CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Okeene Municipal Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,548
  • Cash Discount Price: $6,038
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Okeene Municipal Hospital is $7,548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,038. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.33x the Medicare baseline. Located in 207 East F Street, Okeene, OK.
Cash / Self-Pay
$6,038

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,548

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Cash / Self-Pay: $6,038 (106%)
Insurance Median: $7,548 (133%)
Cash: $6,038 (106% of Medicare)
Ins. Median: $7,548 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $3,373 - $20,048 59%
Humana $3,373 - $16,880 59%
Ok Complete Health Mcaid $3,373 59%
Pref Community Choice Ppo-All Plans $3,600 63%
Cigna $4,619 81%
UnitedHealthcare $5,500 - $16,880 97%
Healthcare Highways-All Plans $5,661 100%
Phcs Savility/Multiplan - All Plans $5,661 100%
Blue Cross Blue Shield $5,736 - $24,428 101%
Community Care Hmo-All Plans $6,793 120%
Healthchoice Ip Only-All Plans $7,548 133%
Medicare (plans) $7,548 133%
Coventry Mcr Adv $16,880 297%
Global Health Mcr Adv $16,880 297%
Ihs-All Plans $21,015 370%
Global Health-All Other Plans $21,944 387%
Ok Complete Health Comm-All Other Plans $29,492 520%
Medica Commercial-All Other Plans $30,336 534%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 207 East F Street, Okeene, OK 73763
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals