facebook tracking Level 2 Upper GI Procedures cost in Oklahoma: 56 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Oklahoma

What 56 hospitals in Oklahoma charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $14,152 Hospital list price billed
Average allowed $1,632 Medicare's payment + patient's share
Medicare paid $1,299 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $14,152 for level 2 upper gi procedures, about 8.7 times the average medicare-allowed amount of $1,632. That payment is 10% below the U.S. average of $1,815.

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 $1,632Billed $14,152

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

Oklahoma hospitals: level 2 upper gi 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
Integris Baptist Medical CenterOklahoma City 641 $16,324 $1,607 $1,278
Mercy Health Center, INCOklahoma City 383 $5,576 $1,632 $1,300
O U Medical CenterOklahoma City 366 $33,945 $1,619 $1,285
St Anthony HospitalOklahoma City 200 $11,403 $1,620 $1,288
St Mary's Regional Medical CenterEnid 183 $23,038 $1,602 $1,278
Saint Francis Hospital, INCTulsa 171 $8,362 $1,592 $1,270
Hillcrest Medical CenterTulsa 150 $24,497 $1,631 $1,301
Saint Francis Hospital SouthTulsa 144 $7,994 $1,608 $1,289
Stillwater Medical CenterStillwater 143 $12,985 $1,731 $1,379
Muskogee Regional Medical CenterMuskogee 141 $6,442 $1,599 $1,269
Duncan Regional Hospital, INCDuncan 139 $8,354 $1,697 $1,346
Community HospitalOklahoma City 122 $9,330 $1,609 $1,277
Northeastern Health SystemTahlequah 121 $4,227 $1,709 $1,360
Oklahoma Surgical Hospital, LLCTulsa 115 $5,736 $1,605 $1,277
St John Medical Center, INCTulsa 106 $13,010 $1,639 $1,303
Hillcrest Hospital SouthTulsa 98 $15,933 $1,639 $1,309
Mercy Memorial Health CenterArdmore 76 $4,628 $1,756 $1,407
Norman Regional Health SystemNorman 65 $15,187 $1,619 $1,292
SSM Health St Anthony Hospital - ShawneeShawnee 56 $6,146 $1,639 $1,306
Jane Phillips Medical CenterBartlesville 53 $8,595 $1,730 $1,382
Grady Memorial HospitalChickasha 45 $5,681 $1,708 $1,360
Southwestern Medical CenterLawton 43 $19,961 $1,639 $1,314
Bailey Medical Center, L L COwasso 42 $18,847 $1,616 $1,294
Comanche County Memorial HospitalLawton 37 $5,510 $1,616 $1,286
Integris Southwest Medical CenterOklahoma City 36 $16,563 $1,639 $1,315
Integris Canadian Valley HospitalYukon 26 $17,213 $1,589 $1,262
Integris Bass Baptist Health CenterEnid 22 $17,048 $1,616 $1,295
Claremore Regional HospitalClaremore 22 $31,347 $1,616 $1,295
Integris Health Edmond HospitalEdmond 19 $14,287 $1,571 $1,242
Midwest Regional Medical CenterMidwest City 18 $16,811 $1,573 $1,234
Hillcrest Hospital PryorPryor 17 $15,513 $1,632 $1,304
Mercy Hospital AdaAda 16 $6,855 $1,756 $1,399
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City 16 $8,213 $1,546 $1,206
Integris Health Ponca CityPonca City 15 $20,295 $1,731 $1,379
McAlester Regional Health CenterMcAlester 15 $2,976 $1,731 $1,379
Saint Francis Hospital Vinita, INCVinita 14 $8,249 $1,616 $1,301
Woodward Regional HospitalWoodward – – – –
Integris Baptist Reg Hlth CtrMiami – – – –
Alliancehealth DurantDurant – – – –
Great Plains Regional Med CtrElk City – – – –
Jackson County Memorial HospitalAltus – – – –
Muscogee (Creek) Nation Medical CenterOkmulgee – – – –
Oklahoma State University Medical CenterTulsa – – – –
Cushing Regional HospitalCushing – – – –
Choctaw Memorial HospitalHugo – – – –
Sequoyah Memorial HospitalSallisaw – – – –
Integris Grove General HospGrove – – – –
Elkview General HospitalHobart – – – –
Purcell Municipal HospitalPurcell – – – –
Wagoner Community HospitalWagoner – – – –
Lakeside Women's HospitalOklahoma City – – – –
Tulsa Spine & Specialty HospitalTulsa – – – –
Summit Medical CenterEdmond – – – –
St John OwassoOwasso – – – –
Ascension St John Broken ArrowBroken Arrow – – – –
Elkview General HospitalHobart – – – –
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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

Mercy Hospital AdaAda, OK$1,756
Mercy Memorial Health CenterArdmore, OK$1,756
Stillwater Medical CenterStillwater, OK$1,731
Integris Health Ponca CityPonca City, OK$1,731
McAlester Regional Health CenterMcAlester, OK$1,731

Level 2 Upper GI Procedures in other states

Questions

How much does level 2 upper gi procedures cost in Oklahoma?

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 56 hospitals in Oklahoma was billed at $14,152 on average, while the average medicare-allowed amount was $1,632, of which Medicare paid $1,299. 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 8.7 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.