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Charge Type Price  
Service Code MSDRG 245
Min. Negotiated Rate $48,792.46
Max. Negotiated Rate $54,213.85
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $54,213.85
Rate for Payer: American Health Plans Medicare Advantage $54,213.85
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $54,213.85
Rate for Payer: CIGNA Medicare Advantage $54,213.85
Rate for Payer: HealthChoice Utah Medicare Advantage $54,213.85
Rate for Payer: Humana Medicare Advantage $54,213.85
Rate for Payer: Medicare $54,213.85
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $54,213.85
Rate for Payer: MOLINA MEDICARE $54,213.85
Rate for Payer: Pacific Source Medicare Advantage $54,213.85
Rate for Payer: Select Health Medicare Advantage $54,213.85
Rate for Payer: SELF PAY $48,000.00
Rate for Payer: Tricare West Military $48,792.46
Service Code MSDRG 265
Min. Negotiated Rate $62,443.10
Max. Negotiated Rate $69,381.22
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $69,381.22
Rate for Payer: American Health Plans Medicare Advantage $69,381.22
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $69,381.22
Rate for Payer: CIGNA Medicare Advantage $69,381.22
Rate for Payer: HealthChoice Utah Medicare Advantage $69,381.22
Rate for Payer: Humana Medicare Advantage $69,381.22
Rate for Payer: Medicare $69,381.22
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $69,381.22
Rate for Payer: MOLINA MEDICARE $69,381.22
Rate for Payer: Pacific Source Medicare Advantage $69,381.22
Rate for Payer: Select Health Medicare Advantage $69,381.22
Rate for Payer: SELF PAY $56,000.00
Rate for Payer: Tricare West Military $62,443.10
Hospital Revenue Code 270
Min. Negotiated Rate $69.12
Max. Negotiated Rate $69.12
Rate for Payer: SELF PAY $69.12
Hospital Revenue Code 270
Min. Negotiated Rate $9.00
Max. Negotiated Rate $9.00
Rate for Payer: SELF PAY $9.00
Hospital Revenue Code 270
Min. Negotiated Rate $9.12
Max. Negotiated Rate $9.12
Rate for Payer: SELF PAY $9.12
Service Code CPT 84460
Hospital Revenue Code 300
Min. Negotiated Rate $3.50
Max. Negotiated Rate $3.50
Rate for Payer: SELF PAY $3.50
Service Code CPT 82040
Hospital Revenue Code 300
Min. Negotiated Rate $1.58
Max. Negotiated Rate $1.58
Rate for Payer: SELF PAY $1.58
Hospital Revenue Code 270
Min. Negotiated Rate $2.05
Max. Negotiated Rate $2.05
Rate for Payer: SELF PAY $2.05
Hospital Revenue Code 270
Min. Negotiated Rate $1.57
Max. Negotiated Rate $1.57
Rate for Payer: SELF PAY $1.57
Hospital Revenue Code 270
Min. Negotiated Rate $1.57
Max. Negotiated Rate $1.57
Rate for Payer: SELF PAY $1.57
Hospital Revenue Code 270
Min. Negotiated Rate $35.34
Max. Negotiated Rate $35.34
Rate for Payer: SELF PAY $35.34
Hospital Revenue Code 270
Min. Negotiated Rate $35.34
Max. Negotiated Rate $35.34
Rate for Payer: SELF PAY $35.34
Service Code CPT 84075
Hospital Revenue Code 300
Min. Negotiated Rate $1.58
Max. Negotiated Rate $1.58
Rate for Payer: SELF PAY $1.58
Service Code MSDRG 915
Min. Negotiated Rate $24,374.11
Max. Negotiated Rate $27,082.35
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $27,082.35
Rate for Payer: American Health Plans Medicare Advantage $27,082.35
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $27,082.35
Rate for Payer: CIGNA Medicare Advantage $27,082.35
Rate for Payer: HealthChoice Utah Medicare Advantage $27,082.35
Rate for Payer: Humana Medicare Advantage $27,082.35
Rate for Payer: Medicare $27,082.35
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $27,082.35
Rate for Payer: MOLINA MEDICARE $27,082.35
Rate for Payer: Pacific Source Medicare Advantage $27,082.35
Rate for Payer: Select Health Medicare Advantage $27,082.35
Rate for Payer: SELF PAY $30,400.00
Rate for Payer: Tricare West Military $24,374.11
Service Code MSDRG 916
Min. Negotiated Rate $18,346.93
Max. Negotiated Rate $20,385.48
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $20,385.48
Rate for Payer: American Health Plans Medicare Advantage $20,385.48
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $20,385.48
Rate for Payer: CIGNA Medicare Advantage $20,385.48
Rate for Payer: HealthChoice Utah Medicare Advantage $20,385.48
Rate for Payer: Humana Medicare Advantage $20,385.48
Rate for Payer: Medicare $20,385.48
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $20,385.48
Rate for Payer: MOLINA MEDICARE $20,385.48
Rate for Payer: Pacific Source Medicare Advantage $20,385.48
Rate for Payer: Select Health Medicare Advantage $20,385.48
Rate for Payer: SELF PAY $25,600.00
Rate for Payer: Tricare West Military $18,346.93
Hospital Revenue Code 270
Min. Negotiated Rate $10.32
Max. Negotiated Rate $10.32
Rate for Payer: SELF PAY $10.32
Hospital Revenue Code 270
Min. Negotiated Rate $10.32
Max. Negotiated Rate $10.32
Rate for Payer: SELF PAY $10.32
Hospital Revenue Code 270
Min. Negotiated Rate $8.77
Max. Negotiated Rate $8.77
Rate for Payer: SELF PAY $8.77
Service Code MSDRG 14
Min. Negotiated Rate $24,374.11
Max. Negotiated Rate $27,082.35
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $27,082.35
Rate for Payer: American Health Plans Medicare Advantage $27,082.35
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $27,082.35
Rate for Payer: CIGNA Medicare Advantage $27,082.35
Rate for Payer: HealthChoice Utah Medicare Advantage $27,082.35
Rate for Payer: Humana Medicare Advantage $27,082.35
Rate for Payer: Medicare $27,082.35
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $27,082.35
Rate for Payer: MOLINA MEDICARE $27,082.35
Rate for Payer: Pacific Source Medicare Advantage $27,082.35
Rate for Payer: Select Health Medicare Advantage $27,082.35
Rate for Payer: SELF PAY $30,400.00
Rate for Payer: Tricare West Military $24,374.11
Service Code CPT 84460
Hospital Revenue Code 300
Min. Negotiated Rate $3.50
Max. Negotiated Rate $3.50
Rate for Payer: SELF PAY $3.50
Hospital Revenue Code 270
Min. Negotiated Rate $1.99
Max. Negotiated Rate $1.99
Rate for Payer: SELF PAY $1.99
Hospital Revenue Code 270
Min. Negotiated Rate $1.99
Max. Negotiated Rate $1.99
Rate for Payer: SELF PAY $1.99
Hospital Revenue Code 270
Min. Negotiated Rate $14.09
Max. Negotiated Rate $14.09
Rate for Payer: SELF PAY $14.09
Hospital Revenue Code 270
Min. Negotiated Rate $14.09
Max. Negotiated Rate $14.09
Rate for Payer: SELF PAY $14.09
Hospital Revenue Code 270
Min. Negotiated Rate $14.68
Max. Negotiated Rate $14.68
Rate for Payer: SELF PAY $14.68