Oklahoma · A9555

Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries in Oklahoma

Oklahoma Medicare Avg
$901.17
112% above national avg
National Medicare Avg
$425.12
All states combined
Billed Charge (OK)
$3,514.71
What providers submit
Est. Commercial (OK)
$2,431.74
National avg: $1,194.12
Est. Cash / Self-Pay (OK)
$1,814.83
Typical self-pay discount

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

911
Services in OK
3
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oklahoma

Provider Medicare Services
Smith, Marcus MD $891.23 549
Garner, William M.D. $915.96 361

Oklahoma Pricing in Context

In Oklahoma, CPT code A9555 (Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries) carries an average Medicare payment of $901.17 — 112% above the national benchmark of $425.12. 3 providers across the state submitted claims for this procedure in 2023, performing 911 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 $3,514.71, 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 above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medical Supplies procedures, the estimated commercial insurance price in Oklahoma lands near $2,431.74, with self-pay cash prices typically around $1,814.83. 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 Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries cost in Oklahoma?

The average Medicare payment for Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries in Oklahoma is $901.17, which is 112% above the national average of $425.12. Providers in OK typically bill $3,514.71 for this procedure.

What does Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries costs an estimated $2,431.74. Without insurance, the estimated cash price is $1,814.83. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries in Oklahoma?

3 providers in Oklahoma billed Medicare for Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries in 2023, performing 911 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries cheaper in Oklahoma than the national average?

No — Rubidium Rb-82, Diagnostic, Per Study Dose, Up To 60 Millicuries costs 112% above the national average in Oklahoma. The state average Medicare payment is $901.17 compared to $425.12 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