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Charge Type Setting Price  
Service Code HCPCS 22858
Hospital Charge Code 22858
Min. Negotiated Rate $402.10
Max. Negotiated Rate $2,032.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,991.36
Rate for Payer: Aetna of WY Medicare $473.06
Rate for Payer: Beech Street Commercial $1,930.40
Rate for Payer: Cash Price $1,422.40
Rate for Payer: Cash Price $1,422.40
Rate for Payer: ChoiceCare Network Commercial $1,971.04
Rate for Payer: Cigna of WY Commercial $1,991.36
Rate for Payer: First Choice Health Commercial $1,828.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,930.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $473.06
Rate for Payer: HealthUtah PPO $2,032.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,971.04
Rate for Payer: Multiplan Medicare/VA $402.10
Rate for Payer: One Health Plan of WY PPO $1,991.36
Rate for Payer: PacificSource Commercial $1,828.80
Rate for Payer: PHCS PPO $1,930.40
Rate for Payer: Three Rivers PPO $1,524.00
Rate for Payer: TriWest Veterans Administration $473.06
Rate for Payer: United Healthcare Commercial $1,767.84
Rate for Payer: United Healthcare Medicare $473.06
Rate for Payer: WINHealth Partners Commercial $1,727.20
Service Code HCPCS 22856
Hospital Charge Code 22856
Min. Negotiated Rate $4,945.50
Max. Negotiated Rate $6,594.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $6,462.12
Rate for Payer: Beech Street Commercial $6,264.30
Rate for Payer: Cash Price $4,615.80
Rate for Payer: ChoiceCare Network Commercial $6,396.18
Rate for Payer: Cigna of WY Commercial $6,462.12
Rate for Payer: First Choice Health Commercial $5,934.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,264.30
Rate for Payer: HealthUtah PPO $6,594.00
Rate for Payer: Idaho Integrated Healthcare Commercial $6,396.18
Rate for Payer: One Health Plan of WY PPO $6,462.12
Rate for Payer: PacificSource Commercial $5,934.60
Rate for Payer: PHCS PPO $6,264.30
Rate for Payer: Three Rivers PPO $4,945.50
Rate for Payer: United Healthcare Commercial $5,736.78
Rate for Payer: WINHealth Partners Commercial $5,604.90
Service Code HCPCS 22856 AS
Hospital Charge Code 22856
Min. Negotiated Rate $4,945.50
Max. Negotiated Rate $6,594.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $6,462.12
Rate for Payer: Beech Street Commercial $6,264.30
Rate for Payer: Cash Price $4,615.80
Rate for Payer: ChoiceCare Network Commercial $6,396.18
Rate for Payer: Cigna of WY Commercial $6,462.12
Rate for Payer: First Choice Health Commercial $5,934.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,264.30
Rate for Payer: HealthUtah PPO $6,594.00
Rate for Payer: Idaho Integrated Healthcare Commercial $6,396.18
Rate for Payer: One Health Plan of WY PPO $6,462.12
Rate for Payer: PacificSource Commercial $5,934.60
Rate for Payer: PHCS PPO $6,264.30
Rate for Payer: Three Rivers PPO $4,945.50
Rate for Payer: United Healthcare Commercial $5,736.78
Rate for Payer: WINHealth Partners Commercial $5,604.90
Service Code HCPCS 60220 80
Hospital Charge Code 60220
Min. Negotiated Rate $577.57
Max. Negotiated Rate $3,633.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,560.34
Rate for Payer: Aetna of WY Medicare $679.49
Rate for Payer: Beech Street Commercial $3,451.35
Rate for Payer: Cash Price $2,543.10
Rate for Payer: Cash Price $2,543.10
Rate for Payer: ChoiceCare Network Commercial $3,524.01
Rate for Payer: Cigna of WY Commercial $3,560.34
Rate for Payer: First Choice Health Commercial $3,269.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,451.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $679.49
Rate for Payer: HealthUtah PPO $3,633.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,524.01
Rate for Payer: Multiplan Medicare/VA $577.57
Rate for Payer: One Health Plan of WY PPO $3,560.34
Rate for Payer: PacificSource Commercial $3,269.70
Rate for Payer: PHCS PPO $3,451.35
Rate for Payer: Three Rivers PPO $2,724.75
Rate for Payer: TriWest Veterans Administration $679.49
Rate for Payer: United Healthcare Commercial $3,160.71
Rate for Payer: United Healthcare Medicare $679.49
Rate for Payer: WINHealth Partners Commercial $3,088.05
Service Code HCPCS 60220
Hospital Charge Code 60220
Min. Negotiated Rate $577.57
Max. Negotiated Rate $3,633.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,560.34
Rate for Payer: Aetna of WY Medicare $679.49
Rate for Payer: Beech Street Commercial $3,451.35
Rate for Payer: Cash Price $2,543.10
Rate for Payer: Cash Price $2,543.10
Rate for Payer: ChoiceCare Network Commercial $3,524.01
Rate for Payer: Cigna of WY Commercial $3,560.34
Rate for Payer: First Choice Health Commercial $3,269.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,451.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $679.49
Rate for Payer: HealthUtah PPO $3,633.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,524.01
Rate for Payer: Multiplan Medicare/VA $577.57
Rate for Payer: One Health Plan of WY PPO $3,560.34
Rate for Payer: PacificSource Commercial $3,269.70
Rate for Payer: PHCS PPO $3,451.35
Rate for Payer: Three Rivers PPO $2,724.75
Rate for Payer: TriWest Veterans Administration $679.49
Rate for Payer: United Healthcare Commercial $3,160.71
Rate for Payer: United Healthcare Medicare $679.49
Rate for Payer: WINHealth Partners Commercial $3,088.05
Service Code HCPCS 60225
Hospital Charge Code 60225
Min. Negotiated Rate $765.92
Max. Negotiated Rate $4,798.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,702.04
Rate for Payer: Aetna of WY Medicare $901.08
Rate for Payer: Beech Street Commercial $4,558.10
Rate for Payer: Cash Price $3,358.60
Rate for Payer: Cash Price $3,358.60
Rate for Payer: ChoiceCare Network Commercial $4,654.06
Rate for Payer: Cigna of WY Commercial $4,702.04
Rate for Payer: First Choice Health Commercial $4,318.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,558.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $901.08
Rate for Payer: HealthUtah PPO $4,798.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,654.06
Rate for Payer: Multiplan Medicare/VA $765.92
Rate for Payer: One Health Plan of WY PPO $4,702.04
Rate for Payer: PacificSource Commercial $4,318.20
Rate for Payer: PHCS PPO $4,558.10
Rate for Payer: Three Rivers PPO $3,598.50
Rate for Payer: TriWest Veterans Administration $901.08
Rate for Payer: United Healthcare Commercial $4,174.26
Rate for Payer: United Healthcare Medicare $901.08
Rate for Payer: WINHealth Partners Commercial $4,078.30
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $17.76
Max. Negotiated Rate $32.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.60
Rate for Payer: Aetna of WY Medicare $21.28
Rate for Payer: Altius Auto/Workers Compensation $30.95
Rate for Payer: Altius Commercial $30.95
Rate for Payer: Beech Street Commercial $31.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.47
Rate for Payer: Cash Price $22.56
Rate for Payer: ChoiceCare Network Commercial $31.27
Rate for Payer: Cigna of WY Commercial $31.60
Rate for Payer: Entrust Commercial $30.63
Rate for Payer: First Choice Health Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Medicare $18.70
Rate for Payer: HealthUtah PPO $32.24
Rate for Payer: Idaho Integrated Healthcare Commercial $31.27
Rate for Payer: Multiplan Medicare/VA $17.76
Rate for Payer: One Health Plan of WY PPO $31.60
Rate for Payer: PacificSource Commercial $29.02
Rate for Payer: PHCS PPO $31.60
Rate for Payer: Three Rivers PPO $24.18
Rate for Payer: TriWest Veterans Administration $18.70
Rate for Payer: United Healthcare Commercial $28.05
Rate for Payer: United Healthcare Medicare $18.70
Rate for Payer: WINHealth Partners Commercial $31.60
Rate for Payer: Wise Provider Network Commercial $30.63
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.21
Max. Negotiated Rate $32.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.60
Rate for Payer: Altius Auto/Workers Compensation $30.95
Rate for Payer: Altius Commercial $30.95
Rate for Payer: Beech Street Commercial $31.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.47
Rate for Payer: Cash Price $22.56
Rate for Payer: ChoiceCare Network Commercial $31.27
Rate for Payer: Cigna of WY Commercial $31.60
Rate for Payer: Entrust Commercial $30.63
Rate for Payer: First Choice Health Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.28
Rate for Payer: HealthUtah PPO $32.24
Rate for Payer: Idaho Integrated Healthcare Commercial $31.27
Rate for Payer: Multiplan Medicare/VA $20.21
Rate for Payer: One Health Plan of WY PPO $31.60
Rate for Payer: PacificSource Commercial $29.02
Rate for Payer: PHCS PPO $31.60
Rate for Payer: Three Rivers PPO $24.18
Rate for Payer: TriWest Veterans Administration $21.28
Rate for Payer: United Healthcare Commercial $28.05
Rate for Payer: United Healthcare Medicare $21.28
Rate for Payer: WINHealth Partners Commercial $30.63
Rate for Payer: Wise Provider Network Commercial $30.63
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.21
Max. Negotiated Rate $32.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.60
Rate for Payer: Altius Auto/Workers Compensation $30.95
Rate for Payer: Altius Commercial $30.95
Rate for Payer: Beech Street Commercial $31.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.47
Rate for Payer: Cash Price $22.56
Rate for Payer: ChoiceCare Network Commercial $31.27
Rate for Payer: Cigna of WY Commercial $31.60
Rate for Payer: Entrust Commercial $30.63
Rate for Payer: First Choice Health Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.28
Rate for Payer: HealthUtah PPO $32.24
Rate for Payer: Idaho Integrated Healthcare Commercial $31.27
Rate for Payer: Multiplan Medicare/VA $20.21
Rate for Payer: One Health Plan of WY PPO $31.60
Rate for Payer: PacificSource Commercial $29.02
Rate for Payer: PHCS PPO $31.60
Rate for Payer: Three Rivers PPO $24.18
Rate for Payer: TriWest Veterans Administration $21.28
Rate for Payer: United Healthcare Commercial $28.05
Rate for Payer: United Healthcare Medicare $21.28
Rate for Payer: WINHealth Partners Commercial $30.63
Rate for Payer: Wise Provider Network Commercial $30.63
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $17.76
Max. Negotiated Rate $32.24
Rate for Payer: Aetna of WY Commercial/Medical Rental $31.60
Rate for Payer: Aetna of WY Medicare $21.28
Rate for Payer: Altius Auto/Workers Compensation $30.95
Rate for Payer: Altius Commercial $30.95
Rate for Payer: Beech Street Commercial $31.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.47
Rate for Payer: Cash Price $22.56
Rate for Payer: ChoiceCare Network Commercial $31.27
Rate for Payer: Cigna of WY Commercial $31.60
Rate for Payer: Entrust Commercial $30.63
Rate for Payer: First Choice Health Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Commercial $30.63
Rate for Payer: Government Employees Health Association (GEHA) Medicare $18.70
Rate for Payer: HealthUtah PPO $32.24
Rate for Payer: Idaho Integrated Healthcare Commercial $31.27
Rate for Payer: Multiplan Medicare/VA $17.76
Rate for Payer: One Health Plan of WY PPO $31.60
Rate for Payer: PacificSource Commercial $29.02
Rate for Payer: PHCS PPO $31.60
Rate for Payer: Three Rivers PPO $24.18
Rate for Payer: TriWest Veterans Administration $18.70
Rate for Payer: United Healthcare Commercial $28.05
Rate for Payer: United Healthcare Medicare $18.70
Rate for Payer: WINHealth Partners Commercial $31.60
Rate for Payer: Wise Provider Network Commercial $30.63
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $25.07
Max. Negotiated Rate $45.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.59
Rate for Payer: Aetna of WY Medicare $30.03
Rate for Payer: Altius Auto/Workers Compensation $43.68
Rate for Payer: Altius Commercial $43.68
Rate for Payer: Beech Street Commercial $44.59
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.36
Rate for Payer: Cash Price $31.85
Rate for Payer: ChoiceCare Network Commercial $44.14
Rate for Payer: Cigna of WY Commercial $44.59
Rate for Payer: Entrust Commercial $43.22
Rate for Payer: First Choice Health Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.39
Rate for Payer: HealthUtah PPO $45.50
Rate for Payer: Idaho Integrated Healthcare Commercial $44.14
Rate for Payer: Multiplan Medicare/VA $25.07
Rate for Payer: One Health Plan of WY PPO $44.59
Rate for Payer: PacificSource Commercial $40.95
Rate for Payer: PHCS PPO $44.59
Rate for Payer: Three Rivers PPO $34.12
Rate for Payer: TriWest Veterans Administration $26.39
Rate for Payer: United Healthcare Commercial $39.58
Rate for Payer: United Healthcare Medicare $26.39
Rate for Payer: WINHealth Partners Commercial $44.59
Rate for Payer: Wise Provider Network Commercial $43.22
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $28.53
Max. Negotiated Rate $45.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.59
Rate for Payer: Altius Auto/Workers Compensation $43.68
Rate for Payer: Altius Commercial $43.68
Rate for Payer: Beech Street Commercial $44.59
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.36
Rate for Payer: Cash Price $31.85
Rate for Payer: ChoiceCare Network Commercial $44.14
Rate for Payer: Cigna of WY Commercial $44.59
Rate for Payer: Entrust Commercial $43.22
Rate for Payer: First Choice Health Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Medicare $30.03
Rate for Payer: HealthUtah PPO $45.50
Rate for Payer: Idaho Integrated Healthcare Commercial $44.14
Rate for Payer: Multiplan Medicare/VA $28.53
Rate for Payer: One Health Plan of WY PPO $44.59
Rate for Payer: PacificSource Commercial $40.95
Rate for Payer: PHCS PPO $44.59
Rate for Payer: Three Rivers PPO $34.12
Rate for Payer: TriWest Veterans Administration $30.03
Rate for Payer: United Healthcare Commercial $39.58
Rate for Payer: United Healthcare Medicare $30.03
Rate for Payer: WINHealth Partners Commercial $43.22
Rate for Payer: Wise Provider Network Commercial $43.22
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $18.30
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Aetna of WY Medicare $21.93
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $19.27
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $18.30
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $19.27
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $19.27
Rate for Payer: WINHealth Partners Commercial $32.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.83
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.93
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $20.83
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $21.93
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $21.93
Rate for Payer: WINHealth Partners Commercial $31.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $18.30
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Aetna of WY Medicare $21.93
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $19.27
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $18.30
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $19.27
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $19.27
Rate for Payer: WINHealth Partners Commercial $32.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.83
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.93
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $20.83
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $21.93
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $21.93
Rate for Payer: WINHealth Partners Commercial $31.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $18.30
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Aetna of WY Medicare $21.93
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $19.27
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $18.30
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $19.27
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $19.27
Rate for Payer: WINHealth Partners Commercial $32.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.83
Max. Negotiated Rate $33.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.56
Rate for Payer: Altius Auto/Workers Compensation $31.89
Rate for Payer: Altius Commercial $31.89
Rate for Payer: Beech Street Commercial $32.56
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $27.27
Rate for Payer: Cash Price $23.25
Rate for Payer: ChoiceCare Network Commercial $32.22
Rate for Payer: Cigna of WY Commercial $32.56
Rate for Payer: Entrust Commercial $31.56
Rate for Payer: First Choice Health Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.56
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.93
Rate for Payer: HealthUtah PPO $33.22
Rate for Payer: Idaho Integrated Healthcare Commercial $32.22
Rate for Payer: Multiplan Medicare/VA $20.83
Rate for Payer: One Health Plan of WY PPO $32.56
Rate for Payer: PacificSource Commercial $29.90
Rate for Payer: PHCS PPO $32.56
Rate for Payer: Three Rivers PPO $24.92
Rate for Payer: TriWest Veterans Administration $21.93
Rate for Payer: United Healthcare Commercial $28.90
Rate for Payer: United Healthcare Medicare $21.93
Rate for Payer: WINHealth Partners Commercial $31.56
Rate for Payer: Wise Provider Network Commercial $31.56
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $18.03
Max. Negotiated Rate $32.73
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.08
Rate for Payer: Aetna of WY Medicare $21.60
Rate for Payer: Altius Auto/Workers Compensation $31.42
Rate for Payer: Altius Commercial $31.42
Rate for Payer: Beech Street Commercial $32.08
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.87
Rate for Payer: Cash Price $22.91
Rate for Payer: ChoiceCare Network Commercial $31.75
Rate for Payer: Cigna of WY Commercial $32.08
Rate for Payer: Entrust Commercial $31.09
Rate for Payer: First Choice Health Commercial $31.09
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.09
Rate for Payer: Government Employees Health Association (GEHA) Medicare $18.98
Rate for Payer: HealthUtah PPO $32.73
Rate for Payer: Idaho Integrated Healthcare Commercial $31.75
Rate for Payer: Multiplan Medicare/VA $18.03
Rate for Payer: One Health Plan of WY PPO $32.08
Rate for Payer: PacificSource Commercial $29.46
Rate for Payer: PHCS PPO $32.08
Rate for Payer: Three Rivers PPO $24.55
Rate for Payer: TriWest Veterans Administration $18.98
Rate for Payer: United Healthcare Commercial $28.48
Rate for Payer: United Healthcare Medicare $18.98
Rate for Payer: WINHealth Partners Commercial $32.08
Rate for Payer: Wise Provider Network Commercial $31.09
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $20.52
Max. Negotiated Rate $32.73
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.08
Rate for Payer: Altius Auto/Workers Compensation $31.42
Rate for Payer: Altius Commercial $31.42
Rate for Payer: Beech Street Commercial $32.08
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $26.87
Rate for Payer: Cash Price $22.91
Rate for Payer: ChoiceCare Network Commercial $31.75
Rate for Payer: Cigna of WY Commercial $32.08
Rate for Payer: Entrust Commercial $31.09
Rate for Payer: First Choice Health Commercial $31.09
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.09
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.60
Rate for Payer: HealthUtah PPO $32.73
Rate for Payer: Idaho Integrated Healthcare Commercial $31.75
Rate for Payer: Multiplan Medicare/VA $20.52
Rate for Payer: One Health Plan of WY PPO $32.08
Rate for Payer: PacificSource Commercial $29.46
Rate for Payer: PHCS PPO $32.08
Rate for Payer: Three Rivers PPO $24.55
Rate for Payer: TriWest Veterans Administration $21.60
Rate for Payer: United Healthcare Commercial $28.48
Rate for Payer: United Healthcare Medicare $21.60
Rate for Payer: WINHealth Partners Commercial $31.09
Rate for Payer: Wise Provider Network Commercial $31.09
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $25.07
Max. Negotiated Rate $45.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.59
Rate for Payer: Aetna of WY Medicare $30.03
Rate for Payer: Altius Auto/Workers Compensation $43.68
Rate for Payer: Altius Commercial $43.68
Rate for Payer: Beech Street Commercial $44.59
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.36
Rate for Payer: Cash Price $31.85
Rate for Payer: ChoiceCare Network Commercial $44.14
Rate for Payer: Cigna of WY Commercial $44.59
Rate for Payer: Entrust Commercial $43.22
Rate for Payer: First Choice Health Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.39
Rate for Payer: HealthUtah PPO $45.50
Rate for Payer: Idaho Integrated Healthcare Commercial $44.14
Rate for Payer: Multiplan Medicare/VA $25.07
Rate for Payer: One Health Plan of WY PPO $44.59
Rate for Payer: PacificSource Commercial $40.95
Rate for Payer: PHCS PPO $44.59
Rate for Payer: Three Rivers PPO $34.12
Rate for Payer: TriWest Veterans Administration $26.39
Rate for Payer: United Healthcare Commercial $39.58
Rate for Payer: United Healthcare Medicare $26.39
Rate for Payer: WINHealth Partners Commercial $44.59
Rate for Payer: Wise Provider Network Commercial $43.22
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $28.53
Max. Negotiated Rate $45.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.59
Rate for Payer: Altius Auto/Workers Compensation $43.68
Rate for Payer: Altius Commercial $43.68
Rate for Payer: Beech Street Commercial $44.59
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.36
Rate for Payer: Cash Price $31.85
Rate for Payer: ChoiceCare Network Commercial $44.14
Rate for Payer: Cigna of WY Commercial $44.59
Rate for Payer: Entrust Commercial $43.22
Rate for Payer: First Choice Health Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.22
Rate for Payer: Government Employees Health Association (GEHA) Medicare $30.03
Rate for Payer: HealthUtah PPO $45.50
Rate for Payer: Idaho Integrated Healthcare Commercial $44.14
Rate for Payer: Multiplan Medicare/VA $28.53
Rate for Payer: One Health Plan of WY PPO $44.59
Rate for Payer: PacificSource Commercial $40.95
Rate for Payer: PHCS PPO $44.59
Rate for Payer: Three Rivers PPO $34.12
Rate for Payer: TriWest Veterans Administration $30.03
Rate for Payer: United Healthcare Commercial $39.58
Rate for Payer: United Healthcare Medicare $30.03
Rate for Payer: WINHealth Partners Commercial $43.22
Rate for Payer: Wise Provider Network Commercial $43.22
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $13.83
Max. Negotiated Rate $25.10
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.60
Rate for Payer: Aetna of WY Medicare $16.57
Rate for Payer: Altius Auto/Workers Compensation $24.10
Rate for Payer: Altius Commercial $24.10
Rate for Payer: Beech Street Commercial $24.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.61
Rate for Payer: Cash Price $17.57
Rate for Payer: ChoiceCare Network Commercial $24.35
Rate for Payer: Cigna of WY Commercial $24.60
Rate for Payer: Entrust Commercial $23.84
Rate for Payer: First Choice Health Commercial $23.84
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.84
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.56
Rate for Payer: HealthUtah PPO $25.10
Rate for Payer: Idaho Integrated Healthcare Commercial $24.35
Rate for Payer: Multiplan Medicare/VA $13.83
Rate for Payer: One Health Plan of WY PPO $24.60
Rate for Payer: PacificSource Commercial $22.59
Rate for Payer: PHCS PPO $24.60
Rate for Payer: Three Rivers PPO $18.82
Rate for Payer: TriWest Veterans Administration $14.56
Rate for Payer: United Healthcare Commercial $21.84
Rate for Payer: United Healthcare Medicare $14.56
Rate for Payer: WINHealth Partners Commercial $24.60
Rate for Payer: Wise Provider Network Commercial $23.84
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $15.74
Max. Negotiated Rate $25.10
Rate for Payer: Aetna of WY Commercial/Medical Rental $24.60
Rate for Payer: Altius Auto/Workers Compensation $24.10
Rate for Payer: Altius Commercial $24.10
Rate for Payer: Beech Street Commercial $24.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $20.61
Rate for Payer: Cash Price $17.57
Rate for Payer: ChoiceCare Network Commercial $24.35
Rate for Payer: Cigna of WY Commercial $24.60
Rate for Payer: Entrust Commercial $23.84
Rate for Payer: First Choice Health Commercial $23.84
Rate for Payer: Government Employees Health Association (GEHA) Commercial $23.84
Rate for Payer: Government Employees Health Association (GEHA) Medicare $16.57
Rate for Payer: HealthUtah PPO $25.10
Rate for Payer: Idaho Integrated Healthcare Commercial $24.35
Rate for Payer: Multiplan Medicare/VA $15.74
Rate for Payer: One Health Plan of WY PPO $24.60
Rate for Payer: PacificSource Commercial $22.59
Rate for Payer: PHCS PPO $24.60
Rate for Payer: Three Rivers PPO $18.82
Rate for Payer: TriWest Veterans Administration $16.57
Rate for Payer: United Healthcare Commercial $21.84
Rate for Payer: United Healthcare Medicare $16.57
Rate for Payer: WINHealth Partners Commercial $23.84
Rate for Payer: Wise Provider Network Commercial $23.84
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $7.42
Max. Negotiated Rate $11.84
Rate for Payer: Aetna of WY Commercial/Medical Rental $11.60
Rate for Payer: Altius Auto/Workers Compensation $11.37
Rate for Payer: Altius Commercial $11.37
Rate for Payer: Beech Street Commercial $11.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $9.72
Rate for Payer: Cash Price $8.29
Rate for Payer: ChoiceCare Network Commercial $11.48
Rate for Payer: Cigna of WY Commercial $11.60
Rate for Payer: Entrust Commercial $11.25
Rate for Payer: First Choice Health Commercial $11.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $11.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $7.81
Rate for Payer: HealthUtah PPO $11.84
Rate for Payer: Idaho Integrated Healthcare Commercial $11.48
Rate for Payer: Multiplan Medicare/VA $7.42
Rate for Payer: One Health Plan of WY PPO $11.60
Rate for Payer: PacificSource Commercial $10.66
Rate for Payer: PHCS PPO $11.60
Rate for Payer: Three Rivers PPO $8.88
Rate for Payer: TriWest Veterans Administration $7.81
Rate for Payer: United Healthcare Commercial $10.30
Rate for Payer: United Healthcare Medicare $7.81
Rate for Payer: WINHealth Partners Commercial $11.25
Rate for Payer: Wise Provider Network Commercial $11.25