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South Lincoln Medical Center - Cah
Kemmerer, WY · CMS ID: 531315
This hospital has pricing data for 42 procedures ranging from $16 to $3,879.
Procedures (42)
Cash Price
(No Insurance)
$943
Gross Charge
$1,257
Medicare Rate
$390
Insurance Negotiated Rates
Aetna$130
C-Section Delivery
59510Cash Price
(No Insurance)
$3,879
Gross Charge
$5,172
Medicare Rate
$2,419
Insurance Negotiated Rates
Aetna$2,513
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$175
Gross Charge
$233
Medicare Rate
$24
Insurance Negotiated Rates
Aetna$121
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$234
Gross Charge
$312
Medicare Rate
$31
Insurance Negotiated Rates
Aetna$162
Cash Price
(No Insurance)
$587
Gross Charge
$782
Medicare Rate
$356
Insurance Negotiated Rates
Aetna$174
Cash Price
(No Insurance)
$1,082
Gross Charge
$1,443
Medicare Rate
$450
Insurance Negotiated Rates
Aetna$189
Cash Price
(No Insurance)
$1,163
Gross Charge
$1,551
Medicare Rate
$471
Insurance Negotiated Rates
Aetna$238
Cash Price
(No Insurance)
$90
Gross Charge
$120
Insurance Negotiated Rates
Aetna$63
Cash Price
(No Insurance)
$143
Gross Charge
$191
Insurance Negotiated Rates
Aetna$99
Cash Price
(No Insurance)
$32
Gross Charge
$42
Insurance Negotiated Rates
AETNA MEDICARE ADVANTAGE$22
Cash Price
(No Insurance)
$2,972
Gross Charge
$3,963
Medicare Rate
$280
Insurance Negotiated Rates
Aetna$2,061
Cash Price
(No Insurance)
$2,452
Gross Charge
$3,269
Medicare Rate
$172
Insurance Negotiated Rates
Aetna$1,700
CT Chest Low Dose
71271Cash Price
(No Insurance)
$1,507
Gross Charge
$2,010
Medicare Rate
$128
Insurance Negotiated Rates
Aetna$49
Cash Price
(No Insurance)
$2,114
Gross Charge
$2,819
Medicare Rate
$156
Insurance Negotiated Rates
Aetna$1,466
Cash Price
(No Insurance)
$567
Gross Charge
$756
Medicare Rate
$301
Insurance Negotiated Rates
Aetna$116
ER Visit Level 3
99283Cash Price
(No Insurance)
$144
Gross Charge
$192
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$67
ER Visit Level 4
99284Cash Price
(No Insurance)
$273
Gross Charge
$364
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$114
ER Visit Level 5
99285Cash Price
(No Insurance)
$435
Gross Charge
$581
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$165
Cash Price
(No Insurance)
$134
Gross Charge
$179
Medicare Rate
$48
Insurance Negotiated Rates
Aetna$93
Knee Arthroscopy
29881Cash Price
(No Insurance)
$1,221
Gross Charge
$1,628
Medicare Rate
$495
Insurance Negotiated Rates
Aetna$527
Knee Replacement
27447Cash Price
(No Insurance)
$2,782
Gross Charge
$3,710
Medicare Rate
$1,127
Insurance Negotiated Rates
Aetna$1,224
Knee X-Ray
73560Cash Price
(No Insurance)
$203
Gross Charge
$270
Medicare Rate
$32
Insurance Negotiated Rates
Aetna$140
Cash Price
(No Insurance)
$1,565
Gross Charge
$2,087
Medicare Rate
$615
Insurance Negotiated Rates
Aetna$627
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$302
Gross Charge
$403
Medicare Rate
$146
Insurance Negotiated Rates
Aetna$210
Mammogram Screening
77067Cash Price
(No Insurance)
$176
Gross Charge
$234
Medicare Rate
$118
Insurance Negotiated Rates
Aetna$122
MRI Brain
70551Cash Price
(No Insurance)
$2,340
Gross Charge
$3,120
Medicare Rate
$183
Insurance Negotiated Rates
Aetna$1,622
Cash Price
(No Insurance)
$3,720
Gross Charge
$4,960
Medicare Rate
$296
Insurance Negotiated Rates
Aetna$2,579
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,271
Gross Charge
$3,028
Medicare Rate
$179
Insurance Negotiated Rates
Aetna$1,575
MRI Knee
73721Cash Price
(No Insurance)
$2,207
Gross Charge
$2,942
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$1,530
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,276
Gross Charge
$3,034
Medicare Rate
$180
Insurance Negotiated Rates
Aetna$1,578
MRI Shoulder
73221Cash Price
(No Insurance)
$2,300
Gross Charge
$3,067
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$1,595
Office Visit Level 3
99213Cash Price
(No Insurance)
$87
Gross Charge
$116
Medicare Rate
$91
Insurance Negotiated Rates
UnitedHealthcare$75
Office Visit Level 4
99214Cash Price
(No Insurance)
$87
Gross Charge
$116
Medicare Rate
$130
Insurance Negotiated Rates
Health Infonet/First Choice - All Plans$110
Shoulder X-Ray
73030Cash Price
(No Insurance)
$191
Gross Charge
$254
Medicare Rate
$33
Insurance Negotiated Rates
Aetna$132
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$518
Gross Charge
$691
Medicare Rate
$107
Insurance Negotiated Rates
Aetna$359
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$552
Gross Charge
$736
Medicare Rate
$98
Insurance Negotiated Rates
Aetna$383
Cash Price
(No Insurance)
$557
Gross Charge
$742
Medicare Rate
$109
Insurance Negotiated Rates
Aetna$386
Vaginal Delivery
59400Cash Price
(No Insurance)
$3,497
Gross Charge
$4,663
Medicare Rate
$2,163
Insurance Negotiated Rates
Aetna$2,271