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Sequoyah Memorial Hospital

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Hospital Overview
Facility Details

CCN

370112

NPI

1972539567

Type

Short Term Acute Care Hospital

Ownership

Government - Hospital District Or Authority

Beds

41

Contact Information

Address

213 East Redwood Street

Sallisaw, OK 74955

Phone

(918) 774-1100

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Respiratory Services

Range: 0410 - 0419

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Miscellaneous Medical Services

Range: M0075 - M0301

Percentage of Bill Charged

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Negotiated

Very Low

Aetna

Facility

RC

All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Pathology and Laboratory Services

Range: P2028 - P9615

Percentage of Bill Charged

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