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Nervous system neoplasms with major complications in Oklahoma

What 4 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for nervous system neoplasms with major complications (DRG 054), from 2024 Medicare claims.

DRG 054 Inpatient 2024 Medicare data
Average charge $71,998 Hospital list price billed
Average payment $13,288 Medicare + patient + other payers
Medicare paid $10,275 Average per stay
State rank #5 of 29 1 = lowest average payment

Hospitals in Oklahoma billed an average of $71,998 for nervous system neoplasms with major complications, about 5.4 times the average total payment of $13,288. That payment is 21% below the U.S. average of $16,778.

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 $13,288Billed $71,998

About 18¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Oklahoma:

Oklahoma hospitals: nervous system neoplasms with major 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
O U Medical CenterOklahoma City 21 $110,950 $17,891 $11,956
Hillcrest Medical CenterTulsa 17 $72,788 $11,277 $9,904
Saint Francis Hospital, INCTulsa 15 $30,125 $10,874 $9,906
Mercy Health Center, INCOklahoma City 11 $53,515 $10,898 $8,141
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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

Saint Francis Hospital, INCTulsa, OK$10,874
Mercy Health Center, INCOklahoma City, OK$10,898
Hillcrest Medical CenterTulsa, OK$11,277
O U Medical CenterOklahoma City, OK$17,891

Highest

O U Medical CenterOklahoma City, OK$17,891
Hillcrest Medical CenterTulsa, OK$11,277
Mercy Health Center, INCOklahoma City, OK$10,898
Saint Francis Hospital, INCTulsa, OK$10,874

Nervous system neoplasms with major complications in other states

Questions

How much does nervous system neoplasms with major complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for nervous system neoplasms with major complications (DRG 054) at 4 hospitals in Oklahoma was billed at $71,998 on average, while the average total payment was $13,288, of which Medicare paid $10,275. 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 5.4 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.