facebook tracking Nervous system neoplasms with major complications cost in Oregon: 2 hospitals compared (DRG 054)

Nervous system neoplasms with major complications in Oregon

What 2 hospitals in Oregon charged and were paid for a Medicare hospital stay for nervous system neoplasms with major complications (DRG 054), from 2024 Medicare claims.

DRG 054 Inpatient 2024 Medicare data
Average charge $50,567 Hospital list price billed
Average payment $15,432 Medicare + patient + other payers
Medicare paid $11,920 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Oregon billed an average of $50,567 for nervous system neoplasms with major complications, about 3.3 times the average total payment of $15,432. That payment is 8% below the U.S. average of $16,778.

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 $15,432Billed $50,567

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: nervous system neoplasms 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 St Vincent Medical CenterPortland 12 $42,464 $14,493 $12,014
Rogue Valley Medical CenterMedford 12 $58,670 $16,370 $11,825
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Nervous system neoplasms with major complications in other states

Questions

How much does nervous system neoplasms with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for nervous system neoplasms with major complications (DRG 054) at 2 hospitals in Oregon was billed at $50,567 on average, while the average total payment was $15,432, of which Medicare paid $11,920. 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 3.3 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.