Oklahoma · 63048

Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment in Oklahoma

Oklahoma Medicare Avg
$104.73
8% below national avg
National Medicare Avg
$113.42
All states combined
Billed Charge (OK)
$643.89
What providers submit
Est. Commercial (OK)
$282.28
National avg: $318.33
Est. Cash / Self-Pay (OK)
$275.54
Typical self-pay discount

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

2.3K
Services in OK
126
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oklahoma

Provider Medicare Services
Wilson, Gregory D.O. $152.91 140

Oklahoma Pricing in Context

In Oklahoma, CPT code 63048 (Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment) carries an average Medicare payment of $104.73 — 8% below the national benchmark of $113.42. 126 providers across the state submitted claims for this procedure in 2023, performing 2.3K 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 $643.89, 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 Nervous System Surgery procedures, the estimated commercial insurance price in Oklahoma lands near $282.28, with self-pay cash prices typically around $275.54. 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 Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment cost in Oklahoma?

The average Medicare payment for Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment in Oklahoma is $104.73, which is 8% below the national average of $113.42. Providers in OK typically bill $643.89 for this procedure.

What does Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment costs an estimated $282.28. Without insurance, the estimated cash price is $275.54. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment in Oklahoma?

126 providers in Oklahoma billed Medicare for Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment in 2023, performing 2.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment cheaper in Oklahoma than the national average?

Yes — Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Additional Segment costs 8% below the national average in Oklahoma. The state average Medicare payment is $104.73 compared to $113.42 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