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Short Term Acute Care HospitalProprietary

Hillcrest Hospital Pryor

Ardent Health Services · Pryor, OK

111 North Bailey Street, Pryor, OK 74361(918) 825-1600

4 of 5

CMS star rating

21

Beds

376

Inpatient discharges a year

$36.9M

Net patient revenue a year

28

In-network payers

About this hospital

Hillcrest Hospital Pryor is a 21-bed proprietary hospital in Pryor, OK, affiliated with Ardent Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 242 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
370015
NPI
1780125005
Health system
Ardent Health Services
Teaching
No Medicare-funded residents
County
Mayes County
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1975
Last CMS survey
2024

Prices for common services

The 24 services Hillcrest Hospital Pryor 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

Spinal fusion except cervical without MCC

MS-DRG 460

$33,334 - $45,284

from 3 insurers · median $44,005

Aetna$44,005
Insurer A*$33,334
Insurer B*$45,284
Medicare $27,950Nearby hospitals $35,09425% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$22,814 - $31,477

from 3 insurers · median $30,150

Aetna$31,477
Insurer A*$22,814
Insurer B*$30,150
Medicare $16,162Nearby hospitals $21,08643% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$5,596 - $8,069

from 3 insurers · median $7,893

Aetna$5,596
Insurer A*$7,893
Insurer B*$8,069
Medicare $3,011Nearby hospitals $5,69539% above nearby hospitals

11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$19,686 - $24,322

from 3 insurers · median $23,822

Aetna$24,322
Insurer A*$19,686
Insurer B*$23,822
Medicare $12,855Nearby hospitals $27,45313% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Hillcrest Hospital Pryor

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
856%
00
Insurer B*24
289%
116
Insurer C*24
219%
1211
Insurer D*24
109%
126

How we chose these services: 1 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 10 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 Hillcrest Hospital Pryor, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care Oklahoma

More about this hospital

  • Quality

    4 of 5 stars

    • 91 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 186 affiliated clinicians
    See doctors and services
  • Finances

    $36.9M net patient revenue

    • Operating margin on patient care 8.8%
    • $621,544 unreimbursed and uncompensated care
    • $2.1M net income
    See finances
  • Ownership and leadership

    Owned by Ahp Health Partners, Inc

    • Private (for profit)
    • Martin Bonick, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hillcrest Hospital Pryor in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
82-0651263Hillcrest Hospital Pryor53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1780125005 Ahs Pryor Hospital LLC1134632037 Ahs Pryor Hospital LLC1740787928 Ahs Pryor Hospital LLCand 3 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.

Location

111 North Bailey Street, Pryor, OK 74361

(918) 825-1600

Get directions

Frequently asked questions

About Hillcrest Hospital Pryor's rates and hospital price transparency.

How much does an MRI cost at Hillcrest Hospital Pryor?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Hillcrest Hospital Pryor range from $183 to $2,031 across 4 insurers. Cigna's rate is $2,031. The median at nearby comparable hospitals is $400. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hillcrest Hospital Pryor?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hillcrest Hospital Pryor range from $267 to $968 across 3 insurers. Blue Cross Blue Shield's rate is $649. The median at nearby comparable hospitals is $508. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Hillcrest Hospital Pryor?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Hillcrest Hospital Pryor range from $2,567 to $4,631 across 4 insurers. UnitedHealthcare's rate is $2,742. The median at nearby comparable hospitals is $3,583. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Hillcrest Hospital Pryor?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hillcrest Hospital Pryor range from $81 to $731 across 4 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $244. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Hillcrest Hospital Pryor?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hillcrest Hospital Pryor range from $19,686 to $24,322 across 3 insurers. Aetna's rate is $24,322. The median at nearby comparable hospitals is $27,453. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hillcrest Hospital Pryor's CMS star rating?

Hillcrest Hospital Pryor has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Hillcrest Hospital Pryor a teaching hospital?

CMS reports no Medicare-funded interns or residents at Hillcrest Hospital Pryor for fiscal year 2027.

Does Medicare penalize Hillcrest Hospital Pryor for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hillcrest Hospital Pryor's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Hillcrest Hospital Pryor?

In 2024, the most common were heart failure and shock with mcc (15 discharges), septicemia or severe sepsis without mv >96 hours with mcc (14 discharges), simple pneumonia and pleurisy with mcc (11 discharges).

What is Hillcrest Hospital Pryor's case mix index?

Hillcrest Hospital Pryor's Medicare case mix index is 1.09 for fiscal year 2027, higher than 3% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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