Level 6 Musculoskeletal Procedures in Oregon
What 30 hospitals in Oregon charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$72,275
Hospital list price billed
Average allowed
$19,883
Medicare's payment + patient's share
Medicare paid
$18,249
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $72,275 for level 6 musculoskeletal procedures, about 3.6 times the average medicare-allowed amount of $19,883. That payment is 14% above the U.S. average of $17,392.
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 $19,883Billed $72,275
About 28¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 6 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 | 95 | $72,266 | $19,268 | $17,633 |
| Rogue Valley Medical CenterMedford | 86 | $83,029 | $22,324 | $20,688 |
| Salem HospitalSalem | 83 | $97,725 | $19,294 | $17,662 |
| Sacred Heart Medical Center - RiverbendSpringfield | 65 | $88,562 | $19,066 | $17,430 |
| Providence Medford Medical CenterMedford | 63 | $58,401 | $22,235 | $20,603 |
| Good Samaritan Regional Medical CenterCorvallis | 62 | $54,595 | $19,302 | $17,670 |
| Legacy Meridian Park Medical CenterTualatin | 60 | $49,859 | $18,911 | $17,279 |
| Providence St Vincent Medical CenterPortland | 58 | $55,594 | $19,507 | $17,875 |
| McKenzie-Willamette Medical CenterSpringfield | 56 | $101,541 | $19,338 | $17,702 |
| Legacy Good Samaritan Medical CenterPortland | 49 | $52,400 | $19,507 | $17,875 |
| Three Rivers Community HospitalGrants Pass | 48 | $74,183 | $17,996 | $16,364 |
| OHSU Hospital and ClinicsPortland | 43 | $78,264 | $19,507 | $17,875 |
| Sky Lakes Medical CenterKlamath Falls | 35 | $63,590 | $24,168 | $22,533 |
| Providence Portland Medical CenterPortland | 24 | $63,187 | $19,507 | $17,874 |
| Providence Willamette Falls Medical CenterOregon City | 20 | $60,318 | $19,508 | $17,862 |
| Adventist Medical CenterPortland | 19 | $78,352 | $19,507 | $17,870 |
| Bay Area HospitalCoos Bay | 19 | $66,193 | $20,311 | $18,679 |
| Samaritan Albany General HospitalAlbany | 15 | $67,802 | $18,124 | $16,492 |
| Mercy Medical CenterRoseburg | 15 | $77,585 | $19,066 | $17,434 |
| Ashland Community HospitalAshland | 14 | $66,747 | $18,344 | $16,712 |
| Mid-Columbia Medical CenterThe Dalles | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Hillsboro Medical CenterHillsboro | – | – | – | – |
| Legacy Mount Hood Medical CenterGresham | – | – | – | – |
| Silverton Hospital NetworkSilverton | – | – | – | – |
| Providence Newberg HospitalNewberg | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Providence Milwaukie HospitalMilwaukie | – | – | – | – |
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 | $17,996 |
|---|---|
| Samaritan Albany General HospitalAlbany, OR | $18,124 |
| Ashland Community HospitalAshland, OR | $18,344 |
| Legacy Meridian Park Medical CenterTualatin, OR | $18,911 |
| Mercy Medical CenterRoseburg, OR | $19,066 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $24,168 |
|---|---|
| Rogue Valley Medical CenterMedford, OR | $22,324 |
| Providence Medford Medical CenterMedford, OR | $22,235 |
| Bay Area HospitalCoos Bay, OR | $20,311 |
| Providence Willamette Falls Medical CenterOregon City, OR | $19,508 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Oregon?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 30 hospitals in Oregon was billed at $72,275 on average, while the average medicare-allowed amount was $19,883, of which Medicare paid $18,249. 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 3.6 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.