facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Oklahoma: 7 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Oklahoma

What 7 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $27,815 Hospital list price billed
Average payment $7,080 Medicare + patient + other payers
Medicare paid $5,587 Average per stay
State rank #8 of 39 1 = lowest average payment

Hospitals in Oklahoma billed an average of $27,815 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 3.9 times the average total payment of $7,080. That payment is 19% below the U.S. average of $8,749.

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 $7,080Billed $27,815

About 25¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Oklahoma:

Oklahoma hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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
Saint Francis Hospital, INCTulsa 25 $32,567 $7,007 $5,623
Mercy Health Center, INCOklahoma City 20 $22,944 $6,536 $5,067
Comanche County Memorial HospitalLawton 13 $22,681 $7,028 $5,660
St John Medical Center, INCTulsa 13 $24,411 $8,159 $6,459
Duncan Regional Hospital, INCDuncan 12 $25,690 $6,353 $5,265
Integris Baptist Medical CenterOklahoma City 12 $33,359 $7,632 $5,667
Stillwater Medical CenterStillwater 11 $32,233 $7,218 $5,598
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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

Duncan Regional Hospital, INCDuncan, OK$6,353
Mercy Health Center, INCOklahoma City, OK$6,536
Saint Francis Hospital, INCTulsa, OK$7,007
Comanche County Memorial HospitalLawton, OK$7,028
Stillwater Medical CenterStillwater, OK$7,218

Highest

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 7 hospitals in Oklahoma was billed at $27,815 on average, while the average total payment was $7,080, of which Medicare paid $5,587. 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 3.9 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.