What 13 hospitals in Oklahoma charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Oklahoma billed an average of $22,413 for level 2 intraocular procedures, about 6.5 times the average medicare-allowed amount of $3,452. That payment is 12% below the U.S. average of $3,924.
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 |
|---|---|---|---|---|
| Summit Medical CenterEdmond | 483 | $20,105 | $3,470 | $2,756 |
| Tulsa Spine & Specialty HospitalTulsa | 214 | $18,728 | $3,410 | $2,706 |
| St John Medical Center, INCTulsa | 124 | $18,662 | $3,458 | $2,744 |
| Onecore HealthOklahoma City | 111 | $25,578 | $3,478 | $2,766 |
| Integris Baptist Medical CenterOklahoma City | 77 | $40,919 | $3,470 | $2,763 |
| O U Medical CenterOklahoma City | 32 | $42,055 | $3,284 | $2,593 |
| Integris Health Edmond HospitalEdmond | 20 | $20,589 | $3,503 | $2,791 |
| Integris Health Ponca CityPonca City | – | – | – | – |
| Mercy Health Center, INCOklahoma City | – | – | – | – |
| Stillwater Medical CenterStillwater | – | – | – | – |
| Muscogee (Creek) Nation Medical CenterOkmulgee | – | – | – | – |
| Northeastern Health SystemTahlequah | – | – | – | – |
| Integris Canadian Valley HospitalYukon | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| O U Medical CenterOklahoma City, OK | $3,284 |
|---|---|
| Tulsa Spine & Specialty HospitalTulsa, OK | $3,410 |
| St John Medical Center, INCTulsa, OK | $3,458 |
| Integris Baptist Medical CenterOklahoma City, OK | $3,470 |
| Summit Medical CenterEdmond, OK | $3,470 |
| Integris Health Edmond HospitalEdmond, OK | $3,503 |
|---|---|
| Onecore HealthOklahoma City, OK | $3,478 |
| Summit Medical CenterEdmond, OK | $3,470 |
| Integris Baptist Medical CenterOklahoma City, OK | $3,470 |
| St John Medical Center, INCTulsa, OK | $3,458 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 13 hospitals in Oklahoma was billed at $22,413 on average, while the average medicare-allowed amount was $3,452, of which Medicare paid $2,742. 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 6.5 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.