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Critical Access HospitalGovernment - Hospital District Or Authority

Roger Mills Memorial Hospital

Cheyenne, OK

501 South L.L. Males, Cheyenne, OK 73628(580) 497-3336

30

In-network payers

118

Disclosed rate categories

15

Beds

About this hospital

Roger Mills Memorial Hospital is a 15-bed government - hospital district or authority hospital in Cheyenne, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 118 disclosed rate categories.

CCN (Medicare provider number)

371303

NPI

1497857437

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

15

Insurance Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care Oklahoma

Prices for common services

The 24 services Roger Mills 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

CT abdomen and pelvis with contrast

CPT 74177

$964 - $2,583

from 2 insurers · median $1,773

Aetna$2,583
Insurer A*$964
Medicare $356Nearby hospitals $635179% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$964 - $2,156

from 2 insurers · median $1,560

Aetna$2,156
Insurer A*$964
Medicare $244Nearby hospitals $611156% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$281 - $1,390

from 3 insurers · median $372

Aetna$1,390
Insurer A*$281
Insurer B*$372
Medicare $107Nearby hospitals $27436% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$805 - $3,119

from 2 insurers · median $1,962

Blue Cross$3,119
Insurer A*$805
Medicare $1,223Nearby hospitals $1,70415% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$508

negotiated rate

Blue Cross$508
Medicare $92Nearby hospitals $512In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$797 - $2,228

from 2 insurers · median $1,513

Blue Cross$2,228
Insurer A*$797
Medicare $1,223Nearby hospitals $1,505In line with nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$100 - $257

from 2 insurers · median $179

Aetna$257
Insurer A*$100
Medicare $89Nearby hospitals $12148% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$792 - $1,321

from 2 insurers · median $1,057

UnitedHealthcare$792
Insurer A*$1,321
Medicare $356Nearby hospitals $1,061In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, without contrast

CPT 71250

$313 - $785

from 3 insurers · median $733

Aetna$733
Insurer A*$313
Insurer B*$785
Medicare $107Nearby hospitals $297146% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$785 - $2,228

from 2 insurers · median $1,506

Blue Cross$2,228
Insurer A*$785
Medicare $950Nearby hospitals $1,497In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$1,800 - $11,194

from 2 insurers · median $6,497

Blue Cross$11,194
Insurer A*$1,800
Medicare $6,176Nearby hospitals $5,12227% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$11,194

negotiated rate

Blue Cross$11,194
Medicare $6,176Nearby hospitals $8,69129% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$961 - $3,863

from 2 insurers · median $2,412

Blue Cross$3,863
Insurer A*$961
Medicare $2,358Nearby hospitals $2,6238% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$387 - $1,321

from 2 insurers · median $854

UnitedHealthcare$387
Insurer A*$1,321
Medicare $244Nearby hospitals $859In line with nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,800 - $7,655

from 2 insurers · median $4,728

Blue Cross$7,655
Insurer A*$1,800
Medicare $3,307Nearby hospitals $3,78725% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$12,499

negotiated rate

Blue Cross$12,499
Medicare $10,860Nearby hospitals $11,6088% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$837

negotiated rate

Blue Cross$837
Medicare $558Nearby hospitals $843In line with nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$824 - $1,975

from 2 insurers · median $1,399

UnitedHealthcare$824
Insurer A*$1,975
Medicare $356Nearby hospitals $1,406In line with nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$1,800 - $9,514

from 2 insurers · median $5,657

Blue Cross$9,514
Insurer A*$1,800
Medicare $6,176Nearby hospitals $5,12210% above nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$3,500 - $11,025

from 2 insurers · median $7,262

UnitedHealthcare$3,500
Insurer A*$11,025
Medicare $3,601Nearby hospitals $6,8716% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$112 - $352

from 3 insurers · median $236

Aetna$236
Insurer A*$112
Insurer B*$352
Medicare $107Nearby hospitals $19621% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$1,800 - $10,624

from 2 insurers · median $6,212

Blue Cross$10,624
Insurer A*$1,800
Medicare $6,176Nearby hospitals $5,7528% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$400 - $745

from 2 insurers · median $573

UnitedHealthcare$400
Insurer A*$745
Medicare $244Nearby hospitals $575In line with nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Arthroscopic ACL reconstruction

CPT 29888

$1,870 - $14,971

from 2 insurers · median $8,421

UnitedHealthcare$1,870
Insurer A*$14,971
Medicare $7,413Nearby hospitals $7,7738% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Roger Mills Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*6
705%
60
Insurer B*24
245%
91
Insurer C*17
83%
10

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 Roger Mills Memorial Hospital.

Location

501 South L.L. Males, Cheyenne, OK 73628

(580) 497-3336

Get directions

Frequently asked questions

About Roger Mills Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Roger Mills Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roger Mills Memorial Hospital range from $792 to $1,321 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,061. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Roger Mills Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Roger Mills Memorial Hospital range from $964 to $2,583 across 2 insurers. Aetna's rate is $2,583. The median at nearby comparable hospitals is $635. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Roger Mills Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Roger Mills Memorial Hospital range from $805 to $3,119 across 2 insurers. Blue Cross Blue Shield's rate is $3,119. The median at nearby comparable hospitals is $1,704. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Roger Mills Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Roger Mills Memorial Hospital range from $508 to $508 across 1 insurers. Blue Cross Blue Shield's rate is $508. The median at nearby comparable hospitals is $512. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Roger Mills Memorial Hospital have?

Roger Mills Memorial Hospital has 15 beds. Facility type: Critical Access Hospital.

Where is Roger Mills Memorial Hospital and what is its phone number?

Roger Mills Memorial Hospital is located at 501 South L.L. Males, Cheyenne, OK 73628. Its main phone number is (580) 497-3336.

What is Roger Mills Memorial Hospital's CCN (Medicare provider number)?

Roger Mills Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 371303.

What is Roger Mills Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Roger Mills Memorial Hospital is 1497857437.

Which insurance plans are in network at Roger Mills Memorial Hospital?

Roger Mills 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.

What price transparency data is available for Roger Mills Memorial Hospital?

118 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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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