Oklahoma / Integris Health Ponca City
CMS certification 370006 · Ponca City, OK
Integris Health Ponca City: charges and Medicare payments
Integris Health Ponca City reported 241 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 6.89 times what it was paid — among the higher ratios in Oklahoma, number 8 of 49 hospitals with at least 100 stays (state median 4.03×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 35 stays at an average charge of $80,100, 42% above the national average. It also billed 424 outpatient services, charging 13.34 times what Medicare paid.
- 1Medicare inpatient stays 241
- 2Charge ÷ paid, inpatient 6.89×
- 3Rank in OK (highest ratio = 1) 8 of 49
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Integris Health Ponca City charged more than the national average in 11 (85%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 35 | $80,100 | +42% | $10,724 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 33 | $89,456 | -1% | $15,424 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $99,695 | +41% | $13,292 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $75,934 | +27% | $10,717 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $55,006 | +48% | $6,843 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $45,857 | +21% | $6,950 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $109,114 | +7% | $16,796 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $53,346 | +5% | $8,960 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $111,402 | +20% | $15,214 |
| 683 Renal Failure with CC | 14 | $43,424 | +7% | $7,608 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $93,184 | +62% | $10,549 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $43,430 | -15% | $9,457 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $78,397 | +61% | $8,236 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 210 | $15,115 | $2,081 |
| Comprehensive Observation Services | 73 | $46,708 | $2,462 |
| Level 1 Laparoscopy and Related Services | 35 | $65,818 | $5,128 |
| Level 4 Musculoskeletal Procedures | 23 | $40,430 | $6,281 |
| Level 3 Vascular Procedures | 20 | $31,663 | $2,899 |
| Level 3 Musculoskeletal Procedures | 18 | $31,858 | $2,829 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $15,731 | $1,475 |
| Level 2 Upper GI Procedures | 15 | $20,295 | $1,731 |
| Level 2 Musculoskeletal Procedures | 14 | $17,624 | $1,462 |
Against the Oklahoma average
For Heart Failure and Shock with MCC (DRG 291), Integris Health Ponca City charged $80,100 on average, 80% more than the Oklahoma average of $44,578, and was paid $10,724 against a state average of $10,006. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Integris Health Ponca City charged $89,456 on average, 27% more than the Oklahoma average of $70,534, and was paid $15,424 against a state average of $14,967. For Respiratory Infections and Inflammations with MCC (DRG 177), Integris Health Ponca City charged $99,695 on average, 68% more than the Oklahoma average of $59,296, and was paid $13,292 against a state average of $12,691. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Integris Health Ponca City charged $75,934 on average, 44% more than the Oklahoma average of $52,579, and was paid $10,717 against a state average of $10,397. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,115 was 13% above the state average of $13,375. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $46,708 was 147% above the state average of $18,889. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $65,818 was 83% above the state average of $36,047. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $40,430 was 1% below the state average of $40,840.
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.