What 31 hospitals in Oklahoma charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
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.
About 15¢ was paid for every $1 hospitals in Oklahoma billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Henryetta Medical CenterHenryetta, OK | $1,874 |
|---|---|
| Norman Regional Health SystemNorman, OK | $1,893 |
| Integris Baptist Medical CenterOklahoma City, OK | $1,913 |
| Saint Francis Hospital, INCTulsa, OK | $1,925 |
| Tulsa Spine & Specialty HospitalTulsa, OK | $1,952 |
| 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 |
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.
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.