Pawhuska, OK
31
In-network payers
159
Disclosed rate categories
25
Beds
Pawhuska Hospital Inc. is a 25-bed voluntary non-profit - private hospital in Pawhuska, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 159 disclosed rate categories.
CCN (Medicare provider number)
371309
NPI
1174521991
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Pawhuska Hospital Inc. 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.
CT imaging
CPT 74177
$970 - $3,381
from 4 insurers · median $2,625
Typical for a hospital with this service line
CT imaging
CPT 74176
$239 - $2,762
from 4 insurers · median $1,785
Typical for a hospital with this service line
CT imaging
CPT 70450
$281 - $1,387
from 4 insurers · median $744
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,072 - $2,169
from 2 insurers · median $2,121
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,072 - $2,952
from 2 insurers · median $2,512
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$156 - $1,345
from 4 insurers · median $1,057
Typical for a hospital with this service line
CT imaging
CPT 71275
$327 - $1,299
from 4 insurers · median $1,145
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,072 - $2,259
from 2 insurers · median $2,166
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$8,072 - $9,800
from 2 insurers · median $8,936
Typical for a hospital with this service line
Mammography
CPT 77067
$512
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,072 - $10,483
from 2 insurers · median $9,277
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,072 - $2,259
from 2 insurers · median $2,166
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,363 - $4,412
from 2 insurers · median $3,888
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $1,340
from 2 insurers · median $1,066
Typical for a hospital with this service line
Gynecology
CPT 58661
$8,072 - $11,538
from 2 insurers · median $9,805
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $133
from 4 insurers · median $113
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $575
from 4 insurers · median $395
Typical for a hospital with this service line
Gynecology
CPT 58662
$8,072 - $11,310
from 2 insurers · median $9,691
Typical for a hospital with this service line
Urology
CPT 50590
$8,072 - $13,370
from 2 insurers · median $10,721
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,363 - $6,420
from 2 insurers · median $4,892
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $1,340
from 2 insurers · median $863
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$435 - $612
from 4 insurers · median $528
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $2,002
from 2 insurers · median $1,413
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,072 - $4,606
from 2 insurers · median $3,339
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 8 | 579% | 0 | 1 |
| Insurer B* | 8 | 360% | 4 | 4 |
| Insurer C* | 24 | 257% | 14 | 3 |
| Insurer D* | 23 | 170% | 11 | 5 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Pawhuska Hospital Inc..
1101 East 15th Street, Pawhuska, OK 74056
(918) 287-3232
The nearest hospitals of similar type and size. Their rates are compared with Pawhuska Hospital Inc. for the same insurers and services above.
Fairfax Community Hospital
â–¼ Rates typically 18% lower than Pawhuska Hospital Inc. (24 services)
Cleveland Area Hospital
Rates about the same as Pawhuska Hospital Inc. (24 services)
Sedan City Hospital
â–¼ Rates typically 40% lower than Pawhuska Hospital Inc. (24 services)
St. John Nowat
â–¼ Rates typically 6% lower than Pawhuska Hospital Inc. (24 services)
St John Sapulpa
â–¼ Rates typically 6% lower than Pawhuska Hospital Inc. (24 services)
Drumright Regional Hospital
Rates about the same as Pawhuska Hospital Inc. (24 services)
Newman Memorial Hospital
Holdenville General Hospital
The Physician S Hospital In Anadarko
About Pawhuska Hospital Inc.'s rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pawhuska Hospital Inc. range from $792 to $1,340 across 2 insurers. Blue Cross Blue Shield's rate is $1,340. The median at nearby comparable hospitals is $806. 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 Pawhuska Hospital Inc. range from $970 to $3,381 across 4 insurers. Aetna's rate is $3,381. The median at nearby comparable hospitals is $598. 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 Pawhuska Hospital Inc. range from $2,072 to $2,952 across 2 insurers. Blue Cross Blue Shield's rate is $2,952. The median at nearby comparable hospitals is $1,855. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pawhuska Hospital Inc. range from $512 to $512 across 1 insurers. Blue Cross Blue Shield's rate is $512. The median at nearby comparable hospitals is $315. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pawhuska Hospital Inc. has 25 beds. Facility type: Critical Access Hospital.
Pawhuska Hospital Inc. is located at 1101 East 15th Street, Pawhuska, OK 74056. Its main phone number is (918) 287-3232.
Pawhuska Hospital Inc.'s CMS Certification Number (CCN), also called its Medicare provider number, is 371309.
The National Provider Identifier (NPI) on file for Pawhuska Hospital Inc. is 1174521991.
Pawhuska Hospital Inc. 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.
159 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.
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{
"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