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Memorial Hospital of Converse County

111 South 5th Street, Douglas, WY 82633  Hospital  ***** CMS quality 4 of 5

43%Self-pay discount
43% off list
A typical self-pay discount. Median across the 3,151 prices this hospital publishes, comparing its cash price with its list price for the same item.
Overall cost rating
Not rated
Type
Small hospital (under 100 beds)
Beds
25
Ownership
Government (county)
Health system
Summit Memorial Management
Medicare ID
531302
Cost report
FY ending 06/30/2025
CMS quality
***** 4 of 5
Emergency dept
Yes
This hospital did not report enough detail by service line to rate individual categories.

What this hospital charges a cash payer

Real published prices from this hospital's own federal price transparency file. We list only services coded in HCPCS Level II, which CMS owns, so nothing here is AMA-licensed. Compare these across hospitals.

ServiceCashList price
PSA prostate cancer screening blood test
HCPCS G0103
$110
cash price
$193
43% off
Hospital observation care, per hour
HCPCS G0378
$1,112
cash price
$1,950
43% off
Cefazolin (Ancef) antibiotic injection, 500 mg
HCPCS J0690
$56.15
cash price
$98.50
43% off
Ceftriaxone (Rocephin) antibiotic injection, 250 mg
HCPCS J0696
$47.03
cash price
$82.50
43% off
Dexamethasone steroid injection, 1 mg
HCPCS J1100
$56.15
cash price
$98.50
43% off
Diphenhydramine (Benadryl) injection, 50 mg
HCPCS J1200
$28.07
cash price
$49.25
43% off
Gentamicin antibiotic injection, 80 mg
HCPCS J1580
$56.15
cash price
$98.50
43% off
Heparin blood thinner injection, 1000 units
HCPCS J1644
$56.15
cash price
$98.50
43% off
Ketorolac (Toradol) pain injection, 15 mg
HCPCS J1885
$56.15
cash price
$98.50
43% off
Ondansetron (Zofran) anti-nausea injection, 1 mg
HCPCS J2405
$28.07
cash price
$49.25
43% off
Fentanyl citrate injection, 0.1 mg
HCPCS J3010
$112
cash price
$197
43% off
One unit of red blood cells for transfusion
HCPCS P9016
$789
cash price
$1,384
43% off
Insurance. This facility holds Medicare certification number 531302, so it is Medicare-certified and bills Medicare. Commercial insurer network lists are not yet part of this dataset. Confirm your specific plan with the facility before you book.

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Something wrong here? This is generated from federal filings, and those filings contain errors. Tell us at krishan@thinkscoopinc.com.