63/100
#837 nationally
Banner Wyoming Medical Center
1233 East 2Nd St, Casper, WY 82601 · (307) 577-7201
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Banner Wyoming Medical Center billed $3.69 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 108
- inpatient and outpatient combined
- Rank in WY
- #7
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 67% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 56% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
582 | $11,437 | $2,732 | -41% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
289 | $25,341 | $3,228 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
244 | $44,606 | $18,079 | -32% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
170 | $29,917 | $11,958 | -31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
121 | $7,442 | $1,621 | -26% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
118 | $29,045 | $12,157 | -38% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
112 | $31,839 | $15,860 | -42% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
99 | $76,272 | $11,034 | +13% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
90 | $34,150 | $5,691 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
77 | $18,132 | $3,068 | -5% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
$218,913 | $37,826 | +45% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$21,514 | $2,819 | +30% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$67,050 | $10,600 | +26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$74,636 | $13,194 | +19% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$175,200 | $32,933 | +18% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$46,931 | $6,782 | +18% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
$85,085 | $17,998 | +14% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$76,272 | $11,034 | +13% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$29,238 | $17,222 | -62% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$20,744 | $11,852 | -60% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$37,355 | $19,393 | -52% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$40,730 | $16,663 | -49% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$16,077 | $7,401 | -49% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$16,621 | $7,277 | -48% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$29,590 | $15,356 | -48% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$21,701 | $10,052 | -48% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.