Duncan, OK 73533 · CMS Certification Number 370023. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,954 | $81,426 | 6.3× | $11,958 |
| Shoulder replacement | — | — | — | $16,307 |
| Hip replacement after a fracture (DRG 522) | $14,600 | $83,324 | 5.7× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 110 beds
Oklahoma has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Duncan Regional Hospital, Inc for an inpatient hip or knee replacement stay was $12,954 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,958 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,426, 6.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Duncan Regional Hospital, Inc's average total payment per Medicare stay is lower than 73% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.