Sequoyah Memorial Hospital







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






💡
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.
| Payer | Category | Code Type & Group | Contract Type | Rate 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  | 
Showing 1 - 10 of 190


