facebook tracking Other disorders of nervous system with major complications cost in Oregon: 7 hospitals compared (DRG 091)

Other disorders of nervous system with major complications in Oregon

What 7 hospitals in Oregon charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.

DRG 091 Inpatient 2024 Medicare data
Average charge $60,641 Hospital list price billed
Average payment $18,303 Medicare + patient + other payers
Medicare paid $16,605 Average per stay
State rank #28 of 39 1 = lowest average payment

Hospitals in Oregon billed an average of $60,641 for other disorders of nervous system with major complications, about 3.3 times the average total payment of $18,303. That payment is 1% below the U.S. average of $18,533.

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 $18,303Billed $60,641

About 30¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: other disorders of nervous system 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
Salem HospitalSalem 18 $48,959 $16,980 $15,801
Sacred Heart Medical Center - RiverbendSpringfield 18 $72,137 $15,624 $14,593
St Charles Medical Center - BendBend 16 $48,075 $18,066 $17,334
Mercy Medical CenterRoseburg 13 $61,645 $17,532 $15,723
Providence Portland Medical CenterPortland 13 $32,925 $18,528 $14,476
Rogue Valley Medical CenterMedford 12 $91,906 $20,422 $19,204
Legacy Emanuel Medical CenterPortland 11 $76,685 $23,533 $20,880
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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

Sacred Heart Medical Center - RiverbendSpringfield, OR$15,624
Salem HospitalSalem, OR$16,980
Mercy Medical CenterRoseburg, OR$17,532
St Charles Medical Center - BendBend, OR$18,066
Providence Portland Medical CenterPortland, OR$18,528

Highest

Other disorders of nervous system with major complications in other states

Questions

How much does other disorders of nervous system with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 7 hospitals in Oregon was billed at $60,641 on average, while the average total payment was $18,303, of which Medicare paid $16,605. 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.