Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Oklahoma
What 2 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$248,049
Hospital list price billed
Average payment
$42,212
Medicare + patient + other payers
Medicare paid
$30,378
Average per stay
Volume
50
Medicare hospital stays
Hospitals in Oklahoma billed an average of $248,049 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.9 times the average total payment of $42,212. That payment is 24% below the U.S. average of $55,508.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $42,212Billed $248,049
About 17¢ was paid for every $1 hospitals in Oklahoma billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oklahoma:
Oklahoma hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every Oklahoma hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Oklahoma Heart HospitalOklahoma City | 34 | $186,071 | $38,667 | $28,327 |
| Integris Baptist Medical CenterOklahoma City | 16 | $379,754 | $49,745 | $34,737 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Oklahoma?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 2 hospitals in Oklahoma was billed at $248,049 on average, while the average total payment was $42,212, of which Medicare paid $30,378. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Oklahoma, average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.