Simple pneumonia and pleurisy with complications in Oklahoma
What 30 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$36,729
Hospital list price billed
Average payment
$7,064
Medicare + patient + other payers
Medicare paid
$5,517
Average per stay
State rank
#13 of 47
1 = lowest average payment
Hospitals in Oklahoma billed an average of $36,729 for simple pneumonia and pleurisy with complications, about 5.2 times the average total payment of $7,064. That payment is 11% below the U.S. average of $7,941.
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 $7,064Billed $36,729
About 19¢ was paid for every $1 hospitals in Oklahoma billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oklahoma:
Oklahoma hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Integris Baptist Medical CenterOklahoma City | 76 | $46,324 | $7,591 | $5,339 |
| Duncan Regional Hospital, INCDuncan | 53 | $26,050 | $5,896 | $4,603 |
| Stillwater Medical CenterStillwater | 45 | $30,618 | $6,640 | $5,236 |
| Integris Canadian Valley HospitalYukon | 36 | $36,109 | $6,322 | $4,784 |
| Integris Southwest Medical CenterOklahoma City | 35 | $41,587 | $8,101 | $6,258 |
| Integris Health Edmond HospitalEdmond | 35 | $36,945 | $6,038 | $4,686 |
| Alliancehealth DurantDurant | 32 | $98,823 | $6,216 | $4,842 |
| Comanche County Memorial HospitalLawton | 30 | $23,064 | $6,497 | $5,246 |
| W W Hastings Indian HospitalTahlequah | 27 | $16,477 | $8,962 | $7,633 |
| Norman Regional Health SystemNorman | 26 | $34,990 | $6,542 | $5,098 |
| Mercy Health Center, INCOklahoma City | 26 | $31,106 | $6,159 | $4,841 |
| O U Medical CenterOklahoma City | 26 | $58,200 | $10,896 | $8,708 |
| Grady Memorial HospitalChickasha | 24 | $16,644 | $7,617 | $6,121 |
| Midwest Regional Medical CenterMidwest City | 24 | $65,706 | $6,529 | $4,931 |
| Hillcrest Medical CenterTulsa | 22 | $56,697 | $7,042 | $5,371 |
| Jackson County Memorial HospitalAltus | 22 | $12,968 | $7,025 | $5,690 |
| Pushmataha Cty-Tn of Antlers Hosp AuthAntlers | 21 | $17,749 | $6,923 | $5,720 |
| Integris Bass Baptist Health CenterEnid | 20 | $57,437 | $6,469 | $5,004 |
| St Anthony HospitalOklahoma City | 20 | $36,272 | $7,252 | $6,101 |
| Northeastern Health SystemTahlequah | 20 | $19,418 | $6,144 | $4,844 |
| Jane Phillips Medical CenterBartlesville | 19 | $17,987 | $6,504 | $5,130 |
| Choctaw Memorial HospitalHugo | 19 | $12,919 | $7,218 | $5,876 |
| Mercy Hospital AdaAda | 17 | $18,319 | $6,940 | $4,811 |
| Hillcrest Hospital SouthTulsa | 17 | $45,899 | $6,345 | $4,426 |
| Woodward Regional HospitalWoodward | 16 | $61,270 | $7,364 | $6,650 |
| Cushing Regional HospitalCushing | 15 | $27,476 | $9,252 | $7,535 |
| Integris Grove General HospGrove | 14 | $29,912 | $7,644 | $6,248 |
| St John Medical Center, INCTulsa | 14 | $22,511 | $7,641 | $5,450 |
| Claremore Regional HospitalClaremore | 12 | $36,638 | $6,742 | $5,518 |
| McAlester Regional Health CenterMcAlester | 11 | $16,410 | $7,085 | $5,753 |
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
| Duncan Regional Hospital, INCDuncan, OK | $5,896 |
|---|---|
| Integris Health Edmond HospitalEdmond, OK | $6,038 |
| Northeastern Health SystemTahlequah, OK | $6,144 |
| Mercy Health Center, INCOklahoma City, OK | $6,159 |
| Alliancehealth DurantDurant, OK | $6,216 |
Highest
| O U Medical CenterOklahoma City, OK | $10,896 |
|---|---|
| Cushing Regional HospitalCushing, OK | $9,252 |
| W W Hastings Indian HospitalTahlequah, OK | $8,962 |
| Integris Southwest Medical CenterOklahoma City, OK | $8,101 |
| Integris Grove General HospGrove, OK | $7,644 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Oklahoma?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 30 hospitals in Oklahoma was billed at $36,729 on average, while the average total payment was $7,064, of which Medicare paid $5,517. 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 5.2 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.