What 12 hospitals in Oklahoma charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
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.
About 14¢ was paid for every $1 hospitals in Oklahoma billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.