Wyoming Medical Center: charges and Medicare payments

Wyoming Medical Center reported 2,360 Medicare inpatient stays across 79 DRGs in 2024. Across them it charged 3.2 times what it was paid — mid-range in Wyoming, number 3 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: 244 stays at an average charge of $44,606, 51% below the national average. It also billed 2,047 outpatient services, charging 6.86 times what Medicare paid.

1Medicare inpatient stays 2,360
2Charge ÷ paid, inpatient 3.2×
3Rank in WY (highest ratio = 1) 3 of 8
4CMS price-transparency actions 0

Average charge per stay at Wyoming Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 79 DRGs that can be compared with the national average, Wyoming Medical Center charged more than the national average in 2 (3%). 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	244	$44,606	-51%	$18,079
291 Heart Failure and Shock with MCC	170	$29,917	-47%	$11,958
193 Simple Pneumonia and Pleurisy with MCC	118	$29,045	-51%	$12,157
177 Respiratory Infections and Inflammations with MCC	112	$31,839	-55%	$15,860
683 Renal Failure with CC	71	$22,474	-45%	$8,392
682 Renal Failure with MCC	55	$34,222	-48%	$13,905
189 Pulmonary Edema and Respiratory Failure	52	$27,119	-53%	$11,431
190 Chronic Obstructive Pulmonary Disease with MCC	49	$22,853	-55%	$10,529
378 Gastrointestinal Hemorrhage with CC	46	$30,657	-37%	$9,806
853 Infectious and Parasitic Diseases with O.R. Procedures with...	43	$123,498	-46%	$49,064
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	40	$31,141	-44%	$9,433
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$16,621	-59%	$7,277
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$20,494	-45%	$7,265
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	39	$23,766	-52%	$9,915
481 Hip and Femur Procedures except Major Joint with CC	38	$90,271	-10%	$19,214
690 Kidney and Urinary Tract Infections without MCC	38	$16,942	-55%	$7,476
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$87,978	-23%	$18,779
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$36,761	-39%	$12,232
274 Percutaneous and Other Intracardiac Procedures without MCC	36	$138,267	-12%	$29,794
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$29,590	-60%	$15,356
329 Major Small and Large Bowel Procedures with MCC	30	$111,275	-48%	$43,697
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$37,906	-33%	$11,144
689 Kidney and Urinary Tract Infections with MCC	29	$23,647	-54%	$10,136
286 Circulatory Disorders except AMI, with Cardiac...	27	$70,907	-37%	$23,964
314 Other Circulatory System Diagnoses with MCC	27	$37,355	-61%	$19,393
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	26	$61,855	-38%	$18,650
330 Major Small and Large Bowel Procedures with CC	26	$90,158	-24%	$21,863
603 Cellulitis without MCC	26	$17,636	-53%	$8,803
194 Simple Pneumonia and Pleurisy with CC	25	$18,801	-51%	$7,637
377 Gastrointestinal Hemorrhage with MCC	25	$45,018	-47%	$16,587
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$133,131	-19%	$30,393
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	24	$96,007	-6%	$19,686
270 Other Major Cardiovascular Procedures with MCC	23	$211,700	-18%	$52,453
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$47,692	-37%	$15,032
309 Cardiac Arrhythmia and Conduction Disorders with CC	21	$21,418	-41%	$8,113
331 Major Small and Large Bowel Procedures without CC/MCC	21	$85,085	-1%	$17,998
216 Cardiac Valve and Other Major Cardiothoracic Procedures with...	20	$398,142	-19%	$89,122
267 Endovascular Cardiac Valve Replacement and Supplement...	20	$202,079	-9%	$44,650
389 Gastrointestinal Obstruction with CC	20	$16,077	-59%	$7,401
287 Circulatory Disorders except AMI, with Cardiac...	19	$48,605	-24%	$10,086
244 Permanent Cardiac Pacemaker Implant without CC/MCC	18	$64,338	-31%	$16,866
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	18	$35,996	-17%	$6,686
470 Major Hip and Knee Joint Replacement or Reattachment of...	18	$85,368	-8%	$17,489
480 Hip and Femur Procedures except Major Joint with MCC	18	$100,591	-27%	$27,279
638 Diabetes with CC	18	$19,821	-52%	$8,380
178 Respiratory Infections and Inflammations with CC	17	$22,266	-51%	$9,173
243 Permanent Cardiac Pacemaker Implant with CC	17	$86,849	-22%	$21,028
552 Medical Back Problems without MCC	17	$27,963	-43%	$8,982
699 Other Kidney and Urinary Tract Diagnoses with CC	17	$21,843	-54%	$9,450
432 Cirrhosis and Alcoholic Hepatitis with MCC	16	$40,730	-57%	$16,662
445 Disorders of The Biliary Tract with CC	16	$34,721	-40%	$10,080
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$35,286	-30%	$8,502
324 Coronary Intravascular Lithotripsy with Intraluminal Device...	14	$153,260	-12%	$27,451
394 Other Digestive System Diagnoses with CC	14	$22,210	-53%	$9,458
543 Pathological Fractures and Musculoskeletal and Connective...	14	$21,701	-56%	$10,052
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	14	$20,203	-46%	$8,045
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	13	$30,663	-53%	$14,853
215 Other Heart Assist System Implant	13	$344,919	-27%	$89,988
242 Permanent Cardiac Pacemaker Implant with MCC	13	$111,503	-31%	$31,789
253 Other Vascular Procedures with CC	13	$109,156	-17%	$23,594

Showing the 60 most frequent of 79 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	582	$11,437	$2,732
Level 1 Endovascular Procedures	289	$25,341	$3,228
Level 2 Excision/ Biopsy/ Incision and Drainage	121	$7,442	$1,621
Level 3 Endovascular Procedures	99	$76,272	$11,034
Level 1 Laparoscopy and Related Services	90	$34,150	$5,691
Level 3 Vascular Procedures	77	$18,132	$3,068
Level 5 Urology and Related Services	73	$30,602	$5,082
Level 3 Urology and Related Services	71	$9,944	$2,045
Level 2 Endovascular Procedures	56	$37,452	$5,658
Level 3 Pacemaker and Similar Procedures	56	$42,155	$10,711
Level 2 Upper GI Procedures	56	$9,124	$1,911
Level 4 Endovascular Procedures	48	$104,102	$16,837
Level 5 Musculoskeletal Procedures	47	$74,636	$13,194
Level 4 Urology and Related Services	46	$22,169	$3,500
Level 2 Laparoscopy and Related Services	39	$62,997	$10,104
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$22,153	$3,388
Level 3 Excision/ Biopsy/ Incision and Drainage	31	$14,555	$2,853
Level 4 Vascular Procedures	29	$36,579	$5,347
Level 4 Musculoskeletal Procedures	28	$46,931	$6,782
Level 6 Musculoskeletal Procedures	28	$61,202	$18,669
Level 3 Musculoskeletal Procedures	27	$21,765	$3,154
Level 2 Vascular Procedures	19	$9,329	$1,608
Level 2 Musculoskeletal Procedures	17	$6,475	$1,614
Level 2 Breast/Lymphatic Surgery and Related Procedures	16	$30,023	$6,548
Level 2 ICD and Similar Procedures	16	$175,200	$32,933

Against the Wyoming average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wyoming Medical Center charged $44,606 on average, 17% less than the Wyoming average of $53,749, and was paid $18,079 against a state average of $21,131. For Heart Failure and Shock with MCC (DRG 291), Wyoming Medical Center charged $29,917 on average, 11% less than the Wyoming average of $33,507, and was paid $11,958 against a state average of $14,204. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Wyoming Medical Center charged $29,045 on average, 17% less than the Wyoming average of $35,136, and was paid $12,157 against a state average of $14,649. For Respiratory Infections and Inflammations with MCC (DRG 177), Wyoming Medical Center charged $31,839 on average, 21% less than the Wyoming average of $40,435, and was paid $15,860 against a state average of $18,144. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,437 was 24% below the state average of $15,002. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,341 was 1% below the state average of $25,641. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,442 was 3% above the state average of $7,219. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $76,272 was 4% above the state average of $73,012.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.