Oklahoma

What Medicare pays in Oklahoma

Billed charges against Medicare allowed amounts in Oklahoma, across the 248 procedures Medicare covers most often.

248Procedures
18,532,885Services covered
3.0xBilled vs allowed
#37Rank of 61

Providers here billed the most above the national figure for removal of cataract with insertion of prosthetic lens. The average was $2,126.03 against a national $1,027.76. That is 2.1 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Oklahoma

ProcedureBilled hereAllowedGapvs national billed
Ground mileage, per statute mile$23.00$9.982.3x0.87x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$225.52$106.452.1x0.82x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$162.46$76.292.1x0.86x
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$1.13$1.091.0x0.65x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$60.76$21.002.9x0.88x
Therapy procedure using functional activities$70.74$28.352.5x0.95x
Insertion of needle into vein for collection of blood sample$14.88$8.161.8x0.68x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$170.02$71.872.4x0.84x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$68.09$24.132.8x0.94x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$32.70$14.822.2x0.75x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$27.86$7.593.7x0.75x
Blood test, comprehensive group of blood chemicals$38.50$10.333.7x0.63x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$317.92$108.572.9x0.98x
Therapy procedure using manual technique, each 15 minutes$60.60$18.963.2x0.89x
Destruction of precancer skin growth, 2-14 growths$19.27$5.533.5x0.88x
Detection test by nucleic acid for organism, amplified probe technique$52.81$34.331.5x0.83x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$35.46$7.574.7x0.79x
Chiropractic manipulative treatment, 3-4 spinal regions$59.32$36.271.6x0.98x
X-ray of chest, 1 view$63.34$8.367.6x1.21x
Blood test, lipids (cholesterol and triglycerides)$52.37$13.094.0x0.55x
Hemoglobin a1c level$36.68$9.483.9x0.63x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$328.26$146.332.2x0.80x
Rotary wing air mileage, per statute mile$360.89$40.738.9x1.01x
Injection of drug or substance under skin or into muscle$47.30$12.033.9x0.86x
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$170.81$92.021.9x0.81x
Blood test, thyroid stimulating hormone (tsh)$67.10$16.444.1x0.70x
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$134.81$63.462.1x0.87x
Emergency department visit with high level of medical decision making$1,324.41$161.948.2x1.07x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$257.61$96.362.7x0.92x
Administration of influenza virus vaccine$36.62$27.501.3x0.90x
Pathology examination of tissue using a microscope, intermediate complexity$142.36$44.163.2x0.77x
Professional service for preparation and provision of 1 or more antigens$23.91$12.761.9x0.81x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$528.87$158.643.3x0.93x
Established patient complete exam of visual system$183.09$112.851.6x0.81x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$341.99$147.052.3x0.84x
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge$11.07$10.841.0x0.70x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$225.97$95.662.4x0.85x
Automated urinalysis test$12.69$2.195.8x0.84x
Imaging of retina$85.40$36.212.4x0.69x
X-ray of chest, 2 views$68.01$15.164.5x0.95x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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