CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,420 - $5,021
from 4 insurers · median $3,435
Typical for a hospital with this service line
Douglas, WY
31
In-network payers
223
Disclosed rate categories
25
Beds
4
Care quality
Memorial Hospital Of Converse County is a 25-bed government - local hospital in Douglas, WY. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 223 disclosed rate categories.
CCN (Medicare provider number)
531302
NPI
1326085408
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
4
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 Memorial Hospital Of Converse County 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.
CT imaging
CPT 74177
$2,420 - $5,021
from 4 insurers · median $3,435
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,789 - $4,721
from 4 insurers · median $3,355
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,187 - $1,549
from 3 insurers · median $1,361
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,104 - $2,901
from 4 insurers · median $2,576
Typical for a hospital with this service line
CT imaging
CPT 71275
$747 - $2,981
from 4 insurers · median $1,907
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,702 - $3,685
from 4 insurers · median $3,237
Typical for a hospital with this service line
Mammography
CPT 77067
$274 - $527
from 4 insurers · median $367
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,496 - $3,198
from 4 insurers · median $1,893
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,617 - $2,354
from 4 insurers · median $1,980
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,796 - $3,447
from 4 insurers · median $2,300
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$86 - $437
from 4 insurers · median $237
Typical for a hospital with this service line
MRI imaging
CPT 70551
$521 - $3,484
from 4 insurers · median $2,022
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,151 - $3,081
from 4 insurers · median $1,647
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,119 - $2,990
from 3 insurers · median $2,508
Hospital reports nuclear medicine services to CMS
Laboratory and pathology
CPT 80053
$181 - $208
from 3 insurers · median $182
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,485 - $2,947
from 4 insurers · median $1,910
Typical for a hospital with this service line
Ultrasound
CPT 76705
$227 - $954
from 4 insurers · median $549
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,942 - $3,850
from 4 insurers · median $3,506
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$486 - $1,922
from 4 insurers · median $1,750
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$590 - $1,150
from 4 insurers · median $775
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,413 - $7,033
from 3 insurers · median $4,070
Typical for a hospital with this service line
Ultrasound
CPT 76830
$438 - $861
from 4 insurers · median $581
Typical for a hospital with this service line
Ultrasound
CPT 76856
$471 - $907
from 4 insurers · median $625
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$861 - $4,207
from 3 insurers · median $3,528
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 | 828% | 18 | 2 |
| Insurer B* | 24 | 523% | 7 | 15 |
| Insurer C* | 24 | 438% | 3 | 12 |
| Insurer D* | 23 | 417% | 7 | 12 |
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 Memorial Hospital Of Converse County.
111 South Fifth Street, Douglas, WY 82633
(307) 358-2122
About Memorial Hospital Of Converse County's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Hospital Of Converse County range from $2,702 to $3,685 across 4 insurers. Aetna's rate is $3,253. The median at nearby comparable hospitals is $2,701. 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 Memorial Hospital Of Converse County range from $2,420 to $5,021 across 4 insurers. Blue Cross Blue Shield's rate is $3,984. The median at nearby comparable hospitals is $3,188. 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 Memorial Hospital Of Converse County range from $1,617 to $2,354 across 4 insurers. Blue Cross Blue Shield's rate is $2,031. The median at nearby comparable hospitals is $2,806. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Of Converse County range from $274 to $527 across 4 insurers. Blue Cross Blue Shield's rate is $407. The median at nearby comparable hospitals is $273. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Hospital Of Converse County has 25 beds. Facility type: Critical Access Hospital.
Memorial Hospital Of Converse County is located at 111 South Fifth Street, Douglas, WY 82633. Its main phone number is (307) 358-2122.
Memorial Hospital Of Converse County's CMS Certification Number (CCN), also called its Medicare provider number, is 531302.
The National Provider Identifier (NPI) on file for Memorial Hospital Of Converse County is 1326085408.
Memorial Hospital Of Converse County lists 31 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
223 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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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.
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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