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Reticuloendothelial and immunity disorders with major complications in Oregon

What 1 hospital in Oregon charged and were paid for a Medicare hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814), from 2024 Medicare claims.

DRG 814 Inpatient 2024 Medicare data
Average charge $106,297 Hospital list price billed
Average payment $31,166 Medicare + patient + other payers
Medicare paid $25,795 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Oregon billed an average of $106,297 for reticuloendothelial and immunity disorders with major complications, about 3.4 times the average total payment of $31,166. That payment is 35% below the U.S. average of $48,037.

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 $31,166Billed $106,297

About 29¢ 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: reticuloendothelial and immunity disorders 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
OHSU Hospital and ClinicsPortland 11 $106,297 $31,166 $25,795
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Reticuloendothelial and immunity disorders with major complications in other states

Questions

How much does reticuloendothelial and immunity disorders with major complications cost in Oregon?

In 2024 Medicare data, a hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814) at 1 hospital in Oregon was billed at $106,297 on average, while the average total payment was $31,166, of which Medicare paid $25,795. 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 3.4 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.