Office visit, established patient (20-29 min) cost in OK
What a office visit, established patient (20-29 min) costs at OK hospitals — and the fair price to aim for.
Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Cimarron Memorial Hospital maintains elevated commercial insurance contracts (1.36× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 67% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.67× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.91× 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 1.34× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.77×) jump +32% above the median procedure ratio (Q50 1.34×)
- Unnegotiated chargemaster list prices average 5.5× Medicare (24¢ 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.
In general, OK hospitals charge below the fair price — a good state to get this done. how we calculate the BaseRate →
Compared with the rest of the country, OK’s fair BaseRate ($93) is about the same as the national fair price of $87.
Cheapest OK hospitals for a office visit, established patient (20-29 min)
- Cimarron Memorial Hospital · Boise City $46
- McCurtain Memorial Hospital · Idabel $50
- Integris Grove Hospital · Grove $50
- Integris Canadian Valley Hospital · Yukon $50
- Integris Health Enid Hospital · Enid $50
- Integris Miami Hospital · Miami $50
- Integris Health Edmond Hospital · Edmond $50
- Integris Health Ponca City · Ponca City $50
- Alliancehealth Woodward · Woodward $50
- Integris Southwest Medical Center · Oklahoma City $50
- Mercy Hospital Oklahoma City, Inc · Oklahoma City $55
- Mercy Hospital Ardmore, Inc · Ardmore $55
- Mercy Hospital Logan County · Guthrie $55
- Mercy Hospital Watonga, Inc · Watonga $55
- Mercy Hospital Kingfisher, Inc · Kingfisher $55
Audit a Bill or Quote at OK Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $69
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $69).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask OK Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $93 Fair BaseRate ($54 Medicare)
Your bill ($190) is $97 above the denoised Fair BaseRate ($93) and 3.5× the $54 Medicare rate.