Visits & medical services prices at Roger Mills Memorial Hospital
Cheyenne, OK · every code in this section with a posted price and a Medicare benchmark.
68 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $42.75 | $57 | 1.2× |
| Airway Inhalation Treatment (94640) | $252.75 | $337 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $54.75 | $73 | 3.8× |
| Assessment of aphasia per hr (96105) | $186.75 | $249 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$83.25–$329.25 | $111–$439 | varies |
| Canalith repositioning proc (95992) | $72 | $96 | 1.8× |
| Cardiopulmonary resuscitation (92950) | $380.25 | $507 | 1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $51.75 | $69 | 2.0× |
| Chemo IV infusion addl hr (96415) | $135 | $180 | 1.9× |
| Color/duplex Doppler, complete (93975) | $1,264.50 | $1,686 | 5.5× |
| Color/duplex Doppler, limited (93976) | $759 | $1,012 | 7.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$177–$188.25 | $236–$251 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$378–$1,518.75 | $504–$2,025 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $42.75 | $57 | 0.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $927.75 | $1,237 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $591 | $788 | 5.9× |
| Electrocardiogram Tracing (93005) | $147 | $196 | 2.6× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$127.50–$201.75 | $170–$269 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$168.75–$345.75 | $225–$461 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$211.50–$591 | $282–$788 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$127.50–$168.75 | $170–$225 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$295.50–$780.75 | $394–$1,041 | varies |
| Evaluate Speech Production (92522) | $219 | $292 | 2.0× |
| Evaluate Swallowing Function (92610) | $167.25 | $223 | 2.0× |
| Evaluation of speech fluency (92521) | $258.75 | $345 | 1.9× |
| External ECG rec>7d<15d recording (93246) | $39.75 | $53 | 1.1× |
| Extracranial Bilat Study (93880) | $927.75 | $1,237 | 4.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $397.50 | $530 | 2.0× |
| Holter monitor recording (93225) | $442.50 | $590 | 3.5× |
| Immunization administration (90471) range across 2 matching MRF lines |
$17.25–$54.75 | $23–$73 | varies |
| Iontophoresis 15 min (97033) | $69.75 | $93 | 3.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$76.50–$96.75 | $102–$129 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$47.25–$236.25 | $63–$315 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$109.50–$127.50 | $146–$170 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$76.50–$151.50 | $102–$202 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$131.25–$139.50 | $175–$186 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $309 | $412 | 0.8× |
| Neuromuscular Reeducation (97112) | $72 | $96 | 2.2× |
| Oral Function Therapy (92526) | $167.25 | $223 | 2.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $21.75 | $29 | 1.6× |
| Ot manual therapy 15 min (97140) | $66.75 | $89 | 2.4× |
| Ot paraffin bath (97018) | $37.50 | $50 | 6.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $127.50 | $170 | 1.0× |
| Phlebotomy therapeutic (99195) | $114 | $152 | 0.9× |
| Physical Performance Test (97750) | $42.75 | $57 | 1.3× |
| Pt Eval High Complex (97163) | $201.75 | $269 | 2.1× |
| Pt eval low complex 20 min (97161) | $168.75 | $225 | 1.7× |
| Pt Eval Mod Complex (97162) | $186 | $248 | 1.9× |
| Pt gait training 15 min (97116) | $63 | $84 | 2.2× |
| Pt group caregiver training (97552) | $43.50 | $58 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $139.50 | $186 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$42.75–$221.25 | $57–$295 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$42.75–$76.50 | $57–$102 | varies |
| Slp caregiver training 1st 30 min (97550) | $103.50 | $138 | 2.0× |
| Speech sound lang comprehen (92523) | $445.50 | $594 | 2.0× |
| Standardized Cognitive Performance Testing (96125) | $198.75 | $265 | 1.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $43.50 | $58 | 1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $43.50 | $58 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $58.50 | $78 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$16.50–$168.75 | $22–$225 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$256.50–$380.25 | $342–$507 | varies |
| Therapeutic Activities (97530) | $72 | $96 | 2.1× |
| Tte w/doppler, complete (93306) | $1,264.50 | $1,686 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $150.75 | $201 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$96.75–$105.75 | $129–$141 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $421.50 | $562 | 3.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$320.25–$633 | $427–$844 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $21.75 | $29 | 0.7× |
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.