Pulmonary edema and respiratory failure in Oregon
What 22 hospitals in Oregon charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$43,239
Hospital list price billed
Average payment
$12,399
Medicare + patient + other payers
Medicare paid
$10,623
Average per stay
State rank
#39 of 50
1 = lowest average payment
Hospitals in Oregon billed an average of $43,239 for pulmonary edema and respiratory failure, about 3.5 times the average total payment of $12,399. That payment is 2% above the U.S. average of $12,197.
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 $12,399Billed $43,239
About 29¢ was paid for every $1 hospitals in Oregon billed for this stay.
Oregon hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield | 87 | $44,211 | $11,171 | $9,274 |
| Salem HospitalSalem | 76 | $40,891 | $12,020 | $10,554 |
| St Charles Medical Center - BendBend | 62 | $38,532 | $12,843 | $11,636 |
| Mercy Medical CenterRoseburg | 56 | $38,297 | $12,332 | $10,210 |
| Providence St Vincent Medical CenterPortland | 50 | $34,002 | $11,982 | $9,276 |
| Three Rivers Community HospitalGrants Pass | 49 | $55,241 | $10,738 | $9,309 |
| Rogue Valley Medical CenterMedford | 47 | $60,545 | $12,794 | $11,486 |
| Bay Area HospitalCoos Bay | 43 | $48,251 | $13,854 | $12,770 |
| Providence Portland Medical CenterPortland | 37 | $39,705 | $12,135 | $10,307 |
| Adventist Medical CenterPortland | 33 | $50,529 | $10,655 | $9,514 |
| Legacy Emanuel Medical CenterPortland | 31 | $58,714 | $17,460 | $15,812 |
| Mid-Columbia Medical CenterThe Dalles | 29 | $25,950 | $13,016 | $11,890 |
| Providence Medford Medical CenterMedford | 28 | $63,437 | $13,298 | $11,162 |
| Legacy Meridian Park Medical CenterTualatin | 25 | $33,715 | $10,908 | $8,572 |
| Legacy Good Samaritan Medical CenterPortland | 20 | $41,783 | $14,603 | $10,932 |
| OHSU Hospital and ClinicsPortland | 18 | $41,644 | $16,131 | $12,482 |
| Good Samaritan Regional Medical CenterCorvallis | 18 | $39,283 | $12,838 | $10,513 |
| McKenzie-Willamette Medical CenterSpringfield | 17 | $39,695 | $10,778 | $8,720 |
| Providence Newberg HospitalNewberg | 17 | $28,179 | $10,816 | $9,952 |
| Legacy Mount Hood Medical CenterGresham | 16 | $37,276 | $11,900 | $10,281 |
| Providence Milwaukie HospitalMilwaukie | 12 | $26,555 | $13,322 | $11,403 |
| Kaiser Sunnyside Medical CenterClackamas | 11 | $28,038 | $9,670 | $7,941 |
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
| Kaiser Sunnyside Medical CenterClackamas, OR | $9,670 |
|---|---|
| Adventist Medical CenterPortland, OR | $10,655 |
| Three Rivers Community HospitalGrants Pass, OR | $10,738 |
| McKenzie-Willamette Medical CenterSpringfield, OR | $10,778 |
| Providence Newberg HospitalNewberg, OR | $10,816 |
Highest
| Legacy Emanuel Medical CenterPortland, OR | $17,460 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $16,131 |
| Legacy Good Samaritan Medical CenterPortland, OR | $14,603 |
| Bay Area HospitalCoos Bay, OR | $13,854 |
| Providence Milwaukie HospitalMilwaukie, OR | $13,322 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Oregon?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 22 hospitals in Oregon was billed at $43,239 on average, while the average total payment was $12,399, of which Medicare paid $10,623. 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 3.5 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.