55/100
#1,099 nationally
Duncan Regional Hospital, Inc
1407 Whisenant Drive, Duncan, OK 73533 · (580) 252-5300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Duncan Regional Hospital, Inc billed $4.91 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 60
- inpatient and outpatient combined
- Rank in OK
- #26
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 46% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 83% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
344 | $19,817 | $2,479 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
211 | $50,630 | $13,554 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
149 | $11,878 | $1,467 | +18% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
139 | $8,354 | $1,697 | -29% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
112 | $67,647 | $11,958 | +8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
110 | $34,856 | $8,988 | -20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
87 | $17,116 | $2,900 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
80 | $51,294 | $6,444 | +29% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
66 | $28,816 | $5,249 | -18% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
65 | $38,561 | $9,083 | -17% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$15,267 | $1,757 | +35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$51,294 | $6,444 | +29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,878 | $1,467 | +18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$67,647 | $11,958 | +8% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,877 | $1,457 | +4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$19,817 | $2,479 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$81,426 | $12,955 | about average |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$37,208 | $7,043 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$16,825 | $4,999 | -53% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$14,648 | $3,407 | -35% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$31,684 | $8,974 | -35% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$28,228 | $8,073 | -31% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$12,314 | $2,585 | -30% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$25,690 | $6,353 | -30% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,354 | $1,697 | -29% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$23,703 | $6,062 | -29% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.