How many shoppable procedure prices are published for Stillwater Medical Center?

Stillwater Medical Center in Stillwater, OK currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Stillwater Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Stillwater Medical Center's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Stillwater Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Stillwater Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 52 Beds · rural Updated: 2025-12-31

Stillwater Medical Center

1323 West 6Th Street, Stillwater, OK 74076 · 128 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.91×vs. Fair Market Price

Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness66

Price Logic76

Peer Alignment68

Clean Billing86

Real Cash Discount97

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.91× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 8,182), Stillwater Medical Center commands a 1.91× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#68 of 81 in OK · 82nd State Percentile#3,033 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.56× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 33% of shoppable procedures (97/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (74/100 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 2.6× markup over Medicare rates
Captive ER (3.0×) & laboratory (3.4×) services average 1.05× higher multiples than routine shoppable care (2.1×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 8,182) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER1.05× Divergence

2.2× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 1.56× · Q50 1.91× · Q75 2.11×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

1.2× MedicareGood

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

33% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Stillwater Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 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`	—	$57,309	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,503	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,273	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$29,048	$17,936	1.6×
Total hip replacement CPT Code: `27130`	—	$28,270	$13,413	2.1×
Total knee replacement CPT Code: `27447`	—	$28,270	$13,523	2.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,630	$6,109	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,528	$8,223	1.5×
Breast lump removal CPT Code: `19120`	—	$8,313	$3,875	2.1×
Inguinal hernia repair CPT Code: `49505`	—	$7,611	$3,629	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,051	$3,372	2.1×
Bunion correction surgery CPT Code: `28296`	—	$7,051	$3,446	2.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,009	$2,540	2.0×
C-section delivery (full package) CPT Code: `59510`	—	$4,871	$2,975	1.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,387	$2,680	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,566	$1,256	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,895	$2,240	$1,021	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,010	$987	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,985	$981	2.0×
Trauma team activation HCPCS Code: `G0390`	$2,010	$2,010	$1,453	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	$2,255	$1,464	$855	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,858	$1,196	$583	2.1×
Blood transfusion CPT Code: `36430`	$2,845	$948	$498	1.9×
Psychological testing by technician CPT Code: `96138`	—	$867	$395	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,022	$873	$511	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,839	$824	$448	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,910	$591	$303	2.0×
Rabies immune globulin HCPCS Code: `90375`	$4,165	$593	$322	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$4,020	$591	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,631	$591	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,552	$591	$369	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,744	$529	$272	1.9×
Neurobehavioral status check CPT Code: `96116`	$526	$526	$231	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$401	$452	$201	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,647	$435	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,084	$435	$258	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$348	$166	2.1×
Family therapy session CPT Code: `90847`	—	$348	$173	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$348	$181	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$348	$185	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,246	$309	$151	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$400	$282	$148	1.9×
Psychological testing evaluation CPT Code: `96136`	—	$279	$128	unverified
X-ray, pelvis CPT Code: `72170`	$545	$248	$110	2.3×
X-ray, lower back CPT Code: `72110`	$966	$248	$112	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,034	$248	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	$1,149	$248	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,075	$248	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,689	$248	$134	1.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,798	$260	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$2,495	$260	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$2,776	$260	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,890	$260	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,282	$260	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,291	$260	$169	1.5×
X-ray, chest (single view) CPT Code: `71045`	$486	$205	$92	2.2×
X-ray, foot CPT Code: `73630`	$872	$205	$92	2.2×
X-ray, chest (two views) CPT Code: `71046`	$347	$205	$93	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$560	$205	$93	2.2×
X-ray, hand CPT Code: `73130`	$770	$205	$93	2.2×
X-ray, hip CPT Code: `73502`	$493	$205	$93	2.2×
X-ray, ankle CPT Code: `73610`	$833	$205	$93	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$305	$228	$123	1.9×
Group therapy session CPT Code: `90853`	—	$198	$100	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$279	$198	$123	1.6×
X-ray, shoulder CPT Code: `73030`	$659	$205	$92	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$248	$172	$110	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$440	$131	$64	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$228	$140	$87	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$274	$119	$86	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$100	$140	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,283	$1,283	$347	unverified
Drug screening test HCPCS Code: `G0480`	$312	$312	$116	2.7×
Blood test, vitamin D CPT Code: `82306`	$227	$227	$31	7.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$172	$172	$14	12.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$162	$162	$20	8.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$183	$203	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$162	$162	$19	unverified
Blood test, lipase CPT Code: `83690`	$124	$124	$7	17.7×
Blood test, amylase CPT Code: `82150`	$122	$122	$7	17.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$142	$142	$14	10.1×
Blood antibody screen CPT Code: `86850`	$247	$113	$46	2.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$134	$134	$11	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$106	$106	$10	10.6×
Blood test, vitamin B12 CPT Code: `82607`	$76	$76	$16	4.8×
Flu vaccine injection HCPCS Code: `G0008`	—	$98	$48	2.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$98	$98	$49	2.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$98	$49	2.0×
Pneumococcal vaccine HCPCS Code: `90732`	$293	$123	$140	0.9×
Orthotic fitting and training CPT Code: `97760`	$171	$73	$51	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$298	$94	$111	0.8×
Prosthetic fitting and training CPT Code: `97761`	$127	$64	$45	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$142	$56	$40	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$136	$52	$38	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$142	$52	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$136	$45	$33	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$147	$50	$38	1.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$65	$65	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$75	$35	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$173	$45	$35	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$164	$13	$6	2.2×
Hepatitis C antibody test CPT Code: `86803`	$181	$32	$15	2.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$156	$37	$18	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$158	$47	$56	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$93	$7	$3	2.3×
Blood test, calcium CPT Code: `82310`	$69	$11	$5	2.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$79	$11	$5	2.2×
Blood test, potassium CPT Code: `84132`	$71	$11	$5	2.2×
Blood test, sodium CPT Code: `84295`	$60	$11	$5	2.2×
Blood test, magnesium CPT Code: `83735`	$98	$15	$7	2.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$118	$17	$8	2.1×
Blood test, basic metabolic panel CPT Code: `80048`	$263	$19	$9	2.1×
Culture, bacterial CPT Code: `87070`	$144	$19	$9	2.1×
Culture, blood CPT Code: `87040`	$283	$23	$11	2.1×
Blood test, liver function panel CPT Code: `80076`	$172	$18	$9	2.0×
Speech therapy (group session) CPT Code: `92508`	$124	$38	$27	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$148	$10	$5	2.0×
Blood test, hemoglobin CPT Code: `85018`	$57	$5	$3	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$136	$19	$14	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$185	$42	$34	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$55	$28	$37	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$138	$45	$86	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$20	$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, glucose (blood sugar) CPT Code: `82947`	$66	$9	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$94	$9	$4	unverified

Showing top 25 high-impact procedures of 128 total

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

Audit a Bill or Quote at Stillwater Medical Center (Zero PHI Required)

CMS CCN: 370049

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $57,309

1. Amount on Your Bill or Quote ($) Pre-filled with Stillwater 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 Stillwater 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 +$106,767 Above Fair BaseRate

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

Your bill ($137,542) is $106,767 above the denoised Fair BaseRate ($30,775) and 5.9× 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 Stillwater 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 Composite74/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait154 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 Infectionbetter

Source: CMS Hospital Care Compare (520 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 Stillwater Medical Center.

Price Index: 0.87× regional baseline

Quality: 73/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Healthcare Highways

-48.6%

Healthchoice

-41.0%

Median Household Income$48,937U.S. Census ACS

Local Uninsured Share11.6%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 370049

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 370049) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-31

Validated Rate Rows1,369 (CMS v3.0.0)

File Integrity DigestVerified · CCN 370049

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