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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Mcalester Regional Health Center

Mcalester, OK

One East Clark Bass Boulevard, Mcalester, OK 74501(918) 426-1800

3 of 5

CMS star rating

84

Beds

2,585

Inpatient discharges a year

$80M

Net patient revenue a year

34

In-network payers

About this hospital

Mcalester Regional Health Center is an 84-bed voluntary non-profit - other hospital in Mcalester, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 166 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
370034
NPI
1316940034
Website
mrhcok.com
Teaching
Teaching hospital
County
Pittsburg County
Metro area
McAlester, OK MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1978
Last CMS survey
2024

Prices for common services

The 24 services Mcalester Regional Health Center 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

$8,518

negotiated rate

Blue Cross$8,518

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,808

negotiated rate

Blue Cross$12,808

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$28,856

negotiated rate

Blue Cross$28,856
Medicare $11,069Nearby hospitals $27,540In line with nearby hospitals

51 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$377 - $4,178

from 4 insurers · median $1,979

Aetna$377
Insurer A*$736
Insurer B*est.$3,221
Insurer C*$4,178
Medicare $336Nearby hospitals $710179% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mcalester Regional Health Center

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*11
339%
82
Insurer B*24
228%
111
Insurer C*15
208%
66
Insurer D*8
107%
08

How we chose these services: 6 appear in this hospital's own Medicare claims, 11 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 Mcalester Regional Health Center, 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

    3 of 5 stars

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

    Accredited by DNV

    • Teaching hospital
    • 40 services, including trauma care
    • 203 affiliated clinicians
    See doctors and services
  • Finances

    $80M net patient revenue

    • Operating margin on patient care -34.3%
    • $2.8M unreimbursed and uncompensated care
    • -$11.2M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
73-0992978McAlester Regional Health Center55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1316940034 Mcalester Regional Health Center Authority1346344330 Mcalester Regional Health Center Authority1568631877 Mcalester Regional Health Center Authorityand 6 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

One East Clark Bass Boulevard, Mcalester, OK 74501

(918) 426-1800

Get directions

Frequently asked questions

About Mcalester Regional Health Center's rates and hospital price transparency.

How much does a CT scan cost at Mcalester Regional Health Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mcalester Regional Health Center range from $377 to $4,178 across 4 insurers. Aetna's rate is $377. The median at nearby comparable hospitals is $710. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mcalester Regional Health Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mcalester Regional Health Center range from $790 to $3,647 across 2 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $2,645. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mcalester Regional Health Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mcalester Regional Health Center range from $8,518 to $8,518 across 1 insurers. Blue Cross Blue Shield's rate is $8,518. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mcalester Regional Health Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mcalester Regional Health Center range from $108 to $394 across 4 insurers. Aetna's rate is $108. The median at nearby comparable hospitals is $232. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mcalester Regional Health Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mcalester Regional Health Center range from $28,856 to $28,856 across 1 insurers. Blue Cross Blue Shield's rate is $28,856. The median at nearby comparable hospitals is $27,540. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mcalester Regional Health Center's CMS star rating?

Mcalester Regional Health Center 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.

Is Mcalester Regional Health Center a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Mcalester Regional Health Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mcalester Regional Health Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mcalester Regional Health Center'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 Mcalester Regional Health Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (124 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (58 discharges), heart failure and shock with mcc (41 discharges).

What is Mcalester Regional Health Center's case mix index?

Mcalester Regional Health Center's Medicare case mix index is 1.51 for fiscal year 2027, higher than 29% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

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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