Oklahoma / Saint Francis Hospital Muskogee

CMS certification 370025 · Muskogee, OK · 3 entries in CMS's price-transparency list

Saint Francis Hospital Muskogee: charges and Medicare payments

Saint Francis Hospital Muskogee reported 2,375 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 3.34 times what it was paid — mid-range in Oklahoma, number 31 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: 607 stays at an average charge of $40,757, 55% below the national average. It also billed 1,291 outpatient services, charging 8.4 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,375
  2. 2Charge ÷ paid, inpatient 3.34×
  3. 3Rank in OK (highest ratio = 1) 31 of 49
  4. 4CMS price-transparency actions 3
DRG 871$40,757DRG 291$30,227DRG 177$32,286DRG 189$25,897DRG 682$29,116DRG 698$35,390DRG 689$23,378DRG 872$25,787DRG 640$27,985DRG 280$36,513
Average charge per stay at Saint Francis Hospital Muskogee, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 57 DRGs that can be compared with the national average, Saint Francis Hospital Muskogee charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC607$40,757-55%$12,920
291 Heart Failure and Shock with MCC174$30,227-46%$8,806
177 Respiratory Infections and Inflammations with MCC104$32,286-54%$11,249
189 Pulmonary Edema and Respiratory Failure87$25,897-55%$8,613
682 Renal Failure with MCC83$29,116-56%$9,681
698 Other Kidney and Urinary Tract Diagnoses with MCC82$35,390-52%$10,966
689 Kidney and Urinary Tract Infections with MCC78$23,378-54%$8,147
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC75$25,787-47%$7,356
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...56$27,985-54%$8,794
280 Acute Myocardial Infarction, Discharged Alive with MCC46$36,513-52%$10,500
690 Kidney and Urinary Tract Infections without MCC43$20,814-45%$5,792
308 Cardiac Arrhythmia and Conduction Disorders with MCC42$30,252-47%$8,417
870 Septicemia or Severe Sepsis with MV >96 Hours36$101,043-69%$33,721
193 Simple Pneumonia and Pleurisy with MCC34$22,569-62%$8,550
309 Cardiac Arrhythmia and Conduction Disorders with CC33$24,053-33%$5,727
481 Hip and Femur Procedures except Major Joint with CC33$63,825-37%$13,850
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...32$28,054-50%$7,131
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...31$20,345-49%$5,731
853 Infectious and Parasitic Diseases with O.R. Procedures with...30$81,809-64%$28,247
190 Chronic Obstructive Pulmonary Disease with MCC29$21,325-58%$7,710
683 Renal Failure with CC29$21,222-48%$6,820
178 Respiratory Infections and Inflammations with CC28$24,702-45%$7,190
208 Respiratory System Diagnosis with Ventilator Support <=96...26$54,129-60%$17,654
811 Red Blood Cell Disorders with MCC26$26,103-62%$9,259
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...25$19,447-48%$5,848
389 Gastrointestinal Obstruction with CC23$17,386-55%$5,929
603 Cellulitis without MCC23$27,489-26%$6,319
281 Acute Myocardial Infarction, Discharged Alive with CC21$28,213-44%$6,298
470 Major Hip and Knee Joint Replacement or Reattachment of...21$79,602-15%$13,207
322 Percutaneous Cardiovascular Procedures with Intraluminal...20$83,324-27%$12,807
378 Gastrointestinal Hemorrhage with CC20$20,192-58%$6,598
699 Other Kidney and Urinary Tract Diagnoses with CC20$25,466-46%$7,056
377 Gastrointestinal Hemorrhage with MCC18$32,864-62%$9,866
432 Cirrhosis and Alcoholic Hepatitis with MCC18$36,988-61%$13,375
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...18$41,080-52%$11,446
064 Intracranial Hemorrhage or Cerebral Infarction with MCC17$38,432-62%$11,806
321 Percutaneous Cardiovascular Procedures with Intraluminal...17$107,593-34%$20,011
637 Diabetes with MCC17$29,935-55%$9,605
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$30,174-51%$9,013
552 Medical Back Problems without MCC16$29,207-40%$6,304
070 Other Cerebrovascular Disorders with MCC15$33,183-56%$11,148
100 Seizures with MCC15$25,721-73%$11,505
917 Poisoning and Toxic Effects of Drugs with MCC15$33,647-55%$10,696
071 Other Cerebrovascular Disorders with CC14$19,875-61%$7,015
305 Hypertension without MCC14$22,497-44%$5,505
312 Syncope and Collapse14$23,946-47%$6,595
314 Other Circulatory System Diagnoses with MCC14$33,611-65%$11,528
074 Cranial and Peripheral Nerve Disorders without MCC13$22,888-57%$7,146
372 Major Gastrointestinal Disorders and Peritoneal Infections...13$20,315-57%$8,205
388 Gastrointestinal Obstruction with MCC13$31,026-55%$9,900
884 Organic Disturbances and Intellectual Disability13$32,888-47%$9,294
300 Peripheral Vascular Disorders with CC12$17,429-65%$7,257
854 Infectious and Parasitic Diseases with O.R. Procedures with...12$61,207-38%$13,312
287 Circulatory Disorders except AMI, with Cardiac...11$45,289-29%$7,668
480 Hip and Femur Procedures except Major Joint with MCC11$99,635-28%$19,228
522 Hip Replacement with Principal Diagnosis of Hip Fracture...11$76,005-26%$14,376
543 Pathological Fractures and Musculoskeletal and Connective...11$22,474-54%$7,300

Outpatient services

Against the Oklahoma average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Hospital Muskogee charged $40,757 on average, 42% less than the Oklahoma average of $70,534, and was paid $12,920 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Hospital Muskogee charged $30,227 on average, 32% less than the Oklahoma average of $44,578, and was paid $8,806 against a state average of $10,006. For Respiratory Infections and Inflammations with MCC (DRG 177), Saint Francis Hospital Muskogee charged $32,286 on average, 46% less than the Oklahoma average of $59,296, and was paid $11,249 against a state average of $12,691. For Pulmonary Edema and Respiratory Failure (DRG 189), Saint Francis Hospital Muskogee charged $25,897 on average, 48% less than the Oklahoma average of $50,283, and was paid $8,613 against a state average of $10,196. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,144 was 9% below the state average of $18,889. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,442 was 54% below the state average of $14,050. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,637 was 22% above the state average of $11,193. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,982 was 0% below the state average of $23,073.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Saint Francis Hospital Muskogee in Muskogee, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.