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Hospital Profile Critical Access Hospital Government - Local 18 Beds · rural Updated: 2026-09-21

Washakie Medical Center

400 South 15Th Street, Worland, WY 82401 · 82 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars
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.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 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 match the fair market benchmark (1.00×) 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 76% of the Time
File Completeness95Provenance (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 Logic61Coherence (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 Alignment67Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing65Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount98Cash 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 Rating4/5 StarsOfficial 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 Wait118 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Washakie Medical Center prices shoppable and inpatient services (5.7× to 4.3× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in WYU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 76% of shoppable procedures (98/100 Cash Honesty)
  • 4-Star CMS clinical rating with 69% patient recommendation (69/100 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)

  • Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
  • Commercial insurance median sits at 1.00× Fair BaseRate (5.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 4.7× Medicare (35¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
5.7× Medicare

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

Back-Door Captive & ER0.75× Divergence
4.3× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
5.7× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
1.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.7× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.6× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
76% Cash Edge · 98/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 69/100Fair

Procedure Prices at Washakie Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Sleep study (overnight, in lab)
CPT Code: 95810
$4,847 4.7×
Trauma team activation
HCPCS Code: G0390
$2,158 1.5×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,420 2.4×
Blood transfusion
CPT Code: 36430
$1,113 2.2×
CT scan, neck (cervical spine)
CPT Code: 72125
$1,129 unverified
CT scan, lower back (lumbar spine)
CPT Code: 72131
$1,114 unverified
MRI, brain (with and without contrast)
CPT Code: 70553
$1,058 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$955 unverified
CT scan, sinuses
CPT Code: 70486
$855 unverified
CT scan, head (with and without contrast)
CPT Code: 70470
$780 unverified
MRI, lower back (no contrast)
CPT Code: 72148
$789 unverified
CT scan, pelvis
CPT Code: 72192
$785 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$776 unverified
Ultrasound, abdomen (complete)
CPT Code: 76700
$679 5.1×
MRI, brain (no contrast)
CPT Code: 70551
$703 unverified
Ultrasound, pelvis
CPT Code: 76856
$651 5.0×
CT scan, head (with contrast)
CPT Code: 70460
$653 unverified
CT scan, chest (no contrast)
CPT Code: 71250
$548 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
$511 4.1×
CT scan, head (no contrast)
CPT Code: 70450
$520 unverified
Ultrasound, thyroid and neck
CPT Code: 76536
$494 3.7×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$420 1.5×
X-ray, lower back
CPT Code: 72110
$391 3.5×
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$293 4.6×
Office visit, established patient (30-39 min)
CPT Code: 99214
$289 2.3×
Showing top 25 high-impact procedures of 82 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Washakie Medical Center (Zero PHI Required)

CMS CCN: 531306
CPT 95810
Fair BaseRate™ $1,021
Medicare Rate $877
Self-Pay Cash $4,847
Insurer Median $4,847
Pre-filled with Washakie Medical Center’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 $1,153 Paying Cash

Self-Pay Cash Rate ($4,847) Beats Your Bill

Washakie Medical Center's published 45 CFR § 180 self-pay cash rate is $4,847 (vs. $4,847 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,979 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($6,000) is $4,979 above the denoised Fair BaseRate ($1,021) and 6.8× the $877 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)

EIN: 830249708

Public IRS & CMS ownership records classify Washakie Medical Center 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 Composite69/100
Would Recommend69%
Rated 9 or 10 (HCAHPS)69%
Median ER Wait118 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

  • 2025-07-21·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (38 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Washakie Medical Center.

Price Index: 0.79× regional baseline
Quality: 69/100 CMS composite
Median Household Income$62,648U.S. Census ACS
Local Uninsured Share12.4%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 531306 EIN 830249708

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

Published MRF File830249708_washakie-medical-center_standardcharges.csv
Publication / Vintage2026-09-21 · 50.07 MB
Validated Rate Rows4,876 (CMS v3.0.0)
File Integrity Digest35fb9e2681efeb6a7cd5…

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.