Simple pneumonia and pleurisy with major complications in Oregon
What 24 hospitals in Oregon charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$38,184
Hospital list price billed
Average payment
$13,291
Medicare + patient + other payers
Medicare paid
$11,218
Average per stay
State rank
#43 of 50
1 = lowest average payment
Hospitals in Oregon billed an average of $38,184 for simple pneumonia and pleurisy with major complications, about 2.9 times the average total payment of $13,291. That payment is 11% above the U.S. average of $12,020.
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 $13,291Billed $38,184
About 35¢ 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 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 |
|---|---|---|---|---|
| St Charles Medical Center - BendBend | 100 | $34,292 | $13,553 | $11,756 |
| Salem HospitalSalem | 92 | $31,839 | $12,849 | $10,818 |
| Bay Area HospitalCoos Bay | 79 | $40,922 | $14,590 | $13,270 |
| Sky Lakes Medical CenterKlamath Falls | 76 | $33,970 | $15,220 | $13,140 |
| Sacred Heart Medical Center - RiverbendSpringfield | 55 | $46,443 | $11,285 | $9,994 |
| Three Rivers Community HospitalGrants Pass | 48 | $54,019 | $12,751 | $10,240 |
| Providence St Vincent Medical CenterPortland | 48 | $25,968 | $12,955 | $10,081 |
| Rogue Valley Medical CenterMedford | 44 | $46,529 | $14,978 | $11,251 |
| Legacy Meridian Park Medical CenterTualatin | 33 | $41,226 | $11,405 | $8,960 |
| Mercy Medical CenterRoseburg | 31 | $36,382 | $12,815 | $11,273 |
| OHSU Hospital and ClinicsPortland | 28 | $51,069 | $16,969 | $13,516 |
| Hillsboro Medical CenterHillsboro | 28 | $49,221 | $13,968 | $11,590 |
| Providence Medford Medical CenterMedford | 28 | $50,698 | $13,532 | $12,010 |
| Providence Portland Medical CenterPortland | 27 | $30,590 | $12,723 | $9,864 |
| Adventist Medical CenterPortland | 26 | $49,057 | $11,358 | $10,224 |
| Legacy Mount Hood Medical CenterGresham | 23 | $34,960 | $12,228 | $10,347 |
| Providence Willamette Falls Medical CenterOregon City | 22 | $30,016 | $12,417 | $9,799 |
| Willamette Valley Medical CtrMcMinnville | 22 | $37,703 | $10,773 | $9,363 |
| Legacy Good Samaritan Medical CenterPortland | 20 | $30,437 | $14,071 | $11,074 |
| Mid-Columbia Medical CenterThe Dalles | 18 | $22,070 | $14,086 | $12,726 |
| Legacy Emanuel Medical CenterPortland | 17 | $40,016 | $13,921 | $12,542 |
| McKenzie-Willamette Medical CenterSpringfield | 14 | $36,813 | $10,814 | $9,182 |
| Providence Newberg HospitalNewberg | 13 | $18,689 | $10,955 | $9,951 |
| Kaiser Sunnyside Medical CenterClackamas | 11 | $28,239 | $11,552 | $8,556 |
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
| Willamette Valley Medical CtrMcMinnville, OR | $10,773 |
|---|---|
| McKenzie-Willamette Medical CenterSpringfield, OR | $10,814 |
| Providence Newberg HospitalNewberg, OR | $10,955 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $11,285 |
| Adventist Medical CenterPortland, OR | $11,358 |
Highest
| OHSU Hospital and ClinicsPortland, OR | $16,969 |
|---|---|
| Sky Lakes Medical CenterKlamath Falls, OR | $15,220 |
| Rogue Valley Medical CenterMedford, OR | $14,978 |
| Bay Area HospitalCoos Bay, OR | $14,590 |
| Mid-Columbia Medical CenterThe Dalles, OR | $14,086 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Oregon?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 24 hospitals in Oregon was billed at $38,184 on average, while the average total payment was $13,291, of which Medicare paid $11,218. 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 2.9 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.