Medicine & Surgery ยท Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$53,514 - $60,731
from 4 insurers ยท median $60,731
15 Medicare discharges for this DRG in CMS hospital data
Quorum Health ยท Evanston, WY
33
In-network payers
342
Disclosed rate categories
42
Beds
Evanston Regional is a 42-bed proprietary hospital in Evanston, WY, affiliated with Quorum Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 342 disclosed rate categories.
CCN (Medicare provider number)
530032
NPI
1639140015
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
42
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 Evanston Regional 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.
Medicine & Surgery ยท Inpatient
MS-DRG 470
$53,514 - $60,731
from 4 insurers ยท median $60,731
15 Medicare discharges for this DRG in CMS hospital data
Childbirth ยท Inpatient
MS-DRG 807
$8,958 - $10,166
from 4 insurers ยท median $10,166
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
Childbirth ยท Inpatient
MS-DRG 788
$17,261 - $19,588
from 4 insurers ยท median $19,588
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
CT imaging
CPT 74177
$3,818 - $4,636
from 4 insurers ยท median $4,261
Common here, based on CMS Medicare volume
Childbirth ยท Inpatient
MS-DRG 807
$8,958 - $10,166
from 4 insurers ยท median $10,166
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
CT imaging
CPT 74176
$3,983 - $4,567
from 4 insurers ยท median $4,165
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,258 - $3,515
from 4 insurers ยท median $3,127
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$2,948 - $4,468
from 4 insurers ยท median $3,450
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$4,173 - $4,736
from 4 insurers ยท median $4,280
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,856 - $4,427
from 4 insurers ยท median $3,895
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,889 - $2,955
from 2 insurers ยท median $2,922
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$427 - $484
from 4 insurers ยท median $452
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$7,026
negotiated rate
12 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$2,517 - $3,294
from 2 insurers ยท median $2,905
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$3,660 - $4,197
from 4 insurers ยท median $3,773
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$13,645 - $15,307
from 2 insurers ยท median $14,476
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$390 - $442
from 4 insurers ยท median $413
Common here, based on CMS Medicare volume
CT imaging
CPT 71250
$1,595 - $1,810
from 4 insurers ยท median $1,783
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,134 - $2,426
from 4 insurers ยท median $2,147
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$750 - $1,008
from 4 insurers ยท median $861
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$834 - $1,168
from 4 insurers ยท median $1,039
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$11,304
negotiated rate
11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45378
$2,951 - $3,027
from 2 insurers ยท median $2,989
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,839
negotiated rate
Common here, based on CMS Medicare volume
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* | 17 | 1329% | 14 | 0 |
| Insurer B* | 17 | 1171% | 12 | 0 |
| Insurer C* | 21 | 982% | 18 | 0 |
| Insurer D* | 24 | 624% | 21 | 0 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 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 Evanston Regional.
190 Arrowhead Drive, Evanston, WY 82930
(307) 789-3636
About Evanston Regional's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Evanston Regional range from $2,948 to $4,468 across 4 insurers. Cigna's rate is $3,380. The median at nearby comparable hospitals is $928. 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 Evanston Regional range from $3,818 to $4,636 across 4 insurers. Blue Cross Blue Shield's rate is $3,818. The median at nearby comparable hospitals is $945. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Evanston Regional range from $2,889 to $2,955 across 2 insurers. Aetna's rate is $2,889. The median at nearby comparable hospitals is $1,519. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Evanston Regional range from $8,958 to $10,166 across 4 insurers. UnitedHealthcare's rate is $8,958. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Evanston Regional range from $427 to $484 across 4 insurers. Cigna's rate is $484. The median at nearby comparable hospitals is $260. 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 Evanston Regional range from $53,514 to $60,731 across 4 insurers. Aetna's rate is $60,731. The median at nearby comparable hospitals is $38,593. What a patient pays depends on their plan's deductible, coinsurance and network status.
Evanston Regional has 42 beds. Facility type: Short Term Acute Care Hospital.
Evanston Regional is located at 190 Arrowhead Drive, Evanston, WY 82930. Its main phone number is (307) 789-3636.
Evanston Regional's CMS Certification Number (CCN), also called its Medicare provider number, is 530032.
The National Provider Identifier (NPI) on file for Evanston Regional is 1639140015.
Evanston Regional is affiliated with Quorum Health.
Evanston Regional lists 33 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.
342 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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