Hillcrest Hospital Cushing
1027 East Cherry Street, Cushing, OK 74023 · 86 Priced Procedures · 78% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Hillcrest Hospital Cushing concentrates commercial margin in outpatient surgical suites (5.2× Medicare) and specialty drug infusions (6.2× Medicare) relative to routine diagnostics (13.9×). 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 66% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 78% patient recommendation (72/100 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 5.2× markup over Medicare rates
- Captive ER (16.8×) & laboratory (19.8×) services average 1.28× higher multiples than routine shoppable care (11.6×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Consolidated metro market (HHI 8,182) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Cushing
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,297 | 2.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,720 | 1.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,567 | 4.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,592 | 1.3× |
| Rabies immune globulin HCPCS Code: 90375 | $1,471 | 4.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,489 | 2.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,458 | 1.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,365 | 4.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,370 | 3.1× |
| Blood transfusion CPT Code: 36430 | $1,049 | 2.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,010 | 6.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $994 | 5.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $999 | 2.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $962 | 5.8× |
| CT scan, pelvis CPT Code: 72192 | $929 | 5.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $944 | 3.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $918 | 3.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $889 | 3.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $857 | 5.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $754 | 2.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $681 | 1.2× |
| CT scan, sinuses CPT Code: 70486 | $646 | 3.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $661 | 0.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $536 | 4.0× |
| X-ray, lower back CPT Code: 72110 | $437 | 3.9× |
Audit a Bill or Quote at Hillcrest Hospital Cushing (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 ($2,297) Beats Your Bill
Hillcrest Hospital Cushing's published 45 CFR § 180 self-pay cash rate is $2,297 (vs. $2,297 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($7,658) is $6,637 above the denoised Fair BaseRate ($1,021) and 8.7× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Hillcrest Hospital Cushing 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
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 Cushing. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-05·administrative_or_closure
Closure Notice
Recorded - 2025-02-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (71 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 Cushing.
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.