Oregon City, OR 97045 · CMS Certification Number 380038. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,407 | $49,158 | 2.8× | $13,624 |
| Shoulder replacement | — | — | — | $19,508 |
| Hip replacement after a fracture (DRG 522) | $18,476 | $60,715 | 3.3× | — |
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 143 beds
Oregon has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Providence Willamette Falls Medical Center an average of $17,407 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $13,624 per outpatient case (APC 5115, 75 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,158, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sunnybrook Ambulatory Surgery Center, an orthopedic surgery center 6.7 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $7,239 less than an inpatient stay at Providence Willamette Falls Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Providence Willamette Falls Medical Center less than 69% of the 13 Oregon hospitals that report inpatient hip or knee replacement.