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The Price of Medicare Procedures in Oregon



This table shows the 100 most frequently charged procedures/diagnosis in Oregon to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Oregon 171 $15776 $5827 $9949
Acute Myocardial Infarction Discharged Alive With Complications
 Oregon 291 $19476 $8292 $11184
Acute Myocardial Infarction Discharged Alive With Major Complications
 Oregon 400 $32289 $12814 $19475
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Oregon 163 $15662 $5174 $10488
Atherosclerosis No Major Complications
 Oregon 93 $10920 $4335 $6585
Back And Neck Proc Exc Spinal Fusion No Complications
 Oregon 861 $19694 $7256 $12438
Bronchitis And Asthma With Complications
 Oregon 56 $18659 $6360 $12299
Cardiac Arrhythmia And Conduction Disorders No Complications
 Oregon 558 $10702 $4145 $6557
Cardiac Arrhythmia And Conduction Disorders With Complications
 Oregon 598 $15307 $5925 $9382
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Oregon 369 $23996 $9194 $14802
Cellulitis No Major Complications
 Oregon 680 $15646 $6162 $9484
Cellulitis With Major Complications
 Oregon 65 $29197 $11692 $17505
Cervical Spinal Fusion No Complications
 Oregon 328 $40379 $15164 $25215
Chest Pain
 Oregon 478 $11275 $4196 $7079
Chronic Obstructive Pulmonary Disease No Complications
 Oregon 402 $14028 $5407 $8621
Chronic Obstructive Pulmonary Disease With Complications
 Oregon 599 $18029 $6935 $11094
Chronic Obstructive Pulmonary Disease With Major Complications
 Oregon 544 $23033 $8365 $14668
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Oregon 683 $24060 $8022 $16038
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Oregon 82 $41103 $14096 $27007
Cranial And Peripheral Nerve Disorders No Major Complications
 Oregon 26 $20715 $5967 $14748
Degenerative Nervous System Disorders No Major Complications
 Oregon 56 $21791 $8113 $13678
Diabetes With Complications
 Oregon 150 $14561 $6158 $8403
Disorders Of Pancreas Except Malignancy With Complications
 Oregon 44 $26751 $8284 $18467
Dysequilibrium
 Oregon 12 $8654 $4288 $4366
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Oregon 1129 $14858 $5377 $9481
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Oregon 167 $21716 $8915 $12801
Extracranial Procedures No Complications
 Oregon 354 $22564 $7090 $15474
Fractures Of Hip And Pelvis No Major Complications
 Oregon 126 $13380 $4856 $8524
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Oregon 14 $15595 $5215 $10380
Gi Hemorrhage No Complications
 Oregon 74 $12406 $5186 $7220
Gi Hemorrhage With Complications
 Oregon 892 $19645 $7289 $12356
Gi Hemorrhage With Major Complications
 Oregon 261 $34049 $12809 $21240
Gi Obstruction No Complications
 Oregon 296 $12027 $4823 $7204
Gi Obstruction With Complications
 Oregon 281 $17622 $6784 $10838
Heart Failure And Shock No Complications
 Oregon 482 $13286 $4897 $8389
Heart Failure And Shock With Complications
 Oregon 1274 $18042 $7282 $10760
Heart Failure And Shock With Major Complications
 Oregon 901 $27504 $10906 $16598
Hip And Femur Procedures Except Major Joint No Complications
 Oregon 136 $29675 $10451 $19224
Hip And Femur Procedures Except Major Joint With Complications
 Oregon 579 $40170 $13192 $26978
Hip And Femur Procedures Except Major Joint With Major Complications
 Oregon 149 $52782 $21108 $31674
Hypertension No Major Complications
 Oregon 11 $9626 $4107 $5519
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Oregon 283 $119312 $47560 $71752
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Oregon 425 $15265 $6050 $9215
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Oregon 796 $21192 $8156 $13036
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Oregon 434 $37246 $13998 $23248
Kidney And Urinary Tract Infections No Major Complications
 Oregon 820 $13356 $5471 $7885
Kidney And Urinary Tract Infections With Major Complications
 Oregon 251 $18284 $8024 $10260
Laparoscopic Cholecystectomy No Cde No Complications
 Oregon 126 $21651 $8043 $13608
Laparoscopic Cholecystectomy No Cde With Complications
 Oregon 71 $29238 $11861 $17377
Major Cardiovasc Procedures No Major Complications
 Oregon 313 $67142 $22694 $44448
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Oregon 104 $23166 $9383 $13783
Major Joint Replacement Of Lower Extremity No Major Complications
 Oregon 4236 $41007 $15328 $25679
Major Joint Replacement Of Lower Extremity With Major Complications
 Oregon 148 $60506 $23293 $37213
Major Small And Large Bowel Procedures With Complications
 Oregon 407 $48072 $19111 $28961
Major Small And Large Bowel Procedures With Major Complications
 Oregon 233 $116613 $50154 $66459
Medical Back Problems No Major Complications
 Oregon 266 $18856 $6510 $12346
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Oregon 758 $13111 $5010 $8101
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Oregon 353 $18636 $8107 $10529
Other Circulatory System Diagnoses With Complications
 Oregon 34 $18954 $9595 $9359
Other Circulatory System Diagnoses With Major Complications
 Oregon 198 $34966 $14488 $20478
Other Digestive System Diagnoses With Complications
 Oregon 222 $19848 $7233 $12615
Other Kidney And Urinary Tract Diagnoses With Complications
 Oregon 82 $20523 $8972 $11551
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Oregon 209 $25440 $10895 $14545
Other Vascular Procedures No Complications
 Oregon 205 $34352 $11388 $22964
Other Vascular Procedures With Complications
 Oregon 246 $51240 $18279 $32961
Other Vascular Procedures With Major Complications
 Oregon 175 $61219 $24694 $36525
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Oregon 113 $38956 $13641 $25315
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Oregon 678 $42821 $14007 $28814
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Oregon 144 $61184 $23757 $37427
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Oregon 181 $42802 $13434 $29368
Peripheral Vascular Disorders No Complications
 Oregon 29 $13361 $5843 $7518
Peripheral Vascular Disorders With Complications
 Oregon 128 $18432 $7390 $11042
Permanent Cardiac Pacemaker Implant No Complications
 Oregon 202 $36115 $14002 $22113
Permanent Cardiac Pacemaker Implant With Complications
 Oregon 198 $44741 $18247 $26494
Poisoning And Toxic Effects Of Drugs No Major Complications
 Oregon 179 $13017 $4590 $8427
Poisoning And Toxic Effects Of Drugs With Major Complications
 Oregon 160 $27481 $11010 $16471
Psychoses
 Oregon 401 $21272 $8816 $12456
Pulmonary Edema And Respiratory Failure
 Oregon 658 $25396 $9037 $16359
Pulmonary Embolism No Major Complications
 Oregon 219 $17501 $7770 $9731
Red Blood Cell Disorders No Major Complications
 Oregon 244 $13786 $5741 $8045
Red Blood Cell Disorders With Major Complications
 Oregon 58 $26852 $11178 $15674
Renal Failure No Complications
 Oregon 35 $11135 $5550 $5585
Renal Failure With Complications
 Oregon 760 $17913 $7510 $10403
Renal Failure With Major Complications
 Oregon 594 $29859 $11721 $18138
Respiratory Infections And Inflammations With Complications
 Oregon 247 $26491 $11003 $15488
Respiratory Infections And Inflammations With Major Complications
 Oregon 289 $35048 $15303 $19745
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Oregon 23 $122796 $46549 $76247
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Oregon 285 $52579 $16842 $35737
Seizures No Major Complications
 Oregon 116 $16424 $6742 $9682
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Oregon 658 $19363 $8035 $11328
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Oregon 2441 $34559 $13707 $20852
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Oregon 51 $148555 $49752 $98803
Signs And Symptoms No Major Complications
 Oregon 226 $13670 $5017 $8653
Simple Pneumonia And Pleurisy No Complications
 Oregon 476 $13443 $4959 $8484
Simple Pneumonia And Pleurisy With Complications
 Oregon 1256 $18344 $7302 $11042
Simple Pneumonia And Pleurisy With Major Complications
 Oregon 735 $27393 $10198 $17195
Spinal Fusion Except Cervical No Major Complications
 Oregon 825 $66946 $28069 $38877
Syncope And Collapse
 Oregon 459 $13407 $5253 $8154
Transient Ischemia
 Oregon 248 $13826 $5399 $8427


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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