Level 5 Musculoskeletal Procedures in Oregon
What 32 hospitals in Oregon charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$52,285
Hospital list price billed
Average allowed
$13,939
Medicare's payment + patient's share
Medicare paid
$12,306
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $52,285 for level 5 musculoskeletal procedures, about 3.8 times the average medicare-allowed amount of $13,939. That payment is 12% above the U.S. average of $12,402.
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 $13,939Billed $52,285
About 27¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 5 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 |
|---|---|---|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield | 425 | $65,363 | $13,497 | $11,864 |
| Salem HospitalSalem | 309 | $52,953 | $14,165 | $12,532 |
| St Charles Medical Center - BendBend | 290 | $70,605 | $13,672 | $12,038 |
| Providence Medford Medical CenterMedford | 225 | $45,351 | $15,897 | $14,268 |
| McKenzie-Willamette Medical CenterSpringfield | 203 | $79,288 | $13,193 | $11,558 |
| OHSU Hospital and ClinicsPortland | 196 | $44,769 | $13,662 | $12,029 |
| Providence St Vincent Medical CenterPortland | 194 | $41,528 | $13,786 | $12,154 |
| Legacy Meridian Park Medical CenterTualatin | 176 | $36,588 | $13,513 | $11,875 |
| Mercy Medical CenterRoseburg | 156 | $57,460 | $13,864 | $12,232 |
| Samaritan Albany General HospitalAlbany | 150 | $37,380 | $13,481 | $11,849 |
| Sky Lakes Medical CenterKlamath Falls | 140 | $57,341 | $17,077 | $15,445 |
| Good Samaritan Regional Medical CenterCorvallis | 127 | $37,322 | $13,452 | $11,820 |
| Legacy Good Samaritan Medical CenterPortland | 125 | $37,826 | $13,494 | $11,862 |
| Three Rivers Community HospitalGrants Pass | 117 | $47,693 | $12,778 | $11,146 |
| Rogue Valley Medical CenterMedford | 104 | $46,145 | $15,947 | $14,315 |
| Providence Portland Medical CenterPortland | 94 | $39,520 | $13,657 | $12,025 |
| Santiam Memorial HospitalStayton | 84 | $56,246 | $13,159 | $11,526 |
| Providence Willamette Falls Medical CenterOregon City | 75 | $40,025 | $13,624 | $11,988 |
| Adventist Medical CenterPortland | 66 | $67,999 | $13,393 | $11,761 |
| Hillsboro Medical CenterHillsboro | 65 | $43,417 | $13,420 | $11,788 |
| Legacy Mount Hood Medical CenterGresham | 51 | $32,586 | $13,786 | $12,154 |
| Bay Area HospitalCoos Bay | 42 | $47,833 | $14,353 | $12,721 |
| Providence Newberg HospitalNewberg | 38 | $38,255 | $13,786 | $12,154 |
| Willamette Valley Medical CtrMcMinnville | 31 | $82,868 | $13,786 | $12,154 |
| Providence Milwaukie HospitalMilwaukie | 30 | $37,146 | $13,786 | $12,154 |
| Silverton Hospital NetworkSilverton | 27 | $42,170 | $11,878 | $10,246 |
| Mid-Columbia Medical CenterThe Dalles | 26 | $41,355 | $14,607 | $12,975 |
| Ashland Community HospitalAshland | 18 | $61,007 | $12,965 | $11,333 |
| Legacy Emanuel Medical CenterPortland | 15 | $44,670 | $13,786 | $12,154 |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| 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
| Silverton Hospital NetworkSilverton, OR | $11,878 |
|---|---|
| Three Rivers Community HospitalGrants Pass, OR | $12,778 |
| Ashland Community HospitalAshland, OR | $12,965 |
| Santiam Memorial HospitalStayton, OR | $13,159 |
| McKenzie-Willamette Medical CenterSpringfield, OR | $13,193 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $17,077 |
|---|---|
| Rogue Valley Medical CenterMedford, OR | $15,947 |
| Providence Medford Medical CenterMedford, OR | $15,897 |
| Mid-Columbia Medical CenterThe Dalles, OR | $14,607 |
| Bay Area HospitalCoos Bay, OR | $14,353 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Oregon?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 32 hospitals in Oregon was billed at $52,285 on average, while the average medicare-allowed amount was $13,939, of which Medicare paid $12,306. 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 3.8 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.