChoiceCare Network Commercial $32.65
Rate for Payer: ChoiceCare Network Commercial $30.07
Rate for Payer: Cigna of WY Commercial $30.38
Rate for Payer: Cigna of WY Commercial $32.99
Rate for Payer: Entrust Commercial $31.98
Rate for Payer: Entrust Commercial $29.45
Rate for Payer: First Choice Health Commercial $29.45
Rate for Payer: First Choice Health Commercial $31.98
Rate for Payer: Government Employees Health Association (GEHA) Commercial $29.45
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.98
Rate for Payer: Government Employees Health Association (GEHA) Medicare $19.52
Rate for Payer: Government Employees Health Association (GEHA) Medicare $17.98
Rate for Payer: HealthUtah PPO $31.00
Rate for Payer: HealthUtah PPO $33.66
Rate for Payer: Idaho Integrated Healthcare Commercial $30.07
Rate for Payer: Idaho Integrated Healthcare Commercial $32.65
Rate for Payer: Multiplan Medicare/VA $18.55
Rate for Payer: Multiplan Medicare/VA $17.08
Rate for Payer: One Health Plan of WY PPO $30.38
Rate for Payer: One Health Plan of WY PPO $32.99
Rate for Payer: PacificSource Commercial $30.29
Rate for Payer: PacificSource Commercial $27.90
Rate for Payer: PHCS PPO $30.38
Rate for Payer: PHCS PPO $32.99
Rate for Payer: Three Rivers PPO $23.25
Rate for Payer: Three Rivers PPO $25.24
Rate for Payer: TriWest Veterans Administration $19.52
Rate for Payer: TriWest Veterans Administration $17.98
Rate for Payer: United Healthcare Commercial $26.97
Rate for Payer: United Healthcare Commercial $29.28
Rate for Payer: United Healthcare Medicare $19.52
Rate for Payer: United Healthcare Medicare $17.98
Rate for Payer: WINHealth Partners Commercial $30.38
Rate for Payer: WINHealth Partners Commercial $32.99
Rate for Payer: Wise Provider Network Commercial $29.45
Rate for Payer: Wise Provider Network Commercial $31.98
Service Code NDC 4843310801
Hospital Revenue Code 250
Min. Negotiated Rate $0.36
Max. Negotiated Rate $0.58
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.57
Rate for Payer: Altius Auto/Workers Compensation $0.56
Rate for Payer: Altius Commercial $0.56
Rate for Payer: Beech Street Commercial $0.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.48
Rate for Payer: Cash Price $0.41
Rate for Payer: ChoiceCare Network Commercial $0.56
Rate for Payer: Cigna of WY Commercial $0.57
Rate for Payer: Entrust Commercial $0.55
Rate for Payer: First Choice Health Commercial $0.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.38
Rate for Payer: HealthUtah PPO $0.58
Rate for Payer: Idaho Integrated Healthcare Commercial $0.56
Rate for Payer: Multiplan Medicare/VA $0.36
Rate for Payer: One Health Plan of WY PPO $0.57
Rate for Payer: PacificSource Commercial $0.52
Rate for Payer: PHCS PPO $0.57
Rate for Payer: Three Rivers PPO $0.44
Rate for Payer: TriWest Veterans Administration $0.38
Rate for Payer: United Healthcare Commercial $0.50
Rate for Payer: United Healthcare Medicare $0.38
Rate for Payer: WINHealth Partners Commercial $0.55
Rate for Payer: Wise Provider Network Commercial $0.55
Service Code NDC 4843310801
Hospital Revenue Code 250
Min. Negotiated Rate $0.32
Max. Negotiated Rate $0.58
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.57
Rate for Payer: Aetna of WY Medicare $0.38
Rate for Payer: Altius Auto/Workers Compensation $0.56
Rate for Payer: Altius Commercial $0.56
Rate for Payer: Beech Street Commercial $0.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.48
Rate for Payer: Cash Price $0.41
Rate for Payer: ChoiceCare Network Commercial $0.56
Rate for Payer: Cigna of WY Commercial $0.57
Rate for Payer: Entrust Commercial $0.55
Rate for Payer: First Choice Health Commercial $0.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.34
Rate for Payer: HealthUtah PPO $0.58
Rate for Payer: Idaho Integrated Healthcare Commercial $0.56
Rate for Payer: Multiplan Medicare/VA $0.32
Rate for Payer: One Health Plan of WY PPO $0.57
Rate for Payer: PacificSource Commercial $0.52
Rate for Payer: PHCS PPO $0.57
Rate for Payer: Three Rivers PPO $0.44
Rate for Payer: TriWest Veterans Administration $0.34
Rate for Payer: United Healthcare Commercial $0.50
Rate for Payer: United Healthcare Medicare $0.34
Rate for Payer: WINHealth Partners Commercial $0.57
Rate for Payer: Wise Provider Network Commercial $0.55
Service Code HCPCS 32555
Hospital Charge Code 32555
Min. Negotiated Rate $87.46
Max. Negotiated Rate $1,649.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,616.02
Rate for Payer: Aetna of WY Medicare $102.90
Rate for Payer: Beech Street Commercial $1,566.55
Rate for Payer: Cash Price $1,154.30
Rate for Payer: Cash Price $1,154.30
Rate for Payer: ChoiceCare Network Commercial $1,599.53
Rate for Payer: Cigna of WY Commercial $1,616.02
Rate for Payer: First Choice Health Commercial $1,484.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,566.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $102.90
Rate for Payer: HealthUtah PPO $1,649.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,599.53
Rate for Payer: Multiplan Medicare/VA $87.46
Rate for Payer: One Health Plan of WY PPO $1,616.02
Rate for Payer: PacificSource Commercial $1,484.10
Rate for Payer: PHCS PPO $1,566.55
Rate for Payer: Three Rivers PPO $1,236.75
Rate for Payer: TriWest Veterans Administration $102.90
Rate for Payer: United Healthcare Commercial $1,434.63
Rate for Payer: United Healthcare Medicare $102.90
Rate for Payer: WINHealth Partners Commercial $1,401.65
Service Code HCPCS 32554 50
Hospital Charge Code 32554
Min. Negotiated Rate $71.12
Max. Negotiated Rate $929.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $910.42
Rate for Payer: Aetna of WY Medicare $83.67
Rate for Payer: Beech Street Commercial $882.55
Rate for Payer: Cash Price $650.30
Rate for Payer: Cash Price $650.30
Rate for Payer: ChoiceCare Network Commercial $901.13
Rate for Payer: Cigna of WY Commercial $910.42
Rate for Payer: First Choice Health Commercial $836.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $882.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $83.67
Rate for Payer: HealthUtah PPO $929.00
Rate for Payer: Idaho Integrated Healthcare Commercial $901.13
Rate for Payer: Multiplan Medicare/VA $71.12
Rate for Payer: One Health Plan of WY PPO $910.42
Rate for Payer: PacificSource Commercial $836.10
Rate for Payer: PHCS PPO $882.55
Rate for Payer: Three Rivers PPO $696.75
Rate for Payer: TriWest Veterans Administration $83.67
Rate for Payer: United Healthcare Commercial $808.23
Rate for Payer: United Healthcare Medicare $83.67
Rate for Payer: WINHealth Partners Commercial $789.65
Service Code HCPCS 32554
Hospital Charge Code 32554
Min. Negotiated Rate $71.12
Max. Negotiated Rate $464.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $454.72
Rate for Payer: Aetna of WY Medicare $83.67
Rate for Payer: Beech Street Commercial $440.80
Rate for Payer: Cash Price $324.80
Rate for Payer: Cash Price $324.80
Rate for Payer: ChoiceCare Network Commercial $450.08
Rate for Payer: Cigna of WY Commercial $454.72
Rate for Payer: First Choice Health Commercial $417.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $440.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $83.67
Rate for Payer: HealthUtah PPO $464.00
Rate for Payer: Idaho Integrated Healthcare Commercial $450.08
Rate for Payer: Multiplan Medicare/VA $71.12
Rate for Payer: One Health Plan of WY PPO $454.72
Rate for Payer: PacificSource Commercial $417.60
Rate for Payer: PHCS PPO $440.80
Rate for Payer: Three Rivers PPO $348.00
Rate for Payer: TriWest Veterans Administration $83.67
Rate for Payer: United Healthcare Commercial $403.68
Rate for Payer: United Healthcare Medicare $83.67
Rate for Payer: WINHealth Partners Commercial $394.40
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $64.75
Max. Negotiated Rate $103.27
Rate for Payer: Aetna of WY Commercial/Medical Rental $101.20
Rate for Payer: Altius Auto/Workers Compensation $99.14
Rate for Payer: Altius Commercial $99.14
Rate for Payer: Beech Street Commercial $101.20
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $84.78
Rate for Payer: Cash Price $72.29
Rate for Payer: ChoiceCare Network Commercial $100.17
Rate for Payer: Cigna of WY Commercial $101.20
Rate for Payer: Entrust Commercial $98.11
Rate for Payer: First Choice Health Commercial $98.11
Rate for Payer: Government Employees Health Association (GEHA) Commercial $98.11
Rate for Payer: Government Employees Health Association (GEHA) Medicare $68.16
Rate for Payer: HealthUtah PPO $103.27
Rate for Payer: Idaho Integrated Healthcare Commercial $100.17
Rate for Payer: Multiplan Medicare/VA $64.75
Rate for Payer: One Health Plan of WY PPO $101.20
Rate for Payer: PacificSource Commercial $92.94
Rate for Payer: PHCS PPO $101.20
Rate for Payer: Three Rivers PPO $77.45
Rate for Payer: TriWest Veterans Administration $68.16
Rate for Payer: United Healthcare Commercial $89.84
Rate for Payer: United Healthcare Medicare $68.16
Rate for Payer: WINHealth Partners Commercial $98.11
Rate for Payer: Wise Provider Network Commercial $98.11