facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Oregon: 17 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Oregon

What 17 hospitals in Oregon charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $77,637 Hospital list price billed
Average payment $20,929 Medicare + patient + other payers
Medicare paid $18,226 Average per stay
State rank #43 of 50 1 = lowest average payment

Hospitals in Oregon billed an average of $77,637 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.7 times the average total payment of $20,929. That payment is 14% above the U.S. average of $18,301.

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 $20,929Billed $77,637

About 27¢ 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: hip replacement with principal diagnosis of hip fracture without 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 49 $83,415 $21,725 $19,249
Providence St Vincent Medical CenterPortland 30 $63,603 $19,550 $17,321
Good Samaritan Regional Medical CenterCorvallis 28 $67,374 $22,502 $19,543
Salem HospitalSalem 24 $82,141 $19,898 $18,334
Sacred Heart Medical Center - RiverbendSpringfield 24 $87,334 $17,664 $16,227
Mercy Medical CenterRoseburg 22 $73,653 $20,331 $18,746
Rogue Valley Medical CenterMedford 19 $90,829 $21,313 $19,740
Bay Area HospitalCoos Bay 19 $70,618 $23,208 $21,637
Three Rivers Community HospitalGrants Pass 17 $74,443 $19,570 $14,774
Providence Portland Medical CenterPortland 15 $59,443 $23,635 $15,317
Legacy Meridian Park Medical CenterTualatin 15 $53,077 $17,328 $15,896
OHSU Hospital and ClinicsPortland 14 $122,060 $33,605 $24,787
Providence Willamette Falls Medical CenterOregon City 14 $60,715 $18,476 $16,848
Willamette Valley Medical CtrMcMinnville 14 $106,263 $17,178 $15,779
Legacy Good Samaritan Medical CenterPortland 12 $60,091 $21,615 $17,386
McKenzie-Willamette Medical CenterSpringfield 12 $95,764 $17,342 $15,982
Providence Medford Medical CenterMedford 11 $73,787 $21,348 $19,735
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.

Highest

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 17 hospitals in Oregon was billed at $77,637 on average, while the average total payment was $20,929, of which Medicare paid $18,226. 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 3.7 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.