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Hillcrest Medical Center

Hillcrest Medical Center in Tulsa, Oklahoma charges 8.9x the Medicare reimbursement rate on average across 110 analyzed procedures at this for-profit hospital.

Tulsa, OK 74104 · Acute Care Hospitals · CMS Rating: 3/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

110 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 6.2x3.5x15.0x
8.9x
Medicare markup ratio
OK lowestHillcrest Medical CenterOK highest
8.9x
Avg markup ratio
8.7x
Median markup
110
Procedures
2%
Outlier procedures
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Billing patterns — for-profit

For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.

Pricing grade

F

Very high

Avg markup vs Medicare

8.87x

Charge / Medicare rate

Max markup

13.72x

Worst procedure

Procedures analyzed

110

With pricing data

Outlier procedures

1.8%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$135,091$67,54613.7x
DIABETES WITH MCC637$121,710$60,85513.2x
DISORDERS OF THE BILIARY TRACT WITH CC445$81,254$40,62712.3x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$56,370$28,18512.2x
HYPERTENSION WITHOUT MCC305$51,412$25,70612x
DIABETES WITH CC638$61,658$30,82911.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$36,804$18,40211.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$148,314$74,15711.2x
PERIPHERAL VASCULAR DISORDERS WITH MCC299$100,700$50,35011.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$89,915$44,95811.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$152,137$76,06911.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$80,014$40,00711.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$49,413$24,70711x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$115,418$57,70910.9x
RESPIRATORY NEOPLASMS WITH MCC180$109,064$54,53210.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$144,147$72,07310.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$186,783$93,39110.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$67,632$33,81610.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$132,994$66,49710.5x
EXTRACRANIAL PROCEDURES WITH CC038$101,551$50,77510.4x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$119,270$59,63510.4x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$98,915$49,45810.2x
SYNCOPE AND COLLAPSE312$55,706$27,85310.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$116,651$58,32510.1x
HEART FAILURE AND SHOCK WITH MCC291$83,370$41,68510x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$145,712$72,85610x
GASTROINTESTINAL HEMORRHAGE WITH CC378$57,907$28,9549.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$186,831$93,4169.8x
DISORDERS OF THE BILIARY TRACT WITH MCC444$99,021$49,5119.6x
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC862$117,767$58,8849.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$40,917$20,4599.6x
CHEST PAIN313$42,090$21,0459.5x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$56,032$28,0169.5x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$88,233$44,1169.5x
GASTROINTESTINAL OBSTRUCTION WITH CC389$39,113$19,5569.5x
PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC405$365,102$182,5519.4x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$98,640$49,3209.4x
COAGULATION DISORDERS813$90,778$45,3899.4x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$338,861$169,4309.4x
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC356$245,875$122,9389.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$151,756$75,8789.3x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$328,503$164,2529.2x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$518,599$259,2999.2x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$42,777$21,3899.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$116,564$58,2829.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$58,485$29,2439.1x
RED BLOOD CELL DISORDERS WITHOUT MCC812$55,001$27,5019x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$52,130$26,0659x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$44,343$22,1729x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$53,769$26,8858.9x

Showing 50 of 110 procedures

How HILLCREST MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

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

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