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Hospital Profile Acute Care Hospital Voluntary non-profit - Private 42 Beds · rural Updated: 3/26/2026

Great Plains Regional Medical Center

1801 West 3Rd Street, Elk City, OK 73644 · 53 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).21/100 · Quarantined
21/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness20Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic0Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment0Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing0Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score62/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait87 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Great Plains Regional Medical Center concentrates commercial margin in outpatient surgical suites (4.6× Medicare) and specialty drug infusions (12.0× Medicare) relative to routine diagnostics (14.9×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in OKU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
  • 2-Star CMS clinical rating with 66% patient recommendation (62/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (8.1% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 4.6× markup over Medicare rates
  • Captive ER (15.1×) & laboratory (12.8×) services average 1.29× higher multiples than routine shoppable care (10.4×)
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
10.4× Medicare

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

Back-Door Captive & ER1.29× Divergence
13.4× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
10.4× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
4.6× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
14.9× MedicareWatchout
Back-Door Captive ER VisitsBack-Door Captive
15.1× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
12.8× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
12.0× MedicareWatchout
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 62/100Elevated

Procedure Prices at Great Plains Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 53 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $35,711 1.8×
Total hip replacement
CPT Code: 27130
 $30,271 2.3×
Total knee replacement
CPT Code: 27447
 $27,002 2.0×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $22,265 1.2×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $18,525 2.3×
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $12,187 2.0×
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $8,672 2.6×
Upper endoscopy with biopsy
CPT Code: 43239
 $5,986 6.1×
Colonoscopy (diagnostic)
CPT Code: 45378
 $3,972 4.0×
Colonoscopy with biopsy
CPT Code: 45380
 $3,831 3.1×
CT scan, pelvis
CPT Code: 72192
 $2,363 14.5×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,363 7.8×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,363 5.3×
MRI, brain (no contrast)
CPT Code: 70551
 $1,901 5.5×
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,901 3.7×
CT scan, head (with contrast)
CPT Code: 70460
 $1,826 7.5×
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,826 7.1×
MRI, knee or other leg joint
CPT Code: 73721
 $1,812 4.9×
MRI, lower back (no contrast)
CPT Code: 72148
 $1,586 4.7×
CT scan, chest (no contrast)
CPT Code: 71250
 $1,359 8.1×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,298 7.7×
CT scan, sinuses
CPT Code: 70486
 $1,210 7.3×
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,210 7.2×
CT scan, head (no contrast)
CPT Code: 70450
 $1,141 7.1×
Blood test, thyroid (TSH)
CPT Code: 84443
 $439 24.4×
Showing top 25 high-impact procedures of 53 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 8.1%

Audit a Bill or Quote at Great Plains Regional Medical Center (Zero PHI Required)

CMS CCN: 370019
CPT 470
Fair BaseRate™ $19,432
Medicare Rate $14,044
Self-Pay Cash $35,711
Insurer Median $35,711
Pre-filled with Great Plains Regional Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $4,428 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,428

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (8.1% of gross = $4,428).

Step 2 · Cash vs. Insurance Arbitrage Save $19,229 Paying Cash

Self-Pay Cash Rate ($35,711) Beats Your Bill

Great Plains Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $35,711 (vs. $35,711 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$35,508 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($54,940) is $35,508 above the denoised Fair BaseRate ($19,432) and 3.9× the $14,044 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (8.1% 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.

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

CMS Overall3/5 Stars (3/5)
Safety Composite62/100
Would Recommend66%
Rated 9 or 10 (HCAHPS)66%
Median ER Wait87 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate6.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Great Plains Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

  • 2026-05-11·cap_corrective_action

    CAP Request

    Recorded
  • 2026-01-15·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (220 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Great Plains Regional Medical Center.

Price Index: 1.00× regional baseline
Quality: 53/100 CMS composite
Median Household Income$52,323U.S. Census ACS
Local Uninsured Share11.5%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 21/100 · Quarantined CMS CCN 370019

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 370019) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage3/26/2026
Validated Rate Rows0 (CMS v3.0.0)
File Integrity DigestVerified · CCN 370019

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