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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Integris Health Edmond

INTEGRIS Health · Edmond, OK

4801 Integris Parkway, Edmond, OK 73034(405) 657-3000

2 of 5

CMS star rating

95

Beds

4,482

Inpatient discharges a year

$160.3M

Net patient revenue a year

38

In-network payers

About this hospital

Integris Health Edmond is a 95-bed voluntary non-profit - private hospital in Edmond, OK, affiliated with INTEGRIS Health. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 350 disclosed rate categories.

  • Disproportionate share hospital
CCN
370236
NPI
1720373103
Health system
INTEGRIS Health
Teaching
No Medicare-funded residents
County
Oklahoma County
Metro area
Oklahoma City, OK MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2011
Last CMS survey
2023

Prices for common services

The 24 services Integris Health Edmond 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,992 - $11,228

from 4 insurers · median $7,939

Cigna$8,050
Insurer A*$6,992
Insurer B*$7,827
Insurer C*$11,228

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

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$7,477 - $18,550

from 4 insurers · median $15,709

UnitedHealthcare$14,587
Insurer A*$7,477
Insurer B*$16,830
Insurer C*$18,550
Medicare $9,831Nearby hospitals $10,18254% above nearby hospitals

49 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,255 - $11,364

from 4 insurers · median $6,670

UnitedHealthcare$4,255
Insurer A*$6,520
Insurer B*$6,819
Insurer C*$11,364
Medicare $2,994Nearby hospitals $5,24727% above nearby hospitals

12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,191 - $16,079

from 4 insurers · median $10,995

Cigna$11,179
Insurer A*$10,191
Insurer B*$10,812
Insurer C*$16,079

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

How the insurers pay at Integris Health Edmond

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*24
293%
160
Insurer B*23
259%
65
Insurer C*24
216%
155
Insurer D*23
203%
190

How we chose these services: 11 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 4 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 Integris Health Edmond, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care Oklahoma

More about this hospital

  • Quality

    2 of 5 stars

    • 126 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.20%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 30 services
    • 393 affiliated clinicians
    See doctors and services
  • Finances

    $160.3M net patient revenue

    • Operating margin on patient care 3.5%
    • $4.4M unreimbursed and uncompensated care
    • $11.8M net income
    See finances
  • Ownership and leadership

    Owned by INTEGRIS Health Inc

    • Private (not for profit)
    • Chris M Hammes, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
45-1027361Integris Health Edmond INC61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1720373103 Integris Health Edmond Inc1588243117 Integris Health Edmond Inc1376255117 Integris Health Edmond Inc

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

4801 Integris Parkway, Edmond, OK 73034

(405) 657-3000

Get directions

Frequently asked questions

About Integris Health Edmond's rates and hospital price transparency.

How much does a CT scan cost at Integris Health Edmond?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Integris Health Edmond range from $588 to $6,374 across 4 insurers. Aetna's rate is $1,080. The median at nearby comparable hospitals is $1,068. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Integris Health Edmond?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Integris Health Edmond range from $3,134 to $5,595 across 4 insurers. Blue Cross Blue Shield's rate is $4,913. The median at nearby comparable hospitals is $2,547. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Integris Health Edmond?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Integris Health Edmond range from $6,992 to $11,228 across 4 insurers. Cigna's rate is $8,050. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Integris Health Edmond?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Integris Health Edmond range from $181 to $691 across 4 insurers. Cigna's rate is $240. The median at nearby comparable hospitals is $265. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Integris Health Edmond's CMS star rating?

Integris Health Edmond has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Integris Health Edmond a teaching hospital?

CMS reports no Medicare-funded interns or residents at Integris Health Edmond for fiscal year 2027.

Does Medicare penalize Integris Health Edmond for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Integris Health Edmond's base inpatient payments by an estimated 0.20% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Integris Health Edmond?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (68 discharges), kidney and urinary tract infections without mcc (53 discharges), respiratory infections and inflammations with mcc (50 discharges).

What is Integris Health Edmond's case mix index?

Integris Health Edmond's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does Integris Health Edmond admit?

Integris Health Edmond reported 4,482 inpatient discharges and 16,058 inpatient days from Jul 1, 2024 to Jun 30, 2025.

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.

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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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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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