PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Saint Francis Hospital Muskogee

Saint Francis Health System · Muskogee, OK

300 Rockefeller Drive, Muskogee, OK 74401(918) 682-5501

3 of 5

CMS star rating

288

Beds

9,927

Inpatient discharges a year

$232M

Net patient revenue a year

36

In-network payers

About this hospital

Saint Francis Hospital Muskogee is a 288-bed voluntary non-profit - private hospital in Muskogee, OK, affiliated with Saint Francis Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 281 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
370025
NPI
1386188837
Health system
Saint Francis Health System
Teaching
No Medicare-funded residents
County
Muskogee County
Metro area
Muskogee, OK MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Saint Francis Hospital Muskogee 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

$2,296 - $8,436

from 4 insurers · median $7,816

Cigna$8,436
Insurer A*est.$2,296
Insurer B*$7,464
Insurer C*$8,167

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,472 - $11,371

from 4 insurers · median $10,686

Cigna$8,472
Insurer A*$10,468
Insurer B*$10,905
Insurer C*$11,371

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 obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$10,056 - $26,235

from 4 insurers · median $19,190

Blue Cross$24,972
Insurer A*est.$10,056
Insurer B*est.$13,409
Insurer C*$26,235
Medicare $10,636Nearby hospitals $21,42510% below nearby hospitals

57 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$13,562 - $26,184

from 3 insurers · median $18,224

Blue Cross$13,562
Insurer A*$18,224
Insurer B*$26,184
Medicare $5,427Nearby hospitals $9,52891% above nearby hospitals

49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Saint Francis Hospital Muskogee

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*20
501%
51
Insurer B*24
295%
126
Insurer C*24
222%
173
Insurer D*13
111%
27

How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 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 Saint Francis Hospital Muskogee, 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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care OklahomaDean Health Plan

More about this hospital

  • Quality

    3 of 5 stars

    • 208 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.03%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 38 services, including trauma care
    • 698 affiliated clinicians
    See doctors and services

  • Finances

    $232M net patient revenue

    • Operating margin on patient care 17.0%
    • $9.2M unreimbursed and uncompensated care
    • $41.7M net income
    See finances

  • Ownership and leadership

    Owned by Saint Francis Health System Inc

    • Private (not for profit)
    • Barry L Steichen, chief executive
    • 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 Saint Francis Hospital Muskogee in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
81-4322087Saint Francis Hospital Muskogee INC56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1386188837 Saint Francis Hospital Muskogee Inc1790220952 Saint Francis Hospital Muskogee Inc1306381561 Saint Francis Hospital Muskogee Incand 4 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

300 Rockefeller Drive, Muskogee, OK 74401

(918) 682-5501

Get directions

Frequently asked questions

About Saint Francis Hospital Muskogee's rates and hospital price transparency.

How much does a CT scan cost at Saint Francis Hospital Muskogee?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saint Francis Hospital Muskogee range from $415 to $3,109 across 4 insurers. Aetna's rate is $415. The median at nearby comparable hospitals is $789. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Saint Francis Hospital Muskogee?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Saint Francis Hospital Muskogee range from $584 to $6,078 across 4 insurers. Blue Cross Blue Shield's rate is $4,061. The median at nearby comparable hospitals is $2,053. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Saint Francis Hospital Muskogee?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Francis Hospital Muskogee range from $2,296 to $8,436 across 4 insurers. Cigna's rate is $8,436. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Saint Francis Hospital Muskogee?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Francis Hospital Muskogee range from $181 to $486 across 4 insurers. Aetna's rate is $181. The median at nearby comparable hospitals is $145. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Saint Francis Hospital Muskogee?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Saint Francis Hospital Muskogee range from $10,056 to $26,235 across 4 insurers. Blue Cross Blue Shield's rate is $24,972. The median at nearby comparable hospitals is $21,425. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Saint Francis Hospital Muskogee's CMS star rating?

Saint Francis Hospital Muskogee 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 Saint Francis Hospital Muskogee a teaching hospital?

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

Does Medicare penalize Saint Francis Hospital Muskogee for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saint Francis Hospital Muskogee's base inpatient payments by an estimated 1.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Saint Francis Hospital Muskogee?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (607 discharges), heart failure and shock with mcc (174 discharges), respiratory infections and inflammations with mcc (104 discharges).

What is Saint Francis Hospital Muskogee's case mix index?

Saint Francis Hospital Muskogee's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% 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
Talk to us about your MRF
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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster