Level 3 Musculoskeletal Procedures in Oklahoma
What 55 hospitals in Oklahoma charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$21,497
Hospital list price billed
Average allowed
$2,735
Medicare's payment + patient's share
Medicare paid
$2,167
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $21,497 for level 3 musculoskeletal procedures, about 7.9 times the average medicare-allowed amount of $2,735. That payment is 9% below the U.S. average of $2,995.
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 $2,735Billed $21,497
About 13¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 3 musculoskeletal 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 |
|---|---|---|---|---|
| Community HospitalOklahoma City | 300 | $27,971 | $2,744 | $2,177 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City | 271 | $13,632 | $2,708 | $2,140 |
| Mercy Health Center, INCOklahoma City | 259 | $10,242 | $2,740 | $2,171 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City | 241 | $8,558 | $2,734 | $2,166 |
| Oklahoma Surgical Hospital, LLCTulsa | 224 | $12,289 | $2,670 | $2,115 |
| Ascension St John Broken ArrowBroken Arrow | 205 | $16,420 | $2,718 | $2,157 |
| Surgical Hospital of OklahomaOklahoma City | 125 | $19,348 | $2,685 | $2,115 |
| St Anthony HospitalOklahoma City | 124 | $25,036 | $2,717 | $2,145 |
| Saint Francis Hospital, INCTulsa | 106 | $22,745 | $2,709 | $2,149 |
| Integris Baptist Medical CenterOklahoma City | 86 | $42,923 | $2,737 | $2,176 |
| Jackson County Memorial HospitalAltus | 77 | $12,391 | $2,975 | $2,364 |
| O U Medical CenterOklahoma City | 65 | $51,047 | $2,789 | $2,218 |
| Duncan Regional Hospital, INCDuncan | 61 | $19,312 | $2,906 | $2,308 |
| Integris Health Edmond HospitalEdmond | 61 | $30,353 | $2,721 | $2,152 |
| Integris Southwest Medical CenterOklahoma City | 60 | $46,638 | $2,789 | $2,217 |
| SSM Health St Anthony Hospital - ShawneeShawnee | 56 | $14,374 | $2,749 | $2,180 |
| Comanche County Memorial HospitalLawton | 55 | $22,473 | $2,599 | $2,068 |
| Tulsa Spine & Specialty HospitalTulsa | 52 | $21,084 | $2,749 | $2,190 |
| Summit Medical CenterEdmond | 51 | $39,841 | $2,789 | $2,218 |
| Jane Phillips Medical CenterBartlesville | 47 | $20,376 | $2,944 | $2,335 |
| Saint Francis Hospital SouthTulsa | 46 | $21,066 | $2,701 | $2,140 |
| Hillcrest Hospital SouthTulsa | 45 | $24,955 | $2,647 | $2,080 |
| Muskogee Regional Medical CenterMuskogee | 43 | $20,974 | $2,698 | $2,139 |
| Stillwater Medical CenterStillwater | 42 | $20,253 | $2,987 | $2,379 |
| Mercy Memorial Health CenterArdmore | 41 | $11,371 | $2,976 | $2,364 |
| Hillcrest Medical CenterTulsa | 40 | $35,003 | $2,597 | $2,058 |
| Bailey Medical Center, L L COwasso | 39 | $22,702 | $2,636 | $2,075 |
| Northwest Surgical HospitalOklahoma City | 37 | $35,784 | $2,729 | $2,160 |
| Onecore HealthOklahoma City | 37 | $28,016 | $2,729 | $2,162 |
| Norman Regional Health SystemNorman | 36 | $28,595 | $2,789 | $2,222 |
| Alliancehealth DurantDurant | 35 | $67,460 | $2,742 | $2,172 |
| Midwest Regional Medical CenterMidwest City | 28 | $53,795 | $2,551 | $1,984 |
| Grady Memorial HospitalChickasha | 26 | $14,829 | $2,854 | $2,251 |
| Northeastern Health SystemTahlequah | 26 | $7,483 | $2,944 | $2,345 |
| Oklahoma Heart Hospital SouthOklahoma City | 24 | $9,166 | $1,627 | $1,293 |
| St Mary's Regional Medical CenterEnid | 22 | $24,732 | $2,749 | $2,188 |
| Southwestern Medical CenterLawton | 19 | $24,520 | $2,555 | $1,985 |
| Integris Health Ponca CityPonca City | 18 | $31,858 | $2,829 | $2,211 |
| Integris Canadian Valley HospitalYukon | 16 | $41,128 | $2,650 | $2,083 |
| Woodward Regional HospitalWoodward | 15 | $41,517 | $3,006 | $2,395 |
| Great Plains Regional Med CtrElk City | 15 | $11,515 | $2,944 | $2,345 |
| McAlester Regional Health CenterMcAlester | 14 | $6,375 | $2,944 | $2,341 |
| Mercy Hospital AdaAda | 13 | $15,765 | $2,987 | $2,380 |
| St John OwassoOwasso | 13 | $19,956 | $2,580 | $2,022 |
| Claremore Regional HospitalClaremore | 12 | $34,177 | $2,566 | $2,007 |
| Hillcrest Hospital PryorPryor | 11 | $19,511 | $2,777 | $2,212 |
| Integris Grove General HospGrove | 11 | $20,272 | $2,944 | $2,345 |
| Integris Baptist Reg Hlth CtrMiami | – | – | – | – |
| Integris Bass Baptist Health CenterEnid | – | – | – | – |
| Muscogee (Creek) Nation Medical CenterOkmulgee | – | – | – | – |
| Oklahoma State University Medical CenterTulsa | – | – | – | – |
| St John Medical Center, INCTulsa | – | – | – | – |
| Elkview General HospitalHobart | – | – | – | – |
| Oklahoma Spine HospitalOklahoma City | – | – | – | – |
| Oklahoma Heart HospitalOklahoma City | – | – | – | – |
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
| Oklahoma Heart Hospital SouthOklahoma City, OK | $1,627 |
|---|---|
| Midwest Regional Medical CenterMidwest City, OK | $2,551 |
| Southwestern Medical CenterLawton, OK | $2,555 |
| Claremore Regional HospitalClaremore, OK | $2,566 |
| St John OwassoOwasso, OK | $2,580 |
Highest
| Woodward Regional HospitalWoodward, OK | $3,006 |
|---|---|
| Stillwater Medical CenterStillwater, OK | $2,987 |
| Mercy Hospital AdaAda, OK | $2,987 |
| Mercy Memorial Health CenterArdmore, OK | $2,976 |
| Jackson County Memorial HospitalAltus, OK | $2,975 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Oklahoma?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 55 hospitals in Oklahoma was billed at $21,497 on average, while the average medicare-allowed amount was $2,735, of which Medicare paid $2,167. 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 7.9 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.