Level 2 ICD and Similar Procedures in Oregon
What 16 hospitals in Oregon charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$153,122
Hospital list price billed
Average allowed
$35,481
Medicare's payment + patient's share
Medicare paid
$33,847
Average per service
State rank
#43 of 47
1 = lowest average payment
Hospitals in Oregon billed an average of $153,122 for level 2 icd and similar procedures, about 4.3 times the average medicare-allowed amount of $35,481. That payment is 14% above the U.S. average of $31,009.
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 $35,481Billed $153,122
About 23¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 2 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 |
|---|---|---|---|---|
| Rogue Valley Medical CenterMedford | 46 | $202,597 | $39,814 | $38,182 |
| St Charles Medical Center - BendBend | 33 | $110,307 | $34,654 | $33,016 |
| Sacred Heart Medical Center - RiverbendSpringfield | 29 | $210,110 | $31,874 | $30,239 |
| Providence St Vincent Medical CenterPortland | 26 | $112,124 | $34,412 | $32,780 |
| OHSU Hospital and ClinicsPortland | 19 | $123,152 | $34,412 | $32,780 |
| Adventist Medical CenterPortland | 18 | $150,362 | $34,412 | $32,775 |
| Salem HospitalSalem | 13 | $148,591 | $36,464 | $34,832 |
| Good Samaritan Regional Medical CenterCorvallis | 12 | $104,552 | $34,049 | $32,417 |
| Bay Area HospitalCoos Bay | 12 | $137,388 | $35,831 | $34,199 |
| Three Rivers Community HospitalGrants Pass | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Sky Lakes Medical CenterKlamath Falls | – | – | – | – |
| Providence Portland Medical CenterPortland | – | – | – | – |
| 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
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $31,874 |
|---|---|
| Good Samaritan Regional Medical CenterCorvallis, OR | $34,049 |
| Providence St Vincent Medical CenterPortland, OR | $34,412 |
| OHSU Hospital and ClinicsPortland, OR | $34,412 |
| Adventist Medical CenterPortland, OR | $34,412 |
Highest
| Rogue Valley Medical CenterMedford, OR | $39,814 |
|---|---|
| Salem HospitalSalem, OR | $36,464 |
| Bay Area HospitalCoos Bay, OR | $35,831 |
| St Charles Medical Center - BendBend, OR | $34,654 |
| Adventist Medical CenterPortland, OR | $34,412 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Oregon?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 16 hospitals in Oregon was billed at $153,122 on average, while the average medicare-allowed amount was $35,481, of which Medicare paid $33,847. 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 4.3 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.