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South Lincoln Medical Center - Cah
Kemmerer, WY · CMS ID: 531315
This hospital has pricing data for 43 procedures ranging from $26 to $17,550.
Procedures (43)
Cash Price
(No Insurance)
$934
Gross Charge
$1,245
Medicare Rate
$390
Insurance Negotiated Rates
Aetna$130
C-Section Delivery
59510Cash Price
(No Insurance)
$5,470
Gross Charge
$7,293
Medicare Rate
$2,419
Insurance Negotiated Rates
Blue Cross Blue Shield$2,360
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$41
Gross Charge
$55
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$68
Gross Charge
$91
Medicare Rate
$31
Insurance Negotiated Rates
Humana$10
Cash Price
(No Insurance)
$587
Gross Charge
$782
Medicare Rate
$356
Insurance Negotiated Rates
Aetna$174
Cash Price
(No Insurance)
$1,072
Gross Charge
$1,429
Medicare Rate
$450
Insurance Negotiated Rates
Aetna$189
Cash Price
(No Insurance)
$1,210
Gross Charge
$1,613
Medicare Rate
$471
Insurance Negotiated Rates
Aetna$238
Cash Price
(No Insurance)
$38
Gross Charge
$50
Insurance Negotiated Rates
Humana$18
Cash Price
(No Insurance)
$26
Gross Charge
$35
Insurance Negotiated Rates
Blue Cross Blue Shield$18
Cash Price
(No Insurance)
$32
Gross Charge
$42
Insurance Negotiated Rates
AETNA MEDICARE ADVANTAGE$22
Cash Price
(No Insurance)
$675
Gross Charge
$900
Medicare Rate
$280
Insurance Negotiated Rates
Aetna$83
Cash Price
(No Insurance)
$675
Gross Charge
$900
Medicare Rate
$172
Insurance Negotiated Rates
Humana$79
CT Chest Low Dose
71271Cash Price
(No Insurance)
$286
Gross Charge
$382
Medicare Rate
$128
Insurance Negotiated Rates
Aetna$49
Cash Price
(No Insurance)
$480
Gross Charge
$640
Medicare Rate
$156
Insurance Negotiated Rates
Aetna$53
Cash Price
(No Insurance)
$551
Gross Charge
$735
Medicare Rate
$301
Insurance Negotiated Rates
Aetna$116
ER Visit Level 3
99283Cash Price
(No Insurance)
$288
Gross Charge
$384
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$67
ER Visit Level 4
99284Cash Price
(No Insurance)
$819
Gross Charge
$1,091
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$114
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,235
Gross Charge
$1,647
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$165
Cash Price
(No Insurance)
$134
Gross Charge
$179
Medicare Rate
$48
Insurance Negotiated Rates
Aetna$28
Hip Replacement
27130Cash Price
(No Insurance)
$2,791
Gross Charge
$3,721
Medicare Rate
$1,129
Insurance Negotiated Rates
Aetna$1,127
Knee Arthroscopy
29881Cash Price
(No Insurance)
$4,297
Gross Charge
$5,730
Medicare Rate
$495
Insurance Negotiated Rates
Aetna$527
Knee Replacement
27447Cash Price
(No Insurance)
$17,550
Gross Charge
$23,399
Medicare Rate
$1,127
Insurance Negotiated Rates
Aetna$1,224
Knee X-Ray
73560Cash Price
(No Insurance)
$50
Gross Charge
$67
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$1,550
Gross Charge
$2,067
Medicare Rate
$615
Insurance Negotiated Rates
Aetna$609
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$111
Gross Charge
$148
Medicare Rate
$146
Insurance Negotiated Rates
Aetna$46
Mammogram Screening
77067Cash Price
(No Insurance)
$29
Gross Charge
$39
Medicare Rate
$118
Insurance Negotiated Rates
Aetna$35
MRI Brain
70551Cash Price
(No Insurance)
$455
Gross Charge
$607
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$67
Cash Price
(No Insurance)
$3,869
Gross Charge
$5,158
Medicare Rate
$296
Insurance Negotiated Rates
Aetna$104
MRI Cervical Spine
72141Cash Price
(No Insurance)
$455
Gross Charge
$607
Medicare Rate
$179
Insurance Negotiated Rates
Aetna$67
MRI Knee
73721Cash Price
(No Insurance)
$2,295
Gross Charge
$3,060
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$62
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$455
Gross Charge
$607
Medicare Rate
$180
Insurance Negotiated Rates
Aetna$68
MRI Shoulder
73221Cash Price
(No Insurance)
$455
Gross Charge
$607
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$63
Office Visit Level 3
99213Cash Price
(No Insurance)
$1,025
Gross Charge
$1,367
Medicare Rate
$91
Insurance Negotiated Rates
UnitedHealthcare$68
Office Visit Level 4
99214Cash Price
(No Insurance)
$226
Gross Charge
$301
Medicare Rate
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$89
Shoulder X-Ray
73030Cash Price
(No Insurance)
$65
Gross Charge
$86
Medicare Rate
$33
Insurance Negotiated Rates
Aetna$9
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$260
Gross Charge
$347
Medicare Rate
$107
Insurance Negotiated Rates
Aetna$37
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$206
Gross Charge
$275
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$32
Cash Price
(No Insurance)
$32
Gross Charge
$43
Medicare Rate
$109
Insurance Negotiated Rates
Aetna$32
Vaginal Delivery
59400Cash Price
(No Insurance)
$4,951
Gross Charge
$6,601
Medicare Rate
$2,163
Insurance Negotiated Rates
Blue Cross Blue Shield$2,123