85/100
#190 nationally
Ivinson Memorial Hospital
255 N 30Th, Laramie, WY 82072 · (307) 755-4600
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Ivinson Memorial Hospital billed $2.61 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
- 2.6x
- volume-weighted across all its priced work
- Procedures priced
- 28
- inpatient and outpatient combined
- Rank in WY
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 90% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 76% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
93 | $42,517 | $13,070 | -32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
71 | $12,581 | $2,687 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
45 | $8,303 | $2,045 | -36% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
43 | $23,389 | $5,472 | -33% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $29,713 | $6,866 | -25% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
36 | $52,173 | $18,669 | -37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
35 | $8,136 | $1,910 | -31% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
34 | $1,668 | $686 | -47% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
32 | $44,036 | $25,406 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
29 | $14,705 | $3,201 | -23% |
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 |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$41,297 | $13,478 | +35% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$18,758 | $3,500 | -9% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$25,860 | $10,625 | -13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$25,320 | $10,175 | -22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$14,705 | $3,201 | -23% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$29,713 | $6,866 | -25% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$35,804 | $15,863 | -26% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,136 | $1,910 | -31% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$6,865 | $2,853 | -61% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,668 | $686 | -47% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,484 | $1,582 | -46% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$26,164 | $16,744 | -44% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$31,773 | $21,620 | -42% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,036 | $3,250 | -41% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$19,120 | $10,828 | -40% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$16,648 | $5,196 | -39% |
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.