How many shoppable procedure prices are published for St Mary's Regional Medical Center?

St Mary's Regional Medical Center in Enid, OK currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Mary's Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Mary's Regional Medical Center's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is St Mary's Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St Mary's Regional Medical 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 Proprietary 142 Beds · urban Updated: 1/1/2026

St Mary's Regional Medical Center

305 South 5Th Street, Enid, OK 73701 · 115 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.56×vs. Fair Market Price

Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness51

Price Logic92

Peer Alignment69

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.56× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,043), St Mary's Regional Medical Center commands a 1.56× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#59 of 81 in OK · 71st State Percentile#2,727 of 3,385 in U.S. · 80th 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 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 71% 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 (1.56× 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 1.45× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.89×) jump +30% above the median procedure ratio (Q50 1.45×)
Consolidated metro market (HHI 5,043) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.59× Divergence

1.3× Medicare

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

Quantile Tail Spread+30% Upper Tail

Q25 1.20× · Q50 1.45× · Q75 1.89×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

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

1.3× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at St Mary's Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 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`	—	$31,014	$30,775	1.0×
Total hip replacement CPT Code: `27130`	—	$21,874	$13,413	1.6×
Total knee replacement CPT Code: `27447`	—	$21,874	$13,523	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,719	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,980	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,182	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,842	$8,223	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,500	$3,372	1.3×
C-section delivery (full package) CPT Code: `59510`	—	$4,078	$2,975	1.4×
Inguinal hernia repair CPT Code: `49505`	$7,146	$4,036	$3,629	1.1×
Breast lump removal CPT Code: `19120`	$3,857	$4,000	$3,875	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,728	$2,540	1.5×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,675	$2,680	1.4×
Bunion correction surgery CPT Code: `28296`	—	$3,652	$3,446	1.1×
Trauma team activation HCPCS Code: `G0390`	$3,566	$1,985	$1,453	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,337	$1,780	$1,021	1.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,802	$1,256	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,174	$1,597	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,575	$981	1.6×
Rabies immune globulin HCPCS Code: `90375`	$1,372	$1,372	$322	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,227	$1,321	$855	1.5×
Blood transfusion CPT Code: `36430`	$1,087	$1,032	$498	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,069	$932	$583	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,354	$896	$511	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$830	$830	$151	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,057	$782	$448	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,907	$752	$343	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,749	$752	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,135	$692	$369	1.9×
Psychological testing by technician CPT Code: `96138`	—	$698	$395	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,638	$648	$242	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,177	$667	$303	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,690	$648	$258	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,175	$558	$160	3.5×
CT scan, pelvis CPT Code: `72192`	$1,794	$558	$163	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$2,023	$558	$167	3.3×
CT scan, sinuses CPT Code: `70486`	$1,641	$558	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,907	$531	$168	3.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,948	$531	$169	3.1×
Neurobehavioral status check CPT Code: `96116`	$421	$545	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,110	$411	$272	1.5×
Psychological testing evaluation CPT Code: `96136`	—	$226	$128	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$347	$250	$148	1.7×
X-ray, pelvis CPT Code: `72170`	$418	$213	$110	1.9×
X-ray, lower back CPT Code: `72110`	$645	$213	$112	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$734	$213	$126	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	$319	$203	$123	1.7×
Ultrasound, pelvis CPT Code: `76856`	$930	$213	$130	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$675	$213	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,143	$213	$134	1.6×
X-ray, shoulder CPT Code: `73030`	$522	$176	$92	1.9×
X-ray, foot CPT Code: `73630`	$564	$176	$92	1.9×
X-ray, chest (two views) CPT Code: `71046`	$316	$176	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$439	$176	$93	1.9×
X-ray, hand CPT Code: `73130`	$489	$176	$93	1.9×
X-ray, hip CPT Code: `73502`	$448	$176	$93	1.9×
X-ray, ankle CPT Code: `73610`	$540	$176	$93	1.9×
X-ray, chest (single view) CPT Code: `71045`	$325	$176	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$118	$101	$64	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$270	$108	$86	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$99	$99	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$874	$608	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$849	$489	$203	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$225	$225	$11	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$279	$178	$111	1.6×
Drug screening test HCPCS Code: `G0480`	$227	$143	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$180	$143	$140	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$188	$95	$39	2.4×
Hepatitis B vaccine HCPCS Code: `90744`	$197	$113	$37	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$121	$51	$14	3.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$69	$60	$25	2.4×
Physical therapy (gait training) CPT Code: `97116`	$113	$63	$33	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$143	$66	$38	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$130	$59	$35	1.7×
Prosthetic fitting and training CPT Code: `97761`	$127	$71	$45	1.6×
Blood antibody screen CPT Code: `86850`	$194	$67	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$161	$69	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$141	$69	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$63	$69	$49	1.4×
Orthotic fitting and training CPT Code: `97760`	$137	$65	$51	1.3×
Speech therapy (group session) CPT Code: `92508`	$195	$34	$27	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$99	$49	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$46	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$111	$46	$38	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$54	$37	$56	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$111	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$130	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$41	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$153	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$177	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$150	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$158	$23	$19	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$124	$41	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$141	$39	$34	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$129	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$187	$17	$14	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$156	$12	$10	1.2×
Blood test, vitamin D CPT Code: `82306`	$453	$37	$31	1.2×
Blood test, calcium CPT Code: `82310`	$57	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$60	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$54	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$52	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$105	$18	$15	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$130	$24	$20	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$123	$19	$16	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$79	$39	$86	0.5×
Culture, blood CPT Code: `87040`	$198	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$193	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$121	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$132	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$184	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$50	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$83	$5	$5	1.0×

Showing top 25 high-impact procedures of 115 total

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

Audit a Bill or Quote at St Mary's Regional Medical Center (Zero PHI Required)

CMS CCN: 370026

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,014

1. Amount on Your Bill or Quote ($) Pre-filled with St Mary's Regional Medical 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 St Mary's Regional Medical 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 +$43,659 Above Fair BaseRate

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

Your bill ($74,434) is $43,659 above the denoised Fair BaseRate ($30,775) and 3.2× 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)

Public IRS & CMS ownership records classify St Mary's Regional Medical 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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait132 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

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 St Mary's Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-21·warning_notice
Warning Notice
Recorded
2025-05-12·administrative_or_closure
Met Requirements
Recorded
2025-04-07·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (384 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Mary's Regional Medical Center.

Price Index: 1.67× regional baseline

Quality: 71/100 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 78/100 · Corroborated CMS CCN 370026

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 370026) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows1,296 (CMS v3.0.0)

File Integrity DigestVerified · CCN 370026

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