CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$3,637 - $3,790
from 4 insurers · median $3,790
Typical for a hospital with this service line
Lusk, WY
24
In-network payers
252
Disclosed rate categories
24
Beds
Niobrara Health And Life Center is a 24-bed government - hospital district or authority hospital in Lusk, WY. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 252 disclosed rate categories.
CCN (Medicare provider number)
531314
NPI
1427091347
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
24
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Niobrara Health And Life Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$3,637 - $3,790
from 4 insurers · median $3,790
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,453 - $1,663
from 4 insurers · median $1,630
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,212 - $3,569
from 4 insurers · median $3,497
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,380 - $2,480
from 4 insurers · median $2,480
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$300 - $313
from 4 insurers · median $313
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$127 - $181
from 4 insurers · median $174
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$349 - $383
from 4 insurers · median $375
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$100 - $106
from 4 insurers · median $102
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$297 - $313
from 4 insurers · median $304
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$386 - $402
from 4 insurers · median $394
Typical for a hospital with this service line
Laboratory and pathology
CPT 80048
$134 - $141
from 4 insurers · median $136
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$508 - $530
from 4 insurers · median $530
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$264 - $275
from 4 insurers · median $275
Typical for a hospital with this service line
Lung function and sleep
CPT 94010
$168 - $175
from 4 insurers · median $175
Typical for a hospital with this service line
Ear, nose and throat
CPT 31575
$285 - $297
from 4 insurers · median $297
Typical for a hospital with this service line
Skin and soft tissue
CPT 17110
$217 - $226
from 4 insurers · median $226
Typical for a hospital with this service line
Orthopedics and pain
CPT 20553
$333 - $347
from 4 insurers · median $347
Typical for a hospital with this service line
Rehabilitation
CPT 97110
$100 - $104
from 4 insurers · median $104
Typical for a hospital with this service line
Skin and soft tissue
CPT 17000
$160 - $166
from 4 insurers · median $166
Typical for a hospital with this service line
Orthopedics and pain
CPT 20550
$214 - $223
from 4 insurers · median $223
Typical for a hospital with this service line
Skin and soft tissue
CPT 11721
$100 - $104
from 4 insurers · median $104
Typical for a hospital with this service line
Orthopedics and pain
CPT 20605
$211 - $220
from 4 insurers · median $220
Typical for a hospital with this service line
Skin and soft tissue
CPT 11730
$238 - $248
from 4 insurers · median $248
Typical for a hospital with this service line
Rehabilitation
CPT 97112
$98 - $102
from 4 insurers · median $102
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 330% | 11 | 10 |
| Insurer B* | 24 | 328% | 7 | 16 |
| Insurer C* | 24 | 321% | 9 | 10 |
| Insurer D* | 24 | 315% | 7 | 10 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Niobrara Health And Life Center.
921 Ballencee Avenue, Lusk, WY 82225
(307) 334-4000
About Niobrara Health And Life Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Niobrara Health And Life Center range from $3,637 to $3,790 across 4 insurers. Aetna's rate is $3,790. The median at nearby comparable hospitals is $3,721. What a patient pays depends on their plan's deductible, coinsurance and network status.
Niobrara Health And Life Center has 24 beds. Facility type: Critical Access Hospital.
Niobrara Health And Life Center is located at 921 Ballencee Avenue, Lusk, WY 82225. Its main phone number is (307) 334-4000.
Niobrara Health And Life Center's CMS Certification Number (CCN), also called its Medicare provider number, is 531314.
The National Provider Identifier (NPI) on file for Niobrara Health And Life Center is 1427091347.
Niobrara Health And Life Center lists 24 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
252 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers