facebook tracking Major chest procedures with complications cost in Oklahoma: 4 hospitals compared (DRG 164)

Major chest procedures with complications in Oklahoma

What 4 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $131,987 Hospital list price billed
Average payment $20,836 Medicare + patient + other payers
Medicare paid $15,945 Average per stay
State rank #9 of 41 1 = lowest average payment

Hospitals in Oklahoma billed an average of $131,987 for major chest procedures with complications, about 6.3 times the average total payment of $20,836. That payment is 18% below the U.S. average of $25,501.

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 $20,836Billed $131,987

About 16¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Oklahoma hospitals: major chest procedures with complications

Every Oklahoma hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Oklahoma Heart HospitalOklahoma City 32 $104,625 $16,472 $15,044
Saint Francis Hospital, INCTulsa 31 $73,066 $19,259 $14,690
Integris Baptist Medical CenterOklahoma City 22 $157,261 $25,381 $13,052
O U Medical CenterOklahoma City 20 $239,295 $25,265 $22,513
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Lowest and highest payments in Oklahoma

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Oklahoma Heart HospitalOklahoma City, OK$16,472
Saint Francis Hospital, INCTulsa, OK$19,259
O U Medical CenterOklahoma City, OK$25,265
Integris Baptist Medical CenterOklahoma City, OK$25,381

Highest

Integris Baptist Medical CenterOklahoma City, OK$25,381
O U Medical CenterOklahoma City, OK$25,265
Saint Francis Hospital, INCTulsa, OK$19,259
Oklahoma Heart HospitalOklahoma City, OK$16,472

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 4 hospitals in Oklahoma was billed at $131,987 on average, while the average total payment was $20,836, of which Medicare paid $15,945. 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 stay in Oklahoma, average charges were 6.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.