Oklahoma / Duncan Regional Hospital, Inc
CMS certification 370023 · Duncan, OK
Duncan Regional Hospital, Inc: charges and Medicare payments
Duncan Regional Hospital, Inc reported 1,099 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.2 times what it was paid — mid-range in Oklahoma, number 23 of 49 hospitals with at least 100 stays (state median 4.03×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 211 stays at an average charge of $50,630, 44% below the national average. It also billed 1,501 outpatient services, charging 7.55 times what Medicare paid.
- 1Medicare inpatient stays 1,099
- 2Charge ÷ paid, inpatient 4.2×
- 3Rank in OK (highest ratio = 1) 23 of 49
- 4CMS price-transparency actions 0
Inpatient stays
For the 34 DRGs that can be compared with the national average, Duncan Regional Hospital, Inc charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 211 | $50,630 | -44% | $13,554 |
| 291 Heart Failure and Shock with MCC | 110 | $34,856 | -38% | $8,988 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $38,561 | -35% | $9,083 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $26,050 | -32% | $5,896 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $27,920 | -26% | $5,763 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $43,880 | -38% | $11,440 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $26,163 | -29% | $5,614 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $28,850 | -41% | $7,233 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $35,280 | -30% | $7,817 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $42,381 | -26% | $8,697 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $30,588 | -37% | $6,986 |
| 683 Renal Failure with CC | 29 | $26,543 | -35% | $6,678 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $60,192 | -40% | $14,190 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $28,228 | -45% | $8,073 |
| 682 Renal Failure with MCC | 21 | $42,452 | -36% | $10,439 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $34,201 | -39% | $7,118 |
| 389 Gastrointestinal Obstruction with CC | 19 | $26,905 | -31% | $5,765 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $25,709 | -36% | $5,612 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $37,208 | -18% | $7,043 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $38,706 | -32% | $8,510 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $83,324 | -19% | $14,600 |
| 603 Cellulitis without MCC | 16 | $30,186 | -19% | $6,423 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $23,702 | -40% | $6,062 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $24,351 | -33% | $5,415 |
| 638 Diabetes with CC | 13 | $26,720 | -36% | $6,353 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $31,684 | -47% | $8,974 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $63,536 | -36% | $13,917 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $81,426 | -13% | $12,954 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $27,291 | -28% | $5,704 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $25,690 | -40% | $6,353 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $44,691 | -31% | $9,737 |
| 180 Respiratory Neoplasms with MCC | 11 | $54,220 | -38% | $11,738 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $77,838 | -35% | $16,287 |
| 439 Disorders of Pancreas except Malignancy with CC | 11 | $30,200 | -31% | $6,791 |
Outpatient services
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Duncan Regional Hospital, Inc charged $50,630 on average, 28% less than the Oklahoma average of $70,534, and was paid $13,554 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Duncan Regional Hospital, Inc charged $34,856 on average, 22% less than the Oklahoma average of $44,578, and was paid $8,988 against a state average of $10,006. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Duncan Regional Hospital, Inc charged $38,561 on average, 27% less than the Oklahoma average of $52,579, and was paid $9,083 against a state average of $10,397. For Simple Pneumonia and Pleurisy with CC (DRG 194), Duncan Regional Hospital, Inc charged $26,050 on average, 26% less than the Oklahoma average of $35,025, and was paid $5,896 against a state average of $7,057. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,817 was 5% above the state average of $18,889. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,878 was 6% above the state average of $11,193. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,354 was 41% below the state average of $14,050. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,647 was 6% above the state average of $63,625.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.