facebook tracking Other factors influencing health status cost in Oregon: 2 hospitals compared (DRG 951)

Other factors influencing health status in Oregon

What 2 hospitals in Oregon charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.

DRG 951 Inpatient 2024 Medicare data
Average charge $17,560 Hospital list price billed
Average payment $6,490 Medicare + patient + other payers
Medicare paid $4,862 Average per stay
Volume 50 Medicare hospital stays

Hospitals in Oregon billed an average of $17,560 for other factors influencing health status, about 2.7 times the average total payment of $6,490. That payment is 6% above the U.S. average of $6,140.

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 $6,490Billed $17,560

About 37¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: other factors influencing health status

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 25 $16,897 $6,413 $4,561
Bay Area HospitalCoos Bay 25 $18,223 $6,566 $5,163
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Other factors influencing health status in other states

Questions

How much does other factors influencing health status cost in Oregon?

In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 2 hospitals in Oregon was billed at $17,560 on average, while the average total payment was $6,490, of which Medicare paid $4,862. 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 2.7 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.