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Ohsu Hospital and Clinics: what a joint replacement costs

Portland, OR 97239 · CMS Certification Number 380009. 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.

Surgery center nearby
$10,168
Northwest Ambulatory Surgery Center, LLC, 2.9 mi
Outpatient here
$13,662
196 Medicare cases, APC 5115
Inpatient here
$24,226
13 Medicare stays, MS-DRG 470

Medicare prices at Ohsu Hospital and Clinics

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,226$104,6774.3×$13,662
Shoulder replacement$30,597$103,0133.4×$19,507
Hip replacement after a fracture (DRG 522)$33,605$122,0603.6×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 560 beds

Oregon has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Ohsu Hospital and Clinics for a knee or hip replacement?

In 2024 Medicare paid Ohsu Hospital and Clinics an average of $24,226 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $13,662 per outpatient case (APC 5115, 196 cases).

What is Ohsu Hospital and Clinics's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,677, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Ohsu Hospital and Clinics?

Yes for Medicare facility payments. Northwest Ambulatory Surgery Center, LLC, an orthopedic surgery center 2.9 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $14,058 less than an inpatient stay at Ohsu Hospital and Clinics. Not every patient is a surgery-center candidate.

How does Ohsu Hospital and Clinics compare with other Oregon hospitals?

Medicare paid Ohsu Hospital and Clinics more than 100% of the 13 Oregon hospitals that report inpatient hip or knee replacement.