facebook tracking Level 2 Musculoskeletal Procedures cost in Oklahoma: 55 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Oklahoma

What 55 hospitals in Oklahoma charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $11,381 Hospital list price billed
Average allowed $1,366 Medicare's payment + patient's share
Medicare paid $1,082 Average per service
State rank #11 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $11,381 for level 2 musculoskeletal procedures, about 8.3 times the average medicare-allowed amount of $1,366. That payment is 10% below the U.S. average of $1,511.

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 $1,366Billed $11,381

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

Oklahoma hospitals: level 2 musculoskeletal 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
Mercy Health Center, INCOklahoma City 336 $5,854 $1,375 $1,092
Oklahoma Surgical Hospital, LLCTulsa 228 $4,785 $1,358 $1,073
Saint Francis Hospital, INCTulsa 147 $12,416 $1,350 $1,070
McBride Clinic Orthopedic Hospital, L L COklahoma City 142 $6,145 $1,347 $1,064
Ascension St John Broken ArrowBroken Arrow 115 $10,170 $1,355 $1,078
Community HospitalOklahoma City 94 $17,004 $1,373 $1,089
Integris Baptist Medical CenterOklahoma City 63 $17,581 $1,338 $1,059
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City 54 $7,997 $1,226 $958
St Anthony HospitalOklahoma City 52 $15,620 $1,321 $1,037
Stillwater Medical CenterStillwater 49 $9,174 $1,398 $1,104
O U Medical CenterOklahoma City 48 $43,949 $1,370 $1,092
Hillcrest Hospital SouthTulsa 45 $18,721 $1,385 $1,103
Saint Francis Hospital SouthTulsa 38 $12,827 $1,336 $1,054
Northwest Surgical HospitalOklahoma City 37 $18,436 $1,385 $1,103
Jackson County Memorial HospitalAltus 33 $5,171 $1,457 $1,145
Comanche County Memorial HospitalLawton 33 $7,805 $1,335 $1,054
Muskogee Regional Medical CenterMuskogee 31 $12,610 $1,365 $1,083
Great Plains Regional Med CtrElk City 30 $5,475 $1,462 $1,161
SSM Health St Anthony Hospital - ShawneeShawnee 29 $7,058 $1,385 $1,088
Bailey Medical Center, L L COwasso 29 $15,658 $1,327 $1,050
Hillcrest Medical CenterTulsa 25 $23,867 $1,260 $971
Norman Regional Health SystemNorman 25 $13,884 $1,385 $1,103
Duncan Regional Hospital, INCDuncan 24 $10,520 $1,462 $1,157
Northeastern Health SystemTahlequah 22 $7,338 $1,409 $1,109
Midwest Regional Medical CenterMidwest City 21 $32,793 $1,352 $1,077
Jane Phillips Medical CenterBartlesville 19 $8,243 $1,462 $1,160
Southwestern Medical CenterLawton 16 $20,152 $1,385 $1,103
Surgical Hospital of OklahomaOklahoma City 16 $7,928 $1,385 $1,103
Integris Canadian Valley HospitalYukon 16 $20,502 $1,385 $1,103
Alliancehealth DurantDurant 15 $49,073 $1,393 $1,110
McAlester Regional Health CenterMcAlester 15 $4,787 $1,462 $1,150
Mercy Memorial Health CenterArdmore 15 $5,991 $1,483 $1,180
Integris Health Ponca CityPonca City 14 $17,624 $1,462 $1,165
St Mary's Regional Medical CenterEnid 14 $16,526 $1,365 $1,074
Grady Memorial HospitalChickasha 12 $5,854 $1,365 $1,062
Integris Health Edmond HospitalEdmond 12 $17,729 $1,385 $1,103
Integris Southwest Medical CenterOklahoma City 11 $14,375 $1,385 $1,103
Integris Grove General HospGrove 11 $13,410 $1,462 $1,165
Woodward Regional HospitalWoodward – – – –
Integris Baptist Reg Hlth CtrMiami – – – –
Hillcrest Hospital PryorPryor – – – –
Integris Bass Baptist Health CenterEnid – – – –
Mercy Hospital AdaAda – – – –
Claremore Regional HospitalClaremore – – – –
Muscogee (Creek) Nation Medical CenterOkmulgee – – – –
Oklahoma State University Medical CenterTulsa – – – –
Cushing Regional HospitalCushing – – – –
St John Medical Center, INCTulsa – – – –
Purcell Municipal HospitalPurcell – – – –
Henryetta Medical CenterHenryetta – – – –
Onecore HealthOklahoma City – – – –
Summit Medical CenterEdmond – – – –
St John OwassoOwasso – – – –
Oklahoma Heart Hospital SouthOklahoma City – – – –
Integris Community Hospital - Council CrossingOklahoma City – – – –
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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

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Oklahoma?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 55 hospitals in Oklahoma was billed at $11,381 on average, while the average medicare-allowed amount was $1,366, of which Medicare paid $1,082. 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 8.3 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.