facebook tracking Level 1 Nerve Procedures cost in Oklahoma: 53 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Oklahoma

What 53 hospitals in Oklahoma charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,225 Hospital list price billed
Average allowed $1,641 Medicare's payment + patient's share
Medicare paid $1,300 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $12,225 for level 1 nerve procedures, about 7.4 times the average medicare-allowed amount of $1,641. That payment is 8% below the U.S. average of $1,774.

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 $1,641Billed $12,225

About 13¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 1 nerve 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
Oklahoma Spine HospitalOklahoma City 590 $11,741 $1,629 $1,289
St Anthony HospitalOklahoma City 552 $11,238 $1,652 $1,311
Community HospitalOklahoma City 469 $19,048 $1,640 $1,301
Mercy Health Center, INCOklahoma City 414 $8,466 $1,627 $1,286
Oklahoma Surgical Hospital, LLCTulsa 350 $8,475 $1,635 $1,293
Tulsa Spine & Specialty HospitalTulsa 280 $11,777 $1,582 $1,255
Saint Francis Hospital, INCTulsa 184 $9,119 $1,610 $1,273
McBride Clinic Orthopedic Hospital, L L COklahoma City 177 $7,020 $1,622 $1,284
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City 158 $11,423 $1,593 $1,261
Stillwater Medical CenterStillwater 154 $11,961 $1,770 $1,404
Hillcrest Hospital SouthTulsa 104 $14,920 $1,651 $1,312
Integris Baptist Medical CenterOklahoma City 96 $15,126 $1,635 $1,299
Grady Memorial HospitalChickasha 73 $7,726 $1,737 $1,377
Saint Francis Hospital SouthTulsa 59 $8,393 $1,596 $1,262
Mercy Memorial Health CenterArdmore 51 $6,600 $1,698 $1,336
Duncan Regional Hospital, INCDuncan 50 $15,267 $1,757 $1,388
Comanche County Memorial HospitalLawton 47 $13,869 $1,640 $1,305
Jackson County Memorial HospitalAltus 43 $6,678 $1,688 $1,310
Midwest Regional Medical CenterMidwest City 42 $22,364 $1,633 $1,292
Northeastern Health SystemTahlequah 38 $5,374 $1,756 $1,399
O U Medical CenterOklahoma City 37 $29,044 $1,628 $1,288
Oklahoma Heart Hospital SouthOklahoma City 35 $12,778 $1,626 $1,286
Ascension St John Broken ArrowBroken Arrow 29 $14,670 $1,640 $1,306
Integris Health Edmond HospitalEdmond 29 $16,377 $1,664 $1,318
Summit Medical CenterEdmond 28 $25,198 $1,663 $1,325
Northwest Surgical HospitalOklahoma City 23 $25,501 $1,663 $1,325
Integris Canadian Valley HospitalYukon 22 $14,392 $1,603 $1,265
Onecore HealthOklahoma City 21 $20,425 $1,663 $1,325
Integris Southwest Medical CenterOklahoma City 19 $19,191 $1,664 $1,320
Surgical Hospital of OklahomaOklahoma City 18 $9,410 $1,663 $1,325
Jane Phillips Medical CenterBartlesville 16 $12,982 $1,756 $1,387
Southwestern Medical CenterLawton 14 $20,984 $1,663 $1,325
Integris Bass Baptist Health CenterEnid 13 $17,751 $1,640 $1,306
Alliancehealth DurantDurant 12 $45,521 $1,674 $1,334
Hillcrest Medical CenterTulsa – – – –
Woodward Regional HospitalWoodward – – – –
Integris Health Ponca CityPonca City – – – –
Norman Regional Health SystemNorman – – – –
Great Plains Regional Med CtrElk City – – – –
Mercy Hospital AdaAda – – – –
Muskogee Regional Medical CenterMuskogee – – – –
St Mary's Regional Medical CenterEnid – – – –
McAlester Regional Health CenterMcAlester – – – –
Claremore Regional HospitalClaremore – – – –
Muscogee (Creek) Nation Medical CenterOkmulgee – – – –
Oklahoma State University Medical CenterTulsa – – – –
Integris Grove General HospGrove – – – –
St John Medical Center, INCTulsa – – – –
SSM Health St Anthony Hospital - ShawneeShawnee – – – –
Wagoner Community HospitalWagoner – – – –
Memorial Hospital of StilwellStilwell – – – –
Henryetta Medical CenterHenryetta – – – –
Bailey Medical Center, L L COwasso – – – –
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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.

Highest

Stillwater Medical CenterStillwater, OK$1,770
Duncan Regional Hospital, INCDuncan, OK$1,757
Jane Phillips Medical CenterBartlesville, OK$1,756
Northeastern Health SystemTahlequah, OK$1,756
Grady Memorial HospitalChickasha, OK$1,737

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Oklahoma?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 53 hospitals in Oklahoma was billed at $12,225 on average, while the average medicare-allowed amount was $1,641, of which Medicare paid $1,300. 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 7.4 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.