Simple pneumonia and pleurisy with major complications in Wyoming
What 7 hospitals in Wyoming charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$35,267
Hospital list price billed
Average payment
$14,626
Medicare + patient + other payers
Medicare paid
$12,845
Average per stay
State rank
#45 of 50
1 = lowest average payment
Hospitals in Wyoming billed an average of $35,267 for simple pneumonia and pleurisy with major complications, about 2.4 times the average total payment of $14,626. That payment is 22% above the U.S. average of $12,020.
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 $14,626Billed $35,267
About 41¢ 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 major 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 | 118 | $29,045 | $12,157 | $10,977 |
| Cheyenne Regional Medical CenterCheyenne | 76 | $54,703 | $15,893 | $13,375 |
| Sheridan Memorial HospitalSheridan | 59 | $26,161 | $15,825 | $14,442 |
| Campbell County Memorial HospitalGillette | 39 | $22,449 | $16,610 | $14,547 |
| Sagewest Health CareRiverton | 38 | $49,371 | $12,997 | $11,281 |
| Memorial Hospital Sweetwater CountyRock Springs | 28 | $34,113 | $16,771 | $13,838 |
| Ivinson Memorial HospitalLaramie | 23 | $26,164 | $16,744 | $15,065 |
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 | $12,157 |
|---|---|
| Sagewest Health CareRiverton, WY | $12,997 |
| Sheridan Memorial HospitalSheridan, WY | $15,825 |
| Cheyenne Regional Medical CenterCheyenne, WY | $15,893 |
| Campbell County Memorial HospitalGillette, WY | $16,610 |
Highest
| Memorial Hospital Sweetwater CountyRock Springs, WY | $16,771 |
|---|---|
| Ivinson Memorial HospitalLaramie, WY | $16,744 |
| Campbell County Memorial HospitalGillette, WY | $16,610 |
| Cheyenne Regional Medical CenterCheyenne, WY | $15,893 |
| Sheridan Memorial HospitalSheridan, WY | $15,825 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Wyoming?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 7 hospitals in Wyoming was billed at $35,267 on average, while the average total payment was $14,626, of which Medicare paid $12,845. 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 2.4 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.