facebook tracking Malignancy of hepatobiliary system or pancreas with major complications cost in Oregon: 7 hospitals compared (DRG 435)

Malignancy of hepatobiliary system or pancreas with major complications in Oregon

What 7 hospitals in Oregon charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.

DRG 435 Inpatient 2024 Medicare data
Average charge $57,148 Hospital list price billed
Average payment $17,729 Medicare + patient + other payers
Medicare paid $15,177 Average per stay
State rank #19 of 32 1 = lowest average payment

Hospitals in Oregon billed an average of $57,148 for malignancy of hepatobiliary system or pancreas with major complications, about 3.2 times the average total payment of $17,729. That payment is 9% below the U.S. average of $19,425.

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 $17,729Billed $57,148

About 31¢ was paid for every $1 hospitals in Oregon billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Oregon:

Oregon hospitals: malignancy of hepatobiliary system or pancreas with major complications

Every Oregon hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Providence Portland Medical CenterPortland 22 $64,705 $19,590 $13,861
Sacred Heart Medical Center - RiverbendSpringfield 14 $61,188 $15,133 $13,939
Legacy Good Samaritan Medical CenterPortland 13 $30,948 $18,608 $16,030
St Charles Medical Center - BendBend 13 $60,747 $18,127 $17,104
Providence St Vincent Medical CenterPortland 12 $39,410 $16,571 $14,274
Rogue Valley Medical CenterMedford 12 $78,297 $18,091 $17,055
Salem HospitalSalem 11 $59,885 $16,668 $15,036
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Lowest and highest payments in Oregon

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Malignancy of hepatobiliary system or pancreas with major complications in other states

Questions

How much does malignancy of hepatobiliary system or pancreas with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 7 hospitals in Oregon was billed at $57,148 on average, while the average total payment was $17,729, of which Medicare paid $15,177. 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 stay in Oregon, average charges were 3.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.