facebook tracking Hip and femur procedures except major joint with major complications cost in Oklahoma: 16 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Oklahoma

What 16 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $120,283 Hospital list price billed
Average payment $21,526 Medicare + patient + other payers
Medicare paid $19,378 Average per stay
State rank #4 of 46 1 = lowest average payment

Hospitals in Oklahoma billed an average of $120,283 for hip and femur procedures except major joint with major complications, about 5.6 times the average total payment of $21,526. That payment is 18% below the U.S. average of $26,284.

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 $21,526Billed $120,283

About 18¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Oklahoma hospitals: hip and femur procedures except major joint 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
Saint Francis Hospital, INCTulsa 80 $96,050 $20,397 $18,634
Mercy Health Center, INCOklahoma City 41 $66,172 $19,804 $17,572
St John Medical Center, INCTulsa 37 $85,790 $20,888 $19,170
Integris Baptist Medical CenterOklahoma City 29 $169,302 $22,640 $19,620
Mercy Memorial Health CenterArdmore 25 $56,665 $22,270 $21,031
O U Medical CenterOklahoma City 24 $379,076 $34,299 $28,750
St Anthony HospitalOklahoma City 22 $113,799 $19,342 $17,976
Norman Regional Health SystemNorman 21 $113,572 $20,509 $19,143
Midwest Regional Medical CenterMidwest City 21 $193,520 $22,785 $17,555
Hillcrest Medical CenterTulsa 20 $131,089 $21,689 $20,152
Hillcrest Hospital SouthTulsa 18 $109,219 $19,202 $17,840
Comanche County Memorial HospitalLawton 14 $125,855 $21,073 $19,533
SSM Health St Anthony Hospital - ShawneeShawnee 14 $43,066 $19,571 $18,172
Stillwater Medical CenterStillwater 12 $81,894 $21,233 $19,667
Muskogee Regional Medical CenterMuskogee 11 $99,635 $19,228 $18,041
St Mary's Regional Medical CenterEnid 11 $103,097 $18,908 $17,572
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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

Highest

O U Medical CenterOklahoma City, OK$34,299
Midwest Regional Medical CenterMidwest City, OK$22,785
Integris Baptist Medical CenterOklahoma City, OK$22,640
Mercy Memorial Health CenterArdmore, OK$22,270
Hillcrest Medical CenterTulsa, OK$21,689

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 16 hospitals in Oklahoma was billed at $120,283 on average, while the average total payment was $21,526, of which Medicare paid $19,378. 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 5.6 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.