Level 3 Musculoskeletal Procedures in Oregon
What 30 hospitals in Oregon charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$18,071
Hospital list price billed
Average allowed
$3,424
Medicare's payment + patient's share
Medicare paid
$2,712
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $18,071 for level 3 musculoskeletal procedures, about 5.3 times the average medicare-allowed amount of $3,424. That payment is 14% above the U.S. average of $2,995.
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 $3,424Billed $18,071
About 19¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 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 |
|---|---|---|---|---|
| Salem HospitalSalem | 113 | $17,515 | $3,472 | $2,736 |
| OHSU Hospital and ClinicsPortland | 99 | $19,128 | $3,362 | $2,677 |
| Sky Lakes Medical CenterKlamath Falls | 87 | $12,131 | $4,093 | $3,238 |
| Mercy Medical CenterRoseburg | 58 | $17,188 | $3,392 | $2,662 |
| Good Samaritan Regional Medical CenterCorvallis | 51 | $12,773 | $3,203 | $2,515 |
| St Charles Medical Center - BendBend | 48 | $21,713 | $3,363 | $2,668 |
| Willamette Valley Medical CtrMcMinnville | 45 | $33,713 | $3,396 | $2,706 |
| Legacy Good Samaritan Medical CenterPortland | 41 | $16,240 | $3,313 | $2,640 |
| Santiam Memorial HospitalStayton | 40 | $21,358 | $3,177 | $2,513 |
| Legacy Mount Hood Medical CenterGresham | 32 | $13,687 | $2,909 | $2,283 |
| Providence Newberg HospitalNewberg | 30 | $12,349 | $3,306 | $2,615 |
| St Alphonsus Medical Center - Ontario, INCOntario | 27 | $13,695 | $3,420 | $2,724 |
| Sacred Heart Medical Center - RiverbendSpringfield | 26 | $21,872 | $3,265 | $2,565 |
| Bay Area HospitalCoos Bay | 24 | $21,105 | $3,536 | $2,817 |
| Providence Willamette Falls Medical CenterOregon City | 23 | $15,915 | $3,396 | $2,706 |
| Providence Medford Medical CenterMedford | 23 | $19,699 | $3,930 | $3,131 |
| Three Rivers Community HospitalGrants Pass | 22 | $13,527 | $3,078 | $2,429 |
| Silverton Hospital NetworkSilverton | 22 | $17,176 | $3,241 | $2,583 |
| Adventist Medical CenterPortland | 20 | $39,618 | $3,396 | $2,706 |
| Providence Portland Medical CenterPortland | 20 | $18,037 | $3,396 | $2,706 |
| Mid-Columbia Medical CenterThe Dalles | 19 | $9,031 | $3,297 | $2,562 |
| Rogue Valley Medical CenterMedford | 18 | $15,930 | $3,930 | $3,131 |
| Samaritan Albany General HospitalAlbany | 18 | $10,943 | $3,360 | $2,677 |
| McKenzie-Willamette Medical CenterSpringfield | 17 | $29,008 | $3,209 | $2,525 |
| Hillsboro Medical CenterHillsboro | 17 | $17,116 | $3,396 | $2,706 |
| Legacy Meridian Park Medical CenterTualatin | 17 | $20,422 | $3,396 | $2,703 |
| Ashland Community HospitalAshland | 13 | $14,169 | $3,193 | $2,544 |
| Providence Milwaukie HospitalMilwaukie | 13 | $17,518 | $3,397 | $2,695 |
| Legacy Emanuel Medical CenterPortland | 12 | $18,901 | $3,396 | $2,706 |
| Providence St Vincent Medical CenterPortland | 11 | $17,903 | $3,396 | $2,706 |
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
| Legacy Mount Hood Medical CenterGresham, OR | $2,909 |
|---|---|
| Three Rivers Community HospitalGrants Pass, OR | $3,078 |
| Santiam Memorial HospitalStayton, OR | $3,177 |
| Ashland Community HospitalAshland, OR | $3,193 |
| Good Samaritan Regional Medical CenterCorvallis, OR | $3,203 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $4,093 |
|---|---|
| Rogue Valley Medical CenterMedford, OR | $3,930 |
| Providence Medford Medical CenterMedford, OR | $3,930 |
| Bay Area HospitalCoos Bay, OR | $3,536 |
| Salem HospitalSalem, OR | $3,472 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Oregon?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 30 hospitals in Oregon was billed at $18,071 on average, while the average medicare-allowed amount was $3,424, of which Medicare paid $2,712. 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.