Oklahoma / Integris Health Edmond Hospital
CMS certification 370236 · Edmond, OK · 3 entries in CMS's price-transparency list
Integris Health Edmond Hospital: charges and Medicare payments
Integris Health Edmond Hospital reported 699 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 5.92 times what it was paid — among the higher ratios in Oklahoma, number 13 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: 68 stays at an average charge of $80,170, 11% below the national average. It also billed 1,393 outpatient services, charging 11.26 times what Medicare paid.
- 1Medicare inpatient stays 699
- 2Charge ÷ paid, inpatient 5.92×
- 3Rank in OK (highest ratio = 1) 13 of 49
- 4CMS price-transparency actions 3
Inpatient stays
For the 29 DRGs that can be compared with the national average, Integris Health Edmond Hospital charged more than the national average in 7 (24%). 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 | 68 | $80,170 | -11% | $14,227 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $29,380 | -22% | $5,832 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $63,944 | -9% | $11,115 |
| 291 Heart Failure and Shock with MCC | 47 | $45,630 | -19% | $8,977 |
| 194 Simple Pneumonia and Pleurisy with CC | 35 | $36,945 | -4% | $6,038 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $34,200 | -30% | $7,082 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $50,722 | +12% | $7,220 |
| 683 Renal Failure with CC | 29 | $31,866 | -22% | $6,500 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $55,019 | -8% | $9,293 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $29,727 | -20% | $5,824 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $35,928 | -11% | $5,985 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $97,784 | -3% | $13,919 |
| 682 Renal Failure with MCC | 21 | $60,577 | -8% | $10,768 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $35,903 | -30% | $8,355 |
| 389 Gastrointestinal Obstruction with CC | 20 | $29,846 | -23% | $5,832 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $112,064 | -2% | $13,239 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $64,768 | +13% | $8,770 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $106,985 | +5% | $14,065 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $243,195 | +6% | $43,496 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $58,180 | -23% | $11,047 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $51,031 | -40% | $11,330 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $50,333 | -1% | $7,727 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $55,933 | -7% | $8,751 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $37,266 | +3% | $5,626 |
| 312 Syncope and Collapse | 13 | $28,152 | -38% | $6,359 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $80,277 | +3% | $10,845 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $40,963 | -26% | $7,199 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $140,578 | +4% | $19,086 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $83,564 | -10% | $11,327 |
Outpatient services
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Integris Health Edmond Hospital charged $80,170 on average, 14% more than the Oklahoma average of $70,534, and was paid $14,227 against a state average of $14,967. For Kidney and Urinary Tract Infections without MCC (DRG 690), Integris Health Edmond Hospital charged $29,380 on average, 5% less than the Oklahoma average of $30,831, and was paid $5,832 against a state average of $6,955. For Respiratory Infections and Inflammations with MCC (DRG 177), Integris Health Edmond Hospital charged $63,944 on average, 8% more than the Oklahoma average of $59,296, and was paid $11,115 against a state average of $12,691. For Heart Failure and Shock with MCC (DRG 291), Integris Health Edmond Hospital charged $45,630 on average, 2% more than the Oklahoma average of $44,578, and was paid $8,977 against a state average of $10,006. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,723 was 20% above the state average of $18,889. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $129,720 was 104% above the state average of $63,625. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,894 was 47% above the state average of $23,073. For Level 5 Neurostimulator and Related Procedures (outpatient APC 5465), its average charge of $191,115 was 19% above the state average of $161,132.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Integris Health Edmond Hospital in Edmond, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-27 (CMS case 2947)
- CAP Request — 2025-03-12 (CMS case 2947)
- Closure Notice — 2025-03-25 (CMS case 2947)
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.