Wyoming

What Medicare pays in Wyoming

Billed charges against Medicare allowed amounts in Wyoming, across the 238 procedures Medicare covers most often.

238Procedures
2,670,629Services covered
3.4xBilled vs allowed
#17Rank of 61

Providers here billed the most above the national figure for evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days. The average was $306.48 against a national $92.82. That is 3.3 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Wyoming

ProcedureBilled hereAllowedGapvs national billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$70.05$22.633.1x1.01x
Therapy procedure using manual technique, each 15 minutes$72.04$20.043.6x1.06x
Therapy procedure using functional activities$75.82$30.952.5x1.02x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$71.03$27.142.6x0.98x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$267.37$114.632.3x0.97x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$178.12$82.142.2x0.95x
Ground mileage, per statute mile$33.36$10.023.3x1.26x
Fixed wing air mileage, per statute mile$126.38$15.098.4x0.91x
Destruction of precancer skin growth, 2-14 growths$31.19$6.085.1x1.42x
Insertion of needle into vein for collection of blood sample$19.28$8.452.3x0.88x
Chiropractic manipulative treatment, 3-4 spinal regions$55.68$37.231.5x0.92x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$233.35$73.533.2x1.15x
Rotary wing air mileage, per statute mile$280.97$40.107.0x0.79x
Injection, bupivacaine liposome, 1 mg$8.98$1.396.4x1.84x
Psychotherapy, 1 hour$201.77$115.091.8x0.96x
Administration of influenza virus vaccine$32.71$25.431.3x0.80x
Established patient complete exam of visual system$174.74$123.081.4x0.77x
Chiropractic manipulative treatment, 1-2 spinal regions$43.01$25.921.7x0.88x
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$116.42$51.452.3x0.99x
Blood test, comprehensive group of blood chemicals$58.73$10.325.7x0.96x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$49.67$7.596.5x1.34x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$260.35$100.982.6x0.98x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$232.84$119.392.0x0.84x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$395.52$164.482.4x0.97x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$72.70$7.989.1x1.62x
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$27.62$8.473.3x0.71x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$396.99$152.592.6x0.97x
Pathology examination of tissue using a microscope, intermediate complexity$199.77$54.713.7x1.07x
Therapy procedure for walking training, each 15 minutes$60.43$21.142.9x1.07x
X-ray of chest, 1 view$52.31$8.226.4x1.00x
Admn sarscov2 vacc 1 dose$38.90$32.031.2x0.77x
Imaging of retina$104.93$39.022.7x0.85x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$415.91$111.983.7x1.28x
Destruction of precancer skin growth, 1 growth$171.31$48.913.5x1.10x
Emergency department visit with high level of medical decision making$1,172.81$161.997.2x0.95x
Injection of drug or substance under skin or into muscle$60.69$13.094.6x1.10x
Hemoglobin a1c level$40.57$9.494.3x0.70x
Application of ultrasound, each 15 minutes$45.66$10.134.5x1.20x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$30.37$15.392.0x0.70x
Screening mammography$323.02$79.394.1x1.30x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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