Carnegie High also has three won state titles in boys cross country (1999, 2000, 2020).

According to the United States Census Bureau, the town has a total area of 1.37 square miles (3.55 km2), all land.

[6] The town is on the south bank of the Washita River, 27 miles (43 km) west of Anadarko, at the intersection of state highways 9 and 58.

Carnegie is governed by a five-member Town Board of Trustees, as authorized by the Oklahoma Constitution.

[11] The Carnegie Tri-County Municipal Hospital Authority owns a critical-access hospital and clinic facility within the town that provides residents of the area with primary care, radiology, physical therapy, and medical laboratory services.

The Carnegie Tri-County Municipal Hospital has three doctors and one nurse practitioner on staff.

The hospital is managed and operated by Carnegie Tri-County Hospital Management, Inc.[12] The Carnegie Library Board, appointed by the Town Board of Trustees, operates a library facility for area residents, providing internet access and a large collection of books, magazines, and audio books.

The main production has been cotton, wheat, broomcorn, cattle, hogs and poultry.

Oil production replaced agriculture briefly during the 1970s, but declined in economic importance after 1980.

Carnegie also is the home of the Kiowa Tribe of Oklahoma, which has tribal offices located on the west edge of town.