Portland, OR 97210 · CMS Certification Number 380017. 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 | $19,625 | $48,502 | 2.5× | $13,494 |
| Shoulder replacement | — | — | — | $19,507 |
| Hip replacement after a fracture (DRG 522) | $21,615 | $60,091 | 2.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,628 | 2.0× | $32,174–$53,045 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $53,045 | 2.7× | 1 |
| UnitedHealthcare | $43,244 | 2.2× | 1 |
| Moda | $42,671 | 2.2× | 1 |
| Kaiser Permanente | $38,628 | 2.0× | 1 |
| Providence Health Plan | $38,628 | 2.0× | 1 |
| Regence BlueShield | $37,922 | 1.9× | 1 |
| Health 2 Business | $33,939 | 1.7× | 1 |
| PacificSource | $32,174 | 1.6× | 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: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 539 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 Legacy Good Samaritan Medical Center for an inpatient hip or knee replacement stay was $19,625 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,494 per outpatient case (APC 5115, 125 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,502, 2.5× 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. Northwest Ambulatory Surgery Center, LLC, an orthopedic surgery center 2.7 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $9,457 less than an inpatient stay at Legacy Good Samaritan Medical Center. Not every patient is a surgery-center candidate.
Legacy Good Samaritan Medical Center's average total payment per Medicare stay is higher than 54% 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 $38,628 across 8 insurers, ranging from $32,174 to $53,045.