Wyoming / Cheyenne Regional Medical Center
CMS certification 530014 · Cheyenne, WY · 2 entries in CMS's price-transparency list
Cheyenne Regional Medical Center: charges and Medicare payments
Cheyenne Regional Medical Center reported 1,995 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 3.4 times what it was paid — among the higher ratios in Wyoming, number 2 of 8 hospitals with at least 100 stays (state median 2.01×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 298 stays at an average charge of $64,652, 28% below the national average. It also billed 1,778 outpatient services, charging 8.07 times what Medicare paid.
- 1Medicare inpatient stays 1,995
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in WY (highest ratio = 1) 2 of 8
- 4CMS price-transparency actions 2
Inpatient stays
For the 60 DRGs that can be compared with the national average, Cheyenne Regional Medical Center charged more than the national average in 5 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 298 | $64,652 | -28% | $21,528 |
| 291 Heart Failure and Shock with MCC | 132 | $38,916 | -31% | $14,332 |
| 177 Respiratory Infections and Inflammations with MCC | 79 | $47,252 | -33% | $17,984 |
| 193 Simple Pneumonia and Pleurisy with MCC | 76 | $54,703 | -8% | $15,893 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 71 | $44,293 | -10% | $12,583 |
| 378 Gastrointestinal Hemorrhage with CC | 59 | $41,432 | -15% | $11,223 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 53 | $36,504 | -28% | $12,145 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 48 | $68,195 | -10% | $17,702 |
| 689 Kidney and Urinary Tract Infections with MCC | 48 | $43,005 | -16% | $12,594 |
| 683 Renal Failure with CC | 46 | $31,564 | -22% | $10,245 |
| 682 Renal Failure with MCC | 43 | $49,346 | -25% | $16,201 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $32,951 | -13% | $8,883 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $49,174 | -18% | $14,972 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $194,811 | -15% | $58,201 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $35,906 | -36% | $11,140 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $33,032 | -18% | $8,634 |
| 481 Hip and Femur Procedures except Major Joint with CC | 34 | $85,134 | -16% | $22,651 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 33 | $63,842 | -13% | $18,546 |
| 389 Gastrointestinal Obstruction with CC | 31 | $32,194 | -17% | $9,707 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $43,007 | -34% | $15,328 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 29 | $90,226 | -3% | $20,799 |
| 178 Respiratory Infections and Inflammations with CC | 27 | $37,173 | -18% | $10,871 |
| 603 Cellulitis without MCC | 27 | $29,315 | -21% | $10,449 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $84,116 | -18% | $24,608 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $28,858 | -22% | $8,624 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $83,057 | -26% | $23,874 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $64,044 | -25% | $22,677 |
| 637 Diabetes with MCC | 25 | $49,342 | -26% | $15,261 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $60,528 | -5% | $11,812 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $28,117 | -22% | $8,163 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $136,516 | +19% | $22,207 |
| 638 Diabetes with CC | 24 | $33,178 | -20% | $9,884 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $41,139 | -27% | $14,394 |
| 536 Fractures of Hip and Pelvis without MCC | 22 | $26,120 | -31% | $8,760 |
| 202 Bronchitis and Asthma with CC/MCC | 21 | $39,608 | -14% | $10,576 |
| 552 Medical Back Problems without MCC | 21 | $37,696 | -23% | $10,584 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $80,637 | -19% | $21,891 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $49,520 | -2% | $9,951 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $44,607 | -23% | $14,971 |
| 312 Syncope and Collapse | 18 | $37,623 | -17% | $10,044 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $82,677 | -16% | $22,849 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $31,105 | -19% | $8,969 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 15 | $138,427 | -12% | $35,031 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $151,438 | -30% | $58,737 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $37,024 | -22% | $11,190 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $167,815 | +3% | $35,792 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 14 | $93,728 | +1% | $19,467 |
| 069 Transient Ischemia without Thrombolytic | 13 | $35,624 | -29% | $8,722 |
| 270 Other Major Cardiovascular Procedures with MCC | 13 | $237,205 | -8% | $58,488 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $128,686 | +8% | $26,334 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $42,464 | -30% | $13,987 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $79,737 | -16% | $23,188 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $144,879 | +4% | $32,053 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 12 | $48,748 | -28% | $14,640 |
| 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 11 | $77,816 | -23% | $20,202 |
| 092 Other Disorders of Nervous System with CC | 11 | $37,525 | -27% | $11,299 |
| 101 Seizures without MCC | 11 | $33,803 | -31% | $9,951 |
| 305 Hypertension without MCC | 11 | $35,293 | -12% | $8,237 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $59,752 | -38% | $19,270 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 11 | $123,088 | -1% | $29,041 |
Outpatient services
Against the Wyoming average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cheyenne Regional Medical Center charged $64,652 on average, 20% more than the Wyoming average of $53,749, and was paid $21,528 against a state average of $21,131. For Heart Failure and Shock with MCC (DRG 291), Cheyenne Regional Medical Center charged $38,916 on average, 16% more than the Wyoming average of $33,507, and was paid $14,332 against a state average of $14,204. For Respiratory Infections and Inflammations with MCC (DRG 177), Cheyenne Regional Medical Center charged $47,252 on average, 17% more than the Wyoming average of $40,435, and was paid $17,984 against a state average of $18,144. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cheyenne Regional Medical Center charged $54,703 on average, 56% more than the Wyoming average of $35,136, and was paid $15,893 against a state average of $14,649. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,760 was 45% above the state average of $15,002. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,316 was 30% above the state average of $8,707. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $24,138 was 20% above the state average of $20,047. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,576 was 47% above the state average of $7,219.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cheyenne Regional Medical Center in Cheyenne, WY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-12 (CMS case 3077)
- Closure Notice — 2025-05-15 (CMS case 3077)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.