Oklahoma · 94660

Therapy Procedure Using A Positive Pressure Ventilator in Oklahoma

Oklahoma Medicare Avg
$37.31
19% below national avg
National Medicare Avg
$45.89
All states combined
Billed Charge (OK)
$90.30
What providers submit
Est. Commercial (OK)
$108.31
National avg: $132.92
Est. Cash / Self-Pay (OK)
$62.62
Typical self-pay discount

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

198
Services in OK
4
Providers
N/A
Min Payment
N/A
Max Payment

Oklahoma Pricing in Context

In Oklahoma, CPT code 94660 (Therapy Procedure Using A Positive Pressure Ventilator) carries an average Medicare payment of $37.31 — 19% below the national benchmark of $45.89. 4 providers across the state submitted claims for this procedure in 2023, performing 198 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 $90.30, 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 Medicine procedures, the estimated commercial insurance price in Oklahoma lands near $108.31, with self-pay cash prices typically around $62.62. 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 Therapy Procedure Using A Positive Pressure Ventilator cost in Oklahoma?

The average Medicare payment for Therapy Procedure Using A Positive Pressure Ventilator in Oklahoma is $37.31, which is 19% below the national average of $45.89. Providers in OK typically bill $90.30 for this procedure.

What does Therapy Procedure Using A Positive Pressure Ventilator cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Therapy Procedure Using A Positive Pressure Ventilator costs an estimated $108.31. Without insurance, the estimated cash price is $62.62. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Therapy Procedure Using A Positive Pressure Ventilator in Oklahoma?

4 providers in Oklahoma billed Medicare for Therapy Procedure Using A Positive Pressure Ventilator in 2023, performing 198 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Therapy Procedure Using A Positive Pressure Ventilator cheaper in Oklahoma than the national average?

Yes — Therapy Procedure Using A Positive Pressure Ventilator costs 19% below the national average in Oklahoma. The state average Medicare payment is $37.31 compared to $45.89 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