Level 3 Extraocular, Repair, and Plastic Eye Procedures in Oklahoma
What 16 hospitals in Oklahoma charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$27,950
Hospital list price billed
Average allowed
$1,995
Medicare's payment + patient's share
Medicare paid
$1,585
Average per service
State rank
#12 of 45
1 = lowest average payment
Hospitals in Oklahoma billed an average of $27,950 for level 3 extraocular, repair, and plastic eye procedures, about 14.0 times the average medicare-allowed amount of $1,995. That payment is 11% below the U.S. average of $2,242.
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 $1,995Billed $27,950
About 7¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 3 extraocular, repair, and plastic eye 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 |
|---|---|---|---|---|
| Summit Medical CenterEdmond | 310 | $28,693 | $2,008 | $1,598 |
| Onecore HealthOklahoma City | 27 | $16,542 | $1,954 | $1,545 |
| O U Medical CenterOklahoma City | 22 | $42,065 | $1,940 | $1,524 |
| Tulsa Spine & Specialty HospitalTulsa | 12 | $18,686 | $1,853 | $1,449 |
| Saint Francis Hospital, INCTulsa | 11 | $16,910 | $1,984 | $1,581 |
| Hillcrest Medical CenterTulsa | – | – | – | – |
| Mercy Health Center, INCOklahoma City | – | – | – | – |
| Duncan Regional Hospital, INCDuncan | – | – | – | – |
| Integris Baptist Medical CenterOklahoma City | – | – | – | – |
| McAlester Regional Health CenterMcAlester | – | – | – | – |
| Stillwater Medical CenterStillwater | – | – | – | – |
| Northeastern Health SystemTahlequah | – | – | – | – |
| Integris Southwest Medical CenterOklahoma City | – | – | – | – |
| St John Medical Center, INCTulsa | – | – | – | – |
| Oklahoma Surgical Hospital, LLCTulsa | – | – | – | – |
| Saint Francis Hospital SouthTulsa | – | – | – | – |
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
| Tulsa Spine & Specialty HospitalTulsa, OK | $1,853 |
|---|---|
| O U Medical CenterOklahoma City, OK | $1,940 |
| Onecore HealthOklahoma City, OK | $1,954 |
| Saint Francis Hospital, INCTulsa, OK | $1,984 |
| Summit Medical CenterEdmond, OK | $2,008 |
Highest
| Summit Medical CenterEdmond, OK | $2,008 |
|---|---|
| Saint Francis Hospital, INCTulsa, OK | $1,984 |
| Onecore HealthOklahoma City, OK | $1,954 |
| O U Medical CenterOklahoma City, OK | $1,940 |
| Tulsa Spine & Specialty HospitalTulsa, OK | $1,853 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 3 extraocular, repair, and plastic eye procedures cost in Oklahoma?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 16 hospitals in Oklahoma was billed at $27,950 on average, while the average medicare-allowed amount was $1,995, of which Medicare paid $1,585. 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 14.0 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.