Oklahoma · 14021

Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm in Oklahoma

Oklahoma Medicare Avg
$575.26
11% below national avg
National Medicare Avg
$645.50
All states combined
Billed Charge (OK)
$1,716.81
What providers submit
Est. Commercial (OK)
$1,556.45
National avg: $1,827.32
Est. Cash / Self-Pay (OK)
$1,015.07
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

146
Services in OK
39
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oklahoma

Provider Medicare Services
Henderson, Clifford MD $644.57 35

Oklahoma Pricing in Context

In Oklahoma, CPT code 14021 (Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm) carries an average Medicare payment of $575.26 — 11% below the national benchmark of $645.50. 39 providers across the state submitted claims for this procedure in 2023, performing 146 total services. Individual payments in OK ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Oklahoma is $1,716.81, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Oklahoma sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in Oklahoma lands near $1,556.45, with self-pay cash prices typically around $1,015.07. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm cost in Oklahoma?

The average Medicare payment for Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm in Oklahoma is $575.26, which is 11% below the national average of $645.50. Providers in OK typically bill $1,716.81 for this procedure.

What does Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm costs an estimated $1,556.45. Without insurance, the estimated cash price is $1,015.07. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm in Oklahoma?

39 providers in Oklahoma billed Medicare for Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm in 2023, performing 146 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm cheaper in Oklahoma than the national average?

Yes — Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm costs 11% below the national average in Oklahoma. The state average Medicare payment is $575.26 compared to $645.50 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial