Oklahoma / Mcalester Regional Health Center
CMS certification 370034 · Mcalester, OK
Mcalester Regional Health Center: charges and Medicare payments
Mcalester Regional Health Center reported 560 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 2.31 times what it was paid — among the lower ratios in Oklahoma, number 43 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: 124 stays at an average charge of $34,867, 61% below the national average. It also billed 479 outpatient services, charging 4.29 times what Medicare paid.
- 1Medicare inpatient stays 560
- 2Charge ÷ paid, inpatient 2.31×
- 3Rank in OK (highest ratio = 1) 43 of 49
- 4CMS price-transparency actions 0
Inpatient stays
For the 19 DRGs that can be compared with the national average, Mcalester Regional Health Center 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 | 124 | $34,867 | -61% | $15,783 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 58 | $32,243 | -65% | $14,925 |
| 291 Heart Failure and Shock with MCC | 41 | $24,697 | -56% | $10,679 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $38,872 | -35% | $11,102 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 37 | $19,049 | -61% | $8,850 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $20,168 | -65% | $10,102 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $14,070 | -63% | $7,016 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 30 | $43,663 | -57% | $16,835 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 26 | $46,988 | -63% | $19,568 |
| 683 Renal Failure with CC | 26 | $18,284 | -55% | $7,896 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $21,294 | -59% | $9,743 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $44,431 | -37% | $15,274 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $9,601 | -74% | $6,649 |
| 682 Renal Failure with MCC | 14 | $36,194 | -45% | $13,268 |
| 292 Heart Failure and Shock with CC | 13 | $14,751 | -62% | $7,473 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $40,823 | -59% | $16,458 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $17,025 | -77% | $13,033 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $16,410 | -57% | $7,085 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $14,746 | -69% | $8,620 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 162 | $11,808 | $2,477 |
| Level 1 Endovascular Procedures | 56 | $12,765 | $2,931 |
| Level 4 Musculoskeletal Procedures | 37 | $14,729 | $6,366 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 34 | $9,490 | $3,073 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 29 | $5,813 | $1,475 |
| Level 4 Urology and Related Services | 24 | $5,638 | $3,171 |
| Level 5 Urology and Related Services | 19 | $6,256 | $4,706 |
| Level 3 Vascular Procedures | 17 | $11,459 | $2,899 |
| Level 2 Endovascular Procedures | 17 | $16,956 | $4,955 |
| Level 1 Laparoscopy and Related Services | 16 | $11,503 | $4,986 |
| Level 2 Musculoskeletal Procedures | 15 | $4,787 | $1,462 |
| Level 2 Upper GI Procedures | 15 | $2,976 | $1,731 |
| Level 3 Musculoskeletal Procedures | 14 | $6,375 | $2,944 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $8,175 | $2,584 |
| Level 3 Urology and Related Services | 12 | $4,393 | $1,852 |
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mcalester Regional Health Center charged $34,867 on average, 51% less than the Oklahoma average of $70,534, and was paid $15,783 against a state average of $14,967. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mcalester Regional Health Center charged $32,243 on average, 57% less than the Oklahoma average of $74,633, and was paid $14,925 against a state average of $14,220. For Heart Failure and Shock with MCC (DRG 291), Mcalester Regional Health Center charged $24,697 on average, 45% less than the Oklahoma average of $44,578, and was paid $10,679 against a state average of $10,006. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mcalester Regional Health Center charged $38,872 on average, 26% less than the Oklahoma average of $52,579, and was paid $11,102 against a state average of $10,397. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,808 was 37% below the state average of $18,889. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,765 was 45% below the state average of $23,073. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $14,729 was 64% below the state average of $40,840. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $9,490 was 63% below the state average of $25,722.
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.