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 2026-06-27.
Compare this hospital against others interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) | $4,146.25 | $7,274.12 | — |
| Knee arthroscopy with meniscectomy (29881) | $4,376.18 | $7,677.50 | 1.3× |
| 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) | $1,941.28 | $3,405.75 | 2.1× |
| Diagnostic colonoscopy (45378) | $2,009.25 | $3,525 | 2.1× |
| Colonoscopy with biopsy (45380) | $1,636.62 | $2,871.25 | 1.3× |
| Colonoscopy with lesion removal (45385) | $1,986.60 | $3,485.25 | 1.6× |
| Laparoscopic gallbladder removal (47562) | $4,086.33 | $7,169 | 0.7× |
| Inguinal hernia repair (age 5+) (49505) | $2,717.19 | $4,767 | 0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $488.49 | $857 | 0.5× |
| Cataract removal with lens insertion (66984) | $2,358.09 | $4,137 | 1.0× |
| CT head/brain without contrast (70450) | $1,293.33 | $2,269 | 12.1× |
| MRI brain without contrast (70551) | $2,129.80 | $3,736.50 | 8.7× |
| MRI brain with contrast (70552) | $2,481.78 | $4,354 | 7.0× |
| MRI brain without and with contrast (70553) | $3,076.86 | $5,398 | 8.6× |
| X-ray lower spine, 4+ views (72110) | $486.78 | $854 | 4.6× |
| MRI lumbar spine without contrast (72148) | $2,052.57 | $3,601 | 8.4× |
| CT pelvis with contrast (72193) | $1,738.22 | $3,049.50 | 9.7× |
| MRI lower-extremity joint without contrast (73721) | $1,710.28 | $3,000.50 | 7.0× |
| CT abdomen and pelvis with contrast (74177) | $2,993.64 | $5,252 | 8.4× |
| Ultrasound, abdomen complete (76700) | $768.36 | $1,348 | 7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $635.55 | $1,115 | 6.0× |
| Ultrasound, transvaginal (76830) | $516.42 | $906 | 4.8× |
| Mammography, one breast (diagnostic) (77065) | $282.15 | $495 | 3.3× |
| Mammography, both breasts (diagnostic) (77066) | $340.58 | $597.50 | 3.1× |
| Mammography, screening (bilateral) (77067) | $305.80 | $536.50 | 3.4× |
| Basic metabolic panel (80048) | $106.02 | $186 | 12.5× |
| Comprehensive metabolic panel (80053) | $125.97 | $221 | 11.9× |
| Lipid panel (80061) | $82.94 | $145.50 | 6.2× |
| Renal function panel (80069) | $82.08 | $144 | 9.5× |
| Hepatic function panel (80076) | $89.49 | $157 | 11.0× |
| Urinalysis, non-automated, with microscopy (81000) | $27.08 | $47.50 | 6.7× |
| Urinalysis, non-automated, without microscopy (81002) | $22.80 | $40 | 6.6× |
| PSA, total (84153) | $77.52 | $136 | 4.2× |
| Thyroid stimulating hormone (TSH) (84443) | $87.50 | $153.50 | 5.2× |
| CBC with automated differential (85025) | $48.45 | $85 | 6.2× |
| CBC, automated (85027) | $46.46 | $81.50 | 7.2× |
| Prothrombin time (PT) (85610) | $32.49 | $57 | 7.6× |
| Partial thromboplastin time (PTT) (85730) | $44.46 | $78 | 7.4× |
| Sleep study (attended polysomnography) (95810) | $2,548.47 | $4,471 | 2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $65.55 | $115 | 2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) | $128.25 | $225 | 0.9× |
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.