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Legacy Mount Hood Medical Center: what a joint replacement costs

Gresham, OR 97030 · CMS Certification Number 380025. 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
East Portland Surgery Center, LLC, 6.4 mi
Outpatient here
$13,786
Medicare allowed amount, 51 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Legacy Mount Hood Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,786
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,922—$32,174–$53,0457
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$53,045—1
UnitedHealthcare$43,244—1
Moda$41,675—1
Regence BlueShield$37,922—1
Kaiser Permanente$36,636—1
Health 2 Business$33,939—1
PacificSource$32,174—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.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 115 beds

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

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Questions

How much does Medicare pay Legacy Mount Hood Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $13,786 per outpatient hip or knee replacement case (APC 5115, 51 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Legacy Mount Hood Medical Center?

Yes for Medicare facility payments. East Portland Surgery Center, LLC, an orthopedic surgery center 6.4 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Legacy Mount Hood Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,922 across 7 insurers, ranging from $32,174 to $53,045.