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Charge Type Price  
Hospital Revenue Code 270
Min. Negotiated Rate $14.77
Max. Negotiated Rate $14.77
Rate for Payer: SELF PAY $14.77
Service Code CPT 82140
Hospital Revenue Code 300
Min. Negotiated Rate $18.75
Max. Negotiated Rate $18.75
Rate for Payer: SELF PAY $18.75
Service Code MSDRG 240
Min. Negotiated Rate $62,443.10
Max. Negotiated Rate $69,381.22
Rate for Payer: Pacific Source Medicare Advantage $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: Select Health Medicare Advantage $69,381.22
Rate for Payer: SELF PAY $56,000.00
Rate for Payer: Tricare West Military $62,443.10
Service Code MSDRG 239
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
Service Code MSDRG 241
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
Service Code MSDRG 475
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
Service Code MSDRG 474
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
Service Code MSDRG 476
Min. Negotiated Rate $27,594.78
Max. Negotiated Rate $30,660.87
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $30,660.87
Rate for Payer: American Health Plans Medicare Advantage $30,660.87
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $30,660.87
Rate for Payer: CIGNA Medicare Advantage $30,660.87
Rate for Payer: HealthChoice Utah Medicare Advantage $30,660.87
Rate for Payer: Humana Medicare Advantage $30,660.87
Rate for Payer: Medicare $30,660.87
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $30,660.87
Rate for Payer: MOLINA MEDICARE $30,660.87
Rate for Payer: Pacific Source Medicare Advantage $30,660.87
Rate for Payer: Select Health Medicare Advantage $30,660.87
Rate for Payer: SELF PAY $32,000.00
Rate for Payer: Tricare West Military $27,594.78
Service Code MSDRG 617
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
Service Code MSDRG 616
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
Service Code MSDRG 618
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 $156.38
Max. Negotiated Rate $156.38
Rate for Payer: SELF PAY $156.38
Service Code CPT 82150
Hospital Revenue Code 300
Min. Negotiated Rate $3.75
Max. Negotiated Rate $3.75
Rate for Payer: SELF PAY $3.75
Service Code CPT 87075
Hospital Revenue Code 300
Min. Negotiated Rate $4.65
Max. Negotiated Rate $4.65
Rate for Payer: SELF PAY $4.65
Service Code CPT 87077
Hospital Revenue Code 300
Min. Negotiated Rate $35.00
Max. Negotiated Rate $35.00
Rate for Payer: SELF PAY $35.00
Service Code MSDRG 348
Min. Negotiated Rate $27,594.78
Max. Negotiated Rate $30,660.87
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $30,660.87
Rate for Payer: American Health Plans Medicare Advantage $30,660.87
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $30,660.87
Rate for Payer: CIGNA Medicare Advantage $30,660.87
Rate for Payer: HealthChoice Utah Medicare Advantage $30,660.87
Rate for Payer: Humana Medicare Advantage $30,660.87
Rate for Payer: Medicare $30,660.87
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $30,660.87
Rate for Payer: MOLINA MEDICARE $30,660.87
Rate for Payer: Pacific Source Medicare Advantage $30,660.87
Rate for Payer: Select Health Medicare Advantage $30,660.87
Rate for Payer: SELF PAY $32,000.00
Rate for Payer: Tricare West Military $27,594.78
Service Code MSDRG 347
Min. Negotiated Rate $38,828.92
Max. Negotiated Rate $43,143.24
Rate for Payer: AETNA-COVENTRY-COFINITY(First Health) MCR ADVANTAGE and GOVERNMENT PLANS $43,143.24
Rate for Payer: American Health Plans Medicare Advantage $43,143.24
Rate for Payer: BLUE CROSS OF UTAH/BLUE CARD Medicare Advantage $43,143.24
Rate for Payer: CIGNA Medicare Advantage $43,143.24
Rate for Payer: HealthChoice Utah Medicare Advantage $43,143.24
Rate for Payer: Humana Medicare Advantage $43,143.24
Rate for Payer: Medicare $43,143.24
Rate for Payer: MOLINA (MARKETPLACE) COMMERCIAL $43,143.24
Rate for Payer: MOLINA MEDICARE $43,143.24
Rate for Payer: Pacific Source Medicare Advantage $43,143.24
Rate for Payer: Select Health Medicare Advantage $43,143.24
Rate for Payer: SELF PAY $38,400.00
Rate for Payer: Tricare West Military $38,828.92
Service Code MSDRG 349
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
Hospital Revenue Code 270
Min. Negotiated Rate $13.10
Max. Negotiated Rate $13.10
Rate for Payer: SELF PAY $13.10
Hospital Revenue Code 270
Min. Negotiated Rate $13.10
Max. Negotiated Rate $13.10
Rate for Payer: SELF PAY $13.10
Service Code CPT 86037
Hospital Revenue Code 300
Min. Negotiated Rate $29.50
Max. Negotiated Rate $29.50
Rate for Payer: SELF PAY $29.50
Service Code MSDRG 311
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 $8.03
Max. Negotiated Rate $8.03
Rate for Payer: SELF PAY $8.03
Hospital Revenue Code 270
Min. Negotiated Rate $8.90
Max. Negotiated Rate $8.90
Rate for Payer: SELF PAY $8.90
Hospital Revenue Code 270
Min. Negotiated Rate $8.90
Max. Negotiated Rate $8.90
Rate for Payer: SELF PAY $8.90