Oklahoma / Hillcrest Hospital Claremore
CMS certification 370039 · Claremore, OK · 2 entries in CMS's price-transparency list
Hillcrest Hospital Claremore: charges and Medicare payments
Hillcrest Hospital Claremore reported 177 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 4.24 times what it was paid — mid-range in Oklahoma, number 22 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: 35 stays at an average charge of $46,126, 49% below the national average. It also billed 493 outpatient services, charging 11.47 times what Medicare paid.
- 1Medicare inpatient stays 177
- 2Charge ÷ paid, inpatient 4.24×
- 3Rank in OK (highest ratio = 1) 22 of 49
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, Hillcrest Hospital Claremore 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 | 35 | $46,126 | -49% | $13,257 |
| 291 Heart Failure and Shock with MCC | 29 | $32,281 | -43% | $8,996 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $41,387 | -31% | $9,759 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $51,672 | -32% | $11,727 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $38,273 | -46% | $11,700 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $30,883 | -39% | $9,038 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $36,638 | -5% | $6,742 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $91,071 | -10% | $15,519 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $33,509 | -11% | $6,537 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $90,535 | -12% | $15,509 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 171 | $12,299 | $1,979 |
| Comprehensive Observation Services | 139 | $25,202 | $2,313 |
| Level 1 Endovascular Procedures | 47 | $28,558 | $2,771 |
| Level 4 Musculoskeletal Procedures | 35 | $60,698 | $6,075 |
| Level 1 Laparoscopy and Related Services | 30 | $36,274 | $4,900 |
| Level 2 Upper GI Procedures | 22 | $31,347 | $1,616 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $17,614 | $1,377 |
| Level 3 Musculoskeletal Procedures | 12 | $34,177 | $2,566 |
| Level 5 Musculoskeletal Procedures | 12 | $76,770 | $11,163 |
| Level 3 Vascular Procedures | 11 | $26,392 | $2,511 |
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hillcrest Hospital Claremore charged $46,126 on average, 35% less than the Oklahoma average of $70,534, and was paid $13,257 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Hillcrest Hospital Claremore charged $32,281 on average, 28% less than the Oklahoma average of $44,578, and was paid $8,996 against a state average of $10,006. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hillcrest Hospital Claremore charged $41,387 on average, 21% less than the Oklahoma average of $52,579, and was paid $9,759 against a state average of $10,397. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Hillcrest Hospital Claremore charged $51,672 on average, 27% less than the Oklahoma average of $71,174, and was paid $11,727 against a state average of $12,203. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,299 was 8% below the state average of $13,375. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,202 was 33% above the state average of $18,889. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,558 was 24% above the state average of $23,073. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $60,698 was 49% above the state average of $40,840.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hillcrest Hospital Claremore in Claremore, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-12 (CMS case 3158)
- Closure Notice — 2025-05-05 (CMS case 3158)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.