facebook tracking Level 3 ENT Procedures cost in Oklahoma: 30 hospitals compared (APC 5163)

Level 3 ENT Procedures in Oklahoma

What 30 hospitals in Oklahoma charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $14,401 Hospital list price billed
Average allowed $1,299 Medicare's payment + patient's share
Medicare paid $1,032 Average per service
State rank #16 of 44 1 = lowest average payment

Hospitals in Oklahoma billed an average of $14,401 for level 3 ent procedures, about 11.1 times the average medicare-allowed amount of $1,299. That payment is 7% below the U.S. average of $1,397.

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 $1,299Billed $14,401

About 9¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 3 ent 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
Stillwater Medical CenterStillwater 26 $11,296 $1,407 $1,121
St Anthony HospitalOklahoma City 16 $11,837 $1,314 $1,044
O U Medical CenterOklahoma City 12 $25,751 $1,051 $822
Tulsa Spine & Specialty HospitalTulsa 12 $13,670 $1,295 $1,032
Bailey Medical Center, L L COwasso 11 $13,884 $1,295 $1,032
Woodward Regional HospitalWoodward – – – –
Norman Regional Health SystemNorman – – – –
Mercy Health Center, INCOklahoma City – – – –
Jane Phillips Medical CenterBartlesville – – – –
Mercy Hospital AdaAda – – – –
Jackson County Memorial HospitalAltus – – – –
Muskogee Regional Medical CenterMuskogee – – – –
Integris Baptist Medical CenterOklahoma City – – – –
Claremore Regional HospitalClaremore – – – –
Mercy Memorial Health CenterArdmore – – – –
Comanche County Memorial HospitalLawton – – – –
Saint Francis Hospital, INCTulsa – – – –
Midwest Regional Medical CenterMidwest City – – – –
Southwestern Medical CenterLawton – – – –
SSM Health St Anthony Hospital - ShawneeShawnee – – – –
Elkview General HospitalHobart – – – –
Hillcrest Hospital SouthTulsa – – – –
Community HospitalOklahoma City – – – –
Oklahoma Surgical Hospital, LLCTulsa – – – –
Integris Canadian Valley HospitalYukon – – – –
Saint Francis Hospital SouthTulsa – – – –
Onecore HealthOklahoma City – – – –
Summit Medical CenterEdmond – – – –
St John OwassoOwasso – – – –
Integris Health Edmond HospitalEdmond – – – –
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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

O U Medical CenterOklahoma City, OK$1,051
Tulsa Spine & Specialty HospitalTulsa, OK$1,295
Bailey Medical Center, L L COwasso, OK$1,295
St Anthony HospitalOklahoma City, OK$1,314
Stillwater Medical CenterStillwater, OK$1,407

Highest

Stillwater Medical CenterStillwater, OK$1,407
St Anthony HospitalOklahoma City, OK$1,314
Tulsa Spine & Specialty HospitalTulsa, OK$1,295
Bailey Medical Center, L L COwasso, OK$1,295
O U Medical CenterOklahoma City, OK$1,051

Level 3 ENT Procedures in other states

Questions

How much does level 3 ent procedures cost in Oklahoma?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 30 hospitals in Oklahoma was billed at $14,401 on average, while the average medicare-allowed amount was $1,299, of which Medicare paid $1,032. 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 11.1 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.