facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Oregon: 4 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Oregon

What 4 hospitals in Oregon charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $238,842 Hospital list price billed
Average payment $66,150 Medicare + patient + other payers
Medicare paid $50,392 Average per stay
State rank #30 of 37 1 = lowest average payment

Hospitals in Oregon billed an average of $238,842 for coronary bypass without cardiac catheterization with major complications, about 3.6 times the average total payment of $66,150. That payment is 17% above the U.S. average of $56,401.

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 $66,150Billed $238,842

About 28¢ 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: coronary bypass without cardiac catheterization 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
Sacred Heart Medical Center - RiverbendSpringfield 37 $269,490 $60,848 $43,989
Rogue Valley Medical CenterMedford 30 $289,027 $71,343 $64,549
Providence St Vincent Medical CenterPortland 26 $146,964 $67,525 $40,170
Legacy Emanuel Medical CenterPortland 12 $217,948 $66,536 $56,894
Advertisement

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 without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 4 hospitals in Oregon was billed at $238,842 on average, while the average total payment was $66,150, of which Medicare paid $50,392. 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 3.6 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.