Supplies, drugs & other prices at Cimarron Memorial Hospital
Boise City, OK · every code in this section with a posted price and a Medicare benchmark.
13 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adapt Bhv Tx Ea 15 Min (0373T) | $38 | $75 | 1.1× |
| Alcohol/subs interv 15-30mn (G0396) | $38 | $75 | 1.1× |
| Alcohol/subs interv >30 min (G0397) | $70 | $139 | 0.4× |
| Bhv id suprt assmt ea 15 min (0362T) | $38 | $75 | 1.1× |
| Direct refer hospital observ (G0379) | $81 | $162 | 0.1× |
| Drug test def 1-7 classes (G0480) | $201 | $401 | 1.8× |
| Drug test def 15-21 classes (G0482) | $348 | $696 | 1.8× |
| Drug test def 22+ classes (G0483) | $432 | $864 | 1.7× |
| Drug test def 8-14 classes (G0481) | $274 | $548 | 1.7× |
| Ppps, initial visit (G0438) | $50 | $100 | 0.3× |
| Ppps, subseq visit (G0439) | $54 | $108 | 0.4× |
| Psa screening (G0103) | $30 | $60 | 1.6× |
| Trauma respons w/hosp criti (G0390) | $1,481 | $2,962 | 1.2× |