How many shoppable procedure prices are published for Memorial Hospital of Converse County?

Memorial Hospital of Converse County in Douglas, WY currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Memorial Hospital of Converse County's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorial Hospital of Converse County's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Memorial Hospital of Converse County's CMS Care Compare overall star rating?

CMS Care Compare assigns Memorial Hospital of Converse County an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 3/25/2026

Memorial Hospital of Converse County

111 South 5Th Street, Douglas, WY 82633 · 113 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.17×vs. Fair Market Price

Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness85

Price Logic92

Peer Alignment73

Clean Billing74

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.17× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Memorial Hospital of Converse County prices shoppable and inpatient services (1.1× to 1.5× Medicare, divergence 1.36×) in alignment with regional hospital peers (1.17× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#8 of 11 in WY · 63rd State Percentile#1,933 of 3,385 in U.S. · 57th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.60× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.17× 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 (0.7×) & laboratory (0.9×) services average 1.36× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.45×) jump +22% above the median procedure ratio (Q50 1.19×)
Unnegotiated chargemaster list prices average 8.4× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.36× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 0.60× · Q50 1.19× · Q75 1.45×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

14% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Memorial Hospital of Converse County

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$12,267	$12,267	$322	38.1×
C-section delivery (full package) CPT Code: `59510`	$4,953	$5,240	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$3,840	$4,741	$2,680	unverified
Trauma team activation HCPCS Code: `G0390`	$3,194	$3,194	$1,453	2.2×
Total hip replacement CPT Code: `27130`	$5,170	$3,206	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$4,898	$2,707	$13,523	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,310	$2,310	$2,540	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,372	$1,158	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$2,316	$1,043	$3,446	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$944	$944	$86	11.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,319	$962	$3,372	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,555	$861	$1,021	0.8×
Inguinal hernia repair CPT Code: `49505`	$434	$677	$3,629	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,973	$564	$511	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,332	$580	$1,256	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,892	$517	$448	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$298	$486	$981	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,038	$385	$987	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,832	$348	$303	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,058	$350	$343	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,983	$344	$338	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,652	$352	$369	1.0×
Breast lump removal CPT Code: `19120`	$366	$366	$3,875	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,894	$308	$258	1.2×
CT scan, pelvis CPT Code: `72192`	$1,440	$243	$163	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,318	$242	$167	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,374	$265	$242	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,757	$278	$583	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$329	$263	$148	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,615	$231	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,666	$232	$169	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$742	$198	$134	1.5×
CT scan, sinuses CPT Code: `70486`	$1,224	$222	$166	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$237	$245	$185	unverified
Ultrasound, pelvis CPT Code: `76856`	$555	$178	$130	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$516	$178	$132	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,249	$191	$160	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$221	$206	$181	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$295	$211	$123	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$553	$150	$126	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$150	$140	$166	0.8×
Family therapy session CPT Code: `90847`	$168	$139	$173	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$978	$157	$272	0.6×
Neurobehavioral status check CPT Code: `96116`	$208	$130	$231	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$83	$89	$87	1.0×
X-ray, lower back CPT Code: `72110`	$470	$82	$112	0.7×
Typhoid vaccine HCPCS Code: `90675`	$769	$769	$347	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$115	$115	$56	2.1×
Drug screening test HCPCS Code: `G0480`	$79	$138	$116	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$129	$129	$203	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$60	$60	$37	1.6×
Orthotic fitting and training CPT Code: `97760`	$59	$69	$51	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$53	$40	1.3×
X-ray, hip CPT Code: `73502`	$241	$74	$93	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$77	$77	$111	0.7×
Blood test, vitamin D CPT Code: `82306`	$89	$46	$31	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$55	$48	$38	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$286	$64	$93	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$73	$73	$110	0.7×
X-ray, hand CPT Code: `73130`	$255	$58	$93	0.6×
X-ray, ankle CPT Code: `73610`	$291	$58	$93	0.6×
X-ray, shoulder CPT Code: `73030`	$266	$56	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$253	$56	$93	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$72	$72	$123	0.6×
Psychological testing evaluation CPT Code: `96136`	$104	$60	$128	0.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$110	$30	$20	1.5×
X-ray, foot CPT Code: `73630`	$252	$54	$92	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$52	$52	$140	0.4×
Blood transfusion CPT Code: `36430`	$736	$77	$498	0.2×
Group therapy session CPT Code: `90853`	$40	$37	$100	0.4×
Psychological testing by technician CPT Code: `96138`	$89	$48	$395	0.1×
Blood test, lipase CPT Code: `83690`	$125	$11	$7	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$78	$29	$19	1.5×
Physical therapy (gait training) CPT Code: `97116`	$57	$42	$33	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$145	$48	$38	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$5	$3	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$21	$14	1.5×
X-ray, chest (single view) CPT Code: `71045`	$186	$44	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$144	$46	$110	0.4×
Blood test, calcium CPT Code: `82310`	$36	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$94	$21	$14	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$42	$35	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$15	$10	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$42	$38	$34	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$34	$34	$201	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$48	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$44	$9	$6	1.5×
Hepatitis C antibody test CPT Code: `86803`	$39	$22	$15	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$107	$16	$11	1.5×
Culture, blood CPT Code: `87040`	$176	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$84	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$89	$13	$9	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$87	$26	$18	1.4×
Culture, bacterial CPT Code: `87070`	$76	$13	$9	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$67	$23	$16	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$38	$39	1.0×
Blood test, amylase CPT Code: `82150`	$67	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$46	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$33	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$30	$7	$5	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$23	$4	$3	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$14	$20	$25	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$22	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$12	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	$21	$49	0.4×
Blood antibody screen CPT Code: `86850`	$51	$15	$46	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$167	$9	$64	0.1×

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Memorial Hospital of Converse County (Zero PHI Required)

CMS CCN: 531302

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $12,267

Insurer Median $12,267

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial Hospital of Converse County’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $9,255 Paying Cash

Self-Pay Cash Rate ($12,267) Beats Your Bill

Memorial Hospital of Converse County's published 45 CFR § 180 self-pay cash rate is $12,267 (vs. $12,267 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$21,200 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($21,522) is $21,200 above the denoised Fair BaseRate ($322) and 78.3× the $275 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Memorial Hospital of Converse County as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait114 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Memorial Hospital of Converse County. Prior administrative notices do not necessarily reflect current compliance status.

2023-06-15·administrative_or_closure
Closure Notice
Recorded
2023-05-31·cap_corrective_action
CAP Request
Recorded
2023-02-17·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (122 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Memorial Hospital of Converse County.

Price Index: 0.36× regional baseline

Quality: 69/100 CMS composite

Median Household Income$79,164U.S. Census ACS

Local Uninsured Share10.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 531302

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 531302) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/25/2026 · 8.32 MB

Validated Rate Rows139 (CMS v3.0.0)

File Integrity Digest3ec55963a8553425d96e…

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.

Submit MRF Update Correction Policy