Simple pneumonia and pleurisy without complications in Oklahoma
What 2 hospitals in Oklahoma charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy without complications (DRG 195), from 2024 Medicare claims.
Average charge
$30,560
Hospital list price billed
Average payment
$5,647
Medicare + patient + other payers
Medicare paid
$3,721
Average per stay
Volume
25
Medicare hospital stays
Hospitals in Oklahoma billed an average of $30,560 for simple pneumonia and pleurisy without complications, about 5.4 times the average total payment of $5,647. That payment is 6% below the U.S. average of $6,019.
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 $5,647Billed $30,560
About 18¢ 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 without 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 | 14 | $34,021 | $6,245 | $3,855 |
| Integris Canadian Valley HospitalYukon | 11 | $26,155 | $4,886 | $3,551 |
Simple pneumonia and pleurisy without complications in other states
Questions
How much does simple pneumonia and pleurisy without complications cost in Oklahoma?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy without complications (DRG 195) at 2 hospitals in Oklahoma was billed at $30,560 on average, while the average total payment was $5,647, of which Medicare paid $3,721. 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.