Level 4 Musculoskeletal Procedures in Oregon
What 31 hospitals in Oregon charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$33,561
Hospital list price billed
Average allowed
$7,605
Medicare's payment + patient's share
Medicare paid
$6,058
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $33,561 for level 4 musculoskeletal procedures, about 4.4 times the average medicare-allowed amount of $7,605. That payment is 13% above the U.S. average of $6,708.
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 $7,605Billed $33,561
About 23¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 4 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 |
|---|---|---|---|---|
| St Charles Medical Center - BendBend | 226 | $31,291 | $7,479 | $5,942 |
| Good Samaritan Regional Medical CenterCorvallis | 139 | $24,745 | $7,343 | $5,832 |
| Salem HospitalSalem | 134 | $37,132 | $7,671 | $6,053 |
| OHSU Hospital and ClinicsPortland | 109 | $39,258 | $7,436 | $5,910 |
| Sacred Heart Medical Center - RiverbendSpringfield | 107 | $34,542 | $7,386 | $5,873 |
| Providence St Vincent Medical CenterPortland | 97 | $32,719 | $7,506 | $5,981 |
| Providence Medford Medical CenterMedford | 81 | $32,279 | $8,683 | $7,051 |
| Rogue Valley Medical CenterMedford | 77 | $36,136 | $8,592 | $6,957 |
| Sky Lakes Medical CenterKlamath Falls | 72 | $25,296 | $9,298 | $7,659 |
| Mercy Medical CenterRoseburg | 63 | $31,022 | $7,421 | $5,830 |
| Bay Area HospitalCoos Bay | 58 | $36,449 | $7,712 | $6,113 |
| Legacy Meridian Park Medical CenterTualatin | 55 | $29,135 | $7,289 | $5,763 |
| Legacy Good Samaritan Medical CenterPortland | 53 | $29,470 | $7,139 | $5,642 |
| Providence Portland Medical CenterPortland | 52 | $32,829 | $7,392 | $5,863 |
| Hillsboro Medical CenterHillsboro | 42 | $39,933 | $7,506 | $5,981 |
| Legacy Emanuel Medical CenterPortland | 39 | $39,659 | $7,353 | $5,827 |
| Providence Willamette Falls Medical CenterOregon City | 39 | $28,374 | $7,507 | $5,975 |
| McKenzie-Willamette Medical CenterSpringfield | 35 | $49,395 | $7,272 | $5,754 |
| Adventist Medical CenterPortland | 35 | $51,032 | $7,404 | $5,879 |
| Three Rivers Community HospitalGrants Pass | 31 | $31,161 | $6,877 | $5,441 |
| Willamette Valley Medical CtrMcMinnville | 29 | $59,954 | $7,506 | $5,981 |
| Mid-Columbia Medical CenterThe Dalles | 26 | $27,285 | $7,955 | $6,331 |
| Santiam Memorial HospitalStayton | 23 | $29,655 | $6,916 | $5,460 |
| Legacy Mount Hood Medical CenterGresham | 21 | $30,416 | $7,506 | $5,981 |
| Providence Newberg HospitalNewberg | 21 | $23,559 | $7,506 | $5,981 |
| Silverton Hospital NetworkSilverton | 20 | $32,347 | $6,879 | $5,423 |
| St Alphonsus Medical Center - Ontario, INCOntario | 18 | $32,111 | $6,720 | $5,348 |
| Samaritan Albany General HospitalAlbany | 15 | $35,339 | $6,638 | $5,129 |
| Providence Milwaukie HospitalMilwaukie | 12 | $33,495 | $7,507 | $5,970 |
| Ashland Community HospitalAshland | – | – | – | – |
| 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
| Samaritan Albany General HospitalAlbany, OR | $6,638 |
|---|---|
| St Alphonsus Medical Center - Ontario, INCOntario, OR | $6,720 |
| Three Rivers Community HospitalGrants Pass, OR | $6,877 |
| Silverton Hospital NetworkSilverton, OR | $6,879 |
| Santiam Memorial HospitalStayton, OR | $6,916 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $9,298 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $8,683 |
| Rogue Valley Medical CenterMedford, OR | $8,592 |
| Mid-Columbia Medical CenterThe Dalles, OR | $7,955 |
| Bay Area HospitalCoos Bay, OR | $7,712 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Oregon?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 31 hospitals in Oregon was billed at $33,561 on average, while the average medicare-allowed amount was $7,605, of which Medicare paid $6,058. 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 4.4 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.