Wagoner Community Hospital
1200 West Cherokee Street, Wagoner, OK 74467 · 68 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are 22% below the fair benchmark (0.78×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.78× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Wagoner Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.86× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.89× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 22% below peer Fair BaseRate (0.78×)
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 72% patient recommendation (70/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 0.86× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.78× 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.
- Unnegotiated chargemaster list prices average 6.0× Medicare (15¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Wagoner Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $8,475 | 0.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $951 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $513 | 0.9× |
| Blood transfusion CPT Code: 36430 | $389 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $333 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $332 | 0.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $276 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $262 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $230 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $230 | 0.7× |
| X-ray, pelvis CPT Code: 72170 | $202 | 1.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $210 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $217 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $225 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $226 | 0.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $197 | 1.2× |
| CT scan, sinuses CPT Code: 70486 | $149 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $83 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $82 | 0.9× |
| X-ray, hip CPT Code: 73502 | $82 | 0.9× |
| X-ray, ankle CPT Code: 73610 | $82 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $80 | 0.9× |
| X-ray, hand CPT Code: 73130 | $80 | 0.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $100 | 0.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $100 | 0.8× |
Audit a Bill or Quote at Wagoner Community Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($11,447) Beats Your Bill
Wagoner Community Hospital's published 45 CFR § 180 self-pay cash rate is $11,447 (vs. $8,475 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($22,893) is $3,806 above the denoised Fair BaseRate ($19,087) and 1.6× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Wagoner Community Hospital 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (45 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wagoner Community Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.