Level 3 Lower GI Procedures in Wyoming
What 9 hospitals in Wyoming charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$21,514
Hospital list price billed
Average allowed
$2,819
Medicare's payment + patient's share
Medicare paid
$2,244
Average per service
State rank
#38 of 49
1 = lowest average payment
Hospitals in Wyoming billed an average of $21,514 for level 3 lower gi procedures, about 7.6 times the average medicare-allowed amount of $2,819. That payment is 4% above the U.S. average of $2,703.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $2,819Billed $21,514
About 13¢ was paid for every $1 hospitals in Wyoming billed for this service.
Wyoming hospitals: level 3 lower gi procedures
Every Wyoming hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Wyoming Medical CenterCasper | 12 | $21,514 | $2,819 | $2,244 |
| Campbell County Memorial HospitalGillette | – | – | – | – |
| Sheridan Memorial HospitalSheridan | – | – | – | – |
| Sagewest Health CareRiverton | – | – | – | – |
| Memorial Hospital Sweetwater CountyRock Springs | – | – | – | – |
| Cheyenne Regional Medical CenterCheyenne | – | – | – | – |
| St Johns Medical CenterJackson | – | – | – | – |
| Ivinson Memorial HospitalLaramie | – | – | – | – |
| Evanston Regional HospitalEvanston | – | – | – | – |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Wyoming?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 9 hospitals in Wyoming was billed at $21,514 on average, while the average medicare-allowed amount was $2,819, of which Medicare paid $2,244. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Wyoming, average charges were 7.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.