Hospital & Medical Cost in Wyoming (2026)

Hospital costs in Wyoming typically run $1,400–$3,300 for an uninsured moderate-acuity Level-3 ER visit, with ACA Medicaid NOT expanded (coverage gap exists). Wyoming's combination of constitutional Art. 10 § 4 bar on malpractice damage caps (one of only 5 U.S. states with this constitutional protection), de facto Medicaid-expansion non-adoption (alongside the official 9 holdout states despite repeated legislative votes), no CON program (one of 15 non-CON states), lowest population in the U.S. driving rural-hospital-dominant market structure, $39.45/hr BLS RN mean, Wyoming Medical Center (Casper) + Cheyenne Regional Medical Center + Campbell County Memorial Hospital (Gillette) + Memorial Hospital of Sweetwater County (Rock Springs) regional-rural-hospital concentration, and BCBS Wyoming / Blue Cross Blue Shield dominant commercial-insurance market share.

State Wyoming
Cities Covered 0
Typical uninsured moderate-acuity Level-3 ER visit $1,400 – $3,300
BLS Registered Nurse wage $39.45/hr

Wyoming payer mix, regulation & malpractice drivers

  • Surprise billing protection: Federal No Surprises Act only — no state-level supplement beyond NSA
  • Certificate of Need (CON) status: No Certificate of Need program
  • Medicaid expansion status: ACA Medicaid NOT expanded — 100-138% FPL coverage gap exists
  • Malpractice non-economic damages cap: No enforceable malpractice non-economic damages cap — no cap (Wyoming Constitution Art. 10 § 4 prohibits limits on damages for personal injury)
  • Hospital price transparency mandate: Federal CMS Hospital Price Transparency Rule (45 CFR Part 180) only — no state-level supplement
  • Dominant health insurance market structure: BCBS-dominant — single Blue Cross Blue Shield carrier holds 50%+ commercial market share

Wyoming medical board & physician licensing

  • License status: Statewide license required
  • License board: Wyoming Board of Medicine (official site)
  • Permit: Wyoming Board of Medicine MD/DO license required; DEA Schedule II-V + Wyoming Prescription Drug Monitoring Program (PDMP); hospital privileging at Wyoming Medical Center / Cheyenne Regional Medical Center / Memorial Hospital of Sweetwater County / Campbell County Memorial Hospital; NO Certificate of Need program (Wyoming does not have a CON law)

How medical care costs vary in Wyoming

State-specific code or insurance rule: Wyoming Constitution Article 10 § 4 explicitly PROHIBITS the legislature from limiting recovery for personal injuries or death — making Wyoming one of the few states with a constitutional bar on medical malpractice non-economic damages caps (alongside AZ Article 2 § 31, KY § 14, PA Article III § 18, and WA Article I § 21) — and Wyoming is technically not on the official ACA-non-expansion-holdout list but Wyoming has effectively NOT adopted ACA Medicaid expansion despite repeated legislative votes (most recent failed 2024) leaving Wyoming as one of the de facto non-expansion states alongside the official 9 holdouts (AL, FL, GA, KS, MS, SC, TN, TX, WI), plus Wyoming has the lowest population in the country and one of the most concentrated rural-hospital markets.

Cities in Wyoming

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