Evanston Regional Hospital
Evanston, WY · Critical Access Hospital
Posts prices for 32 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 |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,750.96 | $2,918.27 | 16.4× |
| MRI brain without contrast (70551) | $2,962.76 | $4,937.93 | 12.2× |
| MRI brain with contrast (70552) | $3,152.97 | $5,254.95 | 8.8× |
| MRI brain without and with contrast (70553) | $3,343.16 | $5,571.93 | 9.4× |
| X-ray lower spine, 4+ views (72110) | $524.31 | $873.85 | 4.9× |
| MRI lumbar spine without contrast (72148) | $3,124.66 | $5,207.76 | 12.8× |
| CT pelvis with contrast (72193) | $1,639.55 | $2,732.59 | 9.1× |
| MRI lower-extremity joint without contrast (73721) | $3,578.94 | $5,964.91 | 14.7× |
| CT abdomen and pelvis with contrast (74177) | $3,272.66 | $5,454.44 | 9.2× |
| Ultrasound, abdomen complete (76700) | $1,107.43 | $1,845.72 | 10.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $829.38 | $1,382.30 | 7.8× |
| Ultrasound, transvaginal (76830) | $385.45 | $642.41 | 3.6× |
| Mammography, one breast (diagnostic) (77065) | $314.75 | $524.59 | 3.7× |
| Mammography, both breasts (diagnostic) (77066) | $393.87 | $656.45 | 3.6× |
| Mammography, screening (bilateral) (77067) | $341.69 | $569.48 | 3.7× |
| Basic metabolic panel (80048) | $144.25 | $240.42 | 17.1× |
| Comprehensive metabolic panel (80053) | $152.42 | $254.04 | 14.4× |
| Obstetric panel (80055) | $131.38 | $218.96 | 2.7× |
| Lipid panel (80061) | $138.11 | $230.18 | 10.3× |
| Renal function panel (80069) | $66.68 | $111.14 | 7.7× |
| Hepatic function panel (80076) | $120.72 | $201.20 | 14.8× |
| Urinalysis, non-automated, without microscopy (81002) | $25.25 | $42.08 | 7.3× |
| PSA, total (84153) | $203.57 | $339.29 | 11.1× |
| Thyroid stimulating hormone (TSH) (84443) | $166.75 | $277.91 | 9.9× |
| CBC with automated differential (85025) | $79.46 | $132.43 | 10.2× |
| CBC, automated (85027) | $40.99 | $68.31 | 6.3× |
| Prothrombin time (PT) (85610) | $47.83 | $79.71 | 11.1× |
| Partial thromboplastin time (PTT) (85730) | $119.18 | $198.63 | 19.8× |
| Sleep study (attended polysomnography) (95810) | $3,531.40 | $5,885.67 | 4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $81.88 | $136.46 | 2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $154.50 | $257.50 | 1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $154.50 | $257.50 | 1.1× |
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.