Integris Southwest Medical Center: charges and Medicare payments

Integris Southwest Medical Center reported 1,563 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 6.39 times what it was paid — among the higher ratios in Oklahoma, number 10 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: 218 stays at an average charge of $120,560, 34% above the national average. It also billed 1,125 outpatient services, charging 13.39 times what Medicare paid.

1Medicare inpatient stays 1,563
2Charge ÷ paid, inpatient 6.39×
3Rank in OK (highest ratio = 1) 10 of 49
4CMS price-transparency actions 0

Average charge per stay at Integris Southwest Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 43 DRGs that can be compared with the national average, Integris Southwest Medical Center charged more than the national average in 28 (65%). 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	218	$120,560	+34%	$16,538
291 Heart Failure and Shock with MCC	126	$62,927	+12%	$11,200
177 Respiratory Infections and Inflammations with MCC	105	$91,825	+30%	$13,681
189 Pulmonary Edema and Respiratory Failure	86	$87,070	+51%	$10,875
683 Renal Failure with CC	80	$46,699	+15%	$8,460
193 Simple Pneumonia and Pleurisy with MCC	59	$67,299	+13%	$11,363
690 Kidney and Urinary Tract Infections without MCC	58	$38,207	+1%	$7,664
682 Renal Failure with MCC	54	$63,306	-4%	$12,471
378 Gastrointestinal Hemorrhage with CC	47	$45,101	-7%	$9,124
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$42,658	-29%	$11,346
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	43	$36,610	-34%	$10,313
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$34,619	-7%	$7,628
689 Kidney and Urinary Tract Infections with MCC	36	$50,149	-2%	$10,036
194 Simple Pneumonia and Pleurisy with CC	35	$41,587	+8%	$8,101
377 Gastrointestinal Hemorrhage with MCC	35	$78,739	-8%	$14,664
870 Septicemia or Severe Sepsis with MV >96 Hours	33	$372,646	+15%	$50,516
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$39,299	-2%	$7,782
481 Hip and Femur Procedures except Major Joint with CC	31	$123,702	+23%	$16,523
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	26	$114,276	+12%	$15,814
178 Respiratory Infections and Inflammations with CC	24	$50,613	+12%	$9,139
853 Infectious and Parasitic Diseases with O.R. Procedures with...	23	$301,904	+32%	$40,028
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	21	$62,345	-38%	$16,008
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$104,476	+38%	$13,079
467 Revision of Hip or Knee Replacement with CC	20	$166,485	+6%	$26,945
698 Other Kidney and Urinary Tract Diagnoses with MCC	18	$61,918	-16%	$11,982
389 Gastrointestinal Obstruction with CC	17	$32,953	-15%	$7,834
470 Major Hip and Knee Joint Replacement or Reattachment of...	17	$156,337	+68%	$14,830
190 Chronic Obstructive Pulmonary Disease with MCC	16	$58,995	+17%	$9,890
468 Revision of Hip or Knee Replacement without CC/MCC	16	$162,505	+31%	$21,295
603 Cellulitis without MCC	16	$42,548	+14%	$7,835
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$68,649	+21%	$10,875
329 Major Small and Large Bowel Procedures with MCC	15	$240,794	+12%	$36,565
482 Hip and Femur Procedures except Major Joint without CC/MCC	15	$91,931	+18%	$13,536
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$120,843	+5%	$16,085
812 Red Blood Cell Disorders without MCC	14	$42,690	-4%	$8,580
638 Diabetes with CC	13	$43,600	+5%	$8,487
252 Other Vascular Procedures with MCC	12	$176,003	+3%	$22,826
330 Major Small and Large Bowel Procedures with CC	12	$126,247	+6%	$18,989
673 Other Kidney and Urinary Tract Procedures with MCC	12	$198,897	+15%	$31,864
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	12	$43,271	-12%	$9,322
057 Degenerative Nervous System Disorders without MCC	11	$92,988	+64%	$10,918
314 Other Circulatory System Diagnoses with MCC	11	$90,765	-4%	$17,148
811 Red Blood Cell Disorders with MCC	11	$67,164	-1%	$12,554

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	134	$24,317	$2,291
Level 1 Endovascular Procedures	117	$33,440	$2,736
Level 2 Excision/ Biopsy/ Incision and Drainage	100	$15,428	$1,397
Level 3 Vascular Procedures	91	$23,796	$2,722
Level 3 Excision/ Biopsy/ Incision and Drainage	65	$22,634	$2,390
Level 5 Musculoskeletal Procedures	64	$126,450	$11,023
Level 1 Laparoscopy and Related Services	63	$58,417	$4,845
Level 3 Musculoskeletal Procedures	60	$46,638	$2,789
Level 2 Vascular Procedures	42	$12,463	$1,380
Level 4 Musculoskeletal Procedures	41	$71,303	$6,164
Level 2 Upper GI Procedures	36	$16,563	$1,639
Level 5 Urology and Related Services	34	$35,249	$4,458
Level 4 Urology and Related Services	30	$37,018	$2,924
Level 1 Intraocular Procedures	30	$20,115	$1,955
Level 3 Endovascular Procedures	27	$78,983	$9,182
Level 4 Vascular Procedures	23	$50,181	$4,735
Level 3 Urology and Related Services	23	$15,332	$1,633
Level 6 Musculoskeletal Procedures	21	$133,848	$15,338
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	20	$36,850	$2,981
Level 5 Gynecologic Procedures	19	$47,375	$4,106
Level 1 Nerve Procedures	19	$19,191	$1,664
Level 2 Endovascular Procedures	17	$45,178	$4,694
Level 1 Breast/Lymphatic Surgery and Related Procedures	15	$33,087	$3,284
Level 2 Pacemaker and Similar Procedures	12	$56,226	$7,319
Level 2 Musculoskeletal Procedures	11	$14,375	$1,385

Against the Oklahoma average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Integris Southwest Medical Center charged $120,560 on average, 71% more than the Oklahoma average of $70,534, and was paid $16,538 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Integris Southwest Medical Center charged $62,927 on average, 41% more than the Oklahoma average of $44,578, and was paid $11,200 against a state average of $10,006. For Respiratory Infections and Inflammations with MCC (DRG 177), Integris Southwest Medical Center charged $91,825 on average, 55% more than the Oklahoma average of $59,296, and was paid $13,681 against a state average of $12,691. For Pulmonary Edema and Respiratory Failure (DRG 189), Integris Southwest Medical Center charged $87,070 on average, 73% more than the Oklahoma average of $50,283, and was paid $10,875 against a state average of $10,196. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,317 was 29% above the state average of $18,889. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,440 was 45% above the state average of $23,073. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,428 was 38% above the state average of $11,193. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $23,796 was 13% above the state average of $21,006.

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.