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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Pushmataha Hospital

Antlers, OK

510 East Main Street, Antlers, OK 74523(580) 298-3341

3 of 5

CMS star rating

25

Beds

347

Inpatient discharges a year

$4.2M

Net patient revenue a year

23

In-network payers

About this hospital

Pushmataha Hospital is a 25-bed government - hospital district or authority hospital in Antlers, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 103 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
370083
NPI
1144212556
Website
pushmatahahospital.com
Teaching
No Medicare-funded residents
County
Pushmataha County
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Pushmataha Hospital 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.

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$560 - $2,246

from 2 insurers · median $1,403

Aetna$2,246
Insurer A*$560
Medicare $215Nearby hospitals $628123% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$250 - $833

from 2 insurers · median $541

Aetna$833
Insurer A*$250
Medicare $94Nearby hospitals $39736% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$2,209 - $12,005

from 2 insurers · median $7,107

Blue Cross$12,005
Insurer A*$2,209
Medicare $6,176Nearby hospitals $8,08112% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$475 - $3,887

from 2 insurers · median $2,181

UnitedHealthcare$475
Insurer A*$3,887
Medicare $1,079Nearby hospitals $1,39057% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Pushmataha Hospital

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*3
898%
30
Insurer B*24
218%
183
Insurer C*18
36%
018

How we chose these services: 0 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 14 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 Pushmataha Hospital, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 152 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.13%)
    See quality ratings

  • Doctors and services

    No Medicare-funded residents

    • 10 services
    • 26 affiliated clinicians
    See doctors and services

  • Finances

    $4.2M net patient revenue

    • Operating margin on patient care -57.0%
    • $546,895 unreimbursed and uncompensated care
    • -$366,690 net income
    See finances

  • Ownership and leadership

    Hospital district or authority

    • Nicholas P Rowland, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
73-6069650Pushmataha County Hospital Authority44Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, AmeriBen and 39 more1144212556 Pushmataha County Hospital Authority1578587655 Pushmataha County Hospital Authority

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

510 East Main Street, Antlers, OK 74523

(580) 298-3341

Get directions

Frequently asked questions

About Pushmataha Hospital's rates and hospital price transparency.

How much does a CT scan cost at Pushmataha Hospital?

For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Pushmataha Hospital range from $560 to $2,246 across 2 insurers. Aetna's rate is $2,246. The median at nearby comparable hospitals is $628. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Pushmataha Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pushmataha Hospital range from $475 to $3,887 across 2 insurers. UnitedHealthcare's rate is $475. The median at nearby comparable hospitals is $1,390. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Pushmataha Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pushmataha Hospital range from $295 to $295 across 1 insurers. Blue Cross Blue Shield's rate is $295. The median at nearby comparable hospitals is $342. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Pushmataha Hospital's CMS star rating?

Pushmataha Hospital 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 Pushmataha Hospital a teaching hospital?

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

Does Medicare penalize Pushmataha Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Pushmataha Hospital's base inpatient payments by an estimated 0.13% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Pushmataha Hospital?

In 2024, the most common were kidney and urinary tract infections without mcc (23 discharges), simple pneumonia and pleurisy with cc (21 discharges).

What is Pushmataha Hospital's case mix index?

Pushmataha Hospital's Medicare case mix index is 0.97 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.

How many patients does Pushmataha Hospital admit?

Pushmataha Hospital reported 347 inpatient discharges and 1,917 inpatient days from Apr 1, 2025 to Mar 31, 2026.

How many employees does Pushmataha Hospital have?

Pushmataha Hospital reported 73 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.

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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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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