facebook tracking Level 3 Upper GI Procedures cost in Oklahoma: 21 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Oklahoma

What 21 hospitals in Oklahoma charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $29,791 Hospital list price billed
Average allowed $3,273 Medicare's payment + patient's share
Medicare paid $2,604 Average per service
State rank #9 of 48 1 = lowest average payment

Hospitals in Oklahoma billed an average of $29,791 for level 3 upper gi procedures, about 9.1 times the average medicare-allowed amount of $3,273. That payment is 10% below the U.S. average of $3,633.

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 $3,273Billed $29,791

About 11¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 3 upper 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
Integris Baptist Medical CenterOklahoma City 104 $24,448 $3,268 $2,600
O U Medical CenterOklahoma City 45 $55,825 $3,241 $2,570
Mercy Health Center, INCOklahoma City 38 $9,655 $3,300 $2,629
Hillcrest Medical CenterTulsa 16 $47,726 $3,300 $2,629
St Anthony HospitalOklahoma City 12 $24,100 $3,300 $2,629
St John Medical Center, INCTulsa 12 $24,001 $3,300 $2,629
Norman Regional Health SystemNorman – – – –
Jane Phillips Medical CenterBartlesville – – – –
Jackson County Memorial HospitalAltus – – – –
Duncan Regional Hospital, INCDuncan – – – –
Mercy Memorial Health CenterArdmore – – – –
Comanche County Memorial HospitalLawton – – – –
Northeastern Health SystemTahlequah – – – –
Saint Francis Hospital, INCTulsa – – – –
Midwest Regional Medical CenterMidwest City – – – –
Integris Southwest Medical CenterOklahoma City – – – –
Hillcrest Hospital SouthTulsa – – – –
Oklahoma Surgical Hospital, LLCTulsa – – – –
Saint Francis Hospital SouthTulsa – – – –
Bailey Medical Center, L L COwasso – – – –
Integris Health Edmond HospitalEdmond – – – –
Advertisement

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

O U Medical CenterOklahoma City, OK$3,241
Integris Baptist Medical CenterOklahoma City, OK$3,268
Hillcrest Medical CenterTulsa, OK$3,300
Mercy Health Center, INCOklahoma City, OK$3,300
St Anthony HospitalOklahoma City, OK$3,300

Highest

Hillcrest Medical CenterTulsa, OK$3,300
Mercy Health Center, INCOklahoma City, OK$3,300
St Anthony HospitalOklahoma City, OK$3,300
St John Medical Center, INCTulsa, OK$3,300
Integris Baptist Medical CenterOklahoma City, OK$3,268

Level 3 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 21 hospitals in Oklahoma was billed at $29,791 on average, while the average medicare-allowed amount was $3,273, of which Medicare paid $2,604. 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 9.1 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.