Procedures & surgery prices at Cimarron Memorial Hospital

Boise City, OK · every code in this section with a posted price and a Medicare benchmark.

161 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,538 $3,075 1.8×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines
$116–$284 $232–$567 varies
Application finger splint static (29130)
range across 2 matching MRF lines
$40–$317 $80–$633 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$97–$317 $193–$633 varies
Application Long Leg Splint (29505) $379 $758 2.4×
Application Short Arm Splint Dynamic (29126) $317 $633 2.5×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$39–$317 $77–$633 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$91–$379 $182–$758 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines
$77–$237 $154–$474 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$133–$237 $266–$474 varies
Apply short leg cast (29425)
range across 2 matching MRF lines
$237–$284 $474–$567 varies
Arterial puncture (36600) $50 $100 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$77–$562 $153–$1,123 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$274–$703 $548–$1,405 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $67 $134 0.2×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure
$5 $10 0.0×
Arthrotomy Wrist Joint With Biopsy (25100) $2 $3 0.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure
$63 $125 0.0×
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines
$63–$551 $126–$1,102 varies
Aspirate/Inj Ganglion Cyst (20612) $77 $153 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines
$108–$345 $215–$689 varies
Biopsy external ear (69100) $163 $326 0.7×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$95–$1,406 $189–$2,811 varies
Bx Arm/Elbow Soft Tissue,Deep (24066)
range across 2 matching MRF lines
$407–$1,076 $814–$2,152 varies
Bx Cervix (57500) $163 $326 0.2×
Catheter aspiration nasotracheal spx (31720) $92 $183 0.4×
Change Cystostomy Tube Complicated (51710) $20 $40 0.0×
Change Cystostomy Tube Simple (51705) $6 $12 0.0×
Change of Windpipe Airway (31502) $418 $836 1.8×
Chemical Cautery Tissue (17250) $20 $40 0.1×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$113–$171 $226–$341 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$389–$544 $777–$1,087 varies
Closed tx radial head/neck fx w/manipulation (24655) $599 $1,197 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $690 $1,380 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $2,081 $4,161 8.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $834 $1,668 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $544 $1,087 2.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $544 $1,087 2.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $382 $764 1.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $544 $1,087 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,251 $2,502 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $6 $12 0.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $550 $1,100 2.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $698 $1,395 2.9×
Cltx metacarpal fx w/manipulation each bone (26605) $271 $542 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $219 $438 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $544 $1,087 2.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $271 $542 1.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$7–$12 $13–$24 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $1,146 $2,292 1.0×
Complex Cystometrogram (51726) $6 $12 0.0×
Control Nasal Hemorrhage Anterior Complex (30903) $148 $295 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $127 $254 1.0×
Cystourethroscopy (52000) $232 $464 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $489 $978 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$332–$621 $663–$1,241 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$108–$332 $215–$663 varies
Destruction Premalignant Lesion 15/> (17004) $200 $400 0.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$58–$332 $116–$663 varies
Drainage external ear abscess/hematoma cmplx (69005) $3 $5 0.0×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$110–$374 $219–$747 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $258 $515 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$98–$172 $195–$344 varies
Egd cautery tumor polyp (43250) $1,799 $3,597 1.0×
Evacuation of subungual hematoma (11740) $139 $278 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $549 $1,097 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $119 $237 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$151–$1,163 $301–$2,326 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$105–$1,163 $210–$2,326 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $135 $270 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$1,075–$1,163 $2,150–$2,326 varies
Exc hydrocele sprmatic cord uni spx (55500) $2 $3 0.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,163 $2,326 1.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $167 $333 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $201 $402 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
$549–$1,163 $1,097–$2,326 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$459–$1,163 $917–$2,326 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,614 $3,228 1.0×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure
$5 $10 0.0×
Excise excessive skin arm (15836) $35 $70 0.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $133 $265 0.2×
Excision Lesion Tongue W/O Closure (41110) $213 $425 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $175 $350 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $505 $1,009 1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $683 $1,365 0.4×
I&d abscess simple (10060)
range across 2 matching MRF lines
$135–$447 $269–$894 varies
Incision & drainage abscess complicated/multiple (10061) $374 $747 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$374–$447 $747–$894 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$51–$374 $102–$747 varies
Incisional biopsy skin single lesion (11106) $163 $325 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $300 $600 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $90 $179 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $274 $548 0.9×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$51–$469 $102–$937 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $691 $1,381 1.0×
Injection, Intralesional; More Than 7 Lesions (11901) $60 $119 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $48 $96 0.2×
Insert Drug Implant Device (11981) $1,150 $2,300 9.0×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$671–$2,739 $1,342–$5,478 varies
Insert Temp Bladder Cath (51702) $130 $259 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $104 $208 0.8×
Intubation endotracheal emergency procedure (31500) $228 $455 1.0×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476)
range across 3 matching MRF lines
$20–$21 $40–$41 varies
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478)
range across 3 matching MRF lines
$20–$23 $40–$45 varies
Occipital Nerve Block (64405) $86 $171 0.3×
Placement of needle for intraosseous infusion (36680) $169 $337 0.4×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$113–$258 $225–$515 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $374 $747 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $1,075 $2,150 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$75–$171 $149–$341 varies
Removal Implant Deep (20680) $580 $1,160 0.2×
Removal of intranasal lesion (30118) $1,845 $3,690 0.6×
Removal of nail bed (11750) $505 $1,009 1.3×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$237–$317 $474–$633 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$135–$332 $269–$663 varies
Removal/bivalving gauntlet boot/body cast (29700) $56 $112 0.2×
Remove drug implant device (11982) $538 $1,075 1.3×
Remove foreign body from eye (65235)
range across 2 matching MRF lines
$335–$664 $670–$1,328 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$93–$133 $185–$266 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$178–$287 $356–$573 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$168–$176 $335–$352 varies
Remove/Insert Drug Implant (11983) $583 $1,165 1.4×
Repair complex trunk 1.1-2.5 cm (13100) $237 $473 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $195 $389 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $343 $685 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$178–$345 $356–$689 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $158 $316 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$116–$133 $232–$266 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $111 $222 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $45 $90 0.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $549 $1,097 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$67–$317 $134–$633 varies
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines
$135–$332 $269–$663 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $413 $826 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines
$152–$413 $303–$826 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $184 $368 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$345–$413 $689–$826 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $345 $689 1.8×
Skin Tissue Procedure (17999) $30 $59 0.2×
Slitting of prepuce (54001) $2 $3 0.0×
Slitting of prepuce (54000) $2 $3 0.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$132–$413 $263–$826 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $413 $826 1.1×
Strapping ankle (29540) $65 $129 0.4×
Strapping knee (29530) $55 $110 0.4×
Strapping shoulder (29240) $317 $633 2.5×
Strapping thorax (29200) $317 $633 2.0×
Subcutaneous Hormone Pellet Implantation (11980)
range across 2 matching MRF lines
$200–$400 $400–$800 varies
Tangential biopsy skin single lesion (11102) $88 $175 0.2×
Tendon shortening (26477) $20 $40 0.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $20 $40 0.0×
Tracheostomy planned (31600) $2,700 $5,399 0.8×
Treat humerus fracture (24500) $4 $7 0.0×
Treat Humerus Fracture (24505) $1,251 $2,502 0.8×
Treat humerus fracture (23600) $2 $3 0.0×
Trim skin lesion (11055) $33 $65 0.2×
Trim skin lesions 2 to 4 (11056) $135 $269 0.7×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $984 $1,967 0.6×
Tx Gastro Intub W/Asp (43753) $276 $551 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $310 $619 1.3×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$750–$2,124 $1,500–$4,247 varies

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.