facebook tracking Level 3 Intraocular Procedures cost in Oklahoma: 12 hospitals compared (APC 5493)

Level 3 Intraocular Procedures in Oklahoma

What 12 hospitals in Oklahoma charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.

APC 5493 Outpatient 2024 Medicare data
Average charge $31,479 Hospital list price billed
Average allowed $4,514 Medicare's payment + patient's share
Medicare paid $3,596 Average per service
State rank #13 of 42 1 = lowest average payment

Hospitals in Oklahoma billed an average of $31,479 for level 3 intraocular procedures, about 7.0 times the average medicare-allowed amount of $4,514. That payment is 10% below the U.S. average of $5,041.

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 $4,514Billed $31,479

About 14¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 3 intraocular 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
Onecore HealthOklahoma City 125 $39,488 $4,503 $3,587
Summit Medical CenterEdmond 55 $19,653 $4,503 $3,588
Comanche County Memorial HospitalLawton 16 $27,926 $4,438 $3,536
Stillwater Medical CenterStillwater 13 $17,243 $4,823 $3,842
Tulsa Spine & Specialty HospitalTulsa 11 $21,593 $4,438 $3,536
Woodward Regional HospitalWoodward – – – –
Integris Baptist Medical CenterOklahoma City – – – –
Saint Francis Hospital, INCTulsa – – – –
O U Medical CenterOklahoma City – – – –
Integris Grove General HospGrove – – – –
St John Medical Center, INCTulsa – – – –
St John OwassoOwasso – – – –
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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

Comanche County Memorial HospitalLawton, OK$4,438
Tulsa Spine & Specialty HospitalTulsa, OK$4,438
Summit Medical CenterEdmond, OK$4,503
Onecore HealthOklahoma City, OK$4,503
Stillwater Medical CenterStillwater, OK$4,823

Highest

Stillwater Medical CenterStillwater, OK$4,823
Onecore HealthOklahoma City, OK$4,503
Summit Medical CenterEdmond, OK$4,503
Comanche County Memorial HospitalLawton, OK$4,438
Tulsa Spine & Specialty HospitalTulsa, OK$4,438

Level 3 Intraocular Procedures in other states

Questions

How much does level 3 intraocular procedures cost in Oklahoma?

In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 12 hospitals in Oklahoma was billed at $31,479 on average, while the average medicare-allowed amount was $4,514, of which Medicare paid $3,596. 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 7.0 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.