47/100
#1,363 nationally
Regional West Medical Center
4021 Ave B, Scottsbluff, NE 69361 · (308) 635-3711
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Regional West Medical Center billed $4.88 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 65
- inpatient and outpatient combined
- Rank in NE
- #21
- 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 47% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 42% of U.S. hospitals.
Better than 70% 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 |
194 | $21,823 | $2,526 | +12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
176 | $10,314 | $1,483 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
121 | $69,253 | $17,755 | +6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
99 | $11,502 | $1,753 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
87 | $45,089 | $11,516 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
87 | $77,503 | $12,128 | +24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
82 | $18,875 | $2,916 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
75 | $40,246 | $5,268 | +15% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
73 | $11,081 | $1,571 | -14% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
70 | $26,780 | $3,217 | +30% |
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 |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,049 | $630 | +61% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$45,871 | $7,340 | +44% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$34,221 | $3,517 | +43% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$56,978 | $11,173 | +40% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$54,201 | $6,018 | +37% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$73,780 | $12,552 | +33% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$26,780 | $3,217 | +30% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$42,721 | $8,028 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$31,375 | $9,846 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,537 | $1,756 | -36% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$16,304 | $3,193 | -30% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$26,535 | $5,274 | -23% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$18,396 | $3,456 | -19% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$147,129 | $46,595 | -17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$11,081 | $1,571 | -14% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$47,928 | $12,555 | -12% |
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.