Oklahoma / Southwestern Medical Center
CMS certification 370097 · Lawton, OK · 3 entries in CMS's price-transparency list
Southwestern Medical Center: charges and Medicare payments
Southwestern Medical Center reported 251 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.48 times what it was paid — mid-range in Oklahoma, number 19 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: 40 stays at an average charge of $52,617, 42% below the national average. It also billed 361 outpatient services, charging 10.1 times what Medicare paid.
- 1Medicare inpatient stays 251
- 2Charge ÷ paid, inpatient 4.48×
- 3Rank in OK (highest ratio = 1) 19 of 49
- 4CMS price-transparency actions 3
Inpatient stays
For the 12 DRGs that can be compared with the national average, Southwestern Medical 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 | 40 | $52,617 | -42% | $12,539 |
| 682 Renal Failure with MCC | 37 | $53,855 | -18% | $10,232 |
| 683 Renal Failure with CC | 31 | $33,282 | -18% | $6,753 |
| 291 Heart Failure and Shock with MCC | 30 | $38,716 | -31% | $8,799 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $29,191 | -23% | $5,751 |
| 885 Psychoses | 17 | $29,213 | -34% | $9,245 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $57,004 | -19% | $11,277 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $37,416 | -37% | $9,970 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $33,357 | -41% | $8,477 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $34,780 | -13% | $6,993 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $49,337 | -35% | $11,562 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $30,727 | -40% | $7,222 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 127 | $19,719 | $2,344 |
| Level 5 Musculoskeletal Procedures | 44 | $70,421 | $10,444 |
| Level 2 Upper GI Procedures | 43 | $19,961 | $1,639 |
| Level 1 Laparoscopy and Related Services | 32 | $37,086 | $4,847 |
| Level 2 Endovascular Procedures | 26 | $39,915 | $4,781 |
| Level 3 Musculoskeletal Procedures | 19 | $24,520 | $2,555 |
| Level 2 Musculoskeletal Procedures | 16 | $20,152 | $1,385 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $14,307 | $1,397 |
| Level 4 Musculoskeletal Procedures | 14 | $48,131 | $6,164 |
| Level 1 Nerve Procedures | 14 | $20,984 | $1,663 |
| Level 3 Urology and Related Services | 12 | $18,619 | $1,755 |
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southwestern Medical Center charged $52,617 on average, 25% less than the Oklahoma average of $70,534, and was paid $12,539 against a state average of $14,967. For Renal Failure with MCC (DRG 682), Southwestern Medical Center charged $53,855 on average, 1% less than the Oklahoma average of $54,588, and was paid $10,232 against a state average of $11,670. For Renal Failure with CC (DRG 683), Southwestern Medical Center charged $33,282 on average, 0% less than the Oklahoma average of $33,397, and was paid $6,753 against a state average of $7,736. For Heart Failure and Shock with MCC (DRG 291), Southwestern Medical Center charged $38,716 on average, 13% less than the Oklahoma average of $44,578, and was paid $8,799 against a state average of $10,006. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,719 was 4% above the state average of $18,889. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $70,421 was 11% above the state average of $63,625. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,961 was 42% above the state average of $14,050. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $37,086 was 3% above the state average of $36,047.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Southwestern Medical Center in Lawton, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-19 (CMS case 2668)
- Closure Notice — 2024-12-26 (CMS case 2668)
- Met Requirements — 2025-06-30 (CMS case 5425)
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.