Oregon / Sky Lakes Medical Center

CMS certification 380050 · Klamath Falls, OR · 3 entries in CMS's price-transparency list

Sky Lakes Medical Center: charges and Medicare payments

Sky Lakes Medical Center reported 925 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 2.75 times what it was paid — among the lower ratios in Oregon, number 19 of 26 hospitals with at least 100 stays (state median 3.05×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 142 stays at an average charge of $58,821, 35% below the national average. It also billed 1,450 outpatient services, charging 4.14 times what Medicare paid.

1Medicare inpatient stays 925
2Charge ÷ paid, inpatient 2.75×
3Rank in OR (highest ratio = 1) 19 of 26
4CMS price-transparency actions 3

Average charge per stay at Sky Lakes Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 36 DRGs that can be compared with the national average, Sky Lakes Medical Center charged more than the national average in 3 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	142	$58,821	-35%	$22,620
193 Simple Pneumonia and Pleurisy with MCC	76	$33,970	-43%	$15,220
291 Heart Failure and Shock with MCC	63	$40,680	-28%	$15,072
190 Chronic Obstructive Pulmonary Disease with MCC	50	$34,197	-32%	$12,991
280 Acute Myocardial Infarction, Discharged Alive with MCC	42	$42,472	-44%	$18,101
177 Respiratory Infections and Inflammations with MCC	39	$48,428	-31%	$19,103
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$44,541	-26%	$15,747
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$93,722	-18%	$20,428
378 Gastrointestinal Hemorrhage with CC	25	$28,028	-42%	$11,428
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	25	$50,385	+3%	$13,168
682 Renal Failure with MCC	24	$42,085	-36%	$16,773
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$37,754	-32%	$12,154
308 Cardiac Arrhythmia and Conduction Disorders with MCC	22	$35,792	-37%	$13,358
377 Gastrointestinal Hemorrhage with MCC	20	$45,934	-46%	$20,331
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$71,871	-23%	$21,325
683 Renal Failure with CC	18	$27,742	-32%	$10,607
853 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$124,603	-46%	$55,121
481 Hip and Femur Procedures except Major Joint with CC	17	$71,948	-29%	$23,238
309 Cardiac Arrhythmia and Conduction Disorders with CC	16	$24,536	-32%	$8,961
480 Hip and Femur Procedures except Major Joint with MCC	16	$86,409	-38%	$32,531
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$42,625	+15%	$9,710
689 Kidney and Urinary Tract Infections with MCC	16	$39,382	-23%	$14,524
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	15	$60,867	-39%	$23,316
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$30,873	-39%	$10,724
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$27,160	-32%	$9,529
698 Other Kidney and Urinary Tract Diagnoses with MCC	15	$31,035	-58%	$18,578
287 Circulatory Disorders except AMI, with Cardiac...	14	$42,048	-34%	$12,555
286 Circulatory Disorders except AMI, with Cardiac...	13	$60,992	-46%	$23,636
552 Medical Back Problems without MCC	13	$28,423	-42%	$11,441
690 Kidney and Urinary Tract Infections without MCC	13	$35,179	-7%	$10,162
917 Poisoning and Toxic Effects of Drugs with MCC	13	$39,663	-47%	$18,120
813 Coagulation Disorders	12	$98,636	+23%	$17,645
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	11	$20,756	-28%	$6,918
321 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$116,752	-29%	$31,298
389 Gastrointestinal Obstruction with CC	11	$31,055	-20%	$9,755
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	11	$29,732	-51%	$14,744

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	183	$1,878	$888
Comprehensive Observation Services	143	$15,021	$3,559
Level 5 Musculoskeletal Procedures	140	$57,341	$17,077
Level 2 Excision/ Biopsy/ Incision and Drainage	111	$9,218	$2,099
Level 1 Endovascular Procedures	88	$21,724	$4,244
Level 3 Musculoskeletal Procedures	87	$12,131	$4,093
Level 4 Musculoskeletal Procedures	72	$25,296	$9,298
Level 2 Musculoskeletal Procedures	63	$5,170	$2,090
Level 3 Urology and Related Services	61	$8,860	$2,649
Level 3 Excision/ Biopsy/ Incision and Drainage	49	$16,200	$3,695
Level 1 Laparoscopy and Related Services	49	$28,674	$7,305
Level 1 Nerve Procedures	46	$7,752	$2,511
Level 3 Vascular Procedures	41	$19,219	$4,145
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	36	$19,605	$4,499
Level 6 Musculoskeletal Procedures	35	$63,590	$24,168
Level 2 Vascular Procedures	28	$8,562	$2,083
Level 3 Endovascular Procedures	28	$68,881	$14,280
Level 1 Intraocular Procedures	26	$3,802	$3,030
Level 5 Urology and Related Services	25	$20,530	$6,514
Level 3 Pacemaker and Similar Procedures	23	$41,706	$13,862
Level 4 Urology and Related Services	21	$14,284	$4,533
Level 4 Gynecologic Procedures	21	$12,386	$4,066
Level 2 Endovascular Procedures	20	$35,742	$7,433
Level 3 Airway Endoscopy	17	$14,543	$2,207
Level 2 Breast/Lymphatic Surgery and Related Procedures	13	$40,180	$8,478

Against the Oregon average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sky Lakes Medical Center charged $58,821 on average, 1% less than the Oregon average of $59,560, and was paid $22,620 against a state average of $19,972. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sky Lakes Medical Center charged $33,970 on average, 11% less than the Oregon average of $38,212, and was paid $15,220 against a state average of $13,346. For Heart Failure and Shock with MCC (DRG 291), Sky Lakes Medical Center charged $40,680 on average, 0% less than the Oregon average of $40,542, and was paid $15,072 against a state average of $12,978. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Sky Lakes Medical Center charged $34,197 on average, 5% more than the Oregon average of $32,580, and was paid $12,991 against a state average of $11,392. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,878 was 4% below the state average of $1,954. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,021 was 12% below the state average of $16,975. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,341 was 10% above the state average of $52,209. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,218 was 14% above the state average of $8,100.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sky Lakes Medical Center in Klamath Falls, OR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2026-01-14 (CMS case 6805)
CAP Request — 2026-04-17 (CMS case 6805)
Closure Notice — 2026-05-04 (CMS case 6805)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.