healthcosts.net
Avul nail plate addl at Washakie Medical Center
400 S 15th Street, Worland, WY · Banner Health · · NPI 1255368593
$22.16
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$37.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$17.76 with Banner Health vs $36.26 with InterWest Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $17.76 | ↓ -20% |
| Humana | Medicare Advantage | $17.76 | ↓ -20% |
| Medica | Medicare Advantage | $17.76 | ↓ -20% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $17.76 | ↓ -20% |
| United Healthcare | Nebraska Medicaid/CHIP | $17.76 | ↓ -20% |
| Prime Health Services | Medicare Advantage | $18.12 | ↓ -18% |
| InterWest Health | Medicare Advantage | $18.12 | ↓ -18% |
| Medica | Commercial | $35.11 | ↑ +58% |
| First Choice Health Network | Commerical | $35.15 | ↑ +59% |
| Blue Cross Blue Shield of Wyoming | Institutional | $35.15 | ↑ +59% |
| Mountain Health Cooperative (CO-OP) | Mountain Health Plan | $35.15 | ↑ +59% |
| Hue Health, Inc | Medicare Advantage | $35.15 | ↑ +59% |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $35.15 | ↑ +59% |
| Coventry | Workers Comp | $35.52 | ↑ +60% |
| Coventry | Commercial | $35.52 | ↑ +60% |
| InterWest Health | Auto & General Liability | $35.89 | ↑ +62% |
| Multiplan | Commercial | $35.89 | ↑ +62% |
| Prime Health Services | Auto & General Liability | $35.89 | ↑ +62% |
| Prime Health Services | Group Health | $35.89 | ↑ +62% |
| InterWest Health | Group Health | $35.89 | ↑ +62% |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $35.89 | ↑ +62% |
| Prime Health Services | Worker's Comp | $36.26 | ↑ +64% |
| InterWest Health | Workers' Comp | $36.26 | ↑ +64% |
Visitor-reported prices
Comments
Avul nail plate addl at other Wyoming hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Wyoming Medical Center | Casper | $20.58 | $13.23 – $47.53 |