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Ivinson Memorial Hospital

IVINSON MEMORIAL HOSPITAL in Laramie, WY charges 1.9x the Medicare reimbursement rate across 7 analyzed procedures, representing relatively moderate pricing for this government-owned facility.

Laramie, WY 82072 · Acute Care Hospitals · CMS Rating: 2/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

7 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.0x15.0x
1.9x
Medicare markup ratio
WY lowestIvinson Memorial HospitalWY highest
1.9x
Avg markup ratio
2.0x
Median markup
7
Procedures
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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

A

Excellent

Avg markup vs Medicare

1.92x

Charge / Medicare rate

Max markup

2.13x

Worst procedure

Procedures analyzed

7

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$47,232$23,6162.1x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$32,608$16,3042.1x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$54,308$27,1542.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$23,474$11,7372x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$65,712$32,8561.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$40,084$20,0421.8x
HEART FAILURE AND SHOCK WITH MCC291$21,340$10,6701.4x

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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