How many shoppable procedure prices are published for Carnegie Tri-County Municipal Hospital?

Carnegie Tri-County Municipal Hospital in Carnegie, OK currently has 83 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Carnegie Tri-County Municipal Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Carnegie Tri-County Municipal Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 17 Beds · rural Updated: 2026-09-01

Carnegie Tri-County Municipal Hospital

102 North Broadway, Carnegie, OK 73015 · 83 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.91×vs. Fair Market Price

Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness90

Price Logic55

Peer Alignment75

Clean Billing75

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Carnegie Tri-County Municipal Hospital maintains elevated commercial insurance contracts (1.91× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 48% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#69 of 81 in OK · 83rd State Percentile#3,034 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.57× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 63% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.9× markup over Medicare rates
Commercial insurance median sits at 1.85× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.18×) jump +18% above the median procedure ratio (Q50 1.85×)
Unnegotiated chargemaster list prices average 11.4× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.61× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+18% Upper Tail

Q25 1.57× · Q50 1.85× · Q75 2.18×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.9× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.9× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Carnegie Tri-County Municipal Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,861	$8,223	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,476	$845	$448	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$739	$734	$583	1.3×
CT scan, pelvis CPT Code: `72192`	$774	$706	$163	4.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,749	$706	$303	2.3×
CT scan, sinuses CPT Code: `70486`	$687	$575	$166	3.5×
CT scan, chest (no contrast) CPT Code: `71250`	$862	$575	$167	3.4×
Blood transfusion CPT Code: `36430`	$570	$570	$498	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$366	$527	$201	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$687	$500	$168	3.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$783	$500	$169	3.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,193	$500	$242	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,549	$500	$258	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$677	$466	$272	1.7×
Family therapy session CPT Code: `90847`	$275	$420	$173	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$990	$336	$160	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$248	$329	$166	2.0×
Ultrasound, pelvis CPT Code: `76856`	$214	$281	$130	2.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$459	$283	$134	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$299	$299	$181	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$156	$255	$126	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$161	$255	$132	1.9×
X-ray, lower back CPT Code: `72110`	$266	$186	$112	1.7×
Group therapy session CPT Code: `90853`	$116	$157	$100	1.6×
Speech therapy (group session) CPT Code: `92508`	$125	$125	$27	4.6×
X-ray, chest (single view) CPT Code: `71045`	$133	$150	$92	1.6×
X-ray, shoulder CPT Code: `73030`	$171	$150	$92	1.6×
X-ray, foot CPT Code: `73630`	$171	$150	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$171	$150	$93	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$209	$150	$93	1.6×
X-ray, hand CPT Code: `73130`	$171	$150	$93	1.6×
X-ray, hip CPT Code: `73502`	$171	$150	$93	1.6×
X-ray, ankle CPT Code: `73610`	$171	$150	$93	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$237	$132	$86	1.5×
X-ray, pelvis CPT Code: `72170`	$133	$154	$110	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$136	$136	$185	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$84	$100	$38	2.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$245	$88	$64	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$58	$82	$86	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$117	$95	$123	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$273	$455	$111	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$352	$352	$11	32.0×
Typhoid vaccine HCPCS Code: `90675`	$325	$376	$347	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$287	$287	$9	31.9×
Blood test, liver function panel CPT Code: `80076`	$276	$276	$9	30.7×
Hepatitis C antibody test CPT Code: `86803`	$196	$196	$15	13.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$216	$216	$18	12.0×
Culture, bacterial CPT Code: `87070`	$169	$169	$9	18.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$172	$172	$10	17.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$115	$192	$56	unverified
Culture, blood CPT Code: `87040`	$163	$163	$11	14.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$177	$177	$14	12.6×
Blood test, vitamin B12 CPT Code: `82607`	$153	$153	$16	9.6×
Blood test, vitamin D CPT Code: `82306`	$166	$166	$31	5.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$118	$118	$3	39.3×
Blood test, amylase CPT Code: `82150`	$132	$132	$7	18.9×
Blood test, calcium CPT Code: `82310`	$103	$103	$5	20.6×
Blood test, lipase CPT Code: `83690`	$124	$124	$7	17.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$142	$142	$20	7.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$114	$114	$8	14.3×
Drug screening test HCPCS Code: `G0480`	$137	$137	$116	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$109	$14	7.8×
Flu vaccine injection HCPCS Code: `G0008`	$83	$129	$48	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$79	$79	$4	19.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$79	$79	$4	19.8×
Blood test, sodium CPT Code: `84295`	$86	$86	$5	17.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$78	$5	15.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$77	$77	$5	15.4×
Blood test, magnesium CPT Code: `83735`	$99	$99	$7	14.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$72	$35	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$76	$78	$40	1.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$83	$83	$49	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$40	$71	$110	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$54	$89	$25	unverified
Blood test, hemoglobin CPT Code: `85018`	$40	$40	$3	13.3×
Blood test, potassium CPT Code: `84132`	$56	$56	$5	11.2×
Physical therapy (manual therapy) CPT Code: `97140`	$142	$63	$34	1.9×
Physical therapy (gait training) CPT Code: `97116`	$40	$57	$33	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$86	$63	$38	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$127	$63	$87	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$103	$13	$6	2.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$116	$35	$19	1.8×
Blood antibody screen CPT Code: `86850`	$105	$35	$46	0.8×

Showing top 25 high-impact procedures of 83 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Carnegie Tri-County Municipal Hospital (Zero PHI Required)

CMS CCN: 371334

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash Request Quote

Insurer Median $5,861

1. Amount on Your Bill or Quote ($) Pre-filled with Carnegie Tri-County Municipal Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Carnegie Tri-County Municipal Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$6,685 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($14,908) is $6,685 above the denoised Fair BaseRate ($8,223) and 2.6× the $5,676 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Carnegie Tri-County Municipal Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite68/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait73 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Carnegie Tri-County Municipal Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-29·administrative_or_closure
Met Requirements
Recorded
2023-01-24·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (31 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Carnegie Tri-County Municipal Hospital.

Price Index: 1.17× regional baseline

Quality: 54/100 CMS composite

Median Household Income$52,817U.S. Census ACS

Local Uninsured Share18.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 371334

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 371334) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-01 · 15.69 MB

Validated Rate Rows1,481 (CMS v3.0.0)

File Integrity Digest602d5419121682df7f5f…

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.

Submit MRF Update Correction Policy