facebook tracking Level 3 Lower GI Procedures cost in Oklahoma: 43 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Oklahoma

What 43 hospitals in Oklahoma charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $17,774 Hospital list price billed
Average allowed $2,364 Medicare's payment + patient's share
Medicare paid $1,892 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $17,774 for level 3 lower gi procedures, about 7.5 times the average medicare-allowed amount of $2,364. That payment is 13% below the U.S. average of $2,703.

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 $2,364Billed $17,774

About 13¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 3 lower 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
Mercy Health Center, INCOklahoma City 95 $8,787 $2,371 $1,910
Integris Baptist Medical CenterOklahoma City 92 $22,779 $2,375 $1,890
O U Medical CenterOklahoma City 48 $39,006 $2,325 $1,888
Norman Regional Health SystemNorman 36 $20,552 $2,419 $1,947
Oklahoma Surgical Hospital, LLCTulsa 34 $8,598 $2,244 $1,788
Saint Francis Hospital, INCTulsa 31 $15,049 $2,346 $1,869
Comanche County Memorial HospitalLawton 21 $14,607 $2,384 $1,915
Duncan Regional Hospital, INCDuncan 19 $12,843 $2,555 $2,027
St John Medical Center, INCTulsa 15 $12,855 $2,419 $1,915
St Anthony HospitalOklahoma City 14 $17,648 $2,165 $1,680
SSM Health St Anthony Hospital - ShawneeShawnee 13 $10,580 $2,419 $1,918
Hillcrest Medical CenterTulsa – – – –
Woodward Regional HospitalWoodward – – – –
Integris Baptist Reg Hlth CtrMiami – – – –
Integris Health Ponca CityPonca City – – – –
Alliancehealth DurantDurant – – – –
Integris Bass Baptist Health CenterEnid – – – –
Jane Phillips Medical CenterBartlesville – – – –
Great Plains Regional Med CtrElk City – – – –
Mercy Hospital AdaAda – – – –
Jackson County Memorial HospitalAltus – – – –
Muskogee Regional Medical CenterMuskogee – – – –
St Mary's Regional Medical CenterEnid – – – –
Claremore Regional HospitalClaremore – – – –
Mercy Memorial Health CenterArdmore – – – –
Stillwater Medical CenterStillwater – – – –
Grady Memorial HospitalChickasha – – – –
Muscogee (Creek) Nation Medical CenterOkmulgee – – – –
Oklahoma State University Medical CenterTulsa – – – –
Midwest Regional Medical CenterMidwest City – – – –
Cushing Regional HospitalCushing – – – –
Integris Southwest Medical CenterOklahoma City – – – –
Integris Grove General HospGrove – – – –
Purcell Municipal HospitalPurcell – – – –
Wagoner Community HospitalWagoner – – – –
Lakeside Women's HospitalOklahoma City – – – –
Hillcrest Hospital SouthTulsa – – – –
Community HospitalOklahoma City – – – –
Integris Canadian Valley HospitalYukon – – – –
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City – – – –
St John OwassoOwasso – – – –
Bailey Medical Center, L L COwasso – – – –
Integris Health Edmond HospitalEdmond – – – –
Level 3 Lower GI Procedures: all states All Oklahoma hospitals Oklahoma hospital finances
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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

St Anthony HospitalOklahoma City, OK$2,165
Oklahoma Surgical Hospital, LLCTulsa, OK$2,244
O U Medical CenterOklahoma City, OK$2,325
Saint Francis Hospital, INCTulsa, OK$2,346
Mercy Health Center, INCOklahoma City, OK$2,371

Level 3 Lower GI Procedures in other states

Iowa · $2,410 Kansas · $2,402 Kentucky · $2,374 Ohio · $2,361 South Carolina · $2,346 Tennessee · $2,318 Utah · $2,391 West Virginia · $2,348

Questions

How much does level 3 lower gi procedures cost in Oklahoma?

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 43 hospitals in Oklahoma was billed at $17,774 on average, while the average medicare-allowed amount was $2,364, of which Medicare paid $1,892. 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 7.5 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.