Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional in Wyoming
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Wyoming Pricing in Context
In Wyoming, CPT code 99211 (Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional) carries an average Medicare payment of $14.73 — 10% below the national benchmark of $16.35. 324 providers across the state submitted claims for this procedure in 2023, performing 5.2K total services. Individual payments in WY ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Wyoming is $58.37, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Wyoming sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Office Visit procedures, the estimated commercial insurance price in Wyoming lands near $45.29, with self-pay cash prices typically around $32.23. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional cost in Wyoming?
The average Medicare payment for Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional in Wyoming is $14.73, which is 10% below the national average of $16.35. Providers in WY typically bill $58.37 for this procedure.
What does Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional cost with insurance in Wyoming?
With commercial insurance in Wyoming, Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional costs an estimated $45.29. Without insurance, the estimated cash price is $32.23. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional in Wyoming?
324 providers in Wyoming billed Medicare for Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional in 2023, performing 5.2K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional cheaper in Wyoming than the national average?
Yes — Office Or Other Outpatient Visit For The Evaluation And Management Of Established Patient That May Not Require Presence Of Healthcare Professional costs 10% below the national average in Wyoming. The state average Medicare payment is $14.73 compared to $16.35 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.