Cody, WY
35
In-network payers
249
Disclosed rate categories
25
Beds
3
Care quality
Cody Regional Health is a 25-bed government - hospital district or authority hospital in Cody, WY. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 249 disclosed rate categories.
CCN (Medicare provider number)
531312
NPI
1558351536
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Cody Regional Health most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 788
$28,609 - $30,744
from 4 insurers · median $30,083
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$12,954 - $13,921
from 4 insurers · median $13,621
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$2,956 - $3,492
from 4 insurers · median $3,021
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,031 - $1,384
from 4 insurers · median $1,274
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,471 - $2,896
from 4 insurers · median $2,713
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,500 - $2,554
from 2 insurers · median $2,527
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$12,954 - $13,921
from 4 insurers · median $13,621
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$1,195 - $2,010
from 4 insurers · median $1,561
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,754 - $3,499
from 4 insurers · median $3,238
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$41,044 - $44,108
from 3 insurers · median $42,922
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$1,935 - $2,043
from 3 insurers · median $1,953
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,633 - $5,861
from 4 insurers · median $1,875
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,169 - $5,999
from 4 insurers · median $1,234
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$92 - $357
from 4 insurers · median $204
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,223 - $16,282
from 4 insurers · median $7,225
Typical for a hospital with this service line
Mammography
CPT 77067
$144 - $176
from 4 insurers · median $172
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,256 - $1,504
from 4 insurers · median $1,475
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,842 - $1,882
from 2 insurers · median $1,862
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$10,724 - $15,815
from 2 insurers · median $13,270
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$675 - $1,158
from 4 insurers · median $894
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$127 - $196
from 4 insurers · median $150
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,567 - $1,654
from 3 insurers · median $1,654
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$931 - $1,600
from 4 insurers · median $1,372
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,364 - $3,942
from 3 insurers · median $3,836
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 647% | 11 | 5 |
| Insurer B* | 24 | 471% | 8 | 11 |
| Insurer C* | 21 | 449% | 6 | 8 |
| Insurer D* | 21 | 384% | 4 | 5 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cody Regional Health.
707 Sheridan Avenue, Cody, WY 82414
(307) 578-2488
The nearest hospitals of similar type and size. Their rates are compared with Cody Regional Health for the same insurers and services above.
Powell Valley Health Care
Rates about the same as Cody Regional Health (19 services)
North Big Horn Hospital
Rates about the same as Cody Regional Health (10 services)
Beartooth Billings Clinic
â–¼ Rates typically 13% lower than Cody Regional Health (13 services)
Three Rivers Health
â–¼ Rates typically 7% lower than Cody Regional Health (7 services)
Washakie Medical Center
Rates about the same as Cody Regional Health (21 services)
Hot Springs County Memorial
â–² Rates typically 27% higher than Cody Regional Health (16 services)
South Lincoln Medical Center
Weston County Health Services
About Cody Regional Health's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cody Regional Health range from $2,754 to $3,499 across 4 insurers. Aetna's rate is $3,499. The median at nearby comparable hospitals is $3,042. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cody Regional Health range from $2,956 to $3,492 across 4 insurers. Aetna's rate is $3,063. The median at nearby comparable hospitals is $2,817. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cody Regional Health range from $1,935 to $2,043 across 3 insurers. Blue Cross Blue Shield's rate is $1,953. The median at nearby comparable hospitals is $2,155. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Cody Regional Health range from $28,609 to $30,744 across 4 insurers. Cigna's rate is $28,609. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cody Regional Health range from $144 to $176 across 4 insurers. UnitedHealthcare's rate is $168. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Cody Regional Health range from $41,044 to $44,108 across 3 insurers. Blue Cross Blue Shield's rate is $42,922. The median at nearby comparable hospitals is $95,000. What a patient pays depends on their plan's deductible, coinsurance and network status.
Cody Regional Health has 25 beds. Facility type: Critical Access Hospital.
Cody Regional Health is located at 707 Sheridan Avenue, Cody, WY 82414. Its main phone number is (307) 578-2488.
Cody Regional Health's CMS Certification Number (CCN), also called its Medicare provider number, is 531312.
The National Provider Identifier (NPI) on file for Cody Regional Health is 1558351536.
Cody Regional Health lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
249 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers