Oklahoma Heart Hospital · Oklahoma City, OK
5 of 5
CMS star rating
44
Beds
3,139
Inpatient discharges a year
$192.5M
Net patient revenue a year
31
In-network payers
Oklahoma Heart Hospital South is a 44-bed physician hospital in Oklahoma City, OK, affiliated with Oklahoma Heart Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 262 disclosed rate categories.
The 24 services Oklahoma Heart Hospital South 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 216
$76,022 - $158,710
from 4 insurers · median $116,345
11 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$392 - $2,678
from 4 insurers · median $825
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$602 - $1,417
from 4 insurers · median $1,237
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$12,857 - $27,562
from 2 insurers · median $20,209
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$15,675 - $15,980
from 2 insurers · median $15,828
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$592 - $3,357
from 4 insurers · median $2,327
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,817 - $3,994
from 2 insurers · median $3,405
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,515 - $6,350
from 2 insurers · median $5,933
Typical for a hospital with this service line
Mammography
CPT 77067
$73 - $421
from 3 insurers · median $167
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$12,878 - $13,928
from 2 insurers · median $13,403
Typical for a hospital with this service line
CT imaging
CPT 74176
$254 - $2,117
from 4 insurers · median $709
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,846 - $2,817
from 2 insurers · median $2,331
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$7,500 - $10,737
from 2 insurers · median $9,118
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$8,438 - $13,914
from 2 insurers · median $11,176
Typical for a hospital with this service line
Gynecology
CPT 58661
$12,878 - $13,928
from 2 insurers · median $13,403
Typical for a hospital with this service line
CT imaging
CPT 70450
$139 - $288
from 4 insurers · median $271
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$13,928 - $17,271
from 2 insurers · median $15,599
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,032 - $2,140
from 4 insurers · median $1,409
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$23,200 - $27,562
from 2 insurers · median $25,381
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$4,023 - $6,350
from 2 insurers · median $5,187
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$17,136 - $19,662
from 2 insurers · median $18,399
Typical for a hospital with this service line
Urology
CPT 50590
$8,315 - $14,923
from 2 insurers · median $11,619
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$7,622 - $13,520
from 2 insurers · median $10,571
Typical for a hospital with this service line
MRI imaging
CPT 70553
$427 - $1,424
from 4 insurers · median $989
Common here, based on CMS Medicare volume
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* | 24 | 265% | 22 | 2 |
| Insurer B* | 8 | 253% | 1 | 1 |
| Insurer C* | 24 | 231% | 23 | 1 |
| Insurer D* | 9 | 116% | 5 | 2 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 13 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 Oklahoma Heart Hospital South, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by DNV
Finances
$192.5M net patient revenue
Ownership and leadership
Owned by Oklahoma Heart Hospital, LLC
The employer identification numbers (EINs) health plans and networks list for Oklahoma Heart Hospital South 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 |
|---|---|---|
| 26-1131647Oklahoma Heart Hospital South LLC | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more | 1841442274 Oklahoma Heart Hospital South LLC |
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.
5200 East I-240 Service Road, Oklahoma City, OK 73135
(405) 628-6000
How Oklahoma Heart Hospital South compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 2 measures
1 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 3 of 6 measures
3 better, 3 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
5 of 5
The top rating, shared by 7% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
92%
Higher than 98% 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)
1
Higher 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
140 min
Lower than 56% 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
48%
Lower than 83% 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 | 5 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 2 measures | |
| Readmissions | Better on 3 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 5 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 92% | 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) | 1 | 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 | 140 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 48% | 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 Oklahoma Heart Hospital South's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.55% 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 Oklahoma Heart Hospital South, 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 | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.5 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,432 cases | 4.1 | 3.9 | 4.206 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 367 cases | 10.4 | 11.8 | 12.36 | Better than 90% 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 | Not Available | 8.722 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 549 cases | 9.6 | 11 | 11.31 | Better than 76% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 62 cases | 13.8 | 15.2 | 15.57 | Better than 71% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 13.28 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,716 cases | 0.3 | 0.51 | 0.5362 | No Different Than the National Rate | Better than 80% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 55 cases | 178 | 173 | 176 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,253 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 · 3,472 cases | 0.24 | 0.27 | 0.2762 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,401 cases | 2.23 | 2.29 | 2.34 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 593 cases | 1.61 | 1.63 | 1.699 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 607 cases | 15.93 | 8.88 | 9.965 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,415 cases | 2.52 | 3.4 | 3.378 | No Different Than the National Rate | Better than 95% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 591 cases | 4.78 | 5.105 | 5.356 | No Different Than the National Rate | Better than 73% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 70 cases | 1.74 | 1.72 | 1.757 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 341 cases | 0.99 | 1.02 | 1.052 | No Different Than the National Rate | Better than 61% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 385 cases | -8 | 4.2 | 7.121 | Better than 72% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 635 cases | -26.2 | 1.25 | -3.734 | Better than 85% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 68 cases | -28.5 | 3.85 | -8.01 | Better than 88% 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 | Not Available | 13.2 | |||
| 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 · 350 cases | 0.9 | 1 | 1.026 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 442 cases | 13.6 | 14.4 | 14.57 | Better than 83% of US hospitals | |
| 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 | Not Available | 20.02 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 686 cases | 18.7 | 21.3 | 21.41 | Better than 98% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.068 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 63 cases | 17.4 | 17.2 | 17.29 | Worse than 55% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | Not Available | 0.213 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.152 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,396 | 1,370 | 3,613 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.881 | 0.9835 | 3.643 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6454 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.186 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.84 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,424 | 1,799 | 2,933 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.75 | 1.377 | 3.323 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.291 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3961 | |||
| 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 | Not Available | 102 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.76 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 117 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.033 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | 14,389 | 14,451 | 22,964 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.64 | 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 | 0.057 | 0.127 | 0.144 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.115 | 0.747 | 1.37 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 14,389 | 13,646 | 20,916 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.928 | 5.683 | 13.63 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 3.489 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.337 | 0.279 | 0.3156 | No Different than National Benchmark | Worse than 58% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 743 cases | 83 | 73 | 74.33 | Better than 84% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 743 cases | 4 | 8 | 8.534 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 743 cases | 13 | 18 | 17.14 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 93 | 87 | 86.41 | Better than 92% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 4 | 3.426 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 743 cases | 88 | 80 | 80.77 | Better than 89% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 95 | 91 | 91.63 | Better than 91% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 743 cases | 2 | 4 | 3.602 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 3 | 3.556 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 743 cases | 10 | 16 | 15.63 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 743 cases | 85 | 79 | 80.72 | Better than 80% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 93 | 91 | 91.11 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 743 cases | 3 | 5 | 5.239 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 743 cases | 4 | 3 | 3.222 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 743 cases | 12 | 16 | 14.05 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 743 cases | 73 | 61 | 63.34 | Better than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 84 | 77 | 77.35 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 743 cases | 12 | 19 | 17.88 | Better than 86% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 743 cases | 4 | 3 | 2.741 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 743 cases | 15 | 19 | 18.78 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 743 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 · 743 cases | 10 | 13 | 13.5 | Better than 78% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 743 cases | 4 | 3 | 3.259 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 743 cases | 90 | 87 | 86.5 | Better than 78% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 743 cases | 13 | 14 | 15.01 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 743 cases | 87 | 86 | 84.99 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 78 | 74 | 75.68 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 4 | 7 | 6.382 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 18 | 19 | 17.94 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 84 | 77 | 78.63 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 4 | 6 | 5.824 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 12 | 17 | 15.54 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 91 | 85 | 86.24 | Better than 88% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 2 | 3 | 3.456 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 7 | 11 | 10.31 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 743 cases | 2 | 8 | 7.42 | Better than 93% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 743 cases | 6 | 20 | 19.27 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 743 cases | 92 | 72 | 73.31 | Better than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 96 | 88 | 89 | Better than 99% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 3 | 3.537 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 743 cases | 85 | 74 | 75.53 | Better than 93% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 743 cases | 5 | 9 | 8.985 | Better than 86% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 743 cases | 10 | 16 | 15.49 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 84 | 75 | 75.5 | Better than 92% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 2 | 5 | 5.485 | Better than 90% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 743 cases | 14 | 20 | 19.01 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 87 | 77 | 77.97 | Better than 93% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 2 | 4 | 4.029 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 743 cases | 11 | 19 | 18 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 94 | 86 | 87.06 | Better than 94% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 1 | 3 | 2.397 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 743 cases | 5 | 11 | 10.54 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 743 cases | 77 | 59 | 66.14 | Better than 93% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 743 cases | 3 | 9 | 6.398 | Better than 89% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 743 cases | 20 | 31 | 27.47 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 91 | 82 | 84.83 | Better than 97% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 3 | 3.981 | The top rating, shared by 11% 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 · 743 cases | 2 | 5 | 5.466 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 743 cases | 92 | 71 | 73.73 | Better than 98% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 743 cases | 96 | 87 | 87.91 | Better than 99% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 743 cases | 6 | 23 | 20.81 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 4 | 3.815 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 743 cases | 60 | 47 | 49.99 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 743 cases | 19 | 30 | 28.22 | Better than 90% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 743 cases | 21 | 22 | 21.79 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 743 cases | 5 | 3 | 3.407 | The top rating, shared by 7% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 743 cases | 8 | 12 | 12.72 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 743 cases | 92 | 88 | 87.28 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 · 1,147 cases | 99 | 79 | 78.33 | Better than 98% 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 · 434 cases | 140 | 154 | 128 | Better than 61% 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 · 430 cases | 140 | 148 | 123 | Better than 56% 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 | Not Available | 202 | |||
| 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 | Not Available | 254 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 17,865 cases | 1 | 1 | 1.222 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 65.13 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 91.94 | |||
| 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 · 862 cases | 13 | 15 | 14.31 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 44 cases | 48 | 65 | 60.29 | Worse than 83% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 53 | 73 | 68.47 | Worse than 86% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 84.07 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 44 cases | 68 | 82 | 77.55 | Worse than 88% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 21 cases | 90 | 94 | 90.37 | Worse than 72% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.36 | |||
| 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 | Not Available | 77.99 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 456 cases | 99 | 97 | 95.81 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.9 | 5 | 8.305 | Better than 86% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 7.093 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 0.98 | 0.99 | 0.9841 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 40 | 20 | 16.07 | Better than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10 | 5 | 4.053 | Better than 81% 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 | 96 | 34 | 44.48 | Better than 99% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 24 | 8.75 | 11.31 | Better than 98% of US hospitals | |
| VBP safety domain scoreFY 2026 | 50 | 40 | 44.23 | Better than 64% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.5 | 10 | 11.26 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 51.5 | 29.5 | 31.23 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 37.5 | 54 | 45 | 22 | 18 | 40 |
| VBP clinical outcomes weighted domain score | 9.375 | 13.5 | 11.25 | 7.333 | 4.5 | 10 |
| 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 | 97 | Not Available | Not Available | 90 | 95 | 96 |
| VBP person and community engagement weighted domain score | 24.25 | Not Available | Not Available | 30 | 23.75 | 24 |
| VBP safety domain score | 40 | Not Available | Not Available | Not Available | 70 | 50 |
| VBP safety weighted domain score | 10 | Not Available | Not Available | Not Available | 17.5 | 12.5 |
| VBP total performance score | 48.63 | Not Available | Not Available | 37.33 | 48.25 | 51.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 432 cases | 0.93 | 0.9995 | 1.004 | Better than 87% 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 | 0.9851 | 0.9969 | 0.9972 | Better than 61% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 668 cases | 0.8832 | 0.9983 | 0.9917 | Better than 96% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.937 | 0.9955 | 0.9843 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9078 | 0.8627 | 0.9303 | 0.894 | 0.957 | 0.93 |
| READM-30-CABG-HRRP | 0.8338 | 0.8248 | 0.9298 | 1.042 | 1.027 | N/A |
| READM-30-COPD-HRRP | 1.008 | 0.9804 | 0.9628 | 0.9507 | 0.9754 | 0.9851 |
| READM-30-HF-HRRP | 0.885 | 0.8769 | 0.9204 | 0.9198 | 0.8404 | 0.8832 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9467 | 0.9671 | 1.006 | 0.9653 | 0.9434 | 0.937 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.693 | 0.489 | 0.6091 | Worse than 70% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.158 | 0.346 | 0.3355 | Better than 79% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.524 | 0.559 | 0.5548 | Better than 53% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 2.086 | 0.6405 | 0.963 | Worse than 97% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9999 | 0.9628 | 0.9791 | Worse than 65% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8412 | |||
| Total HAC scoreFY 2026 | 0.3231 | -0.0453 | -0.05508 | Worse than 72% 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 | Yes | No |
| Total HAC score | 0.2439 | 0.2863 | 0 | -1.118 | 0.615 | 0.3231 |
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.
DNV (since 2022)
Accreditation
None
Medical school affiliation
Physician ownership
Ownership type
44
Medicare-certified beds
302
Registered nurses (full-time equivalent)
2010
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Oklahoma Heart Hospital South reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,139
Inpatient discharges
Medicare 50%, Medicaid 8%
8,487
Inpatient days
53% of available bed days used
763
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836515). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Oklahoma Heart Hospital South reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,843 | 652 | 3,992 | 8,487 |
| Discharges | 1,558 | 249 | 1,332 | 3,139 |
| Average length of stay | 2.5 days | 2.6 days | 3.0 days | 2.7 days |
| Average daily census | 10.5 | 1.8 | 10.9 | 23.3 |
3,024
Medicare Advantage days
940 discharges
4,067
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 44 | 8,487 | 3,843 | 53% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Oklahoma Heart Hospital South treats Medicare patients for most often, in 2024. 1,230 Medicare discharges in 32 published DRGs; 60% surgical; 55% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 218 | $26,643 | $6,521 | $7,007 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 192 | $92,738 | $19,241 | $24,390 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 91 | $64,844 | $9,678 | $17,054 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 66 | $38,813 | $8,297 | $10,208 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 64 | $80,354 | $15,880 | $21,133 | 2.87 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 51 | $52,766 | $10,119 | $13,877 | 1.81 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 44 | $172,045 | $29,285 | $45,248 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 39 | $17,169 | $3,347 | $4,515 | 0.74 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 33 | $97,321 | $20,024 | $25,596 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 33 | $58,976 | $12,650 | $15,511 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $25,666 | $6,733 | $6,750 | 1.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 28 | $92,820 | $15,501 | $24,412 | 2.55 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 26 | $35,815 | $6,103 | $9,419 | 1.14 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 24 | $34,622 | $5,348 | $9,106 | 1.08 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 23 | $52,685 | $13,518 | $13,856 | 2.30 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 23 | $143,045 | $27,583 | $37,621 | 4.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $13,104 | $2,108 | $3,446 | 0.55 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 21 | $90,991 | $19,207 | $23,931 | 3.18 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 20 | $146,760 | $35,130 | $38,598 | 5.06 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 17 | $119,115 | $31,177 | $31,327 | 5.04 |
See all 32 Medicare inpatient DRGs at Oklahoma Heart Hospital South
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) Oklahoma Heart Hospital South billed Medicare for most in 2024: 2,589 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 526 | 521 | $19,142 | $1,979 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 363 | 337 | $42,970 | $7,684 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 351 | 345 | $102,658 | $18,347 | $21,117 |
| Comprehensive Observation ServicesAPC 8011 | 217 | 207 | $10,296 | $1,836 | $2,090 |
| Level 2 Endovascular ProceduresAPC 5192 | 162 | 154 | $26,820 | $3,894 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 141 | 141 | $35,707 | $7,541 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 140 | 133 | $70,992 | $13,151 | $14,606 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 137 | 136 | $34,226 | $5,699 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 81 | 81 | $79,834 | $14,920 | $17,052 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 71 | $17,689 | $2,112 | $2,405 |
See all 20 Medicare outpatient services at Oklahoma Heart Hospital South
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 Oklahoma Heart Hospital South 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 1,645 in 2020 to 1,808 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 73160 | 120 | 7% | 364 | $11.1M | 5% | 7% |
| 73020 | 98 | 5% | 254 | $8.7M | 8% | 10% |
| 73110 | 92 | 5% | 189 | $7.6M | 5% | 8% |
| 73170 | 84 | 5% | 212 | $7M | 5% | 6% |
| 73115 | 62 | 3% | 160 | $4.6M | 6% | 10% |
| 73401 | 59 | 3% | 181 | $6.7M | 2% | 2% |
| 74820 | 59 | 3% | 249 | $6.2M | 3% | 2% |
| 74801 | 58 | 3% | 187 | $5.8M | 5% | 4% |
| 73130 | 56 | 3% | 126 | $3.7M | 4% | 9% |
| 74804 | 56 | 3% | 172 | $5.6M | 5% | 6% |
| 73135 | 50 | 3% | 131 | $3.9M | 5% | 11% |
| 74873 | 44 | 2% | 131 | $3.5M | 8% | 9% |
| 74501 | 42 | 2% | 100 | $3.1M | 3% | 3% |
| 73072 | 41 | 2% | 85 | $4.1M | 2% | 2% |
| 73045 | 40 | 2% | 85 | $2.9M | 6% | 10% |
| 73159 | 39 | 2% | 102 | $3.2M | 3% | 6% |
| 73139 | 37 | 2% | 99 | $2.8M | 5% | 7% |
| 74851 | 37 | 2% | 87 | $2.9M | 9% | 10% |
| 73071 | 34 | 2% | 82 | $3.1M | 2% | 2% |
| 73099 | 34 | 2% | 90 | $3.5M | 1% | 1% |
| 73069 | 33 | 2% | 106 | $3.1M | 3% | 2% |
| 74857 | 32 | 2% | 99 | $2.6M | 6% | 11% |
| 73010 | 30 | 2% | 82 | $3.2M | 3% | 2% |
| 73018 | 29 | 2% | 75 | $3M | 3% | |
| 73086 | 29 | 2% | 87 | $2.7M | 6% | 4% |
Source: CMS Hospital Service Area file. Shares are of the 1,808 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 Oklahoma Heart Hospital South reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.
4
Operating rooms
4
Cardiac catheterization rooms
4
Off-site locations
302
Registered nurses
2
Licensed practical nurses
2
Nurse practitioners
2
Physician assistants
16
Pharmacists
22
Respiratory therapists
23
Radiology technicians
6
Laboratory technicians
2
Social workers
390
Other personnel
Source: CMS Provider of Services file.
227 clinicians who bill Medicare list Oklahoma Heart Hospital South 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.
Scott Prater, M.D.
Diagnostic Radiology Physician
NPI 1497951719
See commercial rates for Scott Prater, M.D.Coty Jewell, MD
Clinical Cardiac Electrophysiology Physician
NPI 1063621381
See commercial rates for Coty Jewell, MDWudeneh Zewdie, M.D.
Nephrology Physician
NPI 1538121421
See commercial rates for Wudeneh Zewdie, M.D.Shoab Nazir, MD
Pulmonary Disease Physician
NPI 1992895478
See commercial rates for Shoab Nazir, MDMuhammad Salim, MD.
Cardiovascular Disease Physician
NPI 1407897259
See commercial rates for Muhammad Salim, MD.Asim Chohan, M.D.
Cardiovascular Disease Physician
NPI 1386793156
See commercial rates for Asim Chohan, M.D.Benoy Varghese, MD
Interventional Cardiology Physician
NPI 1447694252
See commercial rates for Benoy Varghese, MDOscar Falcon, MD
Diagnostic Radiology Physician
NPI 1184684003
See commercial rates for Oscar Falcon, MDDerek Norman, MD
Interventional Cardiology Physician
NPI 1376683573
See commercial rates for Derek Norman, MDEric Reding, MD
Dermatology Physician
NPI 1255386827
See commercial rates for Eric Reding, MDCharles Te, MD
Clinical Cardiac Electrophysiology Physician
NPI 1285830760
See commercial rates for Charles Te, MDTodd Lindley, M.D.
Interventional Cardiology Physician
NPI 1548257512
See commercial rates for Todd Lindley, M.D.Paul Garabelli, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1831344662
See commercial rates for Paul Garabelli, M.D.Chadwick Webber, MD
Diagnostic Radiology Physician
NPI 1962493270
See commercial rates for Chadwick Webber, MDFadi Gebrail, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1932314002
See commercial rates for Fadi Gebrail, M.D.Mark Anderson, M.D.
Cardiovascular Disease Physician
NPI 1184030439
See commercial rates for Mark Anderson, M.D.Bereket Alemu, M.D
Nephrology Physician
NPI 1134431877
See commercial rates for Bereket Alemu, M.DSoni Zacharias, MD
Interventional Cardiology Physician
NPI 1902947534
See commercial rates for Soni Zacharias, MDImran Virk, M.D.
Interventional Cardiology Physician
NPI 1497863815
See commercial rates for Imran Virk, M.D.Samson Ambaw, MD
Nephrology Physician
NPI 1356521033
See commercial rates for Samson Ambaw, MDJames Thorp, MD
Diagnostic Radiology Physician
NPI 1407061708
See commercial rates for James Thorp, MDMohammed Ahmed, M.D.
Interventional Cardiology Physician
NPI 1053460923
See commercial rates for Mohammed Ahmed, M.D.Jared Hooker, MD
Interventional Cardiology Physician
NPI 1609254465
See commercial rates for Jared Hooker, MDSamuel Hancock, MD
Diagnostic Radiology Physician
NPI 1063672608
See commercial rates for Samuel Hancock, 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 Oklahoma Heart Hospital South reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $770.8M | 400.4% |
| Inpatient | $327.3M | 170.0% |
| Outpatient | $443.5M | 230.4% |
| Contractual allowances and discounts | -$578.3M | -300.4% |
| Net patient revenue | $192.5M | 100.0% |
| Operating expenses | -$193.7M | -100.6% |
| Operating income from patient care | -$1.2M | -0.6% |
| Other income | $2.5M | 1.3% |
| Investment income | -$796,192 | -0.4% |
| Other | $3.3M | 1.7% |
| Net income | $1.3M | 0.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $286.7M | 37.5% |
| Medicaid (including managed care) | $40.5M | 5.3% |
| Other payers and self-pay | $437.7M | 57.2% |
| Total charges | $764.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, 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 Oklahoma Heart Hospital South's latest cost report.
-0.6%
Operating margin
Operating income from patient care / net patient revenue
0.6%
Total margin
Net income / net patient revenue plus other income
6.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
39% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.72
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
1.1%
Return on assets
Net income for a year / total assets
4.1%
Return on equity
Net income for a year / fund balance
1.87
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.42
Current ratio
Current assets / current liabilities
2.05
Quick ratio
Cash, temporary investments and net receivables / current liabilities
53 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
46 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.72
Asset turnover
Total revenue for a year / total assets
15.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Oklahoma Heart Hospital South owned and owed at the end of its reporting period (Dec 2025), across all fund types: $113.4M in total assets and a $30.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $27.2M | 24.0% |
| Patient receivables, net | $24.4M | 21.5% |
| Inventory | $5.3M | 4.7% |
| Total current assets | $60.8M | 53.6% |
| Property and equipment, net of depreciation | $52.6M | 46.3% |
| Investments and other assets | $77,466 | 0.1% |
| Total assets | $113.4M | 100.0% |
| Current liabilities | $25.2M | 22.2% |
| Long-term debt | $57.5M | 50.7% |
| Total liabilities | $82.7M | 72.9% |
| Fund balance (net assets) | $30.8M | 27.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Oklahoma Heart Hospital South provided without full payment, as reported on Worksheet S-10 of its cost report.
$135,306
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$336,706
Bad debt
Patient bills written off as uncollectible, at charges
$3.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.6M
Total unreimbursed and uncompensated care
1.9% 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 836515, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Oklahoma Heart Hospital South's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $144.9M | $151.3M | $148.5M | $166.3M | $171.7M | $192.5M |
| Operating expenses | $143.6M | $151M | $149.3M | $161.7M | $170M | $193.7M |
| Operating margin | 0.9% | 0.2% | -0.6% | 2.7% | 1.0% | -0.6% |
| Net income | $5.3M | $6.7M | $8.3M | $8.5M | $5.4M | $1.3M |
| Total assets | $138.3M | $122.9M | $109.6M | $109.4M | $106.3M | $113.4M |
| Discharges | 6,058 | 5,924 | 6,215 | 4,139 | 3,385 | 3,139 |
| Inpatient days | 15,895 | 15,454 | 14,295 | 14,340 | 12,114 | 8,487 |
| Medicare Advantage days | 2,544 | 3,000 | 2,949 | 3,204 | 3,686 | 3,024 |
| Beds | 44 | 44 | 43 | 43 | 43 | 44 |
| Employees (FTE) | 743 | 1,575 | 803 | 696 | 755 | 763 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Oklahoma Heart Hospital South 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 |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $45.2M | $108.1M | 0.42 | ||
| Impl. dev. charged to patients | $23.9M | $105.4M | 0.23 | ||
| Operating room | $8.4M | $20.6M | $88M | 0.23 | 17,595 |
| Emergency | $3.9M | $10.2M | $30.3M | 0.34 | 23,744 |
| Observation beds (non-distinct part | $9.8M | $10.5M | 0.94 | ||
| Cardiac catheterization | $4M | $8.9M | $234.4M | 0.04 | 9,671 |
| Radiology-diagnostic | $3.8M | $7.8M | $20.4M | 0.39 | 4,543 |
| Laboratory | $2.2M | $7.7M | $29.7M | 0.26 | 1,727 |
| Drugs charged to patients | $6.9M | $35.5M | 0.19 | ||
| Clinic | $4.7M | $3.4M | $7.8M | 0.44 | |
| Respiratory therapy | $1.8M | $2.7M | $3M | 0.91 | 420 |
| Cardiac rehab | $1.1M | $2.7M | $6.5M | 0.41 | |
| Electrocardiology | $1.4M | $2.5M | $6.3M | 0.39 | |
| Physical therapy | $458,329 | $1.5M | 0.30 | ||
| Ct scan | $446,689 | $23.3M | 0.02 | 835 | |
| Pain management | $45,370 | $296,552 | $9.5M | 0.03 | 884 |
| Dialysis ip | $112,727 | $255,917 | $900,118 | 0.28 | 208 |
| Mri | $755 | $89,488 | $7M | 0.01 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $15.2M | $30.4M | $37M | 0.82 | 34,191 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $10.1M | $20.6M | 225,375 | $44.89 | 13,318 |
| Employee benefits department | $276,364 | $11.4M | 4,959 | $55.73 | |
| Cap rel costs-bldg & fixt | $7.6M | 148,326 | |||
| Cap rel costs-mvble equip | $5.1M | ||||
| Operation of plant | $1.6M | $3.5M | 46,598 | $34.63 | 24,870 |
| Pharmacy | $2.2M | $2.6M | 37,655 | $58.58 | 1,122 |
| Housekeeping | $1.4M | $1.9M | 64,768 | $21.46 | 2,151 |
| Nursing administration | $1.6M | $1.8M | 22,802 | $70.96 | 371 |
| Cafeteria | $1M | 55,831 | $22.82 | 2,950 | |
| Medical records & library | $876,970 | $864,575 | 30,687 | $28.58 | 3,300 |
| Central services & supply | $454,048 | $830,816 | 13,688 | $33.17 | 3,520 |
| Laundry & linen service | $771,150 | ||||
| Dietary | $2.4M | $669,202 | 16,855 | $22.82 | 890 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836515, 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 Oklahoma Heart Hospital South for an inpatient stay.
3.00
Case mix index
Higher than 97% 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).
12.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,513
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 2.42 | 2.37 | 2.54 | 2.46 | 2.51 | 2.46 | 3.00 |
| Wage index | 0.883 | 0.870 | 0.863 | 0.865 | 0.919 | 0.902 | 0.890 |
| Readmissions adjustment | -0.02% | -0.01% | 0.00% | 0.00% | -0.14% | -0.05% | 0.00% |
| Value-based purchasing adjustment | +1.71% | +1.12% | +1.12% | -0.00% | +1.54% | +2.32% | +1.55% |
| Medicare inpatient stays | 2,020 | 2,020 | 1,575 | 1,643 | 1,822 | 1,604 | 1,513 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Oklahoma Heart Hospital South reports to Medicare as owners or with operational control.
Oklahoma Heart Hospital, LLC
5% or greater direct ownership interest, 76%, since 2010
Mercy Health Oklahoma Communities
5% or greater indirect ownership interest, 34.3%, since 2010
Mercy Health Oklahoma Communities
5% or greater direct ownership interest, 12%, since 2012
Norman Regional Hospital Authority
5% or greater direct ownership interest, 12%, since 2010
Sources: CMS Hospital All Owners.
The officers and board members on Oklahoma Heart Hospital South'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 19 of 25 are shown.
About Oklahoma Heart Hospital South's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Oklahoma Heart Hospital South range from $427 to $1,424 across 4 insurers. Cigna's rate is $1,424. The median at nearby comparable hospitals is $603. 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 Oklahoma Heart Hospital South range from $392 to $2,678 across 4 insurers. Aetna's rate is $392. The median at nearby comparable hospitals is $456. 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 Oklahoma Heart Hospital South range from $2,817 to $3,994 across 2 insurers. Blue Cross Blue Shield's rate is $3,994. The median at nearby comparable hospitals is $1,510. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Oklahoma Heart Hospital South range from $73 to $421 across 3 insurers. Aetna's rate is $167. The median at nearby comparable hospitals is $100. What a patient pays depends on their plan's deductible, coinsurance and network status.
Oklahoma Heart Hospital South has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Oklahoma Heart Hospital South for fiscal year 2027.
No. Oklahoma Heart Hospital South has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were heart failure and shock with mcc (218 discharges), percutaneous and other intracardiac procedures without mcc (192 discharges), percutaneous cardiovascular procedures with intraluminal device without mcc (91 discharges).
Oklahoma Heart Hospital South's Medicare case mix index is 3.00 for fiscal year 2027, higher than 97% of hospitals paid under the inpatient prospective payment system.
Oklahoma Heart Hospital South reported 3,139 inpatient discharges and 8,487 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Oklahoma Heart Hospital South reported 763 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Oklahoma Heart Hospital South reported $192.5M in net patient revenue on $770.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -0.6%, and net income of $1.3M.
Oklahoma Heart Hospital South reported $3.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $135,306 of charity care at cost.
Oklahoma Heart Hospital South's Medicare enrollment lists John R Harvey as CEO since 2007.
Insurers' price transparency files list Oklahoma Heart Hospital South under employer identification number 26-1131647 (Oklahoma Heart Hospital South LLC). 50 health plans and networks list 26-1131647 for it.
227 clinicians who bill Medicare list Oklahoma Heart Hospital South as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are interventional cardiology physician (37), internal medicine physician (27), physician assistant (20).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Oklahoma Heart Hospital South, effective 2022.
In its Medicare enrollment, Oklahoma Heart Hospital South reports Oklahoma Heart Hospital, LLC as 5% or greater direct ownership interest (76%).
CMS lists 28 services at Oklahoma Heart Hospital South, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Oklahoma Heart Hospital South came from ZIP codes 73160 (120), 73020 (98), 73110 (92).
Oklahoma Heart Hospital South has 44 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Oklahoma Heart Hospital South is located at 5200 East I-240 Service Road, Oklahoma City, OK 73135. Its main phone number is (405) 628-6000.
Oklahoma Heart Hospital South's CMS Certification Number (CCN), also called its Medicare provider number, is 370234.
The National Provider Identifier (NPI) on file for Oklahoma Heart Hospital South is 1841442274.
Oklahoma Heart Hospital South is affiliated with Oklahoma Heart Hospital.
Oklahoma Heart Hospital South lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
262 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