Healthcare Pricing Data: ADA, OK
2 hospitals with public pricing data · 27 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
27
DRG categories
Avg Charge-to-Medicare Ratio
3.2x
Across all procedures
vs National Average
-50%
Chargemaster rates
About This Data
ADA, OK has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.2x for the 27 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in ADA is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC (DRG 329), with an average chargemaster rate of $122,373 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $29,637 | 2 | 2.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $25,153 | 2 | 1.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $24,767 | 2 | 2.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $21,031 | 2 | 2.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $18,723 | 2 | 2.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $18,144 | 2 | 2.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,141 | 2 | 3.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $122,373 | 1 | 3.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $109,811 | 1 | 3.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $71,037 | 1 | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,927 | 1 | 3.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $42,606 | 1 | 3.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $41,242 | 1 | 3.0x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $31,372 | 1 | 2.7x |
| RENAL FAILURE WITH MCC | 682 | $30,999 | 1 | 3.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,842 | 1 | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $28,773 | 1 | 2.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,131 | 1 | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $26,167 | 1 | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $25,878 | 1 | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $24,974 | 1 | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,885 | 1 | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,909 | 1 | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,218 | 1 | 4.2x |
| RENAL FAILURE WITH CC | 683 | $21,810 | 1 | 3.8x |
| CELLULITIS WITHOUT MCC | 603 | $18,437 | 1 | 3.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $17,762 | 1 | 3.4x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
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