Oregon · 96160

Administration And Interpretation Of Patient-Focused Health Risk Assessment in Oregon

Oregon Medicare Avg
$1.52
16% below national avg
National Medicare Avg
$1.82
All states combined
Billed Charge (OR)
$18.88
What providers submit
Est. Commercial (OR)
$5.59
National avg: $5.41
Est. Cash / Self-Pay (OR)
$7.01
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

2.1K
Services in OR
176
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oregon

Provider Medicare Services
Patel, Palak MD $1.80 355

Oregon Pricing in Context

In Oregon, CPT code 96160 (Administration And Interpretation Of Patient-Focused Health Risk Assessment) carries an average Medicare payment of $1.52 — 16% below the national benchmark of $1.82. 176 providers across the state submitted claims for this procedure in 2023, performing 2.1K total services. Individual payments in OR ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Oregon is $18.88, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Oregon sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Oregon lands near $5.59, with self-pay cash prices typically around $7.01. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Administration And Interpretation Of Patient-Focused Health Risk Assessment cost in Oregon?

The average Medicare payment for Administration And Interpretation Of Patient-Focused Health Risk Assessment in Oregon is $1.52, which is 16% below the national average of $1.82. Providers in OR typically bill $18.88 for this procedure.

What does Administration And Interpretation Of Patient-Focused Health Risk Assessment cost with insurance in Oregon?

With commercial insurance in Oregon, Administration And Interpretation Of Patient-Focused Health Risk Assessment costs an estimated $5.59. Without insurance, the estimated cash price is $7.01. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Administration And Interpretation Of Patient-Focused Health Risk Assessment in Oregon?

176 providers in Oregon billed Medicare for Administration And Interpretation Of Patient-Focused Health Risk Assessment in 2023, performing 2.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Administration And Interpretation Of Patient-Focused Health Risk Assessment cheaper in Oregon than the national average?

Yes — Administration And Interpretation Of Patient-Focused Health Risk Assessment costs 16% below the national average in Oregon. The state average Medicare payment is $1.52 compared to $1.82 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial