Complex GI Procedures in Oregon
What 18 hospitals in Oregon charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$31,308
Hospital list price billed
Average allowed
$5,805
Medicare's payment + patient's share
Medicare paid
$4,619
Average per service
State rank
#40 of 48
1 = lowest average payment
Hospitals in Oregon billed an average of $31,308 for complex gi procedures, about 5.4 times the average medicare-allowed amount of $5,805. That payment is 8% above the U.S. average of $5,364.
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 $5,805Billed $31,308
About 19¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: complex gi procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oregon
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Legacy Good Samaritan Medical CenterPortland, OR | $5,482 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $5,482 |
| Salem HospitalSalem, OR | $5,879 |
| Providence St Vincent Medical CenterPortland, OR | $5,980 |
| Providence Portland Medical CenterPortland, OR | $5,980 |
Highest
| Rogue Valley Medical CenterMedford, OR | $6,920 |
|---|---|
| St Charles Medical Center - BendBend, OR | $6,022 |
| Providence St Vincent Medical CenterPortland, OR | $5,980 |
| Providence Portland Medical CenterPortland, OR | $5,980 |
| Salem HospitalSalem, OR | $5,879 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Oregon?
In 2024 Medicare data, complex gi procedures (APC 5331) at 18 hospitals in Oregon was billed at $31,308 on average, while the average medicare-allowed amount was $5,805, of which Medicare paid $4,619. 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 service in Oregon, average charges were 5.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.