Banner Wyoming Medical Center
Banner Wyoming Medical Center in Casper, Wyoming charges 3.9x the Medicare reimbursement rate across 75 analyzed procedures, reflecting typical pricing patterns for government-owned hospitals.
Casper, WY 82601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
3.93x
Charge / Medicare rate
Max markup
6.94x
Worst procedure
Procedures analyzed
75
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $42,838 | $21,419 | — | 6.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $83,511 | $41,755 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $26,113 | $13,057 | — | 6.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,247 | $23,624 | — | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $79,325 | $39,662 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $92,314 | $46,157 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $147,701 | $73,850 | — | 5.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $49,920 | $24,960 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,767 | $21,384 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,781 | $9,391 | — | 5.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,835 | $19,418 | — | 5.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $90,825 | $45,413 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $32,811 | $16,406 | — | 5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $101,034 | $50,517 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $100,296 | $50,148 | — | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $85,046 | $42,523 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,749 | $23,375 | — | 4.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $39,706 | $19,853 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,307 | $11,654 | — | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $79,504 | $39,752 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,603 | $12,801 | — | 4.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $180,483 | $90,242 | — | 4.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $67,679 | $33,839 | — | 4.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $118,420 | $59,210 | — | 4.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $216,372 | $108,186 | — | 4.3x |
| ENDOCRINE DISORDERS WITH CC | 644 | $34,060 | $17,030 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,306 | $27,653 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $68,564 | $34,282 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,440 | $15,220 | — | 4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $53,564 | $26,782 | — | 4x |
| COAGULATION DISORDERS | 813 | $52,351 | $26,176 | — | 3.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $30,452 | $15,226 | — | 3.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $32,803 | $16,401 | — | 3.9x |
| DIABETES WITH CC | 638 | $25,877 | $12,939 | — | 3.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $25,766 | $12,883 | — | 3.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $155,636 | $77,818 | — | 3.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $357,694 | $178,847 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $44,729 | $22,365 | — | 3.7x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $101,678 | $50,839 | — | 3.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,023 | $10,511 | — | 3.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $136,694 | $68,347 | — | 3.5x |
| DIABETES WITH MCC | 637 | $35,610 | $17,805 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $23,247 | $11,624 | — | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,209 | $18,104 | — | 3.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $161,378 | $80,689 | — | 3.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $12,374 | $6,187 | — | 3.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $38,737 | $19,368 | — | 3.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $26,147 | $13,073 | — | 3.4x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $55,042 | $27,521 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,723 | $13,362 | — | 3.4x |
Showing 50 of 75 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use