facebook tracking Level 4 Pacemaker and Similar Procedures cost in Oklahoma: 20 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Oklahoma

What 20 hospitals in Oklahoma charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.

APC 5224 Outpatient 2024 Medicare data
Average charge $86,072 Hospital list price billed
Average allowed $16,624 Medicare's payment + patient's share
Medicare paid $14,989 Average per service
State rank #7 of 47 1 = lowest average payment

Hospitals in Oklahoma billed an average of $86,072 for level 4 pacemaker and similar procedures, about 5.2 times the average medicare-allowed amount of $16,624. That payment is 11% below the U.S. average of $18,685.

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 $16,624Billed $86,072

About 19¢ was paid for every $1 hospitals in Oklahoma billed for this service.

Oklahoma hospitals: level 4 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 Hospital SouthOklahoma City 81 $79,834 $16,565 $14,920
St Anthony HospitalOklahoma City 43 $76,205 $16,752 $15,113
Integris Baptist Medical CenterOklahoma City 34 $134,072 $16,582 $14,950
Oklahoma Heart HospitalOklahoma City 32 $67,267 $16,752 $15,113
Saint Francis Hospital, INCTulsa 30 $75,981 $16,067 $14,468
Hillcrest Hospital SouthTulsa 12 $108,677 $16,752 $15,120
Jane Phillips Medical CenterBartlesville 11 $79,782 $17,682 $16,050
Hillcrest Medical CenterTulsa – – – –
Norman Regional Health SystemNorman – – – –
Duncan Regional Hospital, INCDuncan – – – –
Muskogee Regional Medical CenterMuskogee – – – –
St Mary's Regional Medical CenterEnid – – – –
Stillwater Medical CenterStillwater – – – –
Comanche County Memorial HospitalLawton – – – –
Northeastern Health SystemTahlequah – – – –
O U Medical CenterOklahoma City – – – –
Midwest Regional Medical CenterMidwest City – – – –
St John Medical Center, INCTulsa – – – –
SSM Health St Anthony Hospital - ShawneeShawnee – – – –
Oklahoma Surgical Hospital, LLCTulsa – – – –
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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

Saint Francis Hospital, INCTulsa, OK$16,067
Oklahoma Heart Hospital SouthOklahoma City, OK$16,565
Integris Baptist Medical CenterOklahoma City, OK$16,582
Hillcrest Hospital SouthTulsa, OK$16,752
St Anthony HospitalOklahoma City, OK$16,752

Highest

Jane Phillips Medical CenterBartlesville, OK$17,682
Oklahoma Heart HospitalOklahoma City, OK$16,752
St Anthony HospitalOklahoma City, OK$16,752
Hillcrest Hospital SouthTulsa, OK$16,752
Integris Baptist Medical CenterOklahoma City, OK$16,582

Level 4 Pacemaker and Similar Procedures in other states

Questions

How much does level 4 pacemaker and similar procedures cost in Oklahoma?

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 20 hospitals in Oklahoma was billed at $86,072 on average, while the average medicare-allowed amount was $16,624, of which Medicare paid $14,989. 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 5.2 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.