What 3 hospitals in Oregon charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328), from 2024 Medicare claims.
Hospitals in Oregon billed an average of $58,064 for stomach, esophageal and duodenal procedures without complications, about 3.1 times the average total payment of $18,972. That payment is 12% above the U.S. average of $16,978.
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.
About 33¢ 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:
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 |
|---|---|---|---|---|
| Providence Portland Medical CenterPortland | 36 | $57,488 | $17,857 | $10,881 |
| Legacy Good Samaritan Medical CenterPortland | 24 | $52,195 | $17,194 | $13,387 |
| OHSU Hospital and ClinicsPortland | 18 | $67,041 | $23,571 | $15,512 |
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.
| Legacy Good Samaritan Medical CenterPortland, OR | $17,194 |
|---|---|
| Providence Portland Medical CenterPortland, OR | $17,857 |
| OHSU Hospital and ClinicsPortland, OR | $23,571 |
| OHSU Hospital and ClinicsPortland, OR | $23,571 |
|---|---|
| Providence Portland Medical CenterPortland, OR | $17,857 |
| Legacy Good Samaritan Medical CenterPortland, OR | $17,194 |
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328) at 3 hospitals in Oregon was billed at $58,064 on average, while the average total payment was $18,972, of which Medicare paid $12,721. Your own cost depends on your insurance, deductible and the hospital.
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 3.1 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.