facebook tracking Other factors influencing health status cost in Oklahoma: 2 hospitals compared (DRG 951)

Other factors influencing health status in Oklahoma

What 2 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.

DRG 951 Inpatient 2024 Medicare data
Average charge $16,209 Hospital list price billed
Average payment $4,983 Medicare + patient + other payers
Medicare paid $4,025 Average per stay
Volume 41 Medicare hospital stays

Hospitals in Oklahoma billed an average of $16,209 for other factors influencing health status, about 3.3 times the average total payment of $4,983. That payment is 19% below the U.S. average of $6,140.

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 $4,983Billed $16,209

About 31¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

Oklahoma hospitals: other factors influencing health status

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
Mercy Health Center, INCOklahoma City 29 $18,113 $4,653 $3,753
St John Medical Center, INCTulsa 12 $11,607 $5,780 $4,681
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Other factors influencing health status in other states

Questions

How much does other factors influencing health status cost in Oklahoma?

In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 2 hospitals in Oklahoma was billed at $16,209 on average, while the average total payment was $4,983, of which Medicare paid $4,025. 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 3.3 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.