facebook tracking Pancreas, liver and shunt procedures with complications cost in Oregon: 1 hospitals compared (DRG 406)

Pancreas, liver and shunt procedures with complications in Oregon

What 1 hospital in Oregon charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with complications (DRG 406), from 2024 Medicare claims.

DRG 406 Inpatient 2024 Medicare data
Average charge $158,224 Hospital list price billed
Average payment $35,338 Medicare + patient + other payers
Medicare paid $29,908 Average per stay
Volume 21 Medicare hospital stays

Hospitals in Oregon billed an average of $158,224 for pancreas, liver and shunt procedures with complications, about 4.5 times the average total payment of $35,338. That payment is 6% above the U.S. average of $33,362.

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 $35,338Billed $158,224

About 22¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: pancreas, liver and shunt procedures 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 21 $158,224 $35,338 $29,908
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Pancreas, liver and shunt procedures with complications in other states

Questions

How much does pancreas, liver and shunt procedures with complications cost in Oregon?

In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with complications (DRG 406) at 1 hospital in Oregon was billed at $158,224 on average, while the average total payment was $35,338, of which Medicare paid $29,908. 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 4.5 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.