Level 3 Lower GI Procedures in Oregon
What 26 hospitals in Oregon charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$13,361
Hospital list price billed
Average allowed
$2,857
Medicare's payment + patient's share
Medicare paid
$2,278
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $13,361 for level 3 lower gi procedures, about 4.7 times the average medicare-allowed amount of $2,857. That payment is 6% above the U.S. average of $2,703.
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 $2,857Billed $13,361
About 21¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 lower gi procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| Three Rivers Community HospitalGrants Pass, OR | $2,685 |
|---|---|
| Legacy Meridian Park Medical CenterTualatin, OR | $2,789 |
| Legacy Good Samaritan Medical CenterPortland, OR | $2,829 |
| OHSU Hospital and ClinicsPortland, OR | $2,882 |
| Mercy Medical CenterRoseburg, OR | $2,882 |
Highest
| St Charles Medical Center - BendBend, OR | $2,967 |
|---|---|
| Providence Portland Medical CenterPortland, OR | $2,946 |
| Mercy Medical CenterRoseburg, OR | $2,882 |
| OHSU Hospital and ClinicsPortland, OR | $2,882 |
| Legacy Good Samaritan Medical CenterPortland, OR | $2,829 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Oregon?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 26 hospitals in Oregon was billed at $13,361 on average, while the average medicare-allowed amount was $2,857, of which Medicare paid $2,278. 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 4.7 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.