facebook tracking Level 1 Intraocular Procedures cost in Oklahoma: 31 hospitals compared (APC 5491)

Level 1 Intraocular Procedures in Oklahoma

What 31 hospitals in Oklahoma charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.

APC 5491 Outpatient 2024 Medicare data
Average charge $13,361 Hospital list price billed
Average allowed $2,020 Medicare's payment + patient's share
Medicare paid $1,603 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $13,361 for level 1 intraocular procedures, about 6.6 times the average medicare-allowed amount of $2,020. That payment is 8% below the U.S. average of $2,208.

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 $2,020Billed $13,361

About 15¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 1 intraocular 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
Stillwater Medical CenterStillwater 796 $12,957 $2,135 $1,695
Summit Medical CenterEdmond 664 $14,450 $1,977 $1,568
SSM Health St Anthony Hospital - ShawneeShawnee 365 $7,674 $1,989 $1,580
Purcell Municipal HospitalPurcell 261 $9,961 $1,997 $1,588
Saint Francis Hospital, INCTulsa 225 $11,263 $1,925 $1,521
Integris Health Ponca CityPonca City 210 $15,115 $2,081 $1,647
Onecore HealthOklahoma City 206 $18,827 $2,000 $1,592
Tulsa Spine & Specialty HospitalTulsa 173 $11,921 $1,952 $1,549
Claremore Regional HospitalClaremore 171 $12,300 $1,979 $1,577
Woodward Regional HospitalWoodward 142 $23,575 $2,115 $1,674
Comanche County Memorial HospitalLawton 140 $17,371 $1,968 $1,564
Integris Canadian Valley HospitalYukon 134 $13,244 $1,960 $1,551
Northeastern Health SystemTahlequah 119 $5,510 $2,091 $1,658
St John OwassoOwasso 110 $9,525 $1,965 $1,561
Jane Phillips Medical CenterBartlesville 109 $9,703 $2,094 $1,658
O U Medical CenterOklahoma City 96 $27,099 $1,974 $1,566
St John Medical Center, INCTulsa 94 $11,446 $2,008 $1,600
Integris Health Edmond HospitalEdmond 70 $14,710 $2,008 $1,600
Muscogee (Creek) Nation Medical CenterOkmulgee 59 $7,430 $1,976 $1,574
Community HospitalOklahoma City 58 $19,287 $2,008 $1,600
Henryetta Medical CenterHenryetta 45 $10,796 $1,874 $1,472
Integris Baptist Medical CenterOklahoma City 36 $20,434 $1,913 $1,492
Hillcrest Medical CenterTulsa 34 $17,615 $2,008 $1,600
Integris Southwest Medical CenterOklahoma City 30 $20,115 $1,955 $1,536
Integris Grove General HospGrove 21 $14,850 $2,119 $1,689
Duncan Regional Hospital, INCDuncan 20 $10,989 $2,036 $1,605
Norman Regional Health SystemNorman 14 $15,611 $1,893 $1,485
Mercy Health Center, INCOklahoma City – – – –
Alliancehealth DurantDurant – – – –
Mercy Memorial Health CenterArdmore – – – –
Southwestern Medical CenterLawton – – – –
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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.

Lowest

Highest

Stillwater Medical CenterStillwater, OK$2,135
Integris Grove General HospGrove, OK$2,119
Woodward Regional HospitalWoodward, OK$2,115
Jane Phillips Medical CenterBartlesville, OK$2,094
Northeastern Health SystemTahlequah, OK$2,091

Level 1 Intraocular Procedures in other states

Questions

How much does level 1 intraocular procedures cost in Oklahoma?

In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 31 hospitals in Oklahoma was billed at $13,361 on average, while the average medicare-allowed amount was $2,020, of which Medicare paid $1,603. 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 6.6 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.