Level 6 Musculoskeletal Procedures in Oklahoma
What 43 hospitals in Oklahoma charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$77,948
Hospital list price billed
Average allowed
$15,834
Medicare's payment + patient's share
Medicare paid
$14,200
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $77,948 for level 6 musculoskeletal procedures, about 4.9 times the average medicare-allowed amount of $15,834. That payment is 9% below the U.S. average of $17,392.
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 $15,834Billed $77,948
About 20¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 6 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 |
|---|---|---|---|---|
| Saint Francis Hospital, INCTulsa | 141 | $62,691 | $15,593 | $13,960 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City | 126 | $47,873 | $15,800 | $14,168 |
| Oklahoma Surgical Hospital, LLCTulsa | 108 | $62,139 | $15,666 | $14,024 |
| Ascension St John Broken ArrowBroken Arrow | 97 | $69,177 | $15,794 | $14,161 |
| Community HospitalOklahoma City | 88 | $114,096 | $16,023 | $14,391 |
| St Anthony HospitalOklahoma City | 85 | $71,613 | $15,528 | $13,893 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City | 78 | $40,475 | $15,370 | $13,742 |
| Mercy Health Center, INCOklahoma City | 76 | $46,228 | $15,834 | $14,202 |
| Norman Regional Health SystemNorman | 56 | $91,312 | $15,766 | $14,133 |
| Northeastern Health SystemTahlequah | 50 | $84,032 | $16,607 | $14,975 |
| St Mary's Regional Medical CenterEnid | 46 | $102,342 | $15,794 | $14,151 |
| O U Medical CenterOklahoma City | 39 | $171,794 | $16,023 | $14,391 |
| Jackson County Memorial HospitalAltus | 29 | $45,669 | $16,728 | $15,096 |
| Hillcrest Hospital SouthTulsa | 28 | $81,245 | $15,509 | $13,877 |
| Duncan Regional Hospital, INCDuncan | 25 | $82,253 | $16,307 | $14,670 |
| Great Plains Regional Med CtrElk City | 24 | $53,958 | $16,913 | $15,281 |
| Hillcrest Medical CenterTulsa | 23 | $110,720 | $15,398 | $13,766 |
| Integris Baptist Medical CenterOklahoma City | 23 | $198,011 | $15,883 | $14,251 |
| Oklahoma Spine HospitalOklahoma City | 23 | $94,001 | $16,023 | $14,391 |
| Tulsa Spine & Specialty HospitalTulsa | 23 | $77,756 | $15,794 | $14,162 |
| Integris Southwest Medical CenterOklahoma City | 21 | $133,848 | $15,338 | $13,697 |
| Integris Canadian Valley HospitalYukon | 21 | $134,979 | $16,023 | $14,385 |
| Mercy Memorial Health CenterArdmore | 20 | $48,762 | $17,159 | $15,518 |
| Comanche County Memorial HospitalLawton | 19 | $85,736 | $14,303 | $12,671 |
| Integris Health Edmond HospitalEdmond | 17 | $155,210 | $15,177 | $13,545 |
| Jane Phillips Medical CenterBartlesville | 15 | $73,229 | $15,894 | $14,262 |
| Mercy Hospital AdaAda | 14 | $56,263 | $17,159 | $15,527 |
| Surgical Hospital of OklahomaOklahoma City | 14 | $102,473 | $16,023 | $14,391 |
| Stillwater Medical CenterStillwater | 11 | $54,774 | $17,159 | $15,513 |
| Saint Francis Hospital SouthTulsa | 11 | $61,969 | $15,794 | $14,162 |
| Integris Bass Baptist Health CenterEnid | – | – | – | – |
| McAlester Regional Health CenterMcAlester | – | – | – | – |
| Claremore Regional HospitalClaremore | – | – | – | – |
| Grady Memorial HospitalChickasha | – | – | – | – |
| Oklahoma State University Medical CenterTulsa | – | – | – | – |
| Midwest Regional Medical CenterMidwest City | – | – | – | – |
| Southwestern Medical CenterLawton | – | – | – | – |
| St John Medical Center, INCTulsa | – | – | – | – |
| SSM Health St Anthony Hospital - ShawneeShawnee | – | – | – | – |
| Onecore HealthOklahoma City | – | – | – | – |
| Summit Medical CenterEdmond | – | – | – | – |
| St John OwassoOwasso | – | – | – | – |
| Bailey Medical Center, L L COwasso | – | – | – | – |
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 | $14,303 |
|---|---|
| Integris Health Edmond HospitalEdmond, OK | $15,177 |
| Integris Southwest Medical CenterOklahoma City, OK | $15,338 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City, OK | $15,370 |
| Hillcrest Medical CenterTulsa, OK | $15,398 |
Highest
| Stillwater Medical CenterStillwater, OK | $17,159 |
|---|---|
| Mercy Memorial Health CenterArdmore, OK | $17,159 |
| Mercy Hospital AdaAda, OK | $17,159 |
| Great Plains Regional Med CtrElk City, OK | $16,913 |
| Jackson County Memorial HospitalAltus, OK | $16,728 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Oklahoma?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 43 hospitals in Oklahoma was billed at $77,948 on average, while the average medicare-allowed amount was $15,834, of which Medicare paid $14,200. 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 4.9 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.