facebook tracking Level 5 Gynecologic Procedures cost in Oregon: 24 hospitals compared (APC 5415)

Level 5 Gynecologic Procedures in Oregon

What 24 hospitals in Oregon charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.

APC 5415 Outpatient 2024 Medicare data
Average charge $26,370 Hospital list price billed
Average allowed $5,364 Medicare's payment + patient's share
Medicare paid $4,258 Average per service
State rank #44 of 48 1 = lowest average payment

Hospitals in Oregon billed an average of $26,370 for level 5 gynecologic procedures, about 4.9 times the average medicare-allowed amount of $5,364. That payment is 12% above the U.S. average of $4,779.

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 $5,364Billed $26,370

About 20¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 5 gynecologic 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
Providence Medford Medical CenterMedford 48 $22,090 $5,939 $4,704
OHSU Hospital and ClinicsPortland 46 $27,158 $5,219 $4,158
St Charles Medical Center - BendBend 33 $21,506 $5,129 $4,061
Legacy Meridian Park Medical CenterTualatin 23 $23,763 $5,219 $4,158
Providence Portland Medical CenterPortland 17 $30,693 $5,219 $4,158
Sacred Heart Medical Center - RiverbendSpringfield 12 $31,385 $5,174 $4,107
Mercy Medical CenterRoseburg 11 $20,327 $5,434 $4,330
Adventist Medical CenterPortland 11 $55,685 $4,841 $3,780
Mid-Columbia Medical CenterThe Dalles – – – –
Three Rivers Community HospitalGrants Pass – – – –
Providence St Vincent Medical CenterPortland – – – –
Ashland Community HospitalAshland – – – –
Good Samaritan Regional Medical CenterCorvallis – – – –
Legacy Good Samaritan Medical CenterPortland – – – –
Rogue Valley Medical CenterMedford – – – –
McKenzie-Willamette Medical CenterSpringfield – – – –
Hillsboro Medical CenterHillsboro – – – –
Legacy Mount Hood Medical CenterGresham – – – –
Silverton Hospital NetworkSilverton – – – –
Providence Willamette Falls Medical CenterOregon City – – – –
Sky Lakes Medical CenterKlamath Falls – – – –
Salem HospitalSalem – – – –
Santiam Memorial HospitalStayton – – – –
Bay Area HospitalCoos Bay – – – –
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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.

Level 5 Gynecologic Procedures in other states

Questions

How much does level 5 gynecologic procedures cost in Oregon?

In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 24 hospitals in Oregon was billed at $26,370 on average, while the average medicare-allowed amount was $5,364, of which Medicare paid $4,258. 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 4.9 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.