How many shoppable procedure prices are published for Integris Health Enid Hospital?

Integris Health Enid Hospital in Enid, OK currently has 135 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Integris Health Enid Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Integris Health Enid Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Integris Health Enid Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Integris Health Enid Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 110 Beds · urban Updated: 2026-04-01

Integris Health Enid Hospital

600 South Monroe, Enid, OK 73701 · 135 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 22% of the Time

File Completeness100

Price Logic83

Peer Alignment64

Clean Billing82

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Integris Health Enid Hospital prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#24 of 81 in OK · 28th State Percentile#1,186 of 3,385 in U.S. · 35th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 22% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 66% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.95× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.10×) jump +16% above the median procedure ratio (Q50 0.95×)
Consolidated metro market (HHI 5,043) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.87× · Q50 0.95× · Q75 1.10×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.9× MedicareGood

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

22% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Integris Health Enid Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,840	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,747	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,609	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,923	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,925	$8,223	1.0×
C-section delivery (full package) CPT Code: `59510`	$5,550	$6,157	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$5,024	$5,884	$2,680	unverified
Total hip replacement CPT Code: `27130`	$2,692	$2,692	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,690	$2,690	$13,523	0.2×
Blood transfusion CPT Code: `36430`	$545	$2,607	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,039	$855	unverified
Trauma team activation HCPCS Code: `G0390`	—	$1,295	$1,453	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,136	$1,136	$3,372	unverified
Breast lump removal CPT Code: `19120`	$1,078	$1,078	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$1,099	$1,099	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$919	$919	$6,109	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$882	$882	$2,540	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,522	$842	$1,021	0.8×
Bunion correction surgery CPT Code: `28296`	$855	$855	$3,446	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$772	$772	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$702	$702	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$581	$581	$1,256	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$908	$536	$583	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$473	$475	$511	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,162	$387	$448	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$458	$275	$242	1.1×
Rabies immune globulin HCPCS Code: `90375`	$501	$290	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$373	$292	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$313	$292	$343	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$650	$264	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$591	$286	$303	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$410	$282	$369	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$227	$86	2.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$232	$232	$166	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$235	$235	$181	1.3×
Neurobehavioral status check CPT Code: `96116`	$160	$212	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$632	$235	$272	0.9×
Family therapy session CPT Code: `90847`	$198	$198	$173	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$215	$201	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$405	$175	$185	0.9×
Care planning with family CPT Code: `90887`	$143	$143	$107	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$327	$147	$134	1.1×
Ultrasound, pelvis CPT Code: `76856`	$267	$137	$130	1.1×
Review of medical records for care CPT Code: `90889`	$117	$117	$114	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$216	$129	$126	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$244	$129	$132	1.0×
CT scan, pelvis CPT Code: `72192`	$329	$153	$163	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$247	$141	$151	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$295	$153	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$444	$153	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$352	$153	$169	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$378	$142	$160	0.9×
CT scan, sinuses CPT Code: `70486`	$568	$143	$166	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$128	$102	$93	1.1×
X-ray, ankle CPT Code: `73610`	$123	$91	$93	1.0×
X-ray, lower back CPT Code: `72110`	$172	$106	$112	0.9×
X-ray, shoulder CPT Code: `73030`	$245	$87	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$69	$102	$110	0.9×
X-ray, foot CPT Code: `73630`	$141	$85	$92	0.9×
X-ray, hand CPT Code: `73130`	$111	$85	$93	0.9×
X-ray, hip CPT Code: `73502`	$136	$85	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$72	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$107	$84	$93	0.9×
Behavioral health day program HCPCS Code: `H2012`	—	$88	$100	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$108	$108	$123	0.9×
Mental health services (assessment) HCPCS Code: `H0031`	$80	$100	$140	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$123	$102	$148	0.7×
Typhoid vaccine HCPCS Code: `90675`	$565	$342	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$189	$220	$140	1.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$175	$175	$203	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$116	$116	$111	1.0×
Drug screening test HCPCS Code: `G0480`	$60	$114	$116	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$53	$53	$33	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$54	$52	$37	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$54	$64	$56	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$75	$58	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$134	$74	$86	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$33	$33	$25	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$11	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$22	$10	$8	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$26	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$35	$23	$19	1.2×
Blood test, vitamin D CPT Code: `82306`	$72	$37	$31	1.2×
Blood test, potassium CPT Code: `84132`	$10	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$10	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$27	$19	$16	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$49	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$28	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$34	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$25	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$19	$11	$10	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$105	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$34	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$3	$3	1.0×
Blood test, hemoglobin CPT Code: `85018`	$15	$3	$3	1.0×
Hepatitis C antibody test CPT Code: `86803`	$29	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$54	$11	$11	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$35	$35	$39	0.9×
Culture, bacterial CPT Code: `87070`	$50	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$41	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$46	$49	0.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$70	$88	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$31	$20	$20	1.0×
Prosthetic fitting and training CPT Code: `97761`	$52	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$63	$44	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$49	$34	$40	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$45	$58	$123	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$27	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$48	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$54	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$47	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$47	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$49	$27	$34	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$45	$50	$87	0.6×
Psychological testing evaluation CPT Code: `96136`	$47	$47	$128	0.4×
Psychological testing by technician CPT Code: `96138`	$53	$53	$395	0.1×
Mental health services (therapy) HCPCS Code: `H0032`	$70	$70	$65	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$19	$25	0.8×
Blood antibody screen CPT Code: `86850`	$55	$34	$46	0.7×
Group therapy session CPT Code: `90853`	$53	$53	$100	0.5×
Speech therapy (group session) CPT Code: `92508`	$35	$23	$27	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$4	$5	0.8×
Behavioral health living support HCPCS Code: `H2019`	—	$23	$34	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$26	$26	$49	0.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$41	$257	0.2×
New patient office visit (30-44 min) CPT Code: `99203`	$45	$45	$110	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$12	$35	0.3×
Blood test, calcium CPT Code: `82310`	$10	$7	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$18	$6	$5	unverified
Blood test, lipase CPT Code: `83690`	$35	$9	$7	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$8	$6	unverified

Showing top 25 high-impact procedures of 135 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 14.7%

Audit a Bill or Quote at Integris Health Enid Hospital (Zero PHI Required)

CMS CCN: 370016

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,840

1. Amount on Your Bill or Quote ($) Pre-filled with Integris Health Enid 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 501(r) AGB Cap: $11,586 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $11,586

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.7% of gross = $11,586).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Integris Health Enid 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 +$48,041 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($78,816) is $48,041 above the denoised Fair BaseRate ($30,775) and 3.4× the $23,504 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: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (14.7% 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 Composite68/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait137 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (353 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Integris Health Enid Hospital.

Price Index: 0.33× regional baseline

Quality: 58/100 CMS composite

Median Household Income$67,302U.S. Census ACS

Local Uninsured Share13.6%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 86/100 · Verified CMS CCN 370016

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 370016) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileDownload.aspx

Publication / Vintage2026-04-01 · 41.19 MB

Validated Rate Rows820 (CMS v3.0.0)

File Integrity Digestf2f4f210a4ff0ca1e03d…

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.

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