PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Sequoyah Memorial Hospital

Sallisaw, OK

213 East Redwood Street, Sallisaw, OK 74955(918) 774-1100

3 of 5

CMS star rating

41

Beds

374

Inpatient discharges a year

$14.1M

Net patient revenue a year

39

In-network payers

About this hospital

Sequoyah Memorial Hospital is a 41-bed government - hospital district or authority hospital in Sallisaw, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 190 disclosed rate categories.

  • Disproportionate share hospital
CCN
370112
NPI
1972539567
Teaching
No Medicare-funded residents
County
Sequoyah County
Metro area
Fort Smith, AR-OK MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1979
Last CMS survey
2021

Prices for common services

The 24 services Sequoyah 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, or start a free trial.

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$550 - $1,978

from 3 insurers · median $1,978

Cigna$1,978
Insurer A*$550
Insurer B*$1,978
Medicare $493Nearby hospitals $1,31750% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$400 - $2,092

from 4 insurers · median $888

Aetna$400
Insurer A*$633
Insurer B*$1,144
Insurer C*$2,092
Medicare $315Nearby hospitals $8317% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$581 - $2,614

from 3 insurers · median $2,614

Blue Cross$581
Insurer A*$2,614
Insurer B*$2,614
Medicare $215Nearby hospitals $524399% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$98 - $351

from 4 insurers · median $193

Cigna$193
Insurer A*$98
Insurer B*$193
Insurer C*$351
Medicare $82Nearby hospitals $185In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sequoyah 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*16
420%
110
Insurer B*21
349%
147
Insurer C*24
211%
184
Insurer D*13
118%
310

How we chose these services: 0 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 5 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 Sequoyah Memorial Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 124 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 21 services
    • 79 affiliated clinicians
    See doctors and services
  • Finances

    $14.1M net patient revenue

    • Operating margin on patient care -23.0%
    • $1.4M unreimbursed and uncompensated care
    • $7.2M net income
    See finances
  • Ownership and leadership

    Owned by Sequoyah County City Of Sallisaw Hospital Authority

    • Local
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Sequoyah Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
73-1066229Sequoyah Memorial Hospital54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1972539567 Sequoyah County City Of Sallisaw Hospital Authority1528319092 Sequoyah County City Of Sallisaw Hospital Authority1639814338 Sequoyah County City Of Sallisaw Hospital Authorityand 10 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

213 East Redwood Street, Sallisaw, OK 74955

(918) 774-1100

Get directions

Frequently asked questions

About Sequoyah Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Sequoyah Memorial Hospital?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Sequoyah Memorial Hospital range from $581 to $2,614 across 3 insurers. Blue Cross Blue Shield's rate is $581. The median at nearby comparable hospitals is $524. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sequoyah Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sequoyah Memorial Hospital range from $400 to $2,092 across 4 insurers. Aetna's rate is $400. The median at nearby comparable hospitals is $831. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sequoyah Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sequoyah Memorial Hospital range from $640 to $3,285 across 2 insurers. UnitedHealthcare's rate is $640. The median at nearby comparable hospitals is $2,404. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sequoyah Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sequoyah Memorial Hospital range from $98 to $351 across 4 insurers. Cigna's rate is $193. The median at nearby comparable hospitals is $185. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sequoyah Memorial Hospital's CMS star rating?

Sequoyah Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Sequoyah Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sequoyah Memorial Hospital for fiscal year 2027.

Does Medicare penalize Sequoyah Memorial Hospital for readmissions?

No. Sequoyah Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Sequoyah Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (12 discharges).

What is Sequoyah Memorial Hospital's case mix index?

Sequoyah Memorial Hospital's Medicare case mix index is 1.07 for fiscal year 2027, higher than 3% of hospitals paid under the inpatient prospective payment system.

How many patients does Sequoyah Memorial Hospital admit?

Sequoyah Memorial Hospital reported 374 inpatient discharges and 2,789 inpatient days from Apr 1, 2024 to Apr 30, 2025.

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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster