facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Oregon: 7 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Oregon

What 7 hospitals in Oregon charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $49,161 Hospital list price billed
Average payment $13,946 Medicare + patient + other payers
Medicare paid $11,740 Average per stay
State rank #39 of 48 1 = lowest average payment

Hospitals in Oregon billed an average of $49,161 for pulmonary embolism with major complications or acute cor pulmonale, about 3.5 times the average total payment of $13,946. That payment is 4% above the U.S. average of $13,466.

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 $13,946Billed $49,161

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

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Oregon:

Oregon hospitals: pulmonary embolism with major complications or acute cor pulmonale

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
St Charles Medical Center - BendBend 37 $39,551 $14,119 $12,692
Sacred Heart Medical Center - RiverbendSpringfield 29 $51,658 $12,669 $10,419
Rogue Valley Medical CenterMedford 21 $93,301 $14,607 $13,210
Salem HospitalSalem 19 $41,161 $13,237 $11,948
Providence St Vincent Medical CenterPortland 16 $24,144 $15,513 $10,011
Legacy Meridian Park Medical CenterTualatin 11 $43,392 $11,435 $10,380
Bay Area HospitalCoos Bay 11 $46,616 $16,918 $12,727
Advertisement

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

Highest

Bay Area HospitalCoos Bay, OR$16,918
Providence St Vincent Medical CenterPortland, OR$15,513
Rogue Valley Medical CenterMedford, OR$14,607
St Charles Medical Center - BendBend, OR$14,119
Salem HospitalSalem, OR$13,237

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Oregon?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 7 hospitals in Oregon was billed at $49,161 on average, while the average total payment was $13,946, of which Medicare paid $11,740. 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.