You are a visitor. Not a claim.
Walk the building.
Every door has a price. Pick a floor, then a SKU — cash vs Medicaid vs Medicare vs insured.
Basement
Plant, sterile processing, laundry, morgue. Most of this is cost, not a shop — except when they bill it.
Ground floor
ER, triage, pharmacy, imaging, lab. Walk-in traffic. You did not make an appointment for half of this.
Emergency
You didn't shop. Chargemaster plus facility fee is the whole model.
4 departments · 22 SKUs · $55–$4,500RXModeledPharmacy
Saline, antibiotics, oncolytics, anesthetics — acquisition vs billed, by class.
12 departments · 61 SKUs · $8–$14,500RADModeledImaging
Machine is paid for; each extra scan is mostly contribution margin.
2 departments · 20 SKUs · $95–$4,200LABModeledLab
Pennies to run, dollars on the bill. Volume is the business.
4 departments · 22 SKUs · $24–$4,200Level 2 · surgery
OR, cath lab, oncology chair. Highest ticket SKUs in the building.
Surgery
Cash all-in vs what Medicaid, Medicare, and insured plans pay for the same cut.
26 departments · 472 SKUs · $675–$49,625ONCModeledOncology
The hospital's best spread is often the chair, not the knife — 340B buy, commercial bill.
6 departments · 41 SKUs · $32–$16,500CVModeledHeart
Devices plus facility fees. Highest-ticket shop in the building.
3 departments · 15 SKUs · $85–$185,000Level 3 · wards
Med-surg, ortho, GI, respiratory, infectious disease. The bed-day is the product.
Med-Surg
The default inpatient floor. Room rate is the SKU; everything else piles on.
1 department · 8 SKUs · $120–$2,6503ESourced cashOrthopedic
OR cash from Surgery Center of Oklahoma, plus the ward stay the ASC does not have.
12 departments · 155 SKUs · $95–$49,6253GIModeledGastrointestinal
Scopes are an ASC business. The hospital bills them like an OR.
3 departments · 11 SKUs · $890–$7,5563RModeledRespiratory
Lung days plus respiratory therapy line items. Volume and night differentials.
2 departments · 9 SKUs · $85–$3,5003IModeledInfectious disease
A private room with a warning sign is a marked-up med-surg day.
1 department · 7 SKUs · $385–$3,100Level 4 · critical care
ICU, SICU, CVICU, NICU, PICU. One floor, five units, the most expensive nights you can buy.
Level 5 · specialty
Labor & delivery, maternity, psych, rehab, step-down / PCU.
Labor & Delivery
A healthy delivery is still a high-fixed-cost suite billed as an episode.
1 department · 8 SKUs · $185–$12,500MBUModeledMaternity
After the delivery, the product is the room and the baby checks.
2 departments · 7 SKUs · $185–$1,8505PModeledPsychiatric
Per diem, not RVU. The locked unit is the facility fee.
2 departments · 7 SKUs · $320–$4,200IRFModeledRehabilitation
Minutes of therapy packaged as a day or an outpatient visit.
2 departments · 7 SKUs · $165–$2,100PCUModeledStep-down / PCU
Not quite ICU rates, not quite ward rates. That gap is the point.
1 department · 4 SKUs · $2,800–$4,100