Hillcrest Hospital Pryor
111 North Bailey Street, Pryor, OK 74361 · 87 Priced Procedures · 80% 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 Pryor concentrates commercial margin in outpatient surgical suites (4.2× Medicare) and specialty drug infusions (4.4× Medicare) relative to routine diagnostics (14.8×). 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 74% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 80% 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 4.2× markup over Medicare rates
- Captive ER (16.2×) & laboratory (19.2×) services average 1.17× higher multiples than routine shoppable care (11.2×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 15.7× Medicare (25¢ 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 Pryor
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,954 | 6.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,678 | 5.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,527 | 9.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,433 | 5.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,444 | 2.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,314 | 3.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,337 | 1.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,310 | 1.0× |
| CT scan, sinuses CPT Code: 70486 | $1,205 | 7.3× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,173 | 6.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,190 | 1.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,128 | 6.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,114 | 4.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,125 | 3.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,057 | 4.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,043 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $777 | 4.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $740 | 2.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $755 | 0.9× |
| CT scan, pelvis CPT Code: 72192 | $694 | 4.3× |
| Rabies immune globulin HCPCS Code: 90375 | $710 | 2.2× |
| Ultrasound, pelvis CPT Code: 76856 | $627 | 4.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $600 | 4.5× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $568 | 4.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $550 | 4.1× |
Audit a Bill or Quote at Hillcrest Hospital Pryor (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 ($2,954) Beats Your Bill
Hillcrest Hospital Pryor's published 45 CFR § 180 self-pay cash rate is $2,954 (vs. $2,954 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($9,845) is $9,397 above the denoised Fair BaseRate ($448) and 27.7× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Hillcrest Hospital Pryor 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 Pryor. 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 (81 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 Pryor.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.