Cheyenne Regional Medical Center
214 East 23Rd Street, Cheyenne, WY 82001 · 139 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Cheyenne Regional Medical Center prices routine shoppable procedures near 0.9× Medicare (p50 0.96×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.31×, +36% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.67× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (66/100 safety score) with 67% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.3×) & laboratory (1.5×) services average 1.78× higher multiples than routine shoppable care (0.9×)
- Upper-quartile procedures (Q75 1.31×) jump +36% above the median procedure ratio (Q50 0.96×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Cheyenne Regional Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 139 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $38,679 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $33,840 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $32,637 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $30,983 | 1.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $13,493 | 1.6× |
| Total knee replacement CPT Code: 27447 | $4,332 | 0.3× |
| C-section delivery (full package) CPT Code: 59510 | $3,843 | 1.3× |
| Total hip replacement CPT Code: 27130 | $3,705 | 0.3× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,477 | 1.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,130 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,793 | 0.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,493 | 0.4× |
| Trauma team activation HCPCS Code: G0390 | $1,430 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $1,425 | 0.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,284 | 0.4× |
| Blood transfusion CPT Code: 36430 | $1,129 | 2.3× |
| Behavioral health counseling (group) HCPCS Code: H0009 | $826 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $736 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $752 | 0.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $685 | 0.7× |
| Breast lump removal CPT Code: 19120 | $684 | 0.2× |
| Behavioral health residential care HCPCS Code: H0011 | $548 | 1.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $511 | 0.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $490 | 0.5× |
| Behavioral health day treatment HCPCS Code: H0010 | $350 | 1.0× |
Audit a Bill or Quote at Cheyenne Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $60,154
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.8% of gross = $60,154).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Cheyenne Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($92,830) is $62,055 above the denoised Fair BaseRate ($30,775) and 3.9× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (64.8% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cheyenne Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-15·administrative_or_closure
Closure Notice
Recorded - 2025-02-12·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (461 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cheyenne Regional Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.