Simple pneumonia and pleurisy with major complications in Oklahoma
What 47 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$53,519
Hospital list price billed
Average payment
$10,363
Medicare + patient + other payers
Medicare paid
$8,730
Average per stay
State rank
#10 of 50
1 = lowest average payment
Hospitals in Oklahoma billed an average of $53,519 for simple pneumonia and pleurisy with major complications, about 5.2 times the average total payment of $10,363. That payment is 14% below the U.S. average of $12,020.
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 $10,363Billed $53,519
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 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 |
|---|---|---|---|---|
| Mercy Health Center, INCOklahoma City | 198 | $37,158 | $9,222 | $7,925 |
| Integris Baptist Medical CenterOklahoma City | 114 | $78,307 | $11,990 | $9,049 |
| Alliancehealth DurantDurant | 87 | $147,433 | $10,030 | $8,351 |
| Hillcrest Medical CenterTulsa | 83 | $96,253 | $10,263 | $8,779 |
| Jane Phillips Medical CenterBartlesville | 83 | $19,118 | $9,622 | $8,403 |
| O U Medical CenterOklahoma City | 83 | $83,975 | $15,280 | $12,864 |
| Norman Regional Health SystemNorman | 79 | $39,287 | $9,688 | $8,249 |
| Mercy Memorial Health CenterArdmore | 79 | $31,024 | $10,372 | $8,671 |
| Hillcrest Hospital SouthTulsa | 79 | $62,736 | $9,390 | $7,626 |
| St Mary's Regional Medical CenterEnid | 75 | $76,051 | $9,350 | $7,848 |
| St John Medical Center, INCTulsa | 75 | $42,876 | $11,949 | $9,662 |
| Midwest Regional Medical CenterMidwest City | 68 | $78,564 | $9,708 | $8,254 |
| Duncan Regional Hospital, INCDuncan | 65 | $38,561 | $9,083 | $8,030 |
| Stillwater Medical CenterStillwater | 59 | $49,087 | $10,135 | $8,896 |
| Comanche County Memorial HospitalLawton | 59 | $34,728 | $9,710 | $8,376 |
| Integris Southwest Medical CenterOklahoma City | 59 | $67,299 | $11,363 | $9,917 |
| St Anthony HospitalOklahoma City | 56 | $59,426 | $10,367 | $9,053 |
| Mercy Hospital AdaAda | 40 | $29,150 | $9,939 | $8,653 |
| SSM Health St Anthony Hospital - ShawneeShawnee | 38 | $28,091 | $9,753 | $8,286 |
| McAlester Regional Health CenterMcAlester | 37 | $38,872 | $11,102 | $9,641 |
| Muskogee Regional Medical CenterMuskogee | 34 | $22,569 | $8,550 | $7,386 |
| Integris Bass Baptist Health CenterEnid | 30 | $85,400 | $9,575 | $7,887 |
| Integris Canadian Valley HospitalYukon | 28 | $56,702 | $9,153 | $7,929 |
| Oklahoma Heart HospitalOklahoma City | 28 | $33,105 | $8,244 | $7,254 |
| Saint Francis Hospital, INCTulsa | 27 | $40,532 | $9,508 | $7,619 |
| Integris Health Edmond HospitalEdmond | 27 | $55,019 | $9,293 | $8,145 |
| St John OwassoOwasso | 25 | $25,248 | $10,569 | $9,002 |
| Saint Francis Hospital Vinita, INCVinita | 25 | $20,419 | $11,074 | $8,814 |
| Claremore Regional HospitalClaremore | 24 | $41,387 | $9,759 | $7,051 |
| Integris Health Ponca CityPonca City | 22 | $75,934 | $10,717 | $9,235 |
| Jackson County Memorial HospitalAltus | 22 | $18,948 | $11,101 | $9,563 |
| Grady Memorial HospitalChickasha | 22 | $20,032 | $11,947 | $10,835 |
| Cushing Regional HospitalCushing | 22 | $32,432 | $13,048 | $11,787 |
| Saint Francis Hospital SouthTulsa | 22 | $23,458 | $9,283 | $7,177 |
| Great Plains Regional Med CtrElk City | 18 | $29,201 | $9,886 | $7,176 |
| Oklahoma State University Medical CenterTulsa | 18 | $56,393 | $14,422 | $12,154 |
| Woodward Regional HospitalWoodward | 16 | $78,931 | $11,259 | $10,035 |
| Northeastern Health SystemTahlequah | 16 | $22,107 | $9,446 | $7,953 |
| Southwestern Medical CenterLawton | 16 | $37,416 | $9,970 | $6,850 |
| Integris Grove General HospGrove | 16 | $60,977 | $11,728 | $9,273 |
| W W Hastings Indian HospitalTahlequah | 16 | $22,077 | $14,067 | $12,639 |
| Bailey Medical Center, L L COwasso | 16 | $56,795 | $10,509 | $8,438 |
| Ascension St John Broken ArrowBroken Arrow | 16 | $19,885 | $8,398 | $7,380 |
| Oklahoma Heart Hospital SouthOklahoma City | 15 | $32,774 | $8,554 | $7,602 |
| Purcell Municipal HospitalPurcell | 14 | $23,913 | $10,604 | $9,322 |
| Hillcrest Hospital PryorPryor | 11 | $34,004 | $11,890 | $10,703 |
| Integris Community Hospital - Council CrossingOklahoma City | 11 | $24,044 | $8,254 | $7,216 |
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 | $8,244 |
|---|---|
| Integris Community Hospital - Council CrossingOklahoma City, OK | $8,254 |
| Ascension St John Broken ArrowBroken Arrow, OK | $8,398 |
| Muskogee Regional Medical CenterMuskogee, OK | $8,550 |
| Oklahoma Heart Hospital SouthOklahoma City, OK | $8,554 |
Highest
| O U Medical CenterOklahoma City, OK | $15,280 |
|---|---|
| Oklahoma State University Medical CenterTulsa, OK | $14,422 |
| W W Hastings Indian HospitalTahlequah, OK | $14,067 |
| Cushing Regional HospitalCushing, OK | $13,048 |
| Integris Baptist Medical CenterOklahoma City, OK | $11,990 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Oklahoma?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 47 hospitals in Oklahoma was billed at $53,519 on average, while the average total payment was $10,363, of which Medicare paid $8,730. 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.