Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Oregon
What 31 hospitals in Oregon charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$19,472
Hospital list price billed
Average allowed
$3,671
Medicare's payment + patient's share
Medicare paid
$2,913
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $19,472 for level 1 abdominal/peritoneal/biliary and related procedures, about 5.3 times the average medicare-allowed amount of $3,671. That payment is 10% above the U.S. average of $3,323.
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 $3,671Billed $19,472
About 19¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 87 | $16,860 | $3,380 | $2,693 |
| St Charles Medical Center - BendBend | 85 | $20,020 | $3,656 | $2,912 |
| Providence Portland Medical CenterPortland | 58 | $16,289 | $3,630 | $2,891 |
| Salem HospitalSalem | 54 | $20,242 | $3,754 | $2,980 |
| Rogue Valley Medical CenterMedford | 45 | $20,858 | $3,907 | $3,044 |
| Sky Lakes Medical CenterKlamath Falls | 36 | $19,605 | $4,499 | $3,576 |
| Sacred Heart Medical Center - RiverbendSpringfield | 33 | $22,125 | $3,425 | $2,693 |
| Providence St Vincent Medical CenterPortland | 32 | $13,791 | $3,630 | $2,892 |
| Providence Medford Medical CenterMedford | 26 | $22,159 | $4,201 | $3,347 |
| Ashland Community HospitalAshland | 24 | $15,052 | $3,413 | $2,720 |
| Mercy Medical CenterRoseburg | 24 | $24,790 | $3,655 | $2,880 |
| Three Rivers Community HospitalGrants Pass | 23 | $15,868 | $3,413 | $2,720 |
| Good Samaritan Regional Medical CenterCorvallis | 22 | $12,062 | $3,592 | $2,853 |
| Legacy Meridian Park Medical CenterTualatin | 22 | $25,104 | $3,630 | $2,889 |
| Bay Area HospitalCoos Bay | 19 | $16,719 | $3,780 | $3,012 |
| Providence Milwaukie HospitalMilwaukie | 16 | $15,950 | $3,631 | $2,848 |
| Hillsboro Medical CenterHillsboro | 14 | $23,752 | $3,630 | $2,887 |
| Adventist Medical CenterPortland | 14 | $28,733 | $3,630 | $2,892 |
| Mid-Columbia Medical CenterThe Dalles | 12 | $17,603 | $3,847 | $3,065 |
| Samaritan Albany General HospitalAlbany | 12 | $20,706 | $3,115 | $2,385 |
| Willamette Valley Medical CtrMcMinnville | 12 | $51,532 | $3,630 | $2,892 |
| St Alphonsus Medical Center - Ontario, INCOntario | 11 | $12,544 | $3,656 | $2,913 |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Legacy Mount Hood Medical CenterGresham | – | – | – | – |
| Silverton Hospital NetworkSilverton | – | – | – | – |
| Providence Newberg HospitalNewberg | – | – | – | – |
| Providence Willamette Falls Medical CenterOregon City | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Kaiser Sunnyside Medical CenterClackamas | – | – | – | – |
Lowest and highest allowed amounts in Oregon
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Samaritan Albany General HospitalAlbany, OR | $3,115 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $3,380 |
| Three Rivers Community HospitalGrants Pass, OR | $3,413 |
| Ashland Community HospitalAshland, OR | $3,413 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $3,425 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $4,499 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $4,201 |
| Rogue Valley Medical CenterMedford, OR | $3,907 |
| Mid-Columbia Medical CenterThe Dalles, OR | $3,847 |
| Bay Area HospitalCoos Bay, OR | $3,780 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Oregon?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 31 hospitals in Oregon was billed at $19,472 on average, while the average medicare-allowed amount was $3,671, of which Medicare paid $2,913. 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 service in Oregon, average charges were 5.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.