Pneumonia, with major complications in Oklahoma

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$38,561typical hospital bill

$9,970typical amount paid

$8,244–$15,280range paid across 47 hospitals

Oklahoma hospitals billed Medicare a typical $38,561 for this stay in 2024, about 3.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
Oklahoma Heart Hospital, LLC	Oklahoma City	28	$33,105	$8,244
Integris Community Hospital - Council Crossing	Oklahoma City	11	$24,044	$8,254
Ascension St John Broken Arrow	Broken Arrow	16	$19,885	$8,398
Saint Francis Hospital Muskogee	Muskogee	34	$22,569	$8,550
Oklahoma Heart Hospital South, LLC	Oklahoma City	15	$32,774	$8,554
Duncan Regional Hospital, Inc	Duncan	65	$38,561	$9,083
Integris Canadian Valley Hospital	Yukon	28	$56,702	$9,153
Mercy Hospital Oklahoma City, Inc	Oklahoma City	198	$37,158	$9,222
Saint Francis Hospital South, LLC	Tulsa	22	$23,458	$9,283
Integris Health Edmond Hospital	Edmond	27	$55,019	$9,293
St Mary's Regional Medical Center	Enid	75	$76,051	$9,350
Hillcrest Hospital South	Tulsa	79	$62,736	$9,390
Northeastern Health System	Tahlequah	16	$22,107	$9,446
Saint Francis Hospital, Inc	Tulsa	27	$40,532	$9,508
Integris Health Enid Hospital	Enid	30	$85,400	$9,575
Ascension St John Jane Phillips	Bartlesville	83	$19,118	$9,622
Norman Regional	Norman	79	$39,287	$9,688
Ssm Health St Anthony Hospital - Midwest	Midwest City	68	$78,564	$9,708
Memorial Health	Lawton	59	$34,728	$9,710
Ssm Health St Anthony Hospital - Shawnee	Shawnee	38	$28,091	$9,753
Hillcrest Hospital Claremore	Claremore	24	$41,387	$9,759
Great Plains Regional Medical Center	Elk City	18	$29,201	$9,886
Mercy Hospital Ada	Ada	40	$29,150	$9,939
Southwestern Medical Center	Lawton	16	$37,416	$9,970
Alliancehealth Durant	Durant	87	$147,433	$10,030
Stillwater Medical Center	Stillwater	59	$49,087	$10,135
Hillcrest Medical Center	Tulsa	83	$96,253	$10,263
Ssm Health St Anthony Hospital - Oklahoma City	Oklahoma City	56	$59,426	$10,367
Mercy Hospital Ardmore, Inc	Ardmore	79	$31,024	$10,372
Bailey Medical Center, LLC	Owasso	16	$56,795	$10,509
St John Owasso	Owasso	25	$25,248	$10,569
Purcell Municipal Hospital	Purcell	14	$23,913	$10,605
Integris Health Ponca City	Ponca City	22	$75,934	$10,717
Saint Francis Hospital Vinita, Inc	Vinita	25	$20,419	$11,074
Jackson County Memorial Hospital Authority	Altus	22	$18,948	$11,101
McAlester Regional Health Center	McAlester	37	$38,872	$11,102
Integris Health Woodward Hospital	Woodward	16	$78,931	$11,259
Integris Southwest Medical Center	Oklahoma City	59	$67,299	$11,363
Integris Grove Hospital	Grove	16	$60,977	$11,728
Hillcrest Hospital Pryor	Pryor	11	$34,004	$11,890
Grady Memorial Hospital	Chickasha	22	$20,032	$11,947
Ascension St John Medical Center	Tulsa	75	$42,876	$11,949
Integris Baptist Medical Center, Inc	Oklahoma City	114	$78,307	$11,990
Hillcrest Hospital Cushing	Cushing	22	$32,432	$13,048
Cherokee Nation W W Hastings Indian Hospital	Tahlequah	16	$22,077	$14,067
Oklahoma State University Medical Center	Tulsa	18	$56,393	$14,422
O U Medical Center	Oklahoma City	83	$83,975	$15,280

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.