Oklahoma / Northeastern Health System
CMS certification 370089 · Tahlequah, OK · 4 entries in CMS's price-transparency list
Northeastern Health System: charges and Medicare payments
Northeastern Health System reported 489 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 2.81 times what it was paid — among the lower ratios in Oklahoma, number 38 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: 104 stays at an average charge of $39,478, 56% below the national average. It also billed 983 outpatient services, charging 4.61 times what Medicare paid.
- 1Medicare inpatient stays 489
- 2Charge ÷ paid, inpatient 2.81×
- 3Rank in OK (highest ratio = 1) 38 of 49
- 4CMS price-transparency actions 4
Inpatient stays
For the 24 DRGs that can be compared with the national average, Northeastern Health System 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 | 104 | $39,478 | -56% | $14,119 |
| 291 Heart Failure and Shock with MCC | 42 | $21,802 | -61% | $9,224 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $47,123 | -49% | $13,343 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $22,659 | -62% | $9,372 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $13,194 | -64% | $5,644 |
| 683 Renal Failure with CC | 21 | $14,065 | -65% | $6,650 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $19,418 | -49% | $6,144 |
| 271 Other Major Cardiovascular Procedures with CC | 18 | $109,649 | -37% | $24,005 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $22,107 | -63% | $9,446 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $17,190 | -65% | $7,457 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $25,090 | -56% | $9,259 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $16,225 | -55% | $5,602 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $23,271 | -54% | $8,193 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $43,372 | -62% | $12,990 |
| 389 Gastrointestinal Obstruction with CC | 13 | $18,227 | -53% | $5,858 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $16,428 | -59% | $5,992 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $13,063 | -65% | $5,978 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $41,919 | -45% | $12,613 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $17,552 | -69% | $8,750 |
| 638 Diabetes with CC | 12 | $13,311 | -68% | $6,692 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $45,317 | -73% | $25,554 |
| 603 Cellulitis without MCC | 11 | $15,023 | -60% | $6,606 |
| 682 Renal Failure with MCC | 11 | $48,442 | -27% | $18,889 |
| 812 Red Blood Cell Disorders without MCC | 11 | $13,418 | -70% | $6,726 |
Outpatient services
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northeastern Health System charged $39,478 on average, 44% less than the Oklahoma average of $70,534, and was paid $14,119 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Northeastern Health System charged $21,802 on average, 51% less than the Oklahoma average of $44,578, and was paid $9,224 against a state average of $10,006. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Northeastern Health System charged $47,123 on average, 37% less than the Oklahoma average of $74,633, and was paid $13,343 against a state average of $14,220. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Northeastern Health System charged $22,659 on average, 53% less than the Oklahoma average of $48,431, and was paid $9,372 against a state average of $10,575. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,307 was 51% below the state average of $18,889. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,227 was 70% below the state average of $14,050. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,510 was 59% below the state average of $13,375. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $84,032 was 7% above the state average of $78,738.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northeastern Health System in Tahlequah, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-09-24 (CMS case 6684)
- Closure Notice — 2025-12-15 (CMS case 6684)
- Warning Notice — 2026-07-01 (CMS case 8155)
- Closure Notice — 2026-07-16 (CMS case 8155)
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.