How many shoppable procedure prices are published for McAlester Regional Health Center?

McAlester Regional Health Center in McAlester, OK currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do McAlester Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, McAlester Regional Health Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is McAlester Regional Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns McAlester Regional Health Center 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 Government - Hospital District or Authority 103 Beds · rural Updated: 2026-03-15

McAlester Regional Health Center

One Clark Bass Boulevard, McAlester, OK 74501 · 117 Priced Procedures · 51% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.23×vs. Fair Market Price

Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 83% of the Time

File Completeness100

Price Logic85

Peer Alignment68

Clean Billing73

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.23× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 8,155), McAlester Regional Health Center commands a 1.23× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#43 of 81 in OK · 51st State Percentile#2,084 of 3,385 in U.S. · 61st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 83% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 51% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.23× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.10× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.51×) jump +37% above the median procedure ratio (Q50 1.10×)
Consolidated metro market (HHI 8,155) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.69× Divergence

1.1× Medicare

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

Quantile Tail Spread+37% Upper Tail

Q25 1.00× · Q50 1.10× · Q75 1.51×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

0.6× MedicareGood

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

83% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at McAlester Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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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`	—	$22,577	$30,775	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,274	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,878	$19,087	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,236	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,863	$8,223	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,066	$2,540	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,592	$1,814	$1,021	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$790	$1,618	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$890	$1,554	$987	1.6×
Trauma team activation HCPCS Code: `G0390`	—	$1,348	$1,453	0.9×
Blood transfusion CPT Code: `36430`	$440	$779	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,342	$637	$511	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,797	$637	$448	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$813	$608	$583	1.0×
Behavioral health day treatment HCPCS Code: `H0010`	—	$562	$343	1.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$562	$364	1.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$489	$257	1.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$489	$269	1.8×
Mental health services (therapy) HCPCS Code: `H0032`	—	$489	$65	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$532	$425	$272	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$985	$431	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,364	$431	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$861	$431	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,316	$431	$369	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$206	$363	$201	1.8×
Neurobehavioral status check CPT Code: `96116`	—	$317	$231	1.4×
Care planning with family CPT Code: `90887`	—	$312	$107	unverified
X-ray, shoulder CPT Code: `73030`	$286	$286	$92	3.1×
Family therapy session CPT Code: `90847`	—	$283	$173	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$887	$270	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,091	$270	$258	1.0×
Rabies immune globulin HCPCS Code: `90375`	$377	$286	$322	0.9×
X-ray, foot CPT Code: `73630`	$232	$232	$92	2.5×
X-ray, ankle CPT Code: `73610`	$232	$232	$93	2.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$253	$140	1.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$253	$157	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$230	$185	1.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$236	$406	0.6×
X-ray, hip CPT Code: `73502`	$187	$187	$93	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$228	$190	$126	1.5×
Ultrasound, pelvis CPT Code: `76856`	$281	$190	$130	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$215	$190	$132	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$267	$190	$134	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$716	$190	$160	1.2×
CT scan, pelvis CPT Code: `72192`	$644	$190	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$512	$190	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$757	$190	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$772	$190	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$772	$190	$169	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$117	$144	$86	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$164	$166	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$149	$151	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$164	$181	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$160	$160	$148	unverified
Psychological testing evaluation CPT Code: `96136`	—	$131	$128	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$138	$138	$123	unverified
X-ray, pelvis CPT Code: `72170`	$155	$108	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$181	$90	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$117	$90	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$266	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$232	$90	$93	1.0×
X-ray, lower back CPT Code: `72110`	$234	$108	$112	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$54	$109	$38	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$80	$80	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$232	$334	$347	1.0×
Physical therapy (gait training) CPT Code: `97116`	$46	$68	$33	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$49	$68	$34	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$68	$35	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$52	$68	$38	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$68	$38	1.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$59	$59	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$52	$68	$40	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$59	$73	$48	1.5×
Prosthetic fitting and training CPT Code: `97761`	$51	$68	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$55	$68	$51	1.3×
Blood antibody screen CPT Code: `86850`	$68	$54	$46	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$47	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$95	$61	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$61	$61	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$69	$69	$110	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$20	$19	1.1×
Blood test, vitamin D CPT Code: `82306`	$36	$32	$31	1.0×
Drug screening test HCPCS Code: `G0480`	$57	$57	$116	0.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$44	$44	$111	0.4×
Speech therapy (group session) CPT Code: `92508`	$55	$55	$27	unverified
Blood test, calcium CPT Code: `82310`	$31	$6	$5	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$15	$14	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$47	$21	$20	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$31	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$55	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$19	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$17	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$35	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$18	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$14	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$28	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$26	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$32	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$6	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$51	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$25	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$44	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$55	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$31	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$48	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$12	$14	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$30	$30	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$24	$24	$39	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$14	$14	$86	0.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$3	$3	$56	0.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$28	$28	$35	unverified

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at McAlester Regional Health Center (Zero PHI Required)

CMS CCN: 370034

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $22,577

1. Amount on Your Bill or Quote ($) Pre-filled with McAlester Regional Health Center’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 274% of 2026 FPL

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.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask McAlester Regional Health Center'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 +$23,410 Above Fair BaseRate

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

Your bill ($54,185) is $23,410 above the denoised Fair BaseRate ($30,775) and 2.3× 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) For-Profit / Non-501(c)(3)

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

EIN: 730992978

Public IRS & CMS ownership records classify McAlester Regional Health Center 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.

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 Composite63/100

Would Recommend51%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait147 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (386 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 McAlester Regional Health Center.

Price Index: 1.00× regional baseline

Quality: 52/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Global Health

-42.3%

Median Household Income$54,787U.S. Census ACS

Local Uninsured Share15.0%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 370034 EIN 730992978

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 370034) ↗ Verify IRS Form 990 (EIN 730992978) ↗ CMS HCRIS Cost Reports ↗

Published MRF File730992978_mcalester-regional-health-center_standardcharges.json

Publication / Vintage2026-03-15 · 67.87 MB

Validated Rate Rows1,715 (CMS v3.0.0)

File Integrity Digestb5930fa1b877a52e00cc…

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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