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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Tahlequah City Hospital

Tahlequah, OK

1400 East Downing Street, Tahlequah, OK 74464(918) 456-0641

2 of 5

CMS star rating

90

Beds

3,247

Inpatient discharges a year

$139.4M

Net patient revenue a year

41

In-network payers

About this hospital

Tahlequah City Hospital is a 90-bed government - hospital district or authority hospital in Tahlequah, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 276 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
370089
NPI
1003865999
Teaching
Teaching hospital
County
Cherokee County
Metro area
Tahlequah, OK MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Tahlequah City 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$21,403 - $24,155

from 2 insurers · median $22,779

Blue Cross$24,155
Insurer A*$21,403
Medicare $10,350Nearby hospitals $25,73411% below nearby hospitals

62 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$28,164 - $35,249

from 2 insurers · median $31,707

Blue Cross$35,249
Insurer A*$28,164
Medicare $22,439Nearby hospitals $42,37225% below nearby hospitals

41 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,492 - $6,634

from 2 insurers · median $6,063

Blue Cross$6,634
Insurer A*$5,492

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,005 - $10,337

from 2 insurers · median $9,671

Blue Cross$10,337
Insurer A*$9,005

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Tahlequah City 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*11
393%
03
Insurer B*16
263%
78
Insurer C*23
235%
160
Insurer D*21
221%
410

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Tahlequah City 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
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 126 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.67%)
    See quality ratings
  • Doctors and services

    Teaching hospital

    • 39 services, including trauma care
    • 337 affiliated clinicians
    See doctors and services
  • Finances

    $139.4M net patient revenue

    • Operating margin on patient care -7.7%
    • $9.1M unreimbursed and uncompensated care
    • $2.6M net income
    See finances
  • Ownership and leadership

    Owned by Northeastern Health System

    • Hospital district or authority
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Tahlequah City 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
73-6045246Northeastern Health System60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1003865999 Northeastern Health System1457574170 Northeastern Health System1528122371 Northeastern Health Systemand 9 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

1400 East Downing Street, Tahlequah, OK 74464

(918) 456-0641

Get directions

Frequently asked questions

About Tahlequah City Hospital's rates and hospital price transparency.

How much does an MRI cost at Tahlequah City Hospital?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Tahlequah City Hospital range from $393 to $2,704 across 4 insurers. Cigna's rate is $2,614. The median at nearby comparable hospitals is $524. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Tahlequah City Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tahlequah City Hospital range from $628 to $2,092 across 4 insurers. Aetna's rate is $1,098. The median at nearby comparable hospitals is $904. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Tahlequah City Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Tahlequah City Hospital range from $790 to $3,936 across 3 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $3,102. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Tahlequah City Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Tahlequah City Hospital range from $5,492 to $6,634 across 2 insurers. Blue Cross Blue Shield's rate is $6,634. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Tahlequah City Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tahlequah City Hospital range from $193 to $346 across 4 insurers. UnitedHealthcare's rate is $193. The median at nearby comparable hospitals is $305. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Tahlequah City Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Tahlequah City Hospital range from $21,403 to $24,155 across 2 insurers. Blue Cross Blue Shield's rate is $24,155. The median at nearby comparable hospitals is $25,734. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Tahlequah City Hospital's CMS star rating?

Tahlequah City Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Tahlequah City Hospital a teaching hospital?

Yes. CMS counts 0.11 Medicare-funded residents per bed at Tahlequah City Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Tahlequah City Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Tahlequah City Hospital's base inpatient payments by an estimated 0.67% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Tahlequah City Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (104 discharges), heart failure and shock with mcc (42 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (26 discharges).

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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.

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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
      }
    ]
  }]
}
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