Mcalester Regional Health Center
MCALESTER REGIONAL HEALTH CENTER in McAlester, Oklahoma charges 2.7x the Medicare reimbursement rate based on analysis of 15 procedures at this government-owned facility.
Mcalester, OK 74501 · Acute Care Hospitals · CMS Rating: 3/5
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.
No credit card required. Results in 60 seconds.
Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
B
Good
Avg markup vs Medicare
2.74x
Charge / Medicare rate
Max markup
3.25x
Worst procedure
Procedures analyzed
15
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 |
|---|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,801 | $10,401 | — | 3.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $23,243 | $11,621 | — | 3.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $22,007 | $11,003 | — | 3.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $14,716 | $7,358 | — | 3.1x |
| RENAL FAILURE WITH CC | 683 | $16,021 | $8,011 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $13,184 | $6,592 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $37,786 | $18,893 | — | 2.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $22,222 | $11,111 | — | 2.9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $44,097 | $22,048 | — | 2.9x |
| RENAL FAILURE WITH MCC | 682 | $28,694 | $14,347 | — | 2.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $37,088 | $18,544 | — | 2.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $31,957 | $15,979 | — | 2.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $28,058 | $14,029 | — | 2.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $23,421 | $11,710 | — | 1.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $11,538 | $5,769 | — | 1.5x |
Got a bill from MCALESTER REGIONAL HEALTH CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Mcalester Regional Health Center?
Free guides to help you take action
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