Financial Assistance Program

As part of our mission, we offer a Financial Assistance Program for Cheyenne Regional Medical Center, Davis Hospice Center and the Cheyenne Regional Medical Group clinics. This program is designed to help individuals who cannot afford the healthcare they need. Patients who cannot pay for all or a portion of their medical treatment may apply for help by completing a Financial Assistance application.

Note: Effective April 1, 2020, discounts are not applied to out-of-pocket costs as a result of copays, coinsurance, and deductibles. The service area for financial assistance is Laramie County, Wyoming. For more information, please see the full policy and/or policy summary in the link below under Financial Assistance Documents and Policies.

(Click on a link below for a copy of the application in English or Spanish.)

You can schedule a time to visit with a representative at the West Campus (214 E 23rd Street) from 8 a.m.– 4 p.m., Monday through Friday. Appointments can also be made outside this time frame, on a case-by-case basis.

To make an appointment or for more information, please call 307-996-4793.
Please print a copy of the application (see links below) prior to seeing a Financial Navigator.

Financial Assistance Documents and Policies

Payment Plans

Financial Assistance Application (English)

La Comunidad Beneficia a la Aplicación (Spanish)

Financial Assistance Program Policy

Financial Assistance Policy Summary

Financial Assistance Payment Scale

Patient Payment at Time of Service Policy

Emergency Medical Treatment and Active Labor Act (EMTALA) Policy

Financial Assistance Covered Providers

2022 Community Health Needs Assessment

Extended Payment Plan Application (English)

l los siguientes planes (Espanol)

Amounts Generally Billed