Level 4 Extraocular, Repair, and Plastic Eye Procedures in Oklahoma
What 8 hospitals in Oklahoma charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$40,593
Hospital list price billed
Average allowed
$3,331
Medicare's payment + patient's share
Medicare paid
$2,654
Average per service
State rank
#10 of 34
1 = lowest average payment
Hospitals in Oklahoma billed an average of $40,593 for level 4 extraocular, repair, and plastic eye procedures, about 12.2 times the average medicare-allowed amount of $3,331. That payment is 11% below the U.S. average of $3,737.
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 $3,331Billed $40,593
About 8¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 4 extraocular, repair, and plastic eye 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 |
|---|---|---|---|---|
| O U Medical CenterOklahoma City | 46 | $40,593 | $3,331 | $2,654 |
| Hillcrest Medical CenterTulsa | – | – | – | – |
| Integris Baptist Medical CenterOklahoma City | – | – | – | – |
| Saint Francis Hospital, INCTulsa | – | – | – | – |
| St John Medical Center, INCTulsa | – | – | – | – |
| Tulsa Spine & Specialty HospitalTulsa | – | – | – | – |
| Onecore HealthOklahoma City | – | – | – | – |
| Summit Medical CenterEdmond | – | – | – | – |
Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 4 extraocular, repair, and plastic eye procedures cost in Oklahoma?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 8 hospitals in Oklahoma was billed at $40,593 on average, while the average medicare-allowed amount was $3,331, of which Medicare paid $2,654. 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 12.2 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.