Roger Mills Memorial Hospital
Cheyenne, OK · Critical Access Hospital
Posts prices for 19 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $887.62 | $1,183.50 | 0.2× |
| CT head/brain without contrast (70450) | $1,227.75 | $1,637 | 12.2× |
| X-ray lower spine, 4+ views (72110) | $485.25 | $647 | 4.8× |
| CT pelvis with contrast (72193) | $804 | $1,072 | 4.8× |
| CT abdomen and pelvis with contrast (74177) | $2,281.50 | $3,042 | 6.8× |
| Ultrasound, abdomen complete (76700) | $591 | $788 | 5.9× |
| Ultrasound, transvaginal (76830) | $591 | $788 | 5.9× |
| Basic metabolic panel (80048) | $96.75 | $129 | 11.4× |
| Comprehensive metabolic panel (80053) | $131.25 | $175 | 12.4× |
| Lipid panel (80061) | $84 | $112 | 6.3× |
| Hepatic function panel (80076) | $102 | $136 | 12.5× |
| Urinalysis, non-automated, without microscopy (81002) | $17.25 | $23 | 5.0× |
| PSA, total (84153) | $115.50 | $154 | 6.3× |
| Thyroid stimulating hormone (TSH) (84443) | $102 | $136 | 6.1× |
| CBC with automated differential (85025) | $76.50 | $102 | 9.8× |
| CBC, automated (85027) | $58.50 | $78 | 9.0× |
| Prothrombin time (PT) (85610) | $51 | $68 | 11.9× |
| Partial thromboplastin time (PTT) (85730) | $61.88 | $82.50 | 10.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $69.75 | $93 | 2.4× |
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: 105 codes with posted prices and Medicare benchmarks
- Lab & pathology: 297 codes with posted prices and Medicare benchmarks
- Visits & medical services: 68 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 179 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 8 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 277.8 KB) ↓ — 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.