Memorial Hospital of Converse County
Douglas, WY · Critical Access Hospital
Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-10.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$1,656.56–$6,635.94 | $2,906.25–$11,642 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$4,062.39–$4,689.96 | $7,127–$8,228 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) unusually low: confirm this is the full procedure |
$2,754.24 | $4,832 | 0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,918.62 | $3,366 | 2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$1,918.62–$1,963.94 | $3,366–$3,445.50 | varies |
| Diagnostic colonoscopy (45378) | $2,009.25 | $3,525 | 2.1× |
| Colonoscopy with biopsy (45380) range across 4 matching MRF lines |
$1,004.63–$3,927.87 | $1,762.50–$6,891 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$1,963.94–$2,009.25 | $3,445.50–$3,525 | varies |
| Laparoscopic gallbladder removal (47562) | $4,086.33 | $7,169 | 0.7× |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$2,525.67–$2,908.71 | $4,431–$5,103 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) | $488.49 | $857 | 0.5× |
| Cataract removal with lens insertion (66984) range across 2 matching MRF lines |
$2,310.21–$2,405.97 | $4,053–$4,221 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$1,249.44–$1,337.22 | $2,192–$2,346 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$2,057.70–$2,201.91 | $3,610–$3,863 | varies |
| MRI brain with contrast (70552) | $2,481.78 | $4,354 | 7.0× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$2,972.55–$3,181.17 | $5,215–$5,581 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$470.25–$503.31 | $825–$883 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$1,983.03–$2,122.11 | $3,479–$3,723 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$1,679.22–$1,797.21 | $2,946–$3,153 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,652.43–$1,768.14 | $2,899–$3,102 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$2,892.18–$3,095.10 | $5,074–$5,430 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$742.14–$794.58 | $1,302–$1,394 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 3 matching MRF lines |
$529.53–$680.58 | $929–$1,194 | varies |
| Ultrasound, transvaginal (76830) range across 3 matching MRF lines |
$432.63–$552.90 | $759–$970 | varies |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$272.46–$291.84 | $478–$512 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$328.89–$352.26 | $577–$618 | varies |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$295.26–$316.35 | $518–$555 | varies |
| Basic metabolic panel (80048) range across 3 matching MRF lines |
$62.13–$212.04 | $109–$372 | varies |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$88.35–$251.94 | $155–$442 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$67.26–$98.61 | $118–$173 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$80.94–$83.22 | $142–$146 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$64.41–$114.57 | $113–$201 | varies |
| Urinalysis, non-automated, with microscopy (81000) range across 2 matching MRF lines |
$25.65–$28.50 | $45–$50 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$19.38–$25.65 | $34–$45 | varies |
| PSA, total (84153) range across 3 matching MRF lines |
$48.45–$110.01 | $85–$193 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$68.97–$106.02 | $121–$186 | varies |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$23.94–$139.08 | $42–$244 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$45.60–$47.31 | $80–$83 | varies |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$25.65–$41.04 | $45–$72 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$26.22–$71.82 | $46–$126 | varies |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$2,381.46–$2,728.02 | $4,178–$4,786 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 5 matching MRF lines |
$54.72–$109.44 | $96–$192 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) | $128.25 | $225 | 0.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 242 codes with posted prices and Medicare benchmarks
- Lab & pathology: 566 codes with posted prices and Medicare benchmarks
- Visits & medical services: 127 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 637 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 21 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 8.7 MB) ↓ — captured 2026-09-10
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.