Level 1 ICD and Similar Procedures in Oregon
What 13 hospitals in Oregon charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$67,517
Hospital list price billed
Average allowed
$24,665
Medicare's payment + patient's share
Medicare paid
$23,033
Average per service
State rank
#29 of 34
1 = lowest average payment
Hospitals in Oregon billed an average of $67,517 for level 1 icd and similar procedures, about 2.7 times the average medicare-allowed amount of $24,665. That payment is 9% above the U.S. average of $22,647.
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 $24,665Billed $67,517
About 37¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 1 icd and similar 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 | 12 | $67,517 | $24,665 | $23,033 |
| Providence St Vincent Medical CenterPortland | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Good Samaritan Regional Medical CenterCorvallis | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| Rogue Valley Medical CenterMedford | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| St Charles Medical Center - BendBend | – | – | – | – |
| Adventist Medical CenterPortland | – | – | – | – |
| Providence Portland Medical CenterPortland | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Bay Area HospitalCoos Bay | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Oregon?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 13 hospitals in Oregon was billed at $67,517 on average, while the average medicare-allowed amount was $24,665, of which Medicare paid $23,033. 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 2.7 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.