Cimarron Memorial Hospital
Boise City, OK · Critical Access Hospital
Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$408–$1,008 | $815–$2,015 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$497–$842 | $994–$1,683 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$578–$876 | $1,155–$1,752 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$656–$1,037 | $1,311–$2,074 | varies |
| Colonoscopy with lesion removal (45385) | $1,037 | $2,074 | 0.9× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$59–$1,200 | $117–$2,400 | varies |
| MRI brain without contrast (70551) | $1,300 | $2,600 | 5.7× |
| MRI brain with contrast (70552) | $1,400 | $2,800 | 4.2× |
| MRI brain without and with contrast (70553) | $1,950 | $3,900 | 5.8× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$22–$196 | $44–$392 | varies |
| MRI lumbar spine without contrast (72148) | $1,300 | $2,600 | 5.7× |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$80–$1,300 | $160–$2,600 | varies |
| MRI lower-extremity joint without contrast (73721) | $697 | $1,394 | 3.0× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$126–$1,300 | $251–$2,600 | varies |
| Ultrasound, transvaginal (76830) | $259 | $518 | 2.6× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$31–$37 | $61–$73 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$31–$37 | $61–$73 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$31–$37 | $61–$73 | varies |
| Renal function panel (80069) | $37 | $73 | 4.3× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$31–$37 | $61–$73 | varies |
| Urinalysis, non-automated, with microscopy (81000) | $9 | $18 | 2.2× |
| Urinalysis, non-automated, without microscopy (81002) | $12 | $23 | 3.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$34–$36 | $67–$72 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$46–$55 | $91–$109 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$21–$25 | $41–$49 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$21–$25 | $41–$49 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$13–$22 | $26–$43 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$12–$13 | $23–$26 | varies |
| Psychotherapy, 30 minutes (90832) | $82 | $163 | 0.5× |
| Psychotherapy, 45 minutes (90834) | $108 | $216 | 0.6× |
| Psychotherapy, 60 minutes (90837) | $160 | $319 | 0.9× |
| Family psychotherapy, without patient (50 min) (90846) | $97 | $194 | 0.6× |
| Family psychotherapy, with patient (50 min) (90847) | $100 | $200 | 0.6× |
| Group psychotherapy (90853) | $27 | $53 | 0.3× |
| Sleep study (attended polysomnography) (95810) | $1,645 | $3,289 | 2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $66 | $131 | 2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $70 | $140 | 0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $81 | $162 | 0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $95 | $189 | 0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) | $81 | $162 | 0.6× |
| Preventive visit, new patient (age 40–64) (99386) | $124 | $248 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 144 codes with posted prices and Medicare benchmarks
- Lab & pathology: 430 codes with posted prices and Medicare benchmarks
- Visits & medical services: 97 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 161 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 13 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 4.0 MB) ↓ — captured 2026-07-29
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.