How many shoppable procedure prices are published for Northeastern Health System?

Northeastern Health System in Tahlequah, OK currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Northeastern Health System 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 80 Beds · rural Updated: 5/20/2026

Northeastern Health System

1400 East Downing Street, Tahlequah, OK 74465 · 97 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.48×vs. Fair Market Price

Typical commercial prices here are +48% above the fair benchmark (1.48×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness56

Price Logic45

Peer Alignment77

Clean Billing76

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.48× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +43% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Northeastern Health System prices routine shoppable procedures at 2.0× Medicare (median 1.30× Fair BaseRate) while upper-quartile commercial rates jump +43% to 1.86× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#54 of 81 in OK · 65th State Percentile#2,602 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 60% patient recommendation (63/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 1.30× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.86×) jump +43% above the median procedure ratio (Q50 1.30×)
Consolidated metro market (HHI 5,213) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.7× Medicare

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

Quantile Tail Spread+43% Upper Tail

Q25 1.20× · Q50 1.30× · Q75 1.86×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.4× MedicareGood

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

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 63/100Elevated

Procedure Prices at Northeastern Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy (diagnostic) CPT Code: `45378`	$1,599	$1,599	$981	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,641	$1,399	$1,021	1.4×
Rabies immune globulin HCPCS Code: `90375`	$978	$978	$322	3.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,961	$903	$448	2.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,526	$873	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$841	$841	$242	3.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,651	$834	$511	1.6×
Blood transfusion CPT Code: `36430`	$397	$647	$498	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,397	$589	$343	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,484	$570	$583	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,186	$530	$369	1.4×
CT scan, pelvis CPT Code: `72192`	$1,025	$545	$163	unverified
CT scan, head (no contrast) CPT Code: `70450`	$652	$511	$160	3.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,046	$504	$168	3.0×
CT scan, sinuses CPT Code: `70486`	$584	$489	$166	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$931	$442	$167	2.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$247	$394	$201	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$918	$363	$169	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$739	$359	$272	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,450	$346	$338	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,006	$320	$258	1.2×
Ultrasound, pelvis CPT Code: `76856`	$270	$292	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$235	$235	$126	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$231	$219	$132	1.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$144	$236	$148	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$406	$168	$134	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$188	$188	$151	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$121	$151	$123	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$96	$142	$123	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$116	$149	$35	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$80	$113	$87	1.3×
X-ray, foot CPT Code: `73630`	$99	$114	$92	1.2×
X-ray, hand CPT Code: `73130`	$99	$114	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$86	$110	$92	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$101	$101	$86	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$80	$126	$110	1.1×
X-ray, chest (two views) CPT Code: `71046`	$101	$106	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$108	$102	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$99	$118	$110	1.1×
X-ray, ankle CPT Code: `73610`	$99	$95	$93	1.0×
X-ray, hip CPT Code: `73502`	$119	$91	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$99	$89	$92	1.0×
X-ray, lower back CPT Code: `72110`	$193	$108	$112	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$86	$64	unverified
Typhoid vaccine HCPCS Code: `90675`	$442	$442	$347	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$148	$148	$140	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$63	$75	$38	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$49	$49	$18	2.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$36	$36	$14	2.6×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$50	$50	$27	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$54	$54	$37	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$45	$48	$35	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$52	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	$69	$69	$51	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$47	$50	$38	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$72	$72	$56	1.3×
Physical therapy (gait training) CPT Code: `97116`	$41	$43	$33	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$44	$43	$34	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$60	$60	$111	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$69	$69	$203	0.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$43	$43	$14	3.1×
Blood test, basic metabolic panel CPT Code: `80048`	$47	$47	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$68	$68	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$68	$68	$9	unverified
Blood test, potassium CPT Code: `84132`	$21	$21	$5	4.2×
Blood test, magnesium CPT Code: `83735`	$28	$28	$7	4.0×
Blood test, lipase CPT Code: `83690`	$18	$18	$7	2.6×
Culture, bacterial CPT Code: `87070`	$27	$23	$9	2.6×
Blood test, vitamin B12 CPT Code: `82607`	$39	$39	$16	2.4×
Hepatitis C antibody test CPT Code: `86803`	$31	$31	$15	2.1×
Speech therapy (group session) CPT Code: `92508`	$41	$41	$27	1.5×
Drug screening test HCPCS Code: `G0480`	$63	$63	$116	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$10	$4	2.5×
Blood test, amylase CPT Code: `82150`	$17	$17	$7	2.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$21	$21	$10	2.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$25	$25	$14	1.8×
Blood test, hemoglobin CPT Code: `85018`	$4	$4	$3	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$40	$25	$19	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$41	$26	$20	1.3×
Blood test, vitamin D CPT Code: `82306`	$58	$39	$31	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$49	$40	1.2×
Prosthetic fitting and training CPT Code: `97761`	$48	$48	$45	1.1×
Blood test, calcium CPT Code: `82310`	$13	$7	$5	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$28	$28	$39	0.7×
Blood antibody screen CPT Code: `86850`	$28	$28	$46	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$26	$26	$49	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$18	$18	$48	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$23	$3	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$16	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$37	$37	$8	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$39	$39	$86	unverified
Blood test, sodium CPT Code: `84295`	$10	$10	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$9	$9	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$11	$11	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$15	$15	$6	unverified
Culture, blood CPT Code: `87040`	$36	$36	$11	unverified

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.0%

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

CMS CCN: 370089

CPT 45378

Select Procedure to Audit:

Fair BaseRate™ $981

Medicare Rate $950

Self-Pay Cash $1,599

Insurer Median $1,599

1. Amount on Your Bill or Quote ($) Pre-filled with Northeastern Health System’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: $854 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $854

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.0% of gross = $854).

Step 2 · Cash vs. Insurance Arbitrage Save $533 Paying Cash

Self-Pay Cash Rate ($1,599) Beats Your Bill

Northeastern Health System's published 45 CFR § 180 self-pay cash rate is $1,599 (vs. $1,599 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,151 Above Fair BaseRate

Negotiate Toward $981 Fair BaseRate ($950 Medicare)

Your bill ($2,132) is $1,151 above the denoised Fair BaseRate ($981) and 2.2× the $950 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)

EIN: 736045246

Filing Period: 199205

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 (40.0% 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 Composite63/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait124 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

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

CMS Price Transparency Administrative Enforcement Log

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

2025-12-15·administrative_or_closure
Closure Notice
Recorded
2025-09-24·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (407 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 Northeastern Health System.

Price Index: 1.00× regional baseline

Quality: 53/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-53.7%

Median Household Income$53,668U.S. Census ACS

Local Uninsured Share19.1%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 68/100 · Caution CMS CCN 370089 EIN 736045246

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 370089) ↗ Verify IRS Form 990 (EIN 736045246) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage5/20/2026

Validated Rate Rows2,261 (CMS v3.0.0)

File Integrity DigestVerified · CCN 370089

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