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Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $10.61
Max. Negotiated Rate $19.25
Rate for Payer: Aetna of WY Commercial/Medical Rental $18.86
Rate for Payer: Aetna of WY Medicare $12.70
Rate for Payer: Altius Auto/Workers Compensation $18.48
Rate for Payer: Altius Commercial $18.48
Rate for Payer: Beech Street Commercial $18.86
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.80
Rate for Payer: Cash Price $13.47
Rate for Payer: ChoiceCare Network Commercial $18.67
Rate for Payer: Cigna of WY Commercial $18.86
Rate for Payer: Entrust Commercial $18.29
Rate for Payer: First Choice Health Commercial $18.29
Rate for Payer: Government Employees Health Association (GEHA) Commercial $18.29
Rate for Payer: Government Employees Health Association (GEHA) Medicare $11.16
Rate for Payer: HealthUtah PPO $19.25
Rate for Payer: Idaho Integrated Healthcare Commercial $18.67
Rate for Payer: Multiplan Medicare/VA $10.61
Rate for Payer: One Health Plan of WY PPO $18.86
Rate for Payer: PacificSource Commercial $17.32
Rate for Payer: PHCS PPO $18.86
Rate for Payer: Three Rivers PPO $14.44
Rate for Payer: TriWest Veterans Administration $11.16
Rate for Payer: United Healthcare Commercial $16.75
Rate for Payer: United Healthcare Medicare $11.16
Rate for Payer: WINHealth Partners Commercial $18.86
Rate for Payer: Wise Provider Network Commercial $18.29
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $12.07
Max. Negotiated Rate $19.25
Rate for Payer: Aetna of WY Commercial/Medical Rental $18.86
Rate for Payer: Altius Auto/Workers Compensation $18.48
Rate for Payer: Altius Commercial $18.48
Rate for Payer: Beech Street Commercial $18.86
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $15.80
Rate for Payer: Cash Price $13.47
Rate for Payer: ChoiceCare Network Commercial $18.67
Rate for Payer: Cigna of WY Commercial $18.86
Rate for Payer: Entrust Commercial $18.29
Rate for Payer: First Choice Health Commercial $18.29
Rate for Payer: Government Employees Health Association (GEHA) Commercial $18.29
Rate for Payer: Government Employees Health Association (GEHA) Medicare $12.70
Rate for Payer: HealthUtah PPO $19.25
Rate for Payer: Idaho Integrated Healthcare Commercial $18.67
Rate for Payer: Multiplan Medicare/VA $12.07
Rate for Payer: One Health Plan of WY PPO $18.86
Rate for Payer: PacificSource Commercial $17.32
Rate for Payer: PHCS PPO $18.86
Rate for Payer: Three Rivers PPO $14.44
Rate for Payer: TriWest Veterans Administration $12.70
Rate for Payer: United Healthcare Commercial $16.75
Rate for Payer: United Healthcare Medicare $12.70
Rate for Payer: WINHealth Partners Commercial $18.29
Rate for Payer: Wise Provider Network Commercial $18.29
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $65.17
Max. Negotiated Rate $118.28
Rate for Payer: Aetna of WY Commercial/Medical Rental $115.91
Rate for Payer: Aetna of WY Medicare $78.06
Rate for Payer: Altius Auto/Workers Compensation $113.55
Rate for Payer: Altius Commercial $113.55
Rate for Payer: Beech Street Commercial $115.91
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $97.11
Rate for Payer: Cash Price $82.80
Rate for Payer: ChoiceCare Network Commercial $114.73
Rate for Payer: Cigna of WY Commercial $115.91
Rate for Payer: Entrust Commercial $112.37
Rate for Payer: First Choice Health Commercial $112.37
Rate for Payer: Government Employees Health Association (GEHA) Commercial $112.37
Rate for Payer: Government Employees Health Association (GEHA) Medicare $68.60
Rate for Payer: HealthUtah PPO $118.28
Rate for Payer: Idaho Integrated Healthcare Commercial $114.73
Rate for Payer: Multiplan Medicare/VA $65.17
Rate for Payer: One Health Plan of WY PPO $115.91
Rate for Payer: PacificSource Commercial $106.45
Rate for Payer: PHCS PPO $115.91
Rate for Payer: Three Rivers PPO $88.71
Rate for Payer: TriWest Veterans Administration $68.60
Rate for Payer: United Healthcare Commercial $102.90
Rate for Payer: United Healthcare Medicare $68.60
Rate for Payer: WINHealth Partners Commercial $115.91
Rate for Payer: Wise Provider Network Commercial $112.37
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $74.16
Max. Negotiated Rate $118.28
Rate for Payer: Aetna of WY Commercial/Medical Rental $115.91
Rate for Payer: Altius Auto/Workers Compensation $113.55
Rate for Payer: Altius Commercial $113.55
Rate for Payer: Beech Street Commercial $115.91
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $97.11
Rate for Payer: Cash Price $82.80
Rate for Payer: ChoiceCare Network Commercial $114.73
Rate for Payer: Cigna of WY Commercial $115.91
Rate for Payer: Entrust Commercial $112.37
Rate for Payer: First Choice Health Commercial $112.37
Rate for Payer: Government Employees Health Association (GEHA) Commercial $112.37
Rate for Payer: Government Employees Health Association (GEHA) Medicare $78.06
Rate for Payer: HealthUtah PPO $118.28
Rate for Payer: Idaho Integrated Healthcare Commercial $114.73
Rate for Payer: Multiplan Medicare/VA $74.16
Rate for Payer: One Health Plan of WY PPO $115.91
Rate for Payer: PacificSource Commercial $106.45
Rate for Payer: PHCS PPO $115.91
Rate for Payer: Three Rivers PPO $88.71
Rate for Payer: TriWest Veterans Administration $78.06
Rate for Payer: United Healthcare Commercial $102.90
Rate for Payer: United Healthcare Medicare $78.06
Rate for Payer: WINHealth Partners Commercial $112.37
Rate for Payer: Wise Provider Network Commercial $112.37
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $43.75
Max. Negotiated Rate $69.78
Rate for Payer: Aetna of WY Commercial/Medical Rental $68.38
Rate for Payer: Altius Auto/Workers Compensation $66.99
Rate for Payer: Altius Commercial $66.99
Rate for Payer: Beech Street Commercial $68.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $57.29
Rate for Payer: Cash Price $48.85
Rate for Payer: ChoiceCare Network Commercial $67.69
Rate for Payer: Cigna of WY Commercial $68.38
Rate for Payer: Entrust Commercial $66.29
Rate for Payer: First Choice Health Commercial $66.29
Rate for Payer: Government Employees Health Association (GEHA) Commercial $66.29
Rate for Payer: Government Employees Health Association (GEHA) Medicare $46.05
Rate for Payer: HealthUtah PPO $69.78
Rate for Payer: Idaho Integrated Healthcare Commercial $67.69
Rate for Payer: Multiplan Medicare/VA $43.75
Rate for Payer: One Health Plan of WY PPO $68.38
Rate for Payer: PacificSource Commercial $62.80
Rate for Payer: PHCS PPO $68.38
Rate for Payer: Three Rivers PPO $52.34
Rate for Payer: TriWest Veterans Administration $46.05
Rate for Payer: United Healthcare Commercial $60.71
Rate for Payer: United Healthcare Medicare $46.05
Rate for Payer: WINHealth Partners Commercial $66.29
Rate for Payer: Wise Provider Network Commercial $66.29
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $38.45
Max. Negotiated Rate $69.78
Rate for Payer: Aetna of WY Commercial/Medical Rental $68.38
Rate for Payer: Aetna of WY Medicare $46.05
Rate for Payer: Altius Auto/Workers Compensation $66.99
Rate for Payer: Altius Commercial $66.99
Rate for Payer: Beech Street Commercial $68.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $57.29
Rate for Payer: Cash Price $48.85
Rate for Payer: ChoiceCare Network Commercial $67.69
Rate for Payer: Cigna of WY Commercial $68.38
Rate for Payer: Entrust Commercial $66.29
Rate for Payer: First Choice Health Commercial $66.29
Rate for Payer: Government Employees Health Association (GEHA) Commercial $66.29
Rate for Payer: Government Employees Health Association (GEHA) Medicare $40.47
Rate for Payer: HealthUtah PPO $69.78
Rate for Payer: Idaho Integrated Healthcare Commercial $67.69
Rate for Payer: Multiplan Medicare/VA $38.45
Rate for Payer: One Health Plan of WY PPO $68.38
Rate for Payer: PacificSource Commercial $62.80
Rate for Payer: PHCS PPO $68.38
Rate for Payer: Three Rivers PPO $52.34
Rate for Payer: TriWest Veterans Administration $40.47
Rate for Payer: United Healthcare Commercial $60.71
Rate for Payer: United Healthcare Medicare $40.47
Rate for Payer: WINHealth Partners Commercial $68.38
Rate for Payer: Wise Provider Network Commercial $66.29
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $53.89
Max. Negotiated Rate $85.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $84.23
Rate for Payer: Altius Auto/Workers Compensation $82.51
Rate for Payer: Altius Commercial $82.51
Rate for Payer: Beech Street Commercial $84.23
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $70.56
Rate for Payer: Cash Price $60.17
Rate for Payer: ChoiceCare Network Commercial $83.37
Rate for Payer: Cigna of WY Commercial $84.23
Rate for Payer: Entrust Commercial $81.65
Rate for Payer: First Choice Health Commercial $81.65
Rate for Payer: Government Employees Health Association (GEHA) Commercial $81.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $56.73
Rate for Payer: HealthUtah PPO $85.95
Rate for Payer: Idaho Integrated Healthcare Commercial $83.37
Rate for Payer: Multiplan Medicare/VA $53.89
Rate for Payer: One Health Plan of WY PPO $84.23
Rate for Payer: PacificSource Commercial $77.36
Rate for Payer: PHCS PPO $84.23
Rate for Payer: Three Rivers PPO $64.46
Rate for Payer: TriWest Veterans Administration $56.73
Rate for Payer: United Healthcare Commercial $74.78
Rate for Payer: United Healthcare Medicare $56.73
Rate for Payer: WINHealth Partners Commercial $81.65
Rate for Payer: Wise Provider Network Commercial $81.65
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $47.36
Max. Negotiated Rate $85.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $84.23
Rate for Payer: Aetna of WY Medicare $56.73
Rate for Payer: Altius Auto/Workers Compensation $82.51
Rate for Payer: Altius Commercial $82.51
Rate for Payer: Beech Street Commercial $84.23
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $70.56
Rate for Payer: Cash Price $60.17
Rate for Payer: ChoiceCare Network Commercial $83.37
Rate for Payer: Cigna of WY Commercial $84.23
Rate for Payer: Entrust Commercial $81.65
Rate for Payer: First Choice Health Commercial $81.65
Rate for Payer: Government Employees Health Association (GEHA) Commercial $81.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $49.85
Rate for Payer: HealthUtah PPO $85.95
Rate for Payer: Idaho Integrated Healthcare Commercial $83.37
Rate for Payer: Multiplan Medicare/VA $47.36
Rate for Payer: One Health Plan of WY PPO $84.23
Rate for Payer: PacificSource Commercial $77.36
Rate for Payer: PHCS PPO $84.23
Rate for Payer: Three Rivers PPO $64.46
Rate for Payer: TriWest Veterans Administration $49.85
Rate for Payer: United Healthcare Commercial $74.78
Rate for Payer: United Healthcare Medicare $49.85
Rate for Payer: WINHealth Partners Commercial $84.23
Rate for Payer: Wise Provider Network Commercial $81.65
Service Code NDC 0591315901
Hospital Revenue Code 250
Min. Negotiated Rate $2.56
Max. Negotiated Rate $4.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.01
Rate for Payer: Altius Auto/Workers Compensation $3.93
Rate for Payer: Altius Commercial $3.93
Rate for Payer: Beech Street Commercial $4.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.36
Rate for Payer: Cash Price $2.86
Rate for Payer: ChoiceCare Network Commercial $3.97
Rate for Payer: Cigna of WY Commercial $4.01
Rate for Payer: Entrust Commercial $3.89
Rate for Payer: First Choice Health Commercial $3.89
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3.89
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.70
Rate for Payer: HealthUtah PPO $4.09
Rate for Payer: Idaho Integrated Healthcare Commercial $3.97
Rate for Payer: Multiplan Medicare/VA $2.56
Rate for Payer: One Health Plan of WY PPO $4.01
Rate for Payer: PacificSource Commercial $3.68
Rate for Payer: PHCS PPO $4.01
Rate for Payer: Three Rivers PPO $3.07
Rate for Payer: TriWest Veterans Administration $2.70
Rate for Payer: United Healthcare Commercial $3.56
Rate for Payer: United Healthcare Medicare $2.70
Rate for Payer: WINHealth Partners Commercial $3.89
Rate for Payer: Wise Provider Network Commercial $3.89
Service Code NDC 0591315901
Hospital Revenue Code 250
Min. Negotiated Rate $2.25
Max. Negotiated Rate $4.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $4.01
Rate for Payer: Aetna of WY Medicare $2.70
Rate for Payer: Altius Auto/Workers Compensation $3.93
Rate for Payer: Altius Commercial $3.93
Rate for Payer: Beech Street Commercial $4.01
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $3.36
Rate for Payer: Cash Price $2.86
Rate for Payer: ChoiceCare Network Commercial $3.97
Rate for Payer: Cigna of WY Commercial $4.01
Rate for Payer: Entrust Commercial $3.89
Rate for Payer: First Choice Health Commercial $3.89
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3.89
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2.37
Rate for Payer: HealthUtah PPO $4.09
Rate for Payer: Idaho Integrated Healthcare Commercial $3.97
Rate for Payer: Multiplan Medicare/VA $2.25
Rate for Payer: One Health Plan of WY PPO $4.01
Rate for Payer: PacificSource Commercial $3.68
Rate for Payer: PHCS PPO $4.01
Rate for Payer: Three Rivers PPO $3.07
Rate for Payer: TriWest Veterans Administration $2.37
Rate for Payer: United Healthcare Commercial $3.56
Rate for Payer: United Healthcare Medicare $2.37
Rate for Payer: WINHealth Partners Commercial $4.01
Rate for Payer: Wise Provider Network Commercial $3.89
Service Code HCPCS 76705 26
Hospital Charge Code 76705
Min. Negotiated Rate $22.60
Max. Negotiated Rate $387.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $379.26
Rate for Payer: Aetna of WY Medicare $26.59
Rate for Payer: Beech Street Commercial $367.65
Rate for Payer: Cash Price $270.90
Rate for Payer: Cash Price $270.90
Rate for Payer: ChoiceCare Network Commercial $375.39
Rate for Payer: Cigna of WY Commercial $379.26
Rate for Payer: First Choice Health Commercial $348.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $367.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.59
Rate for Payer: HealthUtah PPO $387.00
Rate for Payer: Idaho Integrated Healthcare Commercial $375.39
Rate for Payer: Multiplan Medicare/VA $22.60
Rate for Payer: One Health Plan of WY PPO $379.26
Rate for Payer: PacificSource Commercial $348.30
Rate for Payer: PHCS PPO $367.65
Rate for Payer: Three Rivers PPO $290.25
Rate for Payer: TriWest Veterans Administration $26.59
Rate for Payer: United Healthcare Commercial $336.69
Rate for Payer: United Healthcare Medicare $26.59
Rate for Payer: WINHealth Partners Commercial $367.65
Service Code HCPCS 76645
Hospital Charge Code 76645
Min. Negotiated Rate $465.00
Max. Negotiated Rate $620.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $607.60
Rate for Payer: Beech Street Commercial $589.00
Rate for Payer: Cash Price $434.00
Rate for Payer: ChoiceCare Network Commercial $601.40
Rate for Payer: Cigna of WY Commercial $607.60
Rate for Payer: First Choice Health Commercial $558.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $589.00
Rate for Payer: HealthUtah PPO $620.00
Rate for Payer: Idaho Integrated Healthcare Commercial $601.40
Rate for Payer: One Health Plan of WY PPO $607.60
Rate for Payer: PacificSource Commercial $558.00
Rate for Payer: PHCS PPO $589.00
Rate for Payer: Three Rivers PPO $465.00
Rate for Payer: United Healthcare Commercial $539.40
Rate for Payer: WINHealth Partners Commercial $589.00
Service Code HCPCS 76813
Hospital Charge Code 76813
Min. Negotiated Rate $96.29
Max. Negotiated Rate $495.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $485.10
Rate for Payer: Aetna of WY Medicare $113.28
Rate for Payer: Beech Street Commercial $470.25
Rate for Payer: Cash Price $346.50
Rate for Payer: Cash Price $346.50
Rate for Payer: ChoiceCare Network Commercial $480.15
Rate for Payer: Cigna of WY Commercial $485.10
Rate for Payer: First Choice Health Commercial $445.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $470.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $113.28
Rate for Payer: HealthUtah PPO $495.00
Rate for Payer: Idaho Integrated Healthcare Commercial $480.15
Rate for Payer: Multiplan Medicare/VA $96.29
Rate for Payer: One Health Plan of WY PPO $485.10
Rate for Payer: PacificSource Commercial $445.50
Rate for Payer: PHCS PPO $470.25
Rate for Payer: Three Rivers PPO $371.25
Rate for Payer: TriWest Veterans Administration $113.28
Rate for Payer: United Healthcare Commercial $430.65
Rate for Payer: United Healthcare Medicare $113.28
Rate for Payer: WINHealth Partners Commercial $470.25
Service Code HCPCS 76942
Hospital Charge Code 76942
Min. Negotiated Rate $24.56
Max. Negotiated Rate $199.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $195.02
Rate for Payer: Aetna of WY Medicare $56.63
Rate for Payer: Beech Street Commercial $189.05
Rate for Payer: Cash Price $139.30
Rate for Payer: Cash Price $139.30
Rate for Payer: ChoiceCare Network Commercial $193.03
Rate for Payer: Cigna of WY Commercial $195.02
Rate for Payer: First Choice Health Commercial $179.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $189.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $56.63
Rate for Payer: HealthUtah PPO $199.00
Rate for Payer: Idaho Integrated Healthcare Commercial $193.03
Rate for Payer: Multiplan Medicare/VA $48.14
Rate for Payer: One Health Plan of WY PPO $195.02
Rate for Payer: PacificSource Commercial $179.10
Rate for Payer: PHCS PPO $189.05
Rate for Payer: Three Rivers PPO $149.25
Rate for Payer: TriWest Veterans Administration $56.63
Rate for Payer: United Healthcare Commercial $173.13
Rate for Payer: United Healthcare Medicare $56.63
Rate for Payer: WINHealth Partners Commercial $189.05
Service Code HCPCS 76942 26
Hospital Charge Code 76942
Min. Negotiated Rate $24.56
Max. Negotiated Rate $199.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $195.02
Rate for Payer: Aetna of WY Medicare $28.89
Rate for Payer: Beech Street Commercial $189.05
Rate for Payer: Cash Price $139.30
Rate for Payer: Cash Price $139.30
Rate for Payer: ChoiceCare Network Commercial $193.03
Rate for Payer: Cigna of WY Commercial $195.02
Rate for Payer: First Choice Health Commercial $179.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $189.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.89
Rate for Payer: HealthUtah PPO $199.00
Rate for Payer: Idaho Integrated Healthcare Commercial $193.03
Rate for Payer: Multiplan Medicare/VA $24.56
Rate for Payer: One Health Plan of WY PPO $195.02
Rate for Payer: PacificSource Commercial $179.10
Rate for Payer: PHCS PPO $189.05
Rate for Payer: Three Rivers PPO $149.25
Rate for Payer: TriWest Veterans Administration $28.89
Rate for Payer: United Healthcare Commercial $173.13
Rate for Payer: United Healthcare Medicare $28.89
Rate for Payer: WINHealth Partners Commercial $189.05
Service Code HCPCS 76857
Hospital Charge Code 76857
Min. Negotiated Rate $40.98
Max. Negotiated Rate $168.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $164.64
Rate for Payer: Aetna of WY Medicare $48.21
Rate for Payer: Beech Street Commercial $159.60
Rate for Payer: Cash Price $117.60
Rate for Payer: Cash Price $117.60
Rate for Payer: ChoiceCare Network Commercial $162.96
Rate for Payer: Cigna of WY Commercial $164.64
Rate for Payer: First Choice Health Commercial $151.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $159.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $48.21
Rate for Payer: HealthUtah PPO $168.00
Rate for Payer: Idaho Integrated Healthcare Commercial $162.96
Rate for Payer: Multiplan Medicare/VA $40.98
Rate for Payer: One Health Plan of WY PPO $164.64
Rate for Payer: PacificSource Commercial $151.20
Rate for Payer: PHCS PPO $159.60
Rate for Payer: Three Rivers PPO $126.00
Rate for Payer: TriWest Veterans Administration $48.21
Rate for Payer: United Healthcare Commercial $146.16
Rate for Payer: United Healthcare Medicare $48.21
Rate for Payer: WINHealth Partners Commercial $159.60
Service Code HCPCS 76801
Hospital Charge Code 76801
Min. Negotiated Rate $97.61
Max. Negotiated Rate $571.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $559.58
Rate for Payer: Aetna of WY Medicare $114.83
Rate for Payer: Beech Street Commercial $542.45
Rate for Payer: Cash Price $399.70
Rate for Payer: Cash Price $399.70
Rate for Payer: ChoiceCare Network Commercial $553.87
Rate for Payer: Cigna of WY Commercial $559.58
Rate for Payer: First Choice Health Commercial $513.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $542.45
Rate for Payer: Government Employees Health Association (GEHA) Medicare $114.83
Rate for Payer: HealthUtah PPO $571.00
Rate for Payer: Idaho Integrated Healthcare Commercial $553.87
Rate for Payer: Multiplan Medicare/VA $97.61
Rate for Payer: One Health Plan of WY PPO $559.58
Rate for Payer: PacificSource Commercial $513.90
Rate for Payer: PHCS PPO $542.45
Rate for Payer: Three Rivers PPO $428.25
Rate for Payer: TriWest Veterans Administration $114.83
Rate for Payer: United Healthcare Commercial $496.77
Rate for Payer: United Healthcare Medicare $114.83
Rate for Payer: WINHealth Partners Commercial $542.45
Service Code HCPCS 76815
Hospital Charge Code 76815
Min. Negotiated Rate $67.35
Max. Negotiated Rate $352.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $344.96
Rate for Payer: Aetna of WY Medicare $79.23
Rate for Payer: Beech Street Commercial $334.40
Rate for Payer: Cash Price $246.40
Rate for Payer: Cash Price $246.40
Rate for Payer: ChoiceCare Network Commercial $341.44
Rate for Payer: Cigna of WY Commercial $344.96
Rate for Payer: First Choice Health Commercial $316.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $334.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $79.23
Rate for Payer: HealthUtah PPO $352.00
Rate for Payer: Idaho Integrated Healthcare Commercial $341.44
Rate for Payer: Multiplan Medicare/VA $67.35
Rate for Payer: One Health Plan of WY PPO $344.96
Rate for Payer: PacificSource Commercial $316.80
Rate for Payer: PHCS PPO $334.40
Rate for Payer: Three Rivers PPO $264.00
Rate for Payer: TriWest Veterans Administration $79.23
Rate for Payer: United Healthcare Commercial $306.24
Rate for Payer: United Healthcare Medicare $79.23
Rate for Payer: WINHealth Partners Commercial $334.40
Service Code HCPCS 76810
Hospital Charge Code 76810
Min. Negotiated Rate $72.70
Max. Negotiated Rate $970.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $950.60
Rate for Payer: Aetna of WY Medicare $85.53
Rate for Payer: Beech Street Commercial $921.50
Rate for Payer: Cash Price $679.00
Rate for Payer: Cash Price $679.00
Rate for Payer: ChoiceCare Network Commercial $940.90
Rate for Payer: Cigna of WY Commercial $950.60
Rate for Payer: First Choice Health Commercial $873.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $921.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $85.53
Rate for Payer: HealthUtah PPO $970.00
Rate for Payer: Idaho Integrated Healthcare Commercial $940.90
Rate for Payer: Multiplan Medicare/VA $72.70
Rate for Payer: One Health Plan of WY PPO $950.60
Rate for Payer: PacificSource Commercial $873.00
Rate for Payer: PHCS PPO $921.50
Rate for Payer: Three Rivers PPO $727.50
Rate for Payer: TriWest Veterans Administration $85.53
Rate for Payer: United Healthcare Commercial $843.90
Rate for Payer: United Healthcare Medicare $85.53
Rate for Payer: WINHealth Partners Commercial $921.50
Service Code HCPCS 76805
Hospital Charge Code 76805
Min. Negotiated Rate $112.85
Max. Negotiated Rate $571.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $559.58
Rate for Payer: Aetna of WY Medicare $132.76
Rate for Payer: Beech Street Commercial $542.45
Rate for Payer: Cash Price $399.70
Rate for Payer: Cash Price $399.70
Rate for Payer: ChoiceCare Network Commercial $553.87
Rate for Payer: Cigna of WY Commercial $559.58
Rate for Payer: First Choice Health Commercial $513.90
Rate for Payer: Government Employees Health Association (GEHA) Commercial $542.45
Rate for Payer: Government Employees Health Association (GEHA) Medicare $132.76
Rate for Payer: HealthUtah PPO $571.00
Rate for Payer: Idaho Integrated Healthcare Commercial $553.87
Rate for Payer: Multiplan Medicare/VA $112.85
Rate for Payer: One Health Plan of WY PPO $559.58
Rate for Payer: PacificSource Commercial $513.90
Rate for Payer: PHCS PPO $542.45
Rate for Payer: Three Rivers PPO $428.25
Rate for Payer: TriWest Veterans Administration $132.76
Rate for Payer: United Healthcare Commercial $496.77
Rate for Payer: United Healthcare Medicare $132.76
Rate for Payer: WINHealth Partners Commercial $542.45
Service Code HCPCS 76816
Hospital Charge Code 76816
Min. Negotiated Rate $91.63
Max. Negotiated Rate $535.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $524.30
Rate for Payer: Aetna of WY Medicare $107.80
Rate for Payer: Beech Street Commercial $508.25
Rate for Payer: Cash Price $374.50
Rate for Payer: Cash Price $374.50
Rate for Payer: ChoiceCare Network Commercial $518.95
Rate for Payer: Cigna of WY Commercial $524.30
Rate for Payer: First Choice Health Commercial $481.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $508.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $107.80
Rate for Payer: HealthUtah PPO $535.00
Rate for Payer: Idaho Integrated Healthcare Commercial $518.95
Rate for Payer: Multiplan Medicare/VA $91.63
Rate for Payer: One Health Plan of WY PPO $524.30
Rate for Payer: PacificSource Commercial $481.50
Rate for Payer: PHCS PPO $508.25
Rate for Payer: Three Rivers PPO $401.25
Rate for Payer: TriWest Veterans Administration $107.80
Rate for Payer: United Healthcare Commercial $465.45
Rate for Payer: United Healthcare Medicare $107.80
Rate for Payer: WINHealth Partners Commercial $508.25
Service Code HCPCS 76817
Hospital Charge Code 76817
Min. Negotiated Rate $77.09
Max. Negotiated Rate $635.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $622.30
Rate for Payer: Aetna of WY Medicare $90.69
Rate for Payer: Beech Street Commercial $603.25
Rate for Payer: Cash Price $444.50
Rate for Payer: Cash Price $444.50
Rate for Payer: ChoiceCare Network Commercial $615.95
Rate for Payer: Cigna of WY Commercial $622.30
Rate for Payer: First Choice Health Commercial $571.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $603.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $90.69
Rate for Payer: HealthUtah PPO $635.00
Rate for Payer: Idaho Integrated Healthcare Commercial $615.95
Rate for Payer: Multiplan Medicare/VA $77.09
Rate for Payer: One Health Plan of WY PPO $622.30
Rate for Payer: PacificSource Commercial $571.50
Rate for Payer: PHCS PPO $603.25
Rate for Payer: Three Rivers PPO $476.25
Rate for Payer: TriWest Veterans Administration $90.69
Rate for Payer: United Healthcare Commercial $552.45
Rate for Payer: United Healthcare Medicare $90.69
Rate for Payer: WINHealth Partners Commercial $603.25
Service Code HCPCS J3358
Hospital Revenue Code 636
Min. Negotiated Rate $79.77
Max. Negotiated Rate $144.78
Rate for Payer: Aetna of WY Commercial/Medical Rental $141.88
Rate for Payer: Aetna of WY Medicare $95.55
Rate for Payer: Altius Auto/Workers Compensation $138.99
Rate for Payer: Altius Commercial $138.99
Rate for Payer: Beech Street Commercial $141.88
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $118.86
Rate for Payer: Cash Price $101.34
Rate for Payer: ChoiceCare Network Commercial $140.44
Rate for Payer: Cigna of WY Commercial $141.88
Rate for Payer: Entrust Commercial $137.54
Rate for Payer: First Choice Health Commercial $137.54
Rate for Payer: Government Employees Health Association (GEHA) Commercial $137.54
Rate for Payer: Government Employees Health Association (GEHA) Medicare $83.97
Rate for Payer: HealthUtah PPO $144.78
Rate for Payer: Idaho Integrated Healthcare Commercial $140.44
Rate for Payer: Multiplan Medicare/VA $79.77
Rate for Payer: One Health Plan of WY PPO $141.88
Rate for Payer: PacificSource Commercial $130.30
Rate for Payer: PHCS PPO $141.88
Rate for Payer: Three Rivers PPO $108.58
Rate for Payer: TriWest Veterans Administration $83.97
Rate for Payer: United Healthcare Commercial $125.96
Rate for Payer: United Healthcare Medicare $83.97
Rate for Payer: WINHealth Partners Commercial $141.88
Rate for Payer: Wise Provider Network Commercial $137.54
Service Code HCPCS J3358
Hospital Revenue Code 636
Min. Negotiated Rate $90.78
Max. Negotiated Rate $144.78
Rate for Payer: Aetna of WY Commercial/Medical Rental $141.88
Rate for Payer: Altius Auto/Workers Compensation $138.99
Rate for Payer: Altius Commercial $138.99
Rate for Payer: Beech Street Commercial $141.88
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $118.86
Rate for Payer: Cash Price $101.34
Rate for Payer: ChoiceCare Network Commercial $140.44
Rate for Payer: Cigna of WY Commercial $141.88
Rate for Payer: Entrust Commercial $137.54
Rate for Payer: First Choice Health Commercial $137.54
Rate for Payer: Government Employees Health Association (GEHA) Commercial $137.54
Rate for Payer: Government Employees Health Association (GEHA) Medicare $95.55
Rate for Payer: HealthUtah PPO $144.78
Rate for Payer: Idaho Integrated Healthcare Commercial $140.44
Rate for Payer: Multiplan Medicare/VA $90.78
Rate for Payer: One Health Plan of WY PPO $141.88
Rate for Payer: PacificSource Commercial $130.30
Rate for Payer: PHCS PPO $141.88
Rate for Payer: Three Rivers PPO $108.58
Rate for Payer: TriWest Veterans Administration $95.55
Rate for Payer: United Healthcare Commercial $125.96
Rate for Payer: United Healthcare Medicare $95.55
Rate for Payer: WINHealth Partners Commercial $137.54
Rate for Payer: Wise Provider Network Commercial $137.54
Service Code HCPCS 76830
Hospital Charge Code 76830
Min. Negotiated Rate $99.28
Max. Negotiated Rate $610.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $597.80
Rate for Payer: Aetna of WY Medicare $116.80
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 $116.80
Rate for Payer: HealthUtah PPO $610.00
Rate for Payer: Idaho Integrated Healthcare Commercial $591.70
Rate for Payer: Multiplan Medicare/VA $99.28
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 $116.80
Rate for Payer: United Healthcare Commercial $530.70
Rate for Payer: United Healthcare Medicare $116.80
Rate for Payer: WINHealth Partners Commercial $579.50