Duncan, OK
3 of 5
CMS star rating
110
Beds
4,084
Inpatient discharges a year
$144.2M
Net patient revenue a year
32
In-network payers
Duncan Regional Hospital is a 110-bed voluntary non-profit - private hospital in Duncan, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 223 disclosed rate categories.
The 24 services Duncan Regional Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$33,518
negotiated rate
101 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$366 - $4,858
from 4 insurers · median $2,265
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$11,310
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$5,432 - $21,141
from 2 insurers · median $13,287
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$15,650
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74176
$225 - $4,802
from 4 insurers · median $2,244
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$233 - $3,519
from 4 insurers · median $1,702
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,800 - $18,723
from 2 insurers · median $10,262
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$4,753 - $7,912
from 4 insurers · median $6,725
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$153 - $453
from 4 insurers · median $365
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$1,913 - $18,205
from 2 insurers · median $10,059
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$405 - $4,063
from 4 insurers · median $2,459
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$184,008
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
MRI imaging
CPT 73721
$393 - $4,147
from 4 insurers · median $2,152
Common here, based on CMS Medicare volume
CT imaging
CPT 74178
$859 - $5,434
from 4 insurers · median $4,126
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$89 - $458
from 4 insurers · median $295
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805 - $4,912
from 3 insurers · median $2,870
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690 - $2,531
from 4 insurers · median $2,118
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,800 - $11,660
from 2 insurers · median $6,730
61 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$281 - $332
from 2 insurers · median $307
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,800 - $12,804
from 2 insurers · median $7,302
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,040 - $9,299
from 2 insurers · median $5,670
Typical for a hospital with this service line
Gynecology
CPT 58571
$19,631
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $18,723
from 2 insurers · median $10,262
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 586% | 9 | 0 |
| Insurer B* | 24 | 305% | 22 | 0 |
| Insurer C* | 16 | 248% | 8 | 6 |
| Insurer D* | 14 | 152% | 4 | 9 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Duncan Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$144.2M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Duncan Regional Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 73-1008550Duncan Regional Hospital | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more | 1851396394 Duncan Regional Hospital Inc.1144245655 Jefferson County Healthcare Authority1598906976 Duncan Regional Hospital Inc.and 25 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1407 North Whisenant Drive, Duncan, OK 73533
(580) 252-5300
How Duncan Regional Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
1 better, 4 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.93
Lower than 65% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
149 min
Higher than 50% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
63%
Lower than 55% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.93 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 149 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 63% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Duncan Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-0.29% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.16% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Duncan Regional Hospital, beside the US median and the average of OK hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 63 cases | 4.4 | 4.1 | 4.5 | Worse than 64% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,094 cases | 4.3 | 3.9 | 4.206 | Worse than 68% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 34 cases | 11.9 | 11.8 | 12.36 | Worse than 53% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.611 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 161 cases | 9.1 | 8.5 | 8.722 | Worse than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 231 cases | 9.7 | 11 | 11.31 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 330 cases | 12.9 | 15.2 | 15.57 | Better than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 80 cases | 15.4 | 11.6 | 13.28 | Worse than 90% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,279 cases | 0.31 | 0.51 | 0.5362 | No Different Than the National Rate | Better than 79% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 25 cases | 174 | 173 | 176 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,145 cases | 0.25 | 0.2 | 0.2122 | No Different Than the National Rate | Worse than 82% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,152 cases | 0.29 | 0.27 | 0.2762 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 614 cases | 2.07 | 2.29 | 2.34 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 300 cases | 1.53 | 1.63 | 1.699 | No Different Than the National Rate | Better than 77% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 300 cases | 8.91 | 8.88 | 9.965 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 633 cases | 3.99 | 3.4 | 3.378 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 259 cases | 5.5 | 5.105 | 5.356 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 100 cases | 2.02 | 1.72 | 1.757 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 312 cases | 1.24 | 1.02 | 1.052 | No Different Than the National Rate | Worse than 84% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 7.121 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 291 cases | 6.3 | 1.25 | -3.734 | Worse than 57% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 372 cases | -10 | 3.85 | -8.01 | Better than 69% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,310 cases | 16.4 | 12.9 | 13.2 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.88 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.711 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 329 cases | 1.1 | 1 | 1.026 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.57 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.24 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 185 cases | 20.2 | 19.8 | 20.02 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 262 cases | 20.3 | 21.3 | 21.41 | Better than 81% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 32 cases | 5.9 | 5.8 | 6.068 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 355 cases | 17.6 | 17.2 | 17.29 | Worse than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.026 | 0.172 | 0.213 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.54 | 1.504 | 2.152 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,876 | 1,370 | 3,613 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.942 | 0.9835 | 3.643 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.515 | 0.484 | 0.6454 | No Different than National Benchmark | Worse than 53% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.186 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.44 | 1.392 | 1.84 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,069 | 1,799 | 2,933 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.08 | 1.377 | 3.323 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.291 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3961 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4004 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.687 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 18 | 61 | 102 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.458 | 1.591 | 2.76 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.978 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9026 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3225 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.641 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 2 | 38 | 117 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.014 | 0.328 | 1.033 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.021 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7021 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3557 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.404 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 18,410 | 14,451 | 22,964 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.724 | 0.567 | 1.566 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.121 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.772 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.457 | 0.127 | 0.144 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.721 | 0.747 | 1.37 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 17,363 | 13,646 | 20,916 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 9.597 | 5.683 | 13.63 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 9 | 2 | 3.489 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.938 | 0.279 | 0.3156 | No Different than National Benchmark | Worse than 94% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 415 cases | 72 | 73 | 74.33 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 415 cases | 8 | 8 | 8.534 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 415 cases | 20 | 18 | 17.14 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 87 | 87 | 86.41 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 415 cases | 4 | 4 | 3.426 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 415 cases | 79 | 80 | 80.77 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 91 | 91 | 91.63 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 415 cases | 5 | 4 | 3.602 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 415 cases | 3 | 3 | 3.556 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 415 cases | 16 | 16 | 15.63 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 415 cases | 80 | 79 | 80.72 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 91 | 91 | 91.11 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 415 cases | 5 | 5 | 5.239 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 415 cases | 3 | 3 | 3.222 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 415 cases | 15 | 16 | 14.05 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 415 cases | 59 | 61 | 63.34 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 76 | 77 | 77.35 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 415 cases | 23 | 19 | 17.88 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 415 cases | 2 | 3 | 2.741 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 415 cases | 18 | 19 | 18.78 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 89 | 86 | 85.52 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 415 cases | 11 | 13 | 13.5 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 415 cases | 4 | 3 | 3.259 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 415 cases | 89 | 87 | 86.5 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 415 cases | 14 | 14 | 15.01 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 415 cases | 86 | 86 | 84.99 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 76 | 74 | 75.68 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 7 | 7 | 6.382 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 17 | 19 | 17.94 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 79 | 77 | 78.63 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 6 | 6 | 5.824 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 15 | 17 | 15.54 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 87 | 85 | 86.24 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 3 | 3 | 3.456 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 10 | 11 | 10.31 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 415 cases | 8 | 8 | 7.42 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 415 cases | 22 | 20 | 19.27 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 415 cases | 70 | 72 | 73.31 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 89 | 88 | 89 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 415 cases | 4 | 3 | 3.537 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 415 cases | 71 | 74 | 75.53 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 415 cases | 9 | 9 | 8.985 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 415 cases | 20 | 16 | 15.49 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 73 | 75 | 75.5 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 7 | 5 | 5.485 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 415 cases | 20 | 20 | 19.01 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 77 | 77 | 77.97 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 5 | 4 | 4.029 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 415 cases | 18 | 19 | 18 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 86 | 86 | 87.06 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 3 | 3 | 2.397 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 415 cases | 11 | 11 | 10.54 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 415 cases | 61 | 59 | 66.14 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 415 cases | 9 | 9 | 6.398 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 415 cases | 30 | 31 | 27.47 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 83 | 82 | 84.83 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 415 cases | 4 | 3 | 3.981 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 415 cases | 5 | 5 | 5.466 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 415 cases | 67 | 71 | 73.73 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 415 cases | 87 | 87 | 87.91 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 415 cases | 28 | 23 | 20.81 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 415 cases | 4 | 4 | 3.815 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 415 cases | 46 | 47 | 49.99 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 415 cases | 36 | 30 | 28.22 | Worse than 79% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 415 cases | 18 | 22 | 21.79 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 415 cases | 3 | 3 | 3.407 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 415 cases | 9 | 12 | 12.72 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 415 cases | 91 | 88 | 87.28 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.19 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.1 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.35 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 982 cases | 90 | 79 | 78.33 | Better than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 494 cases | 154 | 154 | 128 | Better than 50% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 454 cases | 149 | 148 | 123 | Worse than 50% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 21 cases | 237 | 247 | 202 | Better than 54% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 286 | 293 | 254 | Better than 54% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 31,550 cases | 1 | 1 | 1.222 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 83 | 74 | 65.13 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 290 cases | 96 | 97 | 91.94 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 88 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 64.29 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,314 cases | 18 | 15 | 14.31 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 350 cases | 63 | 65 | 60.29 | Worse than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 86 cases | 80 | 73 | 68.47 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 55 cases | 73 | 88 | 84.07 | Worse than 85% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 350 cases | 79 | 82 | 77.55 | Worse than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 194 cases | 87 | 94 | 90.37 | Worse than 82% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 49 cases | 96 | 98 | 96.36 | Worse than 66% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 88.07 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 365 cases | 96 | 90 | 77.99 | Better than 74% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 120 cases | 98 | 97 | 95.81 | Better than 56% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.2 | 5 | 8.305 | Better than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.7 | 6.6 | 7.093 | Better than 75% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1 | 0.99 | 0.9841 | Worse than 53% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 59.42 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 32.21 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 2,184 cases | 0 | 0.05 | 0.0308 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 2,184 cases | 0 | 0.03 | 0.0768 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 60 cases | 98 | 87 | 78.04 | Better than 82% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 69.63 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 90 cases | 21.7 | 19.1 | 18.84 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 64 cases | 100 | 92 | 83.75 | The best result, shared by 14% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 46.21 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 81.73 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 44.2 | |||
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 35 | |||
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 55.38 | |||
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 11.86 | |||
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 118 cases | 100 | 77 | 76.42 | The best result, shared by 9% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 24 | 20 | 16.07 | Better than 58% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6 | 5 | 4.053 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 19.27 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 4.817 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 45 | 34 | 44.48 | Better than 68% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.25 | 8.75 | 11.31 | Better than 67% of US hospitals | |
| VBP safety domain scoreFY 2026 | 17.5 | 40 | 44.23 | Worse than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 4.375 | 10 | 11.26 | Worse than 89% of US hospitals | |
| VBP total performance scoreFY 2026 | 26.63 | 29.5 | 31.23 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 34 | 60 | 36.67 | 15 | 20 | 24 |
| VBP clinical outcomes weighted domain score | 8.5 | 15 | 9.167 | 3.75 | 5 | 6 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 0 | 0 | 10 | 20 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 0 | 0 | 2.5 | 5 |
| VBP person and community engagement domain score | 60 | Not Available | Not Available | 20 | 51 | 45 |
| VBP person and community engagement weighted domain score | 15 | Not Available | Not Available | 5 | 12.75 | 11.25 |
| VBP safety domain score | 7.5 | Not Available | Not Available | 42.5 | 36.67 | 17.5 |
| VBP safety weighted domain score | 1.875 | Not Available | Not Available | 10.63 | 9.167 | 4.375 |
| VBP total performance score | 30.38 | Not Available | Not Available | 19.38 | 29.42 | 26.63 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9597 | 0.9995 | 1.004 | Better than 76% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9873 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 162 cases | 0.9532 | 0.9969 | 0.9972 | Better than 87% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 264 cases | 0.9107 | 0.9983 | 0.9917 | Better than 93% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9631 | 0.9916 | 1.029 | Better than 58% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 378 cases | 1.041 | 0.9955 | 0.9843 | Worse than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | 0.9597 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9951 | 1.059 | 1.021 | 0.9409 | 0.9498 | 0.9532 |
| READM-30-HF-HRRP | 1.084 | 1.056 | 1.014 | 0.9635 | 0.9422 | 0.9107 |
| READM-30-HIP-KNEE-HRRP | 0.8835 | 0.9049 | 1.016 | 0.975 | 1.024 | 0.9631 |
| READM-30-PN-HRRP | 1.011 | 0.9843 | 0.9508 | 0.9805 | 0.9869 | 1.041 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Duncan Regional Hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.941 | 0.489 | 0.6091 | Worse than 84% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 1.34 | 0.346 | 0.3355 | Worse than 98% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.607 | 0.559 | 0.5548 | Worse than 54% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.771 | 0.6405 | 0.963 | Worse than 62% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9268 | 0.9628 | 0.9791 | Better than 65% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.8412 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2353 | -0.0453 | -0.05508 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.2385 | 0.1422 | 0 | -0.1691 | -0.2512 | 0.2353 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
110
Medicare-certified beds
187
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Duncan Regional Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
4,084
Inpatient discharges
Medicare 40%, Medicaid 23%
17,125
Inpatient days
55% of available bed days used
678
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 823346). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Duncan Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 7,356 | 3,392 | 6,377 | 17,125 |
| Discharges | 1,614 | 955 | 1,515 | 4,084 |
| Average length of stay | 4.6 days | 3.6 days | 4.2 days | 4.2 days |
| Average daily census | 20.2 | 9.3 | 17.5 | 46.9 |
2,129
Medicare Advantage days
386 discharges
1,191
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 77 | 14,544 | 6,742 | 52% |
| Intensive care unit | 9 | 1,444 | 614 | 44% |
| Nursery | 1,137 | |||
| Subprovider - ipf | 12 | 1,925 | 1,331 | 44% |
| Subprovider - irf | 12 | 1,302 | 1,146 | 30% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Duncan Regional Hospital treats Medicare patients for most often, in 2024. 1,099 Medicare discharges in 34 published DRGs; 6% surgical; 77% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 211 | $50,630 | $12,594 | $10,886 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 110 | $34,856 | $7,862 | $7,494 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 65 | $38,561 | $8,030 | $8,291 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 53 | $26,050 | $4,603 | $5,601 | 0.82 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 51 | $27,920 | $4,675 | $6,003 | 0.81 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $43,880 | $10,275 | $9,434 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 42 | $26,163 | $4,439 | $5,625 | 0.78 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $28,850 | $6,106 | $6,203 | 1.03 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 39 | $35,280 | $6,463 | $7,585 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $42,381 | $7,929 | $9,112 | 1.23 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $30,588 | $5,748 | $6,576 | 0.98 |
| Renal failure with CCMS-DRG 683, medical | 29 | $26,543 | $5,272 | $5,707 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 28 | $60,192 | $12,909 | $12,941 | 2.07 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $28,228 | $7,079 | $6,069 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $42,452 | $9,352 | $9,127 | 1.50 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 20 | $34,201 | $6,139 | $7,353 | 1.02 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $26,905 | $4,476 | $5,785 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $25,709 | $4,581 | $5,527 | 0.79 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $37,208 | $5,504 | $8,000 | 0.99 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $38,706 | $7,166 | $8,322 | 1.20 |
See all 34 Medicare inpatient DRGs at Duncan Regional Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Duncan Regional Hospital billed Medicare for most in 2024: 1,501 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 344 | 319 | $19,817 | $1,972 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 149 | 138 | $11,878 | $1,165 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 139 | 136 | $8,354 | $1,345 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 112 | 104 | $67,647 | $10,323 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 87 | 76 | $17,116 | $2,310 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 80 | 77 | $51,294 | $5,120 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 66 | 66 | $28,816 | $4,182 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 61 | 55 | $19,312 | $2,308 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 50 | 50 | $15,267 | $1,388 | $1,407 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 43 | 24 | $20,619 | $2,762 | $4,524 |
See all 26 Medicare outpatient services at Duncan Regional Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Duncan Regional Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,601 in 2020 to 1,990 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 73533 | 1,044 | 52% | 4,946 | $50.7M | 58% | 61% |
| 73055 | 327 | 16% | 1,497 | $15.1M | 56% | 51% |
| 73529 | 190 | 10% | 866 | $8.6M | 69% | 66% |
| 73082 | 68 | 3% | 321 | $3.3M | 46% | 42% |
| 73573 | 60 | 3% | 378 | $3.2M | 48% | 64% |
| 73572 | 45 | 2% | 187 | $2.2M | 20% | 11% |
| 73534 | 34 | 2% | 165 | $1.5M | 76% | 100% |
| 73501 | 31 | 2% | 129 | $1.3M | 3% | 2% |
| 73565 | 30 | 2% | 125 | $1.2M | 53% | 100% |
| 73507 | 23 | 1% | 119 | $1.2M | 2% | 1% |
| 73568 | 23 | 1% | 104 | $985,030 | 33% | 23% |
| 73481 | 21 | 1% | 85 | $963,825 | 48% | |
| 73491 | 21 | 1% | 82 | $979,091 | 100% | 100% |
| 73505 | 21 | 1% | 104 | $1M | 1% | |
| 73434 | 17 | 1% | 86 | $755,354 | 59% | |
| 73438 | 12 | 1% | 46 | $430,137 | 6% | |
| 73548 | 12 | 1% | 59 | $503,212 | 100% | |
| 73541 | 11 | 1% | 39 | $510,055 | 11% |
Source: CMS Hospital Service Area file. Shares are of the 1,990 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Duncan Regional Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
9
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
12
Psychiatric unit beds
16
Rehabilitation unit beds
5
Off-site locations
187
Registered nurses
34
Licensed practical nurses
1
Physicians
11
Pharmacists
10
Respiratory therapists
11
Physical therapists
2
Occupational therapists
4
Speech pathologists and audiologists
10
Radiology technicians
2
Nuclear medicine technicians
1
Laboratory technicians
9
Medical technologists
2
Dietitians
2
Social workers
571
Other personnel
Source: CMS Provider of Services file.
315 clinicians who bill Medicare list Duncan Regional Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Tommie Simon, M.D.
Rheumatology Physician
NPI 1043653264
See commercial rates for Tommie Simon, M.D.Amy Shultz, MD
Rheumatology Physician
NPI 1063462430
See commercial rates for Amy Shultz, MDThomas Brown, M.D.
Diagnostic Radiology Physician
NPI 1053383786
See commercial rates for Thomas Brown, M.D.Breanne Flusche
Family Nurse Practitioner
NPI 1013532209
See commercial rates for Breanne FluscheWilliam Schucany, MD
Diagnostic Radiology Physician
NPI 1114970910
See commercial rates for William Schucany, MDAdam Savage, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1013150481
See commercial rates for Adam Savage, M.D.Luke Chambless, M.D.
Diagnostic Radiology Physician
NPI 1982048948
See commercial rates for Luke Chambless, M.D.Francis Mcgouran, M.D.
Family Medicine Physician
NPI 1205819570
See commercial rates for Francis Mcgouran, M.D.Thomas Griggs, MD
Diagnostic Radiology Physician
NPI 1891743373
See commercial rates for Thomas Griggs, MDNabila El Zind, M.D.
Specialist
NPI 1003849035
See commercial rates for Nabila El Zind, M.D.Daniel Felter, MD
Diagnostic Radiology Physician
NPI 1780894147
See commercial rates for Daniel Felter, MDLora Minson, ARNP
Family Nurse Practitioner
NPI 1770880916
See commercial rates for Lora Minson, ARNPJoshua Gordon, D.O.
Anesthesiology Physician
NPI 1972037877
See commercial rates for Joshua Gordon, D.O.David Hanley, MD
Anesthesiology Physician
NPI 1083830715
See commercial rates for David Hanley, MDAryan Kadivar, M.D.
Family Medicine Physician
NPI 1578509170
See commercial rates for Aryan Kadivar, M.D.Marcus Smith, MD
Interventional Cardiology Physician
NPI 1578769055
See commercial rates for Marcus Smith, MDJaroslaw Paszkowiak, MD
Family Medicine Physician
NPI 1205899333
See commercial rates for Jaroslaw Paszkowiak, MDBryan Peck, MD
Diagnostic Radiology Physician
NPI 1114361953
See commercial rates for Bryan Peck, MDHope Robbins, PA-C
Physician Assistant
NPI 1609232164
See commercial rates for Hope Robbins, PA-CAnne Munson, M.D.
Diagnostic Radiology Physician
NPI 1275584849
See commercial rates for Anne Munson, M.D.Richard Campbell, M.D.
Family Medicine Physician
NPI 1851381875
See commercial rates for Richard Campbell, M.D.Todd Lindley, M.D.
Interventional Cardiology Physician
NPI 1548257512
See commercial rates for Todd Lindley, M.D.Joshua Jansen, M.D.
Diagnostic Radiology Physician
NPI 1952539629
See commercial rates for Joshua Jansen, M.D.Karen Beckman, MD
Clinical Cardiac Electrophysiology Physician
NPI 1992774921
See commercial rates for Karen Beckman, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Duncan Regional Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $640.2M | 444.0% |
| Inpatient | $185.4M | 128.6% |
| Outpatient | $454.8M | 315.4% |
| Contractual allowances and discounts | -$496M | -344.0% |
| Net patient revenue | $144.2M | 100.0% |
| Operating expenses | -$157.6M | -109.3% |
| Operating income from patient care | -$13.4M | -9.3% |
| Other income | $24.5M | 17.0% |
| Contributions and donations | $193,966 | 0.1% |
| Investment income | $15.3M | 10.6% |
| Other | $9M | 6.3% |
| Net income | $11.1M | 7.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $187.2M | 29.7% |
| Medicaid (including managed care) | $107.3M | 17.0% |
| Other payers and self-pay | $336.4M | 53.3% |
| Total charges | $630.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Duncan Regional Hospital's latest cost report.
-9.3%
Operating margin
Operating income from patient care / net patient revenue
6.6%
Total margin
Net income / net patient revenue plus other income
11.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.22
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
4.0%
Return on assets
Net income for a year / total assets
5.0%
Return on equity
Net income for a year / fund balance
0.16
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.48
Current ratio
Current assets / current liabilities
1.63
Quick ratio
Cash, temporary investments and net receivables / current liabilities
26 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
55 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.61
Asset turnover
Total revenue for a year / total assets
16.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Duncan Regional Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $278.3M in total assets and a $222.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $10.7M | 3.8% |
| Patient receivables, net | $21.7M | 7.8% |
| Inventory | $5.7M | 2.1% |
| Total current assets | $69.3M | 24.9% |
| Property and equipment, net of depreciation | $78.4M | 28.2% |
| Investments and other assets | $130.6M | 46.9% |
| Total assets | $278.3M | 100.0% |
| Current liabilities | $19.9M | 7.2% |
| Long-term debt | $35.5M | 12.8% |
| Total liabilities | $55.5M | 19.9% |
| Fund balance (net assets) | $222.9M | 80.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Duncan Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$7.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.3M
Bad debt
Patient bills written off as uncollectible, at charges
$3.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$9.4M
Total unreimbursed and uncompensated care
6.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Duncan Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $82.3M | $94.9M | $114.4M | $115.3M | $131.6M | $144.2M |
| Operating expenses | $103.6M | $110.9M | $134.7M | $134.7M | $146.2M | $157.6M |
| Operating margin | -25.8% | -16.8% | -17.8% | -16.8% | -11.1% | -9.3% |
| Net income | $1.2M | $21.6M | -$19.7M | $4.7M | $12.7M | $11.1M |
| Total assets | $270.5M | $297.6M | $266.2M | $268.6M | $280.5M | $278.3M |
| Discharges | 4,032 | 3,304 | 3,870 | 4,030 | 3,992 | 4,084 |
| Inpatient days | 12,859 | 13,759 | 18,052 | 16,354 | 17,133 | 17,125 |
| Medicare Advantage days | 905 | 1,127 | 1,691 | 1,614 | 153 | 2,129 |
| Beds | 110 | 110 | 110 | 110 | 110 | 110 |
| Employees (FTE) | 617 | 624 | 601 | 607 | 637 | 678 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Duncan Regional Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $4.1M | $11.4M | $70.2M | 0.16 | 30,982 |
| Laboratory | $1.7M | $11.1M | $69.4M | 0.16 | 3,893 |
| Radiology-diagnostic | $1.8M | $8.9M | $62.6M | 0.14 | 7,415 |
| Medical supplies charged to patient | $7.9M | $21.6M | 0.36 | ||
| Drugs charged to patients | $7.8M | $45.2M | 0.17 | ||
| Emergency | $3.2M | $6.8M | $69.6M | 0.10 | 8,012 |
| Physical therapy | $3.2M | $5.7M | $13M | 0.44 | 17,145 |
| Impl. dev. charged to patients | $3.3M | $9.9M | 0.33 | ||
| Ct scan | $794,597 | $3.1M | $101.4M | 0.03 | 834 |
| Respiratory therapy | $1.2M | $2.6M | $20.1M | 0.13 | 2,879 |
| Delivery room & labor room | $2.3M | $1.3M | 1.80 | 10,190 | |
| Home health agency | $1.2M | $2.1M | $2.5M | 0.87 | 6,509 |
| Cardiac catheterization | $699,764 | $1.7M | $11.2M | 0.15 | 6,664 |
| Outpatient behavioral health | $591,558 | $1.4M | $8.9M | 0.16 | 3,796 |
| Occupational therapy | $610,962 | $1.3M | $4.1M | 0.31 | 1,706 |
| Observation beds (non-distinct part | $1.1M | $7M | 0.16 | ||
| Electrocardiology | $389,124 | $673,055 | $18.4M | 0.04 | 765 |
| Speech pathology | $424,987 | $643,665 | $1.4M | 0.46 | 617 |
| Mri | $121,595 | $620,078 | $26.2M | 0.02 | 700 |
| Anesthesiology | $347,941 | $13.4M | 0.03 | 664 | |
| Wound care | $450,165 | $293,266 | $1.9M | 0.15 | 2,406 |
| Diabetic education | $171,631 | $281,341 | $675,887 | 0.42 | 504 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7.6M | $15M | $34.6M | 0.43 | 27,706 |
| Intensive care unit | $1.7M | $3.3M | $5M | 0.65 | 8,088 |
| Subprovider - ipf | $1.2M | $2.4M | $3.4M | 0.72 | 10,001 |
| Subprovider - irf | $868,397 | $1.9M | $1.9M | 0.99 | 14,238 |
| Nursery | $1.4M | $4.5M | 0.30 | 530 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $10.1M | $11.5M | 294,841 | $33.85 | 83,102 |
| Employee benefits department | $2.5M | $5.7M | 22,268 | $110.19 | 3,734 |
| Cap rel costs-mvble equip | $5.1M | ||||
| Cap rel costs-bldg & fixt | $3.9M | 423,400 | |||
| Operation of plant | $1.1M | $2.6M | 34,170 | $31.48 | 8,026 |
| Pharmacy | $1.5M | $2.4M | 26,715 | $57.72 | 2,743 |
| Medical records & library | $2.2M | $1.9M | 52,037 | $41.48 | 2,383 |
| Housekeeping | $1.6M | $1.6M | 81,952 | $19.61 | 2,147 |
| Dietary | $1.5M | $1.3M | 27,372 | $19.80 | 3,960 |
| Cafeteria | $991,667 | 32,005 | $19.51 | 4,565 | |
| Central services & supply | $321,566 | $910,054 | 11,272 | $28.53 | 1,743 |
| Nursing administration | $1.3M | $753,948 | 37,161 | $48.40 | 5,291 |
| Nursing supervisor | $575,513 | $613,834 | 116 | ||
| Laundry & linen service | $610,785 | 1,356 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823346, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Duncan Regional Hospital for an inpatient stay.
1.55
Case mix index
Higher than 34% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
23.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,596
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.45 | 1.46 | 1.52 | 1.58 | 1.48 | 1.45 | 1.55 |
| Wage index | 0.809 | 0.810 | 0.804 | 0.843 | 0.920 | 0.902 | 0.890 |
| Readmissions adjustment | -0.87% | -0.32% | -0.49% | -0.26% | 0.00% | -0.12% | -0.29% |
| Value-based purchasing adjustment | +0.21% | -0.05% | -0.05% | -0.28% | -0.16% | +0.63% | -0.16% |
| Medicare inpatient stays | 1,770 | 1,770 | 1,491 | 1,692 | 1,716 | 1,655 | 1,596 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Duncan Regional Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 4 are shown.
| Name | Title |
|---|---|
| Jay Russell Johnson | President And Chief Executive Officer |
| Douglas R Volinski | Vice President And Chief Financial Officer |
| Roger Lynn Neal | Vice President And Chief Operating Officer |
| Miguel Rey Sabedra | Secretary/physician |
| William T Stewart | President, Drh Health Clinics |
| Michelle Jenean Bivans | Vice President And Chief Human Resources Officer |
| Kristen J Webb | Vice President And Chief Nursing Officer |
| John P Edgar | President, Jch |
| Brad Scott | Chair |
| Jari Askins | Vice-chair |
Board members: James Mcgouran MD, Bill Bradley, Frank Burch, Natalie Cole, Nathan Elfrink MD, Tanya Case.
Source: IRS Form 990 Part VII filed by Duncan Regional Hospital (EIN 73-1008550), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2020
340B ID SCH370023-00, registered as a sole community hospital; 1 active contract pharmacies. Authorizing official: Roger Neal, Vp-coo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Lifecare ACO LLC
ACO A3644, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Duncan Regional Hospital's legal name.
Helipad
Duncan Rgnl Hospital
FAA location ID 38OK, a medical-use heliport 0.2 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Duncan regional hospital
CCN 37S023, certified 2009, Medicare prospective payment
Duncan regional hospital
CCN 37T023, certified 2005, Medicare prospective payment
Duncan regional hospital
CCN 377142, certified 1986, Medicare prospective payment
Duncan regional hospital
CCN 371553, certified 1997
Source: Worksheet S-2 Part I of Duncan Regional Hospital's latest Medicare cost report (HCRIS).
About Duncan Regional Hospital's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Duncan Regional Hospital range from $393 to $4,147 across 4 insurers. Cigna's rate is $4,147. The median at nearby comparable hospitals is $767. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Duncan Regional Hospital range from $366 to $4,858 across 4 insurers. UnitedHealthcare's rate is $3,671. The median at nearby comparable hospitals is $919. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Duncan Regional Hospital range from $805 to $4,912 across 3 insurers. Blue Cross Blue Shield's rate is $4,912. The median at nearby comparable hospitals is $3,765. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Duncan Regional Hospital range from $11,310 to $11,310 across 1 insurers. Blue Cross Blue Shield's rate is $11,310. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Duncan Regional Hospital range from $153 to $453 across 4 insurers. Aetna's rate is $153. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Duncan Regional Hospital range from $33,518 to $33,518 across 1 insurers. Blue Cross Blue Shield's rate is $33,518. The median at nearby comparable hospitals is $25,716. What a patient pays depends on their plan's deductible, coinsurance and network status.
Duncan Regional Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Duncan Regional Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Duncan Regional Hospital's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (211 discharges), heart failure and shock with mcc (110 discharges), simple pneumonia and pleurisy with mcc (65 discharges).
Duncan Regional Hospital's Medicare case mix index is 1.55 for fiscal year 2027, higher than 34% of hospitals paid under the inpatient prospective payment system.
Duncan Regional Hospital reported 4,084 inpatient discharges and 17,125 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Duncan Regional Hospital reported 678 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Duncan Regional Hospital reported $144.2M in net patient revenue on $640.2M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -9.3%, and net income of $11.1M.
Duncan Regional Hospital reported $9.4M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $7.9M of charity care at cost.
Duncan Regional Hospital's 2024 IRS Form 990 lists Jay Russell Johnson as President And Chief Executive Officer.
Insurers' price transparency files list Duncan Regional Hospital under employer identification number 73-1008550 (Duncan Regional Hospital). 49 health plans and networks list 73-1008550 for it.
Yes. HRSA's 340B database lists Duncan Regional Hospital (340B ID SCH370023-00) as a participating sole community hospital since 2020, with 1 active contract pharmacies.
315 clinicians who bill Medicare list Duncan Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (49), diagnostic radiology physician (42), family medicine physician (33).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Duncan Regional Hospital, effective 2024.
CMS lists 37 services at Duncan Regional Hospital, including Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Duncan Regional Hospital came from ZIP codes 73533 (1,044), 73055 (327), 73529 (190).
Duncan Regional Hospital has 110 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Duncan Regional Hospital is located at 1407 North Whisenant Drive, Duncan, OK 73533. Its main phone number is (580) 252-5300.
Duncan Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 370023.
The National Provider Identifier (NPI) on file for Duncan Regional Hospital is 1851396394.
Duncan Regional Hospital lists 32 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
223 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers