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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Wagoner Hospital Authority

Wagoner, OK

1200 West Cherokee Street, Wagoner, OK 74467(918) 485-5514

2 of 5

CMS star rating

100

Beds

1,781

Inpatient discharges a year

$23.1M

Net patient revenue a year

37

In-network payers

About this hospital

Wagoner Hospital Authority is a 100-bed government - hospital district or authority hospital in Wagoner, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 211 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
370166
NPI
1386611580
Teaching
No Medicare-funded residents
County
Wagoner County
Metro area
Tulsa, OK MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1973
Last CMS survey
2023

Prices for common services

The 24 services Wagoner Hospital Authority 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

Spinal fusion except cervical without MCC

MS-DRG 460

$27,138 - $48,974

from 2 insurers · median $38,056

Blue Cross$48,974
Insurer A*$27,138
Medicare $27,950Nearby hospitals $46,67318% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Gynecology

Sling surgery for stress urinary incontinence

CPT 57288

$1,857 - $9,594

from 3 insurers · median $5,745

Blue Cross$9,594
Insurer A*$1,857
Insurer B*$5,745
Medicare $4,488Nearby hospitals $9,99843% below nearby hospitals

16 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$19,699 - $28,230

from 2 insurers · median $23,965

Blue Cross$28,230
Insurer A*$19,699
Medicare $16,162Nearby hospitals $28,83717% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,564 - $27,540

from 2 insurers · median $21,552

Blue Cross$27,540
Insurer A*$15,564
Medicare $12,855Nearby hospitals $25,57816% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Wagoner Hospital Authority

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
556%
28
Insurer B*21
178%
97
Insurer C*24
121%
024
Insurer D*17
121%
611

How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 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 Wagoner Hospital Authority, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care Oklahoma

More about this hospital

  • Quality

    2 of 5 stars

    • 111 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.04%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 27 services
    • 52 affiliated clinicians
    See doctors and services
  • Finances

    $23.1M net patient revenue

    • Operating margin on patient care -11.2%
    • $1.1M unreimbursed and uncompensated care
    • -$1.9M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Jimmy Leopard, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-2276246Wagoner Hospital Authority55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1386611580 Wagoner Hospital Authority1568808988 Wagoner Hospital Authority1477398246 Wagoner Hospital Authorityand 1 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

1200 West Cherokee Street, Wagoner, OK 74467

(918) 485-5514

Get directions

Frequently asked questions

About Wagoner Hospital Authority's rates and hospital price transparency.

How much does an MRI cost at Wagoner Hospital Authority?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Wagoner Hospital Authority range from $346 to $1,401 across 3 insurers. Aetna's rate is $755. The median at nearby comparable hospitals is $962. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wagoner Hospital Authority?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wagoner Hospital Authority range from $461 to $1,820 across 4 insurers. Aetna's rate is $826. The median at nearby comparable hospitals is $914. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wagoner Hospital Authority?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Wagoner Hospital Authority range from $1,354 to $1,399 across 3 insurers. UnitedHealthcare's rate is $1,354. The median at nearby comparable hospitals is $1,473. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wagoner Hospital Authority?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wagoner Hospital Authority range from $98 to $451 across 4 insurers. Cigna's rate is $451. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Wagoner Hospital Authority?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wagoner Hospital Authority range from $15,564 to $27,540 across 2 insurers. Blue Cross Blue Shield's rate is $27,540. The median at nearby comparable hospitals is $25,578. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Wagoner Hospital Authority's CMS star rating?

Wagoner Hospital Authority 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 Wagoner Hospital Authority a teaching hospital?

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

Does Medicare penalize Wagoner Hospital Authority for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wagoner Hospital Authority's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wagoner Hospital Authority?

In 2024, the most common were psychoses (95 discharges), heart failure and shock with mcc (15 discharges).

What is Wagoner Hospital Authority's case mix index?

Wagoner Hospital Authority's Medicare case mix index is 1.23 for fiscal year 2027, higher than 8% 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.

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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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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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