facebook tracking Other circulatory system diagnoses with complications cost in Oregon: 4 hospitals compared (DRG 315)

Other circulatory system diagnoses with complications in Oregon

What 4 hospitals in Oregon charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.

DRG 315 Inpatient 2024 Medicare data
Average charge $37,175 Hospital list price billed
Average payment $10,400 Medicare + patient + other payers
Medicare paid $8,521 Average per stay
State rank #28 of 37 1 = lowest average payment

Hospitals in Oregon billed an average of $37,175 for other circulatory system diagnoses with complications, about 3.6 times the average total payment of $10,400. That payment is about the same as the U.S. average of $10,367.

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 $10,400Billed $37,175

About 28¢ was paid for every $1 hospitals in Oregon billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oregon:

Major complications $21,323 DRG 314 · U.S. average Complications $10,400 DRG 315 · this page No complications $7,470 DRG 316 · U.S. average

Oregon hospitals: other circulatory system diagnoses with 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
OHSU Hospital and ClinicsPortland 14 $49,685 $13,645 $10,344
Providence St Vincent Medical CenterPortland 12 $26,232 $9,139 $7,495
St Charles Medical Center - BendBend 12 $32,844 $9,737 $8,369
Sacred Heart Medical Center - RiverbendSpringfield 12 $37,854 $8,536 $7,571
Other circulatory system diagnoses with complications: all states All Oregon hospitals Oregon hospital finances
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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.

Other circulatory system diagnoses with complications in other states

Michigan · $10,124 Minnesota · $10,339 Nebraska · $10,165 Pennsylvania · $10,079 South Dakota · $10,326 Virginia · $10,741 Washington · $10,203 Wisconsin · $10,131

Questions

How much does other circulatory system diagnoses with complications cost in Oregon?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 4 hospitals in Oregon was billed at $37,175 on average, while the average total payment was $10,400, of which Medicare paid $8,521. 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 3.6 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.