Home › Hospitals › Cimarron Memorial Hospital Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $708
$1,415
0.8×
Upper GI endoscopy (EGD) with biopsy (43239) $669.50
$1,338.50
0.8×
Diagnostic colonoscopy (45378) $727
$1,453.50
0.8×
Colonoscopy with biopsy (45380) $846.50
$1,692.50
0.7×
Colonoscopy with lesion removal (45385) $1,037
$2,074
0.9×
CT head/brain without contrast (70450) $629.50
$1,258.50
6.3×
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) $109
$218
1.1×
MRI lumbar spine without contrast (72148) $1,300
$2,600
5.7×
CT pelvis with contrast (72193) $690
$1,380
4.1×
MRI lower-extremity joint without contrast (73721) $697
$1,394
3.0×
CT abdomen and pelvis with contrast (74177) $713
$1,425.50
2.1×
Ultrasound, transvaginal (76830) $259
$518
2.6×
Basic metabolic panel (80048) $34
$67
4.0×
Comprehensive metabolic panel (80053) $34
$67
3.2×
Lipid panel (80061) $34
$67
2.5×
Renal function panel (80069) $37
$73
4.3×
Hepatic function panel (80076) $34
$67
4.2×
Urinalysis, non-automated, with microscopy (81000) $9
$18
2.2×
Urinalysis, non-automated, without microscopy (81002) $12
$23
3.4×
PSA, total (84153) $35
$69.50
1.9×
Thyroid stimulating hormone (TSH) (84443) $50.50
$100
3.0×
CBC with automated differential (85025) $23
$45
3.0×
CBC, automated (85027) $23
$45
3.6×
Prothrombin time (PT) (85610) $17.50
$34.50
4.1×
Partial thromboplastin time (PTT) (85730) $12.50
$24.50
2.1×
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
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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.
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