CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$570 - $1,283
from 4 insurers · median $1,123
Typical for a hospital with this service line
Boise City, OK
30
In-network payers
178
Disclosed rate categories
25
Beds
Cimarron Memorial Hospital is a 25-bed government - local hospital in Boise City, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 178 disclosed rate categories.
CCN (Medicare provider number)
371307
NPI
1073584819
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
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.





The 24 services Cimarron Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$570 - $1,283
from 4 insurers · median $1,123
Typical for a hospital with this service line
CT imaging
CPT 71260
$468 - $2,340
from 4 insurers · median $1,568
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $3,510
from 4 insurers · median $2,425
Typical for a hospital with this service line
CT imaging
CPT 74176
$239 - $2,196
from 4 insurers · median $977
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$790 - $3,656
from 4 insurers · median $1,867
Typical for a hospital with this service line
CT imaging
CPT 70450
$137 - $1,133
from 4 insurers · median $329
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$101 - $302
from 4 insurers · median $218
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,340
from 4 insurers · median $1,840
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $2,154
from 4 insurers · median $1,205
Typical for a hospital with this service line
Mammography
CPT 77067
$515
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775 - $2,259
from 4 insurers · median $1,523
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $2,340
from 4 insurers · median $1,545
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $5,984
from 2 insurers · median $3,472
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $2,184
from 3 insurers · median $2,184
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$750 - $2,259
from 4 insurers · median $1,577
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$13,213
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $466
from 4 insurers · median $411
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $8,298
from 2 insurers · median $5,049
Typical for a hospital with this service line
Gynecology
CPT 58571
$13,549
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$849
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $11,414
from 2 insurers · median $6,607
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,800 - $14,754
from 2 insurers · median $8,277
Typical for a hospital with this service line
Urology
CPT 50590
$3,500 - $14,866
from 2 insurers · median $9,183
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $2,960
from 4 insurers · median $2,837
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 437% | 7 | 1 |
| Insurer B* | 15 | 340% | 6 | 6 |
| Insurer C* | 23 | 270% | 16 | 3 |
| Insurer D* | 20 | 101% | 1 | 12 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cimarron Memorial Hospital.
100 South Ellis Street, Boise City, OK 73933
(580) 544-2501
About Cimarron Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cimarron Memorial Hospital range from $792 to $3,510 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,664. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cimarron Memorial Hospital range from $570 to $1,283 across 4 insurers. Aetna's rate is $1,283. The median at nearby comparable hospitals is $1,147. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cimarron Memorial Hospital range from $790 to $3,656 across 4 insurers. Blue Cross Blue Shield's rate is $3,656. The median at nearby comparable hospitals is $1,637. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cimarron Memorial Hospital range from $515 to $515 across 1 insurers. Blue Cross Blue Shield's rate is $515. The median at nearby comparable hospitals is $168. What a patient pays depends on their plan's deductible, coinsurance and network status.
Cimarron Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Cimarron Memorial Hospital is located at 100 South Ellis Street, Boise City, OK 73933. Its main phone number is (580) 544-2501.
Cimarron Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 371307.
The National Provider Identifier (NPI) on file for Cimarron Memorial Hospital is 1073584819.
Cimarron Memorial Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
178 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers