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Hospital Profile Critical Access Hospitals Government - Local

Memorial Hospital of Converse County

111 S 5TH ST, Douglas, WY 82633

CMS Overall Rating ★★★★☆
Factual Overview

Memorial Hospital of Converse County is a Critical Access Hospitals (Government - Local) operating in Douglas, WY. Mapped commercial insurance prices across 102 procedures average 1.34x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 75%.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 674

Patient Experience

Recommendation Rate: 75% High Patient Rating: 75% ER Wait Time (Med): 114 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 102 codes Avg Markup vs Medicare: 1.34x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $366 Calc
Total hip replacement
CPT Code: 27130
 $5,170 Calc
Total knee replacement
CPT Code: 27447
 $4,898 Calc
Bunion correction surgery
CPT Code: 28296
 $2,316 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $4,319 Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $736 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,038 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $298 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,332 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $4,372 Calc
Inguinal hernia repair
CPT Code: 49505
 $434 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $3,840 Calc
C-section delivery (full package)
CPT Code: 59510
 $4,953 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $2,310 —
CT scan, head (no contrast)
CPT Code: 70450
 $1,249 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,374 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,894 Calc
CT scan, sinuses
CPT Code: 70486
 $1,224 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,058 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,973 Calc
X-ray, chest (single view)
CPT Code: 71045
 $186 Calc
X-ray, chest (two views)
CPT Code: 71046
 $253 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,318 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $286 Calc
X-ray, lower back
CPT Code: 72110
 $470 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,666 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,615 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,983 Calc
X-ray, pelvis
CPT Code: 72170
 $144 Calc
CT scan, pelvis
CPT Code: 72192
 $1,440 Calc
X-ray, shoulder
CPT Code: 73030
 $266 Calc
X-ray, hand
CPT Code: 73130
 $255 Calc
X-ray, hip
CPT Code: 73502
 $241 Calc
X-ray, ankle
CPT Code: 73610
 $291 Calc
X-ray, foot
CPT Code: 73630
 $252 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,652 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,832 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,892 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $516 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $742 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $553 Calc
Ultrasound, pelvis
CPT Code: 76856
 $555 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $329 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $295 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $84 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $107 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $83 Calc
Blood test, liver function panel
CPT Code: 80076
 $89 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $50 Calc
Blood test, amylase
CPT Code: 82150
 $67 Calc
Blood test, vitamin D
CPT Code: 82306
 $89 Calc
Blood test, calcium
CPT Code: 82310
 $36 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $33 Calc
Blood test, vitamin B12
CPT Code: 82607
 $67 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $94 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $32 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $48 Calc
Blood test, lipase
CPT Code: 83690
 $125 Calc
Blood test, magnesium
CPT Code: 83735
 $46 Calc
Blood test, potassium
CPT Code: 84132
 $33 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $78 Calc
Blood test, sodium
CPT Code: 84295
 $30 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $87 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $33 Calc
Blood test, hemoglobin
CPT Code: 85018
 $23 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $48 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $32 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $44 Calc
Hepatitis C antibody test
CPT Code: 86803
 $39 Calc
Blood antibody screen
CPT Code: 86850
 $51 Calc
Culture, blood
CPT Code: 87040
 $176 Calc
Culture, bacterial
CPT Code: 87070
 $76 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $237 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $150 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $221 Calc
Family therapy session
CPT Code: 90847
 $168 Calc
Group therapy session
CPT Code: 90853
 $40 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $14 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $167 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,757 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $978 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $34 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,555 Calc
Neurobehavioral status check
CPT Code: 96116
 $208 Calc
Psychological testing evaluation
CPT Code: 96136
 $104 Calc
Psychological testing by technician
CPT Code: 96138
 $89 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $62 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $55 Calc
Physical therapy (gait training)
CPT Code: 97116
 $57 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $42 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $57 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $60 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $145 Calc
Orthotic fitting and training
CPT Code: 97760
 $59 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $73 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $83 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $72 Calc