facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Oklahoma: 52 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Oklahoma

What 52 hospitals in Oklahoma charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $25,586 Hospital list price billed
Average allowed $2,960 Medicare's payment + patient's share
Medicare paid $2,345 Average per service
State rank #10 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $25,586 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.6 times the average medicare-allowed amount of $2,960. That payment is 11% below the U.S. average of $3,323.

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 $2,960Billed $25,586

About 12¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 1 abdominal/peritoneal/biliary and related procedures

Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Integris Baptist Medical CenterOklahoma City 97 $33,826 $2,930 $2,324
Mercy Health Center, INCOklahoma City 77 $11,809 $2,919 $2,313
Community HospitalOklahoma City 70 $23,758 $2,981 $2,369
Stillwater Medical CenterStillwater 44 $26,009 $3,134 $2,486
Norman Regional Health SystemNorman 39 $27,442 $2,943 $2,337
Saint Francis Hospital, INCTulsa 38 $19,971 $2,938 $2,336
SSM Health St Anthony Hospital - ShawneeShawnee 36 $12,391 $2,849 $2,243
St John Medical Center, INCTulsa 35 $18,298 $2,981 $2,374
McAlester Regional Health CenterMcAlester 34 $9,490 $3,073 $2,433
O U Medical CenterOklahoma City 32 $38,050 $2,907 $2,294
St Anthony HospitalOklahoma City 30 $22,186 $2,882 $2,286
Hillcrest Medical CenterTulsa 29 $38,198 $2,899 $2,293
Jane Phillips Medical CenterBartlesville 26 $21,190 $3,146 $2,507
St Mary's Regional Medical CenterEnid 24 $38,831 $2,743 $2,138
Integris Southwest Medical CenterOklahoma City 20 $36,850 $2,981 $2,370
Oklahoma Surgical Hospital, LLCTulsa 18 $12,502 $2,938 $2,341
Comanche County Memorial HospitalLawton 17 $30,698 $2,938 $2,334
Duncan Regional Hospital, INCDuncan 15 $20,097 $3,147 $2,508
Mercy Memorial Health CenterArdmore 15 $14,975 $3,023 $2,374
Woodward Regional HospitalWoodward 14 $40,749 $3,213 $2,560
Mercy Hospital AdaAda 14 $17,277 $3,192 $2,537
Grady Memorial HospitalChickasha 14 $14,083 $2,975 $2,328
Integris Canadian Valley HospitalYukon 14 $39,961 $2,981 $2,375
Alliancehealth DurantDurant 13 $96,546 $3,000 $2,390
Jackson County Memorial HospitalAltus 12 $14,196 $3,213 $2,560
Muskogee Regional Medical CenterMuskogee 12 $25,522 $2,753 $2,146
Midwest Regional Medical CenterMidwest City 11 $40,926 $2,549 $1,943
Saint Francis Hospital SouthTulsa 11 $24,762 $2,938 $2,337
Bailey Medical Center, L L COwasso 11 $26,247 $2,725 $2,123
Integris Baptist Reg Hlth CtrMiami – – – –
Integris Health Ponca CityPonca City – – – –
Hillcrest Hospital PryorPryor – – – –
Integris Bass Baptist Health CenterEnid – – – –
Great Plains Regional Med CtrElk City – – – –
Claremore Regional HospitalClaremore – – – –
Oklahoma State University Medical CenterTulsa – – – –
Northeastern Health SystemTahlequah – – – –
Southwestern Medical CenterLawton – – – –
Integris Grove General HospGrove – – – –
Elkview General HospitalHobart – – – –
Wagoner Community HospitalWagoner – – – –
Northwest Surgical HospitalOklahoma City – – – –
Lakeside Women's HospitalOklahoma City – – – –
Hillcrest Hospital SouthTulsa – – – –
Oklahoma Spine HospitalOklahoma City – – – –
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City – – – –
Oklahoma Heart HospitalOklahoma City – – – –
St John OwassoOwasso – – – –
Oklahoma Heart Hospital SouthOklahoma City – – – –
Ascension St John Broken ArrowBroken Arrow – – – –
Integris Health Edmond HospitalEdmond – – – –
Elkview General HospitalHobart – – – –
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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.

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Oklahoma?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 52 hospitals in Oklahoma was billed at $25,586 on average, while the average medicare-allowed amount was $2,960, of which Medicare paid $2,345. 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 8.6 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.