Wyoming / Sagewest Health Care
CMS certification 530008 · Riverton, WY · 2 entries in CMS's price-transparency list
Sagewest Health Care: charges and Medicare payments
Sagewest Health Care reported 274 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.48 times what it was paid — among the higher ratios in Wyoming, number 1 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: 71 stays at an average charge of $81,712, 10% below the national average. It also billed 230 outpatient services, charging 10.82 times what Medicare paid.
- 1Medicare inpatient stays 274
- 2Charge ÷ paid, inpatient 4.48×
- 3Rank in WY (highest ratio = 1) 1 of 8
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Sagewest Health Care charged more than the national average in 6 (50%). 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 | 71 | $81,712 | -10% | $20,621 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $49,371 | -17% | $12,997 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $79,586 | +13% | $16,267 |
| 291 Heart Failure and Shock with MCC | 21 | $59,350 | +5% | $13,539 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $66,675 | +36% | $10,095 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $49,234 | -3% | $10,854 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $39,012 | +5% | $7,614 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $35,856 | -7% | $7,987 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $45,561 | +13% | $7,646 |
| 638 Diabetes with CC | 13 | $60,442 | +45% | $8,785 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $34,980 | -7% | $7,686 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $51,283 | 0% | $11,368 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 68 | $130,025 | $13,194 |
| Comprehensive Observation Services | 58 | $26,154 | $2,748 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $2,348 | $1,628 |
| Level 4 Musculoskeletal Procedures | 17 | $74,878 | $7,183 |
| Level 3 Musculoskeletal Procedures | 16 | $30,773 | $3,250 |
| Level 2 Upper GI Procedures | 16 | $18,088 | $1,910 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $30,310 | $3,474 |
| Level 3 Vascular Procedures | 12 | $24,623 | $2,988 |
| Level 6 Musculoskeletal Procedures | 11 | $133,418 | $18,669 |
Against the Wyoming average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sagewest Health Care charged $81,712 on average, 52% more than the Wyoming average of $53,749, and was paid $20,621 against a state average of $21,131. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sagewest Health Care charged $49,371 on average, 41% more than the Wyoming average of $35,136, and was paid $12,997 against a state average of $14,649. For Respiratory Infections and Inflammations with MCC (DRG 177), Sagewest Health Care charged $79,586 on average, 97% more than the Wyoming average of $40,435, and was paid $16,267 against a state average of $18,144. For Heart Failure and Shock with MCC (DRG 291), Sagewest Health Care charged $59,350 on average, 77% more than the Wyoming average of $33,507, and was paid $13,539 against a state average of $14,204. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $130,025 was 137% above the state average of $54,760. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,154 was 74% above the state average of $15,002. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $2,348 was 67% below the state average of $7,219. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $74,878 was 111% above the state average of $35,529.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sagewest Health Care in Riverton, WY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-22 (CMS case 3937)
- Met Requirements — 2026-07-24 (CMS case 8347)
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.