CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sublette County Health

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$127
about 1.1× the $118 Medicare rate · typically $61–$196
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
Below the fair price — a good deal
about $19 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $127 This hospital $108 Cash price $176 Hospital's list price $195

How we calculate the fair BaseRate →

How this hospital compares to other WY hospitals

A typical price — 2 charge more and 2 charge less, among the 5 WY hospitals compared.

Cheapest $80 Priciest $246

Black dot = this hospital, among the 5 WY hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $127 (about 1.1× the $118 Medicare rate). Sublette County Health charges insurers about $108, or about $176 in cash — below the fair price — a good deal. Located in Pinedale, WY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $146 124%
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 615 E Hennick St, Pinedale, WY 82941
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL