Simple pneumonia and pleurisy with complications in Oregon
What 8 hospitals in Oregon charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$27,584
Hospital list price billed
Average payment
$8,637
Medicare + patient + other payers
Medicare paid
$6,498
Average per stay
State rank
#40 of 47
1 = lowest average payment
Hospitals in Oregon billed an average of $27,584 for simple pneumonia and pleurisy with complications, about 3.2 times the average total payment of $8,637. That payment is 9% above the U.S. average of $7,941.
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 $8,637Billed $27,584
About 31¢ was paid for every $1 hospitals in Oregon billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oregon:
Oregon hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Salem HospitalSalem | 27 | $22,525 | $8,011 | $6,182 |
| Rogue Valley Medical CenterMedford | 25 | $28,655 | $8,398 | $7,010 |
| Providence St Vincent Medical CenterPortland | 24 | $19,348 | $9,205 | $5,766 |
| Three Rivers Community HospitalGrants Pass | 22 | $35,048 | $6,997 | $5,635 |
| Bay Area HospitalCoos Bay | 15 | $32,363 | $9,084 | $7,811 |
| Sacred Heart Medical Center - RiverbendSpringfield | 13 | $31,781 | $9,059 | $5,172 |
| OHSU Hospital and ClinicsPortland | 11 | $30,795 | $11,045 | $8,651 |
| Good Samaritan Regional Medical CenterCorvallis | 11 | $25,926 | $9,237 | $7,051 |
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
| Three Rivers Community HospitalGrants Pass, OR | $6,997 |
|---|---|
| Salem HospitalSalem, OR | $8,011 |
| Rogue Valley Medical CenterMedford, OR | $8,398 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $9,059 |
| Bay Area HospitalCoos Bay, OR | $9,084 |
Highest
| OHSU Hospital and ClinicsPortland, OR | $11,045 |
|---|---|
| Good Samaritan Regional Medical CenterCorvallis, OR | $9,237 |
| Providence St Vincent Medical CenterPortland, OR | $9,205 |
| Bay Area HospitalCoos Bay, OR | $9,084 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $9,059 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Oregon?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 8 hospitals in Oregon was billed at $27,584 on average, while the average total payment was $8,637, of which Medicare paid $6,498. 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 3.2 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.