How many shoppable procedure prices are published for Sublette County Health?

Sublette County Health in Pinedale, WY currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sublette County Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sublette County Health's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-06-02

Sublette County Health

615 E Hennick St, Pinedale, WY 82941 · 99 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.21×vs. Fair Market Price

Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness66

Price Logic62

Peer Alignment68

Clean Billing56

Real Cash Discount44

Regional Benchmark Tier

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Sublette County Health prices shoppable and inpatient services (1.3× to 1.2× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.21× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#9 of 11 in WY · 72nd State Percentile#2,051 of 3,385 in U.S. · 60th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (44/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (75.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.21× 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 1.19× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.59×) jump +34% above the median procedure ratio (Q50 1.19×)
Unnegotiated chargemaster list prices average 7.1× Medicare (30¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.59× · Q50 1.19× · Q75 1.59×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.5× MedicareGood

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

27% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Sublette County Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$7,866	$7,866	$1,453	5.4×
Total hip replacement CPT Code: `27130`	$2,758	$2,758	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,754	$2,754	$13,523	0.2×
C-section delivery (full package) CPT Code: `59510`	$5,654	$2,360	$2,975	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,288	$2,288	$583	3.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,250	$2,250	$1,021	unverified
Vaginal delivery (full package) CPT Code: `59400`	$5,108	$2,123	$2,680	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,410	$1,410	$6,109	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,333	$1,333	$855	1.6×
Blood transfusion CPT Code: `36430`	$1,002	$1,002	$498	2.0×
Breast lump removal CPT Code: `19120`	$901	$901	$3,875	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,184	$504	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$1,122	$490	$3,629	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$1,164	$458	$2,540	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$312	$312	$64	4.9×
Speech therapy (language evaluation) CPT Code: `92507`	$298	$298	$86	3.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$268	$268	$201	1.3×
X-ray, chest (single view) CPT Code: `71045`	$275	$200	$92	2.2×
X-ray, chest (two views) CPT Code: `71046`	$337	$200	$93	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$334	$200	$93	2.2×
X-ray, pelvis CPT Code: `72170`	$313	$200	$110	1.8×
X-ray, lower back CPT Code: `72110`	$599	$200	$112	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$305	$200	$123	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$669	$200	$126	1.6×
Ultrasound, pelvis CPT Code: `76856`	$756	$200	$130	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$661	$200	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,013	$200	$134	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$432	$200	$148	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,628	$200	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$1,652	$200	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$1,717	$200	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,661	$200	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,025	$200	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,071	$200	$169	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,910	$200	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,174	$200	$258	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,337	$200	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,124	$200	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,683	$200	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,741	$200	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,837	$200	$369	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,579	$200	$448	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,749	$200	$511	0.4×
X-ray, shoulder CPT Code: `73030`	$406	$200	$92	unverified
X-ray, hand CPT Code: `73130`	$427	$200	$93	unverified
X-ray, hip CPT Code: `73502`	$347	$200	$93	unverified
X-ray, ankle CPT Code: `73610`	$431	$200	$93	unverified
X-ray, foot CPT Code: `73630`	$419	$200	$92	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$171	$171	$25	6.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,661	$161	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,804	$174	$1,256	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$100	$100	$14	7.1×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$122	$34	3.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$125	$125	$35	3.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$122	$122	$35	3.5×
Physical therapy (gait training) CPT Code: `97116`	$113	$113	$33	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$121	$121	$38	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$127	$40	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$118	$118	$38	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$116	$116	$38	3.1×
Orthotic fitting and training CPT Code: `97760`	$124	$124	$51	2.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$129	$129	$86	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$208	$128	$123	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$293	$121	$987	0.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$141	$87	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$176	$108	$110	1.0×
Culture, blood CPT Code: `87040`	$189	$189	$11	17.2×
Drug screening test HCPCS Code: `G0480`	$185	$185	$116	1.6×
Culture, bacterial CPT Code: `87070`	$140	$140	$9	15.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$109	$109	$6	18.2×
Blood test, vitamin B12 CPT Code: `82607`	$127	$127	$16	7.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$152	$152	$20	7.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$131	$131	$19	6.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$122	$122	$18	6.8×
Blood test, vitamin D CPT Code: `82306`	$116	$116	$31	unverified
Blood antibody screen CPT Code: `86850`	$137	$137	$46	unverified
Blood test, calcium CPT Code: `82310`	$77	$77	$5	15.4×
Blood test, amylase CPT Code: `82150`	$96	$96	$7	13.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$99	$99	$14	7.1×
Hepatitis C antibody test CPT Code: `86803`	$88	$88	$15	5.9×
Blood test, sodium CPT Code: `84295`	$88	$88	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$37	$5	7.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	$58	$8	7.3×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$58	$9	6.4×
Blood test, liver function panel CPT Code: `80076`	$58	$58	$9	6.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$82	$14	5.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$79	$79	$49	1.6×
Blood test, lipase CPT Code: `83690`	$50	$50	$7	7.1×
Blood test, magnesium CPT Code: `83735`	$50	$50	$7	7.1×
Colorectal cancer screening HCPCS Code: `G0010`	$53	$53	$49	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$48	$48	$48	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$45	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$57	$57	$10	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$23	$5	4.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$43	$43	$11	3.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$23	$3	unverified
Blood test, potassium CPT Code: `84132`	$35	$35	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$13	$13	$3	unverified

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 75.8%

Audit a Bill or Quote at Sublette County Health (Zero PHI Required)

CMS CCN: 530038

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $7,866

Insurer Median $7,866

1. Amount on Your Bill or Quote ($) Pre-filled with Sublette County Health’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 501(r) AGB Cap: $6,628 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,628

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (75.8% of gross = $6,628).

Step 2 · Cash vs. Insurance Arbitrage Save $874 Paying Cash

Self-Pay Cash Rate ($7,866) Beats Your Bill

Sublette County Health's published 45 CFR § 180 self-pay cash rate is $7,866 (vs. $7,866 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,287 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($8,740) is $7,287 above the denoised Fair BaseRate ($1,453) and 6.4× the $1,362 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (75.8% 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.

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

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

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sublette County Health.

Price Index: 0.87× regional baseline

Quality: 54/100 CMS composite

Median Household Income$91,860U.S. Census ACS

Local Uninsured Share8.5%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 60/100 · Caution CMS CCN 530038

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 530038) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-02

Validated Rate Rows284 (CMS v3.0.0)

File Integrity DigestVerified · CCN 530038

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