Duncan Regional Hospital, Inc
Duncan Regional Hospital, Inc. in Duncan, Oklahoma charges 5.3x the Medicare reimbursement rate on average across 34 analyzed procedures at this nonprofit facility.
Duncan, OK 73533 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.35x
Charge / Medicare rate
Max markup
8.84x
Worst procedure
Procedures analyzed
34
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $80,088 | $40,044 | — | 8.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,374 | $17,687 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,009 | $22,004 | — | 7.5x |
| SYNCOPE AND COLLAPSE | 312 | $34,705 | $17,353 | — | 7.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,434 | $16,717 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,027 | $8,513 | — | 6.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,845 | $13,922 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,108 | $11,554 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,964 | $13,482 | — | 6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,846 | $13,423 | — | 5.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $65,647 | $32,824 | — | 5.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $74,259 | $37,130 | — | 5.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,208 | $21,104 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,224 | $20,612 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,127 | $14,563 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $31,266 | $15,633 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $66,661 | $33,330 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $25,259 | $12,630 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $33,101 | $16,550 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,958 | $13,979 | — | 4.8x |
| DIABETES WITH CC | 638 | $26,366 | $13,183 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $58,636 | $29,318 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $20,553 | $10,276 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,016 | $17,008 | — | 4.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $32,149 | $16,074 | — | 4.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $19,409 | $9,705 | — | 4.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,190 | $14,095 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,386 | $24,193 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,639 | $14,320 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $63,959 | $31,979 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $47,251 | $23,625 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $48,475 | $24,238 | — | 4x |
| RENAL FAILURE WITH MCC | 682 | $34,603 | $17,302 | — | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $99,885 | $49,943 | — | 3.2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use