Simple pneumonia and pleurisy with complications in Wyoming
What 5 hospitals in Wyoming charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$24,707
Hospital list price billed
Average payment
$9,410
Medicare + patient + other payers
Medicare paid
$7,575
Average per stay
State rank
#42 of 47
1 = lowest average payment
Hospitals in Wyoming billed an average of $24,707 for simple pneumonia and pleurisy with complications, about 2.6 times the average total payment of $9,410. That payment is 18% above the U.S. average of $7,941.
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 $9,410Billed $24,707
About 38¢ was paid for every $1 hospitals in Wyoming billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Wyoming:
Wyoming hospitals: simple pneumonia and pleurisy with complications
Every Wyoming hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Wyoming Medical CenterCasper | 25 | $18,801 | $7,637 | $6,489 |
| Ivinson Memorial HospitalLaramie | 22 | $19,120 | $10,828 | $8,553 |
| Cheyenne Regional Medical CenterCheyenne | 15 | $31,105 | $8,969 | $7,596 |
| St Johns Medical CenterJackson | 14 | $26,823 | $12,140 | $8,853 |
| Sagewest Health CareRiverton | 13 | $35,856 | $7,987 | $6,607 |
Lowest and highest payments in Wyoming
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Wyoming Medical CenterCasper, WY | $7,637 |
|---|---|
| Sagewest Health CareRiverton, WY | $7,987 |
| Cheyenne Regional Medical CenterCheyenne, WY | $8,969 |
| Ivinson Memorial HospitalLaramie, WY | $10,828 |
| St Johns Medical CenterJackson, WY | $12,140 |
Highest
| St Johns Medical CenterJackson, WY | $12,140 |
|---|---|
| Ivinson Memorial HospitalLaramie, WY | $10,828 |
| Cheyenne Regional Medical CenterCheyenne, WY | $8,969 |
| Sagewest Health CareRiverton, WY | $7,987 |
| Wyoming Medical CenterCasper, WY | $7,637 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Wyoming?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 5 hospitals in Wyoming was billed at $24,707 on average, while the average total payment was $9,410, of which Medicare paid $7,575. 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 stay in Wyoming, average charges were 2.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.