How many shoppable procedure prices are published for Memorial Health?

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

How do Memorial Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorial Health's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Memorial Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Memorial Health an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 183 Beds · urban Updated: 2026-03-05

Memorial Health

3401 West Gore Blvd, Lawton, OK 73505 · 135 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.50×vs. Fair Market Price

Typical commercial prices here are +50% above the fair benchmark (1.50×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness56

Price Logic73

Peer Alignment72

Clean Billing80

Real Cash Discount8

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.50× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +37% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Memorial Health prices routine shoppable procedures at 1.8× Medicare (median 1.42× Fair BaseRate) while upper-quartile commercial rates jump +37% to 1.94× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#57 of 81 in OK · 69th State Percentile#2,636 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 57% patient recommendation (54/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
Commercial insurance median sits at 1.42× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.94×) jump +37% above the median procedure ratio (Q50 1.42×)
Consolidated metro market (HHI 6,317) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.89× Divergence

1.6× Medicare

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

Quantile Tail Spread+37% Upper Tail

Q25 0.89× · Q50 1.42× · Q75 1.94×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

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

0.9× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 54/100Elevated

Procedure Prices at Memorial Health

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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$22,544	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$22,544	$13,523	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$19,121	$30,775	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,648	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,037	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,428	$17,936	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,587	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,223	$8,223	0.8×
Inguinal hernia repair CPT Code: `49505`	—	$4,564	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,242	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	—	$4,242	$3,446	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$4,141	$2,975	1.4×
Breast lump removal CPT Code: `19120`	—	$3,876	$3,875	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,729	$2,680	1.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,026	$2,540	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,976	$1,021	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,508	$1,256	1.2×
Trauma team activation HCPCS Code: `G0390`	—	$1,322	$1,453	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,195	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,202	$987	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$1,003	$511	2.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$986	$855	1.2×
MRI, brain (no contrast) CPT Code: `70551`	—	$837	$343	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$764	$448	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$720	$583	1.2×
Behavioral health day treatment HCPCS Code: `H0010`	—	$716	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$716	$364	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$623	$257	2.4×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$623	$269	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$631	$303	unverified
MRI, lower back (no contrast) CPT Code: `72148`	—	$599	$338	1.8×
MRI, knee or other leg joint CPT Code: `73721`	—	$581	$369	1.6×
Blood transfusion CPT Code: `36430`	—	$570	$498	1.1×
CT scan, pelvis CPT Code: `72192`	—	$528	$163	3.2×
Mental health services (therapy) HCPCS Code: `H0032`	—	$547	$65	unverified
CT scan, sinuses CPT Code: `70486`	—	$455	$166	2.7×
CT scan, chest (no contrast) CPT Code: `71250`	—	$455	$167	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$440	$272	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$455	$148	unverified
Care planning with family CPT Code: `90887`	—	$398	$107	3.7×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$374	$169	2.2×
Psychological testing by technician CPT Code: `96138`	—	$399	$395	1.0×
Behavioral health assessment HCPCS Code: `H0001`	—	$322	$157	2.1×
CT scan, head (with contrast) CPT Code: `70460`	—	$320	$242	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$320	$258	1.2×
CT scan, head (no contrast) CPT Code: `70450`	—	$284	$160	1.8×
Family therapy session CPT Code: `90847`	—	$294	$173	1.7×
Neurobehavioral status check CPT Code: `96116`	—	$311	$231	1.3×
Mental health services (assessment) HCPCS Code: `H0031`	—	$283	$140	2.0×
Residential mental health treatment HCPCS Code: `H2036`	—	$300	$406	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$250	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	—	$250	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$250	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$250	$134	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$263	$185	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$161	$86	1.9×
Group therapy session CPT Code: `90853`	—	$175	$100	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$181	$123	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	—	$157	$110	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$160	$166	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$158	$168	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$160	$181	0.9×
Rabies immune globulin HCPCS Code: `90375`	—	$160	$322	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	—	$122	$38	3.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$128	$87	1.5×
Psychological testing evaluation CPT Code: `96136`	—	$129	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$98	$151	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	unverified
X-ray, pelvis CPT Code: `72170`	—	$85	$110	0.8×
X-ray, lower back CPT Code: `72110`	—	$85	$112	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$183	$203	0.9×
Drug screening test HCPCS Code: `G0480`	—	$106	$116	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$123	$140	0.9×
Physical therapy (gait training) CPT Code: `97116`	—	$77	$33	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$77	$34	2.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$77	$35	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$77	$38	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$77	$38	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$77	$40	1.9×
Prosthetic fitting and training CPT Code: `97761`	—	$77	$45	1.7×
Orthotic fitting and training CPT Code: `97760`	—	$77	$51	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$94	$111	0.8×
X-ray, chest (single view) CPT Code: `71045`	—	$77	$92	0.8×
X-ray, shoulder CPT Code: `73030`	—	$77	$92	0.8×
X-ray, foot CPT Code: `73630`	—	$77	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	—	$77	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$77	$93	0.8×
X-ray, hand CPT Code: `73130`	—	$77	$93	0.8×
X-ray, hip CPT Code: `73502`	—	$77	$93	0.8×
X-ray, ankle CPT Code: `73610`	—	$77	$93	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	—	$23	$9	2.6×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$38	$18	2.1×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$12	$5	2.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$7	$3	2.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$26	$14	1.9×
Blood test, lipase CPT Code: `83690`	—	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	—	$13	$7	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$25	$14	1.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$28	$19	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$29	$20	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$32	$25	1.3×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$44	$56	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$17	$8	2.1×
Culture, bacterial CPT Code: `87070`	—	$18	$9	2.0×
Blood antibody screen CPT Code: `86850`	—	$39	$46	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$9	$5	1.8×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$10	$6	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$28	$37	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$43	$64	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$54	$86	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$18	$39	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$10	$34	0.3×
Behavioral health day program HCPCS Code: `H2012`	—	$25	$100	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	unverified
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	unverified
Speech therapy (group session) CPT Code: `92508`	—	—	$27	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	—	$27	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	—	$35	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$14	—

Showing top 25 high-impact procedures of 135 total

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

Audit a Bill or Quote at Memorial Health (Zero PHI Required)

CMS CCN: 370056

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $22,544

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial Health’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 Memorial Health'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 +$40,693 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($54,106) is $40,693 above the denoised Fair BaseRate ($13,413) and 4.1× the $13,117 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)

Public IRS & CMS ownership records classify Memorial Health 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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait120 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate4.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Memorial Health. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-13·administrative_or_closure
Closure Notice
Recorded
2026-02-10·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (731 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 Memorial Health.

Price Index: 1.00× regional baseline

Quality: 37/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-47.0%

Median Household Income$59,000U.S. Census ACS

Local Uninsured Share12.0%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 59/100 · Caution CMS CCN 370056

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 370056) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-05

Validated Rate Rows1,909 (CMS v3.0.0)

File Integrity DigestVerified · CCN 370056

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.

Submit MRF Update Correction Policy