Level 5 Musculoskeletal Procedures in Oklahoma
What 53 hospitals in Oklahoma charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$63,568
Hospital list price billed
Average allowed
$11,159
Medicare's payment + patient's share
Medicare paid
$9,526
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $63,568 for level 5 musculoskeletal procedures, about 5.7 times the average medicare-allowed amount of $11,159. That payment is 10% below the U.S. average of $12,402.
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 $11,159Billed $63,568
About 18¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 5 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 |
|---|---|---|---|---|
| McBride Clinic Orthopedic Hospital, L L COklahoma City | 925 | $38,017 | $11,133 | $9,501 |
| Community HospitalOklahoma City | 704 | $102,987 | $11,162 | $9,529 |
| Oklahoma Surgical Hospital, LLCTulsa | 630 | $48,679 | $10,956 | $9,322 |
| St Anthony HospitalOklahoma City | 567 | $53,600 | $11,191 | $9,557 |
| Saint Francis Hospital, INCTulsa | 442 | $54,351 | $11,034 | $9,400 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City | 418 | $33,735 | $11,117 | $9,480 |
| Ascension St John Broken ArrowBroken Arrow | 403 | $64,098 | $11,140 | $9,507 |
| Mercy Health Center, INCOklahoma City | 340 | $30,823 | $11,102 | $9,470 |
| Norman Regional Health SystemNorman | 302 | $69,392 | $10,905 | $9,276 |
| Integris Baptist Medical CenterOklahoma City | 275 | $129,297 | $11,008 | $9,376 |
| Stillwater Medical CenterStillwater | 239 | $52,528 | $11,835 | $10,211 |
| St Mary's Regional Medical CenterEnid | 198 | $81,060 | $11,067 | $9,432 |
| Tulsa Spine & Specialty HospitalTulsa | 126 | $60,196 | $11,088 | $9,453 |
| Great Plains Regional Med CtrElk City | 120 | $41,500 | $11,539 | $9,912 |
| Integris Health Edmond HospitalEdmond | 118 | $129,720 | $11,161 | $9,529 |
| Hillcrest Medical CenterTulsa | 113 | $91,668 | $10,899 | $9,265 |
| Duncan Regional Hospital, INCDuncan | 112 | $67,647 | $11,958 | $10,323 |
| Mercy Memorial Health CenterArdmore | 100 | $37,068 | $12,024 | $10,388 |
| Onecore HealthOklahoma City | 65 | $91,450 | $10,878 | $9,246 |
| Integris Southwest Medical CenterOklahoma City | 64 | $126,450 | $11,023 | $9,379 |
| Oklahoma Spine HospitalOklahoma City | 62 | $65,557 | $11,169 | $9,533 |
| Hillcrest Hospital SouthTulsa | 55 | $66,095 | $11,149 | $9,517 |
| Muskogee Regional Medical CenterMuskogee | 50 | $61,399 | $10,782 | $9,150 |
| Surgical Hospital of OklahomaOklahoma City | 49 | $75,513 | $11,326 | $9,693 |
| Mercy Hospital AdaAda | 47 | $42,383 | $12,127 | $10,495 |
| Jackson County Memorial HospitalAltus | 46 | $36,483 | $11,569 | $9,937 |
| Northeastern Health SystemTahlequah | 46 | $40,297 | $11,750 | $10,115 |
| Southwestern Medical CenterLawton | 44 | $70,421 | $10,444 | $8,812 |
| Oklahoma Heart Hospital SouthOklahoma City | 41 | $55,522 | $11,326 | $9,680 |
| Integris Canadian Valley HospitalYukon | 37 | $117,257 | $11,326 | $9,694 |
| O U Medical CenterOklahoma City | 36 | $151,635 | $11,056 | $9,424 |
| Saint Francis Hospital SouthTulsa | 35 | $58,023 | $10,894 | $9,259 |
| Midwest Regional Medical CenterMidwest City | 31 | $119,960 | $11,326 | $9,694 |
| Summit Medical CenterEdmond | 30 | $72,843 | $11,326 | $9,690 |
| Comanche County Memorial HospitalLawton | 25 | $58,861 | $10,020 | $8,376 |
| Jane Phillips Medical CenterBartlesville | 20 | $66,095 | $11,954 | $10,322 |
| Grady Memorial HospitalChickasha | 19 | $56,643 | $11,410 | $9,778 |
| Bailey Medical Center, L L COwasso | 19 | $84,258 | $10,662 | $9,030 |
| St John Medical Center, INCTulsa | 17 | $65,487 | $11,326 | $9,694 |
| Hillcrest Hospital PryorPryor | 12 | $45,342 | $11,277 | $9,645 |
| Claremore Regional HospitalClaremore | 12 | $76,770 | $11,163 | $9,531 |
| Alliancehealth DurantDurant | 11 | $210,349 | $11,397 | $9,765 |
| Woodward Regional HospitalWoodward | – | – | – | – |
| Integris Baptist Reg Hlth CtrMiami | – | – | – | – |
| Integris Health Ponca CityPonca City | – | – | – | – |
| Integris Bass Baptist Health CenterEnid | – | – | – | – |
| McAlester Regional Health CenterMcAlester | – | – | – | – |
| Oklahoma State University Medical CenterTulsa | – | – | – | – |
| Integris Grove General HospGrove | – | – | – | – |
| SSM Health St Anthony Hospital - ShawneeShawnee | – | – | – | – |
| Wagoner Community HospitalWagoner | – | – | – | – |
| Northwest Surgical HospitalOklahoma City | – | – | – | – |
| St John OwassoOwasso | – | – | – | – |
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
| Comanche County Memorial HospitalLawton, OK | $10,020 |
|---|---|
| Southwestern Medical CenterLawton, OK | $10,444 |
| Bailey Medical Center, L L COwasso, OK | $10,662 |
| Muskogee Regional Medical CenterMuskogee, OK | $10,782 |
| Onecore HealthOklahoma City, OK | $10,878 |
Highest
| Mercy Hospital AdaAda, OK | $12,127 |
|---|---|
| Mercy Memorial Health CenterArdmore, OK | $12,024 |
| Duncan Regional Hospital, INCDuncan, OK | $11,958 |
| Jane Phillips Medical CenterBartlesville, OK | $11,954 |
| Stillwater Medical CenterStillwater, OK | $11,835 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Oklahoma?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 53 hospitals in Oklahoma was billed at $63,568 on average, while the average medicare-allowed amount was $11,159, of which Medicare paid $9,526. 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 5.7 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.