facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Oklahoma: 8 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Oklahoma

What 8 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $183,779 Hospital list price billed
Average payment $34,773 Medicare + patient + other payers
Medicare paid $31,456 Average per stay
State rank #3 of 42 1 = lowest average payment

Hospitals in Oklahoma billed an average of $183,779 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.3 times the average total payment of $34,773. That payment is 26% below the U.S. average of $47,051.

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 $34,773Billed $183,779

About 19¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Oklahoma hospitals: extensive operating room procedures unrelated to principal diagnosis with major complications

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
Mercy Health Center, INCOklahoma City 56 $72,148 $25,126 $24,041
Saint Francis Hospital, INCTulsa 54 $129,677 $32,089 $28,687
Integris Baptist Medical CenterOklahoma City 33 $310,799 $45,514 $36,294
St John Medical Center, INCTulsa 26 $129,048 $35,093 $32,072
St Anthony HospitalOklahoma City 25 $152,562 $34,334 $33,016
O U Medical CenterOklahoma City 23 $438,461 $52,709 $47,627
Hillcrest Medical CenterTulsa 18 $262,099 $33,574 $32,074
Norman Regional Health SystemNorman 13 $177,406 $30,341 $28,917
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Lowest and highest payments in Oklahoma

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Mercy Health Center, INCOklahoma City, OK$25,126
Norman Regional Health SystemNorman, OK$30,341
Saint Francis Hospital, INCTulsa, OK$32,089
Hillcrest Medical CenterTulsa, OK$33,574
St Anthony HospitalOklahoma City, OK$34,334

Highest

O U Medical CenterOklahoma City, OK$52,709
Integris Baptist Medical CenterOklahoma City, OK$45,514
St John Medical Center, INCTulsa, OK$35,093
St Anthony HospitalOklahoma City, OK$34,334
Hillcrest Medical CenterTulsa, OK$33,574

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 8 hospitals in Oklahoma was billed at $183,779 on average, while the average total payment was $34,773, of which Medicare paid $31,456. 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 5.3 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.