facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in Oregon: 4 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in Oregon

What 4 hospitals in Oregon charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $268,990 Hospital list price billed
Average payment $79,479 Medicare + patient + other payers
Medicare paid $68,409 Average per stay
State rank #31 of 38 1 = lowest average payment

Hospitals in Oregon billed an average of $268,990 for coronary bypass with cardiac catheterization or open ablation with major complications, about 3.4 times the average total payment of $79,479. That payment is 14% above the U.S. average of $69,514.

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 $79,479Billed $268,990

About 30¢ 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:

Major complications $79,479 DRG 233 · this page No major complications $45,866 DRG 234 · U.S. average

Oregon hospitals: coronary bypass with cardiac catheterization or open ablation with major 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
Providence St Vincent Medical CenterPortland 22 $174,242 $69,018 $62,294
Sacred Heart Medical Center - RiverbendSpringfield 21 $342,204 $85,734 $55,905
Rogue Valley Medical CenterMedford 20 $307,573 $81,505 $79,638
St Charles Medical Center - BendBend 12 $250,266 $84,334 $82,789
Coronary bypass with cardiac catheterization or open ablation with major complications: all states All Oregon hospitals Oregon hospital finances
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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.

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Alaska · $86,851 Delaware · $79,419 Georgia · $72,972 Illinois · $76,273 Minnesota · $77,255 Nevada · $77,910 New Jersey · $85,398 Washington · $81,410

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 4 hospitals in Oregon was billed at $268,990 on average, while the average total payment was $79,479, of which Medicare paid $68,409. 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 3.4 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.