facebook tracking Cervical spinal fusion with complications cost in Oregon: 6 hospitals compared (DRG 472)

Cervical spinal fusion with complications in Oregon

What 6 hospitals in Oregon charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $116,889 Hospital list price billed
Average payment $30,770 Medicare + patient + other payers
Medicare paid $24,002 Average per stay
State rank #33 of 38 1 = lowest average payment

Hospitals in Oregon billed an average of $116,889 for cervical spinal fusion with complications, about 3.8 times the average total payment of $30,770. That payment is 9% above the U.S. average of $28,116.

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 $30,770Billed $116,889

About 26¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: cervical spinal fusion with complications

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
Sacred Heart Medical Center - RiverbendSpringfield 35 $127,266 $29,349 $21,031
Rogue Valley Medical CenterMedford 18 $151,645 $30,969 $29,541
Providence St Vincent Medical CenterPortland 16 $81,407 $36,228 $19,467
OHSU Hospital and ClinicsPortland 14 $121,463 $34,187 $26,574
St Charles Medical Center - BendBend 13 $101,978 $30,109 $28,591
McKenzie-Willamette Medical CenterSpringfield 12 $92,616 $24,068 $22,436
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Lowest and highest payments in Oregon

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in Oregon?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 6 hospitals in Oregon was billed at $116,889 on average, while the average total payment was $30,770, of which Medicare paid $24,002. 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 3.8 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.