Complex GI Procedures in Oklahoma
What 27 hospitals in Oklahoma charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$50,103
Hospital list price billed
Average allowed
$4,772
Medicare's payment + patient's share
Medicare paid
$3,792
Average per service
State rank
#12 of 48
1 = lowest average payment
Hospitals in Oklahoma billed an average of $50,103 for complex gi procedures, about 10.5 times the average medicare-allowed amount of $4,772. That payment is 11% below the U.S. average of $5,364.
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 $4,772Billed $50,103
About 10¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: complex gi procedures
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oklahoma
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Anthony HospitalOklahoma City, OK | $4,359 |
|---|---|
| Community HospitalOklahoma City, OK | $4,584 |
| Hillcrest Medical CenterTulsa, OK | $4,747 |
| Integris Baptist Medical CenterOklahoma City, OK | $4,753 |
| O U Medical CenterOklahoma City, OK | $4,850 |
Highest
| Mercy Health Center, INCOklahoma City, OK | $4,910 |
|---|---|
| St John Medical Center, INCTulsa, OK | $4,910 |
| O U Medical CenterOklahoma City, OK | $4,850 |
| Integris Baptist Medical CenterOklahoma City, OK | $4,753 |
| Hillcrest Medical CenterTulsa, OK | $4,747 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Oklahoma?
In 2024 Medicare data, complex gi procedures (APC 5331) at 27 hospitals in Oklahoma was billed at $50,103 on average, while the average medicare-allowed amount was $4,772, of which Medicare paid $3,792. 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 service in Oklahoma, average charges were 10.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.