Diabetes with complications in Oregon
What 9 hospitals in Oregon charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$27,966
Hospital list price billed
Average payment
$9,458
Medicare + patient + other payers
Medicare paid
$7,149
Average per stay
State rank
#38 of 47
1 = lowest average payment
Hospitals in Oregon billed an average of $27,966 for diabetes with complications, about 3.0 times the average total payment of $9,458. That payment is 3% above the U.S. average of $9,215.
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 $9,458Billed $27,966
About 34¢ was paid for every $1 hospitals in Oregon billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oregon:
Oregon hospitals: diabetes 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 |
|---|---|---|---|---|
| Salem HospitalSalem | 23 | $26,060 | $8,559 | $7,352 |
| Sacred Heart Medical Center - RiverbendSpringfield | 18 | $30,167 | $8,745 | $6,403 |
| Three Rivers Community HospitalGrants Pass | 17 | $33,411 | $11,989 | $6,274 |
| Providence St Vincent Medical CenterPortland | 17 | $16,287 | $9,340 | $6,641 |
| Rogue Valley Medical CenterMedford | 16 | $34,564 | $9,261 | $7,979 |
| Providence Portland Medical CenterPortland | 15 | $20,022 | $9,086 | $6,805 |
| Bay Area HospitalCoos Bay | 14 | $22,632 | $9,954 | $8,975 |
| Providence Medford Medical CenterMedford | 12 | $43,958 | $9,400 | $8,293 |
| McKenzie-Willamette Medical CenterSpringfield | 11 | $28,561 | $9,007 | $5,767 |
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.
Lowest
| Salem HospitalSalem, OR | $8,559 |
|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $8,745 |
| McKenzie-Willamette Medical CenterSpringfield, OR | $9,007 |
| Providence Portland Medical CenterPortland, OR | $9,086 |
| Rogue Valley Medical CenterMedford, OR | $9,261 |
Highest
| Three Rivers Community HospitalGrants Pass, OR | $11,989 |
|---|---|
| Bay Area HospitalCoos Bay, OR | $9,954 |
| Providence Medford Medical CenterMedford, OR | $9,400 |
| Providence St Vincent Medical CenterPortland, OR | $9,340 |
| Rogue Valley Medical CenterMedford, OR | $9,261 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Oregon?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 9 hospitals in Oregon was billed at $27,966 on average, while the average total payment was $9,458, of which Medicare paid $7,149. 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 3.0 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.