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Service Code HCPCS 64772 AS
Hospital Charge Code 64772
Min. Negotiated Rate $460.16
Max. Negotiated Rate $2,909.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,850.82
Rate for Payer: Aetna of WY Medicare $541.37
Rate for Payer: Beech Street Commercial $2,763.55
Rate for Payer: Cash Price $2,036.30
Rate for Payer: Cash Price $2,036.30
Rate for Payer: ChoiceCare Network Commercial $2,821.73
Rate for Payer: Cigna of WY Commercial $2,850.82
Rate for Payer: First Choice Health Commercial $2,618.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,763.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $541.37
Rate for Payer: HealthUtah PPO $2,909.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,821.73
Rate for Payer: Multiplan Medicare/VA $460.16
Rate for Payer: One Health Plan of WY PPO $2,850.82
Rate for Payer: PacificSource Commercial $2,618.10
Rate for Payer: PHCS PPO $2,763.55
Rate for Payer: Three Rivers PPO $2,181.75
Rate for Payer: TriWest Veterans Administration $541.37
Rate for Payer: United Healthcare Commercial $2,530.83
Rate for Payer: United Healthcare Medicare $541.37
Rate for Payer: WINHealth Partners Commercial $2,472.65
Service Code HCPCS 64772
Hospital Charge Code 64772
Min. Negotiated Rate $460.16
Max. Negotiated Rate $2,909.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,850.82
Rate for Payer: Aetna of WY Medicare $541.37
Rate for Payer: Beech Street Commercial $2,763.55
Rate for Payer: Cash Price $2,036.30
Rate for Payer: Cash Price $2,036.30
Rate for Payer: ChoiceCare Network Commercial $2,821.73
Rate for Payer: Cigna of WY Commercial $2,850.82
Rate for Payer: First Choice Health Commercial $2,618.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,763.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $541.37
Rate for Payer: HealthUtah PPO $2,909.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,821.73
Rate for Payer: Multiplan Medicare/VA $460.16
Rate for Payer: One Health Plan of WY PPO $2,850.82
Rate for Payer: PacificSource Commercial $2,618.10
Rate for Payer: PHCS PPO $2,763.55
Rate for Payer: Three Rivers PPO $2,181.75
Rate for Payer: TriWest Veterans Administration $541.37
Rate for Payer: United Healthcare Commercial $2,530.83
Rate for Payer: United Healthcare Medicare $541.37
Rate for Payer: WINHealth Partners Commercial $2,472.65
Service Code HCPCS 26485
Hospital Charge Code 26485
Min. Negotiated Rate $696.05
Max. Negotiated Rate $2,921.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,862.58
Rate for Payer: Aetna of WY Medicare $818.88
Rate for Payer: Beech Street Commercial $2,774.95
Rate for Payer: Cash Price $2,044.70
Rate for Payer: Cash Price $2,044.70
Rate for Payer: ChoiceCare Network Commercial $2,833.37
Rate for Payer: Cigna of WY Commercial $2,862.58
Rate for Payer: First Choice Health Commercial $2,628.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,774.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $818.88
Rate for Payer: HealthUtah PPO $2,921.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,833.37
Rate for Payer: Multiplan Medicare/VA $696.05
Rate for Payer: One Health Plan of WY PPO $2,862.58
Rate for Payer: PacificSource Commercial $2,628.90
Rate for Payer: PHCS PPO $2,774.95
Rate for Payer: Three Rivers PPO $2,190.75
Rate for Payer: TriWest Veterans Administration $818.88
Rate for Payer: United Healthcare Commercial $2,541.27
Rate for Payer: United Healthcare Medicare $818.88
Rate for Payer: WINHealth Partners Commercial $2,482.85
Service Code HCPCS 99496
Hospital Charge Code 99496
Min. Negotiated Rate $155.51
Max. Negotiated Rate $804.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $787.92
Rate for Payer: Aetna of WY Medicare $182.95
Rate for Payer: Beech Street Commercial $763.80
Rate for Payer: Cash Price $562.80
Rate for Payer: Cash Price $562.80
Rate for Payer: ChoiceCare Network Commercial $779.88
Rate for Payer: Cigna of WY Commercial $787.92
Rate for Payer: First Choice Health Commercial $723.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $763.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $182.95
Rate for Payer: HealthUtah PPO $804.00
Rate for Payer: Idaho Integrated Healthcare Commercial $779.88
Rate for Payer: Multiplan Medicare/VA $155.51
Rate for Payer: One Health Plan of WY PPO $787.92
Rate for Payer: PacificSource Commercial $723.60
Rate for Payer: PHCS PPO $763.80
Rate for Payer: Three Rivers PPO $603.00
Rate for Payer: TriWest Veterans Administration $182.95
Rate for Payer: United Healthcare Commercial $699.48
Rate for Payer: United Healthcare Medicare $182.95
Rate for Payer: WINHealth Partners Commercial $763.80
Service Code HCPCS 99495
Hospital Charge Code 99495
Min. Negotiated Rate $114.48
Max. Negotiated Rate $610.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $597.80
Rate for Payer: Aetna of WY Medicare $134.68
Rate for Payer: Beech Street Commercial $579.50
Rate for Payer: Cash Price $427.00
Rate for Payer: Cash Price $427.00
Rate for Payer: ChoiceCare Network Commercial $591.70
Rate for Payer: Cigna of WY Commercial $597.80
Rate for Payer: First Choice Health Commercial $549.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $579.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $134.68
Rate for Payer: HealthUtah PPO $610.00
Rate for Payer: Idaho Integrated Healthcare Commercial $591.70
Rate for Payer: Multiplan Medicare/VA $114.48
Rate for Payer: One Health Plan of WY PPO $597.80
Rate for Payer: PacificSource Commercial $549.00
Rate for Payer: PHCS PPO $579.50
Rate for Payer: Three Rivers PPO $457.50
Rate for Payer: TriWest Veterans Administration $134.68
Rate for Payer: United Healthcare Commercial $530.70
Rate for Payer: United Healthcare Medicare $134.68
Rate for Payer: WINHealth Partners Commercial $579.50
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $99.12
Max. Negotiated Rate $179.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $176.30
Rate for Payer: Aetna of WY Medicare $118.73
Rate for Payer: Altius Auto/Workers Compensation $172.70
Rate for Payer: Altius Commercial $172.70
Rate for Payer: Beech Street Commercial $176.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $147.70
Rate for Payer: Cash Price $125.93
Rate for Payer: ChoiceCare Network Commercial $174.50
Rate for Payer: Cigna of WY Commercial $176.30
Rate for Payer: Entrust Commercial $170.90
Rate for Payer: First Choice Health Commercial $170.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $170.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $104.34
Rate for Payer: HealthUtah PPO $179.90
Rate for Payer: Idaho Integrated Healthcare Commercial $174.50
Rate for Payer: Multiplan Medicare/VA $99.12
Rate for Payer: One Health Plan of WY PPO $176.30
Rate for Payer: PacificSource Commercial $161.91
Rate for Payer: PHCS PPO $176.30
Rate for Payer: Three Rivers PPO $134.92
Rate for Payer: TriWest Veterans Administration $104.34
Rate for Payer: United Healthcare Commercial $156.51
Rate for Payer: United Healthcare Medicare $104.34
Rate for Payer: WINHealth Partners Commercial $176.30
Rate for Payer: Wise Provider Network Commercial $170.90
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $112.80
Max. Negotiated Rate $179.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $176.30
Rate for Payer: Altius Auto/Workers Compensation $172.70
Rate for Payer: Altius Commercial $172.70
Rate for Payer: Beech Street Commercial $176.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $147.70
Rate for Payer: Cash Price $125.93
Rate for Payer: ChoiceCare Network Commercial $174.50
Rate for Payer: Cigna of WY Commercial $176.30
Rate for Payer: Entrust Commercial $170.90
Rate for Payer: First Choice Health Commercial $170.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $170.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $118.73
Rate for Payer: HealthUtah PPO $179.90
Rate for Payer: Idaho Integrated Healthcare Commercial $174.50
Rate for Payer: Multiplan Medicare/VA $112.80
Rate for Payer: One Health Plan of WY PPO $176.30
Rate for Payer: PacificSource Commercial $161.91
Rate for Payer: PHCS PPO $176.30
Rate for Payer: Three Rivers PPO $134.92
Rate for Payer: TriWest Veterans Administration $118.73
Rate for Payer: United Healthcare Commercial $156.51
Rate for Payer: United Healthcare Medicare $118.73
Rate for Payer: WINHealth Partners Commercial $170.90
Rate for Payer: Wise Provider Network Commercial $170.90
Service Code HCPCS J9355
Hospital Revenue Code 636
Min. Negotiated Rate $986.53
Max. Negotiated Rate $1,573.42
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,541.95
Rate for Payer: Altius Auto/Workers Compensation $1,510.48
Rate for Payer: Altius Commercial $1,510.48
Rate for Payer: Beech Street Commercial $1,541.95
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,291.78
Rate for Payer: Cash Price $1,101.39
Rate for Payer: ChoiceCare Network Commercial $1,526.22
Rate for Payer: Cigna of WY Commercial $1,541.95
Rate for Payer: Entrust Commercial $1,494.75
Rate for Payer: First Choice Health Commercial $1,494.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,494.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,038.46
Rate for Payer: HealthUtah PPO $1,573.42
Rate for Payer: Idaho Integrated Healthcare Commercial $1,526.22
Rate for Payer: Multiplan Medicare/VA $986.53
Rate for Payer: One Health Plan of WY PPO $1,541.95
Rate for Payer: PacificSource Commercial $1,416.08
Rate for Payer: PHCS PPO $1,541.95
Rate for Payer: Three Rivers PPO $1,180.06
Rate for Payer: TriWest Veterans Administration $1,038.46
Rate for Payer: United Healthcare Commercial $1,368.88
Rate for Payer: United Healthcare Medicare $1,038.46
Rate for Payer: WINHealth Partners Commercial $1,494.75
Rate for Payer: Wise Provider Network Commercial $1,494.75
Service Code HCPCS J9355
Hospital Revenue Code 636
Min. Negotiated Rate $866.95
Max. Negotiated Rate $1,573.42
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,541.95
Rate for Payer: Aetna of WY Medicare $1,038.46
Rate for Payer: Altius Auto/Workers Compensation $1,510.48
Rate for Payer: Altius Commercial $1,510.48
Rate for Payer: Beech Street Commercial $1,541.95
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,291.78
Rate for Payer: Cash Price $1,101.39
Rate for Payer: ChoiceCare Network Commercial $1,526.22
Rate for Payer: Cigna of WY Commercial $1,541.95
Rate for Payer: Entrust Commercial $1,494.75
Rate for Payer: First Choice Health Commercial $1,494.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,494.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $912.58
Rate for Payer: HealthUtah PPO $1,573.42
Rate for Payer: Idaho Integrated Healthcare Commercial $1,526.22
Rate for Payer: Multiplan Medicare/VA $866.95
Rate for Payer: One Health Plan of WY PPO $1,541.95
Rate for Payer: PacificSource Commercial $1,416.08
Rate for Payer: PHCS PPO $1,541.95
Rate for Payer: Three Rivers PPO $1,180.06
Rate for Payer: TriWest Veterans Administration $912.58
Rate for Payer: United Healthcare Commercial $1,368.88
Rate for Payer: United Healthcare Medicare $912.58
Rate for Payer: WINHealth Partners Commercial $1,541.95
Rate for Payer: Wise Provider Network Commercial $1,494.75
Service Code HCPCS Q5114
Hospital Revenue Code 636
Min. Negotiated Rate $599.10
Max. Negotiated Rate $955.51
Rate for Payer: Aetna of WY Commercial/Medical Rental $936.40
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,312.87
Rate for Payer: Altius Auto/Workers Compensation $917.29
Rate for Payer: Altius Auto/Workers Compensation $1,286.07
Rate for Payer: Altius Commercial $1,286.07
Rate for Payer: Altius Commercial $917.29
Rate for Payer: Beech Street Commercial $936.40
Rate for Payer: Beech Street Commercial $1,312.87
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,099.86
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $784.47
Rate for Payer: Cash Price $668.86
Rate for Payer: Cash Price $937.76
Rate for Payer: ChoiceCare Network Commercial $1,299.47
Rate for Payer: ChoiceCare Network Commercial $926.84
Rate for Payer: Cigna of WY Commercial $936.40
Rate for Payer: Cigna of WY Commercial $1,312.87
Rate for Payer: Entrust Commercial $1,272.68
Rate for Payer: Entrust Commercial $907.73
Rate for Payer: First Choice Health Commercial $1,272.68
Rate for Payer: First Choice Health Commercial $907.73
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,272.68
Rate for Payer: Government Employees Health Association (GEHA) Commercial $907.73
Rate for Payer: Government Employees Health Association (GEHA) Medicare $630.64
Rate for Payer: Government Employees Health Association (GEHA) Medicare $884.18
Rate for Payer: HealthUtah PPO $955.51
Rate for Payer: HealthUtah PPO $1,339.66
Rate for Payer: Idaho Integrated Healthcare Commercial $1,299.47
Rate for Payer: Idaho Integrated Healthcare Commercial $926.84
Rate for Payer: Multiplan Medicare/VA $599.10
Rate for Payer: Multiplan Medicare/VA $839.97
Rate for Payer: One Health Plan of WY PPO $936.40
Rate for Payer: One Health Plan of WY PPO $1,312.87
Rate for Payer: PacificSource Commercial $859.96
Rate for Payer: PacificSource Commercial $1,205.69
Rate for Payer: PHCS PPO $1,312.87
Rate for Payer: PHCS PPO $936.40
Rate for Payer: Three Rivers PPO $1,004.74
Rate for Payer: Three Rivers PPO $716.63
Rate for Payer: TriWest Veterans Administration $630.64
Rate for Payer: TriWest Veterans Administration $884.18
Rate for Payer: United Healthcare Commercial $1,165.50
Rate for Payer: United Healthcare Commercial $831.29
Rate for Payer: United Healthcare Medicare $630.64
Rate for Payer: United Healthcare Medicare $884.18
Rate for Payer: WINHealth Partners Commercial $1,272.68
Rate for Payer: WINHealth Partners Commercial $907.73
Rate for Payer: Wise Provider Network Commercial $1,272.68
Rate for Payer: Wise Provider Network Commercial $907.73
Service Code HCPCS Q5114
Hospital Revenue Code 636
Min. Negotiated Rate $526.49
Max. Negotiated Rate $955.51
Rate for Payer: Aetna of WY Commercial/Medical Rental $936.40
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,312.87
Rate for Payer: Aetna of WY Medicare $630.64
Rate for Payer: Aetna of WY Medicare $884.18
Rate for Payer: Altius Auto/Workers Compensation $1,286.07
Rate for Payer: Altius Auto/Workers Compensation $917.29
Rate for Payer: Altius Commercial $917.29
Rate for Payer: Altius Commercial $1,286.07
Rate for Payer: Beech Street Commercial $1,312.87
Rate for Payer: Beech Street Commercial $936.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $784.47
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,099.86
Rate for Payer: Cash Price $937.76
Rate for Payer: Cash Price $668.86
Rate for Payer: ChoiceCare Network Commercial $926.84
Rate for Payer: ChoiceCare Network Commercial $1,299.47
Rate for Payer: Cigna of WY Commercial $1,312.87
Rate for Payer: Cigna of WY Commercial $936.40
Rate for Payer: Entrust Commercial $907.73
Rate for Payer: Entrust Commercial $1,272.68
Rate for Payer: First Choice Health Commercial $1,272.68
Rate for Payer: First Choice Health Commercial $907.73
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,272.68
Rate for Payer: Government Employees Health Association (GEHA) Commercial $907.73
Rate for Payer: Government Employees Health Association (GEHA) Medicare $554.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $777.00
Rate for Payer: HealthUtah PPO $1,339.66
Rate for Payer: HealthUtah PPO $955.51
Rate for Payer: Idaho Integrated Healthcare Commercial $1,299.47
Rate for Payer: Idaho Integrated Healthcare Commercial $926.84
Rate for Payer: Multiplan Medicare/VA $526.49
Rate for Payer: Multiplan Medicare/VA $738.15
Rate for Payer: One Health Plan of WY PPO $1,312.87
Rate for Payer: One Health Plan of WY PPO $936.40
Rate for Payer: PacificSource Commercial $859.96
Rate for Payer: PacificSource Commercial $1,205.69
Rate for Payer: PHCS PPO $1,312.87
Rate for Payer: PHCS PPO $936.40
Rate for Payer: Three Rivers PPO $1,004.74
Rate for Payer: Three Rivers PPO $716.63
Rate for Payer: TriWest Veterans Administration $554.20
Rate for Payer: TriWest Veterans Administration $777.00
Rate for Payer: United Healthcare Commercial $1,165.50
Rate for Payer: United Healthcare Commercial $831.29
Rate for Payer: United Healthcare Medicare $554.20
Rate for Payer: United Healthcare Medicare $777.00
Rate for Payer: WINHealth Partners Commercial $1,312.87
Rate for Payer: WINHealth Partners Commercial $936.40
Rate for Payer: Wise Provider Network Commercial $1,272.68
Rate for Payer: Wise Provider Network Commercial $907.73
Service Code HCPCS Q5116
Hospital Revenue Code 636
Min. Negotiated Rate $768.76
Max. Negotiated Rate $1,226.10
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,201.58
Rate for Payer: Altius Auto/Workers Compensation $1,177.06
Rate for Payer: Altius Commercial $1,177.06
Rate for Payer: Beech Street Commercial $1,201.58
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,006.63
Rate for Payer: Cash Price $858.27
Rate for Payer: ChoiceCare Network Commercial $1,189.32
Rate for Payer: Cigna of WY Commercial $1,201.58
Rate for Payer: Entrust Commercial $1,164.80
Rate for Payer: First Choice Health Commercial $1,164.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,164.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $809.23
Rate for Payer: HealthUtah PPO $1,226.10
Rate for Payer: Idaho Integrated Healthcare Commercial $1,189.32
Rate for Payer: Multiplan Medicare/VA $768.76
Rate for Payer: One Health Plan of WY PPO $1,201.58
Rate for Payer: PacificSource Commercial $1,103.49
Rate for Payer: PHCS PPO $1,201.58
Rate for Payer: Three Rivers PPO $919.58
Rate for Payer: TriWest Veterans Administration $809.23
Rate for Payer: United Healthcare Commercial $1,066.71
Rate for Payer: United Healthcare Medicare $809.23
Rate for Payer: WINHealth Partners Commercial $1,164.80
Rate for Payer: Wise Provider Network Commercial $1,164.80
Service Code HCPCS Q5116
Hospital Revenue Code 636
Min. Negotiated Rate $675.58
Max. Negotiated Rate $1,226.10
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,201.58
Rate for Payer: Aetna of WY Medicare $809.23
Rate for Payer: Altius Auto/Workers Compensation $1,177.06
Rate for Payer: Altius Commercial $1,177.06
Rate for Payer: Beech Street Commercial $1,201.58
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,006.63
Rate for Payer: Cash Price $858.27
Rate for Payer: ChoiceCare Network Commercial $1,189.32
Rate for Payer: Cigna of WY Commercial $1,201.58
Rate for Payer: Entrust Commercial $1,164.80
Rate for Payer: First Choice Health Commercial $1,164.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,164.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $711.14
Rate for Payer: HealthUtah PPO $1,226.10
Rate for Payer: Idaho Integrated Healthcare Commercial $1,189.32
Rate for Payer: Multiplan Medicare/VA $675.58
Rate for Payer: One Health Plan of WY PPO $1,201.58
Rate for Payer: PacificSource Commercial $1,103.49
Rate for Payer: PHCS PPO $1,201.58
Rate for Payer: Three Rivers PPO $919.58
Rate for Payer: TriWest Veterans Administration $711.14
Rate for Payer: United Healthcare Commercial $1,066.71
Rate for Payer: United Healthcare Medicare $711.14
Rate for Payer: WINHealth Partners Commercial $1,201.58
Rate for Payer: Wise Provider Network Commercial $1,164.80
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $4.41
Max. Negotiated Rate $7.03
Rate for Payer: Aetna of WY Commercial/Medical Rental $6.89
Rate for Payer: Altius Auto/Workers Compensation $6.75
Rate for Payer: Altius Commercial $6.75
Rate for Payer: Beech Street Commercial $6.89
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $5.77
Rate for Payer: Cash Price $4.92
Rate for Payer: ChoiceCare Network Commercial $6.82
Rate for Payer: Cigna of WY Commercial $6.89
Rate for Payer: Entrust Commercial $6.68
Rate for Payer: First Choice Health Commercial $6.68
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6.68
Rate for Payer: Government Employees Health Association (GEHA) Medicare $4.64
Rate for Payer: HealthUtah PPO $7.03
Rate for Payer: Idaho Integrated Healthcare Commercial $6.82
Rate for Payer: Multiplan Medicare/VA $4.41
Rate for Payer: One Health Plan of WY PPO $6.89
Rate for Payer: PacificSource Commercial $6.33
Rate for Payer: PHCS PPO $6.89
Rate for Payer: Three Rivers PPO $5.27
Rate for Payer: TriWest Veterans Administration $4.64
Rate for Payer: United Healthcare Commercial $6.12
Rate for Payer: United Healthcare Medicare $4.64
Rate for Payer: WINHealth Partners Commercial $6.68
Rate for Payer: Wise Provider Network Commercial $6.68
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $3.87
Max. Negotiated Rate $7.03
Rate for Payer: Aetna of WY Commercial/Medical Rental $6.89
Rate for Payer: Aetna of WY Medicare $4.64
Rate for Payer: Altius Auto/Workers Compensation $6.75
Rate for Payer: Altius Commercial $6.75
Rate for Payer: Beech Street Commercial $6.89
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $5.77
Rate for Payer: Cash Price $4.92
Rate for Payer: ChoiceCare Network Commercial $6.82
Rate for Payer: Cigna of WY Commercial $6.89
Rate for Payer: Entrust Commercial $6.68
Rate for Payer: First Choice Health Commercial $6.68
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6.68
Rate for Payer: Government Employees Health Association (GEHA) Medicare $4.08
Rate for Payer: HealthUtah PPO $7.03
Rate for Payer: Idaho Integrated Healthcare Commercial $6.82
Rate for Payer: Multiplan Medicare/VA $3.87
Rate for Payer: One Health Plan of WY PPO $6.89
Rate for Payer: PacificSource Commercial $6.33
Rate for Payer: PHCS PPO $6.89
Rate for Payer: Three Rivers PPO $5.27
Rate for Payer: TriWest Veterans Administration $4.08
Rate for Payer: United Healthcare Commercial $6.12
Rate for Payer: United Healthcare Medicare $4.08
Rate for Payer: WINHealth Partners Commercial $6.89
Rate for Payer: Wise Provider Network Commercial $6.68
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $27.82
Max. Negotiated Rate $50.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $49.48
Rate for Payer: Aetna of WY Medicare $33.32
Rate for Payer: Altius Auto/Workers Compensation $48.47
Rate for Payer: Altius Commercial $48.47
Rate for Payer: Beech Street Commercial $49.48
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $41.45
Rate for Payer: Cash Price $35.34
Rate for Payer: ChoiceCare Network Commercial $48.98
Rate for Payer: Cigna of WY Commercial $49.48
Rate for Payer: Entrust Commercial $47.97
Rate for Payer: First Choice Health Commercial $47.97
Rate for Payer: Government Employees Health Association (GEHA) Commercial $47.97
Rate for Payer: Government Employees Health Association (GEHA) Medicare $29.28
Rate for Payer: HealthUtah PPO $50.49
Rate for Payer: Idaho Integrated Healthcare Commercial $48.98
Rate for Payer: Multiplan Medicare/VA $27.82
Rate for Payer: One Health Plan of WY PPO $49.48
Rate for Payer: PacificSource Commercial $45.44
Rate for Payer: PHCS PPO $49.48
Rate for Payer: Three Rivers PPO $37.87
Rate for Payer: TriWest Veterans Administration $29.28
Rate for Payer: United Healthcare Commercial $43.93
Rate for Payer: United Healthcare Medicare $29.28
Rate for Payer: WINHealth Partners Commercial $49.48
Rate for Payer: Wise Provider Network Commercial $47.97
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $31.66
Max. Negotiated Rate $50.49
Rate for Payer: Aetna of WY Commercial/Medical Rental $49.48
Rate for Payer: Altius Auto/Workers Compensation $48.47
Rate for Payer: Altius Commercial $48.47
Rate for Payer: Beech Street Commercial $49.48
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $41.45
Rate for Payer: Cash Price $35.34
Rate for Payer: ChoiceCare Network Commercial $48.98
Rate for Payer: Cigna of WY Commercial $49.48
Rate for Payer: Entrust Commercial $47.97
Rate for Payer: First Choice Health Commercial $47.97
Rate for Payer: Government Employees Health Association (GEHA) Commercial $47.97
Rate for Payer: Government Employees Health Association (GEHA) Medicare $33.32
Rate for Payer: HealthUtah PPO $50.49
Rate for Payer: Idaho Integrated Healthcare Commercial $48.98
Rate for Payer: Multiplan Medicare/VA $31.66
Rate for Payer: One Health Plan of WY PPO $49.48
Rate for Payer: PacificSource Commercial $45.44
Rate for Payer: PHCS PPO $49.48
Rate for Payer: Three Rivers PPO $37.87
Rate for Payer: TriWest Veterans Administration $33.32
Rate for Payer: United Healthcare Commercial $43.93
Rate for Payer: United Healthcare Medicare $33.32
Rate for Payer: WINHealth Partners Commercial $47.97
Rate for Payer: Wise Provider Network Commercial $47.97
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $28.36
Max. Negotiated Rate $51.47
Rate for Payer: Aetna of WY Commercial/Medical Rental $50.44
Rate for Payer: Aetna of WY Medicare $33.97
Rate for Payer: Altius Auto/Workers Compensation $49.41
Rate for Payer: Altius Commercial $49.41
Rate for Payer: Beech Street Commercial $50.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $42.26
Rate for Payer: Cash Price $36.03
Rate for Payer: ChoiceCare Network Commercial $49.93
Rate for Payer: Cigna of WY Commercial $50.44
Rate for Payer: Entrust Commercial $48.90
Rate for Payer: First Choice Health Commercial $48.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $48.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $29.85
Rate for Payer: HealthUtah PPO $51.47
Rate for Payer: Idaho Integrated Healthcare Commercial $49.93
Rate for Payer: Multiplan Medicare/VA $28.36
Rate for Payer: One Health Plan of WY PPO $50.44
Rate for Payer: PacificSource Commercial $46.32
Rate for Payer: PHCS PPO $50.44
Rate for Payer: Three Rivers PPO $38.60
Rate for Payer: TriWest Veterans Administration $29.85
Rate for Payer: United Healthcare Commercial $44.78
Rate for Payer: United Healthcare Medicare $29.85
Rate for Payer: WINHealth Partners Commercial $50.44
Rate for Payer: Wise Provider Network Commercial $48.90
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $32.27
Max. Negotiated Rate $51.47
Rate for Payer: Aetna of WY Commercial/Medical Rental $50.44
Rate for Payer: Altius Auto/Workers Compensation $49.41
Rate for Payer: Altius Commercial $49.41
Rate for Payer: Beech Street Commercial $50.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $42.26
Rate for Payer: Cash Price $36.03
Rate for Payer: ChoiceCare Network Commercial $49.93
Rate for Payer: Cigna of WY Commercial $50.44
Rate for Payer: Entrust Commercial $48.90
Rate for Payer: First Choice Health Commercial $48.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $48.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $33.97
Rate for Payer: HealthUtah PPO $51.47
Rate for Payer: Idaho Integrated Healthcare Commercial $49.93
Rate for Payer: Multiplan Medicare/VA $32.27
Rate for Payer: One Health Plan of WY PPO $50.44
Rate for Payer: PacificSource Commercial $46.32
Rate for Payer: PHCS PPO $50.44
Rate for Payer: Three Rivers PPO $38.60
Rate for Payer: TriWest Veterans Administration $33.97
Rate for Payer: United Healthcare Commercial $44.78
Rate for Payer: United Healthcare Medicare $33.97
Rate for Payer: WINHealth Partners Commercial $48.90
Rate for Payer: Wise Provider Network Commercial $48.90
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $213.64
Max. Negotiated Rate $387.73
Rate for Payer: Aetna of WY Commercial/Medical Rental $379.98
Rate for Payer: Aetna of WY Medicare $255.90
Rate for Payer: Altius Auto/Workers Compensation $372.22
Rate for Payer: Altius Commercial $372.22
Rate for Payer: Beech Street Commercial $379.98
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $318.33
Rate for Payer: Cash Price $271.41
Rate for Payer: ChoiceCare Network Commercial $376.10
Rate for Payer: Cigna of WY Commercial $379.98
Rate for Payer: Entrust Commercial $368.34
Rate for Payer: First Choice Health Commercial $368.34
Rate for Payer: Government Employees Health Association (GEHA) Commercial $368.34
Rate for Payer: Government Employees Health Association (GEHA) Medicare $224.88
Rate for Payer: HealthUtah PPO $387.73
Rate for Payer: Idaho Integrated Healthcare Commercial $376.10
Rate for Payer: Multiplan Medicare/VA $213.64
Rate for Payer: One Health Plan of WY PPO $379.98
Rate for Payer: PacificSource Commercial $348.96
Rate for Payer: PHCS PPO $379.98
Rate for Payer: Three Rivers PPO $290.80
Rate for Payer: TriWest Veterans Administration $224.88
Rate for Payer: United Healthcare Commercial $337.33
Rate for Payer: United Healthcare Medicare $224.88
Rate for Payer: WINHealth Partners Commercial $379.98
Rate for Payer: Wise Provider Network Commercial $368.34
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $243.11
Max. Negotiated Rate $387.73
Rate for Payer: Aetna of WY Commercial/Medical Rental $379.98
Rate for Payer: Altius Auto/Workers Compensation $372.22
Rate for Payer: Altius Commercial $372.22
Rate for Payer: Beech Street Commercial $379.98
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $318.33
Rate for Payer: Cash Price $271.41
Rate for Payer: ChoiceCare Network Commercial $376.10
Rate for Payer: Cigna of WY Commercial $379.98
Rate for Payer: Entrust Commercial $368.34
Rate for Payer: First Choice Health Commercial $368.34
Rate for Payer: Government Employees Health Association (GEHA) Commercial $368.34
Rate for Payer: Government Employees Health Association (GEHA) Medicare $255.90
Rate for Payer: HealthUtah PPO $387.73
Rate for Payer: Idaho Integrated Healthcare Commercial $376.10
Rate for Payer: Multiplan Medicare/VA $243.11
Rate for Payer: One Health Plan of WY PPO $379.98
Rate for Payer: PacificSource Commercial $348.96
Rate for Payer: PHCS PPO $379.98
Rate for Payer: Three Rivers PPO $290.80
Rate for Payer: TriWest Veterans Administration $255.90
Rate for Payer: United Healthcare Commercial $337.33
Rate for Payer: United Healthcare Medicare $255.90
Rate for Payer: WINHealth Partners Commercial $368.34
Rate for Payer: Wise Provider Network Commercial $368.34
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $228.23
Max. Negotiated Rate $364.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $356.72
Rate for Payer: Altius Auto/Workers Compensation $349.44
Rate for Payer: Altius Commercial $349.44
Rate for Payer: Beech Street Commercial $356.72
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $298.84
Rate for Payer: Cash Price $254.80
Rate for Payer: ChoiceCare Network Commercial $353.08
Rate for Payer: Cigna of WY Commercial $356.72
Rate for Payer: Entrust Commercial $345.80
Rate for Payer: First Choice Health Commercial $345.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $345.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $240.24
Rate for Payer: HealthUtah PPO $364.00
Rate for Payer: Idaho Integrated Healthcare Commercial $353.08
Rate for Payer: Multiplan Medicare/VA $228.23
Rate for Payer: One Health Plan of WY PPO $356.72
Rate for Payer: PacificSource Commercial $327.60
Rate for Payer: PHCS PPO $356.72
Rate for Payer: Three Rivers PPO $273.00
Rate for Payer: TriWest Veterans Administration $240.24
Rate for Payer: United Healthcare Commercial $316.68
Rate for Payer: United Healthcare Medicare $240.24
Rate for Payer: WINHealth Partners Commercial $345.80
Rate for Payer: Wise Provider Network Commercial $345.80
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $200.56
Max. Negotiated Rate $364.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $356.72
Rate for Payer: Aetna of WY Medicare $240.24
Rate for Payer: Altius Auto/Workers Compensation $349.44
Rate for Payer: Altius Commercial $349.44
Rate for Payer: Beech Street Commercial $356.72
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $298.84
Rate for Payer: Cash Price $254.80
Rate for Payer: ChoiceCare Network Commercial $353.08
Rate for Payer: Cigna of WY Commercial $356.72
Rate for Payer: Entrust Commercial $345.80
Rate for Payer: First Choice Health Commercial $345.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $345.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $211.12
Rate for Payer: HealthUtah PPO $364.00
Rate for Payer: Idaho Integrated Healthcare Commercial $353.08
Rate for Payer: Multiplan Medicare/VA $200.56
Rate for Payer: One Health Plan of WY PPO $356.72
Rate for Payer: PacificSource Commercial $327.60
Rate for Payer: PHCS PPO $356.72
Rate for Payer: Three Rivers PPO $273.00
Rate for Payer: TriWest Veterans Administration $211.12
Rate for Payer: United Healthcare Commercial $316.68
Rate for Payer: United Healthcare Medicare $211.12
Rate for Payer: WINHealth Partners Commercial $356.72
Rate for Payer: Wise Provider Network Commercial $345.80
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $73.71
Max. Negotiated Rate $133.77
Rate for Payer: Aetna of WY Commercial/Medical Rental $131.09
Rate for Payer: Aetna of WY Medicare $88.29
Rate for Payer: Altius Auto/Workers Compensation $128.42
Rate for Payer: Altius Commercial $128.42
Rate for Payer: Beech Street Commercial $131.09
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $109.83
Rate for Payer: Cash Price $93.64
Rate for Payer: ChoiceCare Network Commercial $129.76
Rate for Payer: Cigna of WY Commercial $131.09
Rate for Payer: Entrust Commercial $127.08
Rate for Payer: First Choice Health Commercial $127.08
Rate for Payer: Government Employees Health Association (GEHA) Commercial $127.08
Rate for Payer: Government Employees Health Association (GEHA) Medicare $77.59
Rate for Payer: HealthUtah PPO $133.77
Rate for Payer: Idaho Integrated Healthcare Commercial $129.76
Rate for Payer: Multiplan Medicare/VA $73.71
Rate for Payer: One Health Plan of WY PPO $131.09
Rate for Payer: PacificSource Commercial $120.39
Rate for Payer: PHCS PPO $131.09
Rate for Payer: Three Rivers PPO $100.33
Rate for Payer: TriWest Veterans Administration $77.59
Rate for Payer: United Healthcare Commercial $116.38
Rate for Payer: United Healthcare Medicare $77.59
Rate for Payer: WINHealth Partners Commercial $131.09
Rate for Payer: Wise Provider Network Commercial $127.08
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $83.87
Max. Negotiated Rate $133.77
Rate for Payer: Aetna of WY Commercial/Medical Rental $131.09
Rate for Payer: Altius Auto/Workers Compensation $128.42
Rate for Payer: Altius Commercial $128.42
Rate for Payer: Beech Street Commercial $131.09
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $109.83
Rate for Payer: Cash Price $93.64
Rate for Payer: ChoiceCare Network Commercial $129.76
Rate for Payer: Cigna of WY Commercial $131.09
Rate for Payer: Entrust Commercial $127.08
Rate for Payer: First Choice Health Commercial $127.08
Rate for Payer: Government Employees Health Association (GEHA) Commercial $127.08
Rate for Payer: Government Employees Health Association (GEHA) Medicare $88.29
Rate for Payer: HealthUtah PPO $133.77
Rate for Payer: Idaho Integrated Healthcare Commercial $129.76
Rate for Payer: Multiplan Medicare/VA $83.87
Rate for Payer: One Health Plan of WY PPO $131.09
Rate for Payer: PacificSource Commercial $120.39
Rate for Payer: PHCS PPO $131.09
Rate for Payer: Three Rivers PPO $100.33
Rate for Payer: TriWest Veterans Administration $88.29
Rate for Payer: United Healthcare Commercial $116.38
Rate for Payer: United Healthcare Medicare $88.29
Rate for Payer: WINHealth Partners Commercial $127.08
Rate for Payer: Wise Provider Network Commercial $127.08