Cimarron Memorial Hospital
100 South Ellis, Boise City, OK 73933 · 88 Priced Procedures
Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Cimarron Memorial Hospital maintains elevated commercial insurance contracts (1.36× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 67% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.67× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.36× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.34× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.77×) jump +32% above the median procedure ratio (Q50 1.34×)
- Unnegotiated chargemaster list prices average 5.5× Medicare (24¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Cimarron Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,677 | 3.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,414 | 1.4× |
| Trauma team activation HCPCS Code: G0390 | $1,274 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,118 | 3.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,118 | 3.3× |
| Blood transfusion CPT Code: 36430 | $1,007 | 2.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $854 | 3.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $728 | 0.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $627 | 2.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $609 | 2.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $625 | 0.6× |
| CT scan, pelvis CPT Code: 72192 | $577 | 3.5× |
| CT scan, sinuses CPT Code: 70486 | $575 | 3.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $577 | 3.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $576 | 3.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $576 | 3.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $599 | 1.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $613 | 1.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $576 | 0.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $541 | 3.4× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $223 | 1.8× |
| Ultrasound, pelvis CPT Code: 76856 | $223 | 1.7× |
| X-ray, chest (two views) CPT Code: 71046 | $144 | 1.5× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $162 | 0.9× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $137 | 0.8× |
Audit a Bill or Quote at Cimarron Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,677
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.0% of gross = $1,677).
Self-Pay Cash Rate ($1,950) Beats Your Bill
Cimarron Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,950 (vs. $1,677 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($3,900) is $3,389 above the denoised Fair BaseRate ($511) and 11.0× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (43.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cimarron Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-04·administrative_or_closure
Closure Notice
Recorded - 2025-03-18·cap_corrective_action
CAP Request
Recorded - 2024-12-18·cap_corrective_action
CAP Request
Recorded - 2024-09-11·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cimarron Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.