In its third year of publication, the Oregon Hospital Payment Report – a report from the Oregon Health Authority (OHA) – details the median amounts paid by commercial insurers for the most common inpatient and outpatient procedures performed in Oregon hospitals in 2016. The goal of the report is to provide transparency about hospital reimbursement. This annual report is based on data collected in Oregon’s All Payer All Claims (APAC) database.
In 2016 inpatient procedures increased by an average of 6.4 percent from 2015, the most of any category. No other procedure category increased by more than 2.6 percent and imaging and diagnostic procedures showed a slight average decrease in paid amount from 2015. Inpatient procedures already have the highest median paid amounts of any category, and are increasing at a faster rate.
One major finding: insurance companies continue to pay hospitals widely varying amounts for the same procedures within hospitals, among hospitals and across the state.
- Oregon Hospital Payment Report. Oregon Health Authority. July 1 2018 (PDF)