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Charge Type Setting Price  
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $60.29
Max. Negotiated Rate $109.42
Rate for Payer: Aetna of WY Commercial/Medical Rental $107.23
Rate for Payer: Aetna of WY Medicare $72.22
Rate for Payer: Altius Auto/Workers Compensation $105.04
Rate for Payer: Altius Commercial $105.04
Rate for Payer: Beech Street Commercial $107.23
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $89.83
Rate for Payer: Cash Price $76.59
Rate for Payer: ChoiceCare Network Commercial $106.14
Rate for Payer: Cigna of WY Commercial $107.23
Rate for Payer: Entrust Commercial $103.95
Rate for Payer: First Choice Health Commercial $103.95
Rate for Payer: Government Employees Health Association (GEHA) Commercial $103.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $63.46
Rate for Payer: HealthUtah PPO $109.42
Rate for Payer: Idaho Integrated Healthcare Commercial $106.14
Rate for Payer: Multiplan Medicare/VA $60.29
Rate for Payer: One Health Plan of WY PPO $107.23
Rate for Payer: PacificSource Commercial $98.48
Rate for Payer: PHCS PPO $107.23
Rate for Payer: Three Rivers PPO $82.06
Rate for Payer: TriWest Veterans Administration $63.46
Rate for Payer: United Healthcare Commercial $95.20
Rate for Payer: United Healthcare Medicare $63.46
Rate for Payer: WINHealth Partners Commercial $107.23
Rate for Payer: Wise Provider Network Commercial $103.95
Service Code HCPCS 59120
Hospital Charge Code 59120
Min. Negotiated Rate $660.95
Max. Negotiated Rate $1,955.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,915.90
Rate for Payer: Aetna of WY Medicare $777.59
Rate for Payer: Beech Street Commercial $1,857.25
Rate for Payer: Cash Price $1,368.50
Rate for Payer: Cash Price $1,368.50
Rate for Payer: ChoiceCare Network Commercial $1,896.35
Rate for Payer: Cigna of WY Commercial $1,915.90
Rate for Payer: First Choice Health Commercial $1,759.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,857.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $777.59
Rate for Payer: HealthUtah PPO $1,955.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,896.35
Rate for Payer: Multiplan Medicare/VA $660.95
Rate for Payer: One Health Plan of WY PPO $1,915.90
Rate for Payer: PacificSource Commercial $1,759.50
Rate for Payer: PHCS PPO $1,857.25
Rate for Payer: Three Rivers PPO $1,466.25
Rate for Payer: TriWest Veterans Administration $777.59
Rate for Payer: United Healthcare Commercial $1,700.85
Rate for Payer: United Healthcare Medicare $777.59
Rate for Payer: WINHealth Partners Commercial $1,661.75
Service Code HCPCS 59140
Hospital Charge Code 59140
Min. Negotiated Rate $340.05
Max. Negotiated Rate $995.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $975.10
Rate for Payer: Aetna of WY Medicare $400.06
Rate for Payer: Beech Street Commercial $945.25
Rate for Payer: Cash Price $696.50
Rate for Payer: Cash Price $696.50
Rate for Payer: ChoiceCare Network Commercial $965.15
Rate for Payer: Cigna of WY Commercial $975.10
Rate for Payer: First Choice Health Commercial $895.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $945.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $400.06
Rate for Payer: HealthUtah PPO $995.00
Rate for Payer: Idaho Integrated Healthcare Commercial $965.15
Rate for Payer: Multiplan Medicare/VA $340.05
Rate for Payer: One Health Plan of WY PPO $975.10
Rate for Payer: PacificSource Commercial $895.50
Rate for Payer: PHCS PPO $945.25
Rate for Payer: Three Rivers PPO $746.25
Rate for Payer: TriWest Veterans Administration $400.06
Rate for Payer: United Healthcare Commercial $865.65
Rate for Payer: United Healthcare Medicare $400.06
Rate for Payer: WINHealth Partners Commercial $845.75
Service Code HCPCS 59121
Hospital Charge Code 59121
Min. Negotiated Rate $661.08
Max. Negotiated Rate $1,956.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,916.88
Rate for Payer: Aetna of WY Medicare $777.74
Rate for Payer: Beech Street Commercial $1,858.20
Rate for Payer: Cash Price $1,369.20
Rate for Payer: Cash Price $1,369.20
Rate for Payer: ChoiceCare Network Commercial $1,897.32
Rate for Payer: Cigna of WY Commercial $1,916.88
Rate for Payer: First Choice Health Commercial $1,760.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,858.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $777.74
Rate for Payer: HealthUtah PPO $1,956.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,897.32
Rate for Payer: Multiplan Medicare/VA $661.08
Rate for Payer: One Health Plan of WY PPO $1,916.88
Rate for Payer: PacificSource Commercial $1,760.40
Rate for Payer: PHCS PPO $1,858.20
Rate for Payer: Three Rivers PPO $1,467.00
Rate for Payer: TriWest Veterans Administration $777.74
Rate for Payer: United Healthcare Commercial $1,701.72
Rate for Payer: United Healthcare Medicare $777.74
Rate for Payer: WINHealth Partners Commercial $1,662.60
Service Code HCPCS 24516 AS
Hospital Charge Code 24516
Min. Negotiated Rate $706.54
Max. Negotiated Rate $4,432.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,343.36
Rate for Payer: Aetna of WY Medicare $831.22
Rate for Payer: Beech Street Commercial $4,210.40
Rate for Payer: Cash Price $3,102.40
Rate for Payer: Cash Price $3,102.40
Rate for Payer: ChoiceCare Network Commercial $4,299.04
Rate for Payer: Cigna of WY Commercial $4,343.36
Rate for Payer: First Choice Health Commercial $3,988.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,210.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $831.22
Rate for Payer: HealthUtah PPO $4,432.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,299.04
Rate for Payer: Multiplan Medicare/VA $706.54
Rate for Payer: One Health Plan of WY PPO $4,343.36
Rate for Payer: PacificSource Commercial $3,988.80
Rate for Payer: PHCS PPO $4,210.40
Rate for Payer: Three Rivers PPO $3,324.00
Rate for Payer: TriWest Veterans Administration $831.22
Rate for Payer: United Healthcare Commercial $3,855.84
Rate for Payer: United Healthcare Medicare $831.22
Rate for Payer: WINHealth Partners Commercial $3,767.20
Service Code HCPCS 24516
Hospital Charge Code 24516
Min. Negotiated Rate $706.54
Max. Negotiated Rate $4,432.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,343.36
Rate for Payer: Aetna of WY Medicare $831.22
Rate for Payer: Beech Street Commercial $4,210.40
Rate for Payer: Cash Price $3,102.40
Rate for Payer: Cash Price $3,102.40
Rate for Payer: ChoiceCare Network Commercial $4,299.04
Rate for Payer: Cigna of WY Commercial $4,343.36
Rate for Payer: First Choice Health Commercial $3,988.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,210.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $831.22
Rate for Payer: HealthUtah PPO $4,432.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,299.04
Rate for Payer: Multiplan Medicare/VA $706.54
Rate for Payer: One Health Plan of WY PPO $4,343.36
Rate for Payer: PacificSource Commercial $3,988.80
Rate for Payer: PHCS PPO $4,210.40
Rate for Payer: Three Rivers PPO $3,324.00
Rate for Payer: TriWest Veterans Administration $831.22
Rate for Payer: United Healthcare Commercial $3,855.84
Rate for Payer: United Healthcare Medicare $831.22
Rate for Payer: WINHealth Partners Commercial $3,767.20
Service Code HCPCS 59812
Hospital Charge Code 59812
Min. Negotiated Rate $250.43
Max. Negotiated Rate $909.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $890.82
Rate for Payer: Aetna of WY Medicare $294.62
Rate for Payer: Beech Street Commercial $863.55
Rate for Payer: Cash Price $636.30
Rate for Payer: Cash Price $636.30
Rate for Payer: ChoiceCare Network Commercial $881.73
Rate for Payer: Cigna of WY Commercial $890.82
Rate for Payer: First Choice Health Commercial $818.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $863.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $294.62
Rate for Payer: HealthUtah PPO $909.00
Rate for Payer: Idaho Integrated Healthcare Commercial $881.73
Rate for Payer: Multiplan Medicare/VA $250.43
Rate for Payer: One Health Plan of WY PPO $890.82
Rate for Payer: PacificSource Commercial $818.10
Rate for Payer: PHCS PPO $863.55
Rate for Payer: Three Rivers PPO $681.75
Rate for Payer: TriWest Veterans Administration $294.62
Rate for Payer: United Healthcare Commercial $790.83
Rate for Payer: United Healthcare Medicare $294.62
Rate for Payer: WINHealth Partners Commercial $772.65
Service Code HCPCS 27245 80
Hospital Charge Code 27245
Min. Negotiated Rate $1,001.54
Max. Negotiated Rate $4,996.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,896.08
Rate for Payer: Aetna of WY Medicare $1,178.28
Rate for Payer: Beech Street Commercial $4,746.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: ChoiceCare Network Commercial $4,846.12
Rate for Payer: Cigna of WY Commercial $4,896.08
Rate for Payer: First Choice Health Commercial $4,496.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,746.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,178.28
Rate for Payer: HealthUtah PPO $4,996.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,846.12
Rate for Payer: Multiplan Medicare/VA $1,001.54
Rate for Payer: One Health Plan of WY PPO $4,896.08
Rate for Payer: PacificSource Commercial $4,496.40
Rate for Payer: PHCS PPO $4,746.20
Rate for Payer: Three Rivers PPO $3,747.00
Rate for Payer: TriWest Veterans Administration $1,178.28
Rate for Payer: United Healthcare Commercial $4,346.52
Rate for Payer: United Healthcare Medicare $1,178.28
Rate for Payer: WINHealth Partners Commercial $4,246.60
Service Code HCPCS 27245 AS
Hospital Charge Code 27245
Min. Negotiated Rate $1,001.54
Max. Negotiated Rate $4,996.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,896.08
Rate for Payer: Aetna of WY Medicare $1,178.28
Rate for Payer: Beech Street Commercial $4,746.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: ChoiceCare Network Commercial $4,846.12
Rate for Payer: Cigna of WY Commercial $4,896.08
Rate for Payer: First Choice Health Commercial $4,496.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,746.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,178.28
Rate for Payer: HealthUtah PPO $4,996.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,846.12
Rate for Payer: Multiplan Medicare/VA $1,001.54
Rate for Payer: One Health Plan of WY PPO $4,896.08
Rate for Payer: PacificSource Commercial $4,496.40
Rate for Payer: PHCS PPO $4,746.20
Rate for Payer: Three Rivers PPO $3,747.00
Rate for Payer: TriWest Veterans Administration $1,178.28
Rate for Payer: United Healthcare Commercial $4,346.52
Rate for Payer: United Healthcare Medicare $1,178.28
Rate for Payer: WINHealth Partners Commercial $4,246.60
Service Code HCPCS 27245
Hospital Charge Code 27245
Min. Negotiated Rate $1,001.54
Max. Negotiated Rate $4,996.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,896.08
Rate for Payer: Aetna of WY Medicare $1,178.28
Rate for Payer: Beech Street Commercial $4,746.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: Cash Price $3,497.20
Rate for Payer: ChoiceCare Network Commercial $4,846.12
Rate for Payer: Cigna of WY Commercial $4,896.08
Rate for Payer: First Choice Health Commercial $4,496.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,746.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,178.28
Rate for Payer: HealthUtah PPO $4,996.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,846.12
Rate for Payer: Multiplan Medicare/VA $1,001.54
Rate for Payer: One Health Plan of WY PPO $4,896.08
Rate for Payer: PacificSource Commercial $4,496.40
Rate for Payer: PHCS PPO $4,746.20
Rate for Payer: Three Rivers PPO $3,747.00
Rate for Payer: TriWest Veterans Administration $1,178.28
Rate for Payer: United Healthcare Commercial $4,346.52
Rate for Payer: United Healthcare Medicare $1,178.28
Rate for Payer: WINHealth Partners Commercial $4,246.60
Service Code HCPCS 27244 AS
Hospital Charge Code 27244
Min. Negotiated Rate $1,002.78
Max. Negotiated Rate $2,362.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,314.76
Rate for Payer: Aetna of WY Medicare $1,179.74
Rate for Payer: Beech Street Commercial $2,243.90
Rate for Payer: Cash Price $1,653.40
Rate for Payer: Cash Price $1,653.40
Rate for Payer: ChoiceCare Network Commercial $2,291.14
Rate for Payer: Cigna of WY Commercial $2,314.76
Rate for Payer: First Choice Health Commercial $2,125.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,243.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,179.74
Rate for Payer: HealthUtah PPO $2,362.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,291.14
Rate for Payer: Multiplan Medicare/VA $1,002.78
Rate for Payer: One Health Plan of WY PPO $2,314.76
Rate for Payer: PacificSource Commercial $2,125.80
Rate for Payer: PHCS PPO $2,243.90
Rate for Payer: Three Rivers PPO $1,771.50
Rate for Payer: TriWest Veterans Administration $1,179.74
Rate for Payer: United Healthcare Commercial $2,054.94
Rate for Payer: United Healthcare Medicare $1,179.74
Rate for Payer: WINHealth Partners Commercial $2,007.70
Service Code HCPCS 27244
Hospital Charge Code 27244
Min. Negotiated Rate $1,002.78
Max. Negotiated Rate $2,362.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,314.76
Rate for Payer: Aetna of WY Medicare $1,179.74
Rate for Payer: Beech Street Commercial $2,243.90
Rate for Payer: Cash Price $1,653.40
Rate for Payer: Cash Price $1,653.40
Rate for Payer: ChoiceCare Network Commercial $2,291.14
Rate for Payer: Cigna of WY Commercial $2,314.76
Rate for Payer: First Choice Health Commercial $2,125.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,243.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,179.74
Rate for Payer: HealthUtah PPO $2,362.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,291.14
Rate for Payer: Multiplan Medicare/VA $1,002.78
Rate for Payer: One Health Plan of WY PPO $2,314.76
Rate for Payer: PacificSource Commercial $2,125.80
Rate for Payer: PHCS PPO $2,243.90
Rate for Payer: Three Rivers PPO $1,771.50
Rate for Payer: TriWest Veterans Administration $1,179.74
Rate for Payer: United Healthcare Commercial $2,054.94
Rate for Payer: United Healthcare Medicare $1,179.74
Rate for Payer: WINHealth Partners Commercial $2,007.70
Service Code HCPCS 59820
Hospital Charge Code 59820
Min. Negotiated Rate $316.91
Max. Negotiated Rate $1,117.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,094.66
Rate for Payer: Aetna of WY Medicare $372.84
Rate for Payer: Beech Street Commercial $1,061.15
Rate for Payer: Cash Price $781.90
Rate for Payer: Cash Price $781.90
Rate for Payer: ChoiceCare Network Commercial $1,083.49
Rate for Payer: Cigna of WY Commercial $1,094.66
Rate for Payer: First Choice Health Commercial $1,005.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,061.15
Rate for Payer: Government Employees Health Association (GEHA) Medicare $372.84
Rate for Payer: HealthUtah PPO $1,117.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,083.49
Rate for Payer: Multiplan Medicare/VA $316.91
Rate for Payer: One Health Plan of WY PPO $1,094.66
Rate for Payer: PacificSource Commercial $1,005.30
Rate for Payer: PHCS PPO $1,061.15
Rate for Payer: Three Rivers PPO $837.75
Rate for Payer: TriWest Veterans Administration $372.84
Rate for Payer: United Healthcare Commercial $971.79
Rate for Payer: United Healthcare Medicare $372.84
Rate for Payer: WINHealth Partners Commercial $949.45
Service Code HCPCS 59821
Hospital Charge Code 59821
Min. Negotiated Rate $308.75
Max. Negotiated Rate $1,104.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,081.92
Rate for Payer: Aetna of WY Medicare $363.23
Rate for Payer: Beech Street Commercial $1,048.80
Rate for Payer: Cash Price $772.80
Rate for Payer: Cash Price $772.80
Rate for Payer: ChoiceCare Network Commercial $1,070.88
Rate for Payer: Cigna of WY Commercial $1,081.92
Rate for Payer: First Choice Health Commercial $993.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,048.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $363.23
Rate for Payer: HealthUtah PPO $1,104.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,070.88
Rate for Payer: Multiplan Medicare/VA $308.75
Rate for Payer: One Health Plan of WY PPO $1,081.92
Rate for Payer: PacificSource Commercial $993.60
Rate for Payer: PHCS PPO $1,048.80
Rate for Payer: Three Rivers PPO $828.00
Rate for Payer: TriWest Veterans Administration $363.23
Rate for Payer: United Healthcare Commercial $960.48
Rate for Payer: United Healthcare Medicare $363.23
Rate for Payer: WINHealth Partners Commercial $938.40
Service Code HCPCS 28232
Hospital Charge Code 28232
Min. Negotiated Rate $201.41
Max. Negotiated Rate $1,252.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,226.96
Rate for Payer: Aetna of WY Medicare $236.95
Rate for Payer: Beech Street Commercial $1,189.40
Rate for Payer: Cash Price $876.40
Rate for Payer: Cash Price $876.40
Rate for Payer: ChoiceCare Network Commercial $1,214.44
Rate for Payer: Cigna of WY Commercial $1,226.96
Rate for Payer: First Choice Health Commercial $1,126.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,189.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $236.95
Rate for Payer: HealthUtah PPO $1,252.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,214.44
Rate for Payer: Multiplan Medicare/VA $201.41
Rate for Payer: One Health Plan of WY PPO $1,226.96
Rate for Payer: PacificSource Commercial $1,126.80
Rate for Payer: PHCS PPO $1,189.40
Rate for Payer: Three Rivers PPO $939.00
Rate for Payer: TriWest Veterans Administration $236.95
Rate for Payer: United Healthcare Commercial $1,089.24
Rate for Payer: United Healthcare Medicare $236.95
Rate for Payer: WINHealth Partners Commercial $1,064.20
Service Code HCPCS 12020
Hospital Charge Code 12020
Min. Negotiated Rate $154.48
Max. Negotiated Rate $945.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $926.10
Rate for Payer: Aetna of WY Medicare $181.74
Rate for Payer: Beech Street Commercial $897.75
Rate for Payer: Cash Price $661.50
Rate for Payer: Cash Price $661.50
Rate for Payer: ChoiceCare Network Commercial $916.65
Rate for Payer: Cigna of WY Commercial $926.10
Rate for Payer: First Choice Health Commercial $850.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $897.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $181.74
Rate for Payer: HealthUtah PPO $945.00
Rate for Payer: Idaho Integrated Healthcare Commercial $916.65
Rate for Payer: Multiplan Medicare/VA $154.48
Rate for Payer: One Health Plan of WY PPO $926.10
Rate for Payer: PacificSource Commercial $850.50
Rate for Payer: PHCS PPO $897.75
Rate for Payer: Three Rivers PPO $708.75
Rate for Payer: TriWest Veterans Administration $181.74
Rate for Payer: United Healthcare Commercial $822.15
Rate for Payer: United Healthcare Medicare $181.74
Rate for Payer: WINHealth Partners Commercial $803.25
Service Code HCPCS 12021
Hospital Charge Code 12021
Min. Negotiated Rate $116.03
Max. Negotiated Rate $698.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $684.04
Rate for Payer: Aetna of WY Medicare $136.51
Rate for Payer: Beech Street Commercial $663.10
Rate for Payer: Cash Price $488.60
Rate for Payer: Cash Price $488.60
Rate for Payer: ChoiceCare Network Commercial $677.06
Rate for Payer: Cigna of WY Commercial $684.04
Rate for Payer: First Choice Health Commercial $628.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $663.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $136.51
Rate for Payer: HealthUtah PPO $698.00
Rate for Payer: Idaho Integrated Healthcare Commercial $677.06
Rate for Payer: Multiplan Medicare/VA $116.03
Rate for Payer: One Health Plan of WY PPO $684.04
Rate for Payer: PacificSource Commercial $628.20
Rate for Payer: PHCS PPO $663.10
Rate for Payer: Three Rivers PPO $523.50
Rate for Payer: TriWest Veterans Administration $136.51
Rate for Payer: United Healthcare Commercial $607.26
Rate for Payer: United Healthcare Medicare $136.51
Rate for Payer: WINHealth Partners Commercial $593.30
Service Code HCPCS 28455
Hospital Charge Code 28455
Min. Negotiated Rate $193.57
Max. Negotiated Rate $1,330.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,303.40
Rate for Payer: Aetna of WY Medicare $227.73
Rate for Payer: Beech Street Commercial $1,263.50
Rate for Payer: Cash Price $931.00
Rate for Payer: Cash Price $931.00
Rate for Payer: ChoiceCare Network Commercial $1,290.10
Rate for Payer: Cigna of WY Commercial $1,303.40
Rate for Payer: First Choice Health Commercial $1,197.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,263.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $227.73
Rate for Payer: HealthUtah PPO $1,330.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,290.10
Rate for Payer: Multiplan Medicare/VA $193.57
Rate for Payer: One Health Plan of WY PPO $1,303.40
Rate for Payer: PacificSource Commercial $1,197.00
Rate for Payer: PHCS PPO $1,263.50
Rate for Payer: Three Rivers PPO $997.50
Rate for Payer: TriWest Veterans Administration $227.73
Rate for Payer: United Healthcare Commercial $1,157.10
Rate for Payer: United Healthcare Medicare $227.73
Rate for Payer: WINHealth Partners Commercial $1,130.50
Service Code HCPCS 28450
Hospital Charge Code 28450
Min. Negotiated Rate $163.36
Max. Negotiated Rate $984.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $964.32
Rate for Payer: Aetna of WY Medicare $192.19
Rate for Payer: Beech Street Commercial $934.80
Rate for Payer: Cash Price $688.80
Rate for Payer: Cash Price $688.80
Rate for Payer: ChoiceCare Network Commercial $954.48
Rate for Payer: Cigna of WY Commercial $964.32
Rate for Payer: First Choice Health Commercial $885.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $934.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $192.19
Rate for Payer: HealthUtah PPO $984.00
Rate for Payer: Idaho Integrated Healthcare Commercial $954.48
Rate for Payer: Multiplan Medicare/VA $163.36
Rate for Payer: One Health Plan of WY PPO $964.32
Rate for Payer: PacificSource Commercial $885.60
Rate for Payer: PHCS PPO $934.80
Rate for Payer: Three Rivers PPO $738.00
Rate for Payer: TriWest Veterans Administration $192.19
Rate for Payer: United Healthcare Commercial $856.08
Rate for Payer: United Healthcare Medicare $192.19
Rate for Payer: WINHealth Partners Commercial $836.40
Service Code HCPCS 27759 80
Hospital Charge Code 27759
Min. Negotiated Rate $817.24
Max. Negotiated Rate $5,155.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,051.90
Rate for Payer: Aetna of WY Medicare $961.46
Rate for Payer: Beech Street Commercial $4,897.25
Rate for Payer: Cash Price $3,608.50
Rate for Payer: Cash Price $3,608.50
Rate for Payer: ChoiceCare Network Commercial $5,000.35
Rate for Payer: Cigna of WY Commercial $5,051.90
Rate for Payer: First Choice Health Commercial $4,639.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,897.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $961.46
Rate for Payer: HealthUtah PPO $5,155.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,000.35
Rate for Payer: Multiplan Medicare/VA $817.24
Rate for Payer: One Health Plan of WY PPO $5,051.90
Rate for Payer: PacificSource Commercial $4,639.50
Rate for Payer: PHCS PPO $4,897.25
Rate for Payer: Three Rivers PPO $3,866.25
Rate for Payer: TriWest Veterans Administration $961.46
Rate for Payer: United Healthcare Commercial $4,484.85
Rate for Payer: United Healthcare Medicare $961.46
Rate for Payer: WINHealth Partners Commercial $4,381.75
Service Code HCPCS 27759 AS
Hospital Charge Code 27759
Min. Negotiated Rate $817.24
Max. Negotiated Rate $5,155.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,051.90
Rate for Payer: Aetna of WY Medicare $961.46
Rate for Payer: Beech Street Commercial $4,897.25
Rate for Payer: Cash Price $3,608.50
Rate for Payer: Cash Price $3,608.50
Rate for Payer: ChoiceCare Network Commercial $5,000.35
Rate for Payer: Cigna of WY Commercial $5,051.90
Rate for Payer: First Choice Health Commercial $4,639.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,897.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $961.46
Rate for Payer: HealthUtah PPO $5,155.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,000.35
Rate for Payer: Multiplan Medicare/VA $817.24
Rate for Payer: One Health Plan of WY PPO $5,051.90
Rate for Payer: PacificSource Commercial $4,639.50
Rate for Payer: PHCS PPO $4,897.25
Rate for Payer: Three Rivers PPO $3,866.25
Rate for Payer: TriWest Veterans Administration $961.46
Rate for Payer: United Healthcare Commercial $4,484.85
Rate for Payer: United Healthcare Medicare $961.46
Rate for Payer: WINHealth Partners Commercial $4,381.75
Service Code HCPCS 27759
Hospital Charge Code 27759
Min. Negotiated Rate $817.24
Max. Negotiated Rate $5,155.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,051.90
Rate for Payer: Aetna of WY Medicare $961.46
Rate for Payer: Beech Street Commercial $4,897.25
Rate for Payer: Cash Price $3,608.50
Rate for Payer: Cash Price $3,608.50
Rate for Payer: ChoiceCare Network Commercial $5,000.35
Rate for Payer: Cigna of WY Commercial $5,051.90
Rate for Payer: First Choice Health Commercial $4,639.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,897.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $961.46
Rate for Payer: HealthUtah PPO $5,155.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,000.35
Rate for Payer: Multiplan Medicare/VA $817.24
Rate for Payer: One Health Plan of WY PPO $5,051.90
Rate for Payer: PacificSource Commercial $4,639.50
Rate for Payer: PHCS PPO $4,897.25
Rate for Payer: Three Rivers PPO $3,866.25
Rate for Payer: TriWest Veterans Administration $961.46
Rate for Payer: United Healthcare Commercial $4,484.85
Rate for Payer: United Healthcare Medicare $961.46
Rate for Payer: WINHealth Partners Commercial $4,381.75
Service Code HCPCS 69610
Hospital Charge Code 69610
Min. Negotiated Rate $236.51
Max. Negotiated Rate $1,478.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,448.44
Rate for Payer: Aetna of WY Medicare $278.25
Rate for Payer: Beech Street Commercial $1,404.10
Rate for Payer: Cash Price $1,034.60
Rate for Payer: Cash Price $1,034.60
Rate for Payer: ChoiceCare Network Commercial $1,433.66
Rate for Payer: Cigna of WY Commercial $1,448.44
Rate for Payer: First Choice Health Commercial $1,330.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,404.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $278.25
Rate for Payer: HealthUtah PPO $1,478.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,433.66
Rate for Payer: Multiplan Medicare/VA $236.51
Rate for Payer: One Health Plan of WY PPO $1,448.44
Rate for Payer: PacificSource Commercial $1,330.20
Rate for Payer: PHCS PPO $1,404.10
Rate for Payer: Three Rivers PPO $1,108.50
Rate for Payer: TriWest Veterans Administration $278.25
Rate for Payer: United Healthcare Commercial $1,285.86
Rate for Payer: United Healthcare Medicare $278.25
Rate for Payer: WINHealth Partners Commercial $1,256.30
Service Code HCPCS 92567
Hospital Charge Code 92567
Min. Negotiated Rate $8.83
Max. Negotiated Rate $84.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $82.32
Rate for Payer: Aetna of WY Medicare $10.39
Rate for Payer: Beech Street Commercial $79.80
Rate for Payer: Cash Price $58.80
Rate for Payer: Cash Price $58.80
Rate for Payer: ChoiceCare Network Commercial $81.48
Rate for Payer: Cigna of WY Commercial $82.32
Rate for Payer: First Choice Health Commercial $75.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $79.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $10.39
Rate for Payer: HealthUtah PPO $84.00
Rate for Payer: Idaho Integrated Healthcare Commercial $81.48
Rate for Payer: Multiplan Medicare/VA $8.83
Rate for Payer: One Health Plan of WY PPO $82.32
Rate for Payer: PacificSource Commercial $75.60
Rate for Payer: PHCS PPO $79.80
Rate for Payer: Three Rivers PPO $63.00
Rate for Payer: TriWest Veterans Administration $10.39
Rate for Payer: United Healthcare Commercial $73.08
Rate for Payer: United Healthcare Medicare $10.39
Rate for Payer: WINHealth Partners Commercial $79.80
Service Code HCPCS 92550
Hospital Charge Code 92550
Min. Negotiated Rate $18.02
Max. Negotiated Rate $65.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $63.70
Rate for Payer: Aetna of WY Medicare $21.20
Rate for Payer: Beech Street Commercial $61.75
Rate for Payer: Cash Price $45.50
Rate for Payer: Cash Price $45.50
Rate for Payer: ChoiceCare Network Commercial $63.05
Rate for Payer: Cigna of WY Commercial $63.70
Rate for Payer: First Choice Health Commercial $58.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $61.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $21.20
Rate for Payer: HealthUtah PPO $65.00
Rate for Payer: Idaho Integrated Healthcare Commercial $63.05
Rate for Payer: Multiplan Medicare/VA $18.02
Rate for Payer: One Health Plan of WY PPO $63.70
Rate for Payer: PacificSource Commercial $58.50
Rate for Payer: PHCS PPO $61.75
Rate for Payer: Three Rivers PPO $48.75
Rate for Payer: TriWest Veterans Administration $21.20
Rate for Payer: United Healthcare Commercial $56.55
Rate for Payer: United Healthcare Medicare $21.20
Rate for Payer: WINHealth Partners Commercial $61.75