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 →

ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $42.75 $57 1.2×
Airway inhalation treatment (94640) $252.75 $337 1.2×
Assessment of aphasia (96105) $186.75 $249 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $206.25 $275 0.6×
Canalith Repositioning (95992) $72 $96 1.8×
Cardiopulmonary resuscitation (92950) $380.25 $507 1.8×
Caregiver training 1st 30 min (97550) $103.50 $138 2.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $51.75 $69 2.0×
Chemother, IV infusion, ea add 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 initiation and management (94660) $182.62 $243.50 0.9×
Critical care (99291) $948.38 $1,264.50 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $42.75 $57 0.2×
Dup-scan xtr veins unilateral/limited study (93971) $591 $788 5.9×
Duplex scan extracranial art compl bi study (93880) $927.75 $1,237 4.0×
EKG (93005) $147 $196 2.6×
Er level 1 (99281) $147 $196 1.8×
Er level ii (99282) $168.75 $225 1.1×
Er level iii (99283) $211.50 $282 0.8×
Er level IV (99284) $252.75 $337 0.6×
Er level v (99285) $538.12 $717.50 0.9×
Evaluation of speech fluency (92521) $258.75 $345 1.9×
Evaluation of speech sound production (92522) $219 $292 2.0×
Evaluation of swallowing function (92610) $167.25 $223 2.0×
External ECG rec>7d<15d recording (93246) $39.75 $53 1.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $397.50 $530 2.0×
Holter Monitor Recording (93225) $442.50 $590 3.5×
Immunization Admin (90471) $36 $48 0.5×
IV infusion hydration each additional hour (96361) $86.62 $115.50 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $215.25 $287 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $118.50 $158 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $318.38 $424.50 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $114 $152 2.5×
IV push initial (96374) $135.38 $180.50 0.7×
Manual therapy 15 min (97140) $66.75 $89 2.4×
Massage 15 min (97124) $58.50 $78 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $309 $412 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $421.50 $562 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $633 $844 3.0×
Ot Contrast Bath Ea 15 Min (97034) $21.75 $29 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $127.50 $170 1.0×
Paraffin bath (97018) $37.50 $50 6.2×
Pt Electric Current Therapy (97033) $69.75 $93 3.7×
Pt eval high complex 45 min (97163) $201.75 $269 2.1×
Pt eval low complex 20 min (97161) $168.75 $225 1.7×
Pt Gait Training Therapy (97116) $63 $84 2.2×
Pt group caregiver training (97552) $43.50 $58 2.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72 $96 2.2×
Pt Physical Performance Test (97750) $42.75 $57 1.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $186 $248 1.9×
Pt re-evaluation (97164) $139.50 $186 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $59.62 $79.50 1.8×
Pt Ultrasound Therapy (97035) $54.75 $73 3.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $132 $176 0.7×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $43.50 $58 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $88.50 $118 1.3×
Therapeutic Activities (97530) $72 $96 2.1×
Therapeutic phlebotomy (99195) $114 $152 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,264.50 $1,686 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $150.75 $201 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $167.25 $223 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $101.25 $135 2.2×
Vasc Duplex Extrem Venous,Bilat (93970) $927.75 $1,237 4.0×
Wheelchair Mgmt Ea 15 Min (97542) $21.75 $29 0.7×