facebook tracking Level 3 Pacemaker and Similar Procedures cost in Oklahoma: 29 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Oklahoma

What 29 hospitals in Oklahoma charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.

APC 5223 Outpatient 2024 Medicare data
Average charge $49,793 Hospital list price billed
Average allowed $9,172 Medicare's payment + patient's share
Medicare paid $7,535 Average per service
State rank #8 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $49,793 for level 3 pacemaker and similar procedures, about 5.4 times the average medicare-allowed amount of $9,172. That payment is 10% below the U.S. average of $10,202.

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 $9,172Billed $49,793

About 18¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 3 pacemaker and similar 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
Oklahoma Heart HospitalOklahoma City 199 $34,228 $9,195 $7,557
Oklahoma Heart Hospital SouthOklahoma City 141 $35,707 $9,188 $7,541
Integris Baptist Medical CenterOklahoma City 125 $66,613 $8,979 $7,347
Saint Francis Hospital, INCTulsa 80 $45,792 $8,974 $7,332
St John Medical Center, INCTulsa 55 $40,683 $9,195 $7,555
Hillcrest Hospital SouthTulsa 47 $62,023 $9,195 $7,563
Stillwater Medical CenterStillwater 44 $62,511 $9,659 $8,027
Norman Regional Health SystemNorman 39 $43,318 $9,195 $7,553
St Anthony HospitalOklahoma City 30 $36,393 $9,195 $7,560
SSM Health St Anthony Hospital - ShawneeShawnee 28 $38,475 $8,925 $7,293
Hillcrest Medical CenterTulsa 27 $87,827 $9,195 $7,563
Jane Phillips Medical CenterBartlesville 27 $39,471 $9,705 $8,071
St Mary's Regional Medical CenterEnid 25 $100,431 $9,064 $7,422
Comanche County Memorial HospitalLawton 23 $36,786 $9,063 $7,431
Oklahoma Surgical Hospital, LLCTulsa 21 $44,367 $9,064 $7,428
Muskogee Regional Medical CenterMuskogee 19 $49,004 $9,063 $7,431
Oklahoma State University Medical CenterTulsa 17 $52,525 $9,195 $7,563
O U Medical CenterOklahoma City 16 $65,116 $9,195 $7,563
Midwest Regional Medical CenterMidwest City 16 $74,788 $9,195 $7,563
Northeastern Health SystemTahlequah 14 $34,345 $9,705 $8,073
Alliancehealth DurantDurant 12 $181,304 $9,253 $7,614
Integris Health Ponca CityPonca City – – – –
Mercy Hospital AdaAda – – – –
McAlester Regional Health CenterMcAlester – – – –
Mercy Memorial Health CenterArdmore – – – –
Integris Southwest Medical CenterOklahoma City – – – –
Integris Grove General HospGrove – – – –
Saint Francis Hospital SouthTulsa – – – –
Integris Health Edmond HospitalEdmond – – – –
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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.

Highest

Jane Phillips Medical CenterBartlesville, OK$9,705
Northeastern Health SystemTahlequah, OK$9,705
Stillwater Medical CenterStillwater, OK$9,659
Alliancehealth DurantDurant, OK$9,253
Norman Regional Health SystemNorman, OK$9,195

Level 3 Pacemaker and Similar Procedures in other states

Questions

How much does level 3 pacemaker and similar procedures cost in Oklahoma?

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 29 hospitals in Oklahoma was billed at $49,793 on average, while the average medicare-allowed amount was $9,172, of which Medicare paid $7,535. 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 5.4 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.