Visits & medical services prices at Cimarron Memorial Hospital
Boise City, OK · every code in this section with a posted price and a Medicare benchmark.
97 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $152 | $304 | 1.6× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$34–$103 | $68–$205 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $66 | $131 | 4.6× |
| Assmt & care planning pt w/cognitive impairment (99483) | $125 | $250 | 1.3× |
| Breathing response to hypoxia (94450) | $144 | $287 | 1.2× |
| Brief Emotional/Behav Assmt (96127) | $14 | $27 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $162 | $324 | 0.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $223 | $446 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $364 | $728 | 1.8× |
| Cardioversion (92960) | $1,070 | $2,140 | 1.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $49 | $98 | 1.4× |
| Chest Wall Manipulation (94668) | $61 | $121 | 0.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $105 | $210 | 3.3× |
| Continuous Pulse Ox (94762) | $184 | $368 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$105–$184 | $210–$368 | varies |
| Cpt initial (94667) | $61 | $121 | 0.5× |
| Critical care first hour (99291) | $821 | $1,642 | 1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$165–$258 | $329–$515 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $66 | $131 | 4.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$83 | $5–$165 | 1.5× |
| Emergency Dept Visit Level 2 (99282) | $173 | $345 | 1.2× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$280–$382 | $559–$763 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$467–$495 | $933–$990 | varies |
| Er level 1 (99281) | $97 | $194 | 1.2× |
| Er level v (99285) | $693 | $1,386 | 1.2× |
| Evaluate pt use of inhaler (94664) | $61 | $121 | 0.3× |
| Evaluate Swallowing Function (92610) | $63 | $125 | 0.7× |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$25–$163 | $50–$325 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $48 | $95 | 1.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $15 | $30 | 0.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$25–$64 | $50–$128 | varies |
| Holter monitor recording (93225) | $237 | $473 | 1.9× |
| Immunization administration (90471) range across 7 matching MRF lines |
$8–$38 | $16–$75 | varies |
| Iontophoresis 15 min (97033) | $66 | $131 | 3.5× |
| Irrig Drug Delivery Device (96523) | $135 | $270 | 2.4× |
| IV infusion hydration each additional hour (96361) | $99 | $198 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $200 | $400 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $181 | $361 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $99 | $198 | 2.2× |
| IV push initial (96374) range across 2 matching MRF lines |
$114 | $227–$228 | 0.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $144 | $287 | 2.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22 | $44 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $24 | $47 | 0.7× |
| Multiple Family Group Psychotherapy (90849) | $34 | $67 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$92–$135 | $184–$269 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $132 | $263 | 0.3× |
| Neurobehavioral Status Exam (96116) | $38 | $76 | 0.2× |
| Neuromuscular Reeducation (97112) | $66 | $131 | 2.0× |
| Oral Function Therapy (92526) | $63 | $125 | 0.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $131 | $262 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $66 | $131 | 1.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $46 | $92 | 2.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$63–$66 | $125–$131 | varies |
| Ot eval high complexity (97167) | $101 | $201 | 1.0× |
| Ot Eval Low Complex (97165) | $101 | $201 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $101 | $201 | 1.0× |
| Ot manual therapy 15 min (97140) | $66 | $131 | 2.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $66 | $131 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $101 | $201 | 1.5× |
| Percutaneous tests w/allergenic extracts (95004) range across 4 matching MRF lines |
$4–$20 | $8–$40 | varies |
| Phlebotomy therapeutic (99195) | $167 | $333 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $823 | $1,645 | 1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $41 | $81 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $4 | $8 | 0.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $6 | $11 | 0.1× |
| Psychiatric diagnostic evaluation (90791) | $188 | $376 | 1.1× |
| Psychoanalysis (90845) | $103 | $205 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $152 | $303 | 0.9× |
| Pt Eval High Complex (97163) | $101 | $201 | 1.0× |
| Pt eval low complex 20 min (97161) | $101 | $201 | 1.0× |
| Pt Eval Mod Complex (97162) | $101 | $201 | 1.0× |
| Pt gait training 15 min (97116) | $66 | $131 | 2.3× |
| Pt mechanical traction (97012) | $66 | $131 | 4.6× |
| Pt Re-Eval Est Plan Care (97164) | $68 | $136 | 1.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $26 | $52 | 0.7× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$76–$260 | $151–$520 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $34 | $68 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $135 | $269 | 0.7× |
| Sbsq Psyc Collab Care Mgmt (99493) | $143 | $286 | 1.5× |
| Self Care Mngment Training (97535) | $105 | $210 | 3.2× |
| Sensory Integration Ea 15 Min (97533) | $105 | $210 | 1.7× |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$71–$168 | $141–$336 | varies |
| Spirometry (94010) | $144 | $287 | 0.7× |
| Temp transcutaneous pacing (92953) | $307 | $614 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$17–$85 | $33–$169 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$16–$27 | $32–$53 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66 | $131 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $66 | $131 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$14–$38 | $27–$75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $220 | $439 | 1.1× |
| Therapeutic Activities (97530) | $66 | $131 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $31 | $61 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $56 | $112 | 0.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $63 | $126 | 1.4× |
| Vital capacity, total (94150) | $144 | $287 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $105 | $210 | 3.4× |
| Whirlpool Therapy (97022) | $66 | $131 | 4.2× |
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.