Hillcrest Hospital Claremore
1202 N Muskogee Place, Claremore, OK 74017 · 88 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Hillcrest Hospital Claremore concentrates commercial margin in outpatient surgical suites (11.4× Medicare) and specialty drug infusions (4.7× Medicare) relative to routine diagnostics (26.4×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
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 72% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 68% patient recommendation (68/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 11.4× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (17.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 22.8× 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 Hillcrest Hospital Claremore
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 |
|---|---|---|
| Colonoscopy with biopsy CPT Code: 45380 | $4,536 | 3.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,592 | 3.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,171 | 3.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,994 | 3.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,506 | 5.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,209 | 7.3× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,787 | 6.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,732 | 3.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,616 | 6.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,630 | 4.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,465 | 10.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,439 | 2.8× |
| X-ray, lower back CPT Code: 72110 | $1,387 | 12.4× |
| CT scan, sinuses CPT Code: 70486 | $1,365 | 8.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,376 | 8.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,384 | 5.7× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,389 | 1.6× |
| Ultrasound, pelvis CPT Code: 76856 | $1,291 | 9.9× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,294 | 9.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,236 | 9.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,237 | 7.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,139 | 3.4× |
| Blood transfusion CPT Code: 36430 | $1,102 | 2.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,056 | 3.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,025 | 6.1× |
Audit a Bill or Quote at Hillcrest Hospital Claremore (Zero PHI Required)
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.
Self-Pay Cash Rate ($4,536) Beats Your Bill
Hillcrest Hospital Claremore's published 45 CFR § 180 self-pay cash rate is $4,536 (vs. $4,536 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)
Your bill ($15,119) is $13,863 above the denoised Fair BaseRate ($1,256) and 12.4× the $1,223 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Hillcrest Hospital Claremore 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hillcrest Hospital Claremore. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-05·administrative_or_closure
Closure Notice
Recorded - 2025-03-12·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (285 completed HCAHPS patient surveys). 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 Hillcrest Hospital Claremore.
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.