facebook tracking Other endocrine, nutritional and metabolic operating room procedures with major complications cost in Oklahoma: 1 hospitals compared (DRG 628)

Other endocrine, nutritional and metabolic operating room procedures with major complications in Oklahoma

What 1 hospital in Oklahoma charged and were paid for a Medicare hospital stay for other endocrine, nutritional and metabolic operating room procedures with major complications (DRG 628), from 2024 Medicare claims.

DRG 628 Inpatient 2024 Medicare data
Average charge $117,233 Hospital list price billed
Average payment $25,833 Medicare + patient + other payers
Medicare paid $24,933 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Oklahoma billed an average of $117,233 for other endocrine, nutritional and metabolic operating room procedures with major complications, about 4.5 times the average total payment of $25,833. That payment is 37% below the U.S. average of $41,113.

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 $25,833Billed $117,233

About 22¢ 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: other endocrine, nutritional and metabolic operating room procedures 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
Saint Francis Hospital, INCTulsa 12 $117,233 $25,833 $24,933
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Other endocrine, nutritional and metabolic operating room procedures with major complications in other states

Questions

How much does other endocrine, nutritional and metabolic operating room procedures with major complications cost in Oklahoma?

In 2024 Medicare data, a hospital stay for other endocrine, nutritional and metabolic operating room procedures with major complications (DRG 628) at 1 hospital in Oklahoma was billed at $117,233 on average, while the average total payment was $25,833, of which Medicare paid $24,933. 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 4.5 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.