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Charge Type Setting Price  
Service Code HCPCS 29999
Hospital Charge Code 29999
Min. Negotiated Rate $2,615.25
Max. Negotiated Rate $3,487.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,417.26
Rate for Payer: Beech Street Commercial $3,312.65
Rate for Payer: Cash Price $2,440.90
Rate for Payer: ChoiceCare Network Commercial $3,382.39
Rate for Payer: Cigna of WY Commercial $3,417.26
Rate for Payer: First Choice Health Commercial $3,138.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,312.65
Rate for Payer: HealthUtah PPO $3,487.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,382.39
Rate for Payer: One Health Plan of WY PPO $3,417.26
Rate for Payer: PacificSource Commercial $3,138.30
Rate for Payer: PHCS PPO $3,312.65
Rate for Payer: Three Rivers PPO $2,615.25
Rate for Payer: United Healthcare Commercial $3,033.69
Rate for Payer: WINHealth Partners Commercial $2,963.95
Service Code HCPCS 29999 AS
Hospital Charge Code 29999
Min. Negotiated Rate $2,615.25
Max. Negotiated Rate $3,487.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,417.26
Rate for Payer: Beech Street Commercial $3,312.65
Rate for Payer: Cash Price $2,440.90
Rate for Payer: ChoiceCare Network Commercial $3,382.39
Rate for Payer: Cigna of WY Commercial $3,417.26
Rate for Payer: First Choice Health Commercial $3,138.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,312.65
Rate for Payer: HealthUtah PPO $3,487.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,382.39
Rate for Payer: One Health Plan of WY PPO $3,417.26
Rate for Payer: PacificSource Commercial $3,138.30
Rate for Payer: PHCS PPO $3,312.65
Rate for Payer: Three Rivers PPO $2,615.25
Rate for Payer: United Healthcare Commercial $3,033.69
Rate for Payer: WINHealth Partners Commercial $2,963.95
Service Code HCPCS 29999 80
Hospital Charge Code 29999
Min. Negotiated Rate $2,615.25
Max. Negotiated Rate $3,487.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,417.26
Rate for Payer: Beech Street Commercial $3,312.65
Rate for Payer: Cash Price $2,440.90
Rate for Payer: ChoiceCare Network Commercial $3,382.39
Rate for Payer: Cigna of WY Commercial $3,417.26
Rate for Payer: First Choice Health Commercial $3,138.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,312.65
Rate for Payer: HealthUtah PPO $3,487.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,382.39
Rate for Payer: One Health Plan of WY PPO $3,417.26
Rate for Payer: PacificSource Commercial $3,138.30
Rate for Payer: PHCS PPO $3,312.65
Rate for Payer: Three Rivers PPO $2,615.25
Rate for Payer: United Healthcare Commercial $3,033.69
Rate for Payer: WINHealth Partners Commercial $2,963.95
Service Code HCPCS 26989
Hospital Charge Code 26989
Min. Negotiated Rate $1,842.75
Max. Negotiated Rate $2,457.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,407.86
Rate for Payer: Beech Street Commercial $2,334.15
Rate for Payer: Cash Price $1,719.90
Rate for Payer: ChoiceCare Network Commercial $2,383.29
Rate for Payer: Cigna of WY Commercial $2,407.86
Rate for Payer: First Choice Health Commercial $2,211.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,334.15
Rate for Payer: HealthUtah PPO $2,457.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,383.29
Rate for Payer: One Health Plan of WY PPO $2,407.86
Rate for Payer: PacificSource Commercial $2,211.30
Rate for Payer: PHCS PPO $2,334.15
Rate for Payer: Three Rivers PPO $1,842.75
Rate for Payer: United Healthcare Commercial $2,137.59
Rate for Payer: WINHealth Partners Commercial $2,088.45
Service Code HCPCS 64999 80
Hospital Charge Code 64999
Min. Negotiated Rate $1,132.50
Max. Negotiated Rate $1,510.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,479.80
Rate for Payer: Beech Street Commercial $1,434.50
Rate for Payer: Cash Price $1,057.00
Rate for Payer: ChoiceCare Network Commercial $1,464.70
Rate for Payer: Cigna of WY Commercial $1,479.80
Rate for Payer: First Choice Health Commercial $1,359.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,434.50
Rate for Payer: HealthUtah PPO $1,510.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,464.70
Rate for Payer: One Health Plan of WY PPO $1,479.80
Rate for Payer: PacificSource Commercial $1,359.00
Rate for Payer: PHCS PPO $1,434.50
Rate for Payer: Three Rivers PPO $1,132.50
Rate for Payer: United Healthcare Commercial $1,313.70
Rate for Payer: WINHealth Partners Commercial $1,283.50
Service Code HCPCS 64999
Hospital Charge Code 64999
Min. Negotiated Rate $1,132.50
Max. Negotiated Rate $1,510.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,479.80
Rate for Payer: Beech Street Commercial $1,434.50
Rate for Payer: Cash Price $1,057.00
Rate for Payer: ChoiceCare Network Commercial $1,464.70
Rate for Payer: Cigna of WY Commercial $1,479.80
Rate for Payer: First Choice Health Commercial $1,359.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,434.50
Rate for Payer: HealthUtah PPO $1,510.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,464.70
Rate for Payer: One Health Plan of WY PPO $1,479.80
Rate for Payer: PacificSource Commercial $1,359.00
Rate for Payer: PHCS PPO $1,434.50
Rate for Payer: Three Rivers PPO $1,132.50
Rate for Payer: United Healthcare Commercial $1,313.70
Rate for Payer: WINHealth Partners Commercial $1,283.50
Service Code HCPCS 27299 80
Hospital Charge Code 27299
Min. Negotiated Rate $5,514.00
Max. Negotiated Rate $7,352.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $7,204.96
Rate for Payer: Beech Street Commercial $6,984.40
Rate for Payer: Cash Price $5,146.40
Rate for Payer: ChoiceCare Network Commercial $7,131.44
Rate for Payer: Cigna of WY Commercial $7,204.96
Rate for Payer: First Choice Health Commercial $6,616.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,984.40
Rate for Payer: HealthUtah PPO $7,352.00
Rate for Payer: Idaho Integrated Healthcare Commercial $7,131.44
Rate for Payer: One Health Plan of WY PPO $7,204.96
Rate for Payer: PacificSource Commercial $6,616.80
Rate for Payer: PHCS PPO $6,984.40
Rate for Payer: Three Rivers PPO $5,514.00
Rate for Payer: United Healthcare Commercial $6,396.24
Rate for Payer: WINHealth Partners Commercial $6,249.20
Service Code HCPCS 27299
Hospital Charge Code 27299
Min. Negotiated Rate $5,514.00
Max. Negotiated Rate $7,352.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $7,204.96
Rate for Payer: Beech Street Commercial $6,984.40
Rate for Payer: Cash Price $5,146.40
Rate for Payer: ChoiceCare Network Commercial $7,131.44
Rate for Payer: Cigna of WY Commercial $7,204.96
Rate for Payer: First Choice Health Commercial $6,616.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,984.40
Rate for Payer: HealthUtah PPO $7,352.00
Rate for Payer: Idaho Integrated Healthcare Commercial $7,131.44
Rate for Payer: One Health Plan of WY PPO $7,204.96
Rate for Payer: PacificSource Commercial $6,616.80
Rate for Payer: PHCS PPO $6,984.40
Rate for Payer: Three Rivers PPO $5,514.00
Rate for Payer: United Healthcare Commercial $6,396.24
Rate for Payer: WINHealth Partners Commercial $6,249.20
Service Code HCPCS 27299 AS
Hospital Charge Code 27299
Min. Negotiated Rate $5,514.00
Max. Negotiated Rate $7,352.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $7,204.96
Rate for Payer: Beech Street Commercial $6,984.40
Rate for Payer: Cash Price $5,146.40
Rate for Payer: ChoiceCare Network Commercial $7,131.44
Rate for Payer: Cigna of WY Commercial $7,204.96
Rate for Payer: First Choice Health Commercial $6,616.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,984.40
Rate for Payer: HealthUtah PPO $7,352.00
Rate for Payer: Idaho Integrated Healthcare Commercial $7,131.44
Rate for Payer: One Health Plan of WY PPO $7,204.96
Rate for Payer: PacificSource Commercial $6,616.80
Rate for Payer: PHCS PPO $6,984.40
Rate for Payer: Three Rivers PPO $5,514.00
Rate for Payer: United Healthcare Commercial $6,396.24
Rate for Payer: WINHealth Partners Commercial $6,249.20
Service Code HCPCS 45999
Hospital Charge Code 45999
Min. Negotiated Rate $4,215.75
Max. Negotiated Rate $5,621.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,508.58
Rate for Payer: Beech Street Commercial $5,339.95
Rate for Payer: Cash Price $3,934.70
Rate for Payer: ChoiceCare Network Commercial $5,452.37
Rate for Payer: Cigna of WY Commercial $5,508.58
Rate for Payer: First Choice Health Commercial $5,058.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $5,339.95
Rate for Payer: HealthUtah PPO $5,621.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,452.37
Rate for Payer: One Health Plan of WY PPO $5,508.58
Rate for Payer: PacificSource Commercial $5,058.90
Rate for Payer: PHCS PPO $5,339.95
Rate for Payer: Three Rivers PPO $4,215.75
Rate for Payer: United Healthcare Commercial $4,890.27
Rate for Payer: WINHealth Partners Commercial $4,777.85
Service Code HCPCS L3980
Hospital Charge Code L3980
Min. Negotiated Rate $132.00
Max. Negotiated Rate $176.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $172.48
Rate for Payer: Beech Street Commercial $167.20
Rate for Payer: Cash Price $123.20
Rate for Payer: ChoiceCare Network Commercial $170.72
Rate for Payer: Cigna of WY Commercial $172.48
Rate for Payer: First Choice Health Commercial $158.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $167.20
Rate for Payer: HealthUtah PPO $176.00
Rate for Payer: Idaho Integrated Healthcare Commercial $170.72
Rate for Payer: One Health Plan of WY PPO $172.48
Rate for Payer: PacificSource Commercial $158.40
Rate for Payer: PHCS PPO $167.20
Rate for Payer: Three Rivers PPO $132.00
Rate for Payer: United Healthcare Commercial $153.12
Rate for Payer: WINHealth Partners Commercial $167.20
Service Code HCPCS L3999
Hospital Charge Code L3999
Min. Negotiated Rate $171.75
Max. Negotiated Rate $229.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $224.42
Rate for Payer: Beech Street Commercial $217.55
Rate for Payer: Cash Price $160.30
Rate for Payer: ChoiceCare Network Commercial $222.13
Rate for Payer: Cigna of WY Commercial $224.42
Rate for Payer: First Choice Health Commercial $206.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $217.55
Rate for Payer: HealthUtah PPO $229.00
Rate for Payer: Idaho Integrated Healthcare Commercial $222.13
Rate for Payer: One Health Plan of WY PPO $224.42
Rate for Payer: PacificSource Commercial $206.10
Rate for Payer: PHCS PPO $217.55
Rate for Payer: Three Rivers PPO $171.75
Rate for Payer: United Healthcare Commercial $199.23
Rate for Payer: WINHealth Partners Commercial $217.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $401.90
Max. Negotiated Rate $640.99
Rate for Payer: Aetna of WY Commercial/Medical Rental $628.17
Rate for Payer: Altius Auto/Workers Compensation $615.35
Rate for Payer: Altius Commercial $615.35
Rate for Payer: Beech Street Commercial $628.17
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $526.25
Rate for Payer: Cash Price $448.69
Rate for Payer: ChoiceCare Network Commercial $621.76
Rate for Payer: Cigna of WY Commercial $628.17
Rate for Payer: Entrust Commercial $608.94
Rate for Payer: First Choice Health Commercial $608.94
Rate for Payer: Government Employees Health Association (GEHA) Commercial $608.94
Rate for Payer: Government Employees Health Association (GEHA) Medicare $423.05
Rate for Payer: HealthUtah PPO $640.99
Rate for Payer: Idaho Integrated Healthcare Commercial $621.76
Rate for Payer: Multiplan Medicare/VA $401.90
Rate for Payer: One Health Plan of WY PPO $628.17
Rate for Payer: PacificSource Commercial $576.89
Rate for Payer: PHCS PPO $628.17
Rate for Payer: Three Rivers PPO $480.74
Rate for Payer: TriWest Veterans Administration $423.05
Rate for Payer: United Healthcare Commercial $557.66
Rate for Payer: United Healthcare Medicare $423.05
Rate for Payer: WINHealth Partners Commercial $608.94
Rate for Payer: Wise Provider Network Commercial $608.94
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $353.19
Max. Negotiated Rate $640.99
Rate for Payer: Aetna of WY Commercial/Medical Rental $628.17
Rate for Payer: Aetna of WY Medicare $423.05
Rate for Payer: Altius Auto/Workers Compensation $615.35
Rate for Payer: Altius Commercial $615.35
Rate for Payer: Beech Street Commercial $628.17
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $526.25
Rate for Payer: Cash Price $448.69
Rate for Payer: ChoiceCare Network Commercial $621.76
Rate for Payer: Cigna of WY Commercial $628.17
Rate for Payer: Entrust Commercial $608.94
Rate for Payer: First Choice Health Commercial $608.94
Rate for Payer: Government Employees Health Association (GEHA) Commercial $608.94
Rate for Payer: Government Employees Health Association (GEHA) Medicare $371.77
Rate for Payer: HealthUtah PPO $640.99
Rate for Payer: Idaho Integrated Healthcare Commercial $621.76
Rate for Payer: Multiplan Medicare/VA $353.19
Rate for Payer: One Health Plan of WY PPO $628.17
Rate for Payer: PacificSource Commercial $576.89
Rate for Payer: PHCS PPO $628.17
Rate for Payer: Three Rivers PPO $480.74
Rate for Payer: TriWest Veterans Administration $371.77
Rate for Payer: United Healthcare Commercial $557.66
Rate for Payer: United Healthcare Medicare $371.77
Rate for Payer: WINHealth Partners Commercial $628.17
Rate for Payer: Wise Provider Network Commercial $608.94
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $30.74
Max. Negotiated Rate $49.03
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.05
Rate for Payer: Altius Auto/Workers Compensation $47.07
Rate for Payer: Altius Commercial $47.07
Rate for Payer: Beech Street Commercial $48.05
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.25
Rate for Payer: Cash Price $34.32
Rate for Payer: ChoiceCare Network Commercial $47.56
Rate for Payer: Cigna of WY Commercial $48.05
Rate for Payer: Entrust Commercial $46.58
Rate for Payer: First Choice Health Commercial $46.58
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.58
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.36
Rate for Payer: HealthUtah PPO $49.03
Rate for Payer: Idaho Integrated Healthcare Commercial $47.56
Rate for Payer: Multiplan Medicare/VA $30.74
Rate for Payer: One Health Plan of WY PPO $48.05
Rate for Payer: PacificSource Commercial $44.13
Rate for Payer: PHCS PPO $48.05
Rate for Payer: Three Rivers PPO $36.77
Rate for Payer: TriWest Veterans Administration $32.36
Rate for Payer: United Healthcare Commercial $42.66
Rate for Payer: United Healthcare Medicare $32.36
Rate for Payer: WINHealth Partners Commercial $46.58
Rate for Payer: Wise Provider Network Commercial $46.58
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $27.02
Max. Negotiated Rate $49.03
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.05
Rate for Payer: Aetna of WY Medicare $32.36
Rate for Payer: Altius Auto/Workers Compensation $47.07
Rate for Payer: Altius Commercial $47.07
Rate for Payer: Beech Street Commercial $48.05
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.25
Rate for Payer: Cash Price $34.32
Rate for Payer: ChoiceCare Network Commercial $47.56
Rate for Payer: Cigna of WY Commercial $48.05
Rate for Payer: Entrust Commercial $46.58
Rate for Payer: First Choice Health Commercial $46.58
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.58
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.44
Rate for Payer: HealthUtah PPO $49.03
Rate for Payer: Idaho Integrated Healthcare Commercial $47.56
Rate for Payer: Multiplan Medicare/VA $27.02
Rate for Payer: One Health Plan of WY PPO $48.05
Rate for Payer: PacificSource Commercial $44.13
Rate for Payer: PHCS PPO $48.05
Rate for Payer: Three Rivers PPO $36.77
Rate for Payer: TriWest Veterans Administration $28.44
Rate for Payer: United Healthcare Commercial $42.66
Rate for Payer: United Healthcare Medicare $28.44
Rate for Payer: WINHealth Partners Commercial $48.05
Rate for Payer: Wise Provider Network Commercial $46.58
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $273.08
Max. Negotiated Rate $495.60
Rate for Payer: Aetna of WY Commercial/Medical Rental $485.69
Rate for Payer: Aetna of WY Medicare $327.10
Rate for Payer: Altius Auto/Workers Compensation $475.78
Rate for Payer: Altius Commercial $475.78
Rate for Payer: Beech Street Commercial $485.69
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $406.89
Rate for Payer: Cash Price $346.92
Rate for Payer: ChoiceCare Network Commercial $480.73
Rate for Payer: Cigna of WY Commercial $485.69
Rate for Payer: Entrust Commercial $470.82
Rate for Payer: First Choice Health Commercial $470.82
Rate for Payer: Government Employees Health Association (GEHA) Commercial $470.82
Rate for Payer: Government Employees Health Association (GEHA) Medicare $287.45
Rate for Payer: HealthUtah PPO $495.60
Rate for Payer: Idaho Integrated Healthcare Commercial $480.73
Rate for Payer: Multiplan Medicare/VA $273.08
Rate for Payer: One Health Plan of WY PPO $485.69
Rate for Payer: PacificSource Commercial $446.04
Rate for Payer: PHCS PPO $485.69
Rate for Payer: Three Rivers PPO $371.70
Rate for Payer: TriWest Veterans Administration $287.45
Rate for Payer: United Healthcare Commercial $431.17
Rate for Payer: United Healthcare Medicare $287.45
Rate for Payer: WINHealth Partners Commercial $485.69
Rate for Payer: Wise Provider Network Commercial $470.82
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $310.74
Max. Negotiated Rate $495.60
Rate for Payer: Aetna of WY Commercial/Medical Rental $485.69
Rate for Payer: Altius Auto/Workers Compensation $475.78
Rate for Payer: Altius Commercial $475.78
Rate for Payer: Beech Street Commercial $485.69
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $406.89
Rate for Payer: Cash Price $346.92
Rate for Payer: ChoiceCare Network Commercial $480.73
Rate for Payer: Cigna of WY Commercial $485.69
Rate for Payer: Entrust Commercial $470.82
Rate for Payer: First Choice Health Commercial $470.82
Rate for Payer: Government Employees Health Association (GEHA) Commercial $470.82
Rate for Payer: Government Employees Health Association (GEHA) Medicare $327.10
Rate for Payer: HealthUtah PPO $495.60
Rate for Payer: Idaho Integrated Healthcare Commercial $480.73
Rate for Payer: Multiplan Medicare/VA $310.74
Rate for Payer: One Health Plan of WY PPO $485.69
Rate for Payer: PacificSource Commercial $446.04
Rate for Payer: PHCS PPO $485.69
Rate for Payer: Three Rivers PPO $371.70
Rate for Payer: TriWest Veterans Administration $327.10
Rate for Payer: United Healthcare Commercial $431.17
Rate for Payer: United Healthcare Medicare $327.10
Rate for Payer: WINHealth Partners Commercial $470.82
Rate for Payer: Wise Provider Network Commercial $470.82
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $68.96
Max. Negotiated Rate $125.16
Rate for Payer: Aetna of WY Commercial/Medical Rental $122.66
Rate for Payer: Aetna of WY Medicare $82.61
Rate for Payer: Altius Auto/Workers Compensation $120.15
Rate for Payer: Altius Commercial $120.15
Rate for Payer: Beech Street Commercial $122.66
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $102.76
Rate for Payer: Cash Price $87.61
Rate for Payer: ChoiceCare Network Commercial $121.41
Rate for Payer: Cigna of WY Commercial $122.66
Rate for Payer: Entrust Commercial $118.90
Rate for Payer: First Choice Health Commercial $118.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $118.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $72.59
Rate for Payer: HealthUtah PPO $125.16
Rate for Payer: Idaho Integrated Healthcare Commercial $121.41
Rate for Payer: Multiplan Medicare/VA $68.96
Rate for Payer: One Health Plan of WY PPO $122.66
Rate for Payer: PacificSource Commercial $112.64
Rate for Payer: PHCS PPO $122.66
Rate for Payer: Three Rivers PPO $93.87
Rate for Payer: TriWest Veterans Administration $72.59
Rate for Payer: United Healthcare Commercial $108.89
Rate for Payer: United Healthcare Medicare $72.59
Rate for Payer: WINHealth Partners Commercial $122.66
Rate for Payer: Wise Provider Network Commercial $118.90
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $78.48
Max. Negotiated Rate $125.16
Rate for Payer: Aetna of WY Commercial/Medical Rental $122.66
Rate for Payer: Altius Auto/Workers Compensation $120.15
Rate for Payer: Altius Commercial $120.15
Rate for Payer: Beech Street Commercial $122.66
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $102.76
Rate for Payer: Cash Price $87.61
Rate for Payer: ChoiceCare Network Commercial $121.41
Rate for Payer: Cigna of WY Commercial $122.66
Rate for Payer: Entrust Commercial $118.90
Rate for Payer: First Choice Health Commercial $118.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $118.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $82.61
Rate for Payer: HealthUtah PPO $125.16
Rate for Payer: Idaho Integrated Healthcare Commercial $121.41
Rate for Payer: Multiplan Medicare/VA $78.48
Rate for Payer: One Health Plan of WY PPO $122.66
Rate for Payer: PacificSource Commercial $112.64
Rate for Payer: PHCS PPO $122.66
Rate for Payer: Three Rivers PPO $93.87
Rate for Payer: TriWest Veterans Administration $82.61
Rate for Payer: United Healthcare Commercial $108.89
Rate for Payer: United Healthcare Medicare $82.61
Rate for Payer: WINHealth Partners Commercial $118.90
Rate for Payer: Wise Provider Network Commercial $118.90
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $22.56
Max. Negotiated Rate $40.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $40.13
Rate for Payer: Aetna of WY Medicare $27.03
Rate for Payer: Altius Auto/Workers Compensation $39.31
Rate for Payer: Altius Commercial $39.31
Rate for Payer: Beech Street Commercial $40.13
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $33.62
Rate for Payer: Cash Price $28.66
Rate for Payer: ChoiceCare Network Commercial $39.72
Rate for Payer: Cigna of WY Commercial $40.13
Rate for Payer: Entrust Commercial $38.90
Rate for Payer: First Choice Health Commercial $38.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $23.75
Rate for Payer: HealthUtah PPO $40.95
Rate for Payer: Idaho Integrated Healthcare Commercial $39.72
Rate for Payer: Multiplan Medicare/VA $22.56
Rate for Payer: One Health Plan of WY PPO $40.13
Rate for Payer: PacificSource Commercial $36.86
Rate for Payer: PHCS PPO $40.13
Rate for Payer: Three Rivers PPO $30.71
Rate for Payer: TriWest Veterans Administration $23.75
Rate for Payer: United Healthcare Commercial $35.63
Rate for Payer: United Healthcare Medicare $23.75
Rate for Payer: WINHealth Partners Commercial $40.13
Rate for Payer: Wise Provider Network Commercial $38.90
Hospital Charge Code 27000000S1
Hospital Revenue Code 270
Min. Negotiated Rate $25.68
Max. Negotiated Rate $40.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $40.13
Rate for Payer: Altius Auto/Workers Compensation $39.31
Rate for Payer: Altius Commercial $39.31
Rate for Payer: Beech Street Commercial $40.13
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $33.62
Rate for Payer: Cash Price $28.66
Rate for Payer: ChoiceCare Network Commercial $39.72
Rate for Payer: Cigna of WY Commercial $40.13
Rate for Payer: Entrust Commercial $38.90
Rate for Payer: First Choice Health Commercial $38.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $27.03
Rate for Payer: HealthUtah PPO $40.95
Rate for Payer: Idaho Integrated Healthcare Commercial $39.72
Rate for Payer: Multiplan Medicare/VA $25.68
Rate for Payer: One Health Plan of WY PPO $40.13
Rate for Payer: PacificSource Commercial $36.86
Rate for Payer: PHCS PPO $40.13
Rate for Payer: Three Rivers PPO $30.71
Rate for Payer: TriWest Veterans Administration $27.03
Rate for Payer: United Healthcare Commercial $35.63
Rate for Payer: United Healthcare Medicare $27.03
Rate for Payer: WINHealth Partners Commercial $38.90
Rate for Payer: Wise Provider Network Commercial $38.90
Service Code HCPCS 81025
Hospital Charge Code 81025
Min. Negotiated Rate $7.32
Max. Negotiated Rate $61.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $59.78
Rate for Payer: Aetna of WY Medicare $8.61
Rate for Payer: Beech Street Commercial $57.95
Rate for Payer: Cash Price $42.70
Rate for Payer: Cash Price $42.70
Rate for Payer: ChoiceCare Network Commercial $59.17
Rate for Payer: Cigna of WY Commercial $59.78
Rate for Payer: First Choice Health Commercial $54.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $57.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $8.61
Rate for Payer: HealthUtah PPO $61.00
Rate for Payer: Idaho Integrated Healthcare Commercial $59.17
Rate for Payer: Multiplan Medicare/VA $7.32
Rate for Payer: One Health Plan of WY PPO $59.78
Rate for Payer: PacificSource Commercial $54.90
Rate for Payer: PHCS PPO $57.95
Rate for Payer: Three Rivers PPO $45.75
Rate for Payer: TriWest Veterans Administration $8.61
Rate for Payer: United Healthcare Commercial $53.07
Rate for Payer: United Healthcare Medicare $8.61
Rate for Payer: WINHealth Partners Commercial $57.95
Service Code HCPCS 81003
Hospital Charge Code 81003
Min. Negotiated Rate $1.91
Max. Negotiated Rate $33.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $32.34
Rate for Payer: Aetna of WY Medicare $2.25
Rate for Payer: Beech Street Commercial $31.35
Rate for Payer: Cash Price $23.10
Rate for Payer: Cash Price $23.10
Rate for Payer: ChoiceCare Network Commercial $32.01
Rate for Payer: Cigna of WY Commercial $32.34
Rate for Payer: First Choice Health Commercial $29.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $31.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.25
Rate for Payer: HealthUtah PPO $33.00
Rate for Payer: Idaho Integrated Healthcare Commercial $32.01
Rate for Payer: Multiplan Medicare/VA $1.91
Rate for Payer: One Health Plan of WY PPO $32.34
Rate for Payer: PacificSource Commercial $29.70
Rate for Payer: PHCS PPO $31.35
Rate for Payer: Three Rivers PPO $24.75
Rate for Payer: TriWest Veterans Administration $2.25
Rate for Payer: United Healthcare Commercial $28.71
Rate for Payer: United Healthcare Medicare $2.25
Rate for Payer: WINHealth Partners Commercial $31.35
Service Code HCPCS 81002
Hospital Charge Code 81002
Min. Negotiated Rate $2.96
Max. Negotiated Rate $27.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $26.46
Rate for Payer: Aetna of WY Medicare $3.48
Rate for Payer: Beech Street Commercial $25.65
Rate for Payer: Cash Price $18.90
Rate for Payer: Cash Price $18.90
Rate for Payer: ChoiceCare Network Commercial $26.19
Rate for Payer: Cigna of WY Commercial $26.46
Rate for Payer: First Choice Health Commercial $24.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $25.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $3.48
Rate for Payer: HealthUtah PPO $27.00
Rate for Payer: Idaho Integrated Healthcare Commercial $26.19
Rate for Payer: Multiplan Medicare/VA $2.96
Rate for Payer: One Health Plan of WY PPO $26.46
Rate for Payer: PacificSource Commercial $24.30
Rate for Payer: PHCS PPO $25.65
Rate for Payer: Three Rivers PPO $20.25
Rate for Payer: TriWest Veterans Administration $3.48
Rate for Payer: United Healthcare Commercial $23.49
Rate for Payer: United Healthcare Medicare $3.48
Rate for Payer: WINHealth Partners Commercial $25.65