How many shoppable procedure prices are published for Sheridan Memorial Hospital?

Sheridan Memorial Hospital in Sheridan, WY currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sheridan Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sheridan Memorial Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Sheridan Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sheridan Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 88 Beds · rural Updated: 2026-07-08

Sheridan Memorial Hospital

1401 W 5Th St, Sheridan, WY 82801 · 111 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.72×vs. Fair Market Price

Typical commercial prices here are 28% below the fair benchmark (0.72×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness45

Price Logic48

Peer Alignment75

Clean Billing66

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.72× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Sheridan Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.70× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.88× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 11 in WY · 27th State Percentile#154 of 3,385 in U.S. · 4th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 28% below peer Fair BaseRate (0.72×)
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 68% patient recommendation
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 (0.72× 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 (0.4×) & laboratory (1.4×) services average 1.14× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.88×) jump +26% above the median procedure ratio (Q50 0.70×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.14× Divergence

0.8× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 0.49× · Q50 0.70× · Q75 0.88×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.1× MedicareGood

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

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Sheridan Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,300	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$39,475	$14,200	$19,432	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,349	$5,739	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,171	$3,171	$6,109	0.5×
Breast lump removal CPT Code: `19120`	$1,778	$1,778	$3,875	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,655	$1,655	$3,629	0.5×
Trauma team activation HCPCS Code: `G0390`	$6,000	$1,458	$1,453	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,239	$1,239	$448	2.8×
C-section delivery (full package) CPT Code: `59510`	$4,748	$1,220	$2,975	0.4×
Vaginal delivery (full package) CPT Code: `59400`	$4,017	$1,101	$2,680	0.4×
Blood transfusion CPT Code: `36430`	$971	$483	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$383	$383	$583	0.7×
Rabies immune globulin HCPCS Code: `90375`	$907	$181	$322	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$150	$150	$86	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$252	$108	$181	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$286	$109	$185	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$237	$80	$123	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$376	$80	$126	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$318	$80	$134	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$519	$104	$511	0.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,316	$121	$981	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,598	$127	$1,256	0.1×
New patient office visit (30-44 min) CPT Code: `99203`	$256	$80	$110	0.7×
X-ray, lower back CPT Code: `72110`	$68	$80	$112	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$227	$82	$123	0.7×
Ultrasound, pelvis CPT Code: `76856`	$346	$80	$130	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$420	$80	$132	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$221	$80	$148	0.5×
Family therapy session CPT Code: `90847`	$168	$91	$173	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$168	$86	$166	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$663	$80	$160	0.5×
CT scan, pelvis CPT Code: `72192`	$712	$80	$163	0.5×
CT scan, sinuses CPT Code: `70486`	$612	$80	$166	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$704	$80	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$702	$80	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$709	$80	$169	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$700	$80	$242	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$802	$80	$258	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$539	$80	$272	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,124	$80	$303	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$338	$80	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$334	$80	$343	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$386	$80	$369	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$978	$101	$987	0.1×
X-ray, shoulder CPT Code: `73030`	$110	$80	$92	unverified
X-ray, hip CPT Code: `73502`	$108	$80	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$812	$812	$347	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$147	$56	2.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$147	$147	$111	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$105	$37	2.8×
Drug screening test HCPCS Code: `G0480`	$147	$114	$116	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$50	$54	$49	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$119	$76	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$184	$68	$87	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$216	$80	$140	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$80	$48	$25	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$91	$40	$35	1.1×
Group therapy session CPT Code: `90853`	$56	$52	$100	0.5×
Neurobehavioral status check CPT Code: `96116`	$152	$76	$231	0.3×
Orthotic fitting and training CPT Code: `97760`	$91	$46	$51	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$48	$201	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$92	$65	$64	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	$16	$3	5.3×
Blood test, lipase CPT Code: `83690`	$29	$29	$7	4.1×
Flu vaccine injection HCPCS Code: `G0008`	$50	$54	$48	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$13	$4	3.3×
Blood test, calcium CPT Code: `82310`	$16	$16	$5	3.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$16	$5	3.2×
Blood test, potassium CPT Code: `84132`	$15	$15	$5	3.0×
Blood test, sodium CPT Code: `84295`	$15	$15	$5	3.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$32	$32	$11	2.9×
Blood test, vitamin D CPT Code: `82306`	$40	$30	$31	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$24	$17	$18	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$84	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$84	$40	$45	0.9×
Culture, bacterial CPT Code: `87070`	$43	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$117	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$82	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$108	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$84	$32	$38	0.8×
X-ray, pelvis CPT Code: `72170`	$34	$34	$110	0.3×
X-ray, chest (single view) CPT Code: `71045`	$55	$55	$92	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$90	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$101	$28	$34	0.8×
X-ray, chest (two views) CPT Code: `71046`	$50	$50	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$48	$48	$93	unverified
X-ray, hand CPT Code: `73130`	$50	$50	$93	unverified
X-ray, ankle CPT Code: `73610`	$50	$50	$93	unverified
X-ray, foot CPT Code: `73630`	$48	$48	$92	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$82	$41	$33	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Blood test, liver function panel CPT Code: `80076`	$44	$8	$9	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$46	$14	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$63	$12	$14	0.9×
Hepatitis C antibody test CPT Code: `86803`	$45	$12	$15	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$42	$11	$14	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$36	$6	$8	0.8×
Blood test, amylase CPT Code: `82150`	$48	$5	$7	0.7×
Blood test, magnesium CPT Code: `83735`	$32	$5	$7	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$30	$25	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$41	$4	$6	0.7×
Culture, blood CPT Code: `87040`	$33	$7	$11	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$3	$5	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$2	$4	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$26	$4	$9	0.4×
Blood test, hemoglobin CPT Code: `85018`	$10	$1	$3	0.3×
Blood antibody screen CPT Code: `86850`	$141	$11	$46	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$70	$22	$19	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$27	$27	$39	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$26	$26	$20	unverified

Showing top 25 high-impact procedures of 111 total

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

Audit a Bill or Quote at Sheridan Memorial Hospital (Zero PHI Required)

CMS CCN: 530006

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $14,300

1. Amount on Your Bill or Quote ($) Pre-filled with Sheridan Memorial Hospital’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Sheridan Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$15,233 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($34,320) is $15,233 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 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 Sheridan Memorial Hospital 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait110 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2026-03-09·administrative_or_closure
Met Requirements
Recorded
2024-02-23·administrative_or_closure
Met Requirements
Recorded
2023-02-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (371 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 Sheridan Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Median Household Income$70,855U.S. Census ACS

Local Uninsured Share9.1%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 64/100 · Caution CMS CCN 530006

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

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 530006) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-08 · 71.90 MB

Validated Rate Rows2,413 (CMS v3.0.0)

File Integrity DigestVerified · CCN 530006

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