Procedures & surgery prices at Roger Mills Memorial Hospital
Cheyenne, OK · every code in this section with a posted price and a Medicare benchmark.
179 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $819 | $1,092 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $421.50 | $562 | 0.5× |
| Adding Walker Previously Applied Cast (29440) | $58.50 | $78 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $874.50 | $1,166 | 0.3× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$92.25–$252.75 | $123–$337 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$34.50–$99.75 | $46–$133 | varies |
| Application long arm splint shoulder hand (29105) | $219.75 | $293 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$74.25–$135 | $99–$180 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$88.50–$198 | $118–$264 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$326.25–$516 | $435–$688 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$78–$300 | $104–$400 | varies |
| Apply short leg cast (29425) | $87.75 | $117 | 0.3× |
| Arterial puncture (36600) | $58.50 | $78 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$53.25–$320.25 | $71–$427 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$62.25–$240.75 | $83–$321 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $455.25 | $607 | 1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$53.25–$168.75 | $71–$225 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,108.25 | $2,811 | 1.4× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$773.25–$822 | $1,031–$1,096 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$80.25–$168.75 | $107–$225 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$207.75–$620.25 | $277–$827 | varies |
| Biopsy nail unit (11755) | $94.50 | $126 | 0.1× |
| Biopsy of breast; open, incisional (19101) | $255 | $340 | 0.1× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$49.50–$1,180.50 | $66–$1,574 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$77.25–$135 | $103–$180 | varies |
| Closed Treat Vert Body Fract (22310) | $313.50 | $418 | 1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $553.50 | $738 | 2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $319.50 | $426 | 1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $336.75 | $449 | 1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$252.75–$372 | $337–$496 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $345.75 | $461 | 1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$252.75–$289.50 | $337–$386 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$252.75–$272.25 | $337–$363 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$252.75–$374.25 | $337–$499 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $396.75 | $529 | 1.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $338.25 | $451 | 1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$252.75–$260.25 | $337–$347 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $273.75 | $365 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $592.50 | $790 | 0.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $270.75 | $361 | 1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $299.25 | $399 | 1.3× |
| Closed tx talus fracture w/o manipulation (28430) | $317.25 | $423 | 1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $287.25 | $383 | 1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$250.50–$252.75 | $334–$337 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$249.75–$252.75 | $333–$337 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $457.50 | $610 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$252.75–$354.75 | $337–$473 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$335.25–$336.75 | $447–$449 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $324 | $432 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$210–$252.75 | $280–$337 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$292.50–$336.75 | $390–$449 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $611.25 | $815 | 0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $165 | $220 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $374.25 | $499 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$252.75–$275.25 | $337–$367 | varies |
| Cltx Medial Ankle Fx (27760) | $348.75 | $465 | 1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$242.25–$252.75 | $323–$337 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $172.50 | $230 | 0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$156–$380.25 | $208–$507 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $414 | $552 | 1.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $374.25 | $499 | 1.6× |
| Collect Blood From Catheter Venous Nos (36592) | $151.50 | $202 | 1.2× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$17.25–$30.75 | $23–$41 | varies |
| Complex drainage wound (10180) | $184.50 | $246 | 0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $219.75 | $293 | 1.7× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $637.50 | $850 | 0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $45 | $60 | 0.1× |
| Debride nail 1-5 (11720) | $123 | $164 | 2.2× |
| Debride nail 6 or more (11721) | $143.25 | $191 | 2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$88.50–$531 | $118–$708 | varies |
| Declot vascular device (36593) | $336.75 | $449 | 1.1× |
| Destruct B9 Lesion 1-14 (17110) | $48 | $64 | 0.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$45–$159 | $60–$212 | varies |
| Destruction Vaginal Lesions Simple (57061) | $130.50 | $174 | 0.0× |
| Drainage of gum lesion (41800) | $312 | $416 | 2.4× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$123.75–$1,349.25 | $165–$1,799 | varies |
| Draw Blood Off Venous Device (36591) | $151.50 | $202 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$156.75–$569.25 | $209–$759 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$130.50–$569.25 | $174–$759 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$54.75–$295.50 | $73–$394 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$66–$225 | $88–$300 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$172.50–$246 | $230–$328 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $247.50 | $330 | 0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $84.75 | $113 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$119.25–$306.75 | $159–$409 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $159.75 | $213 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$78.75–$225 | $105–$300 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $110.25 | $147 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $141.75 | $189 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $154.50 | $206 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $206.25 | $275 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$213–$485.25 | $284–$647 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $246 | $328 | 0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $130.50 | $174 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $193.50 | $258 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $438.75 | $585 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $174.75 | $233 | 0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $140.25 | $187 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $292.50 | $390 | 0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $197.25 | $263 | 0.3× |
| I&d abscess peritonsillar (42700) | $179.25 | $239 | 0.8× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$92.25–$539.25 | $123–$719 | varies |
| I&d pilonidal cyst simple (10080) | $97.50 | $130 | 0.1× |
| Incise external hemorrhoid (46083) | $147.75 | $197 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) | $432.75 | $577 | 1.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$168.75–$489 | $225–$652 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $139.50 | $186 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$57.75–$295.50 | $77–$394 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$57.75–$295.50 | $77–$394 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $336.75 | $449 | 1.1× |
| Insert Bladder Cath Complex (51703) | $1,264.50 | $1,686 | 10.2× |
| Insert non-tunnel cv cath (36556) | $409.50 | $546 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$57–$176.25 | $76–$235 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$127.50–$135 | $170–$180 | varies |
| Intubation endotracheal emergency procedure (31500) | $675 | $900 | 3.0× |
| Placement of needle for intraosseous infusion (36680) | $151.50 | $202 | 0.4× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $744 | $992 | 0.2× |
| Punch biopsy skin single lesion (11104) | $287.25 | $383 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$83.25–$168.75 | $111–$225 | varies |
| Puncture Aspiration Cyst Breast (19000) | $57.75 | $77 | 0.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $573.75 | $765 | 0.2× |
| Removal foreign body foot deep (28192) | $509.25 | $679 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) | $414.75 | $553 | 0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $272.25 | $363 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $127.50 | $170 | 2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$43.50–$127.50 | $58–$170 | varies |
| Removal of foreign body from pharynx (42809) | $127.50 | $170 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$134.25–$633 | $179–$844 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$66–$159 | $88–$212 | varies |
| Remove foreign body from eye (65205) | $135 | $180 | 1.1× |
| Remove Intrauterine Device (58301) | $81 | $108 | 0.3× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$71.25–$127.50 | $95–$170 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $305.25 | $407 | 0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $342.75 | $457 | 0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) | $313.50 | $418 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$275.25–$336.75 | $367–$449 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $213 | $284 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$163.50–$168.75 | $218–$225 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$213–$375 | $284–$500 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $243.75 | $325 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$261.75–$434.25 | $349–$579 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$159.75–$325.50 | $213–$434 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$191.25–$375 | $255–$500 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $261.75 | $349 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$223.50–$325.50 | $298–$434 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $127.50 | $170 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$168.75–$225.75 | $225–$301 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $350.25 | $467 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$36.75–$123 | $49–$164 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $53.25 | $71 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $49.50 | $66 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $102 | $136 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $80.25 | $107 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$135–$249 | $180–$332 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$151.50–$316.50 | $202–$422 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$172.50–$180 | $230–$240 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$110.25–$223.50 | $147–$298 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$167.25–$295.50 | $223–$394 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$143.25–$256.50 | $191–$342 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $295.50 | $394 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$168.75–$266.25 | $225–$355 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $930 | $1,240 | 0.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $781.50 | $1,042 | 0.4× |
| Strapping ankle (29540) | $172.50 | $230 | 1.1× |
| Strapping elbow or wrist (29260) | $84 | $112 | 1.5× |
| Strapping knee (29530) | $244.50 | $326 | 1.9× |
| Strapping shoulder (29240) | $84 | $112 | 0.7× |
| Strapping thorax (29200) range across 3 matching MRF lines |
$18–$105.75 | $24–$141 | varies |
| Strapping Unna Boot (29580) | $33.75 | $45 | 0.2× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) | $47.25 | $63 | 0.0× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$336.75–$419.25 | $449–$559 | varies |
| Treat humerus fracture (23600) | $336.75 | $449 | 1.4× |
| Treat Knuckle Dislocation (26700) | $338.25 | $451 | 1.4× |
| Treat Thumb Dislocation (26641) | $393 | $524 | 1.7× |
| Treat Thumb Fracture (26645) | $494.25 | $659 | 0.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $473.25 | $631 | 2.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $121.50 | $162 | 2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $206.25 | $275 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $299.25 | $399 | 1.3× |
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.