Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in Oregon
What 2 hospitals in Oregon charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216), from 2024 Medicare claims.
Average charge
$332,885
Hospital list price billed
Average payment
$104,564
Medicare + patient + other payers
Medicare paid
$101,756
Average per stay
Volume
30
Medicare hospital stays
Hospitals in Oregon billed an average of $332,885 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 3.2 times the average total payment of $104,564. That payment is 3% below the U.S. average of $107,634.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $104,564Billed $332,885
About 31¢ was paid for every $1 hospitals in Oregon billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Oregon:
Oregon hospitals: cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
Every Oregon hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Providence St Vincent Medical CenterPortland | 19 | $281,770 | $101,856 | $98,426 |
| Rogue Valley Medical CenterMedford | 11 | $421,174 | $109,241 | $107,508 |
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Oregon?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 2 hospitals in Oregon was billed at $332,885 on average, while the average total payment was $104,564, of which Medicare paid $101,756. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Oregon, average charges were 3.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.