facebook tracking Hip and femur procedures except major joint with complications cost in Oregon: 17 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Oregon

What 17 hospitals in Oregon charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $74,055 Hospital list price billed
Average payment $20,771 Medicare + patient + other payers
Medicare paid $18,082 Average per stay
State rank #41 of 50 1 = lowest average payment

Hospitals in Oregon billed an average of $74,055 for hip and femur procedures except major joint with complications, about 3.6 times the average total payment of $20,771. That payment is 12% above the U.S. average of $18,473.

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 $20,771Billed $74,055

About 28¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: hip and femur procedures except major joint 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
St Charles Medical Center - BendBend 63 $70,931 $20,974 $19,476
Sacred Heart Medical Center - RiverbendSpringfield 55 $88,361 $18,076 $15,457
Salem HospitalSalem 50 $77,340 $22,057 $16,939
Legacy Emanuel Medical CenterPortland 46 $66,708 $20,796 $18,745
Providence St Vincent Medical CenterPortland 42 $64,441 $17,834 $15,644
Good Samaritan Regional Medical CenterCorvallis 29 $62,511 $21,971 $19,177
Three Rivers Community HospitalGrants Pass 28 $71,545 $17,464 $15,906
Rogue Valley Medical CenterMedford 28 $80,764 $20,788 $19,394
Mercy Medical CenterRoseburg 28 $60,858 $20,620 $17,485
Bay Area HospitalCoos Bay 26 $80,504 $22,835 $21,423
OHSU Hospital and ClinicsPortland 23 $146,526 $31,817 $26,354
Providence Portland Medical CenterPortland 21 $52,554 $18,939 $16,965
Legacy Meridian Park Medical CenterTualatin 21 $52,735 $18,199 $14,756
Sky Lakes Medical CenterKlamath Falls 17 $71,948 $23,238 $20,920
Providence Medford Medical CenterMedford 16 $65,704 $21,013 $19,272
McKenzie-Willamette Medical CenterSpringfield 13 $83,303 $18,226 $14,188
Providence Milwaukie HospitalMilwaukie 12 $48,063 $23,021 $17,587
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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.

Highest

OHSU Hospital and ClinicsPortland, OR$31,817
Sky Lakes Medical CenterKlamath Falls, OR$23,238
Providence Milwaukie HospitalMilwaukie, OR$23,021
Bay Area HospitalCoos Bay, OR$22,835
Salem HospitalSalem, OR$22,057

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Oregon?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 17 hospitals in Oregon was billed at $74,055 on average, while the average total payment was $20,771, of which Medicare paid $18,082. 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.