Oklahoma · 27062

Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis in Oklahoma

Oklahoma Medicare Avg
$251.64
28% below national avg
National Medicare Avg
$349.33
All states combined
Billed Charge (OK)
$1,203.39
What providers submit
Est. Commercial (OK)
$683.41
National avg: $983.58
Est. Cash / Self-Pay (OK)
$569.33
Typical self-pay discount

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

37
Services in OK
21
Providers
N/A
Min Payment
N/A
Max Payment

Oklahoma Pricing in Context

In Oklahoma, CPT code 27062 (Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis) carries an average Medicare payment of $251.64 — 28% below the national benchmark of $349.33. 21 providers across the state submitted claims for this procedure in 2023, performing 37 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 $1,203.39, 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 Musculoskeletal Surgery procedures, the estimated commercial insurance price in Oklahoma lands near $683.41, with self-pay cash prices typically around $569.33. 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 Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis cost in Oklahoma?

The average Medicare payment for Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis in Oklahoma is $251.64, which is 28% below the national average of $349.33. Providers in OK typically bill $1,203.39 for this procedure.

What does Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis costs an estimated $683.41. Without insurance, the estimated cash price is $569.33. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis in Oklahoma?

21 providers in Oklahoma billed Medicare for Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis in 2023, performing 37 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis cheaper in Oklahoma than the national average?

Yes — Removal Of Fluid-Filled Sac (bursa) Or Calcium Deposit Of Pelvis costs 28% below the national average in Oklahoma. The state average Medicare payment is $251.64 compared to $349.33 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