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Hospital Profile Critical Access Hospital Government - Hospital District or Authority 14 Beds · rural Updated: 2026-07-08

South Lincoln Medical Center - Cah

711 Onyx Street, Kemmerer, WY 83101 · 104 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
0.27×vs. Fair Market Price
Position vs. 1.00× Fair Price73% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are 73% below the fair benchmark (0.27×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).76/100 · Corroborated
76/100Self-Pay Cash Beats Insurance 71% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic53Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment63Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing67Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score69/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait110 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

South Lincoln Medical Center - Cah maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.26× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.31× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#2 of 11 in WY · 9th State Percentile#5 of 3,385 in U.S. · 1st National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 73% below peer Fair BaseRate (0.27×)
  • Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (69/100 safety score) with 72% 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 (0.27× 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.
  • Commercial insurance median sits at 0.26× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 0.31×) jump +19% above the median procedure ratio (Q50 0.26×)
  • Unnegotiated chargemaster list prices average 7.5× Medicare (30¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
0.5× Medicare

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

Back-Door Captive & ER0.80× Divergence
0.4× Medicare

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

Quantile Tail Spread+19% Upper Tail
Q25 0.22× · Q50 0.26× · Q75 0.31×

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
0.5× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.5× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.7× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
0.5× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
71% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 69/100Fair

Procedure Prices at South Lincoln Medical Center - Cah

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$62,630 3.2×
Total knee replacement
CPT Code: 27447
$17,550 1.3×
Trauma team activation
HCPCS Code: G0390
$5,037 3.5×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$4,539 0.7×
Knee arthroscopy with meniscus repair
CPT Code: 29881
$4,297 1.3×
Total hip replacement
CPT Code: 27130
$2,791 0.2×
C-section delivery (full package)
CPT Code: 59510
$2,360 0.8×
Vaginal delivery (full package)
CPT Code: 59400
$2,123 0.8×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$1,883 4.2×
Bunion correction surgery
CPT Code: 28296
$1,701 0.5×
Breast lump removal
CPT Code: 19120
$1,170 0.3×
Injection procedure for pain management
HCPCS Code: G0260
$981 1.1×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$930 3.4×
Blood transfusion
CPT Code: 36430
$731 1.5×
Rabies immune globulin
HCPCS Code: 90375
$740 unverified
Hospital observation (per hour)
HCPCS Code: G0378
$655 7.6×
Inguinal hernia repair
CPT Code: 49505
$490 0.1×
Ultrasound, thyroid and neck
CPT Code: 76536
$342 2.6×
Breathing treatment (nebulizer)
CPT Code: 94640
$308 1.5×
X-ray, lower back
CPT Code: 72110
$253 2.3×
Colonoscopy (diagnostic)
CPT Code: 45378
$246 0.3×
Upper endoscopy with biopsy
CPT Code: 43239
$246 0.2×
Colonoscopy with biopsy
CPT Code: 45380
$246 0.2×
New patient office visit (30-44 min)
CPT Code: 99203
$246 unverified
Office visit, established patient (30-39 min)
CPT Code: 99214
$246 unverified
Showing top 25 high-impact procedures of 104 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at South Lincoln Medical Center - Cah (Zero PHI Required)

CMS CCN: 531315
CPT 470
Fair BaseRate™ $19,432
Medicare Rate $14,044
Self-Pay Cash $62,630
Insurer Median $62,630
Pre-filled with South Lincoln Medical Center - Cah’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 $20,877 Paying Cash

Self-Pay Cash Rate ($62,630) Beats Your Bill

South Lincoln Medical Center - Cah's published 45 CFR § 180 self-pay cash rate is $62,630 (vs. $62,630 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$64,075 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($83,507) is $64,075 above the denoised Fair BaseRate ($19,432) and 5.9× the $14,044 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 South Lincoln Medical Center - Cah 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

Safety Composite69/100
Median ER Wait110 min
Left ER Before Seen0%
Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for South Lincoln Medical Center - Cah.

Price Index: 1.35× regional baseline
Quality: 57/100 CMS composite
Median Household Income$86,092U.S. Census ACS
Local Uninsured Share13.1%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 76/100 · Corroborated CMS CCN 531315

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

Published MRF FileReports.aspx
Publication / Vintage2026-07-08 · 20.32 MB
Validated Rate Rows2,146 (CMS v3.0.0)
File Integrity Digestc829817722180b95a1c7…

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.