Observation direct referral from physician office for admission at Washakie Medical Center
400 S 15th Street, Worland, WY · Banner Health · · NPI 1255368593
$362.32
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.
$654.00
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.
$313.92 with Banner Health vs $640.92 with Prime Health Services — 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 | $313.92 | ↓ -13% |
| Humana | Medicare Advantage | $313.92 | ↓ -13% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $313.92 | ↓ -13% |
| United Healthcare | Medicare Advantage | $313.92 | ↓ -13% |
| United Healthcare | Nebraska Medicaid/CHIP | $313.92 | ↓ -13% |
| InterWest Health | Medicare Advantage | $320.20 | ↓ -12% |
| Prime Health Services | Medicare Advantage | $320.20 | ↓ -12% |
| United Healthcare | Commercial | $599.72 | ↑ +66% |
| Mountain Health Cooperative (CO-OP) | Mountain Health Plan | $621.30 | ↑ +71% |
| Blue Cross Blue Shield of Wyoming | Institutional | $621.30 | ↑ +71% |
| First Choice Health Network | Commerical | $621.30 | ↑ +71% |
| Hue Health, Inc | Medicare Advantage | $621.30 | ↑ +71% |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $621.30 | ↑ +71% |
| Coventry | Workers Comp | $627.84 | ↑ +73% |
| Coventry | Commercial | $627.84 | ↑ +73% |
| Multiplan | Commercial | $634.38 | ↑ +75% |
| Prime Health Services | Group Health | $634.38 | ↑ +75% |
| InterWest Health | Auto & General Liability | $634.38 | ↑ +75% |
| Prime Health Services | Auto & General Liability | $634.38 | ↑ +75% |
| InterWest Health | Group Health | $634.38 | ↑ +75% |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $634.38 | ↑ +75% |
| InterWest Health | Workers' Comp | $640.92 | ↑ +77% |
| Prime Health Services | Worker's Comp | $640.92 | ↑ +77% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Wyoming hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Wyoming Medical Center | Casper | $274.68 | $176.58 – $827.68 |
| Community Hospital | Torrington | $288.41 | $287.76 – $634.38 |
| Platte County Hospital | Wheatland | $378.01 | $313.92 – $634.38 |