Level 2 Musculoskeletal Procedures in Oregon
What 32 hospitals in Oregon charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$8,889
Hospital list price billed
Average allowed
$1,720
Medicare's payment + patient's share
Medicare paid
$1,365
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $8,889 for level 2 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $1,720. That payment is 14% above the U.S. average of $1,511.
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 $1,720Billed $8,889
About 19¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 2 musculoskeletal 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 |
|---|---|---|---|---|
| Mercy Medical CenterRoseburg | 93 | $6,819 | $1,741 | $1,384 |
| OHSU Hospital and ClinicsPortland | 80 | $8,818 | $1,604 | $1,273 |
| Sky Lakes Medical CenterKlamath Falls | 63 | $5,170 | $2,090 | $1,659 |
| Good Samaritan Regional Medical CenterCorvallis | 55 | $6,085 | $1,644 | $1,305 |
| Salem HospitalSalem | 53 | $9,268 | $1,787 | $1,420 |
| Three Rivers Community HospitalGrants Pass | 37 | $9,504 | $1,552 | $1,229 |
| Legacy Good Samaritan Medical CenterPortland | 32 | $10,975 | $1,645 | $1,296 |
| Providence St Vincent Medical CenterPortland | 29 | $8,244 | $1,686 | $1,344 |
| St Charles Medical Center - BendBend | 28 | $10,255 | $1,698 | $1,351 |
| Mid-Columbia Medical CenterThe Dalles | 24 | $6,849 | $1,787 | $1,424 |
| Hillsboro Medical CenterHillsboro | 23 | $7,660 | $1,686 | $1,344 |
| Rogue Valley Medical CenterMedford | 22 | $11,179 | $1,952 | $1,546 |
| Providence Portland Medical CenterPortland | 22 | $9,020 | $1,686 | $1,344 |
| Willamette Valley Medical CtrMcMinnville | 22 | $16,657 | $1,503 | $1,156 |
| McKenzie-Willamette Medical CenterSpringfield | 20 | $12,878 | $1,672 | $1,325 |
| Providence Willamette Falls Medical CenterOregon City | 19 | $9,303 | $1,686 | $1,343 |
| Providence Milwaukie HospitalMilwaukie | 19 | $9,124 | $1,687 | $1,321 |
| Legacy Meridian Park Medical CenterTualatin | 18 | $8,968 | $1,687 | $1,336 |
| Bay Area HospitalCoos Bay | 18 | $11,402 | $1,756 | $1,399 |
| Adventist Medical CenterPortland | 16 | $15,761 | $1,686 | $1,344 |
| Sacred Heart Medical Center - RiverbendSpringfield | 16 | $12,147 | $1,672 | $1,332 |
| Providence Medford Medical CenterMedford | 15 | $10,260 | $1,951 | $1,555 |
| Legacy Emanuel Medical CenterPortland | 14 | $10,838 | $1,591 | $1,234 |
| Legacy Mount Hood Medical CenterGresham | 14 | $10,790 | $1,686 | $1,344 |
| Silverton Hospital NetworkSilverton | 14 | $8,101 | $1,560 | $1,233 |
| Samaritan Albany General HospitalAlbany | 13 | $4,785 | $1,669 | $1,329 |
| Ashland Community HospitalAshland | – | – | – | – |
| Providence Newberg HospitalNewberg | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Kaiser Sunnyside Medical CenterClackamas | – | – | – | – |
| Kaiser Foundation Hospital WestsideHillsboro | – | – | – | – |
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
| Willamette Valley Medical CtrMcMinnville, OR | $1,503 |
|---|---|
| Three Rivers Community HospitalGrants Pass, OR | $1,552 |
| Silverton Hospital NetworkSilverton, OR | $1,560 |
| Legacy Emanuel Medical CenterPortland, OR | $1,591 |
| OHSU Hospital and ClinicsPortland, OR | $1,604 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $2,090 |
|---|---|
| Rogue Valley Medical CenterMedford, OR | $1,952 |
| Providence Medford Medical CenterMedford, OR | $1,951 |
| Salem HospitalSalem, OR | $1,787 |
| Mid-Columbia Medical CenterThe Dalles, OR | $1,787 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Oregon?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 32 hospitals in Oregon was billed at $8,889 on average, while the average medicare-allowed amount was $1,720, of which Medicare paid $1,365. 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 5.2 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.