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Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,667.82
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,755.60
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,667.82
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,755.60
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,755.60
Rate for Payer: WINHealth Partners Commercial $2,527.00
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,465.66
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Aetna of WY Medicare $1,755.60
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,542.80
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,465.66
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,542.80
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,542.80
Rate for Payer: WINHealth Partners Commercial $2,606.80
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,667.82
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,755.60
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,667.82
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,755.60
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,755.60
Rate for Payer: WINHealth Partners Commercial $2,527.00
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,465.66
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Aetna of WY Medicare $1,755.60
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,542.80
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,465.66
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,542.80
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,542.80
Rate for Payer: WINHealth Partners Commercial $2,606.80
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,667.82
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,755.60
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,667.82
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,755.60
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,755.60
Rate for Payer: WINHealth Partners Commercial $2,527.00
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,465.66
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Aetna of WY Medicare $1,755.60
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,542.80
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,465.66
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,542.80
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,542.80
Rate for Payer: WINHealth Partners Commercial $2,606.80
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $1,667.82
Max. Negotiated Rate $2,660.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,606.80
Rate for Payer: Altius Auto/Workers Compensation $2,553.60
Rate for Payer: Altius Commercial $2,553.60
Rate for Payer: Beech Street Commercial $2,606.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,183.86
Rate for Payer: Cash Price $1,862.00
Rate for Payer: ChoiceCare Network Commercial $2,580.20
Rate for Payer: Cigna of WY Commercial $2,606.80
Rate for Payer: Entrust Commercial $2,527.00
Rate for Payer: First Choice Health Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,527.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,755.60
Rate for Payer: HealthUtah PPO $2,660.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,580.20
Rate for Payer: Multiplan Medicare/VA $1,667.82
Rate for Payer: One Health Plan of WY PPO $2,606.80
Rate for Payer: PacificSource Commercial $2,394.00
Rate for Payer: PHCS PPO $2,606.80
Rate for Payer: Three Rivers PPO $1,995.00
Rate for Payer: TriWest Veterans Administration $1,755.60
Rate for Payer: United Healthcare Commercial $2,314.20
Rate for Payer: United Healthcare Medicare $1,755.60
Rate for Payer: WINHealth Partners Commercial $2,527.00
Rate for Payer: Wise Provider Network Commercial $2,527.00
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $478.87
Max. Negotiated Rate $869.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $851.71
Rate for Payer: Aetna of WY Medicare $573.60
Rate for Payer: Altius Auto/Workers Compensation $834.33
Rate for Payer: Altius Commercial $834.33
Rate for Payer: Beech Street Commercial $851.71
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $713.52
Rate for Payer: Cash Price $608.36
Rate for Payer: ChoiceCare Network Commercial $843.02
Rate for Payer: Cigna of WY Commercial $851.71
Rate for Payer: Entrust Commercial $825.64
Rate for Payer: First Choice Health Commercial $825.64
Rate for Payer: Government Employees Health Association (GEHA) Commercial $825.64
Rate for Payer: Government Employees Health Association (GEHA) Medicare $504.07
Rate for Payer: HealthUtah PPO $869.09
Rate for Payer: Idaho Integrated Healthcare Commercial $843.02
Rate for Payer: Multiplan Medicare/VA $478.87
Rate for Payer: One Health Plan of WY PPO $851.71
Rate for Payer: PacificSource Commercial $782.18
Rate for Payer: PHCS PPO $851.71
Rate for Payer: Three Rivers PPO $651.82
Rate for Payer: TriWest Veterans Administration $504.07
Rate for Payer: United Healthcare Commercial $756.11
Rate for Payer: United Healthcare Medicare $504.07
Rate for Payer: WINHealth Partners Commercial $851.71
Rate for Payer: Wise Provider Network Commercial $825.64
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $544.92
Max. Negotiated Rate $869.09
Rate for Payer: Aetna of WY Commercial/Medical Rental $851.71
Rate for Payer: Altius Auto/Workers Compensation $834.33
Rate for Payer: Altius Commercial $834.33
Rate for Payer: Beech Street Commercial $851.71
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $713.52
Rate for Payer: Cash Price $608.36
Rate for Payer: ChoiceCare Network Commercial $843.02
Rate for Payer: Cigna of WY Commercial $851.71
Rate for Payer: Entrust Commercial $825.64
Rate for Payer: First Choice Health Commercial $825.64
Rate for Payer: Government Employees Health Association (GEHA) Commercial $825.64
Rate for Payer: Government Employees Health Association (GEHA) Medicare $573.60
Rate for Payer: HealthUtah PPO $869.09
Rate for Payer: Idaho Integrated Healthcare Commercial $843.02
Rate for Payer: Multiplan Medicare/VA $544.92
Rate for Payer: One Health Plan of WY PPO $851.71
Rate for Payer: PacificSource Commercial $782.18
Rate for Payer: PHCS PPO $851.71
Rate for Payer: Three Rivers PPO $651.82
Rate for Payer: TriWest Veterans Administration $573.60
Rate for Payer: United Healthcare Commercial $756.11
Rate for Payer: United Healthcare Medicare $573.60
Rate for Payer: WINHealth Partners Commercial $825.64
Rate for Payer: Wise Provider Network Commercial $825.64
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $790.84
Max. Negotiated Rate $1,435.28
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,406.57
Rate for Payer: Aetna of WY Medicare $947.28
Rate for Payer: Altius Auto/Workers Compensation $1,377.87
Rate for Payer: Altius Commercial $1,377.87
Rate for Payer: Beech Street Commercial $1,406.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,178.36
Rate for Payer: Cash Price $1,004.70
Rate for Payer: ChoiceCare Network Commercial $1,392.22
Rate for Payer: Cigna of WY Commercial $1,406.57
Rate for Payer: Entrust Commercial $1,363.52
Rate for Payer: First Choice Health Commercial $1,363.52
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,363.52
Rate for Payer: Government Employees Health Association (GEHA) Medicare $832.46
Rate for Payer: HealthUtah PPO $1,435.28
Rate for Payer: Idaho Integrated Healthcare Commercial $1,392.22
Rate for Payer: Multiplan Medicare/VA $790.84
Rate for Payer: One Health Plan of WY PPO $1,406.57
Rate for Payer: PacificSource Commercial $1,291.75
Rate for Payer: PHCS PPO $1,406.57
Rate for Payer: Three Rivers PPO $1,076.46
Rate for Payer: TriWest Veterans Administration $832.46
Rate for Payer: United Healthcare Commercial $1,248.69
Rate for Payer: United Healthcare Medicare $832.46
Rate for Payer: WINHealth Partners Commercial $1,406.57
Rate for Payer: Wise Provider Network Commercial $1,363.52
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $899.92
Max. Negotiated Rate $1,435.28
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,406.57
Rate for Payer: Altius Auto/Workers Compensation $1,377.87
Rate for Payer: Altius Commercial $1,377.87
Rate for Payer: Beech Street Commercial $1,406.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,178.36
Rate for Payer: Cash Price $1,004.70
Rate for Payer: ChoiceCare Network Commercial $1,392.22
Rate for Payer: Cigna of WY Commercial $1,406.57
Rate for Payer: Entrust Commercial $1,363.52
Rate for Payer: First Choice Health Commercial $1,363.52
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,363.52
Rate for Payer: Government Employees Health Association (GEHA) Medicare $947.28
Rate for Payer: HealthUtah PPO $1,435.28
Rate for Payer: Idaho Integrated Healthcare Commercial $1,392.22
Rate for Payer: Multiplan Medicare/VA $899.92
Rate for Payer: One Health Plan of WY PPO $1,406.57
Rate for Payer: PacificSource Commercial $1,291.75
Rate for Payer: PHCS PPO $1,406.57
Rate for Payer: Three Rivers PPO $1,076.46
Rate for Payer: TriWest Veterans Administration $947.28
Rate for Payer: United Healthcare Commercial $1,248.69
Rate for Payer: United Healthcare Medicare $947.28
Rate for Payer: WINHealth Partners Commercial $1,363.52
Rate for Payer: Wise Provider Network Commercial $1,363.52
Service Code HCPCS 73550 26
Hospital Charge Code 73550
Min. Negotiated Rate $48.00
Max. Negotiated Rate $64.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $62.72
Rate for Payer: Beech Street Commercial $60.80
Rate for Payer: Cash Price $44.80
Rate for Payer: ChoiceCare Network Commercial $62.08
Rate for Payer: Cigna of WY Commercial $62.72
Rate for Payer: First Choice Health Commercial $57.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $60.80
Rate for Payer: HealthUtah PPO $64.00
Rate for Payer: Idaho Integrated Healthcare Commercial $62.08
Rate for Payer: One Health Plan of WY PPO $62.72
Rate for Payer: PacificSource Commercial $57.60
Rate for Payer: PHCS PPO $60.80
Rate for Payer: Three Rivers PPO $48.00
Rate for Payer: United Healthcare Commercial $55.68
Rate for Payer: WINHealth Partners Commercial $60.80
Service Code HCPCS 73550 TC
Hospital Charge Code 73550
Min. Negotiated Rate $175.50
Max. Negotiated Rate $234.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $229.32
Rate for Payer: Beech Street Commercial $222.30
Rate for Payer: Cash Price $163.80
Rate for Payer: ChoiceCare Network Commercial $226.98
Rate for Payer: Cigna of WY Commercial $229.32
Rate for Payer: First Choice Health Commercial $210.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $222.30
Rate for Payer: HealthUtah PPO $234.00
Rate for Payer: Idaho Integrated Healthcare Commercial $226.98
Rate for Payer: One Health Plan of WY PPO $229.32
Rate for Payer: PacificSource Commercial $210.60
Rate for Payer: PHCS PPO $222.30
Rate for Payer: Three Rivers PPO $175.50
Rate for Payer: United Healthcare Commercial $203.58
Rate for Payer: WINHealth Partners Commercial $222.30
Service Code HCPCS 73520
Hospital Charge Code 73520
Min. Negotiated Rate $216.75
Max. Negotiated Rate $289.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $283.22
Rate for Payer: Beech Street Commercial $274.55
Rate for Payer: Cash Price $202.30
Rate for Payer: ChoiceCare Network Commercial $280.33
Rate for Payer: Cigna of WY Commercial $283.22
Rate for Payer: First Choice Health Commercial $260.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $274.55
Rate for Payer: HealthUtah PPO $289.00
Rate for Payer: Idaho Integrated Healthcare Commercial $280.33
Rate for Payer: One Health Plan of WY PPO $283.22
Rate for Payer: PacificSource Commercial $260.10
Rate for Payer: PHCS PPO $274.55
Rate for Payer: Three Rivers PPO $216.75
Rate for Payer: United Healthcare Commercial $251.43
Rate for Payer: WINHealth Partners Commercial $274.55
Service Code HCPCS 73510
Hospital Charge Code 73510
Min. Negotiated Rate $222.75
Max. Negotiated Rate $297.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $291.06
Rate for Payer: Beech Street Commercial $282.15
Rate for Payer: Cash Price $207.90
Rate for Payer: ChoiceCare Network Commercial $288.09
Rate for Payer: Cigna of WY Commercial $291.06
Rate for Payer: First Choice Health Commercial $267.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $282.15
Rate for Payer: HealthUtah PPO $297.00
Rate for Payer: Idaho Integrated Healthcare Commercial $288.09
Rate for Payer: One Health Plan of WY PPO $291.06
Rate for Payer: PacificSource Commercial $267.30
Rate for Payer: PHCS PPO $282.15
Rate for Payer: Three Rivers PPO $222.75
Rate for Payer: United Healthcare Commercial $258.39
Rate for Payer: WINHealth Partners Commercial $282.15
Service Code HCPCS 73500 TC
Hospital Charge Code 73500
Min. Negotiated Rate $144.00
Max. Negotiated Rate $192.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $188.16
Rate for Payer: Beech Street Commercial $182.40
Rate for Payer: Cash Price $134.40
Rate for Payer: ChoiceCare Network Commercial $186.24
Rate for Payer: Cigna of WY Commercial $188.16
Rate for Payer: First Choice Health Commercial $172.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $182.40
Rate for Payer: HealthUtah PPO $192.00
Rate for Payer: Idaho Integrated Healthcare Commercial $186.24
Rate for Payer: One Health Plan of WY PPO $188.16
Rate for Payer: PacificSource Commercial $172.80
Rate for Payer: PHCS PPO $182.40
Rate for Payer: Three Rivers PPO $144.00
Rate for Payer: United Healthcare Commercial $167.04
Rate for Payer: WINHealth Partners Commercial $182.40
Service Code HCPCS 73500
Hospital Charge Code 73500
Min. Negotiated Rate $170.25
Max. Negotiated Rate $227.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $222.46
Rate for Payer: Beech Street Commercial $215.65
Rate for Payer: Cash Price $158.90
Rate for Payer: ChoiceCare Network Commercial $220.19
Rate for Payer: Cigna of WY Commercial $222.46
Rate for Payer: First Choice Health Commercial $204.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $215.65
Rate for Payer: HealthUtah PPO $227.00
Rate for Payer: Idaho Integrated Healthcare Commercial $220.19
Rate for Payer: One Health Plan of WY PPO $222.46
Rate for Payer: PacificSource Commercial $204.30
Rate for Payer: PHCS PPO $215.65
Rate for Payer: Three Rivers PPO $170.25
Rate for Payer: United Healthcare Commercial $197.49
Rate for Payer: WINHealth Partners Commercial $215.65
Service Code HCPCS 93227
Hospital Charge Code 93227
Min. Negotiated Rate $14.96
Max. Negotiated Rate $185.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $181.30
Rate for Payer: Aetna of WY Medicare $17.60
Rate for Payer: Beech Street Commercial $175.75
Rate for Payer: Cash Price $129.50
Rate for Payer: Cash Price $129.50
Rate for Payer: ChoiceCare Network Commercial $179.45
Rate for Payer: Cigna of WY Commercial $181.30
Rate for Payer: First Choice Health Commercial $166.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $175.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $17.60
Rate for Payer: HealthUtah PPO $185.00
Rate for Payer: Idaho Integrated Healthcare Commercial $179.45
Rate for Payer: Multiplan Medicare/VA $14.96
Rate for Payer: One Health Plan of WY PPO $181.30
Rate for Payer: PacificSource Commercial $166.50
Rate for Payer: PHCS PPO $175.75
Rate for Payer: Three Rivers PPO $138.75
Rate for Payer: TriWest Veterans Administration $17.60
Rate for Payer: United Healthcare Commercial $160.95
Rate for Payer: United Healthcare Medicare $17.60
Rate for Payer: WINHealth Partners Commercial $175.75
Service Code HCPCS 93272
Hospital Charge Code 93272
Min. Negotiated Rate $19.62
Max. Negotiated Rate $164.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $160.72
Rate for Payer: Aetna of WY Medicare $23.08
Rate for Payer: Beech Street Commercial $155.80
Rate for Payer: Cash Price $114.80
Rate for Payer: Cash Price $114.80
Rate for Payer: ChoiceCare Network Commercial $159.08
Rate for Payer: Cigna of WY Commercial $160.72
Rate for Payer: First Choice Health Commercial $147.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $155.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $23.08
Rate for Payer: HealthUtah PPO $164.00
Rate for Payer: Idaho Integrated Healthcare Commercial $159.08
Rate for Payer: Multiplan Medicare/VA $19.62
Rate for Payer: One Health Plan of WY PPO $160.72
Rate for Payer: PacificSource Commercial $147.60
Rate for Payer: PHCS PPO $155.80
Rate for Payer: Three Rivers PPO $123.00
Rate for Payer: TriWest Veterans Administration $23.08
Rate for Payer: United Healthcare Commercial $142.68
Rate for Payer: United Healthcare Medicare $23.08
Rate for Payer: WINHealth Partners Commercial $155.80
Service Code HCPCS 90717
Hospital Charge Code 90717
Min. Negotiated Rate $164.25
Max. Negotiated Rate $219.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $214.62
Rate for Payer: Beech Street Commercial $208.05
Rate for Payer: Cash Price $153.30
Rate for Payer: ChoiceCare Network Commercial $212.43
Rate for Payer: Cigna of WY Commercial $214.62
Rate for Payer: First Choice Health Commercial $197.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $208.05
Rate for Payer: HealthUtah PPO $219.00
Rate for Payer: Idaho Integrated Healthcare Commercial $212.43
Rate for Payer: One Health Plan of WY PPO $214.62
Rate for Payer: PacificSource Commercial $197.10
Rate for Payer: PHCS PPO $208.05
Rate for Payer: Three Rivers PPO $164.25
Rate for Payer: United Healthcare Commercial $190.53
Rate for Payer: WINHealth Partners Commercial $219.00
Service Code NDC 3010304100
Hospital Revenue Code 250
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.12
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.12
Rate for Payer: Altius Auto/Workers Compensation $0.12
Rate for Payer: Altius Commercial $0.12
Rate for Payer: Beech Street Commercial $0.12
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.10
Rate for Payer: Cash Price $0.08
Rate for Payer: ChoiceCare Network Commercial $0.12
Rate for Payer: Cigna of WY Commercial $0.12
Rate for Payer: Entrust Commercial $0.11
Rate for Payer: First Choice Health Commercial $0.11
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.11
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.08
Rate for Payer: HealthUtah PPO $0.12
Rate for Payer: Idaho Integrated Healthcare Commercial $0.12
Rate for Payer: Multiplan Medicare/VA $0.08
Rate for Payer: One Health Plan of WY PPO $0.12
Rate for Payer: PacificSource Commercial $0.11
Rate for Payer: PHCS PPO $0.12
Rate for Payer: Three Rivers PPO $0.09
Rate for Payer: TriWest Veterans Administration $0.08
Rate for Payer: United Healthcare Commercial $0.10
Rate for Payer: United Healthcare Medicare $0.08
Rate for Payer: WINHealth Partners Commercial $0.11
Rate for Payer: Wise Provider Network Commercial $0.11
Service Code NDC 3010304100
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.12
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.12
Rate for Payer: Aetna of WY Medicare $0.08
Rate for Payer: Altius Auto/Workers Compensation $0.12
Rate for Payer: Altius Commercial $0.12
Rate for Payer: Beech Street Commercial $0.12
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.10
Rate for Payer: Cash Price $0.08
Rate for Payer: ChoiceCare Network Commercial $0.12
Rate for Payer: Cigna of WY Commercial $0.12
Rate for Payer: Entrust Commercial $0.11
Rate for Payer: First Choice Health Commercial $0.11
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.11
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.07
Rate for Payer: HealthUtah PPO $0.12
Rate for Payer: Idaho Integrated Healthcare Commercial $0.12
Rate for Payer: Multiplan Medicare/VA $0.07
Rate for Payer: One Health Plan of WY PPO $0.12
Rate for Payer: PacificSource Commercial $0.11
Rate for Payer: PHCS PPO $0.12
Rate for Payer: Three Rivers PPO $0.09
Rate for Payer: TriWest Veterans Administration $0.07
Rate for Payer: United Healthcare Commercial $0.10
Rate for Payer: United Healthcare Medicare $0.07
Rate for Payer: WINHealth Partners Commercial $0.12
Rate for Payer: Wise Provider Network Commercial $0.11
Service Code NDC 6858500801
Hospital Revenue Code 250
Min. Negotiated Rate $0.24
Max. Negotiated Rate $0.39
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.38
Rate for Payer: Altius Auto/Workers Compensation $0.37
Rate for Payer: Altius Commercial $0.37
Rate for Payer: Beech Street Commercial $0.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.32
Rate for Payer: Cash Price $0.27
Rate for Payer: ChoiceCare Network Commercial $0.38
Rate for Payer: Cigna of WY Commercial $0.38
Rate for Payer: Entrust Commercial $0.37
Rate for Payer: First Choice Health Commercial $0.37
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.37
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.26
Rate for Payer: HealthUtah PPO $0.39
Rate for Payer: Idaho Integrated Healthcare Commercial $0.38
Rate for Payer: Multiplan Medicare/VA $0.24
Rate for Payer: One Health Plan of WY PPO $0.38
Rate for Payer: PacificSource Commercial $0.35
Rate for Payer: PHCS PPO $0.38
Rate for Payer: Three Rivers PPO $0.29
Rate for Payer: TriWest Veterans Administration $0.26
Rate for Payer: United Healthcare Commercial $0.34
Rate for Payer: United Healthcare Medicare $0.26
Rate for Payer: WINHealth Partners Commercial $0.37
Rate for Payer: Wise Provider Network Commercial $0.37
Service Code NDC 6858500801
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $0.39
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.38
Rate for Payer: Aetna of WY Medicare $0.26
Rate for Payer: Altius Auto/Workers Compensation $0.37
Rate for Payer: Altius Commercial $0.37
Rate for Payer: Beech Street Commercial $0.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.32
Rate for Payer: Cash Price $0.27
Rate for Payer: ChoiceCare Network Commercial $0.38
Rate for Payer: Cigna of WY Commercial $0.38
Rate for Payer: Entrust Commercial $0.37
Rate for Payer: First Choice Health Commercial $0.37
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.37
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.23
Rate for Payer: HealthUtah PPO $0.39
Rate for Payer: Idaho Integrated Healthcare Commercial $0.38
Rate for Payer: Multiplan Medicare/VA $0.21
Rate for Payer: One Health Plan of WY PPO $0.38
Rate for Payer: PacificSource Commercial $0.35
Rate for Payer: PHCS PPO $0.38
Rate for Payer: Three Rivers PPO $0.29
Rate for Payer: TriWest Veterans Administration $0.23
Rate for Payer: United Healthcare Commercial $0.34
Rate for Payer: United Healthcare Medicare $0.23
Rate for Payer: WINHealth Partners Commercial $0.38
Rate for Payer: Wise Provider Network Commercial $0.37
Service Code NDC 7733398310
Hospital Revenue Code 250
Min. Negotiated Rate $0.59
Max. Negotiated Rate $0.94
Rate for Payer: Aetna of WY Commercial/Medical Rental $0.92
Rate for Payer: Altius Auto/Workers Compensation $0.90
Rate for Payer: Altius Commercial $0.90
Rate for Payer: Beech Street Commercial $0.92
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $0.77
Rate for Payer: Cash Price $0.66
Rate for Payer: ChoiceCare Network Commercial $0.91
Rate for Payer: Cigna of WY Commercial $0.92
Rate for Payer: Entrust Commercial $0.89
Rate for Payer: First Choice Health Commercial $0.89
Rate for Payer: Government Employees Health Association (GEHA) Commercial $0.89
Rate for Payer: Government Employees Health Association (GEHA) Medicare $0.62
Rate for Payer: HealthUtah PPO $0.94
Rate for Payer: Idaho Integrated Healthcare Commercial $0.91
Rate for Payer: Multiplan Medicare/VA $0.59
Rate for Payer: One Health Plan of WY PPO $0.92
Rate for Payer: PacificSource Commercial $0.85
Rate for Payer: PHCS PPO $0.92
Rate for Payer: Three Rivers PPO $0.71
Rate for Payer: TriWest Veterans Administration $0.62
Rate for Payer: United Healthcare Commercial $0.82
Rate for Payer: United Healthcare Medicare $0.62
Rate for Payer: WINHealth Partners Commercial $0.89
Rate for Payer: Wise Provider Network Commercial $0.89