facebook tracking Hip and femur procedures except major joint with major complications cost in Oregon: 14 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Oregon

What 14 hospitals in Oregon charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $104,835 Hospital list price billed
Average payment $30,459 Medicare + patient + other payers
Medicare paid $27,580 Average per stay
State rank #39 of 46 1 = lowest average payment

Hospitals in Oregon billed an average of $104,835 for hip and femur procedures except major joint with major complications, about 3.4 times the average total payment of $30,459. That payment is 16% above the U.S. average of $26,284.

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 $30,459Billed $104,835

About 29¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: hip and femur procedures except major joint 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
St Charles Medical Center - BendBend 36 $92,924 $31,922 $29,385
Salem HospitalSalem 24 $118,850 $30,622 $26,788
OHSU Hospital and ClinicsPortland 22 $143,981 $36,925 $30,527
Providence St Vincent Medical CenterPortland 20 $81,208 $28,272 $22,404
Legacy Emanuel Medical CenterPortland 20 $88,083 $28,961 $27,593
Sky Lakes Medical CenterKlamath Falls 16 $86,409 $32,531 $30,005
Bay Area HospitalCoos Bay 16 $120,742 $32,977 $31,262
Sacred Heart Medical Center - RiverbendSpringfield 16 $173,390 $30,806 $29,654
Good Samaritan Regional Medical CenterCorvallis 15 $82,245 $29,057 $26,002
Providence Portland Medical CenterPortland 15 $69,596 $26,768 $24,473
Rogue Valley Medical CenterMedford 14 $127,559 $28,833 $27,086
Mercy Medical CenterRoseburg 12 $90,840 $28,339 $26,905
Providence Medford Medical CenterMedford 12 $82,372 $29,509 $27,730
Three Rivers Community HospitalGrants Pass 11 $102,016 $24,273 $22,574
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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.

Lowest

Three Rivers Community HospitalGrants Pass, OR$24,273
Providence Portland Medical CenterPortland, OR$26,768
Providence St Vincent Medical CenterPortland, OR$28,272
Mercy Medical CenterRoseburg, OR$28,339
Rogue Valley Medical CenterMedford, OR$28,833

Highest

OHSU Hospital and ClinicsPortland, OR$36,925
Bay Area HospitalCoos Bay, OR$32,977
Sky Lakes Medical CenterKlamath Falls, OR$32,531
St Charles Medical Center - BendBend, OR$31,922
Sacred Heart Medical Center - RiverbendSpringfield, OR$30,806

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 14 hospitals in Oregon was billed at $104,835 on average, while the average total payment was $30,459, of which Medicare paid $27,580. 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.