Portland, OR 97225 · CMS Certification Number 380004. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,775 | $51,339 | 2.9× | $13,786 |
| Shoulder replacement | — | — | — | $19,507 |
| Hip replacement after a fracture (DRG 522) | $19,550 | $63,603 | 3.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $49,095 | 2.8× | $45,530–$61,601 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $61,601 | 3.5× | 1 |
| Moda | $59,200 | 3.3× | 1 |
| UnitedHealthcare | $49,095 | 2.8× | 1 |
| Regence BlueShield | $47,960 | 2.7× | 1 |
| Providence Health Plan | $45,530 | 2.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 523 beds
Oregon has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Providence St Vincent Medical Center for an inpatient hip or knee replacement stay was $17,775 (MS-DRG 470, 38 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,786 per outpatient case (APC 5115, 194 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,339, 2.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Center for Specialty Surgery, an orthopedic surgery center same ZIP away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $7,607 less than an inpatient stay at Providence St Vincent Medical Center. Not every patient is a surgery-center candidate.
Providence St Vincent Medical Center's average total payment per Medicare stay is lower than 62% of the 13 Oregon hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $49,095 across 5 insurers, ranging from $45,530 to $61,601.